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Mr. MooseknucklesWalk with a Doc Newsletter
Greetings!
 
Good morning! How are you today? Are you drinking coffee or do you like it? There is a study published this week we wanted you to see. It's just down the road.

We also wanted to let you know that we are on Facebook, a relatively new social media platform that looks like it has potential. Walk with a Doc is on Facebook and we would "love" for you to "Like" our Page.

We currently use Facebook to help steer our program to your liking (e.g. Which smartphone would you like us to build an app for?), share late-breaking clinical trials that could positively affect your health, share any good jokes we just heard, etc.
 
So please, if you are so obliged, join the Walk with a Doc family by clicking the link to the right. Concerned about joining the clan? Don't worry, we'll make Aunt Louise bring the potato salad. You just bring that lovely family of yours...and that big smile!
 
Coffee May Lower Women's Risk of Depression 

Many of us rely on a cup of coffee to kick-start our day (you're welcome, Starbucks), and now new research suggests that our morning caffeine infusion may also help ward off depression over the long term, especially for women.

The study, published in the Archives of Internal Medicine, found that women who drank two to three cups of caffeinated coffee a day were 15% less likely to develop depression over the 10-year study period, compared with women who consumed one cup or less per day. Women who drank four or more cups of coffee a day had a 20% lower risk. Women who drank decaf didn't show a similar reduction in depression rates.

Led by senior author Dr. Alberto Ascherio, a professor of epidemiology and nutrition at Harvard School of Public Health, the study is one of the first to investigate the long-term effects of caffeine on mood disorders such as depression. There's a lengthy history of both animal and human studies documenting the feel-good effects of caffeine - caffeinated animals have been shown to be more active in their environments, and likewise, in people, caffeine boosts alertness and energy - but most of these effects are short-lived and last only until the next cup of joe.

But Ascherio and his colleagues suggest that consistent use of caffeine may have longer-term effects on the brain. Although their findings don't show that drinking coffee directly prevents depression - the findings show only an association between coffee and mood - researchers do know that caffeine works by binding to receptors for brain chemicals associated with mood.

Earlier studies have found similar effects. People who drink caffeinated coffee have lower rates of suicide than those who don't, for example, and they have lower rates of severe depression. In animals that exhibit the tremors that characterize Parkinson's disease, which can be traced to abnormal activity of brain chemicals, caffeine has been shown to help reduce uncontrolled movement. It's an intriguing connection when it comes to understanding how caffeine may affect depression, since Parkinson's patients also tend to have higher-than-usual rates of depression both before and after their diagnosis.

Ascherio says it isn't clear yet how caffeine may exerts mood-elevating effects. "Our results suggest that caffeine may have a beneficial effect on the cellular level, and may protect neurons lost to neurodegenerative disease," says Ascherio. "We are establishing a certain degree of reasonable evidence that caffeine has a long-term effect on the risk of depression, but we cannot attribute this to any pathology."

Like other compounds that affect the body's metabolism, caffeine may reduce the risk of depression only up to certain doses, Ascherio cautions. At high doses, caffeine can increase anxiety, which can actually contribute to depression.

He also notes that caffeine content in coffee can vary greatly. For purposes of the study, his team measured one cup of coffee as containing 137 mg of caffeine. The group also looked at the effect of caffeine consumed from sources other than coffee, including tea, soft drinks and chocolate, but found no association with mood, likely because these items contain less caffeine than coffee does.

For the more than 50,000 middle-aged women in the trial, coffee was by far the major source of caffeine. Researchers tracked caffeine intake in the participants, who were all enrolled in the Nurses' Health Study, through regular detailed questionnaires. Depression was tracked through self-report of diagnoses or antidepressant use.

So can a couple of cups of java protect some women from depression? "I don't think there is sufficient evidence for a specific recommendation that people change their behavior at this stage," says Ascherio.

People drink coffee for different reasons, he notes, and react differently to its potentially stimulating effects. These are the factors that are more likely to dictate when and how much coffee people drink - not the potential longer term benefits against a condition like depression. "The amount of coffee you drink is very much determined by how you feel, and there is no guarantee in the long run that drinking coffee will be beneficial," he says. "We adjust to the level of caffeine that is optimal for us, and we cannot give a prescription for people to drink or not drink caffeine."

 

Alice Park is a writer at TIME. Find her on Twitter at @aliceparkny.


Walk with a Doc Makes History

You can imagine how often we get confused with "Walk with a Dog". All the time right? Well now, we are giving you one more reason. A great reason.

Today, September 30th, 2011, Walk with a Doc makes history by announcing that we will be the very first Ohio-based, 501(c)3 to have a Board of Directors that includes a canine.

Mr. Alan James "A.J." Mooseknuckles (please see photo above) accepted our invitation this past Wednesday evening to become the 8th member of our prestigious board. He will begin serving what we hope is the first of two three-year terms this December. We had a spot open up and, well, the decision was easy.

While we would love to take the opportunity to boast about our sensitivities to inclusion and our willingness to look deeper than the run-of-the-mill Ivy League degree, the truth is, Mr. Mooseknuckles will only make the board stronger and more complete. He brings a breadth of experience and almost superhuman capabilities that quite honestly, is hard to touch.

His sense of smell is second to none - I can think of a dozen situations, just off the top of my head, where that will help guide us. And just try and sneak something past him; this guy can hear a pin drop at 200 yards. 

If you've spent a minute with A.J., you are aware his sense of humor is off the charts. If I had a dime for every time I walked down the WWAD hallway and heard, "Mr. Mooseknuckles, please stop! stop! Oh my G-d! I can't breath!!" He's your quintessential "locker room guy".

Maybe most importantly, A.J. adds a sense of adventure and a willingness to take risks. As we add more cities, states, and countries - we need to maintain an air of spontaneity, passion, and machismo. A.J. brings that to the table.

Let's put it this way, Mr. Mooseknuckles doesn't always drink beer, but when he does, he prefers Dos Equis.  

Thank you
Thank you for recommending Walk with a Doc to your friends. Thank you for getting your 150 minutes in this beautiful weather. Thank you for being part of the Walk with a Doc family.
For all this weekend's walks, please click here.
Have a wonderful weekend!
David
Walk with a Doc
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Walk with a Doc
495 Cooper Road
Suite 411
Westerville, Ohio

43081
(614)714-0407 
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