Monday, June 15, 2026

 

Sleeping instead of eating: How the gut influences behavior




University of Basel

Reinger's knot 

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A plug-like structure, the Reinger’s knot (red), blocks the hindgut (blue) in fruit flies with a defective apterous gene.

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Credit: Biozentrum, University of Basel






The gut does much more than just digest food. Researchers at the University of Basel have now discovered a surprising link between gut function, feeding, and sleep in fruit flies. Their study adds to growing evidence that the gut communicates with the brain and can influence behavior.

The first hours of life are critical for the survival and thriving of animals. Two key steps occur during this time: the excretion of metabolic waste – known as meconium – and the beginning of independent feeding. Until recently, it was unclear how these two processes are connected and how the gut might influence eating and sleeping behavior. Understanding these links is of broad interest and also intensively investigated in humans because gut-brain communication is increasingly implicated in human health and disease.

The fruit fly Drosophila melanogaster faces the same challenge after hatching. Prof. Anissa Kempf’s team at the Biozentrum, University of Basel, found that timing matters. They discovered that young flies only start feeding after partial meconium elimination. However, flies suffering from intestinal obstruction avoid food, sleep unusually long, and die prematurely. These findings suggest that gut function directly affects eating and sleeping behavior.

Genetic defect causes intestinal blockage
The gut problem can be traced back to a gene that plays an important role in fruit fly development. As early as 1914, scientists discovered that flies with a defect in the apterous gene fail to develop wings. They also noticed back then that these flies die young.

“We have now identified the cause of early death and resolved a question that has puzzled researchers for more than a century,” says Kempf. “The gene defect not only affects wing development but also proper hindgut development, leading to intestinal blockage.”

Intestinal blockage makes flies lethargic
Due to the blockage, the flies cannot expel their meconium after hatching. Over time, they become increasingly lethargic and sleepy, and they don’t feed even though they are hungry.

“We think that the flies sleep more in order to conserve energy and thus survive longer,” explains Cindy Reinger, first author of the study. “While sleeping, flies also move their proboscis rhythmically, which may help stimulate gut motility. Perhaps this is a desperate attempt to get rid of the meconium.”

The researchers also discovered the cause of the fatal intestinal blockage. “In healthy flies, four so-called rectal papillae form during early development. These structures are essential for water reabsorption to minimize water loss,” says Reinger. “Instead of developing four normal papillae, the mutant flies form a plug-like structure in the hindgut that completely blocks the intestine. We named it the Reinger’s knot.”

Parallels with humans
The study clearly demonstrates that gut function is linked to feeding, sleep and ultimately survival. The research also brings up new questions: How does the gut communicate with the brain? How does the intestine regulate sleep? And how does the body know when to start eating?

Many of the symptoms seen in fruit flies resemble intestinal obstruction in humans, including constipation, loss of appetite, lethargy, swelling of the gut, and tissue damage that can lead to intestinal rupture. The study suggests that gut signals may trigger some of these symptoms.

Because fruit flies share many biological processes with humans, they provide a powerful model for investigating the mechanisms behind digestive disorders and gut-brain communication.

Sugar-free diets may disrupt gut microbiome




The Endocrine Society






Chicago—Eliminating sugar from your diet may be more detrimental than previously thought, according to an animal study being presented Saturday at ENDO 2026, the Endocrine Society’s annual meeting in Chicago, Ill.

“Completely removing sucrose from a low-fat diet may unexpectedly disrupt gut health and promote inflammation and metabolic dysfunction, highlighting that balanced nutrition is more important than simply eliminating sugar,” said Rasheed Ahmad, Ph.D., principal scientist and head of the Immunology & Microbiology Department at the Dasman Diabetes Institute, in Kuwait City, Kuwait. The institute was founded by Kuwait Foundation for the Advancement of Sciences. Researchers investigated the effects of a sucrose-free low-fat diet compared to a sucrose-containing low-fat control diet in two groups of mice for 16 weeks.

They evaluated glucose tolerance, insulin sensitivity, circulating metabolic hormones, the gut microbiome and inflammation in the colon and liver.

Mice fed the sucrose-free diet developed impaired glucose control, insulin resistance, gut microbial imbalance, intestinal inflammation and fatty liver changes, despite having no significant differences in body weight compared with control mice.

“The findings suggest that complete removal of sucrose from a low-fat diet may negatively affect gut microbiota and metabolic health,” Ahmad said. “The study highlights the importance of maintaining balanced dietary carbohydrates to support gut and immune homeostasis.”

Until now, the consequences of restrictive diets that eliminate sugar from a low-fat diet were unknown.

“This research may influence future dietary recommendations by emphasizing the importance of maintaining a healthy gut microbiome rather than focusing only on sugar restriction,” Ahmad said. “In the long term, these findings could help improve strategies for preventing and managing metabolic disorders, fatty liver disease and chronic inflammatory conditions.”

“Studies such as this reflect our institute’s commitment to advancing evidence-based scientific discoveries that improve public health outcomes and deepen our understanding of metabolic disease,” said Faisal Hamed Al-Refaei, MD, Acting Director General of Dasman Diabetes Institute.


# # #

Endocrinologists are at the core of solving the most pressing health problems of our time, including diabetes, obesity, infertility, bone health, and hormone-related cancers. The Endocrine Society is the largest global organization of scientists devoted to hormone research and physicians who care for people with hormone-related conditions.

With more than 18,000 members in 133 countries, the Society serves as the voice of the endocrine field. Through its renowned journals and ENDO, the world's largest endocrine meeting, the Society accelerates hormone research, advances clinical excellence in endocrinology, and advocates for evidence-based policies on behalf of the global endocrine community. To learn more, visit our online newsroom

 

Not all children with early puberty need the same level of testing or treatment



Endocrine Society guideline addresses different subgroups of central precocious puberty


The Endocrine Society






CHICAGO—Some subgroups of children with precocious puberty—such as older girls with slowly progressing puberty—may not need the same level of testing or treatment, according to a new Endocrine Society Clinical Practice Guideline released today.

“Children who start puberty earlier than usual should be carefully evaluated so they receive the right care at the right time—without unnecessary tests or treatment,” said the guideline’s writing group chair, Ana Claudia Latronico, M.D., Ph.D., of the University of São Paulo in São Paulo, Brazil. “The Endocrine Society’s guideline gives clinicians evidence-based suggestions to identify central precocious puberty, understand its causes and decide when and what treatment is appropriate.”

Central precocious puberty happens when a child’s brain activates puberty-related hormones too early—before age 8 years in girls and before age 9 years in boys. This early hormone signaling triggers physical changes such as breast development in girls, testicular enlargement in boys, rapid growth, and, in some cases, early menstruation.

Early puberty can affect a child’s adult height and is associated with long-term physical and emotional health risks, including psychosocial stress, heart disease, and some cancers later in life.

According to the guideline authors, puberty-pausing medication, which temporarily pauses the brain signals that start puberty, can be an effective treatment and has the potential to increase adult height as well as improve psychosocial and long-term health outcomes among children with early puberty.

"Some subgroups of children may not need the same level of testing or treatment. For example, older girls with slowly progressing precocious puberty often have normal adult height without intervention,” said the guideline’s writing group co-chair Stephanie Roberts, M.D., of Boston Children’s Hospital in Boston, Mass. “We give clinicians suggestions that avoid unnecessary or invasive testing and treatment, such as sometimes initially using a period of observation by their health care provider, using simpler testing methods and individualizing treatment when indicated.”

Suggestions from the guideline include: 

  • Monitoring girls with early breast development with physical exams every 4-6 months before initiating diagnostic testing. 

  • Observing girls under 7 years old for 4-6 months to distinguish slowly vs. rapidly progressing puberty, since slow progression often results in normal adult height without treatment. 

  • Using simple first-line testing with a basal luteinizing hormone (LH) blood test rather than GnRH agonist stimulation testing. 

  • Avoiding routine brain MRIs in older children (> 6 years in girls and > 7 years in boys) without neurological symptoms. 

  • Not routinely doing genetic testing, especially for cases without a family history of early puberty. 

  • Starting treatment with longer-acting puberty-delaying medications (rather than shorter-acting medications) whenever it is expected that longer-acting medications will be used for long-term therapy. 

  • Not routinely using growth hormone therapy. 

  • Not routinely doing frequent lab monitoring during treatment unless treatment failure is suspected. 

  • Discontinuing therapy by early adolescence (about 10-11 years in girls, 11-12 years in boys). 


Other members of the Endocrine Society writing committee that developed this guideline include: Morgan Alonzo of Children’s Hospital Colorado in Aurora, Colo.; Jesús Argente of Niño Jesús University Children's Hospital, the Autonomous University of Madrid, the Spanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition (CIBEROBN), Carlos III Health Institute, IMDEA Food Institute, and CEIUAM+CSI in Madrid, Spain; Ana Pinheiro Machado Canton of the University of São Paulo; Jean-Claude Carel of Paris Cité University in Paris, France; Fernando Cassorla of the University of Chile in Santiago, Chile; Evangelia Charmandari of Athens Medical School in Athens, Greece; Erica Eugster of Indiana University School of Medicine in Indianapolis, Ind.; Anna Grandone of the University of Campania, Luigi Vanvitelli, Vico L. De Crecchio in Naples, Italy; Louise C. Greenspan of San Francisco Medical Center in San Francisco, Calif.; Elizabeth Hawse of Commonwealth Pediatrics in Lexington, K.Y.; Anders Juul of the University of Copenhagen in Copenhagen, Denmark; Paul Kaplowitz of Children’s National Hospital in Washington, D.C.; M. Hassan Murad of Mayo Clinic in Rochester, Minn.; Maria Street of the University Hospital of Parma in Parma, Italy; Vayana Walker of the Community Health Network in Indianapolis, Ind.; and Christopher McCartney of West Virginia University in Morgantown, W.V.

“Central Precocious Puberty: An Endocrine Society Clinical Practice Guideline,” was published online and is being presented Saturday at ENDO 2026, the Society’s annual meeting.

The guideline will appear in the September print issue of The Journal of Clinical Endocrinology & Metabolism (JCEM), a publication of the Endocrine Society.

The Society established its Clinical Practice Guideline Program to provide endocrinologists and other clinicians with evidence-based recommendations in the diagnosis, treatment, and management of endocrine-related conditions. Each guideline is developed by a multidisciplinary panel of topic-related experts in the field using a rigorous methodology.

Guideline writing panels rely on evidence-based reviews of the literature when developing guideline recommendations. The Endocrine Society does not solicit or accept corporate support for its guidelines. All Clinical Practice Guidelines are supported entirely by Society funds.

This Clinical Practice Guideline was co-sponsored by the American Academy of Pediatrics (AAP), the Brazilian Society of Endocrinology and Metabolism (SBEM), the European Society of Endocrinology (ESE), the European Society for Paediatric Endocrinology (ESPE), the Latin American Society for Pediatric Endocrinology (SLEP), the Pediatric Pharmacy Association (PPA), and the Pediatric Endocrine Society (PES).

# # #

Endocrinologists are at the core of solving the most pressing health problems of our time, including diabetes, obesity, infertility, bone health, and hormone-related cancers. The Endocrine Society is the largest global organization of scientists devoted to hormone research and physicians who care for people with hormone-related conditions.

With more than 18,000 members in 133 countries, the Society serves as the voice of the endocrine field. Through its renowned journals and ENDO, the world's largest endocrine meeting, the Society accelerates hormone research, advances clinical excellence in endocrinology, and advocates for evidence-based policies on behalf of the global endocrine community. To learn more, visit our online newsroom.

 

Grandparents are a vital resource in the child mental health crisis, says leading child psychologist




Taylor & Francis Group





As more than 40% of American teenagers report persistent feelings of sadness or hopelessness, a leading child psychologist says grandparents and extended family have a vital role to play.

Kenneth Barish, Ph.D., Clinical Professor of Psychology at Weill Cornell Medicine, argues that the erosion of extended family support has contributed to what the U.S. Surgeon General calls a prolonged crisis in child and adolescent mental health.

“We did not evolve to raise children with as little extended family and community support as most American parents have now,” says Dr. Barish, a Fellow of the American Psychological Association. “Children need grandparents, and they always have.”

In his new book, The Art and Science of Parenting and Grandparenting, Dr. Barish reflects on four decades of clinical work alongside insights from neuroscience, child development research, and educational programs for children to make his case that grandparents can help with modern parenting challenges.

Raising children with purpose

Grandparents play a crucial role in addressing what Dr. Barish identifies as a recent societal shift.

“Over several decades, America has increasingly become a society of I, not We. In many families and communities, preoccupation with individual achievement has eroded the values of kindness and caring in the lives of our children,” he explains.

Research shows that intense pressure for achievement leads to high rates of anxiety, depression, and substance abuse in affluent communities. Dr. Barish believes the antidote lies in helping children develop a sense of purpose beyond personal success.

“Individual achievement alone is a fragile source of motivation and effort, with a high cost in anxiety and stress,” Dr. Barish writes. “Helping others promotes a greater balance in children's emotional lives.”

Studies reviewed by psychologist Jane Piliavin, for example, found that helping others leads to improved self-esteem, less depression, lower dropout rates, better immune function and a longer life.

Dr. Barish recommends volunteering together and having frequent family conversations, from an early age, about the importance of kindness and understanding the needs and feelings of others.

He explains: “These conversations strengthen a child's sense of meaning and purpose. They are just as important as making sure kids have done their homework and correcting their mistakes, maybe more.”

The role of the grandparent

As well as providing support to parents, grandparents provide what Dr. Barish calls ‘molecules of emotional health’ – moments of listening and encouragement that strengthen children's ‘emotional immune systems’.

“A child's confident expectation that someone will listen and understand is the best protection against the emotional pathogens they will experience throughout their childhood.  “More than anything else, children need someone in their life who listens, who helps them feel less alone, and who teaches them that problems can be solved, relationships can be repaired, and bad feelings do not last forever,” Dr. Barish explains.

Other practical ways that grandparents can help include creating moments of play and fun that build positive emotions and expressing enthusiastic interest in children's interests and goals.

Too much criticism

In findings that challenge conventional wisdom, Dr. Barish reports that the most common problem in his clinical work is not over-praising children, it's unintentional criticism from well-meaning family members.

“The most common problem I see in my work with families is not too much praise, but too much criticism,” Dr. Barish states.

“Criticism does not motivate children to work harder. Instead, frequent criticism breeds resentment and defiance, and undermines children's initiative and effort.”

But not all praise helps. Citing Carol Dweck's concept of a "growth mindset," Dr. Barish distinguishes between praise that fosters resilience and praise that creates fragility: “Praise effort, not intelligence or talent. Praise learning, not grades.”

Dr. Barish acknowledges that children can have challenging behaviours, and he offers 21 rules to promote cooperative behaviour in children based on both research and clinical insights. These include engaging children in collaborative problem-solving conversations and offering them a chance to ‘reset’, which he suggests is more effective than punishment.

Dr. Barish explains: “Helping our children and grandchildren succeed in life is less about teaching skills and more about having conversations; less about earning rewards and more about learning to cope with painful feelings; less about clearing a path to success and more about strengthening an inner feeling of confidence and pride.  Our children will then work harder, bounce back more quickly, show more caring and kindness toward others, and pursue interests with greater enthusiasm, commitment, and sense of purpose.”

WTF

Half of parents report tracking their adult kids, and 1 in 4 trackers say it can increase their anxiety



Just half of parents say they gave their young adult child ages 18-25 the choice to opt out of location tracking



Michigan Medicine - University of Michigan

Why parents say they track their young adult kids 

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Most parents who track their young adults kids ages 18-25 say they do it for peace of mind or in case there's an emergency.
 

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Credit: Sara Schultz, Michigan Medicine





ANN ARBOR, Mich. –  Built-in smartphone apps and location sharing features allow parents to see where their children are at any moment: Did they arrive safely? Are they where they said they’d be? How far away are they if there’s an emergency?

While these tools can provide reassurance, some parents may be crossing a line as their children reach adulthood, according to a new national poll.

Half of parents report tracking the location of their young adult child ages 18-25 at least occasionally, according to the University of Michigan Health C.S. Mott Children’s Hospital National Poll on Children’s Health. But a fourth of these parents say it sometimes makes them more anxious than reassured.

“As children become young adults, there may be questions about whether and when parental location tracking is appropriate,” said Mott Poll Co-Director Sarah Clark, M.P.H.

“Our findings suggest that families are split on where that boundary should be.”

Tracking is common, especially for younger adults

Location tracking is more common among parents of young adults ages 18-20 than among parents of those ages 21-25. Parents are also more likely to track daughters than sons, according to the nationally representative report based on 1,542 parents surveyed in February.

For many families, tracking is not used occasionally but is a constant presence, with more than two-thirds of parents who track saying the feature is always on. Fewer than a third use tracking only in certain situations.

Even among parents who routinely have access to their child’s location, certain circumstances are more likely to prompt them to check, including when their young adult is out late at night, in an unfamiliar place, using a rideshare or taxi service or spending time with someone the parent does not know.

The most common reason parents give for tracking is peace of mind. Most say they use location-sharing features to feel reassured about their child’s safety or to be prepared in case of an emergency while about one in five say it helps them know when it’s a good time to call.

Smaller percentages say they use it to stay informed about what their child is doing or to make sure they are in places the parent approves of. Notably, 11% of parents who track their child’s location say they do not have a specific reason for doing so.

“For some parents, location tracking reduces uncertainty and provides a greater sense of security,” Clark said.

“But constant access to information can also fuel anxiety. When parents can check their child’s location at any time, it may become harder to resist checking, especially when they’re already worried.”

Balancing safety and privacy

Nearly all parents who track their young adult child say their child knows they are being tracked. However, fewer than half say they gave their child the option to decline location sharing.

Among parents who don’t track their young adult child, two-thirds say tracking feels like an invasion of privacy. About half also believe it may interfere with the development of independence and personal responsibility.

“For some families, tracking may be viewed as the default rather than a decision that’s discussed together,” Clark said.

“When there aren’t conversations about whether or how tracking happens, it may feel intrusive. As digital tools continue to evolve, families may benefit from thoughtful discussions about how to balance safety, privacy and independence.”

Learning to let go

While there are certain situations when location sharing may serve as a valuable safety tool, Clark says, parents should remember that young adults can use smartphone safety features without relying on parental oversight.

Many already share their location with friends when traveling, meeting new people or getting home late at night. This type of peer-based location sharing, she notes, can help support safety while allowing young adults to decide when and with whom they share their whereabouts.

One unexpected finding from the report was that tracking often goes both ways. About half of parents say their young adult child tracks their location. In 90% of those cases, the parent is also tracking the young adult child.

That dynamic may give parents a useful perspective, Clark said.

“Parents can reflect on how it feels to have their own location visible to someone else and use that insight to guide conversations with their young adult child,” she said.

Establishing a shared understanding around expectations, boundaries and the purpose of tracking, Clark says, may help reduce conflict and strengthen trust as young adults become more independent.

“Parents who use location tracking think they are keeping their child safe.  But they might be interfering with that young adult learning to keep themselves safe,” Clark said.

“At its worst, constant location tracking can prompt parents to take over management of their young adult child’s daily life, with parents asking why their child isn’t at work, at a doctor’s appointment or in class. With that type of hovering, the young adult has less ownership of their own schedule and obligations and less responsibility to figure out how to be a successful adult.”









 

FIRE THE BOSS!

New study finds points systems drive sick workers to show up, undermining paid sick leave laws



Harvard, UC Berkeley, Stony Brook, and Wayne State researchers find employer attendance penalty systems push service workers to work while sick, even when protected by law




Harvard Kennedy School





CAMBRIDGE, Mass. — A new study finds that employer points systems, which penalize workers for absences regardless of the reason, are strongly associated with presenteeism, the practice of showing up to work while sick, and that these systems undermine the public health benefits of paid sick leave laws even in jurisdictions where such protections are on the books. Published in the June 2026 issue of Health Affairs, the research, Points-Based Attendance Systems Associated With Presenteeism Despite Paid Sick Leave Protections, draws on 2024 survey data from more than 3,000 hourly service-sector workers at 63 large U.S. firms.  

 

Points-based attendance systems are policies under which employees accumulate points, occurrences, or demerits for being late, leaving early, or missing work for any reason, including illness, with consequences that can include termination. These systems are widespread among large retail, grocery, pharmacy, fast food, and fulfillment employers. Despite growing adoption of paid sick leave laws at the state and local level, nearly half of workers in the study reported being subject to a points system, regardless of whether their employer operated in a jurisdiction with a paid sick leave mandate. 

 

Key Findings 

Drawing on data collected through the Shift Project, the researchers found that exposure to a points system was associated with an 18.9-percentage-point increase in presenteeism. The effects followed a clear gradient based on the degree of exposure: workers subject to a points system but who had not personally accrued points were 9.3 percentage points more likely to work while sick than those not exposed to any such system. Workers who had accrued points were 29.5 percentage points more likely to come in sick, and those who had both accrued points and faced consequences were 38.7 percentage points more likely to do so. 

 

The threat of points shaped worker behavior even before penalties were incurred, suggesting that the mere presence of a points system creates an incentive structure that discourages workers from staying home when ill. Exposure to a points system was also associated with an 18.1-percentage-point increase in the likelihood that workers reported coming in sick specifically to avoid losing or earning a point. 

 

Critically, paid sick leave mandates did not reduce the likelihood that employers used points systems, nor did they moderate the relationship between points systems and presenteeism. Workers covered by paid sick leave laws were just as likely to show up sick under a points system as those without such legal protections. These findings suggest that points-based attendance systems are effectively nullifying the public health benefits that paid sick leave laws are designed to deliver. 

 

The stakes are particularly high in the service sector, where workers are often customer-facing and involved in food handling, preparation, or service, settings where communicable disease transmission poses a direct public health risk. 

 

"While employers have a justifiable business need to ensure staffing, our work shows that points systems go far beyond those purposes, punitively sanctioning working people in ways that undermine their health and the public health,” said Daniel Schneider, the Malcolm Wiener Professor of Social Policy at Harvard Kennedy School and co-director of the Shift Project.  

 

About the Research 

The study was led by Daniel Schneider of Harvard Kennedy School, Meredith Slopen of Stony Brook University, Kess Ballentine of Wayne State University, Kristen Harknett of the University of California, Berkeley. It draws on data from the Shift Project survey fielded in September–November 2024, covering hourly workers at 63 large service-sector firms.  

 

About the Shift Project 

The Shift Project is a research initiative based at Harvard Kennedy School's Malcolm Wiener Center for Social Policy, in partnership with the University of California, Berkeley. Since 2016, the project has surveyed more than 200,000 hourly service-sector workers to examine the causes and consequences of precarious working conditions — from scheduling instability to workplace surveillance to the effects of labor standards legislation. The project's findings have informed policy debates at the local, state, and federal level and have been published in leading peer-reviewed journals. More information is available at shift.hks.harvard.edu

 

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Media Contact: 

Daniel Schneider, Harvard Kennedy School 

Email: dschneider@hks.harvard.edu 

 

Daniel Harsha   

Director of Public Affairs   

Harvard Kennedy School   

www.hks.harvard.edu   

daniel_harsha@hks.harvard.edu