Mostrando postagens com marcador Alcoholism among teens. Mostrar todas as postagens
Mostrando postagens com marcador Alcoholism among teens. Mostrar todas as postagens

quinta-feira, 30 de abril de 2015

Your adolescent brain on alcohol: Changes last into adulthood

 

 

 

Repeated alcohol exposure during adolescence results in long-lasting changes in the region of the brain that controls learning and memory, according to a research team at Duke Medicine that used a rodent model as a surrogate for humans.

The study, published April 27 in the journal Alcoholism: Clinical & Experimental Research, provides new insights at the cellular level for how alcohol exposure during adolescence, before the brain is fully developed, can result in cellular and synaptic abnormalities that have enduring, detrimental effects on behavior.

"In the eyes of the law, once people reach the age of 18, they are considered adult, but the brain continues to mature and refine all the way into the mid-20s," said lead author Mary-Louise Risher, Ph.D., a post-doctoral researcher in the Duke Department of Psychiatry and Behavioral Sciences. "It's important for young people to know that when they drink heavily during this period of development, there could be changes occurring that have a lasting impact on memory and other cognitive functions."

Risher and colleagues, including senior author Scott Swartzwelder, Ph.D., a professor of Psychiatry and Behavioral Sciences at Duke and Senior Research Career Scientist at the Durham VA Medical Center, periodically exposed young rodents to a level of alcohol during adolescence that, in humans, would result in impairment, but not sedation. Afterward, these animals received no further exposure to alcohol, and grew into adulthood -- which in rats occurred within 24 to 29 days.

Earlier studies by the Duke team and others have shown that adolescent animals exposed to alcohol grow into adults that are much less adept at memory tasks than normal animals -- even with no further alcohol exposure.

What has not been known is how these impairments manifest at the cellular level in the region of the brain known as the hippocampus, where memory and learning are controlled.

Using small electrical stimuli applied to the hippocampus, the Duke team measured a cellular mechanism called long-term potentiation, or LTP, which is the strengthening of brain synapses as they are used to learn new tasks or conjure memories.

Learning occurs best when this synaptic activity is vigorous enough to build strong signal transmissions between neurons. LTP is highest in the young, and effective learning is crucial for adolescents to acquire large amounts of new memory during the transition to adulthood.

The researchers expected they would find abnormally diminished LTP in the adult rats that had been exposed to alcohol during their adolescence. Surprisingly, however, LTP was actually hyperactive in these animals compared to the unexposed rodents.

"At first blush, you would think the animals would be smarter," Swartzwelder said. "But that's the opposite of what we found. And it actually does make sense, because if you produce too much LTP in one of these circuits, there is a period of time where you can't produce any more. The circuit is saturated, and the animal stops learning. For learning to be efficient, your brain needs a delicate balance of excitation and inhibition -- too much in either direction and the circuits do not work optimally."

Importantly, the LTP abnormality was accompanied by a structural change in individual nerve cells that Swartzwelder, Risher and colleagues identified. The tiny protrusions from the branches of the cells, called dendritic spines, had appeared lanky and spindly, suggesting immaturity. Mature spines are shorter and look a bit like mushrooms, refining cell-to-cell communication.

"Something happens during adolescent alcohol exposure that changes the way the hippocampus and other regions of the brain function and how the cells actually look -- both the LTP and the dendritic spines have an immature appearance in adulthood," Swartzwelder said.

Risher said this immature quality of the brain cells might be associated with behavioral immaturity. In addition to spine changes in the hippocampus, which affects learning, colleagues of the Duke group have shown structural changes in other brain regions that control impulsiveness and emotionality.

"It's quite possible that alcohol disrupts the maturation process, which can affect these cognitive function later on," she said. "That's something we are eager to explore in ongoing studies."

The researchers said additional studies would focus on the longer-term cognitive effects of alcohol on brains, along with additional cellular changes.


Story Source:

The above story is based on materials provided by Duke University Medical Center. Note: Materials may be edited for content and length.


Journal Reference:

  1. Mary-Louise Risher, Rebekah L. Fleming, W. Christopher Risher, K. M. Miller, Rebecca C. Klein, Tiffany Wills, Shawn K. Acheson, Scott D. Moore, Wilkie A. Wilson, Cagla Eroglu and H. S. Swartzwelder. Adolescent Intermittent Alcohol Exposure: Persistence of Structural and Functional Hippocampal Abnormalities into Adulthood. Alcoholism: Clinical & Experimental Research, 27 APR 2015 DOI: 10.1111/acer.12725

 

quarta-feira, 21 de janeiro de 2015

Alcohol ads on TV associated with drinking behavior in young people

 

January 20, 2015

Dartmouth-Hitchcock Medical Center

Seeing and liking alcohol advertising on television among underage youths was associated with the onset of drinking, binge drinking and hazardous drinking, according to a study. Alcohol is the most common drug used by young people. In 2013, 66.2 percent of U.S. high school students reported trying alcohol, 34.9 percent reported alcohol use in the past 30 days and 20.8 percent reported recent binge drinking.


Seeing and liking alcohol advertising on television among underage youths was associated with the onset of drinking, binge drinking and hazardous drinking, according to a study by researchers at the Norris Cotton Cancer Center (NCCC) and Children's Hospital at Dartmouth-Hitchcock (CHaD) published online by JAMA Pediatrics.

CHaD pediatrician and associate professor of pediatrics at the Geisel School of Medicine at Dartmouth Susanne E. Tanski, MD, MPH and her coauthors examined the reach of television advertising and its effect on drinking in young people. In 2011 and 2013, they conducted telephone- and web-based surveys with 2,541 adolescents and young adults between the ages of 15 and 23 years at baseline, with 1,596 completing a follow-up survey. The surveys examined recall of more than 300 television advertising images for top beer and distilled spirits brands that aired nationally in 2010-11. The authors derived an alcohol receptivity score based on having seen the ad, liking it and correctly identifying the brand.

"The alcohol industry claims that their advertising self-regulation program protects underage youths from seeing their ads," said Tanski. "Our study indicates that it does not." Participants who were underage were only slightly less likely than legal-drinking-age participants to have seen alcohol ads (the average percentage of ads seen were 23.4 percent, 22.7 percent and 25.6 percent, respectively, for young people ages 15-17, 18-20 and 21-23 years of age).

Alcohol is the most common drug used by young people. In 2013, 66.2 percent of U.S. high school students reported trying alcohol, 34.9 percent reported alcohol use in the past 30 days and 20.8 percent reported recent binge drinking. In the U.S. alone, producers of alcohol spend billions of dollars annually marketing their products. And, unlike cigarettes, which voluntarily ended television advertising in 1969, alcohol is actively marketed on television, according to the study background.

Survey results indicate that higher alcohol receptivity score among underage participants predicted the onset of drinking, binge drinking and hazardous drinking in the future. The transition to binge drinking (participants were asked how often they have six or more drinks on one occasion) and hazardous drinking (which was defined as meeting or exceeding a threshold score for frequency and quantity of alcohol use) happened for 29 percent and 18 percent of young people ages 15 to 17 years, respectively, and for 29 percent and 19 percent of young people ages 18 to 20 years, respectively.

"Alcohol companies claim their advertising does not affect underage drinking -- that instead it is parents and friends that are the culprits," said James D. Sargent, MD, senior author on the study and a CHaD pediatrician, the Scott M. and Lisa G. Stuart Professor of Pediatric Oncology at Geisel, and co-director of the NCCC Cancer Control Program. "This study suggests otherwise -- that underage youths are exposed to and engaged by alcohol marketing and this prompts initiation of drinking as well as transitions from trying to hazardous drinking."

"Our study found that familiarity with and response to images of television alcohol marketing was associated with the subsequent onset of drinking across a range of outcomes of varying severity among adolescents and young adults, adding to studies suggesting that alcohol advertising is one cause of youth drinking," the authors conclude. "Current self-regulatory standards for televised alcohol advertising appear to inadequately protect underage youth from exposure to televised alcohol advertising and its probable effect on behavior."


Story Source:

The above story is based on materials provided by Dartmouth-Hitchcock Medical Center. The original article was written by Rick Adams. Note: Materials may be edited for content and length.


Journal Reference:

  1. Susanne E. Tanski, Auden C. McClure, Zhigang Li, Kristina Jackson, Matthis Morgenstern, Zhongze Li, James D. Sargent. Cued Recall of Alcohol Advertising on Television and Underage Drinking Behavior. JAMA Pediatrics, 2015; DOI: 10.1001/jamapediatrics.2014.3345