Tag Archives: obesity

Studies have shown that the obesity epidemic causes more than 170 billion U.S. dollars in medical costs in the United States each year | Instant News


recent Learn It details how excess weight is associated with a broad body mass index (BMI) and higher health care costs for people. Zachary Ward of the Chan Chan School of Public Health at Harvard University in Boston and colleagues observed that severely obese people are most affected because their additional medical expenses exceed $3,000 a year.

According to the US “Daily Mail” report, currently seven out of ten adults and three out of ten children in the United States are overweight or obese. Centers for Disease Control and Prevention.It is estimated that the prevalence of obesity will rise, and half of American adults are expected to suffer obesity By 2030. It is predicted that by the age of 35, 60% of children today will suffer from obesity.

Obesity causes other Complications Examples include diabetes, heart disease, high blood pressure, gallbladder disease, gout, stroke, osteoarthritis and sleep apnea. It is essential to accurately estimate the additional medical costs of overweight in order to assess the cost-effectiveness of policies and programs aimed at reversing the obesity epidemic.

In order to more accurately reflect BMI-related expenses, Ward and his colleagues analyzed the data of 175,726 people collected by the Medical Expenditure Group from 2011 to 2016 in the medical expenses survey.

The cost for adult women is higher and increases with age and the BMI of men and women. Among obese adults (BMI of 30 or higher), those aged 60 to 70 have the highest health care costs. The lowest cost is the BMI of 20.5 for women and 23.5 for men.

Obesity is associated with an increase in total cost per adult of $1,861 per year. Among children, obesity is related to an increase in the total cost per child by US$116 per year. In the United States, the annual additional cost of adult obesity totals $170 billion. Severe obesity is related to the annual excess cost per person of US$3,097.

They also found that in the United States, overweight and obesity lead to over 200 billion U.S. dollars or 600 U.S. dollars in excess medical care costs per person each year.

For boys and girls, the analysis shows that medical expenditures have increased significantly in only 99 monthsday Percentage of body mass index. Among children, childhood obesity costs more than US$100 per obese child, and medical expenses exceed US$1 billion. The health care expenditure for severely obese children will increase by US$300 per person per year.

“Although the cost of obesity in children accounts for relatively small medical expenses (less than 1% of all medical expenses related to obesity), given that childhood obesity is a strong predictor, preventing childhood obesity May help avoid future health care costs, the researchers wrote.

They concluded: “These findings highlight the importance of promoting healthy weight throughout the BMI distribution and provide policymakers and practitioners with more accurate estimates of the impact of overweight on health care costs by age, gender, and sustained BMI.”

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Food insecurity plays a role in weight loss strategies | Instant News


Intensive lifestyle intervention is an effective weight loss strategy even for people without regular access to good nutrition, although it may not be as effective, post-hoc analysis of prospective studies suggests.

Overall results in the study found that obese individuals who underwent intensive lifestyle interventions lost more weight on average over 6 months and maintained it for 24 months than those in the usual care group, Candice Myers, PhD, of Pennington Biomedical Research. Center. in Baton Rouge, Louisiana, and colleagues report at Annals of Internal Medicine.

But participants with less food security were less likely to experience intensive lifestyle interventions than those who were food safe.

Specifically, the food-safe individual with obesity on the intensive lifestyle intervention lost 5.2 kg (11.5 lb, 95% CI 8.2-15 lb, P.<0.001) more than the food-safe individuals with usual care at month 24. On the other hand, the food-unsafe individuals lost only 2.7 kg (6.0 lb, 95% CI 1.5-10.6 lb). , P.<0.009) heavier at 24 months compared with usual care.

“Food insecurity is more common in different health groups, including women, racial and ethnic minorities, and low-income adults,” Myers explained to MedPage Today. “If we are to address increasing rates of obesity in this population, health care providers must be aware of the intersection of food insecurity and obesity in this population group.”

“Knowing the food security status of their patients can help healthcare providers understand how best to approach their patients and adjust treatment plans,” he advised. The researchers also suggest that health care providers direct their food insecure patients to support services, such as food banks and pantries or federal nutritional assistance programs such as SNAP, the Supplemental Nutrition Assistance Program.

The investigators recommend the use of a simple two-item screening questionnaire to identify patients with food insecurity at primary care visits.

“Screening for food insecurity can also identify patients who face barriers (such as poor nutrition and dietary quality or reduced medication adherence) and medical complications (such as emergency room visits or hospitalizations) that could interfere with chronic disease management,” the team wrote.

Myers said he and his colleagues were not too surprised by the findings, as they hoped to see that food insecurity would blunt the weight loss response for these patients. Lack of consistent access to healthy food ultimately creates barriers for people struggling to gain a healthy weight, he said.

The study was designed as a post-hoc analysis for 2 years PROPEL Trial (Promoting Successful Weight Loss in Primary Care in Louisiana), which includes obese adults from 18 primary care clinics in Louisiana.

In total, 323 food-safe participants underwent a lifestyle intervention compared to 233 food-safe adults randomized to usual care. There were also 129 food insecure participants who underwent intensive lifestyle interventions compared to 118 food insecure participants who received regular care. All participants were 20 to 75 years old with a body mass index of 30 to 50.

Intensive lifestyle interventions include weekly face-to-face sessions for the first 6 months led by a trained health coach. The goal is to achieve 10% weight loss through a calorie restricted diet plus exercise. After the first 6 months, sessions are held once a month. Usual care only involves the usual care provided by the patient’s primary care team.

Patients were considered food insecure if they answered yes to two or more questions on the six-item questionnaire, including whether they missed meals or were left hungry because they could not afford enough food. Those who were food insecure tended to be women, less educated, and have lower annual incomes, note the researchers.

  • Christian Monaco is a staff writer, with a focus on endocrinology, psychiatry, and dermatology news. Based in the New York City office, he worked at the company for nearly five years.

Disclosure

This study was supported by an award from the Patient-Centered Outcome Research Institute and a grant from the NIH.

Myers reports no conflicts of interest; other co-authors reported disclosures.

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Personal and Global Food and Health Choices | Instant News


Apr. 5, 2021 5:20 AM ET


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Not debating the benefits of the keto diet, an approach that has worked for some people to change the symptoms of obesity and other diseases (“What if Meat is Our Healthiest Diet ?,Review, January 30). Gary Taubes’ mistake was his lack of attention to the nutritional value of whole grains, fruits and vegetables, classifying them in the same category of processed foods because they contain carbohydrates. Obesity and type II diabetes have become national crises over the last three decades, when we have seen an increase in the prevalence of obesity across all age groups, revealing that the cause is not only genetic. Humans have survived and thrived on a diet of whole grains, fruits, and vegetables (with or without red meat) for thousands of years without a high prevalence of obesity. Lifestyle, food preparation, and the environment in which we live are the main causes of the obesity crisis, not carbohydrates from whole foods. Recent research tells us that there is no panacea for treating obesity. To serve the next generation who are unaware of the challenges of obesity, research efforts need to focus on preventing obesity, starting in early childhood when eating habits are established.

Andrea Bushaw, Ph.D., APRN, CPNP

Edina, Minn.

Mr. Taubes missed something important because he didn’t consider what an animal protein diet would look like in traditional societies around the world. In many traditional herding and pastoral communities who have been or are dependent on animals for food – for example, among the Dinka cow herders or the Sami reindeer herders – people rely more on milk and blood products than animal meat, eating animal meat only occasionally, usually at feasts and days. celebration.

Even in pastoral societies where most animal meat is eaten, meat is usually eaten less frequently than in industrialized societies such as ours, where it is very easy to walk into a shop and buy a steak or roast. People also make full use of each carcass in a way that most meat-eaters in the US don’t, eating all the organs, using the skin and boiling the bones to make broth.

Therefore, it is entirely possible to eat a low-carb, high-protein diet that uses fewer animals per person than we currently do in the US. Therefore, the choices are not that strict, as Mr. Taubes. As an anthropologist and as a human being on the best paleo or keto-type diet, I have come across this good news.

Sarah E. Murray

Alameda, California

Copyright © 2020 Dow Jones & Company, Inc. All Rights Reserved. 87990cbe856818d5eddac44c7b1cdeb8

Appears in the print issue of February 6, 2021.

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My brother-in-law smoked marijuana, drank liquor, and played video games. My in-laws pay the mortgage. What happened after they left? | Instant News


My sister-in-law is over 40 years old, and she has health problems. She also suffers from largely undiagnosed mental health issues due to her refusal to see anyone, and she basically does nothing but smoke marijuana, drink booze, and play video games.

Right now his parents are paying his mortgage, which I believe is on their behalf, and I assume they pay all the bills. Her father looked after her home and helped with food and “necessities.” I’m assuming they either paid for his medical bills, or left him unpaid.

This year, my elderly father-in-law is experiencing health fears. My mother-in-law also has several health problems, although none of them are life threatening. I’m afraid my brother-in-law, with his quiet lifestyle, might also face additional health problems as he gets older.

I told my wife that they should discuss the plantation plans openly with us. He agreed, but the topic was always put aside with them. Her family didn’t like to talk about death or money at all. What we get the most from them is that they are all split in half.

I thought it was a good plan on paper, but I saw two big problems. First, there was a house that could not simply be divided in half without being sold, which my wife or brother did not want to do. It paid off.

The Moneyist:My wife and I have 3 children. I also have 3 children from a previous marriage. How are we supposed to divide our house among these 6 kids?

Maybe in a decade or so, my wife can pay for half of the house and potentially buy it, but that poses a second problem. Her sister couldn’t manage her own life now, and I knew what would happen if several hundred thousand dollars were dropped into her lap.

Neither my wife nor I wanted him to become homeless, but I was worried that I would be responsible for taking care of my brother-in-law. I am sure he will fall into poverty after his parents leave if nobody intervenes. At the same time, if they just left the money, he would throw it away or maybe be taken by the debt collector.

My wife and I are rich and can manage money well. Ideally, we could manage the trust for him to make sure the bills are paid so he doesn’t become homeless or starve. Obviously, this is a sensitive topic coming from son-in-law, especially with in-laws who are nervous about death and money.

I don’t want to reverse the bill for this guy when his parents are gone.

Any advice will be good.

Responsible Son-in-Law

Want to read more?Follow Quentin Fottrell on Indonesiaand read more of the column here.

Dear son-in-law,

Sounds like a combination of mental health problems and addiction. Sometimes, one can lead to another. Helping your brother-in-law may require family intervention rather than financial intervention. It would involve the whole family taking the baton and telling him one by one that they love him, and they want him to get back up, and receive the help he needs.

Depression has increased among middle-aged American men over the past decade. Baby boomers, born between 1946 and 1964, face a greater risk of depression, according to the 2015 Gallup-Healthways Well-Being Index survey. In the US, 14% of baby boomers are treated for depression. That’s much higher than the national average of 11%, double the millennial percentage.

It can also lead to more serious health problems. Research has shown that being overweight or obese is associated with a higher risk of premature death than a healthier body weight – and that risk increases with weight gain. More than a quarter of American adults define themselves as obese, but the obesity rate is actually closer to a third of the population.

The Moneyist: My friend’s dad buried $ 50K in the backyard for his grandson. My friend has 2 kids, but her extravagant brother doesn’t have any. Should they split it?

Your in-laws could look for options to ensure that your brother-in-law is taken care of after they’re gone, and someone with mental health problems and addictions who also lack life skills won’t be able to handle their own finances very well, especially at once. They can make provisions in their wish to include the proceeds from the sale of their home under a special needs trust with income.

This may require a second intervention, which forces your in-laws to face the fact that their son faces a long road to recovery and, if he is unwilling or unable to get better, they will have to adjust themselves. plantation plan accordingly. This could involve making appointments with your in-laws, and financial planners and real estate attorneys to discuss the matter.

There are many organizations that can help your parents, including the National Alliance On Mental Illness and the National Council for Behavioral Health. Your sister-in-law may also benefit from some type of rehabilitation or recovery program. Administration of Substance Abuse and Mental Health Services Helpline also offers crisis counseling for people affected by the pandemic.

You ultimately cannot force your brother-in-law or sister-in-law to seek the help they need and, perhaps through a moment of grace, admit that they need to face an unpleasant or difficult truth. You can do the best you can. But you are not ultimately responsible for other people’s lives, although it can be difficult to watch this situation worsen over time.

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Quentin Fottrell is a Moneyist MarketWatch columnist. You can email The Moneyist with financial and ethical questions at [email protected]. By sending your inquiries via email, you agree to publish them anonymously on MarketWatch.

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The UK will limit the promotion of unhealthy food from April 2022 | Instant News


FILE PHOTOS: Chips seen at Hawksmoor, Seven Dials on the opening day of the “Eat Out to Help Out” scheme, amidst the coronavirus disease (COVID-19) pandemic, in London, UK 3 August 2020. Image taken August 3, 2020. REUTERS / Dylan Martinez

LONDON (Reuters) – Britain will ban “buy one get one” promotions for foods high in fat, sugar or salt and free refills of sugary soft drinks in restaurants from April 2022, the government said on Monday, the latest step in its plan. to tackle obesity and improve public health.

The government says obesity is one of the UK’s biggest long-term public health problems with nearly two-thirds of UK adults being overweight and one in three children leaving primary school overweight or obese.

Such measures will also limit where in-store promotions on such products can be advertised, and unhealthy promotions will not be permitted at check outs, shop entrances or down aisles.

“We are limiting promotion and introducing various measures to ensure healthy choices are easy choices. Creating an environment that helps everyone eat a healthier diet on a more regular basis is essential to improving the health of the nation, ”said public health minister Jo Churchill.

The UK first proposed limiting its “buy one get one free” bidding on junk food in July, and also announced measures such as banning TV and online advertising for junk food before 9pm.

Last month, the government went one step further and proposed a total ban on online advertising of unhealthy food.

Being overweight has been shown to increase the risk of serious illness or death from COVID-19 – a fact highlighted by Prime Minister Boris Johnson who has publicly spoken of his own need to lose weight since being hospitalized for the disease.

Reporting by Alistair Smout, edited by Louise Heavens

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