|
Post by jeffolie on Aug 7, 2012 19:37:16 GMT -6
some of the FAT LIVE LONGER : obesity paradox " ... The results agree with the so-called obesity paradox : the idea that, despite being at a higher risk of many chronic conditions, obese people seem to be protected from dying of certain diseases, such as heart disease. ... " This may seem wrong, strange, odd, counter intuitive. The point of diagnosis is central to this FAT LIVES LONGER phenomena. The diagnosis of the trim person may mean that the trim person can not avoid being sick while the FAT person can lose enough weight to change from needing to take insulin. Taking insulin run the risk of taking too much resulting in a death spiral situation when an overdose by accident causes a blackout and then death if no one is around to call for help when the person is passed out. the FAT LIVES LONGER : obesity paradox is a narrow group of people. Do NOT become fat with an idea that you will live longer. ++++++++++++++++++++++++++++++ Among diabetes patients, the obese outlive the trim People with Type 2 diabetes who are relatively trim may not live as long as people with the condition who carry extra weight, a new study finds. In the study, people with diabetes who were of normal weight at the time of their diagnosis were about twice as likely to die from any cause over a 10- to 30-year period than those who were overweight or obese at diagnosis. The findings held even after the researchers took into account factors that could increase people's risk of dying, such as age, blood pressure, blood fat levels and smoking status. The results agree with the so-called obesity paradox : the idea that, despite being at a higher risk of many chronic conditions, obese people seem to be protected from dying of certain diseases, such as heart disease. The researches aren't sure why overweight and obese diabetes patients in the study fared better than normal-weight patients in terms of survival, and they said further research is needed. It's possible that normal-weight people who develop diabetes have genetic variations that put them at risk for other illnesses, too, said study researcher Mercedes Carnethon, an associate professor of preventive medicine at Northwestern University Feinberg School of Medicine. "Whatever that genetic change or mutation may be may also increase their likelihood of suffering mortality," Carnethon said. Carnethon and colleagues analyzed information from five previous studies that included a total of 2,625 people with diabetes, who were followed for nine to 28 years. Participants were classified as normal weight if their body mass index was between 18.5 and 24.9, and as overweight/obese if their BMI was 25 or greater. The proportion of adults in the study who were normal weight at the time of their diabetes diagnosis was 12 percent. Over the course of the studies, a total of 449 people died — 178 from heart disease, and 253 from other causes. The yearly death rate for normal-weight people was 284.8 per 10,000 people, while it was 152.1 deaths per 10,000 among those who were overweight or obese.. There was no difference between the rate of death from heart disease in normal weight and that of overweight/obese individuals, according to the study. Normal-weight people make up just 5 percent to 15 percent of the diabetic population, Carnethon said. However, because of these people's increased risk of death, doctors should take that population very seriously, Carnethon said. Older people and those of certain ethic groups, including Asians, are at higher risk for diabetes that occurs at a normal weight, Carnethon said. Cases of normal-weight diabetes are likely to increase as the population ages and diversifies, she said. Diabetes patients, regardless of weight, are urged to exercise and follow a diet that will help reduce their blood sugar and blood fat levels, Carnethon said. For normal weight people,the goal of these recommendations is not necessarily to lose weight, but rather to help reduce risk factors for disease and death. One limitation of the study is that the researchers were not able to measure the study participants' distribution of fat tissue directly. (BMI is a ratio of weight to height.) It could be that some people with a high BMI who are classified as obese actually have a high proportion of lean muscle mass, which is healthier than fat, the researchers said. By contrast, some normal-weight people may have a high percentage of body fat if they have depleted muscle mass. The study appears in the Aug. 8 issue of the Journal of the American Medical Association. vitals.nbcnews.com/_news/2012/08/07/13168966-among-diabetes-patients-the-obese-outlive-the-trim?lite
|
|
|
Post by unlawflcombatnt on Aug 7, 2012 23:26:21 GMT -6
Absolutely right on the money.
Increased subcutaneous fat has a definite protective effect against atherosclerotic heart disease. This is related to the so-called pear vs. apple shape.
Pears have more subcutaneous fat than apples do.
And there is definite protective effect in having more, rather than less fat, in a pear-shaped distribution.
This information is heavily suppressed because it is not "profitable" for the weight-loss and diet industry.
And it is especially profit-averse for the Weight-Loss Surgery Industry racket.
Increased subcutaneous fat is associated with reduced atherosclerosis, reduced cardiovascular disease, and reduced cerebrovascular disease.
Subcutaneous fat tends to improve glucose intolerance, lower total cholesterol, and especially lower LDL cholesterol ("bad" cholesterol).
There's no real mystery here. Having a generous amount of subcutaneous fat has no deleterious effect on cholesterol or atherosclerosis. There is no reason to think it would, since this is stable fat that is not in constant flux and would predictably have little affect on blood lipids.
To the contrary, those with higher amounts of subcutaneous/non-central fat tend to have more fat cells in those non-central areas. This serves as a stable reservoir for fat, and allows fat to be stored in areas where it is metabolically stable, and where it generally has BENEFICIAL effects on all factors affecting vascular disease, including HDL (increases), LDL (decreases), Hemoglobin A1C (reduces), total insulin output (decreases), decreasing CRP (an inflammatory marker), and many others.
The Obesity "epidemic" is even a bigger myth than the Smoot-Hawley Fairy Tale.
There is no evidence whatsoever that subcutaneous fat has any adverse affects on health or longevity.
In fact, the converse is true. The evidence suggests that increased subcutaneous fat--especially in women--prolongs longevity.
|
|
|
Post by unlawflcombatnt on Aug 11, 2012 23:16:11 GMT -6
I also need to point out that there are basically 2 types of Diabetes; 1) Later Adult Onset 2) Early Onset.
The most severe, adverse, & numerous adverse effects come from the latter group, who make up only a minority of Diabetics.
And this latter group are almost always thin, as a direct result of their diabetes.
Unfortunately, most research and stats on Diabetes essentially lump the 2 groups together.
And since the later-onset diabetics do tend to be heavier, it appears from the mis-aggregation of the 2 groups that the overall heaviness of Diabetics is much of the problem.
But it is not.
The most serious adverse effects occur in the groups that are already thin (the early-onseters), not the late-onseters (who tend to be heavier).
The notion that "obesity" is a major contributor to diabetes-related medical problems is somewhere between grossly over-stated to non-existent.
|
|
|
Post by jeffolie on Jan 2, 2013 10:05:06 GMT -6
Why do the slightly overweight live longer ? ... a couple of reasons suggested below ============================================ Obesity Being Overweight Is Linked to Lower Risk of Mortality Jan. 02, 2013 The longest lived among us aren¡¯t necessarily those who are of normal weight, says a new study. According to new research this week in the Journal of the American Medical Association (JAMA), researchers say that being overweight may lead to a longer life. The somewhat surprising conclusion comes from an enormous, detailed review of over 100 previously published research papers connecting body weight and mortality risk among 2.88 million study participants living around the world. The new research confirms that obese people, and particularly those who are extremely obese, tend to die earlier than those of normal weight. But the findings also suggest that people who are overweight (but not obese) may live longer than people with clinically normal body weight. MORE: Power Up, Slim Down: Mobile Apps May Help With Weight Loss The new report is the largest and most comprehensive review of how weight, measured as body mass index (BMI), a measure comparing the ratio of height to weight, can influence longevity. Previous studies that have exposed the link in the past, however, have raised questions about whether the overweight advantage is real. ¡°We published an article in 2005 that showed, among other things, that overweight was associated with lower mortality ¡ª and we got an awful lot of negative feedback from that,¡± says the current study¡¯s lead author, Katherine Flegal, a senior research scientist at the Centers for Disease Control and Prevention (CDC). Since that study, however, dozens of others have reached the same conclusion ¡ª even if it was hard for researchers and the public to accept. MORE: Childhood Obesity Rates Drop in Some Cities: What Are They Doing Right? ¡°I think there¡¯s a lot of under reporting of this finding [¡] and so people are sort of repeatedly surprised by it,¡± Flegal says. Because many researchers don¡¯t expect to find a benefit associated with being overweight, she suggests, they may not believe their results are valid if they find such a connection, which may make them more hesitant to publish them and invite review and discussion about what may be driving the trend. For the new study, Flegal and her colleagues analyzed every study they could find that broke down death risk broken by the standard BMI categories set by the World Health Organization (WHO) in the late 1990s: with underweight defined as BMI less than 18.5, normal weight being BMI between 18.5 and 25, overweight being BMI between 25 and 30, and obese as BMI of over 30. Men or women who are 5¡¯4¡å would have ¡°normal¡± BMI if they weighed between 108 and 145 pounds, for example, and overweight if they weighed 146 to 174 pounds, and obese if weighed more than that. MORE: Predicting Obesity at Birth Overall, people who were overweight but not obese were 6% less likely to die during the average study period than normal-weight people. That advantage held among both men and women, and did not appear to vary by age, smoking status, or region of the world. The study looked only at how long people lived, however, and not how healthy they were whey the died, or how they rated their quality of life. Why would overweight people live the longest? Flegal and her co-authors suggest that it's possible that overweight and obese people get better medical care, either because they show symptoms of disease earlier or because they're screened more regularly for chronic diseases stemming from their weight, such as diabetes or heart problems. There is also some evidence that heavier people may have better survival during a medical emergencies such as infections or surgery; if you get pneumonia and lose 15 lbs, it helps to have 15 lbs to spare, for example. MORE: Can't Sleep? Losing Belly Fat May Help Another possible explanation may involve reverse causation: maybe being thin doesn't make you sick, as some experts argue, but instead being sick can make you thin. Being overweight may be associated with longer lives if people who lose weight because of diseases such as cancer, for example, contribute to earlier death among individuals who weigh less. Flegal also says her findings may necessarily be contrary to previous studies about the relationship between BMI and mortality because those analyses used a variety of different BMI categories with different cut-points for the various weight groups. In the new JAMA study, Flegal and colleagues only looked at research using the WHO categories. Even so, she acknowledges that interpreting the results may be confusing, since the names of the WHO "normal" and "overweight" categories don't necessarily correspond to commonly held perceptions. Today, roughly 33% of U.S. adults are clinically overweight, according to WHO standards, and an additional 36% are obese. By those standards, the average American is not clinically normal weight at all, but considered overweight. So in fact, the overweight people in the study who tend to live longest may not be fatter than most people at all. Among Americans, at least, they may actually be of average weight. In addition, say doctors, weight alone may not be enough to understand an individual's risk of developing disease and dying early. The latest research shows, for example, that it's not just fat that comes with weight gain, but the type of fat, particularly fat that accumulates around the belly, that might be more life-threatening. All of which suggests that the connection between weight and health is a complicated one that may not be measured simply in years lived. healthland.time.com/2013/01/02/being-overweight-is-linked-to-lower-risk-of-mortality/?iid=hl-main-lead
|
|
|
Post by unlawflcombatnt on Jan 3, 2013 0:55:20 GMT -6
And increased subcutaneous fat actually promotes longevity.
It causes no increase in glucose, diabetic predisposition, atherosclerosis, or coronary artery disease.
In fact, the exact opposite has been shown from multiple studies.
However, this reality is not "profit-friendly" to the weight-loss industry, so it is deliberately suppressed.
|
|
|
Post by jeffolie on Jan 3, 2013 16:41:44 GMT -6
EXCERCISES IN FUTILITYmy jeffolie view: many causes of death can not easily be prevented while some additional risks are bad choices such as smoking, exposure to cancer causing chemicals/agents but some are the bad luck of bad inheritance from genes dooming one to weak arteries/veins, etc. Extreme overweight, now called obesity could easily increase the risk of a piece of plaque traveling to clog an artery/vein causing stoke or heart attacks but thin people die of these problems as well.. The below study of non smokers appears informative but not definite. New Year's resolutions to lose weight drive some retail sales of quick weight loss items and gym memberships. Most abandon these efforts within 2 months creating dust collecting exercise appliances/exercise equipment before the candy is purchased for Valentines Day and Easter.For example of the futility of it all, Jim Fixx was a long distance runner who died at 52 years old of a heart problem surprising most who observed his commitment to exercise and running...author of the 1977 best-selling book, The Complete Book of Running. en.wikipedia.org/wiki/Jim_Fixx========================================= Why you can’t bank on living longer if you’re overweightAs I’ve watched my weight creep up with growing angst as I near the threshold for becoming overweight, I was tempted to rejoice after reading the new study finding that moderately overweight folks live the longest. “Yay. I’m not that fat after all,” wrote one of my Facebook friends in her status update -- as if describing my thoughts exactly. But there’s a potential danger in allowing the latest research to free us from the scale and abolish our “absurb fear of fat,” as a New York Times op-ed writer declared, adding that “our current definition of ‘normal weight’ makes absolutely no sense.” Since the writer, Paul Campos, is a law professor, I figured it was probably wise to read through the details of the study, which was published on Tuesday in the Journal of the American Medical Association, and consult researchers in the obesity field to get their take on the new finding. First off, the study -- which analyzed mortality data from nearly 3 million participants who took part in previous obesity studies in the U.S. and other countries -- didn’t find a huge difference in death rates among those who were normal weight, overweight, or even obese. People who were overweight or mildly obese -- weighing between 146 and 203 pounds for a 5’4” person -- had a 5 to 6 percent lower risk of dying compared to those who were at a healthy weight, between 108 and 145 pounds. Those who were extremely obese had nearly a 30 percent greater risk of dying over the duration of the studies, which varied in length from five years to a few decades. “What we found suggests that over a broad range of body mass index levels, there’s not much variation in mortality,” said study author Katherine Flegal, a senior scientist at the Centers for Disease Control and Prevention. “How much body weight affects health is a different issue, and we would tell individuals to consult their doctors about their own individual risks.” For example, it’s pretty well accepted among public health experts that our nation’s increasing girth has contributed dramatically to a near tripling in US diabetes rates over the past 30 years -- from 2.5 percent to nearly 7 percent of the population. “It’s important for doctors to keep doing what they’re doing as far as using body mass index as an indicator for health along with blood pressure, cholesterol levels, and blood sugar measurements,” Harvard Medical School nutrition professor Dr. George Blackburn said. He added that the new study had flaws in its methodology. For example, older folks in the lower end of the healthy weight spectrum may have been more likely to have been former smokers with health problems that kept them slim. While the new research took into account current smokers, who tend to be thinner, it didn’t distinguish between those who never smoked and those who quit. A 2010 National Cancer Institute study published in the New England Journal of Medicine performed a similar analysis of death rates among nearly 1.5 million people who participated in multiple studies -- but only analyzed deaths in healthy participants who never smoked. Those researchers found a clear relationship between increasing body mass index and death rates with a 13 percent greater death risk in moderately overweight individuals, which rose to a nearly 90 percent greater risk in those who were obese. One of the study co-authors, Dr. Walter Willet, chair of the nutrition department at the Harvard School of Public Health, called the latest finding a “pile of rubbish” and said it was “absurd” to think that gaining 60 to 90 pounds wouldn’t have an impact on shortening our lifespan. But other obesity researchers supported the latest findings. In an editorial that accompanied the study, researchers from the Pennington Biomedical Research Center pointed out that body mass index is an imperfect predictor of disease risk and must be considered in the context of other factors like a waist measurement -- which indicates whether there’s an excess of unhealthy abdominal fat -- physical fitness, and heart disease risk factors like high blood pressure. Determining how much weight gain over time is too much probably depends on a person’s genes, diet, and level of exercise along with other lifestyle factors. But the evidence is clear from the vast body of research that getting to the extreme end of obesity will likely result in poor health and an earlier death. The challenge, as Willet pointed out, is to keep ourselves from reaching that point, which means taking action as the scale starts to creep upwards. “If you put on 5 or 6 pounds, that’s the time when you need to build in a little more activity and be a little more careful about what you eat,” he said www.boston.com/dailydose/2013/01/03/why-you-can-bank-living-longer-you-overweight/Gf87IohhozdweWo1vk53cJ/story.html
|
|
|
Post by unlawflcombatnt on Jan 3, 2013 23:27:15 GMT -6
The overpowering problem with such studies, is that there is 100x as much money & effort put into proving that obesity is hazardous to your health, vs. the contrary.
In fact, the few studies that have honestly and unbiasedly studied the issue have found that there is an INVERSE connection between subcutaneous fat and mortality. In other words, those with more subQ fat live longer.
Subcutaneous fat does not increase the incidence of Diabetes any. In fact, the exact opposite is true. Increased subcutaneous fat tends to reduce both Diabetes, bad cholesterol, and coronary artery disease.
One of the biggest contributors to death in the "severely obese" category is Weight-Loss-Surgery. A majority of Weight Loss Surgery patients victims have post-op complications. Many of them die as a result.
Many others die later on, long after statistics on WLS stop being recorded, due to starvation-induced fatty liver, steatohepatitis, and hepatic failure.
But these stats are never mentioned by the anti-Obesity Nazis. It's unprofitable to do so, and disturbs their "fat-is-always-bad" worldview.
The biggest reason health insurance costs more for overweight patients is not their actual health problems. It's due to 2 factors: 1) They are more expensive because their "obesity" is treated as a disease--thus justifying more treatment for the "disease." 2) They are eligible for extremely expensive Weight Loss Surgery.
Obviously the so-called "obese" cost more due to these 2 factors.
|
|
usain
New Member
Posts: 5
|
Post by usain on Jan 12, 2013 8:10:03 GMT -6
I think Obesity is likely to take decades off your lifestyle, but those who are just a bit obese actually seem to have a reduced chance of early loss of lifestyle than those of regular bodyweight, according to a stunning new research.
|
|
|
Post by unlawflcombatnt on Jan 13, 2013 11:28:14 GMT -6
I think Obesity is likely to take decades off your lifestyle, but those who are just a bit obese actually seem to have a reduced chance of early loss of lifestyle than those of regular bodyweight, according to a stunning new research. That's complete nonsense. There's not any logic to that assertion whatsoever. There needs to be a coherent cause-and-effect relationship demonstrated. And there simply isn't one. Obesity may cause a person to work harder just walking around. That's about it. But increased workloads do NOT cause thrombotic vascular events, such as Heart Attacks or Strokes. Those are caused by ruptured plaques or thrombi, neither of which have anything to do with physical workload. The plaquing has nothing to with peripheral or subcutaneous fat deposition. Neither does the rupture of such plaques. Obesity doesn't cause any significant increase in workload or circulatory demand while resting, since fat is very poorly vascularized (meaning it requires little blood flow). This is even more true with subcutaneous fat, which is relatively inert metabolically. If LDL cholesterol, blood pressure, and glucose levels are normal, increased body fat has 0 effect on Cardiovascular or Cerebrovascular disease. In fact, some poorly-publicized studies have shown exactly the opposite. Increased subQ fat may serve as a non-diabetogenic storage vehicle for energy, which neither requires increased insulin, nor increases cholesterol or blood lipids.
|
|
|
Post by jeffolie on Jan 13, 2013 12:40:16 GMT -6
I think Obesity is likely to take decades off your lifestyle, but those who are just a bit obese actually seem to have a reduced chance of early loss of lifestyle than those of regular bodyweight, according to a stunning new research. That's complete nonsense. There's not any logic to that assertion whatsoever. There needs to be a coherent cause-and-effect relationship demonstrated. And there simply isn't one. Obesity may cause a person to work harder just walking around. That's about it. But increased workloads do NOT cause thrombotic vascular events, such as Heart Attacks or Strokes. Those are caused by ruptured plaques or thrombi, neither of which have anything to do with physical workload. The plaquing has nothing to with peripheral or subcutaneous fat deposition. Neither does the rupture of such plaques. Obesity doesn't cause any significant increase in workload or circulatory demand while resting, since fat is very poorly vascularized (meaning it requires little blood flow). This is even more true with subcutaneous fat, which is relatively inert metabolically. If LDL cholesterol, blood pressure, and glucose levels are normal, increased body fat has 0 effect on Cardiovascular or Cerebrovascular disease. In fact, some poorly-publicized studies have shown exactly the opposite. Increased subQ fat may serve as a non-diabetogenic storage vehicle for energy, which neither requires increased insulin, nor increases cholesterol or blood lipids. "... Increased subQ fat may serve as a non-diabetogenic storage vehicle for energy, which neither requires increased insulin, nor increases cholesterol or blood lipids. FYI A quick search of Kaiser Permanente's online site for "diabetes weight" resulted in most often implying a relationship of diabetes with excess weight. 774 results found for diabetes weight Diabetes and pregnancy ... basics when you're pregnant Eating well with diabetes Healthy weight gain during pregnancy Exercise during pregnancy Health risks ... Learn more about preventing, living with, and managing diabetes. Depression Extra weight and depression often go hand in hand. Depression ... Twins or more ... at higher risk of: preterm birth low birth weight preeclampsia gestational diabetes cesarean birth You will need to see your doctor more often than women who are carrying only 1 baby so that your doctor can monitor your and your babies' health. Your doctor will also tell you how much weight to gain, if you need to take extra ... Weight gain during pregnancy ... to have a premature baby. link to gestational diabetes article Studies show that extra weight during pregnancy nearly doubles the risk that your ... increases risk of having a heavy baby Pregnancy weight gain may increase risk of gestational diabetes Other Kaiser Permanente research *The recommendations here assume ... Living healthier with diabetes ... is key to preventing, delaying, or better managing diabetes. Aim for a healthy weight. If you're overweight, losing as little as 7 to 15 pounds can make a big difference in your health. Stay or become more physically active. Try walking for 30 minutes at least 5 days a week. If you have diabetes, learn how to manage it with HealthMedia® Care® ... Are you at risk? ... find out if you or your child have diabetes: frequent urination excessive thirst extreme hunger unexplained weight loss extreme fatigue irritability blurry vision If you already have diabetes and are experiencing any of these symptoms, it ... Obesity: Should I Take Weight-Loss Medicine? ... problems, such as heart disease and type 2 diabetes. Weight-loss medicines may be an option if you ... problems, such as heart disease and type 2 diabetes. Weight-loss medicines may be an option if you ... Your everyday health ... may slow down as you get older. Extra weight increases your risk for heart disease, diabetes, and high blood pressure. Use our BMI calculator to find out what you should weigh for your height. Get to your healthy weight and stay there by eating right and keeping ... Mediterranean & China Study diets ... to lower risk of heart disease, cancer, and diabetes, and to help you lose weight. For some, it can also reverse serious health ... Metabolic Syndrome ... Pressure High Cholesterol High Triglycerides Obesity Type 2 Diabetes Weight Management References Citations Grundy SM, et al. (2005). Diagnosis and management of the metabolic syndrome: An American Heart ... (2011). Complications of diabetes mellitus. In S Melmed et al., eds., Williams ... Polycystic Ovary Syndrome (PCOS) ... Active Gestational Diabetes High Cholesterol Obesity Type 2 Diabetes Weight Management References Citations Barbieri RL (2010). Polycystic ovary ... Polycystic Ovary Syndrome (PCOS) ... Active Gestational Diabetes High Cholesterol Obesity Type 2 Diabetes Weight Management References Citations Barbieri RL (2010). Polycystic ovary ... Prediabetes ... to reduce your chances of getting prediabetes and diabetes: Watch your weight. Being overweight increases your risk for prediabetes and ... at reducing your risk of getting type 2 diabetes. 2 Watch your weight Most people who have prediabetes are overweight and ... Key steps in diabetes care ... plan with HealthMedia® Care® for Diabetes . Eat healthy Diabetes can be prevented, delayed, or better managed by keeping a healthy weight. Changing your diet and eating habits can be ... re overweight, losing even a small amount of weight (such as 7 to 15 pounds) can have significant health benefits, especially if you have type 2 diabetes. Use our body mass index calculator to determine ... Nonalcoholic Steatohepatitis (NASH) ... Cirrhosis High Cholesterol Metabolic Syndrome Obesity Type 2 Diabetes Weight Management References Citations National Heart, Lung, and Blood Institute, National Institute of Diabetes and Digestive and Kidney Diseases (1998). Clinical Guidelines ... Nonalcoholic Steatohepatitis (NASH) ... Cirrhosis High Cholesterol Metabolic Syndrome Obesity Type 2 Diabetes Weight Management References Citations National Heart, Lung, and Blood Institute, National Institute of Diabetes and Digestive and Kidney Diseases (1998). Clinical Guidelines ... Transient Ischemic Attack (TIA) ... Quitting Smoking Sickle Cell Disease Stroke Type 2 Diabetes Weight Management References Citations Roger VL, et al. (2010). ... Transient Ischemic Attack (TIA) ... Quitting Smoking Sickle Cell Disease Stroke Type 2 Diabetes Weight Management References Citations Roger VL, et al. (2010). ... Type 2 Diabetes: Can You Cure It? ... some find that their diabetes does "reverse" with weight control, diabetes-healthy eating, and exercise. Their bodies are still ... is most likely in the early stage of diabetes or after a big weight loss. It can also happen after bariatric surgery ... Type 2 Diabetes: Can You Cure It? ... some find that their diabetes does "reverse" with weight control, diabetes-healthy eating, and exercise. Their bodies are still ... is most likely in the early stage of diabetes or after a big weight loss. It can also happen after bariatric surgery ... Diabetes: Preparing for Pregnancy ... you about your A1c goal, your medicine for diabetes, your weight, and getting enough folic acid . Your doctor will want to make sure that you are up to date with immunizations. And you'll want ... changes. Your diabetes puts your developing baby at risk for birth ... Diabetes: Preparing for Pregnancy ... you about your A1c goal, your medicine for diabetes, your weight, and getting enough folic acid . Your doctor will want to make sure that you are up to date with immunizations. And you'll want ... changes. Your diabetes puts your developing baby at risk for birth ... Healthy lifestyle programs ... program below to learn more: Eat healthy Lose weight Quit smoking Reduce stress Manage chronic conditions Manage diabetes Manage depression Manage pain Manage back pain Overcome ... Be a team player ... better, do well in school, maintain a healthy weight, and lower their risk of heart disease and diabetes. When you and your kids or grandkids play, ... Type 2 Diabetes in Children ... Research Group (2009). 10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. ... Research Group (2009). 10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. ... healthy.kaiserpermanente.org/health/mycare/!ut/p/c4/JYuxDsJADEN_BT4AZWBB3coXIHWA6-YeUS4SSatrRH8f2pMHW882jfSX46uC0NnxoRellVFz6Zo9UGH03HcLhIcD3sMptXgUFWKg5PMlIxfeWXsPUdWF0lsxcfB62lilBC1mt6v15x_LxtyC/
|
|
|
Post by jeffolie on Jun 19, 2013 5:21:34 GMT -6
AMA declares obesity a disease The move by the American Medical Assn. board means that one-third of adults and 17% of children in the U.S. have a medical condition that requires treatment. June 18, 2013 The American Medical Assn. voted Tuesday to declare obesity a disease, a move that effectively defines 78 million American adults and 12 million children as having a medical condition requiring treatment. The nation's leading physicians organization took the vote after debating whether the action would do more to help affected patients get useful treatment or would further stigmatize a condition with many causes and few easy fixes. In the end, members of the AMA's House of Delegates rejected cautionary advice from their own experts and extended the new status to a condition that affects more than one-third of adults and 17% of children in the United States. "Recognizing obesity as a disease will help change the way the medical community tackles this complex issue that affects approximately 1 in 3 Americans," said Dr. Patrice Harris, an AMA board member. Tuesday's vote is certain to step up pressure on health insurance companies to reimburse physicians for the time-consuming task of discussing obesity's health risks with patients whose body mass index exceeds 30. It should also encourage doctors to direct these patients to weight-loss programs and to monitor their often-fitful progress. The federally funded Medicare program, which insures an estimated 13 million obese Americans who are over 65 or disabled, already covers the costs of "intensive behavioral therapy" for obese patients, as well as bariatric surgery for those with additional health conditions. But coverage for such obesity treatments has been uneven among private insurers. Insurers who are members of the California Assn. of Health Plans cover many services to treat medical conditions associated with obesity, including bariatric surgery and diabetes, said President and Chief Executive Patrick Johnston. The AMA's decision essentially makes diagnosis and treatment of obesity a physician's professional obligation. As such, it should encourage primary care physicians to get over their discomfort about raising weight concerns with obese patients. Studies have found that more than half of obese patients have never been told by a medical professional they need to lose weight — a result not only of some doctors' reluctance to offend but of their unwillingness to open a lengthy consultation for which they might not be reimbursed. Past AMA documents have referred to obesity as an "urgent chronic condition," a "major health concern" and a "complex disorder." The vote now lifts obesity above the status of a health condition, disorder or marker for heightened risk of disease — as high cholesterol is for heart disease, for instance. "As things stand now, primary care physicians tend to look at obesity as a behavior problem," said Dr. Rexford Ahima of University of Pennsylvania's Institute for Diabetes, Obesity and Metabolism. "This will force primary care physicians to address it, even if we don't have a cure for it." The new designation follows a steep 30-year climb in Americans' weight — and growing public concern over the resulting tidal wave of expensive health problems. Treatment of such obesity-related illnesses as cardiovascular disease, Type 2 diabetes and certain cancers drives up the nation's medical bill by more than $150 billion a year, according to the Centers for Disease Control and Prevention. Projected increases in the obesity rate could boost that figure by an additional $550 billion over the next 20 years, a recent Duke University study concluded. In laying out the case for and against the redefinition of obesity, the AMA's Council on Science and Public Health argued that more widespread recognition of obesity as a disease "could result in greater investments by government and the private sector to develop and reimburse obesity treatments." The Food and Drug Administration, which has approved just two new prescription weight-loss medications since 1999, would probably face increased pressure to approve new obesity drugs, spurring new drug development and more widespread prescribing by physicians, the council noted. "The greater urgency a disease label confers" also might boost support for obesity-prevention programs such as physical education initiatives and reforms to school lunch, the council added. In addition, it speculated that "employers may be required to cover obesity treatments for their employees and may be less able to discriminate on the basis of body weight." But the council also said that making obesity a disease could deepen the stigma attached to being overweight and doom some patients to endless nagging — even if they were otherwise healthy or had lost enough weight to improve their health. It might also shift the nation's focus too much toward expensive drug and surgical treatments and away from measures to encourage healthy diets and regular exercise, the council wrote in a background memo for AMA members. Dr. Daniel H. Bessesen, an endocrinologist and obesity expert at the University of Colorado Anschutz Medical Campus, called the AMA's shift "a double-edged sword." Though the semantic change may reflect "a growing awareness that obesity is not someone's fault," he worried that "the term disease is stigmatizing, and people who are obese don't need more stigmatizing." www.latimes.com/news/science/la-sci-obesity-disease-20130619,0,4422080.story
|
|
|
Post by unlawflcombatnt on Aug 6, 2013 23:34:26 GMT -6
Just because the AMA "declares" it a disease doesn't make it so.
Many doctors are so obscessively fashion-conscious and trend conscious that it impairs their objectivity and judgement.
Unless a condition shortens life, or causes other serious consequences, it is not a "disease" in my book. It is simply a variation from normal.
A pear-shaped 350 pound women with an LDL cholesterol of 90, an HDL cholesterol of 80, a blood pressure of 120/70, and a Hemoglobin A1C of 5.2 does not have a "disease."
She is simply heavier than the average woman. Period.
She is not at ANY increased risk for DM, Coronary Heart Disease, Stroke, or any other potential killer.
She is, however, at increased risk from complications from Physician-induced attempts to lose weight--especially Weight-Loss Surgery.
Her risks are due to contemporary misconceptions and fads, not from intrinsic medical problems.
|
|
|
Post by jeffolie on Aug 7, 2013 10:42:35 GMT -6
Just because the AMA "declares" it a disease doesn't make it so. Many doctors are so obscessively fashion-conscious and trend conscious that it impairs their objectivity and judgement. Unless a condition shortens life, or causes other serious consequences, it is not a "disease" in my book. It is simply a variation from normal. A pear-shaped 350 pound women with an LDL cholesterol of 90, an HDL cholesterol of 80, a blood pressure of 120/70, and a Hemoglobin A1C of 5.2 does not have a "disease." She is simply heavier than the average woman. Period. She is not at ANY increased risk for DM, Coronary Heart Disease, Stroke, or any other potential killer. She is, however, at increased risk from complications from Physician-induced attempts to lose weight--especially Weight-Loss Surgery. Her risks are due to contemporary misconceptions and fads, not from intrinsic medical problems. I agree. The complications and consequences of bariatric gastric bypass include about 33% have removal of various other organs including the gall bladder or require the risk of follow up surgeries. The diet change featuring the resulting smaller stomach include life long taking of supplements which the less sized pouch for a stomach cannot admit into the blood stream. Most, overwhelmingly pay for the procedures privately because insurance rarely pay for them meaning a cost of $12000 for lapband or $20000 for gastric bypass. These procedure can work. Lap ban work no more than 50% over a 5 year period. Gastric works about 75%. BTW the causation for some heart issues can be viruses, genetic or other than cholesterol. On a network news last night I watched a doctor state that stents relieve symptoms but do not prevent heart attacks. the reasoning was that the cholesterol related plaque remains where ever else it resides and can travel to cause a future heart attack because installing a stent does not remove the existing plaque. The warning was to never eat cheese burgers because the consequences remain for life no matter what age the plaque building food is consumed.
|
|