July 1st, 2010 by Nicholas Genes, M.D., Ph.D. in Better Health Network, Health Policy, Opinion
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I recently spoke at the panel on transparency at Edelman’s New Media Academic Summit. Ben Boyd was the moderator and Ellen Miller from the Sunlight Foundation was my fellow panelist.
Reviewing some of the #nmas10 tweets from the audience, I figured I should provide some links for the anecdotes I mentioned:
Special thanks to Dr. Val Jones of Better Health for getting me involved with this group.
*This blog post was originally published at Blogborygmi*
June 26th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips, News, Research
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Talk about a cruel trick of nature! A study funded by the National Institutes of Health (NIH) and published in the Journal of the American Medical Association (JAMA) shows that physical activity prevents weight gain in middle-aged and older women ONLY IF THEY ARE ALREADY AT IDEAL WEIGHT. Did you read that? It means that the recommended guidelines advocating 150 minutes of exercise a week isn’t sufficient to prevent weight gain in most middle-aged women.
The Harvard-associated researchers assessed weight changes associated with various levels of physical activity on 34,079 women who had been followed since 1992 in the Women’s Health Study. They stratified women as “inactive” (less than 150 minutes a week of moderate level physical activity), “intermediately active,” or “highly active” if they performed a high, strenuous level of activity. All three groups showed similar weight gain over a mean of 13 years of follow up. Read more »
*This blog post was originally published at EverythingHealth*
May 10th, 2010 by Richard Cooper, M.D. in Better Health Network, Health Policy, Opinion, Research
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Group Health has published two papers recently, one in Health Affairs and the other in JAMA, both extolling the virtues of its Medical Home. These follow their brief report last fall in the NEJM and the lengthy description of their model in the American Journal of Managed Care. Their model has been promoted by the Commonwealth Fund, and it is cited in the currrent issue of Lancet.
The big news is that costs were a full 2% lower than conventional care, hardly a great success –- it wasn’t even statistically significant. But was even this small difference due to the Medical Home, or was it because the Medical Home patients were less likely to consume care? Read more »
*This blog post was originally published at PHYSICIANS and HEALTH CARE REFORM Commentaries and Controversies*
March 18th, 2010 by RamonaBatesMD in Better Health Network, Medical Art
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In the March 3, 2010 issue of JAMA, there is a poem by Sarah Wells called “Hymn of Skin.” While I enjoyed the whole poem, my favorite part is:
Plastic surgeon of the heavens, how I delight
in a furrowed brow, crow’s feet, age spots—
wrinkle me up a dozen times to show I lived
hard, good, funny—after all beauty, being what it is,
is only skin deep—may my soul seep through
dry scales of later hands, resting tranquil in my lap.
O omniscient dermatologist, what ingenuity,
past hurts evident in scrapes and scars—
a clumsy stumble down uneven concrete stairs,
knees and ankle raw and dripping; pockmarked cheeks
from teenage zits—all healed, in the end, but not forgotten.
How often we need reminders of where we’ve been.
*This blog post was originally published at Suture for a Living*
March 23rd, 2009 by eDocAmerica in Better Health Network
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A recent article in the Journal of the American Medical Association (JAMA) reported that all diets that reduce calories work equally well. Of course that is true. Reduce calories, lose weight. The article suggested that it does not really matter whether you choose to lower your carbohydrates, your fat or whatever, just so you reduce your calories consistently over time. Like most large studies of weight loss, the overall results are disappointing in that most people do not stay with weight loss diets and the average weight loss is modest. That is because the people not staying with their diets dilute out those who lose a lot of weight.
What these studies miss is what your experience is with different diet approaches. How do thay affect your overall health? In my previous Blogs here, I have emphasized the importance of reducing simple carbohydrates, like sodas and sweets, since they drive hunger. It is very hard, probably impossible, to stay on a diet program if you are always hungry. Good protein sources, whether from dairy, lean meats, fish, nuts and vegetables, suppress hunger by causing your blood sugar to rise more slowly and remain more steady throughout the day. The rise and fall in blood sugar impacts your hunger. Finally, saturated fats are not good for your health and should be avoided in any healthy diet.
So, what you eat does matter. Your choice of foods will impact your hunger and affect how many calories you are likely to eat in a day. Your food choices affect more than your weight, but also your cholesterol and other risk factors for heart disease. When choosing a diet program for weight loss, make a healthy choice and choose a program that you can stay on for life. Afterall, weight control is a lifelong pursuit. You can vary your protein sources depending on your food preferences, and focus on healthy fats like vegetable oils and avoid the unhealthy satureated fats from things like hamburgers and french fries. Choose a diet program that works for you throughout the day and results in your not eating any more calories than you want to either to lose weight or maintain a healthy weight.
And remember, be physically active to burn those calories so you are more likely to lose unwanted weight.
**This blog post was published originally by Dr. Joe Scherger at eDocAmerica Blog.**
