Healthy Communities- November 8, 2013

New resources are available to help with successful implementation of healthy food and beverage standards in public places: a fact sheet with successful implementation tips and 12 promotional posters that can be put on vending machines or near snacks and beverages in concession stands.

Reports and Articles

Study Links Multiple Chronic Conditions to Worse Quality of Life in Older Adults
A CDC study that involved Oregon researchers found that older individuals with multiple chronic conditions showed worse health based on daily living activities and quality of life. “Public health practitioners should consider addressing classes of multiple chronic conditions by using interventions designed to reduce the emergence of multiple chronic conditions … and improved and coordinated access to health care services,” researchers wrote in Preventing Chronic Disease. News

CDC reports colorectal cancer screening rates remain low
The Centers for Disease Control and Prevention (CDC) reported today that about one in three adults 50 to 75 years of age have not been tested for colorectal cancer as recommended by the United States Preventive Services Task Force (USPSTF).  For this month’s Vital Signs report researchers reviewed colorectal cancer screening data from CDC’s 2012 Behavioral Risk Factor Surveillance System to estimate the percentage of people aged 50 to 75 years who reported getting screened as recommended by type of test.  Almost 23 million adults are not getting screened for colorectal cancer with any test, and most have never been screened.

F.D.A. Ruling Would All but Eliminate Trans Fats

The Food and Drug Administration on Thursday proposed measures that would all but eliminate artificial trans fats, the artery clogging substance that is a major contributor to heart disease in the United States, from the food supply.
Under the proposal, which is open for public comment for 60 days, the agency would declare that partially hydrogenated oils, the source of trans fats, were no longer “generally recognized as safe,” a legal category that permits the use of salt and caffeine, for example.

General Mills Makes Sodium Reduction Gains
General Mills has improved the health profile of 73% of its US retail sales volume since 2005, according to a company press release. Some of the improvements include increasing protein and fiber and reducing nutrients of concern such as sodium and sugar. In 2010, the company announced it would reduce average sodium by 20% in its top 10 categories by 2015, representing about 40% of the company’s US Retail portfolio. Already the company achieved at least a 10% reduction in sodium for certain products in fiscal year 2013, including several shelf stable Green Giant vegetable offerings, and select Suddenly Salads and Helper dinners. The press release may be found here: and more information on the company’s sodium reduction commitment, here:

Nestlé’s Global Sodium Reduction
In a recent announcement, Nestlé pledged further reductions in salt in products such as soups, noodles, recipe mixes, frozen and chilled meals, and pizzas, affecting the Maggi, Stouffer’s, DiGiorno, and Buitoni brands, among others. All new culinary innovations will also be formulated with lower levels of sodium, according to the company. Globally, Nestlé has already achieved the following reductions in sodium –

  • Salt levels in US brand Stouffer’s Mac&Cheese have been reduced by almost 15% since 2005.
  • In the UK, a 20-40% reduction in sodium was achieved in the Maggi SoJuicy seasoning in 2012.
  • In Brazil, salt levels in Maggi noodles have been reduced by a quarter.
  • In France, salt levels in Buitoni frozen pizzas have been cut by almost 20% since 2005.

Nestlé also announced that, over the next 3 years, the company will reduce the amount of salt in its “high sodium products” – including ready to eat meals, soups, noodles, recipe mixes, and pizzas – by at least 10%.  The press release may be found here:

Work@HealthTM Program
CCD launched Work@Health, an employer-based training program. The ultimate aim of the program is to improve the organizational health of participating employers and certified trainers, with an emphasis on strategies to reduce chronic disease and injury risk to employees and an eye to improving overall worker productivity.
Work@HealthTM is a comprehensive workplace health training program that will support 600 employers of various sizes, industry sectors, and geographic areas as well as other participants who support employer workplace health efforts such as health departments, business coalitions, and trade associations. The program will help employers develop a skill set and capacity to build or enhance a science-based workplace health program through basic and intermediate level training. The program will enroll 540 employers to participate in training through 1 of 3 training models (online, hands-on, and a blend of online and hands-on), and 60 participants (employers and other organizations) that will participate through a train-the-trainer model. The training curricula will be supplemented with additional technical assistance and funding support to assist these participants in establishing effective workplace health programs or training others. Learn More

Identifying Young People With Type 1 Diabetes at Risk of Heart, Kidney Disease
Science Daily: Nov. 6, 2013
Using a simple urine test, researchers can now identify young people with type 1 diabetes at risk of heart and kidney disease. The new research, funded by JDRF, Diabetes UK, and the British Heart Foundation (BHF), was published today, 06 November, in the journal Diabetes Care.

‘Smarter’ Blood Pressure Guidelines Could Prevent Heart Attacks, Strokes
Science Daily: Nov. 4, 2013
A new way of using blood pressure-lowering medications could prevent more than a fourth of heart attacks and strokes — up to 180,000 a year — while using less medication overall, according to new research from the University of Michigan Health System and the VA Ann Arbor Healthcare System.

In low-income urban neighborhoods the rates of diabetes, hypertension, heart disease and stroke are much higher
Medical News Today: November 2013
There is more to the cost of living in a food desert than higher prices for the few fruits and vegetables sold nearby, according to a study by an Indiana University-Purdue University Indianapolis researcher and the Marion County Public Health Department.
The study, discussed during the American Public Health Association’s annual meeting in Boston, examined the health impact of developing a grocery store in a low-income urban neighborhood on the east side of Indianapolis. Researchers found that residents of the community have much higher rates of diabeteshypertensionheart disease and stroke than in other areas of Marion County.

Risk of heart disease much greater for women under 60 with diabetes
Results of a Johns Hopkins study published in the journal Diabetes Care found that young and middle-aged women with type 2 diabetes are at much greater risk of coronary artery disease than previously believed.
Generally, women under 60 are at far less risk for coronary artery disease than men of the same age. But among women of that age who have diabetes, their risk of heart diseaseincreases by up to four times, making it roughly equal to men’s risk of this same form of heart disease.

Arthritis is the most common cause of disability among U.S. adults and is particularly common among persons with multiple chronic conditions (1). In 2003, arthritis in the United States resulted in an estimated $128 billion in medical-care costs and lost earnings (2). To update previous U.S. estimates (3) of the prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation (AAAL), CDC analyzed 2010–2012 data from the National Health Interview Survey (NHIS). This report summarizes the results of that analysis, which found that 52.5 million (22.7%) of adults aged ≥18 years had self-reported doctor-diagnosed arthritis, and 22.7 million (9.8%, or 43.2% of those with arthritis) reported AAAL, matching and exceeding previous projected increases, respectively (4). Among persons with heart disease, diabetes, and obesity, the prevalences of doctor-diagnosed arthritis were 49.0%, 47.3%, and 31.2%, respectively; the prevalences of AAAL among persons with these specific conditions were 26.8%, 25.7%, and 15.2%, respectively. Greater use of evidence-based interventions, such as chronic disease self-management education and physical activity interventions that have been proven to reduce pain and improve quality-of-life among adults with chronic diseases might help reduce the personal and societal burden of arthritis.


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