Healthy Communities- July 17, 2015


Check out AARP’s “Imagining Livability Design Collection”
The Tools: 13 Short-Range Livability Projects. These place making solutions can be implemented quickly, for not too much money!

Local leaders, planners, engineers and visionaries of all kinds use a range of innovative and tested techniques to make a community more livable and walkable. For instance, communities that are looking to make tangible, doable, affordable livability changes can get started simply — such as by relocating the painted lines (or removing the paint altogether) on existing streets.

The following “short-range,” relatively low-cost improvements can typically be implemented in less than a year — sometimes as quickly as a few weeks — and cost anywhere from a few hundred to several thousand dollars.

The “tools” presented here are among those discussed in The Imagining Livability Design Collection, a 38-page “visual portfolio of tools and transformations” created by AARP Livable Communities and the Walkable and Livable Communities Institute.
Subscribe for more additions to the web site as tools and materials are added: AARP Livable Communities Monthly eNewsletter

Do you need evidence-based information and tools that help you put the latest nutrition science into practice?
Dietary Guidelines
The Dietary Guidelines for Americans encourages individuals to eat a healthful diet — one that focuses on foods and beverages that help achieve and maintain a healthy weight, promote health, and prevent chronic disease. The U.S. Department of Health and Human Services (HHS) and the U.S. Department of Agriculture (USDA) jointly publish the Dietary Guidelines every 5 years. Learn more:
Questions and Answers
Sign up for Dietary Guidelines updates
Don’t miss monthly bulletins and timely announcements about the next edition of the Dietary Guidelines for Americans, to be released later this year. Sign up now and be the first to learn what’s new and different in 2015 and beyond!

“Healthy Is Strong” website
Million Hearts® and CDC Foundation launch a new “Health is Strong” campaign aimed at preventing heart attacks and strokes among African American men.  Cardiovascular disease is the leading cause of death in the United States, and African-American men are more likely to die from heart disease than non-Hispanic white men. The campaign leverages a variety of resources and tools to disseminate key messages and materials targeting African-American men between the ages of 40 to 65.

Chronic Disease Publications List
NACCHO Chronic Disease Prevention Team develops innovative publications with strong member involvement to ensure a practice-relevant approach. The Chronic Disease Prevention Publications List is a compilation of the publications related to chronic disease, cancer, diabetes and tobacco prevention.

Why Weight: A Resource for Physicians to Discuss Weight with Patients
The Strategies to Overcome and Prevent Obesity Alliance created the website Why Weight to provide tips on how to talk to patients about weight and obesity.  The website features resources such as educational videos and fact sheets to help physicians foster positive and effective communication with their patients regarding weight.

Reports and Articles

take the stairs What makes us more likely to take the stairs?
Medical Press
Death rates due to health problems like obesity, type 2 diabetes, hypertension, and heart disease are on the rise. According to the World Health Organization, that’s due to our increasingly sedentary lifestyles.
Clearly, it’s important to lead more active lives. Something as simple as taking the stairs can make a big difference. But canpedestrians be convinced to make healthy choices when an escalator seems so much faster and more convenient than a staircase?

Study links consumption of sugary drinks to high diabetes mortality
The consumption of sugar-sweetened beverages was responsible for an estimated 184,000 deaths worldwide in 2010, 133,000 of which were related to diabetes, according to a study in the journal Circulation. Researchers found that Mexico had the highest mortality rate from sugary drinks, with an estimated 405 deaths per one million adults, followed by the U.S. with an estimated 125 deaths per one million adults. Medical Economics (7/6)

Adults Meeting Fruit and Vegetable Intake Recommendations — United States, 2013
July 10, 2015 / 64(26);709-713
Latetia V. Moore, PhD1; Frances E. Thompson, PhD2 (Author affiliations at end of text)
Eating more fruits and vegetables adds nutrients to diets, reduces the risk for heart disease, stroke, and some cancers, and helps manage body weight when consumed in place of more energy-dense foods (1). Adults who engage in <30 minutes of moderate physical activity daily should consume 1.5–2.0 cup equivalents of fruit and 2–3 cups of vegetables daily.* However, during 2007–2010, half of the total U.S. population consumed <1 cup of fruit and <1.5 cups of vegetables daily; 76% did not meet fruit intake recommendations, and 87% did not meet vegetable intake recommendations (2). Although national estimates indicate low fruit and vegetable consumption, substantial variation by state has been observed (3). Fruit and vegetable intake information from the Behavioral Risk Factor Surveillance System (BRFSS) is the sole source of dietary surveillance information for most states, but frequency of intake captured by BRFSS is not directly comparable to federal intake recommendations, which are expressed in cup equivalents. CDC analyzed median daily frequency of fruit and vegetable intake based on 2013 BRFSS data for the 50 states and the District of Columbia (DC) and applied newly developed prediction equations to BRFSS to calculate the percentage of each state’s population meeting fruit and vegetable intake recommendations. Overall, 13.1% of respondents met fruit intake recommendations, ranging from 7.5% in Tennessee to 17.7% in California, and 8.9% met vegetable recommendations, ranging from 5.5% in Mississippi to 13.0% in California. Substantial new efforts are needed to build consumer demand for fruits and vegetables through competitive pricing, placement, and promotion in child care, schools, grocery stores, communities, and worksites.

CVD-related risk factors improve with adapted diabetes prevention program
A study in the Journal of the American Geriatrics Society found that adults at high risk for cardiovascular disease and type 2 diabetes had significant improvements in their CVD-related risk factors after attending 16 weekly core sessions and six monthly post-core sessions of an adapted Diabetes Prevention Program lifestyle intervention. Researchers also found that patients aged 65 and older were more likely to self-monitor their fat intake, achieve weight loss and physical activity goals, and attend more intervention sessions than those younger than 65. News (7/6)

Hypertension misconceptions may be reason for poor BP control
Circulation: Cardiovascular Quality and Outcomes, online July 7, 2015.
Patients may not understand that hypertension refers to high blood pressure and instead believe it has to do with too much tension or stress. Boston University researchers wrote in a perspectives article that misconceptions about hypertension could be one reason why patients fail to manage lifestyle factors or take blood pressure medicines as prescribed.

Uncontrolled Diabetes May Boost Dementia Risk
Medline Plus
Diabetes patients with high rates of complications from the disease may face increased risk for dementia, a new study suggests.
“We found that as diabetes progresses and an individual experiences more complications from the disease, the risk of dementia rises as well,” wrote Dr. Wei-Che Chiu, of the National Taiwan University College of Public Health, in Taipei.
Better blood sugar control can help prevent the mental decline associated with diabetes, he and his colleagues said.

Chronic Ills May Add Up to a Shortened Life Span
Medline Plus
While having one major health problem — such as diabetes, heart disease or stroke — can increase your risk for an early death, new research warns that the risk of dying prematurely goes up significantly if you have more than one of these conditions.
Investigators determined that someone with one of those conditions faces double the risk of early death compared to people who have no such “cardiometabolic” problems. But, those coping with two conditions at the same time were found to face quadruple the risk. And having all three bumps up premature death risk eightfold, the study found.

Vitamin C related to reduced risk of cardiovascular disease and early death
New research from the University of Copenhagen and Herlev and Gentofte Hospital shows that high vitamin C concentrations in the blood from the intake of fruit and vegetables are associated with a reduced risk of cardiovascular disease and early death.

Fruit and vegetables are healthy. We all know that. And now there is yet another good reason for eating lots of it. New research from the University of Copenhagen shows that the risk of cardiovascular disease and early death falls with a high intake of fruit and vegetables, and that this may be dued to vitamin C.


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