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Which Is More Important: To Be Thin Or To Be Fit?

These days, most adults are overweight, not active, or both. If you could change just one—become active or lose weight—which would be better?

At least for men, being more fit may have a bigger health payoff than losing weight, according to a new study of more than 14,000 well-off middle-aged men who are participating in the Aerobics Center Longitudinal Study. Researchers followed their health, weight, and exercise habits for 11 years. They estimated how physically fit the men were by calculating their metabolic equivalents (METs) from a treadmill test.

Compared with men whose fitness declined over the course of the study, those who maintained their fitness levels reduced their odds of dying from cardiovascular disease or any other cause by about 30%, even if they didn’t lose any excess weight. Those who improved their fitness levels saw a 40% reduction.

Body-mass index (BMI), a measurement that takes weight and height into account, was not associated with mortality. The results were published in the journal Circulation.

What is “fitness”

Fitness is a measure of Read more »

*This blog post was originally published at Harvard Health Blog*

Expert Offers Tips For Preventing Diabetic Neuropathy

[Editor’s note: In recognition of American Diabetes Month, Harvard Health Publications is collaborating with MSN.com on its Stop Diabetes initiative. Today’s post, published on World Diabetes Day, is the first of several focusing on this all-too-common disorder.]

People tend to think of diabetes as a silent, painless condition. Don’t tell that to the millions of folks with diabetes-induced tingling toes or painful feet. This problem, called diabetic neuropathy, can range from merely aggravating to disabling or even life threatening. It’s something I have first-hand (or, more appropriately, first-foot) knowledge about.

High blood sugar, the hallmark of diabetes, injures nerves and blood vessels throughout the body. The first nerves to be affected tend to be the smallest ones furthest from the spinal cord—those that stretch to the toes and feet.

Diabetic neuropathy affects different people in different ways. I feel it as Read more »

*This blog post was originally published at Harvard Health Blog*

Would You Trust An Unhealthy And Unfit Cardiologist?

There was a very controversial presentation made at a recent meeting of heart doctors in Canada. I’ve been stewing about what to say about it for a week.

The title speaks to its inflammation:

Fat, unfit, unmotivated: Cardiologist, heal thyself

The presenter that made the stir, pediatric cardiologist, and IronPerson, Dr. Brian McCrindle (Toronto) argued that overweight, unfit doctors are doing their patients a disservice. His bottom line: cardiologists are acting like the rest of Western society. They are not living a healthy lifestyle.

He made three major points. (in-depth coverage can be viewed here, on TheHeart.org)

*This blog post was originally published at Dr John M*

The Freshman Fifteen Fallacy: How Much Weight Do College Students Actually Gain?

Fear of the “freshman 15” weight gain is overrated, says one researcher who found that the average college student packs on only between about 2.5 and 3.5 pounds.

And it might not even be the college lifestyle that causes one’s backpack to become a little more snug. Rather, it’s part of the natural transition into adulthood. The typical freshman only gains about a half-pound more than a same-age person who didn’t go to college.

“Not only is there not a ‘freshman 15,’ there doesn’t appear to be even a ‘college 15’ for most students,” researchers said in a press release.

The researchers concluded that the myth of the freshman 15 may contribute to Read more »

*This blog post was originally published at ACP Internist*

Priority Problems: The Failure Of Government Aid

I recently saw a teenage boy with headaches.  His father, wringing his hands, said that the headaches had been present for two years; but that the child had never been evaluated for them.  No imaging, no neurologist.  No insurance, of course.

A family friend, another child, had been diagnosed with a brain tumor.  The family of my patient was terrified.  Where to turn?  They were, reasonably, concerned about cost.

Contrast that with the woman I saw on state assistance. Read more »

*This blog post was originally published at edwinleap.com*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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