Showing posts with label says. Show all posts
Showing posts with label says. Show all posts
42 of Americans Obese by 2030 Says Doc Oc
Sunday, May 18, 2014
According to the National Institute of Health, being overweight and obese is the second leading cause of preventable death in the US. Centers for Disease Control and Prevention of US predicts that in the next 18 years the number of obese people in the US is expected to rise to 42 per cent of the adult population.That means about 32 million more Americans will become obese by 2030 compared to current levels the proportion of Americans who are severely obese, meaning more than 100 pounds overweight, will reach 11 percent, about double the current rate.
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| Is this the future of Spider-man |
The reports authors give a sobering price tag for these predictions, such an increase would create $550 billion of obesity-related health care costs. It costs hundreds of billions of dollars each year and leads to deadly chronic diseases. But who is to blame for the US obesity epidemic?
The report was published in the American Journal of Preventive Medicine and was released at the CDCs Weight of the Nation conference, a gathering focused on the impact of the obesity epidemic. The authors analyzed data collected from each state and made projections based on a number of factors influencing obesity rates, including the cost of healthy and unhealthy foods, gas prices and Internet access. "Predicting obesity is tricky and no one variable showed up as causing obesity, said one of the author.
The report was published in the American Journal of Preventive Medicine and was released at the CDCs Weight of the Nation conference, a gathering focused on the impact of the obesity epidemic. The authors analyzed data collected from each state and made projections based on a number of factors influencing obesity rates, including the cost of healthy and unhealthy foods, gas prices and Internet access. "Predicting obesity is tricky and no one variable showed up as causing obesity, said one of the author.
One of the authors of the report, said the prospect of such increasing rates, particularly those of severely obese Americans, is alarming since efforts aimed at helping people lose weight have so far proven relatively ineffective. "Their weight continues to increase. Over the last 10 years, it has gone up tremendously," he said in a press conference. "This is a group at great risk of health complications, and yet they are increasing at an even greater rate than the rate of obesity."
Barbara Moore, the president of Shape UP America! at national campaign to raise awareness about obesity as a health issue said "Obesity is caused by a perfect storm of a multiplicity of factors and not one factor is going to be entirely responsible for this problem … personal choice and responsibility does play a part but a part of many other factors."
Although recent data suggest that rates of obesity have reached a plateau, current rates of obesity are still alarmingly high. About 34 percent of adults are currently obese, creating a whole host of expensive, chronic health problems, such as cardiovascular disease and diabetes.
The reports authors said a number of factors could lead to the predicted rise in obesity. About two-thirds of Americans are currently overweight and could continue to gain weight and move into the obese category.
THE STATE OF OBESITY IN THE US:
Institute of Medicine (IoM) released a report that rejects the idea that obesity is largely the result of a lack of willpower and personal responsibility of the people of America. US has an obesity-promoting environment, an average person cannot maintain a healthy weight.
THE STATE OF OBESITY IN THE US:
- About 35.7 per cent of the adult American population suffers from obesity now.
- Over 42 per cent of adult Americans will be obese in 2030
- Percentage of severely obese to double between 2010 and 2030, growing from five per cent to 11 per cent by 2030
- Non-Hispanic blacks have the highest obesity rates at 44.1 per cent
- Treating additional obese people to cost $550bn over 20 years
- Medical-related costs of obesity estimated at $150 bn a year
- Obesity costs account for about nine per cent of annual medical costs
- At least 30 per cent of the populace is obese in most US southern states - Mississippi has the highest rate at 34 per cent
- The western US has the lowest obesity rates, with Colorado at 21 per cent
Institute of Medicine (IoM) released a report that rejects the idea that obesity is largely the result of a lack of willpower and personal responsibility of the people of America. US has an obesity-promoting environment, an average person cannot maintain a healthy weight.
IoM Suggested some dramatic measures and changes, Recommends schools be the focus for anti-obesity efforts, It wants schools to ensure quality physical activity and awareness of nutritional standards among children, about 50 percent of severe obesity in adults is consequence of obesity in childhood. Currently about 17 percent of children and adolescents are obese. Anti-obesity measures such as better urban design, access to recreational facilities, workplace health promotion and new drugs could help reign in the problem.
IoM blamed Us farm policy, Lawmakers and food industry for obesity epidemic.
US FOOD INDUSTRY LOBBY:
- The industry is worth about $1.5 trillion annually
- About $175m has been spent on lobbying since 2009, including an effort to defeat proposed sugary-drinks tax that was led by Coca-Cola and Pepsi
- Lobbyists spent more than $40m to defeat the sugary-drink tax - they defeated the soda tax initiatives in 23 US states
- The industry spent close to $1m fighting school menu changes
- In US schools, tomato sauce on pizza is counted as a vegetable
- In 2011 McDonalds Corp spent over $1.5m on lobbying efforts, Nestle spent close to $4m
The IoM panel also suggested to tax sugar-sweetened beverages, as their link to obesity is stronger than that of any other food or beverage.
Joel Marion Says Cheat Meals Necessary!!
Thursday, May 15, 2014
Hi,
Todays blog is a nearly entire quote from the e-mail that I got from Joel Marion, who is a fitness expert and body builder. He explains that the cheat meal is the easiest way to boost your metabolism and make your diet worthwhile.
Here is a link to his advertising site: http://joelmarion.org/xtreme-fat-loss-diet/
Im constantly getting questions about the conflicting recommendations from various fitness professionals regarding the use of Cheat Days, whether they are necessary or needed to get exceptionally lean, whether you can get ripped without them, whether youll get better results if you skip them, and whether they work better with or without "junk food" on the menu. Well today Im here to set the record straight on this exhausting topic once and for all.
#1. No, dieting does not work better without cheat days. Sorry, but this is not debatable...at all. The research CLEARLY, undeniably shows that dieting and calorie restriction make your body WORSE at burning fat with literally every week that goes by. The "master" hormone leptin plummets, the metabolism regulating thyroid hormones T3 and T4 take a massive dive, the appetite stimulating hormone ghrelin boosts sky high, the abdominal fat boosting stress hormone cortisol gradually increases, 24 hour energy expenditure and metabolic rate decrease with every passing day. Thats what happens when you diet.
You can NOT get around those truths without increasing your calorie and carbohydrate intake on a weekly basis, more frequently the leaner you get. Sorry, its not possible. Your body hates dieting, and unless you go off your diet a minimum of once per week you will only make losing fat harder with each subsequent week.
Now, if you like [unnecessarily] working hard, then yes:
#2. You CAN get ripped without cheat days. It will be miserable. It will require you to work MUCH harder. You will get no psychological relief from the woes of dieting; in fact, with each day and week that passes by youll dig yourself in to a deeper metabolic hole that youll need to work harder and harder to get yourself out of. It will drain you, both your time and your morale. You will hate yourself, and probably everyone around you. Basically, life will suck.
But it can be done.
Essentially, if you want to diet without the use of leptin and metabolism boosting cheat days, youre pretty much doomed to impractical, ridiculous, time consuming practices if you ever want to get lean. Period. Thats the only way its going to happen.
4 hours a day at the gym. A diet consisting of grilled chicken and veggies (but dont eat too many veggies...that might screw everything up), more exercise, lower calories. Be sure to add more exercise next week, because its going to be even harder to lose fat. Youll want to drop your calories again, too. Repeat!
And if thats how you want to achieve your leanest condition...MORE POWER TO YOU. Unfortunately, its not even close to being practical for 99.999999% of the population.
Of course, you could just eat some freaking PIZZA and make your life a heck of a lot easier, but if for some reason you feel better about your transformation process by ignoring science and making your journey more difficult, you can absolutely 100% get there without the wonders of pizzaioli italiano.
Youll probably lose more muscle than you have to, youll definitely work a lot HARDER than you have to, and itll likely take you significantly longer to reach your goals.
It works better with pizza. Sorry, it just does.
#3. Now, does it have to be ALL pizza and ice cream? No, but a high fat, high glycemic carb cheat day is what has been shown by RESEARCH to best boost insulin and leptin levels, reset metabolism, thyroid hormone levels, and 24 hour energy expenditure to baseline levels. If you want to achieve that via maltodextrin shakes and spoonfuls of coconut oil, you certainly could, but Ill go the pizza route. Sorry, I didnt create science, I just report it.
So, now you have the education necessary to make an informed decision on whether youre going to include cheat days in your program the next time you embark on a journey to get lean. If you have masochistic tendencies, enjoy unnecessary self deprivation, and have no regard for science, youll probably want to skip them. If on the other hand youre someone who enjoys efficiency, results (without subjecting yourself to unnecessary struggle), and good food, youll probably want to include them.
A very hard decision, I know!
Marcia: So there you have it. I believe this is similar to what I had been reading when I decided to include the cheat meal in my program.
For myself, I have found I have to be caul with the cheat meal. This past week of wackiness was a prime example. If I leave the "left overs" in my house I am addicted enough, and insane enough to not be able to stop eating them. That, alone, is enough to toss me on my fanny.
You have to decide what works for you. I now know, for certain, that if I do not have guests, to whom I can give the left overs, then I need to eat out. Period.
I am on Day 6 so I will finish out the week and start again on Sunday. Im going to eat right today and tomorrow, including the cheat meal -- seems I cant do otherwise -- and begin again. I know. I know. It makes so much better sense to skip the cheat meal because Ive been cheating all week. But I also know that if I dont, Ill be much worse off. I trust that I now have a restoration plan that will work for me and my psyche.
I shall see if, based on what Joel has shared about the cheat day, I will not in the end lose the weight again and be on a better road.
I always have to remember to DECIDE NOT TO EAT WHAT YOU SHOULD NOT EAT.
Going down the road, again,
Be back soon,
Marcia
Todays blog is a nearly entire quote from the e-mail that I got from Joel Marion, who is a fitness expert and body builder. He explains that the cheat meal is the easiest way to boost your metabolism and make your diet worthwhile.
Here is a link to his advertising site: http://joelmarion.org/xtreme-fat-loss-diet/
Joel Marion says:
Im constantly getting questions about the conflicting recommendations from various fitness professionals regarding the use of Cheat Days, whether they are necessary or needed to get exceptionally lean, whether you can get ripped without them, whether youll get better results if you skip them, and whether they work better with or without "junk food" on the menu. Well today Im here to set the record straight on this exhausting topic once and for all.
#1. No, dieting does not work better without cheat days. Sorry, but this is not debatable...at all. The research CLEARLY, undeniably shows that dieting and calorie restriction make your body WORSE at burning fat with literally every week that goes by. The "master" hormone leptin plummets, the metabolism regulating thyroid hormones T3 and T4 take a massive dive, the appetite stimulating hormone ghrelin boosts sky high, the abdominal fat boosting stress hormone cortisol gradually increases, 24 hour energy expenditure and metabolic rate decrease with every passing day. Thats what happens when you diet.
You can NOT get around those truths without increasing your calorie and carbohydrate intake on a weekly basis, more frequently the leaner you get. Sorry, its not possible. Your body hates dieting, and unless you go off your diet a minimum of once per week you will only make losing fat harder with each subsequent week.
Now, if you like [unnecessarily] working hard, then yes:
#2. You CAN get ripped without cheat days. It will be miserable. It will require you to work MUCH harder. You will get no psychological relief from the woes of dieting; in fact, with each day and week that passes by youll dig yourself in to a deeper metabolic hole that youll need to work harder and harder to get yourself out of. It will drain you, both your time and your morale. You will hate yourself, and probably everyone around you. Basically, life will suck.
But it can be done.
Essentially, if you want to diet without the use of leptin and metabolism boosting cheat days, youre pretty much doomed to impractical, ridiculous, time consuming practices if you ever want to get lean. Period. Thats the only way its going to happen.
4 hours a day at the gym. A diet consisting of grilled chicken and veggies (but dont eat too many veggies...that might screw everything up), more exercise, lower calories. Be sure to add more exercise next week, because its going to be even harder to lose fat. Youll want to drop your calories again, too. Repeat!
And if thats how you want to achieve your leanest condition...MORE POWER TO YOU. Unfortunately, its not even close to being practical for 99.999999% of the population.
Of course, you could just eat some freaking PIZZA and make your life a heck of a lot easier, but if for some reason you feel better about your transformation process by ignoring science and making your journey more difficult, you can absolutely 100% get there without the wonders of pizzaioli italiano.
Youll probably lose more muscle than you have to, youll definitely work a lot HARDER than you have to, and itll likely take you significantly longer to reach your goals.
It works better with pizza. Sorry, it just does.
#3. Now, does it have to be ALL pizza and ice cream? No, but a high fat, high glycemic carb cheat day is what has been shown by RESEARCH to best boost insulin and leptin levels, reset metabolism, thyroid hormone levels, and 24 hour energy expenditure to baseline levels. If you want to achieve that via maltodextrin shakes and spoonfuls of coconut oil, you certainly could, but Ill go the pizza route. Sorry, I didnt create science, I just report it.
So, now you have the education necessary to make an informed decision on whether youre going to include cheat days in your program the next time you embark on a journey to get lean. If you have masochistic tendencies, enjoy unnecessary self deprivation, and have no regard for science, youll probably want to skip them. If on the other hand youre someone who enjoys efficiency, results (without subjecting yourself to unnecessary struggle), and good food, youll probably want to include them.
A very hard decision, I know!
Marcia: So there you have it. I believe this is similar to what I had been reading when I decided to include the cheat meal in my program.
For myself, I have found I have to be caul with the cheat meal. This past week of wackiness was a prime example. If I leave the "left overs" in my house I am addicted enough, and insane enough to not be able to stop eating them. That, alone, is enough to toss me on my fanny.
You have to decide what works for you. I now know, for certain, that if I do not have guests, to whom I can give the left overs, then I need to eat out. Period.
I am on Day 6 so I will finish out the week and start again on Sunday. Im going to eat right today and tomorrow, including the cheat meal -- seems I cant do otherwise -- and begin again. I know. I know. It makes so much better sense to skip the cheat meal because Ive been cheating all week. But I also know that if I dont, Ill be much worse off. I trust that I now have a restoration plan that will work for me and my psyche.
I shall see if, based on what Joel has shared about the cheat day, I will not in the end lose the weight again and be on a better road.
I always have to remember to DECIDE NOT TO EAT WHAT YOU SHOULD NOT EAT.
Going down the road, again,
Be back soon,
Marcia
AHRQ Says the Patient Centered Medical Home PCMH Does Not Lower Health Care Costs Heres 5 Reasons To Not Believe Them
Wednesday, May 7, 2014
While you read the following, keep in mind:1. Using traditional research to detect a "statistically significant" decrease in insurance claims expense is notoriously difficult.
2. Theres scientific statistical proof and then there is a reasonable business assurance. The latter may be enough for business-minded health insurers.
3. The conclusion is based on published research. Unpublished "in house" data have convinced many insurers to include the medical home in their covered benefit. They know something AHRQ doesnt.
4. While medical homes alone may be insufficient to save money, that doesnt mean that medical homes that are part of a package of interventions (value-based purchasing, P4P, vendor-based population health management or an ACO) are unnecessary.
5. While there is no evidence of savings, there is also no consistent evidence of increased cost. That means the quality associated with the medical home represents high value.
That being said, the U.S. Agency for Healthcare Research and Quality (AHRQ) Evidence Report Technology Assessment on the Patient Centered Medical Home says:
"Based on a combination of good- and fair-quality studies, there is a low strength of evidence that PCMH implementation may lead to lower utilization (inpatient and emergency department) for some subgroups of patients, but this effect was not uniform. Moreover, total costs were not lowered in the reviewed studies.
However, three observational studies specifically designed to test PCMH do report lower inpatient and emergency department utilization among patients in the PCMH program. However, total costs were not statistically different for PCMH and non-PCMH patients in the three studies. None of the clinical trials of functional PCMH interventions had statistically significant differences between intervention and control arms for inpatient or emergency department utilization.
No studies reported statistically significant cost savings among PCMH patients. In fact, when taking into account program costs, two studies, one good-quality trial and one fair-quality observational study, reported greater total costs among intervention patients."
Image from Wikipedia
ACOs are an Unwelcome Bump On the Road to Inevitable Regulation of Health Care A Former Presidential Candidate Says So
Monday, March 31, 2014
Want to better understand the perpetual anguish of a chronic illness? Well, thanks to online streaming from the Harvard School of Public Health, readers can better appreciate the eerie similarities between hyperprogressive liberalism and incurable diseases like elevated blood sugars. Both can go on for decades, are irreversible, cost a lot of money and are ultimately caused by inappropriate choices. The Disease Management Care Blog is, of course, writing about this hour long video of former Massachusetts Governor and former Democratic Presidential candidate Michael Dukakis.Sadly for health orm Obamaists, the supremely competent and confident Mr. Dukakis trashes the concept of accountable care organizations at about the minute 35 mark, dismissing it as a reincarnation of 1990s style HMOs and capitation. And he doesnt stop there. The additional problem, he says, is that well waste ten years analyzing what he foresees will be a foregone conclusion: ACOs are destined to fail.
Whats more, since health care markets are such a dismal option, he concludes the only choice thats left is price-setting "regulation." Assume State Insurance Departments have power over hospitals, call everyone into a room, assume theyre decent people, appeal to their economic self interest and everyone will be happy.
Yet, once the DMCB got over Mr. Dukakis "legend in his own mind" persona, it believed the former Governor has a good point: if ACOs fail, well be left with two choices:
1) a governing class who is ready to step in with enlightened top-down governance or
2) a reintroduction of market forces that seeks bottom up competition and consumerism.
In the interest of fairness, if readers want to see a counter-argument in favor of markets, check out this one-sided nine minute Cato Institute video that teaches us weve havent really had a health care market for decades.
Alternatively, if youre in the mood for neither of the above videos, perhaps your time would be better spent on viewing something that offers far more than either of the options above.
You Go Bizzle!
Image from Wikipedia
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