The first report of the Diabetes Prevention Program Outcome Study (DPPOS) came out October 29th, 2009 online in The Lancet, a well known medical journal. DPPOS is part two of the ongoing Diabetes Prevention Program (DPP) conducted in the U.S. as a National Institutes of Health multi-site study. The DPP and DPPOS results are similar to findings from trials conducted internationally over the past two decades in Finland, China and elsewhere.
I’m just back from the American Diabetes Association 2009 Scientific Sessions and feel compelled to shout out to all who will listen, especially parents of younger and older children and people on their way up the scale, that more and more research points to the many damaging impacts of excess pounds on long term health. Fat is not simply excess pounds of inactive tissue.
The news last week that several airlines are considering
charging overweight people for two airline seats evokes thoughts from me from two
extremes. On one end I work as a concerned and empathetic health care provider
to be sensitive to the challenges and struggles that overweight people face.
From the opposite end of the spectrum, still wearing my health care provider
The longest (2 years) and largest (~800 people) randomized control trial (the gold standard of studies) reported in the New England Journal of Medicine (2/27/09) was designed to answer the seemingly age-old question What’s the Best Diet for Weight Loss? The study was funded by National Institutes of Health and conducted by leading obesity researchers from Harvard School of Public Health and Pennington Research Center in Louisiana.
Oh yes, it’s that time of year to once again commit to losing weight for good. And the headlines from myriad media outlets are ready to provide you with umpteen quick weight loss schemes and promises to make this simpler than ever. The problem is that the only way to lose weight and - the hardest part - keep it off for good, is to make slow and steady positive changes over time. Yes it’s hard work that takes diligence and perseverance!
For starters be honest with yourself about your for better or worse food habits.
A key, yet woefully underreported, conclusion to many health behavior change studies in the areas of weight, diabetes and/or blood pressure management; point to the importance of consistent and continuous support over time. This has evolved to be an essential component to help people achieve their health goals and support their efforts to continue practicing new found healthy lifestyle behaviors.
When it comes to food scales, there’s low-scale and up-scale. The low-scale ($5 - $10) type postage or “diet” scales simply help you figure a food’s weight. That’s valuable information. For example, when you weigh meats, you not only zero in on the portion you should eat but you also 'see' what certain amounts of food look (and should) look like. This improves your guestimating (as I call it) skills both at home and when you eat out.
Plenty of research points to the health dangers of excess belly – or abdominal – fat, from preventing type 2 diabetes, to high blood pressure and more. Last week, a study published in the journal Neurology conducted by Kaiser Permanente’s research arm, linked excess belly fat to a high risk of dementia. Researchers found that the more belly fat participants were toting around, the greater their risk for dementia.