Health Alert: Many Women Are Unaware of Heart Attack Risk. The American Heart Association
reports that, between 2009 and 2017, the percentage of women who knew that heart disease was the top
killer of women fell from 65% to 44%. Circulation, September 2020
Diet: Vitamin E May Be Vital for Nervous System Development. The result of a recent animal study
showed that the offspring of zebrafish with vitamin E deficiency exhibited malformed brains and nervous
systems. Researcher Dr. Maret Traber writes, “This is totally amazing—the brain is absolutely physically
distorted by not having enough vitamin E.” Scientific Reports, September 2020
Exercise: HIIT Is a Good Idea for Type 2 Diabetics. High-intensity interval training (HIIT) is a form of
exercise that involves short intervals of near-maximal effort such as sprinting or stair climbing, separated
by intervals of moderate-intensity exercise, such as jogging or fast walking. A recent study showed that
type 2 diabetics who participated in an eight-week HIIT program that included cycling and rowing
experienced significant improvements in insulin sensitivity, aerobic fitness, and body composition.
Diabetologia, September 2020
Chiropractic: Thoracic Mobilization for Shoulder Pain? For patients with subacromial impingement
syndrome, a recent study showed that the combination of specific exercises and joint mobilizations
targeting the mid-back resulted in greater improvements in thoracic kyphosis, upper trapezius muscle tone,
and shoulder range of motion than either treatment alone. The finding suggests that dysfunction in the
thoracic spine may play a role in subacromial impingement syndrome, and such issues may need to be
addressed to achieve a satisfactory treatment outcome. Healthcare, September 2020
Mental Attitude: Just the Right Amount of Sleep is Vital for Brain Health. Using data from the
English Longitudinal Study of Aging and the China Health and Retirement Longitudinal Study, researchers
report that sleeping fewer than four hours or more than ten hours a night is associated with a faster
progression of cognitive decline over time than sleeping seven hours a night.
JAMA Network Open, September 2020
Wellness/Prevention: The High Cost of Smoking. The current research suggests that individuals who are
smokers at age 45 can expect to live about five fewer years than their nonsmoker peers.
Urology of Virginia, September 2020
Quote: “Don’t hold on to the past; it won’t help in moving forward. Dare to dream big.” ~ Rajeev Suri
I found that Dr. Joe Megna is one of the best chiropractors I have found in the Napa region.

Health Alert: Fatty Liver a Common Issue with Type 1 Diabetics. A review of data from 20 published
studies showed that approximately 20% of adult type 1 diabetics will develop non-alcoholic fatty liver
disease—a condition that occurs when fat accumulates in the liver from causes other than excessive alcohol
consumption. Journal of Clinical Endocrinology and Metabolism, December 2020
Diet: Whole Grains May Reduce Colorectal Cancer Risk. Using data from the NIH-AARP Diet and
Health Study, researchers estimate that a diet rich in whole grains may reduce an individual’s risk for
colorectal cancer by up to 16%. American Journal of Clinical Nutrition, September 2020
Exercise: Fitness May Reduce Risk for Hospital Readmission. According to a study that looked at the
health history of 580 hospitalized diabetic patients, those who lived a sedentary lifestyle were more likely
to be readmitted to the hospital within one month, six months, and one year than physically active patients.
BMJ Open Diabetes Research & Care, October 2020
Chiropractic: Manual Therapy for Rheumatoid Arthritic Knee Pain. Among a group of 46 rheumatoid
arthritis patients with knee pain, those treated with ten sessions of manual therapy (joint mobilization and
post isometric relaxation) experienced a greater reduction in knee pain than participants who received a
standard exercise intervention. The research team recommends further studies to determine the role of
manual therapy techniques, such as those provided by doctors of chiropractic, in the management of
rheumatoid arthritis patients with musculoskeletal pain.
Evidence Based Complimentary Alternative Medicine, August 2020
Mental Attitude: Declining Physical and Mental Health Increases Fall Risk. Seniors with co-occurring
physical frailty and cognitive impairment are 3.5 times more likely to experience two or more falls over a
three-year period than their more physically and mentally robust peers.
European Journal of Neurology, October 2020
Wellness/Prevention: Early Bedtime Best for Diabetics? Questionnaires completed by 635 type 2
diabetics revealed that those who went to bed late and woke up later in the morning were more likely to
have an excessively sedentary lifestyle, which places them at an elevated risk for several poor health
outcomes. BMJ Open Diabetes Research & Care, July 2020
Quote: “Right is right, even if everyone is against it, and wrong is wrong, even if everyone is for it.”
~ William Penn
I found that Dr. Joe Megna is one of the best chiropractors I have found in the Napa region.

Health Alert: Hypertension Common in Midlife. Among a group of 2,930 middle-aged adults participating in
the Reasons for Geographic and Racial Disparities in Stroke study, researchers observed that 42% developed
hypertension over a nine-year period. However, they found each of the following health indicators/behaviors
could reduce one’s risk for high blood pressure by up to 6%: healthy weight and diet, regular exercise, and
normal blood glucose and cholesterol readings. Journal of the American Heart Association, September 2020
Diet: Omega-3s May Help Fight Depression in Soon-To-Be and New Moms. An analysis of data from 18
randomized controlled studies found evidence that consuming an omega-3 fatty acid supplement may aid in the
treatment or prevention of perinatal depression. Journal of Clinical Psychiatry, September 2020
Exercise: Physical Activity at Work Important to Health. According to a recent study that assessed the
fitness and physical health of young adults, those who primarily worked at a desk were more likely to have poor
fitness, a large waist circumference, and an increased risk for obesity. On the other hand, participants in the
construction industry exhibited superior back flexibility, trunk lifting scores, and aerobic capacity. The findings
suggest that workplace interventions to increase physical activity in the office environment could lead to
improvements with respect to both fitness and physical health among those who spend their day at a computer
workstation. International Journal of Forensic Engineering and Management, January 2020
Chiropractic: Spinal Manipulation Improves Soccer Kicking Strength. In a recent experiment involving
former varsity levels soccer players, researchers observed a significant increase in ball velocity and peak
activation of the knee extensor muscles among participants after a single application of spinal manipulative
therapy. Journal of Strength Conditioning Research, August 2020
Mental Attitude: PTSD May Increase Dementia Risk. Following a review of findings from eight studies that
included long-term data concerning nearly 1.7 million adults, researchers report that post-traumatic stress
disorder (PTSD) may increase the risk for dementia by 55%. British Journal of Psychiatry, September 2020
Wellness/Prevention: Quit Smoking for a Healthier Gut. During the last decade, several studies have
demonstrated that a healthier gut microbiome is associated with a reduced risk for a variety of poor health
outcomes. In a study that included 36 smokers who participated in a twelve-week smoking cessation program,
researchers observed that abstaining from cigarettes led to positive changes in the population of bacteria in the
gut, which may result in a host of secondary health benefits for those who quit smoking.
Journal of Clinical Medicine, September 2020
Quote: “No one is ever ordinary.” ~ Tanith Lee

I found that Dr. Joe Megna is one of the best chiropractors I have found in the Napa region.

Health Alert: Diabetes Increases Fall Risk. An analysis of data from the Danish National Patient Register
revealed that seniors with a history of either type 1 or type 2 diabetes had both a higher fall risk and an
increased risk for serious injury in the event of a fall. Current Drug Safety, September 2020
Diet: Benefits of Fiber. Not only does dietary fiber increase satiety and slow the absorption of nutrients into
the body, but it also nurtures bacteria in the digestive tract that release short-chain fatty acids associated with a
reduced risk for inflammatory diseases, type 2 diabetes, obesity, and heart disease.
Current Opinion in Clinical Nutrition and Metabolic Care, September 2020
Exercise: Weight Gain May Hinder Grades. Researchers monitored the health and academic performance of
1,802 students for two school years and observed that those with a normal weight at baseline who became
overweight by the conclusion of the study were more likely to experience a decline in their grades than
participants who maintained a healthy weight.
Scandinavian Journal of Medicine & Science in Sports, September 2020
Chiropractic: Frailty Linked to Back Pain. Frailty is a condition characterized by weakness, slowness,
physical inactivity, self-reported exhaustion, and unintentional weight loss. A study that included 602 seniors
with low back pain found that those classified as frail (19.5%) or at risk for frailty (59.2%) had significantly
higher pain and disability scores than physically robust participants, which only accounted for 21.3% of
participants. Canadian Journal on Aging, August 2020
Mental Attitude: Can ADHD Predict Adult Car Crash Risk? In the study, researchers analyzed data on 642
young adults and found that those who had been diagnosed with attention-deficit/hyperactivity disorder
(ADHD) as children were 45% more likely to have been involved in automobile collision than those participant
without a history of ADHD.
Journal of the American Academy of Child and Adolescent Psychiatry, August 2020
Wellness/Prevention: Honey Can Soothe a Cough. A review of data from fourteen clinical trials found that
consuming honey may be more effective at combatting coughing spells than over-the-counter cough syrups in
adults and children over the age of one. Lead review author Dr. Hibatullah Abuelgasim notes that given the
mostly benign nature of honey, “it’s reasonable to try it—especially if it replaces potentially harmful
alternatives.” Evidence-Based Medicine, August 2020
Quote: “Risk will always be a part of life. It’s how we recognize this and deal with it that matters.”
~ Thomas H. Cook

I found that Dr. Joe Megna is one of the best chiropractors I have found in the Napa region.

Health Alert: E-Scooters Injuries Increasing Significantly. According to a new study, emergency room visits
for injuries associated with electronic scooter, or e-scooter, use doubled between 2018 and 2019. Study coauthor Dr. Eric Wagner writes, “These injuries are increasing and they aren’t benign. Many of them are
fractures, many of them are head injuries, and some of the head injuries require hospital admission, which
means that they’re very severe.” The findings suggest that increased regulations and safety education are needed
to protect e-scooter riders in light of their growing popularity in metropolitan areas.
JAMA Network Open, August 2020
Diet: Vitamin C Important for Muscles. Using data from the EPIC Norfolk Study concerning more than
13,000 older adults, researchers report that participants with a higher intake of vitamin C were better able to
retain their skeletal muscle mass as they aged than those with a diet featuring fewer vitamin C-rich foods.
Journal of Nutrition, August 2020
Exercise: Fitness Trackers May Promote Exercise Among MS Patients. New research suggests that
multiple sclerosis (MS) patients who use a fitness tracker are more likely to have relapsing-remitting MS, less
disability, higher income, and higher rates of employment than those who do not use fitness trackers.
Disability & Health Journal, July 2020
Chiropractic: Extremity Manipulation Reduces Postural Sway. In a study that included adults between 21
and 40 years of age, researchers found that the application of manipulative therapy, a form of treatment
provided by doctors of chiropractic, to the upper and lower extremities resulted in a reduction in postural sway.
Because postural sway may suggest impaired balance and an increased risk for falls, the research team
recommends replicating the study with older men and women.
Journal of Manipulative and Physiological Therapeutics, August 2020
Mental Attitude: Another Reason Not to Smoke During Pregnancy. A review of data from ten studies found
that maternal prenatal tobacco use may increase the risk for bipolar and depressive disorders in their offspring
by up to 44%. Social Psychiatry and Psychiatric Epidemiology, September 2020
Wellness/Prevention: Vitamin D Supplement May Benefit Some Pregnancies. For expectant mothers with
low vitamin D status, a recent literature review suggests that taking a 600 IU/day vitamin D3 supplement may
improve fetal development and reduce the risk for small-for-gestational-age, preeclampsia, preterm birth, and
gestational diabetes. Current Opinion in Obstetrics & Gynecology, October 2020
Quote: “The life given us, by nature is short; but the memory of a well-spent life is eternal.” ~ Cicero

I found that Dr. Joe Megna is one of the best chiropractors I have found in the Napa region.

Health Alert: A Link Between Temporomandibular Disorder and Sleep Apnea? Following a review of
data from the Taiwan National Health Insurance Research Database, researchers report that patients with
obstructive sleep apnea (OSA) were 2.5 times more likely to have temporomandibular disorders (TMD) than
individuals without a history of OSA. The findings suggest that OSA may be a risk factor for TMD, and
patients presenting for TMD should be screened for OSA.
International Journal of Environmental Research and Public Health, August 2020
Diet: Omega-3 Fatty Acids May Benefit NAFLD Patients. Non-alcoholic fatty liver disease (NAFLD) is a
condition that occurs when fat accumulates in the liver from causes other than excessive alcohol consumption.
A review of data from 22 randomized control trials revealed that omega-3 fatty acid supplementation can
significantly reduce fat in the liver while also improving blood lipid levels. Nutrients, September 2020
Exercise: Should People with Heart Disease Exercise? New guidelines from the European Society of
Cardiology recommend that individuals with heart disease should engage in a minimum of 150 minutes of
moderate-intensity exercise per week in addition to strength training at least three times a week if they also have
hypertension, type 2 diabetes, or are obese. European Society of Cardiology, August 2020
Chiropractic: Diabetics More Likely to Have Chronic Neck/Back Pain. Using data from the Spanish
National Health Survey 2017, researchers estimate that adults with type 2 diabetes have a 19% increased risk
for chronic low back pain and a 34% elevated risk for chronic neck pain.
Journal of Clinical Medicine, September 2020
Mental Attitude: Poor Kidney Health May Affect the Brain. Researchers tested the kidney function of over
2,600 young adults every five years for two decades and found that those who received treatment for serious
kidney-related issues on at least one occasion scored lower on cognitive assessments at midlife than participants
with normal kidney function. Neurology, September 2020
Wellness/Prevention: Lifestyle Choices Reduce Risk of Chronic Kidney Disease. An analysis of data
concerning 2.5 million adults from 16 countries found that adopting the following lifestyle choices can reduce
the risk for chronic kidney disease by up to 22%: vegetable-rich diet, higher potassium intake, regular exercise,
less alcohol consumption, reduced salt consumption, and not smoking.
Journal of the American Society of Nephrology, September 2020
Quote: “The beautiful thing about learning is nobody can take it away from you.” ~ B. B. King

I found that Dr. Joe Megna is one of the best chiropractors I have found in the Napa region.

Health Alert: Cardiovascular Disease and Depression. An analysis of data concerning over 100,000 adults
found that individuals with depression have a 64% elevated risk for ischemic heart disease and a 94% higher
risk for stroke. On the other hand, men and women with cardiovascular disease had nearly double the risk for
subsequent depression. British Journal of Psychiatry, August 2020
Diet: Cutting Carbs May Protect Your Eyes. Glaucoma is a condition that damages the optic nerve and is
one of the leading causes of vision loss in people over the age of 60. An analysis of diet and health data on
185,000 health professionals found that maintaining a long-term diet low in carbohydrates and high in vegetable
sources of fat and protein was linked to a 20% reduced risk of primary open angle glaucoma with early
paracentral visual loss. Researcher Dr. Louis Pasquale writes, “It’s important to note that a low-carbohydrate
diet won’t stop glaucoma progression if you already have it, but it may be a means to preventing glaucoma in
high-risk groups… If more patients in these high-risk categories—including those with a family history of
glaucoma—adhered to this diet, there might be fewer cases of vision loss.” Eye, July 2020
Exercise: Just One Hour… Among a group of 24 seniors at increased risk for cardiovascular disease,
researchers observed that reducing sedentary behavior by one hour a day led to significant long-term
improvements in both peripheral vascular function and cerebral blood flow.
Medicine and Science in Sports and Exercise, August 2020
Chiropractic: Neck and Shoulder Pain? Questionnaires completed by 1,000 adults intended to represent the
general population revealed that nearly half (45%) of those reporting significant neck pain also had
shoulder/arm pain. The findings suggest the conditions often co-occur, and dysfunction in both areas may need
to be addressed in order to achieve a successful treatment outcome. Asian Spine Journal, July 2020
Mental Attitude: Concussions Increase Risk of Several Brain Conditions. Using 25 years of data
concerning over 186,000 adults, researchers report that a history of concussion is associated with an elevated
risk for: attention-deficit/hyperactivity disorder, depression, anxiety, Parkinson’s disease, or dementia.
Family Medicine and Community Health, July 2020
Wellness/Prevention: Inflammatory Biomarker May Suggest Heart Failure Risk. In a new study,
researchers discovered that people with higher levels of GlycA in their blood—an indicator of inflammation—
had a significantly increased risk for heart failure. Circulation, July 2020
Quote: “If you spend your whole life waiting for the storm, you’ll never enjoy the sunshine.” ~ Morris West

I found that Dr. Joe Megna is one of the best chiropractors I have found in the Napa region.

Health Alert: Low Zinc Intake? Among a group of 142 female university students, researchers identified an
association between low dietary zinc intake and an increased risk for depression, anxiety, sleep disorders, short
sleep duration, and daytime dysfunction. Biological Trace Element Research, August 2020
Diet: Is Chocolate Heart Healthy? A review of data from six studies that included more than 336,000
participants found that eating one or more servings of chocolate per week could reduce the risk for heart disease
by up to 10%. European Journal of Preventive Cardiology, July 2020
Exercise: Low Fitness Linked to Depression. Grip strength is often used in scientific research as an indicator
of physical function/fitness. In a study that included 867 teens and young adults, researchers observed an
association between weak grip and an increased risk for depressive symptoms. The findings add to a growing
body of research linking physical and mental health. BMC Musculoskeletal Disorders, July 2020
Chiropractic: Managing Chronic Neck Pain. In a recent clinical trial, researchers observed that neck-specific
exercises and manual therapies are both effective interventions to address chronic, nonspecific neck pain, with
manual therapies leading to faster improvements in pain perception and therapeutic exercises resulting in a
swifter improvement in neck pain-related disability. Doctors of chiropractic often use a combination of manual
therapies and therapeutic exercises for the management of chronic neck pain. Trials, July 2020
Mental Attitude: Visual Memory and Alzheimer’s. New research suggests that declines in visual memory
may become apparent in seniors at risk for Alzheimer’s disease before the onset of clinical symptoms. This
finding may help in the creation of assessments for identifying future cases of Alzheimer’s disease much earlier
than current methods. Journal of the International Neuropsychological Society, August 2020
Wellness/Prevention: Banning Flavored Cigarettes Reduced Smoking Among Young Americans. A
comparison of data from the National Survey on Drug Use and Health 2002 and 2017 revealed a 43% decline in
smoking among teens and a 27% decline in smoking among young adults, which experts credit to the banning
of flavored cigarettes in 2009. Study leader Dr. Matthew Rossheim writes, “This shows incredible promise for
future comprehensive bans of flavored tobacco products, including those in e-cigarettes, which to-date have
received significant exemptions… Policymakers should take note of the evidence from this study and pass
legislation to extend flavor bans to other tobacco and nicotine products.”
Journal of Adolescent Health, July 2020
Quote: “The best thing to do now, is to do the very best you can.” ~ Allen Drury

I found that Dr. Joe Megna is one of the best chiropractors I have found in the Napa region.

Health Alert: Methanol-Based Hand Sanitizers Pose Dangers. The Food and Drug Administration (FDA)
warns not to use alcohol-based hand sanitizers that contain methanol or wood alcohol, as they can be toxic if
absorbed through the skin leading to nausea, vomiting, headache, blurred vision, blindness, seizures, coma,
nervous system damage, and even death. The FDA is working to prevent these products from entering the
United States and is coordinating with manufacturers to recall such products.
Food and Drug Administration, July 2020
Diet: Certain Nutrients May Help Keep a Common Form of Vertigo at Bay. Benign paroxysmal positional
vertigo (BPPV) is described as a spinning sensation that is usually triggered by changing one’s head position. In
a recent study involving 900 BPPV patients, researchers found that taking a vitamin D and calcium supplement
twice a day reduced the incidence of vertigo episodes by 24%. Neurology, August 2020
Exercise: Resistance and Impact Training Benefit Those at Risk for Osteoporosis. Among a group of 47
patients at elevated risk for osteoporosis, those who took part in a six-month impact and resistance training
program experienced increased muscle strength and improved bone mineral density in the lumbar spine (3.8%)
and femoral neck (2.3%). Alimentary Pharmacology & Therapeutics, July 2020
Chiropractic: Hip Strengthening Aids in Low Back Pain Rehab. A review of data from five published
studies suggests that incorporating hip strengthening exercises into a low back pain treatment program can lead
to greater improvements in both low back pain and disability. This finding is not entirely surprising as past
research has shown that hip/pelvic and low back issues often co-occur. Doctors of chiropractic are trained to
assess and treat spine/hip conditions, often using manual manipulation, physiotherapy modalities, specific
exercises, and nutritional recommendations. Clinical Rehabilitation, July 2020
Mental Attitude: Factors for Midlife Mental Decline Risk. New research suggests that smoking,
hypertension, and type 2 diabetes are each significant risk factors for mental decline in middle age.
Neurology, July 2020
Wellness/Prevention: Five Ways to Keep Your Heart Healthy. To reduce the risk for cardiovascular disease,
the American Heart Association recommends: keep blood pressure under 120/80 mmHg and blood sugar under
100 mg/dl; maintain a healthy body weight and blood lipid levels; and keep a consistent sleep schedule
featuring six to nine hours of sleep a night. American Heart Association, July 2020
Quote: “There is no happiness in having or in getting, but only in giving.” ~ Henry Drummond

I found that Dr. Joe Megna is one of the best chiropractors I have found in the Napa region.

Health Alert: Long-Term Hypertension Damages Brain Vessels. A review of brain imaging and periodic
blood pressure readings of 1,686 adults during mid and late life revealed that the longer an individual was
hypertensive, the more likely they were to develop cerebral small blood vessel disease, which could increase the
risk for stroke and dementia. American Heart Association, July 2020
Diet: Plant-Based Diets Lower Blood Pressure. An analysis of data from 41 studies showed that adopting a
diet featuring ample servings of fruits and vegetables (DASH, Mediterranean, Vegetarian, Vegan, Nordic, etc.)
can lead to a reduction in blood pressure associated with a 14% lower risk for stroke and a 9% decreased risk
for heart attack. Journal of Hypertension, July 2020
Exercise: Breathing Exercises Benefit Sleep Apnea Patients. Obstructive sleep apnea (OSA) is associated
with an elevated risk for heart failure, heart disease, and stroke. New research suggests that performing at-home
breathing exercises for six weeks can lead to significant improvements in respiratory and cardiovascular
function among older adults with OSA. Experimental Physiology, July 2020
Chiropractic: Cervicothoracic Junction Hypermobility and Neck Pain? Among a group of 42 neck pain
patients with cervicothoracic junction hypermobility, researchers observed that manipulative therapy applied to
the thoracic spine and mobilization therapy targeting the cervicothoracic junction both resulted in improvements
in neck pain and cervical range of motion. Doctors of chiropractic often use several forms of manual therapy,
including spinal manipulation and mobilization, in the management of neck pain.
Chiropractic & Manual Therapies, August 2020
Mental Attitude: Is It Sleep Trouble or ADHD? The result of a recent experiment found that children with a
sleep disorder may experience troubles with impulse control at levels that could suggest the presence of
attention-deficit/hyperactivity disorder (ADHD). The researchers conclude, “This further adds to the discussion
on overdiagnosis of ADHD due to behavioral presentations of underlying sleep disorders.”
Journal of Attention Disorders, July 2020
Wellness/Prevention: Less Smoking and Drinking Reduces Hip Fractures. Hip fracture rates in the United
States have fallen substantially since the 1970s, and according to researchers, much of this improvement may be
due to significant drops in heavy drinking and smoking among the general population.
JAMA Internal Medicine, July 2020
Quote: “Goodness is the only investment that never fails.” ~ Henry David Thoreau

I found that Dr. Joe Megna is one of the best chiropractors I have found in the Napa region.