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Finding the Truth Behind Common Medical Myths

By: Nikhil L. Shah. DO, MPH, Founder and President of the Men’s Health and Wellness Center. Article printed in MaleCall, Winter 2010.
November 10, 2009
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    Everyone has heard them. It may have been your grandmother, an uncle or one of the kids on your block. They are medical myths, beliefs that for one reason or another have been trusted for years. Some are actually based on fact, but most are simply misunderstood concepts about health and the body. Below are some of the more popular myths, and the truth behind them.

 1. Eating late causes weight gain.  The idea is that you cannot burn off the calories if you are asleep. This, however, is not supported by evidence. Numerous studies have found that eating at night was not associated with weight gain. The Bottom Line: Taking in more calories than you burn makes you gain weight no matter what time of day you eat.

 2. Wear a hat when you go out in the cold.  We’ve all been told to put a hat on in winter because of the long held belief that 50% of body heart is lost through the head. While the U.S. Army Field Manual for Survival recommends covering your head in cold weather, most concrete evidence shows that any uncovered part of the body causes heat loss, not just the head. The Bottom Line: Dress for maximum warmth in the cold which may include wearing a hat.

 3. Feeding a child a lot of candy or food with a lot of sugar will make them hyperactive.  No evidence exists to support this claim, according to Dr. Bryan Burke, an associate professor of General Pediatrics and Neonatology at University of Arkansas for Medical Sciences. Despite the claim being wrong, Dr. Burke actually likes the myth because a high-sugar diet has its own problems even if you discount hyperactivity. The number of children who are obese has tripled over the last decade and there is no sign that the trend is reversing. The Bottom Line: Moderation in all things is the best advice.

4. Putting butter on a burn will ease the pain and aid in healing. While it’s true that immediately after receiving a burn, it is important to cool the skin in order to stop the burning process. But putting butter or other greasy ointments on a burn may actually make things worse, since the grease will slow the release of heat from the skin, allowing damage to the skin from the burn to continue. The best way to cool the skin after a burn is with cool water (not ice or ice water). An antibiotic ointment and a bandage will aid the healing process. The Bottom Line: Leave the butter for your toast.

 5. Reading in dim light ruins your eyesight.  As a rule, you cannot damage your eyes by using them. There are a few exceptions, like damage to your eyes from too much sun exposure, but other than this, reading in dim or bright light will not change the health or function of your eyes. It may feel more difficult to focus if the lighting is not adequate, but this has no permanent effect on the structure of your eyes. In addition, any challenging visual activity will generally decrease a person’s blink rate and lead to discomfort from drying. This is temporary and easily treated with lubricating eyedrops. Likewise, sitting too close or too far from the TV also has no permanent effect on your vision. The Bottom Line: Read with the level of light that feels comfortable for your eyes.

 6.  Your heart stops for an instant whenever you sneeze.  When a person sneezes, they increase their intrathoracic pressure and can decrease venous blood flow back to the heart. The heart can compensate for this by a slight change in its beating rate, but the heart and its electrical activity should not stop during a sneeze. The Bottom Line: Don’t worry about it.

 7. Feed a cold and starve a fever.  A common cold is an illness caused by a virus infection located in the nose. The symptoms of a common cold include sneezing, runny nose, nasal congestion, a sore or scratchy throat, coughing, hoarseness, often accompanied by headache, feverishness, chilliness and a general sense of not feeling well. Not only is it a bad idea to starve a fever, it will hinder your ability to recover from the cold. Drinking plenty of fluids is important since fever promotes fluid loss from the body and dehydration can result. While drinking or eating hot or cold foods affects the temperature of the mouth, it will have no effect on a person’s overall body temperature. Another popular belief, that chicken soup is good for a cold, is actually true to a certain extent, as drinking warm liquids such as soup helps open up the nasal passages. This allows the patients to breathe easier and get the rest needed to fully recuperate. The Bottom Line:  Proper nutrition including plenty of fluids will help both a cold and the flu.

8.  You can get the flu by getting a flu shot.  The best way to avoid getting the flu is to get the influenza vaccine, available by shot or by nasal spray, each fall before the flu season starts. The vaccines work by exposing your immune system to the flu virus. Your body will build up antibodies to the virus to protect you from getting the flu. The flu shot contains dead viruses while the nasal-spray vaccine contains live but weakened viruses. You cannot get the flu from a flu shot or the nasal-spray vaccine. Some people who get the vaccine will still get the flu, but they will usually get a milder case than people who aren't vaccinated. The vaccine is especially recommended for people who are more likely to get really sick from flu-related complications. The Bottom Line: Get vaccinated.

9.  Cold, wet weather causes colds and flu.  Colds are really upper respiratory infections and can result from more than 200 different viruses. These include the rhinoviruses, the group most often associated with the common cold, which primarily affects the nose and throat.  Cold weather usually makes people stay indoors, which might increase the person-to-person transmission of respiratory viruses. These viruses, including influenza, are very infectious and are transmitted from one person to the next by touching something that has had the respiratory virus on it and then touching your eye or nose or mouth. Some believe that the lower humidity during the winter allows these viruses to persist longer in the environment. Washing your hands or using an alcohol-based hand washing solution is a good way to avoid getting a cold. The Bottom Line:  Doing what you can to stop the spread of viruses is your best defense against getting a cold.

 10. Cracking your knuckles causes arthritis.  There's no evidence that knuckle cracking causes arthritis but it may cause temporary soreness of the joint. Knuckles are the joints that connect your fingers to your hand. These joints are surrounded and lubricated by synovial fluid, a thick, clear liquid. When you crack your knuckles, you're causing the bones of the joint to pull apart. This causes a gas bubble to form in the joint. The cracking or popping sound you hear is the breaking of the adhesive seal in the joint. It may take awhile for the joint to reseal before you can crack your knuckles again. The repetitive motion of cracking wears down the joints and their protective cushioning, so the habit could worsen osteoarthritis, but plays no role in rheumatoid arthritis, which is caused when a person's own immune system attacks the joints. The Bottom Line: If you’re not already in the habit of cracking your knuckles, don’t start.

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