Nursefriendly.com: morbid obesity

Showing posts with label morbid obesity. Show all posts

Wednesday, April 27, 2011

Canadian kids get failing grade for physical activity - CTV News

Canadian schoolchildren are getting poor grades over how much, or how little, physical activity they get on a daily basis.

Active Healthy Kids Canada issued its 2011 Report Card on Physical Activity for Children and Youth Tuesday, and Canadian youth received an "F" for how much so-called "active play" they engage in every day.

According to the report card, only seven per cent of Canadian youth and children get the recommended 60 minutes of moderate to vigorous physical activity per day. Only nine per cent of boys and a mere four per cent of girls meet the guidelines, the report said.

During the after-school period between 3 p.m. and 6 p.m., Canadian kids are getting only 14 minutes of moderate to vigorous exercise.

Dr. Mark Tremblay, Chief Scientific Officer of Active Healthy Kids Canada, told CTV.ca that the after-school period is one of the best times for kids to engage in physical activity.

"They need a break from school after sitting in classes for six or seven hours," he said. "It's a time when everybody is out and about, it's still light out so it is safer than other times of the day."

He says kids should be making a remarkable change to the typical pattern of coming home, sitting in front of the couch, watching TV and engaging in other sedentary activities.

"Focusing on the after-school period as a window of opportunity to try to overcome inactivity in children and the obesity crisis we're seeing is worth exploring."

via ctv.ca

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I can't imagine American Kids are doing much better.

See also: http://www.nursefriendly.com/obesity/

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Sunday, April 24, 2011

Contagious Habits: How Obesity Spreads | Wired Science | Wired.com

By Jonah Lehrer

April 19, 2011 |

2:06 pm |

Categories: Frontal Cortex, Science Blogs

A few years ago, Nicholas Christakis and James Fowler made a striking discovery about obesity: it spreads from person to person, much like a contagious virus. They were able to demonstrate this by mining the data sets of the Framingham Heart Study (FHS), a longitudinal survey that has revealed many of the risk factors underlying cardiovascular disease. Because the FHS noted each participant’s close friends, colleagues, and family members, Christakis and Fowler were able to recreate the social network of the town, to see how everyone was connected to everyone else.

And this is when they made their remarkable discovery about weight gain. According to the data, if one person became obese, the likelihood that his friend would follow suit increased by 57 percent. (This means that the network is far more predictive of obesity than the presence of genes associated with the condition.) If a sibling became obese, the chance that another sibling would become obese increased by 40%, while an obese spouse increased the likelihood that the other spouse would become obese increased by 37%.

The Christakis/Fowler work is an important reminder that Donne was right: No man is an island/entire of itself. Instead, we are all plugged into a vast network of social contacts and cultural norms. While we think ourselves as autonomous individuals, that autonomy is severely constrained by those around us.

But this longitudinal data – it’s a bird’s eye view of human life – still begs the question: How do other people influence us? Why does an obese friend make us so much more likely to gain weight? Why do the habits of others influence our own habits?

via m.wired.com

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Sunday, March 20, 2011

Tubby Americans throwing off safety of city buses - USATODAY.com

The Federal Transit Authority (FTA) proposes raising the assumed average weight per bus passenger from 150 pounds to 175 pounds, which could mean that across the country, fewer people will be allowed on a city transit bus.

The transit authority, which regulates how much weight a bus can carry, also proposes adding an additional quarter of a square foot of floor space per passenger. The changes are being sought "to acknowledge the expanding girth of the average passenger," the agency says.

"This change is really just a bow to reality," says Joseph Schwieterman, who studies bus ridership as director of the Chaddick Institute for Metropolitan Development at DePaul University in Chicago. "With no small number of bus passengers tipping the scale at 200 pounds or more, this is much more realistic."

via usatoday.com

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Wednesday, March 16, 2011

Fighting Childhood Obesity in Minority Communities | MinorityNurse.com

The eight-year-old girl in Dr. Sheila Davis’ qualitative study on childhood obesity weighed 205 pounds.

The little girl and 16 other children and their parents were meeting with Davis and her research team. Why, Davis asked her, do you want to lose weight? “Because I don’t want the earth to move,” the girl replied. “When I jump rope, the children say it feels like an earthquake.”

The obesity epidemic currently sweeping the United States is a particularly poignant problem for the nation’s children. A full 30% of all kids age six to 19 are overweight, and their numbers have doubled in the last decade, according to the Centers for Disease Control and Prevention (CDC).

Among minority populations in this country, the numbers are even more alarming. Statistics from the CDC show that more than 33% of Hispanic/Latino boys are overweight, as are 35.7% of African-American boys and 51.2% of Mexican-American boys. As for female children, 30.1% of Hispanic/Latino girls, 46.4% of African-American girls and 36.7% of Mexican-American girls are overweight.

via minoritynurse.com

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Monday, February 28, 2011

Skip Dessert? Christie and Huckabee on First Lady’s Side

In the dessert wars, at least, Chris Christie and Mike Huckabee side with Michelle Obama, not Sarah Palin.

Some conservatives, notably Ms. Palin, have mocked Mrs. Obama’s campaign against obesity, particularly in children. But on separate Sunday morning news programs, Mr. Christie, the New Jersey governor, and Mr. Huckabee, the former Arkansas governor — both Republicans — defended Mrs. Obama, and Mr. Christie put his answer in personal terms.
“I think it’s a really good goal to encourage kids to eat better,” Mr. Christie said on “Face the Nation,” on CBS. “You know, I’ve struggled with my weight for 30 years, and it’s a struggle. And if a kid can avoid that in his adult years or her adult years, more power to them, and I think the first lady’s speaking out well.”
Mrs. Obama has urged parents and food manufacturers to make healthier choices available to children, adding that she tells her daughters, “Dessert is not a right.” She has not called for government mandates on the issue.
Even so, Ms. Palin, the former Alaska governor and 2008 Republican vice-presidential candidate, has called Mrs. Obama’s efforts an example of “government thinking that they need to take over and make decisions for us.” In a December episode of “Sarah Palin’s Alaska,” on TLC, Ms. Palin searched her kitchen for the ingredients to make s’mores, saying it was “in honor of Michelle Obama, who said the other day we should not have dessert.”
Conservatives like Rush Limbaugh and Glenn Beck have taken similar shots at Mrs. Obama.
But appearing on “Fox News Sunday,” Mr. Huckabee, who once shed more than 100 pounds, said that in fact Mrs. Obama was calling attention to a serious problem, not calling for government intrusion.
Asked about the criticism of Mrs. Obama, Mr. Christie said, “I think it’s unnecessary,” and he made a point of saying that he did not want the government telling people what to eat.
“But I think Mrs. Obama being out there,” he said, “encouraging people in a positive way to eat well and to exercise and to be healthy, I don’t have a problem with that.”

via nytimes.com

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Wednesday, February 23, 2011

Health Crisis, Actually A Lifestle Crisis, Local Voices, North Zone, Wednesday, Feb. 23, 2011 - chicagotribune.com

Driving back home recently at 3 a.m. after performing a lifesaving heart procedure on a morbidly obese 45-year-old man who was having a massive heart attack, I was reminded of the harsh reality of America's health care crisis. Not only was the patient a heavy smoker, but he also had high blood pressure and diabetes, and hadn't been to a doctor in several years.
If only this young man didn't smoke, exercised and had his blood pressure, blood sugar and cholesterol monitored as part of a regular medical checkup, he may not have required emergency medical care at such a young age.
In a recent discussion with another patient regarding his discharge medications after a heart attack, he volunteered, "Well, I'm going to have to modify my budget." When asked what he meant, he continued with a wry smile, "I'm going to have to shift my spending money from cigarettes to statins and Plavix."

via chicagotribune.com

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Sunday, February 20, 2011

Medical News: Southerners Move as Slowly as They Speak - in Primary Care, Exercise & Fitness from MedPage Today

By Kristina Fiore, Staff Writer, MedPage Today
Published: February 20, 2011

Southerners and folks from Appalachia appear to be the biggest couch potatoes in the U.S., according to a CDC report.

In the majority of counties in those regions, more than 29% of adults reported getting no exercise other than physical activity performed for their regular job. When compared with existing maps of other CDC data, counties with the lowest levels of physical activity also had the greatest prevalence of obesity and diabetes.

The new exercise data come from the CDC's Behavioral Risk Factor Surveillance System (BRFSS) from 2004-2008, which used self-reported data from state-based adult telephone surveys and 2007 census information. The BRFSS survey asks participants if they do any physical activity or exercise outside the workplace.

However, the agency wanted to paint a larger picture of physical activity in the U.S., and synthesized the survey response numbers with stats and maps showing patterns of obesity and diabetes -- which can be found on a special page on the CDC's website.

via medpagetoday.com

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Tuesday, February 15, 2011

Obesity Alone Raises Risk of Fatal Heart Attack, Study Finds

Obese men face a dramatically higher risk of dying from a heart attack, regardless of whether or not they have other known risk factors for cardiovascular disease, a new study reveals.

The finding stems from an analysis involving roughly 6,000 middle-aged men, and it suggests that there is something about carrying around excess weight that contributes to heart disease independent of risk factors such as high blood pressure, diabetes, high cholesterol and arterial disease.

What exactly that something is, however, remains unclear, although the researchers suggest that the chronic inflammation that typically accompanies significant weight gain might be the driving force behind the increased risk.

"Obese, middle-aged men have a 60 percent increased risk of dying from a heart attack than non-obese middle-aged men, even after we cancel out any of the effects of cholesterol, blood pressure and other cardiovascular risk factors," noted study author Jennifer Logue, a clinical lecturer of metabolic medicine with the British Heart Foundation's Cardiovascular Research Centre at the University of Glasgow, in Scotland. "This means [that] obesity itself may be causing fatal heart attacks through a factor that we have not yet identified."

Logue and her colleagues report their observations in the Feb. 15 online issue of Heart.

To explore the subject, the authors spent nearly 15 years tracking 6,082 male patients who were diagnosed with high cholesterol but had no history of either heart disease or diabetes.

Over the study period, the research team noted 214 heart disease fatalities, along with another 1,027 heart attacks and/or strokes that did not result in death.

via health.yahoo.net

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Thursday, February 3, 2011

Study: Global obesity rates double since 1980 - USATODAY.com

Obesity rates worldwide have doubled in the last three decades even as blood pressure and cholesterol levels have dropped, according to three new studies.
People in Pacific Island nations like American Samoa are the heaviest, one of the studies shows. Among developed countries, Americans are the fattest and the Japanese are the slimmest.
"Being obese is no longer just a Western problem," said Majid Ezzati, a professor of public health at Imperial College London, one of the study's authors.
In 1980, about 5% of men and 8% of women worldwide were obese. By 2008, the rates were nearly 10% for men and 14% for women.
That means 205 million men and 297 million women weighed in as obese. Another 1.5 billion adults were overweight, according to the obesity study.
Though richer countries did a better job of keeping blood pressure and cholesterol levels under control, researchers said people nearly everywhere are piling on the pounds, except in a few places including central Africa and South Asia. The studies were published Friday in the medical journal, Lancet.

via yourlife.usatoday.com

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Tuesday, February 1, 2011

Campaign for a Commercial-Free Childhood Home

Order Your Organizer's Kit Today!
Go Screen-Free with CCFC: April 18-24, 2011

This April, children and families around the world will turn off their TVs, video games, and computers and turn on life. Will you organize a Screen-Free Week in your school or community? It's easy and fun and we'll walk you through the process with our brand-new Organizer Kit. Organize your own Screen-Free Week > | Visit the Screen-Free Week store > | Become a Facebook fan >

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Shape Up, Scholastic!

Are you tired of Scholastic exploiting its unique access to schoolchildren and marketing everything from sugary beverages to television programs to cleaning products and medications in classrooms? Are you fed-up with “book” fairs and “book” clubs that are chock-full-of toys, videogames, and other commercialized fare? We created this page to help you communicate your concerns directly with Scholastic's CEO. Take action>

Take Action
Tell the FCC: Sneaky New Nick Toon is Nothing but a Skechers Ad

The FCC has opened an inquiry into CCFC's petition urging the the Commission to rule that the upcoming broadcast of Zevo-3 on Nicktoons is not in the public interest. Developed by Skechers, Zevo-3 is the first kids' program to feature characters known to children only as commercial spokescharacters and will violate longstanding policies designed to protect children from overcommercialization. But the FCC will only act if there is signification public pressure, so please submit a comment in support of our petition today. Submit a Comment to the FCC> | Read the Petition> | Read the Press Release> | Read the AP Story>

via commercialfreechildhood.org

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Thursday, January 13, 2011

For Teens, Too Much Sugar Can Be A Heartbreaker : Shots - Health News Blog : NPR

Teenagers who guzzle a daily bottle of soda are probably not thinking much about their hearts as the sweet stuff runs down their throats.

Enlarge Jacquelyn Martin/AP
Antonio Garcia re-stocks the beverages at The Corner Market in Washington, D.C., in 2010. Study author Jean Welsh says that sweetened beverages tend to be the biggest source of added sugar.

Jacquelyn Martin/AP
Antonio Garcia re-stocks the beverages at The Corner Market in Washington, D.C., in 2010. Study author Jean Welsh says that sweetened beverages tend to be the biggest source of added sugar.

But a new study suggests they should be. Teens who consume lots of added sugar — usually found in sugar-sweetened beverages — risk heart problems later in life, researchers found.

This main problem is the sheer volume of sugar American teens consume: 28.3 teaspoons of added sugar a day on average. That makes up a whopping one-fifth of their daily calories, according to Jean Welsh, study author and post-doctoral fellow in pediatric nutrition at Emory University School of Medicine. It works out to an average of 476 calories a day.

Teens who consumed the highest percentage of their calories from added sugar had less of the "good" cholesterol compared with consumers who ate the least sugar. Another finding was that teens who consumed more added sugars also had higher levels of the "bad" cholesterol and fats called triglycerides.

via npr.org

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Wednesday, January 5, 2011

Parenting, Part II: Weight is heavy topic to discuss with grown children - USATODAY.com

Kim Painter has written about health and wellness for USA TODAY since 1987. She is the mother of two teen boys.

Daphne Oz puts it bluntly: " 'You've gotten fat' is a pretty hard thing to hear from a parent." But it is something that, in one form or another, many young adults do hear from their parents, says the author of The Dorm Room Diet.

And weight is something many parents desperately want to discuss with their grown children, says Ruth Nemzoff, a resident scholar at Brandeis Women's Studies Research Center in Waltham, Mass. She writes and speaks on relationships between parents and grown children and says that weight is a hot topic among parents in her audiences.

"I hear this constantly," she says. "They'll say, 'My daughter is really bright. She's got a Ph.D., but she's really fat. What can I do? Can I say anything?' "

At this time of year, when so many people think of weight loss, the temptation to speak up may be especially strong. And if you happen to be at the end of a winter break with a college student who gained the dreaded freshman 15 (or, more likely, 5 or 8 pounds), this may seem like a perfect time to talk weight.

But think before you speak. And consider saying nothing at all.

That's the advice of Jane Isay, author of two books on family relationships, including Walking on Eggshells: Navigating the Delicate Relationship Between Adult Children and Parents. "Our kids know what we are thinking before we say it," she says. "The idea that they are not aware that you are worried about their weight is nuts."

And, she says, "every overweight person has a mirror and knows what she looks like." She asks parents to consider their power: "Any criticism from a parent is heard through a megaphone."

via usatoday.com

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Sunday, December 26, 2010

7 Biggest Diet Myths | LiveScience

Bathing suit season is just around the corner and every friend has a new diet tip. But does science back them up? Here are some of the most popular diet myths that make scientists shake their heads.

--Robin Nixon, LiveScience Staff Writer

via livescience.com

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Monday, December 13, 2010

Doctors, nurses often contribute to patients' weight problems - FierceHealthcare

Although some doctors and nurses seems to think stigma and shame can help motivate patients to lose weight, the opposite seems to be true, according to a doctor's commentary published today in the Los Angeles Times.

"People who are exposed to stigmatizing situations are more likely to engage in unhealthy eating behaviors and less likely to be physically active," said Rebecca Puhl, director of research at the Rudd Center for Food Policy and Obesity at Yale University, who was interviewed for the piece.

Indeed, most women in one study coped with stigma over their weight by eating more food or refusing to diet.

What's more, humiliating interactions may make overweight patients unwilling to seek out medical care, which means their other medical problems likely will go untreated, as well. Puhl says that healthcare providers need to adjust their expectations, pointing out that losing weight isn't just about having patients go on diets. An inability to diet down to a healthy weight isn't due to just lack of motivation, according to Puhl.

She also calls on healthcare providers to recognize that even relatively small changes in weight count as progress toward better health. Most people can't lose more than 10 percent of their body weight and keep the weight off over time, she says.

Dr. Valerie Ulene, the commentary's author and a preventive medicine specialist whose siblings tortured her when she was an overweight child, says that patients who are overweight deserve to be treated compassionately and effectively. "It's not just the right thing to do, it's the best approach for successful treatment," she writes.

To learn more:
- here's the Los Angeles Times commentary
Related Articles:
Too often, MDs blame obese patients' ills on fat
To help patients lose weight, don't call them fat
Health-conscious docs more likely to offer lifestyle advice
Conquering chronic disease with lifestyle medicine
Guest Commentary: Brad Wilson on fighting obesity

via fiercehealthcare.com

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Sunday, December 5, 2010

Medical News: FDA Panel Says Okay to Lower BMI for Lap-Band - in Primary Care, Obesity from MedPage Today

An FDA advisory committee voted 8 to 2 that Allergan's Lap-Band device is safe enough to use in patients with a BMI as low as 30.

The stomach-shrinking device is currently approved for weight loss in people who are at least 100 pounds overweight or have a body mass index (BMI) of at least 40, or a BMI of at least 35 with other comorbidities such as heart disease.

Allergan is looking for approval to lower those BMI cutoffs to 35 and 30 respectively.

If the FDA follows the advice of its advisory committee the Lap-Band could be an option for another 27 million Americans.

The Lap-Band is an adjustable silicon band that is implanted through tiny incisions around the upper stomach. It works by reducing stomach capacity and thus the amount of food the stomach can hold. Its use involves a less invasive procedure than gastric bypass or stomach stapling, but it is also less effective, FDA reviewers noted in briefing documents released in advance of Friday's meeting.

The FDA's Gastroenterology and Urology Devices Panel spent Friday discussing Allergan's single-arm study of 143 patients with the lower BMI criteria.

All 143 had significant reductions in weight and BMI after one year, with only 37% still meeting the criteria for obesity.

After one year, eight out of 10 Lap-Band recipients lost at least 30% of their excess weight, and 66% lost at least half.

via medpagetoday.com

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