ITHACA, N.Y. – New research from an interdisciplinary Cornell team has found that as little as 10 minutes in a natural setting can help college students feel happier and lessen the effects of both physical and mental stress.
The research, published Jan. 14 in Frontiers in Psychology, is part of a larger examination of “nature therapy” and aims to provide an easily-achievable dosage that physicians can prescribe as a preventive measure against high levels of stress, anxiety, depression and other mental health issues college students face.
“It doesn’t take much time for the positive benefits to kick in — we’re talking 10 minutes outside in a space with nature,” said lead author Gen Meredith, associate director of the Master of Public Health Program and lecturer at the College of Veterinary Medicine. “We firmly believe that every student, no matter what subject or how high their workload, has that much discretionary time each day, or at least a few times per week.”
Meredith and her co-authors reviewed studies that examined the effects of nature on people of college age (no younger than 15, no older than 30) to discover how much time students should be spending outside and what they should be doing while they’re there. They found that 10-50 minutes in natural spaces was the most effective to improve mood, focus and physiological markers like blood pressure and heart rate.
“It’s not that there’s a decline after 50 minutes, but rather that the physiological and self-reported psychological benefits tend to plateau after that,” said co-author Donald Rakow, associate professor in the School of Integrative Plant Science.
To enjoy the positive effects of being outside, students need only to be sitting or walking, the two primary activities the researchers examined in an effort to provide accessible recommendations.
“We wanted to keep this access to nature as simple and achievable as possible,” says Rakow. “While there is a lot of literature on longer outdoor programs, we wanted to quantify doses in minutes, not days.”
For Cornell students, there are a multitude of options for escaping into nature. For urban universities, research suggests that adding green elements to a built space can produce the same results. It is the time spent in nature, not necessarily nature itself, that’s beneficial.
“This is an opportunity to challenge our thinking around what nature can be,” says Meredith. “It is really all around us: trees, a planter with flowers, a grassy quad or a wooded area.”
The impetus for this work is a movement toward prescribing time in nature as a way to prevent or improve stress and anxiety, while also supporting physical and mental health outcomes. The researchers wanted to consider what “dose” would need to be prescribed to college-age students to show an effect. They are hoping that when it’s applied at universities, it becomes part of a student’s routine and is consumed in regular doses, like a pill.
“Prescribing a dose can legitimize the physician’s recommendation and give a tangible goal” says Meredith. “It’s different than just saying: ‘Go outside.’ There is something specific that a student can aim for.”
Meredith and Rakow’s co-authors include Erin Eldermire, head librarian at the Flower-Sprecher Veterinary Library; Cecelia Madsen ’12, M.P.H. ’19; Steven Shelley, M.P.H. ’19, epidemiologist at the Maine Center for Disease Control and Prevention; and Naomi Sachs, assistant professor at the University of Maryland.
If you see something in the news, can you unsee it or forget it?
When it comes to pretrial publicity, conventional wisdom says “no.” That is why defense attorneys for high-profile clients like Harvey Weinstein or Lori Loughlin, in order to ensure a fair trial, argue for moving a trial’s location or reject potential jurors who have been exposed to news reports about their clients.
Jon Bruschke, chair and professor of human communications at Cal State Fullerton, however, believes that this so-called “strong publicity effect” is massively overstated. He argues that the genesis of this line of thought — a 1997 literature review by Studebaker and Penrod — is flawed, and his own research suggests a more limited effect, mostly on the length of sentencing.
Challenging the ‘Strong Publicity Effect’ Bruschke disputes Studebaker and Penrod’s case on human biology, communications theory and the study’s methodology.
“People can’t remember things,” he says. “In a 2002 study by Neil Vidmar at Duke University School of Law, respondents were given three front-page stories about a notorious drug dealer and murderer who was named 17 times in the articles. Two weeks later, only one person could recall the name.”
Furthermore, the elaboration likelihood model suggests that the intense spotlight on trial evidence would override any publicity seen previously. “The O.J. Simpson trial might be one of the best examples of this,” says Bruschke.
He also questions the choice of studies included in the 1997 literature review; if the publicity effect is as prevalent as claimed; and whether such an effect is augmented by bias in the study design. For example, there are often long delays (six months to two years) in real-life cases between the arraignment and trial. Delays in research studies are much shorter (weeks), so people are less likely to forget pretrial publicity.
“None of these methodological issues are a problem in isolation,” Bruschke notes. “But they all put upward pressure on the size of the effect.”
Weinstein should have no problem with publicity … it is largely negative, but this should not compromise his trial being fair.
Support for the ‘Weak Publicity Effect’ Bruschke and his colleagues are the leading proponents of a weak pretrial publicity effect. His 1999 study of all federal murder trials in a three-year period showed that high publicity and no publicity cases had equal conviction rates, and low levels of publicity resulted in the highest conviction rates. For those convicted, more publicity resulted in a longer sentence.
He found similar results in a 2004 study of all federal murder or bank robbery cases in Atlanta, Los Angeles and Detroit between 1993-95.
In his 2016 study, Bruschke found an effect for positive publicity but not for negative publicity. Jurors exposed to negative publicity were more prone to convict than those exposed to positive publicity.
“So the evidence is still a little equivocal, and you can’t say it always matters, and you can’t say it never matters,” says Bruschke. “The next big step is to find out when it does matter, and I don’t think social science is quite there yet.
“To me, the bigger question is: What does bias even mean? If you get charged with a felony, you have a 99% chance of being found guilty. The judicial system is replete with bias on the lines of class, race, sex and intersections between them. Paradoxically, the bias introduced by publicity might help defendants gain more resources for their case, which matters more.”
Publicity for Weinstein and Loughlin So what does this all mean for the 2020 trials of Weinstein and Loughlin?
“Weinstein should have no problem with publicity,” says Bruschke. “All research on pretrial publicity specific to sexual misconduct suggests that, if anything, even negative publicity favors defendants with male jurors. There is publicity, and it is largely negative, but this should not compromise his trial being fair.
“For Loughlin, I know of no research that is specific to celebrities in civil cases, but celebrities do tend to fare better than typical defendants, probably because they have access to better lawyers by and large.”
For Valentine’s Day, we asked faculty and staff at nine CSU campuses to tell us how their lifelong love affair with their discipline began.
As the adage goes, “Choose a job you love, and you’ll never work a day in your life.” The CSU is lucky to be replete with faculty and staff across its 23 campuses who’ve found their true calling. And for those who work with them—whether students or colleagues—that dedication to education is infectious.
Read on to hear how faculty and staff at nine CSU campuses fell head over heels for their discipline.
ALICIA KINOSHITA | Ph.D., San Diego State, Associate Professor, Water Resources Engineering
When did your love of post-fire recovery take hold? “I started working in this field as an undergraduate research assistant taking samples and measurements of water and soil. The research also took me to amazing locations such as the Sierra Nevada and Colorado. I loved being outside rather than in an office, and when I realized I could do this for a living, I was sold.”
Why did you fall in love with it? “I really loved hiking and being outside. Glimpses of wildlife still fill me with awe and remind me that sometimes systems need to be reset. I also find great satisfaction in investigating the landscape after it has been disturbed and watching the changes over time. For example, after wildfire, it is amazing to watch a charred landscape evolve, from ash to green sprouts to dense vegetation.”
BRIAN SELF | Ph.D., Cal Poly San Luis Obispo, Professor, Mechanical Engineering, 2020 Wang Award Winner
When did your love of engineering take hold? “During my first year I took a survey course in biomedical engineering at Virginia Tech and really enjoyed it. As a result, I majored in a little-known department called engineering science and mechanics because it gave me the most flexibility to pursue biomedical types of courses. From there, I was able to get a job as a research engineer with the Air Force, where I investigated things like pilots pulling g’s [g-forces], ejections from aircraft and spatial disorientation.”
Why did you fall in love with it? “The human body is probably the most complex engineering system there is. As a civilian researcher, I got to use a human centrifuge to investigate human tolerances to sustained acceleration and to look at how high-altitude flight affects pilot performance. When I moved to Cal Poly, friends and I mentored senior design students as they developed devices to help people with disabilities participate in sports. I most love the amazing variety of interesting projects that I get to do, the wonderful colleagues I work with and the amazing students I get to mentor and teach.”
TED STANKOWICH | Ph.D., Cal State Long Beach, Director, The Mammal Lab
When did your love of animals take hold? “I began studying ecology and evolution early in college and then spent a summer vacation assisting with research on sharks. My junior year, I took a course in animal behavior and loved it. I then had the opportunity to work in one of the professor’s labs studying behavior in naked mole rats for my honors thesis.”
What is it about skunks? “They have this powerful noxious weapon everyone knows about, but…nobody studies their behavior. They are abundant and everyone seems to have a great skunk story to share. They are a misunderstood creature: They don’t stink themselves, aren’t aggressive, don’t ‘want’ to spray you and none of the large mammalian predators want anything to do with them!”
JOANNA PEREZ | Ph.D., CSU Dominguez Hills, Assistant Professor, Sociology
When did your love of sociology take hold? “As an undergraduate, learning about the sociological imagination—which is the connection between self and society—ignited my interest in the field. For the first time, I was able to critically analyze and contextualize my lived experiences as a first-generation student and daughter of immigrants. Today, I get to advocate for social justice through research, teaching and service.”
Why did you fall in love with it? “Sociology has allowed me to engage in efforts that alter the social conditions of marginalized communities. This includes conducting research on Latino undocumented immigrant activists, facilitating a student-centered learning environment and addressing the needs of underserved communities.”
COLIN DEWEY | Ph.D., Cal Maritime, Associate Professor, English
When did your love of English take hold? “After high school, I had no interest in higher education. Instead, I went on a road trip and visited the lighthouse at Point Arena in Northern California. The idea of becoming a lighthouse keeper led to a hitch in the U.S. Coast Guard; after my enlistment, I began sailing on commercial ships. I found an old volume of John Ruskin’s Victorian social commentary ‘Queen of the Air’ on board a freighter. In a later job, I had the opportunity to be a peer-tutor. When I went from solitary reading at sea to engaging others through tutoring, and then teaching, I recognized that sharing knowledge and helping others to reach the kinds of ‘Eureka!’ moments that I’d experienced with that Ruskin book was what I wanted to do.”
Why did you fall in love with it? “When I belatedly accepted the challenge and opportunity higher education held, I’d already spent close to 20 years working at sea. Education unlocked vast stores of knowledge unimaginable to my previous autodidact self. The recognition that I could help guide others along a path similar to the one I’d taken—regardless of their social or economic background—has become a vocation.”
BRIAN LEVIN | J.D., Cal State San Bernardino, Professor, Criminal Justice, Director, Center for the Study of Hate & Extremism, 2020 Wang Award Winner
When did your love of the study of civic cohesion and extremism take hold? “When Judge A. Leon Higginbotham taught me that a key component of the Brown vs. Board of Education decision was its partial reliance on social science data. From then on, I felt there was a place for informed research with respect to policymaking.”
Why did you fall in love with it? “When I first started in 1986, no one was collecting national data about hate crimes and there were no new anti-hate crime laws at the federal levels. Even the constitutionality of state laws was still in doubt. This created opportunities to influence public policy through participation in landmark cases, police training and legislative fact-finding. Through this, I represented civil rights groups before Congress and in various Supreme Court amici briefs. Getting involved so early gave me an up-close chance to learn from key mentors, to whom I am still indebted, while also advancing the discourse that illuminates public policy reform.”
ERIC BARTELINK | Ph.D., Chico State, Professor, Physical Anthropology
When did your love of anthropology take hold? “I realized this was my calling in 1995 when I was an undergraduate student in anthropology. I decided to shift my focus specifically to bioarchaeology and forensic anthropology after listening to some guest speakers.”
Why did you fall in love with it? “The idea that you can reconstruct several aspects of a person’s life from their skeleton always fascinated me, whether it was someone who died recently or hundreds or even thousands of years ago.”
LAURA LUPEI | Sonoma State, Senior Director, University Budget and Planning, 2020 Wang Award Winner
When did your love of budgeting take hold? “As soon as I started working at Somoma State 19 years ago, I knew it was a great fit. I spent every day solving problems and looking at both the details and the big picture of the university, something I hadn’t yet realized that came so naturally to me.”
Why did you fall in love with it? “I really fell in love with budgeting when we started our strategic budgeting initiative. Budgeting is a lot more fun when an organization uses it as a tool for planning and moving forward a set of priorities rather than reacting. It has been extremely satisfying to watch our campus culture shift, and I never thought so many people would be interested in listening to my budget presentations!”
RAJEE AMARASINGHE | Ph.D., Fresno State, Professor & Chair of Mathematics, 2020 Wang Award Winner
When did your love of math take hold? “After being injured as an officer in the Sri Lankan Navy, I was forced to rethink my future. Having this time to contemplate my next move, I remembered the love I had for mathematics as a child. This realization led me to pursue graduate studies in mathematics, where I would eventually begin conducting research in mathematics education. When I realized I could transform the lives of others through mathematics, I truly began to appreciate the work I was doing as a mathematics educator.”
Why did you fall in love with it? “Oftentimes, there are students and teachers who’ve never had that opportunity to see, feel and enjoy the beauty of mathematics. It’s such a joy when someone gets that ‘A-ha’ moment where they realize mathematics is beautiful and that they had fun engaging in it. I truly fell in love with the work I am doing when I realized that I could bring this joy to people every day.”
Science now supports the saying, “happy wife, happy life.” Michigan State University research found that those who are optimistic contribute to the health of their partners, staving off the risk factors leading to Alzheimer’s disease, dementia and cognitive decline as they grow old together.
“We spend a lot of time with our partners,” said William Chopik, assistant professor of psychology and co-author of the study. “They might encourage us to exercise, eat healthier or remind us to take our medicine. When your partner is optimistic and healthy, it can translate to similar outcomes in your own life. You actually do experience a rosier future by living longer and staving off cognitive illnesses.
An optimistic partner may encourage eating a salad or work out together to develop healthier lifestyles. For example, if you quit smoking or start exercising, your partner is close to following suit within a few weeks and months.
“We found that when you look at the risk factors for what predicts things like Alzheimer’s disease or dementia, a lot of them are things like living a healthy lifestyle,” Chopik said. “Maintaining a healthy weight and physical activity are large predictors. There are some physiological markers as well. It looks like people who are married to optimists tend to score better on all of those metrics.”
Published in the Journal of Personality and co-authored by MSU graduate student Jeewon Oh and Eric Kim, a research scientist in the Department of Social and Behavioral Sciences at the Harvard T.H. Chan School of Public Health, followed nearly 4,500 heterosexual couples from the Health and Retirement Study for up to eight years. The researchers found a potential link between being married to an optimistic person and preventing the onset of cognitive decline, thanks to a healthier environment at home.
“There’s a sense where optimists lead by example, and their partners follow their lead,” Chopik said. “While there’s some research on people being jealous of their partner’s good qualities or on having bad reactions to someone trying to control you, it is balanced with other research that shows being optimistic is associated with perceiving your relationship in a positive light.”
The research also indicated that when couples recall shared experiences together, richer details from the memories emerge. A recent example, Chopik explained, was Google’s tearjerker Super Bowl ad, “Loretta,” in which an elderly man uses his Google Assistant to help him remember details about his late wife.
“The things he was recollecting were positive things about his partner,” Chopik said. “There is science behind the Google ad. Part of the types of memories being recalled were positive aspects of their relationship and personalities.”
With all of its benefits, is optimism something that can be prescribed? While there is a heritable component to optimism, Chopik says there is some evidence to suggest that it’s a trainable quality.
“There are studies that show people have the power to change their personalities, as long as they engage in things that make them change,” Chopik said. “Part of it is wanting to change. There are also intervention programs that suggest you can build up optimism.”
Across the board, everyone benefits from a healthy dose of optimism from their partner. For the glass-is-half-empty people, a partner can still quench their thirst. For the glass-is-half-full people? Their cup runneth over.
Michigan State University has been working to advance the common good in uncommon ways for 160 years. One of the top research universities in the world, MSU focuses its vast resources on creating solutions to some of the world’s most pressing challenges, while providing life-changing opportunities to a diverse and inclusive academic community through more than 200 programs of study in 17 degree-granting colleges.
That Italian restaurant with the excellent linguini that you’ve indulged in so often you can no longer face a meal there.
The conference with brilliant but endless keynotes: You start the day full of enthusiasm, but by the fourth breakout you’re flagging. The action movie that has you on the edge of your seat for so long and with so little down time that your brain goes numb long before your legs do.
It’s called satiation. And once you pass the satiation point, consuming more — even of something you love — means enjoying it less. Your senses become clogged by so much of one stimulus; they become tired and don’t process your enjoyment.
Of course, feeling satiated is a temporary state. Taking a break from the restaurant or skipping a few of the keynotes will leave you ready for more in due course.
So how do you know where the satiation point will kick in? And how long does it take to rebuild your appetite for more?
Shedding rigorous scientific light on all of this is new research by Darden Professor Manel Baucells.
EVERYTHING IN MODERATION?
Together with Lin Zhao of the Chinese Academy of Sciences, Baucells has created a mathematical model that charts the satiation state and the time that it takes for satiation to “decay” — in other words, the optimal amount of rest from an experience or activity that is needed in order for enjoyment to resume.
“We know from research — and common sense — that the old axiom is true: Everything is better in moderation,” says Baucells. “You tire of something if you’re overexposed to it. If you go to a concert, you’re likely to enjoy the first songs more than those that come in the middle, unless the playlist has been carefully calibrated to avoid satiation. We wanted to calculate where satiation kicks in and how it impacts enjoyment. We also wanted to understand how much time needs to elapse until satiation subsides and we start to enjoy something again.”
Understanding these dynamics, says Baucells, can help optimize the design of experiences and activities.
THE SATIATION MODEL
Baucells and Zhao’s satiation model plots three core dimensions: the consumption rate of an experience or activity or product, the satiation level, and the moment-by-moment enjoyment produced by that experience or activity or product. This third dimension is called “instant utility.”
The model is novel in that it is the first to introduce a “de-satiation motive,” charting the time it takes for satiation to decay — and enjoyment rise again.
The satiation model captures three key ideas:
The more frequently we consume something, the faster our satiation rate increases.
Enjoyment levels go down as satiation levels go up.
Resting between experiences decreases satiation and increases the enjoyment of the experiences that come after the break.
The paper also offers a “proof of concept” on how to measure, based on reports from individuals, specific parameters of the model such as how fast the satiation level decays during rest. Such measurements would allow us to improve the design of experiences, make better predictions on how much individuals would like a particular design, or monitor preferences from beginning to end of a time period.
THE SCIENCE IN LEAVING THE BEST FOR LAST
“Right now, a combination of intuition and experience determine how experiential services are design in many spheres of business,” says Baucells. “Intuitively we know when we go to a show or a concert that the best is generally left for last. But if you ask organizers or producers why that is, you’ll likely get a host of different reasons.”
The satiation model brings greater coherence to our understanding of the dynamics at play — a logical approach that can serve to either support or debunk gut feeling.
The model shows that satiation peaks and falls over a period of time. A high-low-high pattern works best for maximum satisfaction: Ideally, we’d still start an experience with a bang, then take things down a notch, then end with a grand finale. Having satiation peak right at the end of an experience or activity won’t penalize that activity because, simply put, nothing comes after the end. There is no further chance for satiation to increase, as the final peak is followed by an indefinite period of decay or rest. Moreover, ending on the highest note leaves one with a positive memory of the experience — an important source of consumer satisfaction.
Baucells’ model also points to how to optimize rests or breaks between activities (e.g., between songs in a concert), or to use variety to minimize satiation and optimize enjoyment.
“It’s the scientific explanation behind why we need to hear acoustic songs in a rock concert, or have our high-energy action interspersed with quieter scenes in a movie.”
So no matter how much you like kayaking or golfing, booking a six-day vacation centered around the activity will not be as fun as booking two separate three-day vacations. And mixing things up with, say, a horseback ride, will do wonders for how much more you appreciate the next golf course.
Decision-makers would do well to factor this understanding into business models, loyalty programs and marketing efforts, say the researchers.
Managing satiation more scientifically has benefits that span any number of sectors.
Restaurant mangers might want to think about reducing portion size in order to boost the sale of desserts. Customer loyalty efforts might be well served both by prioritising innovation and variety of offers, and by allowing greater periods of time to elapse between promotions.
There are key insights here that can even inform the debate on income inequality, Baucells says.
“The satiation model shows us that people tire of something if they do it too frequently. This can be just as easily applied to high-wealth individuals and spending habits,” says Baucells. “The model tells us that people cannot efficiently spend money on consumption indefinitely, and that has implications for inequality or philanthropy. Individuals with large wealth will eventually reach their satiation points in consumption, and their capacity to make any significant increase in enjoyment by spending more will eventually plateau. Past this point, philanthropy may make more sense.”
Fun on Super Bowl Sunday can lead to a tired Monday for many. In a new survey from the American Academy of Sleep Medicine (AASM), nearly 40% of U.S. adults said they are more tired than usual the Monday after the Super Bowl. With pre-game entertainment, high-profile commercials, a star-studded halftime show and high-stakes football, the event can run well into the night.
“It’s easy to stay up too late after enjoying a night of football, food and friends,” said AASM President Dr. Kelly A. Carden. “To get the sleep you need after the Super Bowl, it is recommended that you plan ahead and prioritize your bedtime on Sunday night to avoid a tired day at work on Monday.”
The AASM provides the following tips for a post-Super Bowl sleep game plan:
Avoid food and drinks after halftime. Eating heavy meals or foods that upset your stomach, and drinking caffeine or alcohol too close to bedtime, can negatively affect your sleep. If you’re hungry late at night, eat a light, healthy snack.
Shut off the TV and other electronic devices after the game. Avoid the temptation to engage in post-game commentary on social media. Instead, give yourself some time to unwind before going to bed.
Prioritize your bedtime. Most adults need at least seven hours of sleep to feel their best during the day. Make sure you get to bed at a reasonable hour to avoid feeling tired on Monday.
What defines it, who is at risk, and what are the consequences?
Romantic partners aren’t always honest about money in their relationships, but when does hiding purchases, debt and savings constitute “financial infidelity”? Research by professors at four universities, including Indiana University, defines the concept and provides a means for predicting its occurrence within relationships.
The professors define financial infidelity as “engaging in any financial behavior that is expected to be disapproved of by one’s romantic partner and intentionally failing to disclose this behavior to them.” It involves both the financial “act” and the subsequent concealment.
It differs from secret consumption and merely hiding spending because it involves a broader set of financial behaviors, including seemingly “positive” actions such as saving extra income in a personal bank account.
“Financial infidelity has the potential to be as harmful for relationship health and longevity as sexual infidelity, as conflicts over money are also a primary reason for divorce,” said co-author Jenny Olson, assistant professor of marketing at the IU Kelley School of Business. “Given the role that finances play in the health of relationships, consumers benefit from being aware of financial infidelity and its consequences.”
Growing in popularity is financial therapy, which combines finance with emotional support to help individuals and couples think, feel and behave with money to improve their overall well-being, make logical spending decisions and face financial challenges.
“An understanding of financial infidelity can benefit financial services companies and advisors, clinical therapists and relationship counselors, all of whom play a role in promoting consumer well-being,” Olson said. “If couples seek professional financial advice, they must be willing to openly discuss their spending and savings habits, debts and financial goals. It is clear that financial infidelity is a barrier to effective planning, as well as to a healthy relationship.”
The researchers developed a “financial infidelity scale (FI-Scale)” using a dozen lab and field tests. Key findings included:
Whether the financial act is expected to elicit any level of disapproval was more important than the degree of disapproval.
Consumers more prone to financial infidelity exhibited a stronger preference for secretive purchase options, such as using a personal credit card versus a jointly held card, and cash over credit.
A preference for ambiguous packaging and shopping at inconspicuous stores.
A greater likelihood of concealing financial information from their partner in a mobile banking app.
Each choice is relevant to marketers. The prevalence of financial infidelity among consumers and variations along the FI-Scale affect purchasing decisions. It is important that companies be aware of certain consumer segments that may be prone to financial infidelity and thus affect their bottom lines.
For example, the trend of businesses going “cash-free” may affect retailers such as beauty salons and gift shops because of the use of cash to disguise purchases. Consumers strategically using cash may be less willing to make purchases only for their pleasure or personal wants.
Other authors on the study are Emily Garbinsky, assistant professor of marketing at the Mendoza College of Business at the University of Notre Dame; Joe J. Gladstone, assistant professor of consumer behavior at the School of Management at University College London; and Hristina Nikolova, the Diane Harkins Coughlin and Christopher J. Coughlin Sesquicentennial assistant professor at the Carroll School of Management at Boston College.
Indiana University’s world-class researchers have driven innovation and creative initiatives that matter for nearly 200 years. From curing testicular cancer to collaborating with NASA to search for life on Mars, IU has earned its reputation as a world-class research institution. Supported by $680 million last year from our partners, IU researchers are building collaborations and uncovering new solutions that improve lives in Indiana and around the globe.
According to the American College of Obstetricians and Gynecologist, girls should have their first gynecologic visit between the ages of 13 and 15 years old.
Parents of young teenage girls are probably thinking about how to help them navigate social media, classwork, and their social lives. However, as young teenagers begin to go through puberty, it is also important to help them understand how to manage their changing bodies. Scheduling an appointment with a pediatric and adolescent gynecologist is one way to do this.
According to the American College of Obstetricians and Gynecologist, girls should have their first gynecologic visit between the ages of 13 and 15 years old. Pediatric and adolescent gynecology is a subspecialty of gynecology that provides comprehensive care for girls from birth to early adulthood. Pediatric and adolescent gynecologists take special care of the emotional needs of their patients and families while providing the unique care that’s necessary to foster the child’s transition from pediatrics to adult gynecology.
We spoke with pediatric gynecologist Amber Truehart, MD, about other reasons a girl should visit a gynecologist before she becomes an adult.
Education and Examinations
Patient education is one highlight of building a relationship with a pediatric and adolescent gynecologist. During the first visit, the doctor will help reinforce an understanding of healthy body weight and good habits for healthy bones. This is also an opportunity for young patients to learn about basic female hygiene, normal versus abnormal vaginal discharge, and puberty. Additionally, depending on the patient’s individual needs, their physical and emotional development, and medical history, the doctor may perform a basic physical exam, possibly including a breast exam.
Most girls get their first period when they are between 10 and 15 years old. So, it’s likely that a young girl is beginning to think about her period around this time. A visit with a pediatric and adolescent gynecologist will help her learn about the menstrual cycle and what is considered normal or abnormal. She can also learn how to manage her cycle, pain relief, and how to deal with premenstrual syndrome (PMS).
Young girls are able to get the HPV vaccine at their gynecologist’s office. The HPV vaccine helps protect children from developing the human papillomavirus, which can lead to six types of cancers later in life. The Centers for Disease Control and Prevention recommends two doses of the HPV vaccine, the first at age 11 and then six months later. If the child waits until age 15, they’ll need three doses of the vaccine.
Let’s face it — it may be difficult for a young girl to talk to a parent about sex. Yet, it’s important that she have an avenue for these conversations. Getting her in front of an expert she trusts will help her get accurate information and learn about sexually transmitted infections, HIV, and pregnancy prevention. She can also talk with her gynecologist about safe and healthy intimate relationships, LGBTQ topics and having sex for the first time.
For girls and young women who need complex gynecologic care, forming a doctor-patient relationship connects them with an expert who is poised to provide a full range of specialized services. Pediatric and adolescent gynecologists are trained to care for the intricate needs of children and teens who have physical or mental disabilities, congenital gynecologic abnormalities (present since birth), and underlying chronic health problems.
Because early detection of autism is linked to significantly improved outcomes, the discovery of early predictors could make all the difference in a child’s development.
Dr. Ray Bahado-Singh, a geneticist and Chair of Obstetrics and Gynecology for Beaumont Health and the Oakland University William Beaumont School of Medicine and his research team, identified key biomarkers for predicting autism in newborns.
The preliminary, collaborative study used Artificial Intelligence, a computer-based technology which scans a map of the human genome.
The team’s findings could lead to an accessible, standardized newborn screening tool which uses a simple blood test, Dr. Bahado-Singh said, enabling earlier intervention, reducing disability and improving outcomes.
The project compared DNA from 14 known cases of autism to 10 control cases and featured researchers from the Oakland University William Beaumont School of Medicine, Albion College and the University of Nebraska Medical Center.
Results appeared in the journal Brain Research.
“Compared to what is currently available, these findings provide a more direct method which could be employed earlier on, shortly after birth,” Dr. Bahado-Singh said. “It’s been shown that children who are treated earlier do better in life.”
Symptoms of autism include sensory processing difficulties, anxiety, irritability, sleep dysfunction, seizures and gastrointestinal disorders.
According to Autism Speaks, nearly half of 25-year-olds diagnosed with autism have never held a paying job. In the United States, the majority of costs associated with autism are for adult services – an estimated $175 to $196 billion a year, compared to $61 to $66 billion a year for children.
Although the American Academy of Pediatrics recommends all children be screened between 18-24 months, children in large portions of the U.S. do not receive recommended clinical screenings.
“We are always looking for new ways to make a difference in the lives of our patients,” Dr. Warner said. “Getting them into therapy early on is a proven way to make their path, and that of their families, easier and more meaningful.”
Dr. David Aughton, Genetics Chief for Beaumont Children’s, said he looks forward to additional, larger follow-up studies.
“Although it has been thought for many years that the underlying cause of a significant proportion of autism is likely to be nongenetic in nature, this study takes a very pragmatic and important first step toward investigating the epigenome — the inheritable changes in gene expression — and identifying those underlying nongenetic influences. The authors call for larger follow-up studies to validate their findings, and I eagerly look forward to learning the outcome of those validation studies.”
Victoria Secret models shrink while average US women’s dress size increases
While the average American woman’s waist circumference and dress size has increased over the past 20 years, Victoria’s Secret fashion models have become more slender, with a decrease in bust, waist, hips and dress size, though their waist to hip ratio (WHR) has remained constant.
These findings represent an ideal of beauty that continuously moves further away from the characteristics of the average American woman.
Quantifying female body attractiveness is complex. Perceived attractiveness is influenced by physical and nonphysical traits and is further guided by media exposure and sociocultural standards of the time. One of the more established parameters to evaluate female body attractiveness is the WHR, which measures body fat distribution. Interestingly, WHR has continued to be an ideal beauty trait that has stayed constant over time and cross-culterally.
In order to evaluate trends of physical body attributes, researchers from Boston University School of Medicine (BUSM) measured and compared Victoria’s Secret models from 1995 to 2018. The first Victoria’s Secret runway show debuted 23 years ago and since then has been viewed by millions annually, making it the most watched fashion show worldwide.
The data showed that over time, Victoria’s Secret fashion models have become thinner, with smaller busts, waist, hips and dress size, whereas their WHR remained constant. “Conversely, the average American woman’s waist circumference and dress size has increased and varies between a misses size 16 and 18,” explained corresponding author Neelam Vashi, MD, assistant professor of dermatology at BUSM.
According to the researchers, in parallel with this trend, the percentage of women seeking cosmetic surgical procedures has dramatically increased and may be due to the desire to achieve the ideal WHR, which is a narrow waist set against fuller hips. Buttock and lower body lift has increased by 4,295 percent and 256 percent, respectively since 2000.
“Our results represent a potentially changing weight ideal of beauty that is moving farther away from the characteristics of the average American woman; however, a constant idealized WHR remains intact,” added Vashi, who also is director of the Boston University Cosmetic and Laser Center at Boston Medical Center.