Health
President Trump’s Cuts to Medical Research
The Trump administration stormed into office, loudly firing workers and closing diversity programs. But behind the scenes, it has also brought biomedical research to the brink of crisis by holding up much of the $47 billion the United States spends on the field every year.
The world’s leading medical labs can be found in the United States, and they rely on grants from the National Institutes of Health. The agency has stopped vetting future studies on cancer, Alzheimer’s, heart disease and other ailments. Trump aides have said they just need time to review spending their predecessors had promised, but it’s unclear what they’re looking for at the N.I.H. or when scholars can expect to start receiving money again.
In today’s newsletter, I’ll walk you through what happened — and why it matters.
A complex machine
Late last month, when the Trump administration froze government grants, a federal judge said it couldn’t just hold back money Congress had agreed to spend. But spending money at the N.I.H., which awards more than 60,000 grants per year, isn’t so simple.
That’s because new grants endure a tortured bureaucratic process. The agency has to notify the public of grant review meetings in The Federal Register, a government publication. Then scientists and N.I.H. officials meet to discuss the proposals. The problem is that the Trump administration banned those announcements “indefinitely.” So new research projects can’t get approved.
In effect, scientists say, the Trump administration is circumventing the court order. Health officials didn’t block research outright, but by shutting down the process, they’re still not spending much of the money Congress allocated to various research goals.
The administration has also proposed other big changes, saying that universities should bear more of the “indirect costs” of research: maintaining lab space, paying support staff. Trump aides say the changes would trim administrative bloat and free up more government money for research.
Labs hit pause
Scientists are panicked, and hundreds of studies are at a standstill, including ones on pancreatic cancer, brain injuries and child health. Last week alone, the N.I.H. canceled 42 of 47 scheduled meetings to assess new grants. Some examples of stalled projects:
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For years, Steffanie Strathdee at the University of California San Diego has followed drug users to research overdoses, which kill some 100,000 people in the United States each year. Her investigation of H.I.V. infections in that group was ready to begin — but came to an abrupt halt when the N.I.H. canceled a review panel meeting this month. “Everything is absolutely frozen,” she told me. “It’ll just sit there, hanging in limbo.”
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Anthony Richardson at the University of Pittsburgh was expecting a review panel to weigh a grant application of his on staph infections in people with diabetes, a disease that afflicts more than one-tenth of Americans. It never happened. “I am not 100 percent sure what their motives are,” he said.
In response to all the uncertainty, universities are retrenching. The University of Pittsburgh froze Ph.D. admissions. Columbia University’s medical school paused hiring and spending. The Massachusetts Institute of Technology froze the hiring of nonfaculty employees.
Some lab leaders told me they were making contingency plans to fire scientists. Graduate students are searching for new sources of funding.
What next?
It’s hard to say how long the holdup will last. The Trump administration hasn’t submitted a single new grant review meeting to The Federal Register since a day after it took office. And even if it started adding new ones, the agency traditionally gives several weeks’ notice.
At risk are not only the tens of thousands of grants the N.I.H. awards each year, but also American dominance of biomedical research. Every dollar the agency spends on research generates more than two dollars in economic activity, the N.I.H. has said. Scores of patents follow. By some measures, the United States produces more influential health-sciences research than the next 10 leading countries combined.
The science unfolds across the country, including in red states, where lawmakers have complained about proposed changes to indirect costs.
Those findings often fuel pharmaceutical advancements, laying a foundation for drugs and vaccines long before private funders see such work as worth investing in.
Even Ozempic traces its roots back in part to work at the N.I.H on animal venom. Scientists found that the toxin from Gila monster lizards seemed to have particular physiological effects, helping lead eventually to one of the world’s most profitable and promising drugs.
New advances like those, scientists say, are in danger.
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A simple lifestyle adjustment could potentially slow down the body’s biological aging process, according to new research.
The study, published in the journal Aging, investigated how a diet change and easy exercise regimen affected men between the ages of 50 and 74 over a three-month period.
Researchers designed a clinical trial involving 48 overweight men in Japan. Over a 12-week period, half of the participants followed a strictly structured wellness routine, while the other half maintained their usual habits.
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For the intervention group, the routine required consuming 100 grams of plain yogurt every day.
This group also received individualized dietary counseling that advised them to curb overeating, avoid excessive snacking and cut out sugary drinks.
A simple lifestyle adjustment could potentially slow down the body’s biological aging process, according to new research. (iStock)
They were also instructed to walk or use a stepper machine for roughly 30 minutes a day, at least three days each week.
To measure the impact of these changes, the scientists collected blood samples from all participants before and after the study, and also analyzed DNA for chemical changes that act as indicators of cellular age.
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Specifically, they used a measurement tool called DunedinPACE. Rather than assessing a person’s chronological age in years, this tool calculates the precise rate at which an individual’s body is currently aging.
The men who consumed the probiotic yogurt, adjusted their diets and exercised showed a statistically significant reduction in their pace of aging compared to the control group, the researchers said.
The anti-aging benefits cannot be attributed to any single component on its own due to the variety in the study, the researchers noted. (iStock)
On average, the speed of their biological aging slowed by approximately 2.2%. This reduction is roughly comparable to the slowing of biological aging observed in a previous two-year U.S. study, in which participants reduced their daily calorie intake by 25%.
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This reduction in aging speed happened independently of weight loss , meaning it did not directly correlate with changes in the participants’ body mass index or the exact number of exercise sessions they logged.
The researchers also recorded a noticeable improvement in a specific DNA marker that is linked to kidney function.
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Because this study combined three distinct factors — probiotics, diet and exercise — the authors concluded that the anti-aging benefits cannot be attributed to any single component. Instead, the slowed aging rate appears to be the result of a combined effect.
The reduction in aging speed happened independently of weight loss, the study found. (iStock)
The researchers also acknowledged clear limitations of the study, including its small sample size and short duration. Also, the participant pool was restricted to overweight men of a single nationality.
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More research is needed to determine whether these short-term biological shifts can translate into permanent, long-term health benefits, the study stated.
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The simple act of noting how fast your heart is beating while you’re at rest may be the key to measuring your overall health.
Resting heart rate is defined by Mayo Clinic as the number of times your heart beats each minute while you’re awake, calm and not moving.
A normal resting heart rate ranges from 60 to 100 beats per minute for adults. A slower resting heart rate means the heart does not have the work as heard to pump blood through the body — something typical of someone who is more fit.
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Athletes who are very fit may have a resting heart rate closer to 40 beats per minute, according to Mayo Clinic.
Your resting heart rate can vary due to a variety of factors, including age, physical activity levels, sleep health, smoking, cardiovascular disease, high cholesterol, diabetes, stress, anxiety, hormones, body type and certain medications.
A normal resting heart rate ranges from 60 to 100 beats per minute for adults, according to medical experts. (iStock)
But a resting heart rate that’s often too high or too low may signal a health issue.
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A high resting heart rate, even if it’s slight, is usually a sign that something else may be going on in the body, such as anemia, an infection or a thyroid problem, according to Cleveland Clinic.
A high resting heart rate, even if it’s slight, is usually a sign that something else may be going on in the body. (iStock)
If your heart rate is regularly above 100 beats per minute, this is a sign to talk with your heart care provider.
The same advice applies if you are not a trained athlete and your resting heart rate is frequently below 60 beats per minute.
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Talk to your doctor if other symptoms such as fainting, dizziness or shortness of breath occur.
How to measure your heart rate
You can check your own heart rate by tracking your pulse on your wrist or neck. The best time of day to measure resting heart rate is first thing in the morning, says Mayo Clinic.
Place your index and middle fingers inside the wrist below the thumb, to feel the radial artery; or, do so on the side of the neck, to feel the carotid artery.
Place your index and middle fingers on the side of the neck, to feel the carotid artery — and count how many beats per minute. (iStock)
Count the number of times your pulse beats in 15 seconds, then multiply this number by four to calculate beats per minute.
Wearable devices can also detect and track resting heart rate, although this may not always be accurate.
How to lower your heart rate
If your resting heart rate is higher than normal, there are a few ways to work toward lowering it.
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Vigorous exercise is “the best way” to lower your resting heart rate and increase the heart’s aerobic capacity and max heart rate, according to Harvard.
For those who don’t exercise regularly, it’s important to work your way up in difficulty when following a new workout routine.
Vigorous exercise is “the best way” to lower your resting heart rate, Harvard Health says. But it’s vital to work your way up carefully. (iStock)
Some medications, such as beta blockers, can also lower heart rate. In the same way, managing stress through holistic methods such as meditation or yoga can also help.
Cleveland Clinic also recommends cutting back on harmful substances such as drugs and alcohol, which can dehydrate you and raise your heart rate.
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Adequate sleep can also help bring your heart rate down, in addition to maintaining a healthy weight.
Cardiologist Tamanna Singh, M.D., shared with Cleveland Clinic that lowering your heart rate takes time as various lifestyle changes kick in.
Managing stress through holistic methods such as meditation or yoga can help lower your resting heart rate,
“Just like building your biceps and triceps, it takes time for your heart to become stronger,” the doctor said.
Singh recommended focusing on heart rate patterns rather than dialing in on just the number.
Take note of how your heart rate changes after eating certain foods, when you’re dehydrated or after you’ve begun a new exercise or stress management routine.
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“If you notice that your heart rate is consistently over 100, mention it to your doctor, especially if you’ve tried making lifestyle changes and they don’t seem to be working,” she said.
“Your resting heart rate isn’t the be-all, end-all of your health, but it’s definitely a marker that you should pay attention to.”
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