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20/20 InSights

Medical Myths

Happy New Year, everyone!  Welcome to 2008!  I hope everyone had a good holiday.

I'm going to start the year off by telling you about 7 common medical myths out there.  Aaron Carroll, a pediatrician at the Regenstrief Institute in Indianapolis, and Rachel Vreeman, a pediatrician at the Indiana University School of Medicine, recently published a letter in the British Medical Journal.  In this letter, they outlined 7 myths that many people, including many doctors and other health professionals, believe.  So let's take a look at these myths and debunk them, shall we?

1.  People should drink at least 8 glasses of water a day

 

Nobody knows for certain where this common recommendation came from.  However, it's not based on any hard scientific evidence.

We used to preach this recommendation in 20/20, but after reviewing the scientific evidence, we changed our recommendation to 6-8 glasses per day.  Where did we come up with this recommendation?  Well, the standard recommendation is 1 milliliter of water for every calorie of energy you expend each day.  We estimated that the men in 20/20 are expending, on average, about 2,750 calories per day, and the women are expending about 2,450 calories per day.  Thus, the water recommendation for men is 2,750 milliters per day, and it's 2,450 milliters for women.  If we estimated that you get about 1,000 milliters of water from the food you eat, this leaves 1,750 milliters (about 7 glasses) for the men and 1,450 milliters (about 6 glasses) for women.  There are also epidemiological studies that suggest that 6-8 cups are associated with a lower risk of bladder cancer and kidney stones.  So, we set our recommendation at 6-8 cups.  There is no need to exceed 8 cups, with the exception of frequent exercise in extremely hot and humid environments, where greater water intakes may sometimes be necessary.

 2.  We only use 10% of our brains

 

Here we have a case of communal reinforcement.  People have been spouting this "fact" since 1907, and nobody has bothered to question it.  Yet, numerous brain imaging studies show that no area of the brain is completely silent or inactive.

3.  Hair and fingernails continue to grow after death

Sounds creepy, but it's not true.  After death, your skin dries out and retracts, which gives the appearance that your fingernails and hair are growing.  But they aren't.  Hair and fingernail growth require complex hormonal regulation that stops after death.

4.  Shaving hair causes it to grow back faster, darker, or coarser

 

Clinical studies have shown that shaving hair does not make it grow back faster, darker, or coarser.  Like myth #3, it's all an illusion.  Shaved hair lacks the finer taper seen at the ends of unshaven hair, giving the impression of coarseness.  Also, the new hair has not been lightened by exposure to sun or other chemicals, giving it a darker appearance.

5.  Reading in dim light ruins your eyesight

 

Every time I'm reading, my grandmother is alwasy telling me, "You need more light.  You're going to ruin your eyes!"  But there is no scientific evidence that this is true.  While it can cause temporary eyestrain, there is no evidence that there is permanent change in the structure or function of the eyes.

6.  Eating turkey makes people especially drowsy

 

People say this because turkey contains tryptophan, an amino acid that is involved in sleep and mood control, and can cause drowsiness.  However, turkey does not contain an exceptional amount of tryptophan.  In fact, it has no more tryptophan than other types of meat.  Pork and cheese has more tryptophan than turkey!  Also, the presence of other food at a holiday meal will slow the absorption of tryptophan.  Finally, the presence of other amino acids in the meat will compete with tryptophan for crossing the blood-brain barrier.

The reason you become sleepy after a holiday meal is because large meals decrease blood flow and oxygenation to the brain.  That glass of wine that you had with dinner may also have something to do with your drowsiness.

7.  Mobile phones create dangerous electromagnetic interference in hospitals

This one is more controversial, but there is not one reported case of a death caused by the use of a cell phone in a hospital.  There have been occasional reports of things like incorrect readings on cardiac monitors or false alarms.  In a study out of the Mayo Clinic in 2005, researchers did 510 tests with 16 medical devices and 6 cell phones.  They found the incidence of clinically important interference was only 1.2%.  Other studies have had similar results, showing minimal interference that only occurs when cell phones are used in less than 1 meter from equipment.  Other studies have found no interference when cell phones were used in a "normal way".  So, while there is some evidence that cell phones can create some weak interference in some instances, there's no evidence they are dangerous when used in a normal way in a hosptial setting.  Despite this myth, many hospitals have banned the use of cell phones.

 

So there you have it.  So the next time someone tells you that you only use 10% of your brain, ask them where the other 90% went :)

 

Comments

 

High Def Man said:

Well then I guess my mad scientist experiments to activate that other 90% of my brain will never be successful. :)  Nice list though.  I still need to drink more water.

January 4, 2008 2:21 PM
 

Dnvrdude said:

I'm surprised at the information about hair growth, but there are a couple things to consider.

#1. Shaving the head can be healthful for the scalp, and actually open up clogged follicles that will then make the regrowth thicker. I've heard that residue, called Sebum can cause this and that regular shampoos don't always clean down the the scalp.

#2. If you allow your beard to grow for even a few days, then shave, you will not have as much of a beard 24 hours after this shave than if you were shaving regularly every 24 hours. I think this may be because hair has a programmed length, and will slow down in rate of growth the closer it approaches the maximum. If you allow the beard to grow a few days, the rate of growth will slow, and it doesn't speed back up again after shaving for several hours.

I could be wrong =)

January 7, 2008 4:35 PM
 

jkrieger said:

#1  Sebum is an oil secreted by hair follicles, and is what gives your hair a greasy feel if you don't wash your hair for a number of days.  I'm not sure how shaving the head would open up clogged follicles.  If anything, it would make clogging of follicles more likely, as if hair is cut off at or below the surface of the skin, the hair follicle would more likely to become clogged.

#2  Shaving removes the dead portion of hair, not the living section that lies beneath the skin's surface, so shaving would have no effect on the rate or type of growth

January 8, 2008 10:30 AM
 

Neil said:

Thanks for explaining the 7/8 glasses of water recommendation for 20/20.

However, let me describe something that's irked me for a while. When I first joined the Pro Club I was asked how many caffeinated drinks I had per day. When I 'fessed up I was told these were 'negative drinks' due to diuretic effect. I was sceptical and it seems that my scepticism is justified by recent research. I understand that 20/20 recommends no or little caffeine as it may be an appetite stimulant to some but was is the recommendation for tea/coffee's role in hydration?

March 5, 2008 3:05 PM
 

jkrieger said:

You are correct that the diuretic effect of caffeine is minimal.  On average you excrete about 1.17 ml for every mg of caffeine you consume.  So, if you consume 100 mg caffeine (about the amount in a cup of coffee), you excrete about 117 ml of water.  That's about a half-cup of water.  So I would say that a cup of coffee would count as a half-cup of fluid.  Still, we encourage at least 6 cups of pure water per day, given the studies associating this level of water intake with lower risk of kidney stones & bladder cancer.

March 6, 2008 3:24 PM
 

20/20 InSights said:

When it comes to health and wellness, there are soooooo many old wives' tales out there. While there

September 30, 2008 10:55 AM

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