Healthy Communities – November 22, 2013

Russian Health Campaign Allows Train Users In Moscow To Pay In Squats (VIDEO)
Want a free journey on the Tube in Moscow? Drop down and give 30 squats.
In an effort to promote the upcoming Winter Olympic Games in Sochi, Moscow city officials and the Russian Olympic Committee are allowing subway riders to sweat it out to get to work.
Instead of paying the regular 30 rubles (57p), commuters can now perform 30 squats at Vystavochnaya station.

Resources
salt and fruit The Cost-Effectiveness of Interventions Designed to Reduce Sodium Intake 
This comprehensive literature review summarizes evidence on selected population-wide interventions to reduce sodium as approaches to control hypertension. The findings indicate that sodium reduction interventions are low in cost and cost-effective.

Strategies to Reduce Sodium Intake in the United States
This Institute of Medicine (IOM) report recommends strategies for reducing sodium intake to levels recommended in the Dietary Guidelines for Americans. The IOM concludes that reducing sodium content in food requires new policies to set sodium standards for both manufacturers and restaurants so that all sources in the food supply are involved.

A Population-Based Policy and Systems Change Approach to Prevent and Control Hypertension
This Institute of Medicine (IOM) report recommends that federal, state, and local health agencies focus on population-based strategies that can reach large numbers of people and improve the well-being of entire communities. Behavioral and lifestyle interventions—reducing sodium intake, increasing consumption of fruits and vegetables, and increasing physical activity—are among the best examples. The report also highlights the need to improve providers’ adherence to the treatment guidelines for hypertension and to encourage patients to take medication consistently by reducing or eliminating the cost of antihypertensive medication.

The Role of Nutrition in Maintaining Health in the Nation’s Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population
This Institute of Medicine (IOM) publication provides recommendations for nutrition services for the elderly, including sodium reduction among the Medicare population, and considers how health care coverage policies should be approached and practiced. The book also discusses the role of nutrition therapy in the management of cardiovascular disease, among other conditions.

Reports and Articles
obesitybreastcancer Obesity found to be major risk factor in developing basal-like breast cancer
Medical Xpress: November 18, 2013
Women who are obese face an increased risk of developing an aggressive sub-type of breast cancer known as ‘basal-like’, according to research conducted at the University of North Carolina.
In a study published online by the journal Breast Cancer Research and Treatment, a team led by Liza Makowski, assistant professor with the UNC Gillings School of Global Public Health and member of the UNC Lineberger Comprehensive Cancer Center, and Sneha Sundaram, PhD, a post-doctoral fellow in the Makowski Lab, outlined the biological mechanisms where obesity can create a favorable environment for the growth of basal-like breast cancer tumors.

Eugene man: Obamacare could have saved my life
KMTR: November 14, 2013
Critics of the Affordable Care Act are plentiful, but one Eugene man says if the program was implemented earlier, it would have saved his life.
Richard Streeter, 47, worked in the RV industry for most of his career.
While health care coverage used to be standard, his employer stopped offering it in 2008.
He looked at several plans, but his age and medical history prevented him from gaining access to affordable insurance.
So Streeter went without, often putting off going to the doctor.
In September, blood in his stools forced him to a  Eugene clinic.
The doctor told him he needed a colonoscopy, but the $1,300 price tag was too much for Streeter to afford.
He found an empathetic doctor in McMinnville who offered the procedure for much less. 
But the diagnosis was worse than anybody could have imagined

Predicting heart disease risk for type-2 diabetic patients via body mass index
MTN: November 19, 2013
Researchers from the Intermountain Medical Center Heart Institute, in collaboration with researchers from Johns Hopkins University and the National Institutes of Health, have discovered a simple way to further predict a diabetic patient’s risk for heart disease: by measuring their body mass index or BMI.

Moderate physical activity benefits older sedentary adults with heart disease

MTN: November 21, 2013
Moderate physical activity in sedentary older adults reduced the progression of injury to the heart, according to research presented at the American Heart Association’s Scientific Sessions 2013.
In a pilot study, 310 adults 70 years and older with a previously sedentary lifestyle, were randomly assigned to one-year supervised physical activity or to health education controls.

Racial, ethnic, gender and age disparities in heart attack treatment patterns
MTN: November 21, 2013
Younger Hispanic women face a higher risk of death in hospitals after a heart attack, are more likely to suffer from co-existing conditions such as diabetes, and are less likely to undergo percutaneous coronary interventions or coronary artery bypass surgery as compared with white women and men, according to research presented at the American Heart Association’s Scientific Sessions 2013.

New Restaurant Nutrition Resource and Menu Labeling Study
MenuStat a public database containing restaurant nutrition data from 66 restaurant chains, has been released by the New York City Department of Health and Mental Hygiene. Users of the database can compare nutrition across restaurants and food categories through historical, date-stamped information. Changes in nutrition content can also be assessed over time, such as the sodium content of sandwiches in 2012 and 2013.

New state law fact sheet uploaded to the Division for Heart Disease and Stroke Prevention policy webpage
Law can serve as an important tool in improving public health.Given that heart disease and stroke are among the leading causes of death, disability, and health expenditures in the United States, an understanding of the legal interventions available to state and local authorities could assist decision makers when assessing policy options to reduce the burden of cardiovascular disease. State Law Fact Sheets describe the scientific evidence in support of particular legal interventions, and describe the extent to which states have enacted such laws. Such information can be useful to state and local public health practitioners, researchers, and decision makers.

Heart disease risk reduces faster than previously thought following smoking cessation
Cigarette smokers who are over 65 years of age may be able to lower their risk of cardiovascular disease-related deaths to the level of never-smokers when they quit faster than previously reported, according to research presented at the American Heart Association’s Scientific Sessions 2013.
A study showed that older people who smoked less than 32 “pack years” – 3.2 packs (20 cigarettes per pack) a day for no more than 10 years or less than one pack a day for 30 years — and gave up smoking 15 or fewer years ago lowered their risks of developing heart failure or dying from heart failure,heart attacks and strokes to the same level as those who had never smoked.

Program helps at-risk family members of patients with heart disease improve their own heart health
Family members of patients with heart disease adopted healthier lifestyles and decreased their risk of a cardiovascular event after participating in a program to improve heart health, according to a clinical trial published in CMAJ (Canadian Medical Association Journal)

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