Health
Seniors and breast cancer: Why aren’t older women told to get mammograms?
A major public health agency last week expanded its breast cancer screening guidelines to include younger women — but some people are concerned that one key age group has been excluded.
The U.S. Preventive Services Task Force (USPSTF) announced on April 30 that women between ages 40 and 74 should get mammograms every other year.
This is a significant change from previous guidelines, which said women should begin biennial mammograms at age 50, but could opt to begin as young as 40.
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Some experts object to the fact that the agency doesn’t include official screening recommendations for women older than 74.
“The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening mammography in women 75 years or older,” the agency stated in the guidance.
The U.S. Preventive Services Task Force (USPSTF) announced on April 30 that women between the ages of 40 and 74 should get mammograms every other year. (iStock)
Dr. Denise Pate, medical director with Medical Offices of Manhattan and contributor to LabFinder, voiced her disagreement with the lack of mammogram recommendations for older women.
“I think it is an antiquated view that sells short the potential of women older than 75,” she told Fox News Digital.
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“The recommendations consider that the older population may be over-diagnosed, potentially with slow-growing breast cancers — but this does not take into account the increase in life expectancy for American women.”
A woman who is 75 right now has a life expectancy of 87, according to the U.S. Centers for Disease Control and Prevention (CDC).
Lack of research
One of the main reasons that women over 74 were excluded is that the age group was not included in clinical trials.
“When the major randomized controlled trials were performed in the 1970s and 1980s to show how effective mammograms are, they didn’t include enough women in those age groups to confirm their necessity,” Dr. Jacqueline Holt, medical director of women’s imaging for national radiology provider RadNet in Wilmington, Delaware, told Fox News Digital.
One of the main reasons that women over age 74 were excluded is that the age group was not included in clinical trials. (iStock)
“Cancer risk doesn’t drop off at 74 — the risk increases,” she said.
“It’s misinformation that cancers grow slower in this age group and that women will die of something else first.”
Risks vs. benefits
The primary risk noted for screening older women is the potential for false positives.
“The potential harms of breast cancer screening in older women include false positive results and overdiagnosis,” said one study published in the Journal of the American Board of Family Medicine.
“Cancer risk doesn’t drop off at 74 — the risk increases.”
Among women 75 years and older, 200 out of 1,000 who are screened over a 10-year period will experience a “false alarm,” the researchers noted, “which can cause pain, anxiety and distress.”
Pate acknowledged that this risk does exist.
“Of course, with continued screening, there is the continued risk of finding breast cancer in an earlier stage or finding a suspicious image that prompts recommendations for biopsy, proving to be a false positive — and this can cause a lot of anxiety,” she said.
The risks of not screening are “leaving these women in the dark about their status,” a doctor said. (iStock)
The risks of not screening, however, are “leaving these women in the dark about their status,” the doctor said.
“As I always explain to my patients, knowledge is power,” Pate told Fox News Digital.
“I would rather choose anxiety about a biopsy that may or may not prove breast cancer versus anxiety of surgery, radiation and chemotherapy for a cancer that is found too late due to lack of screening.”
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Holt agrees the benefits outweigh the risks.
“The primary risk that the USTF focuses on is anxiety due to false positives or callbacks that don’t lead to a diagnosis of cancer,” she told Fox News Digital.
“The death rate has decreased by at least 40% since 1995, thanks to mammographic screenings finding the cancer earlier and better treatment.”
“The death rate has decreased by at least 40% since 1995, thanks to mammographic screenings finding the cancer earlier and better treatment,” a doctor said. (iStock)
Women do have the option to continue screening beyond the age of 74 if they choose, the doctors noted — and this should be covered by their insurance plan.
“There is no cut-off for age,” Holt noted. “Medicare will still cover the cost of a mammogram.”
The American College of Obstetricians and Gynecologists (ACOG), the American Cancer Society (ACS) and the National Comprehensive Cancer Network (NCCN) all recommend mammograms starting at age 40.
“Age alone should not be the basis to continue or discontinue screening.”
“Each of these three groups bases its stop age on a woman’s life expectancy and not simply on their age,” Pate noted.
The ACS has stated that women should continue receiving mammograms as long as they are in overall good health and expect to live for another 10 years or more.
More than one-quarter of cases of breast cancer are diagnosed in women 75 years and older, according to ACOG.
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“Age alone should not be the basis to continue or discontinue screening,” according to a statement from ACOG.
“Beyond age 75 years, the decision to discontinue screening mammography should be based on a shared decision-making process informed by the woman’s health status and longevity.”
More than one-quarter of cases of breast cancer are diagnosed in women 75 years and older, according to the American College of Obstetricians and Gynecologists. (iStock)
Dr. Wanda Nicholson, chair of the USPSTF, sent a statement to Fox News Digital about the decision to omit women over age 74 in the recommendations.
“Women deserve to know what the science says about how they can best stay healthy as they age,” she said.
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“We looked carefully at all the available evidence about whether women who are 75 and older should be screened for breast cancer, but unfortunately, the available research was limited.”
“Women deserve to know what the science says about how they can best stay healthy as they age,” a doctor said. (iStock)
“None of the studies of breast cancer screening included women in this age group, so we are urgently calling for more evidence on this important population.”
She added, “In the meantime, we encourage women who are 75 and older to talk with a trusted health care professional about what preventive care is right for them, given their specific health circumstances.”
Fox News Digital reached out to the ACOG and the ACS requesting additional comment.
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Americans are popping more supplements – and fewer multivitamins – than ever before, a new study found.
Research published in JAMA Network Open, led by researchers at Memorial Sloan Kettering Cancer Center in New York and the Harvard T.H. Chan School of Public Health in Boston, looked at 25 years of U.S. dietary supplement use data from 1999 to 2023.
This included more than 63,000 adults over the age of 20 who reported their supplement usage.
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When tracking patterns over time, the analysis revealed that overall supplement use increased from 51% of U.S. adults to 60%. The largest rise – from 62% to 78% – was identified in adults 65 and older.
Supplement use was found to be more common in women, people with a higher income or education, and those with insurance.
Supplement use was found to be more common in women, people with a higher income or education, and those with insurance. (iStock)
During the same period, multivitamin use decreased from 35% to 31%, while intake of vitamins and minerals outside of multivitamins increased.
Some of the largest increases in intake were seen in vitamin D, zinc, magnesium, vitamin B12 and turmeric. Other emerging supplements include ashwagandha, elderberry, collagen, hyaluronic acid, probiotics and prebiotics, according to the research.
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The later post-pandemic period saw an influx of immune support-based products, like zinc and vitamin D (outside of multivitamins).
The rise in supplement use aligns with the longevity movement, as more people seek products tailored to specific health goals, such as immune support, inflammation, gut health, skin health and joint health.
The study only shows that people are taking more supplements, but does not prove that they’re effective for these uses, the researchers noted.
Those on a GLP-1 medication should factor in a multivitamin to counteract the risk of nutrient gaps or deficiencies, an expert recommended. (iStock)
In an interview with Fox News Digital, Los Angeles-based registered dietitian nutritionist Ilana Muhlstein gave her take on the emerging supplement movement.
“I love that people are getting more educated and more intentional – I just wish they were being advised by more doctors and dietitians and less by ‘wellness influencers’ who are likely not doing the due diligence on the quality and efficacy of the supplements they’re promoting,” she said.
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Muhlstein expressed concern that all-in-one-multivitamin use has “slipped,” despite the rise in GLP-1 weight-loss medications.
“A multivitamin is where I think people should start as the foundation to help bridge nutrient gaps, especially for people on a GLP-1 who are eating about 15% to 30% less, and therefore likely consuming 15% to 30% less vitamins and minerals,” she said. “I recommend that everyone on a GLP-1 medication [should] take a multivitamin daily.”
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A daily probiotic, magnesium and vitamin D3 are also “smart for many of us,” the nutritionist added. She also recommends elderberry as an effective supplement for boosting the immune system when fighting a cold.
A nutrition expert cautioned against taking supplements that have not gone through third-party testing for safety and quality. (iStock)
Collagen has also been shown to benefit the skin and joints, which Muhlstein said is “worth considering as we get older.”
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“My real concern is the unregulated market,” she cautioned. “I can’t tell you how many calls I’ve received over the years of people pitching me new supplements … because the margins are high and the market is huge.”
“That’s why I’m extremely picky about what I take and what I recommend to my family and clients.”
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Muhlstein warned against taking a supplement that hasn’t gone through third-party testing for safety and quality.
“The best ones go further and test for pesticides, arsenic and heavy metals, especially for protein powders,” she said. “If a product has many ingredients, I like to see that they do testing on each individual ingredient.”
Bipartisan push to invest in US national parks
Bret Baier moderates a discussion with Representatives Bruce Westerman (R-AR) and Jared Huffman (D-CA) about the ‘America the Beautiful’ initiative. This bipartisan effort seeks to modernize national parks ahead of America’s 250th anniversary, investing $1.9 billion annually. They emphasize national parks as common ground, beloved by all Americans, and crucial for our shared heritage.
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As the United States celebrates its 250th anniversary, many Americans are taking extra notice of all the things the country has to offer.
One such case is our access to vast wilderness. Today, the nation’s national parks are bustling tourist attractions, but they may also serve as vital resources for public health, experts say.
The most immediate health boost comes from physical movement.
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Guidelines from the Centers for Disease Control and Prevention show that regular physical activity is crucial for reducing obesity, improving sleep quality and lowering the risk of chronic illnesses.
The nation’s public lands include parks, trails and open spaces that encourage outdoor recreation and physical activity.
Beyond physical fitness, national parks contribute to documented mental health benefits. (iStock)
A review by the Community Preventive Services Task Force (CPSTF) found that implementing park, trail and greenway infrastructure directly increases physical activity across communities.
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When people walk, hike or bike through national parks, they are actively lowering their blood pressure, boosting immune function and reducing overall mortality, data shows.
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Beyond physical fitness, national parks may contribute to documented mental health benefits.
Previous research has demonstrated that direct exposure to nature significantly reduces physiological stress, lowers heart rates and decreases levels of stress hormones, like cortisol.
Engaging in educational activities and lifelong learning preserves brain function, improves memory and helps stave off age-related cognitive decline, research shows. (iStock)
This research also shows that natural environments boost attention span, combat mental fatigue and improve cognitive performance.
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Parks also act as natural venues for mindfulness and social connection.
Research shows that practicing mindfulness in quiet outdoor spaces lowers stress and mitigates feelings of loneliness and social isolation.
Research highlights that practicing mindfulness in quiet outdoor spaces lowers stress and mitigates feelings of loneliness and social isolation. (iStock)
Additionally, because parks protect cultural and historical resources, they can inspire lifelong learning.
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According to the data, engaging in educational activities and lifelong learning preserves brain function, improves memory and helps stave off age-related cognitive decline.
The National Park Service was established in 1916 to conserve the nation’s natural and historic resources for future generations, according to the organization.
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Today, that mission has expanded, as parks are recognized not only for their scenic and cultural value, but also the opportunities they provide for recreation and physical activity.
Screwworm outbreak threat to US livestock, prompts USDA action
Agriculture Secretary Brooke Rollins discusses USDA’s response to the New World Screwworm outbreak in Texas and New Mexico, assuring safe food supply on ‘The Bottom Line.’ VI LONG DEK: Agriculture Secretary Brooke Rollins addresses the alarming resurgence of New World Screwworm in Texas and New Mexico, emphasizing USDA’s aggressive containment efforts. She confirms the food supply remains safe while highlighting the administration’s focus on domestic fertilizer production, investing billions in new plants and infrastructure projects. Rollins celebrates 250 years of American agriculture and its vital role in national security.
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Doctors thought a 60-year-old man had metastatic brain cancer after scans revealed multiple tumors – but further testing revealed a shocking diagnosis.
The Spanish man, who was not named, was found to have a parasitic tapeworm larvae lodged in his brain — a case of neurocysticercosis, a parasitic infection of the central nervous system caused by the pork tapeworm (Taenia solium).
The patient, a lifelong resident of Castellón, Spain, had not traveled to any regions where the disease is endemic, according to the case report published in the CDC journal Emerging Infectious Diseases.
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The man had initially come to the hospital after suffering two weeks of progressive headaches and mild behavioral changes.
Radiologic findings from a study of autochthonous neurocysticercosis brain lesions mimicking metastatic disease. (Emerging Infectious Diseases)
CT scans showed multiple abnormal spots that looked like tumors that had spread from cancer elsewhere in the body, leading doctors to suspect advanced brain cancer.
However, whole-body scans, a colonoscopy and specialized imaging failed to identify cancer anywhere in the patient’s body, the case report stated.
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When doctors performed a more detailed MRI, they discovered several fluid-filled cysts in the brain, some of which contained the head of a tapeworm. A blood test confirmed the diagnosis of neurocysticercosis.
The man was treated with a combination of albendazole and praziquantel (two antiparasitic medications), as well as corticosteroids to reduce inflammation. He successfully recovered with no complications, according to the case report.
CT scans (not pictured) showed multiple abnormal spots that looked like tumors that had spread from cancer elsewhere in the body, leading doctors to suspect advanced brain cancer. (iStock)
The authors suggested that the patient may have gotten the infection after accidentally ingesting microscopic tapeworm eggs years earlier.
The exposure may have occurred while working a construction job with migrant coworkers from regions where neurocysticercosis is endemic.
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People can catch the pork tapeworm in two different ways. Eating undercooked infected pork usually leads to an intestinal tapeworm, but accidentally swallowing the parasite’s eggs — typically through food or water contaminated with feces — can send the larvae into the bloodstream, where they may form cysts in the brain and other organs. This can cause the disease the patient in the case report acquired.
A photomicrograph shows histopathologic features in a brain tissue specimen from a case of neurocysticercosis caused by the pork tapeworm Taenia solium. The image documents pathological changes associated with this parasitic infection. (Smith Collection/Gado/Getty Images)
As this was just a single case, the source of transmission could not be proven, the researchers acknowledged, and the findings cannot be generalized to a wider population. The report shows that there is a possibility of local transmission in non-endemic settings, but cannot establish how often this occurs.
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In the United States, less than 2% of neurocysticercosis cases are considered domestically acquired, according to the case report.
A prior systematic review identified only 18 confirmed locally acquired cases in Western Europe between 1990 and 2011.
The authors suggested that the patient may have gotten the infection after accidentally ingesting microscopic tapeworm eggs years earlier. (Associated Press)
In some cases, NCC can cause serious symptoms, including seizures, stroke, neurological deficits and cognitive decline.
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“Our case emphasizes that the absence of travel history should not preclude NCC from the differential diagnosis of multiple ring-enhancing brain lesions, even in regions where metastatic cancer is statistically much more likely,” the researchers concluded in the case study.
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Detecting the worms earlier could have prevented “unnecessary invasive oncologic procedures and led to prompt, targeted antiparasitic therapy,” they added.
Fox News Digital reached out to the researchers for comment.
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