Healthy Communities- August 22, 2014


The Oregon Self-Management Network is currently recruiting for open positions on the Steering Committee and are seeking nominations of interested individuals.

The purpose of the Oregon Self-Management Network Steering Committee is to provide guidance and leadership for the Self-Management Network in addition to determining the network’s direction and priorities for the year, and coordinate across three workgroups.   For more information about the Self-Management Network Steering Committee, please see the attached overview document.

Please consider either nominating yourself and/or nominating someone else to serve as a member on the Self-Management Network Steering Committee using the attached nomination form. You do not need to be a trained leader or Master Trainer to serve on the Steering Committee as it is designed to be an inclusive and diverse group comprised of individuals from organizations representing a variety of self-management programs in Oregon.

Those that are nominated must be willing to commit to at least a 12 month term if elected and attend the Network Steering Committee In-Person Meeting on November 18 at the Portland State Office Building as well as the the Self-Management Forum on November 19 at the Downtown Hilton Portland.

The Steering Committee is a great opportunity to provide leadership for the Self-Management Network and connect with partners around the state on a regular basis. Please review the attached nomination interest form for more information.

Once you’re ready to submit nominations, you can send completed nominations forms to Susan Miles by fax or email through the following:
Fax: 971-673-0994
All nomination interest forms must be received no later than September 1.

Reports and Articles

Michigan State Parks Examine Role in Solving Obesity
Great Lakes Echo: July 29, 2014
“A step toward solving Michigan’s obesity problem may be coming to a state park near you.” That’s the word in Michigan, as reported by the “Great Lakes Echo,” a project funded by the Knight Center for Environmental Journalism at Michigan State University. The Michigan Environmental Council recently partnered with the Healthy Kids, Healthy Michigan coalition to study how easy it is to get healthy foods in state parks and whether visitors want them.
“I think the data pretty clearly shows that there’s a lot of interest in having a greater range of choices at state parks and having some healthier food options,” said Kathryn Colasanti, academic specialist with the Michigan State University Center for Regional Food Systems and the principle investigator on the study. “I think from what we documented is that the current offerings of healthy choices are fairly limited, but there are a large number of people that expressed interest in specific products

FDA Approves New Colorectal Screening Test
The U.S. Food and Drug Administration (FDA) has approved the first stool-based colorectal screening test to identify cancers such as colon cancer or precursors to cancer. The test can detect red blood cells and DNA mutations that can indicate certain types of abnormal growths. Colorectal cancer is the third most common cancer among those that affect both men and women, and regular screening tests for all people ages 50 and older could reduce related deaths by at least 60 percent, according to the U.S. Centers for Disease Control and Prevention. “This approval offers patients and physicians another option to screen for colorectal cancer,” said Alberto Gutierrez, PhD, director of the Office of In Vitro Diagnostics and Radiological Health at the FDA’s Center for Devices and Radiological Health, in a release. “Fecal blood testing is a well-established screening tool and the clinical data showed that the test detected more cancers than a commonly used fecal occult test.” Read more on cancer.

Study: Women, Blacks Affected Most by Heart Disease and Stroke
Women and African Americans are affected the most by chronic diseases linked to increased risk of heart attack or stroke, according to a new population-based study in the journal Circulation. Researchers analyzed the five major risk factors for heart disease—high cholesterol, smoking, high blood pressure, obesity and diabetes—in more than 13,500 Americans from 1987 to 1998, finding that while the combined risk for women dropped from 68 percent to 58 percent, it was still higher than the risk for men, which dropped from 51 percent to 48 percent. The study also found that diabetes more than doubled the risk of heart disease for African Americans when compared to whites—28 percent versus 13 percent. Researchers said the difference could be because heart disease has been traditionally viewed as a disease of white men, affected how it is treated.

Why seniors don’t eat
MNT: August 14, 2014
More than half of older adults who visit emergency departments are either malnourished or at risk for malnutrition, but not because of lack of access to health care, critical illness or dementia. Despite clear signs of malnutrition or risk of malnutrition, more than three-quarters had never previously been diagnosed with malnutrition, according to the results of a study published online in Annals of Emergency Medicine(“Malnutrition Among Cognitively Intact, Non-Critically Ill Older Adults in the Emergency Department”).

Midlife Hypertension and 20-Year Cognitive ChangeThe Atherosclerosis Risk in Communities Neurocognitive Study
JAMA: August 4, 2014
Importance  Hypertension is a treatable potential cause of cognitive decline and dementia, but its greatest influence on cognition may occur in middle age.
Objective  To evaluate the association between midlife (48-67 years of age) hypertension and the 20-year change in cognitive performance.
Conclusions and Relevance:  Midlife hypertension and elevated midlife but not late-life systolic BP was associated with more cognitive decline during the 20 years of the study. Greater decline is found with higher midlife BP in whites than in African Americans.

Sexual Orientation and Sex Differences in Adult Chronic Conditions, Health Risk Factors, and Protective Health Practices, Oregon, 2005–2008
Preventing Chronic Disease
Rodney Y. Garland-Forshee, MS; Steven C. Fiala, MPH; Duyen L. Ngo, MPH, PhD; Katarina Moseley, MPH

Research on lesbian, gay, and bisexual (LGB) individuals’ health and health practices has primarily consisted of convenience studies focused on HIV/AIDS, substance use, or mental illness. We examined health-related disparities among Oregon LGB men and women compared with heterosexual men and women using data from a population-based survey.

“Healthy Happy Meals” Bill to be Introduced in NYC
New York City Council Member Ben Kallos introduced legislation to improve the nutritional quality of restaurant children’s meals in New York City.  His bill sets nutrition standards for those restaurant children’s meals that are accompanied by toys or other incentives.  Food and beverage marketing, including toy giveaways, influences children’s food preferences, food choices, diets, and health.  The overwhelming majority of children’s meals at the nation’s largest chain restaurants are unhealthy.  A copy of the bill text and a fact sheet on toy giveaways with restaurant children’s meals are attached.  Council Member Kallos’ press release is below.

NYC’s SRTS Program Reduces Injuries and Saves Millions of Dollars
Researchers at Columbia University’s Mailman School of Public Health evaluated the cost-effectiveness of a package of roadway modifications in New York City that was funded under the Safe Routes to School (SRTS) program.  They found that a $10 million investment in SRTS was associated with an overall net societal benefit of $230 million and 2,055 quality-adjusted life years gained in New York City. It is notable that this study was only focused on injury prevention and dollars saved, and did not attempt to calculate the savings from better overall physical health, and the potential for reduced rates of obesity and chronic disease. [Read more on Columbia University’s web site here….]. The findings were also published in the American Journal of Public Health.

How Healthy Can They Get? Five American Towns Chosen As Contestants In Five-Year ‘Way To Wellville’ Challenge

Technology investor Esther Dyson is sponsoring a competition called the Way to Wellville aimed at charting a path to better health in the U.S. based on the real-world experience of five small cities and towns. Last week, Dyson and her team announced the five participants: Muskegon, Michigan; Lake County, California; Spartanburg, South Carolina; Clatsop County, Oregon; and Niagara Falls, New York. These five cities, each with a population under 100,000, were chosen from 42 contestants and will spend the next five years working to improve the health of their community.

University of Minnesota study finds mothers in poorer health are less likely to breastfeed
University of Minnesota: August 13, 2014
Pediatricians agree exclusive breastfeeding for the first six months of life provides a wealth of benefits to a mother and child. But new research from the School of Public Health at the University of Minnesota finds one-third of women enter pregnancy in poorer health, and are less likely to plan to breastfeed and less successful at exclusive breastfeeding when they do plan to breastfeed their babies. The study found women who are obese, have diabetes or have hypertension were 30 percent less likely to intend to breastfeed than mothers without health complications.
The study findings were published in PLOS ONE.

Active commuting cuts BMI scores, body fat
A British study found people who walked, biked and took public transportation to work had lower BMI scores and body fat levels compared with those who drove.

CDC: 40 Percent of Americans Will Develop Diabetes
An estimated 40 percent of Americans will develop diabetes at some point in their lives, according to a new study in The Lancet Diabetes & Endocrinology. Researchers from the U.S. Centers for Disease Control and Prevention analyzed data on 598,216 adults from 1985 to 2011, finding that the increase in the diagnosis of diabetes and overall declining mortality means that people are also living longer with diabetes; years spent with diabetes increased by 156 percent in men and 70 percent in women. Researchers said the findings demonstrate a need for effective interventions to reduce the incidence of diabetes.

Controversial studies say lowest sodium intake may pose risks
Reuters: August 13, 2014
Two newly-published studies add grains of salt to the conventional wisdom that you should consume as little sodium as possible, but the findings are leaving a bad taste in the mouths of some experts.
In one study that looked at death and heart disease, researchers found that extremely low-salt diets may not be as beneficial as many experts believe, and might even pose a hazard.
The other, focused on blood pressure effects, found that people with a moderate salt intake didn’t benefit from reducing their consumption as much as people in the high-salt group.


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