National Diabetes Education Program Releases Guiding Principles for Diabetes Care
A newly published set of 10 guiding principles highlights areas of agreement for diabetes care that could be clinically useful in diabetes management and prevention. Presented by the National Diabetes Education Program (NDEP), Guiding Principles for the Care of People With or at Risk for Diabetes <http://ndep.nih.gov/hcp-businesses-and-schools/guiding-principles/> is aimed at assisting with identification and management of the disease, self-management support for patients, physical activity and blood glucose control, among other topics. More than a dozen federal agencies and professional organizations support the document.
Diabetes has placed a health care and financial burden on Americans. More than 29 million Americans have diabetes and another 86 million — over one in three adults — have prediabetes. Diabetes costs the country $245 billion annually, estimates the American Diabetes Association.
NDEP is a partnership between the NIH and the Centers for Disease Control and Prevention.
The NDEP works with more than 200 partners and offers materials and resources to the public, people diagnosed with diabetes, health care professionals and business professionals. To view or download NDEP resources, visit <www.YourDiabetesInfo.org>.
This NIH News Release is available online at <http://www.nih.gov/news/health/nov2014/niddk-12.htm>.
Reports and Articles
Bicycle-Friendly City Infrastructure Significantly Improves Health in U.S.
During a poster session at the Obesity Society Annual Meeting on November 4th, new research was presented on the impacts on bicycle-friendly infrastructure on residents’ health. The University of North Carolina led this research initiative looking specifically at the Minneapolis Greenway. While it is well-known that active transportation has positive health impacts, this research reinforces the need to build bicycle-friendly infrastructure in cities in the U.S.
New hospital safety scores help patients find the safest U.S. hospitals
Some people do more research on what car to buy than what hospital to go to for medical care. The Hospital Safety Score provides data and research to help patients make informed decisions about a critical aspect of their hospital stay: safety. Visit hospitalsafetyscore.org >
The disturbing ways that fast food chains disproportionately target black kids
The Washington Post: 11.12.14
It’s hard to blame people for craving fast food when they are inundated with advertising from such a young age. But what’s disturbing is just how far fast food companies will go to target kids from groups already more likely to suffer from obesity – including the poor, rural Americans and black Americans.
In a new study, a team of researchers at the University of Illinois at Chicago and Arizona State University found that fast food chains in predominantly black neighborhoods were more than 60 percent more likely to advertise to children than in predominantly white neighborhoods. The researchers also found that fast food restaurants in middle- and low-income areas tended to direct their ads toward children more often than those in high-income neighborhoods, and those in rural communities tended to market their products to kids more often than those in more urban settings
Researchers question long-term benefits of popular diets
The Atkins, South Beach, Weight Watchers and Zone diets are rumored to be the go-to diets for healthy-living gurus and celebrities, with the likes of Kim Kardashian, Jennifer Aniston, Brad Pitt and even Bill and Hillary Clinton joining the latest food fads.
These popular commercial diets have been proven effective in assisting weight loss in the short term. However, according to a study published in Circulation: Cardiovascular Quality and Outcomes, an American Heart Association journal, long-term outcomes of weight loss and impacts on heart health are unclear.
Arthritis Among Veterans — United States, 2011–2013
Louise B. Murphy, PhD, Charles G. Helmick, MD, Kelli D. Allen, PhD, et al.
Arthritis is among the most common chronic conditions among veterans and is more prevalent among veterans than nonveterans (1,2). Contemporary population-based estimates of arthritis prevalence among veterans are needed because previous population-based studies predate the Persian Gulf War (1), were small (2), or studied men only (2) despite the fact that women comprise an increasing proportion of military personnel and typically have a higher prevalence of arthritis than men (1,3). To address this knowledge gap, CDC analyzed combined 2011, 2012, and 2013 Behavioral Risk Factor Surveillance System (BRFSS) data among all adults aged ≥18 years, by veteran status, to estimate the total and sex-specific prevalence of doctor-diagnosed arthritis overall and by sociodemographic categories, and the state-specific prevalence (overall and sex-specific) of doctor-diagnosed arthritis. This report summarizes the results of these analyses, which found that one in four veterans reported that they had arthritis (25.6%) and that prevalence was higher among veterans than nonveterans across most sociodemographic categories, including sex (prevalence among male and female veterans was 25.0% and 31.3%, respectively).
Changing food placement in stores may promote healthy eating
A qualitative study showed parents and other caregivers wound up buying food they did not plan to buy when the children in their care pressed them to do so. However, changing food placement in retail stores, encouraging children to sample healthy foods and offering cooking lessons to older children may help encourage families to adopt better eating habits
Baby’s diet affected by mother’s socioeconomic status, study finds
A study in Pediatrics found babies ages 6 to 12 months whose mothers had more education and higher household incomes were more likely to get more nutrients in their diet, while those with poorer, less-educated mothers were more likely to consume foods high in fat, sugar and protein. United Press International (10/30)
CDC reports millions of US women are not getting screened for cervical cancer
The Centers for Disease Control and Prevention (CDC) today reports that about eight million women 21 to 65 years of age have not been screened for cervical cancer in the past five years. Today’s Vital Signs report found that more than half of new cervical cancer cases occur among women who have never or rarely been screened.
For the report, CDC researchers reviewed data from the 2012 Behavioral Risk Factor Surveillance System to determine women who had not been screened for cervical cancer in the past five years. They analyzed the number of cervical cancer cases that occurred during 2007 to 2011 from CDC’s National Program of Cancer Registries and the National Cancer Institute’s Surveillance, Epidemiology and End Results Program. Cervical cancer deaths were based on death certificates submitted to the National Vital Statistics System.
Key findings include:
- In 2012, 11.4% of women reported they had not been screened for cervical cancer in the past five years; the percentage was larger for women without health insurance (23.1%) and for those without a regular health care provider (25.5%).
- The percentage of women not screened as recommended was higher among older women (12.6%), Asians/Pacific Islanders (19.7%), and American Indians/Alaska Natives (16.5% ).
- From 2007 to 2011, the cervical cancer incidence rate decreased by 1.9% per year while the death rate remained stable.
- The Southern region had the highest rate of cervical cancer (8.5 per 100,000 population), the highest death rate (2.7 per 100,000), and the largest percentage of women who had not been screened in the past five years (12.3%).
CDC Salt eUpdate
New Commentary Discusses Feasibility of Population Sodium Reduction
A Commentary recently published in the journal Nutrients entitled “Are Reductions in Population Sodium Intake Achievable?” reviews recent evidence indicating that significant reductions in average population sodium intake can be achieved with gradual sodium reduction in the food supply. The paper also highlights certain cases where gradual sodium reduction can be achieved without a noticeable change in taste or consumption of specific products, and discusses how lowering average population sodium intake can move us toward meeting the current individual guidelines for sodium intake. The paper may be found here:
Ebola fight in Liberia needs a ‘more flexible approach,’ say MSF
The humanitarian charity says while they are seeingEbola cases still rising in neighboring Guinea and Sierra Leone, for the first time since the epidemic started, they are witnessing a decline in numbers of Ebola patients admitted to case management centers in Liberia.
However, they warn that while new cases of Ebola virus disease may be falling overall in Liberia, hotspots are still breaking out, and a new approach is needed to respond rapidly to these and keep the outbreak contained.
Acculturation and the Prevalence of Diabetes in US Latino Adults, National Health and Nutrition Examination Survey 2007–2010
Prev Chronic Dis 2014;11:140142
US Latinos are growing at the fastest rate of any racial/ethnic group in the United States and have the highest lifetime risk of diabetes. Acculturation may increase the risk of diabetes among all Latinos, but this hypothesis has not been studied in a nationally representative sample. In this study, acculturation was associated with a higher risk of diabetes among US Latinos, and this risk was only partly explained by BMI and weight-related behaviors.
Univ. of Wisconsin Health to stop selling sugary beverages
October 31, 2014
Employees, patients and visitors will no longer be able to purchase sugar sweetened beverages at UW Health facilities, in a decision to promote healthier option. UW Health will also remove deep fryers for UW Hospital by the end of the year in order to make their food options more consistent with the advice given by doctors.
New study finds fast food restaurants’ marketing to children is more prevalent among certain populations
October 30, 2014
A research study from Arizona State University finds that marketing directed at children on the inside and outside of fast food restaurants is more prevalent in majority black, middle income and rural communities. The study also found that one-fifth of the restaurants sampled used one or more strategy or targeting children. The lead researcher explains, “marketing food to children is of great concern not only because it affects their current consumption patterns but also because it may affect their taste and preferences.”