Lifestyle vs. Genes for Cardiovascular Health?
By Simeon Margolis, M.D., Ph.D.
Dec 17, 2010
Behind the Headlines
by Simeon Margolis, M.D., Ph.D.
Recent Posts
It is well known that genes play a role in determining who has a higher risk for cardiovascular disease, such as heart attacks and strokes. But we also know that lifestyle factors determine risk as well. In confirmation of this, researchers from Northwestern University reported, at the 2010 meeting of the American Heart Association, that a healthy lifestyle actually has a bigger impact than does inheritance on cardiovascular disease (CVD).
Research findings on lifestyle factors that make a difference
• The investigators considered five healthy lifestyle factors:
• Not smoking
• Low or no alcohol intake
• Weight control
• Physical activity
• Healthy diet
One of their studies found that 60 percent of individuals who adopted all five healthy lifestyle factors as young adults and followed them for 20 years remained at low risk for CVD (heart attacks and strokes) in middle age. By contrast, among those who maintained none or just one of the healthy lifestyle factors only 6 percent were at low risk in middle age.
A study of three generations confirms the importance of behavior
Their second study examined the cardiovascular health of about 16,500 people who were part of three generations of families from the Framingham Heart Study. The results showed that only a small portion of CVD risk was determined by the cardiovascular health of the parents. Rather, risk status was predominantly due to lifestyle and behaviors.
Family history is still important
I completely agree that maintaining good lifestyle habits is critical for preventing CVD events and deaths. However, people at high risk–because of a family history of premature CVD, high blood pressure, diabetes, of a high cholesterol, whether inherited or not–may need to do more than merely follow healthy lifestyle measures.
At least by their 20s or early 30s everyone needs a visit to a physician or an examination at some screening center to learn whether they have high cholesterol levels or high blood pressure. Early management of these risk factors with either specific lifestyle measures or medications is the best prescription for preventing
CVD in such high risk people.
Continued genetic research is still needed
Further, even if genetic factors presently appear to have a relatively limited effect on CVD, it is extremely important to continue studies on the genes involved in CVD, diabetes, elevated cholesterol levels, and high blood pressure. Results of such studies may identify more people, possibly only in small numbers, who have inherited genetic abnormalities that puts them at high risk for CVD or one of the its major risk factors. In addition, discovery of the genes that predispose to these disorders will provide better understanding of their underlying causes. Such understanding, in turn, may be the key to developing more effective and safer medications for treating or preventing these disorders.
Sunday, December 19, 2010
Wednesday, October 13, 2010
Sibutramine Ubat Diet yang BAHAYA kini diharamkan!
Pada pendapat saya, sepatutnya Dadah Sibutramine ini TIDAK PATUT diluluskan pada peringkat awal lagi. Ini mungkin pihak syarikat Farmaseutikal begitu kuat melobi FDA utk meluluskan ubat ini untuk megawal obesiti.
Alhamdulillah kini dengan produk SLIM DIET 2 (SD2) anda kini boleh kawal berat badan secara semulajadi!
KENYATAAN AKHBAR
PENGGANTUNGAN PENDAFTARAN PRODUK-PRODUK YANG MENGANDUNGI
SIBUTRAMINE ATAS SEBAB KESELAMATAN
1. Pihak Berkuasa Kawalan Dadah (PBKD) telah memutuskan untuk menggantung
pendaftaran produk-produk yang mengandungi sibutramine atas sebab keselamatan.
Semua pemegang pendaftaran telah diarah untuk memberhentikan segala transaksi
memborong dan mengimport produk-produk tersebut dengan serta merta dan menarik
balik produk mereka dari pasaran sehingga ke peringkat jualan dalam tempoh 30 hari
dari tarikh penggantungan.
2. Keputusan ini adalah berdasarkan pengesahan dari kajian Sibutramine
Cardiovascular OUTcomes (SCOUT) bagi produk Reductil® yang dijalankan oleh pihak
Abbott Laboratories dimana terdapat peningkatan risiko kesan advers kardiovaskular
seperti serangan jantung dan strok ke atas pesakit obes dan berlebihan berat badan
yang mengambil sibutramine berbanding pesakit yang hanya menjalani senaman dan
kawalan pemakanan.
3. Sibutramine didaftarkan di Malaysia sebagai terapi tambahan kepada diet dan
senaman untuk pesakit obes yang mempunyai faktor risiko seperti penyakit diabetes,
hipertensi dan dislipidemia. Namun demikian pesakit yang mempunyai sejarah penyakit
arteri koronari, kegagalan jantung kongestif, penyakit arteri periferal, arithmia, strok dan
hipertensi tidak terkawal adalah dilarang mengambil sibutramine. Terdapat sebanyak
sembilan (9) produk berdaftar yang mengandungi sibutramine iaitu Reductil®
, Slenfig®,
Sibutramine Sandoz® , Fenslim® dan Sibutrim® dan kesemua maklumat keselamatan ini
telah dimasukkan dalam sisip bungkusan produk masing-masing.
4. Lanjutan daripada maklumat preliminari kajian SCOUT sebelum ini, PBKD pada
25 Januari 2010 telah mengarahkan semua pemegang pendaftaran produk untuk
mengemaskini sisip bungkusan produk sibutramine bagi memperkukuhkan lagi
informasi keselamatan terhadap produk ini dan mengeluarkan surat kepada pengamal
perubatan di Malaysia untuk memaklumkan mengenai maklumat ini.
5. Melalui Program Pemantauan Kesan Advers Ubat, Biro Pengawalan
Farmaseutikal Kebangsaan yang dijalankan secara berterusan oleh Kementerian
Kesihatan Malaysia, sebanyak 38 laporan kesan advers yang melibatkan penggunaan
produk ini telah diterima. Lima (5) dari laporan yang dikemukakan mendapati pesakit
mengalami kesan advers kardiovaskular iaitu jantung berdebar (3 laporan) dan infarksi
miokardial bukan fatal (2 laporan).
6. Pesakit yang sedang menerima rawatan sibutramine adalah dinasihatkan supaya
merujuk kepada doktor mereka untuk nasihat selanjutnya.
TAN SRI DATO’ SERI DR HJ MOHD ISMAIL MERICAN
Ketua Pengarah Kesihatan
Merangkap Pengerusi Pihak Berkuasa Kawalan Dadah
11 Oktober 2010
Monday, August 23, 2010
Ancaman Leptospirosis (Jangkitan Air Kencing Tikus)
Malaysia warns of waterborne disease after 10 die
AP - Monday, August 23
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KUALA LUMPUR, Malaysia – Malaysia has closed parks and warned the public about swimming and dumping trash in rivers after 10 people died from a disease spread by rats.
The latest reported death from the bacterial disease leptospirosis was Saturday. The 17-year-old boy in northern Kedah state had swam in a river and had a picnic with friends at a recreational park last month, the New Straits Times and The Star reported.
Several parks throughout the country have been closed since the first deaths were reported last month.
The Health Ministry's website warns people not to swim in public rivers when it rains and to avoid taking a dip if they have cuts on their body, which makes an infection more likely.
Health Minister Liow Tiong Lai was quoted by the Times on Monday as saying his ministry would distribute leaflets and posters to raise awareness of the disease.
Leptospirosis is caused by exposure to water contaminated with urine of infected animals and absorbed through the skin. Rats are the main carriers, and the ministry's campaign urges people not to dump rubbish near water sources that could attract rats, he said.
Cases of the disease have been increasing in Malaysia. It killed 62 people last year, up from 20 in 2004. In the same period, the number of infections rose more than fivefold to more than 1,400 cases, up from 263.
Symptoms are severe muscle pain, fever, vomiting and headache, and leptospirosis is curable if the person is treated within a week.
AP - Monday, August 23
• Send
• IM Story
KUALA LUMPUR, Malaysia – Malaysia has closed parks and warned the public about swimming and dumping trash in rivers after 10 people died from a disease spread by rats.
The latest reported death from the bacterial disease leptospirosis was Saturday. The 17-year-old boy in northern Kedah state had swam in a river and had a picnic with friends at a recreational park last month, the New Straits Times and The Star reported.
Several parks throughout the country have been closed since the first deaths were reported last month.
The Health Ministry's website warns people not to swim in public rivers when it rains and to avoid taking a dip if they have cuts on their body, which makes an infection more likely.
Health Minister Liow Tiong Lai was quoted by the Times on Monday as saying his ministry would distribute leaflets and posters to raise awareness of the disease.
Leptospirosis is caused by exposure to water contaminated with urine of infected animals and absorbed through the skin. Rats are the main carriers, and the ministry's campaign urges people not to dump rubbish near water sources that could attract rats, he said.
Cases of the disease have been increasing in Malaysia. It killed 62 people last year, up from 20 in 2004. In the same period, the number of infections rose more than fivefold to more than 1,400 cases, up from 263.
Symptoms are severe muscle pain, fever, vomiting and headache, and leptospirosis is curable if the person is treated within a week.
Tuesday, August 10, 2010
Perut Boroi Membahayakan Kesihatan
Study: Belly bulge can be deadly for older adults
AFP/File – Two overweight women cross the street in Gaithersburg, Maryland. Obesity in the United States has grown …
By CARLA K. JOHNSON, AP Medical Writer Carla K. Johnson, Ap Medical Writer – Mon Aug 9, 9:39 pm ET
CHICAGO – If your pants are feeling a bit tight around the waistline, take note: Belly bulge can be deadly for older adults, even those who aren't overweight or obese by other measures.
One of the largest studies to examine the dangers of abdominal fat suggests men and women with the biggest waistlines have twice the risk of dying over a decade compared to those with the smallest tummies.
Surprisingly, bigger waists carry a greater risk of death even for people whose weight is "normal" by the body mass index, or BMI, a standard measure based on weight and height.
"Even if you haven't had a noticeable weight gain, if you notice your waist size increasing that's an important sign," said lead author Eric Jacobs of the American Cancer Society, which funded the study. "It's time to eat better and start exercising more."
Other research has linked waist size to dementia, heart disease, asthma and breast cancer.
Bulging bellies are a problem for most Americans older than 50. It's estimated that more than half of older men and more than 70 percent of older women have bigger waistlines than recommended. And it's a growing problem: Average waistlines have expanded by about an inch per decade since the 1960s.
To check your girth, wrap a tape measure around your waist at the navel. No fair sucking in your bulge. Men should have a waist circumference no larger than 40 inches. For women, the limit is 35 inches.
The new study, appearing in Monday's Archives of Internal Medicine, is the first to analyze waist size and deaths for people in three BMI categories: normal, overweight and obese. In all three groups, waist size was linked to higher risk.
About 2 percent of people in the study had normal BMI numbers but larger than recommended waists. Jacobs said the risk increased progressively with increasing waist size, even at waist sizes well below what might be considered too large.
The study used data from more than 100,000 people who were followed from 1997 to 2006. Nearly 15,000 people died during that time.
The researchers crunched numbers on waist circumference, height and weight to draw conclusions about who was more likely to die. Study participants measured their own waists, so some honest mistakes and wishful fudging could have been included, the authors acknowledged.
Four extra inches around the waist increased the risk of dying from between 15 percent to 25 percent. Oddly, the strongest link — 25 percent — was in women with normal BMI.
People with bigger waists had a higher risk of death from causes including respiratory illnesses, heart disease and cancer.
The study was observational, a less rigorous approach that means the deaths could have been caused by factors other than waist size. But the researchers did take into account other risk factors for poor health, such as smoking and alcohol use.
Some older adults gain belly fat while they lose muscle mass, Jacobs said, so while they may not be getting heavier, they're changing shape — and that's taking a toll.
A tape measure, or a belt that doesn't buckle the way it used to, "may tell you things your scale doesn't," Jacobs said.
Fat stored behind the abdominal wall may be more harmful than fat stored on the hips and thighs. Some scientists believe belly fat secretes proteins and hormones that contribute to inflammation, interfere with how the body processes insulin and raise cholesterol levels.
But Dr. Samuel Klein, an obesity expert at Washington University School of Medicine in St. Louis, is skeptical about that theory. Removing belly fat surgically doesn't lead to health improvements. That may mean it's simply a stand-in for some other culprit that is causing both belly fat and poor health. Klein wasn't involved in the new research.
Klein said the new study, while showing a link between waist size and mortality, doesn't pinpoint exactly how much belly fat is dangerous for normal, overweight and obese people. The 40-inch for men and 35-inch for women cutoff points are irrelevant for many people, he said.
What can be done to fight belly fat? It's the same advice as for losing weight. Eat fewer calories and burn more through walking, bicycling and other aerobic exercise. "Sit-ups are useless," Klein said.
___
Online:
Archives: http://www.archinternmed.com
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Wednesday, May 5, 2010
Obesity Linked to Low Testosterone in Men
Obesity Linked to Low Testosterone in Men
Men who are tipping the scales might want to get their testosterone levels checked, according to a new study showing obese mean are more likely than others to have low levels of this sex hormone.
Forty percent of obese participants in the study had lower-than-normal testosterone readings. And for those obese men who also had diabetes that percent rose to 50 percent.
A separate study last year found that obese men who lost significant weight reported better sexual function.
While past studies have shown a link between diabetes and low testosterone, the new one is the largest analysis to look at the association between obesity and low testosterone. In fact, the Endocrine Society now recommends that all men with type 2 diabetes have their testosterone levels measured. Now, it seems, obese men, even younger men, should also get screened for low testosterone, the researchers say.
"The effect of diabetes on lowering testosterone levels was similar to that of a weight gain of approximately 20 pounds," said lead author Dr. Sandeep Dhindsa, an endocrinology specialist at the University of Buffalo, Department of Medicine, and lead author of the study published online ahead of print in the journal Diabetes Care.
With our waistlines expanding, the results could speak to many American men. "In view of the fact that almost one-third of the U.S. is obese, these observations have profound pathophysiological, clinical, epidemiological and public health implications," Dhindsa said.
The study involved 2,165 men, 45 years or older, who provided blood samples for analysis of testosterone concentrations and who were taking part in the Hypogonadism in Males (HIM) study funded by Solvay Pharmaceuticals Inc. The study was conducted from November 2003 to February 2004 in 95 primary care practices throughout the United States. (This was an unfunded analysis of HIM data.)
Body mass index (BMI), which is a measure of height and weight that estimates body fat, was used to indicate obesity.
Men with diabetes, whether obese or not, showed lower levels of testosterone than non-diabetic men across all weight categories. Testosterone levels decreased significantly in both diabetic and non-diabetic men as BMI increased.
UB endocrinologists published a study in Diabetes Care in 2008 showing that more than 50 percent of men between 18 and 35 years old with type 2 diabetes had lower than normal testosterone levels.
"In view of the high rates of subnormal testosterone in patients with obesity or diabetes, testosterone concentrations should be measured regularly in these populations, especially when these conditions occur together," said study researcher Dr. Paresh Dandona, head of the Division of Endocrinology, Diabetes and Metabolism at UB.
Men who are tipping the scales might want to get their testosterone levels checked, according to a new study showing obese mean are more likely than others to have low levels of this sex hormone.
Forty percent of obese participants in the study had lower-than-normal testosterone readings. And for those obese men who also had diabetes that percent rose to 50 percent.
A separate study last year found that obese men who lost significant weight reported better sexual function.
While past studies have shown a link between diabetes and low testosterone, the new one is the largest analysis to look at the association between obesity and low testosterone. In fact, the Endocrine Society now recommends that all men with type 2 diabetes have their testosterone levels measured. Now, it seems, obese men, even younger men, should also get screened for low testosterone, the researchers say.
"The effect of diabetes on lowering testosterone levels was similar to that of a weight gain of approximately 20 pounds," said lead author Dr. Sandeep Dhindsa, an endocrinology specialist at the University of Buffalo, Department of Medicine, and lead author of the study published online ahead of print in the journal Diabetes Care.
With our waistlines expanding, the results could speak to many American men. "In view of the fact that almost one-third of the U.S. is obese, these observations have profound pathophysiological, clinical, epidemiological and public health implications," Dhindsa said.
The study involved 2,165 men, 45 years or older, who provided blood samples for analysis of testosterone concentrations and who were taking part in the Hypogonadism in Males (HIM) study funded by Solvay Pharmaceuticals Inc. The study was conducted from November 2003 to February 2004 in 95 primary care practices throughout the United States. (This was an unfunded analysis of HIM data.)
Body mass index (BMI), which is a measure of height and weight that estimates body fat, was used to indicate obesity.
Men with diabetes, whether obese or not, showed lower levels of testosterone than non-diabetic men across all weight categories. Testosterone levels decreased significantly in both diabetic and non-diabetic men as BMI increased.
UB endocrinologists published a study in Diabetes Care in 2008 showing that more than 50 percent of men between 18 and 35 years old with type 2 diabetes had lower than normal testosterone levels.
"In view of the high rates of subnormal testosterone in patients with obesity or diabetes, testosterone concentrations should be measured regularly in these populations, especially when these conditions occur together," said study researcher Dr. Paresh Dandona, head of the Division of Endocrinology, Diabetes and Metabolism at UB.
Penting tabiat Makan Sihat
ARKIB : 02/05/2010 Utusan Malaysia
Penting tabiat makan sihat
Oleh Profesor Madya Dr. Zaitun Yassin & Mahenderan Appukutty
Persatuan Pemakanan Malaysia (NSM)
Sebagai ibu bapa sudah tentu anda menaruh harapan yang tinggi dan mendoakan anak-anak a cemerlang dalam pelajaran dan menyertai aktiviti kokurikulum agar menjadi pelajar yang cergas dan serba boleh. Anak anda sedang memasuki alam pembelajaran yang serba baru dan membina kemahiran hidup lain yang diperlukan. Anda tahu sekiranya dia cemerlang dalam pelajaran, dia akan berjaya dalam kehidupan.
Tetapi dengan segala tumpuan diberi terhadap pencapaian akademik dan aktiviti kokurikulum, kebanyakan ibu bapa lupa pentingnya memberi makanan dengan cara yang betul kepada anak-anak. Dengan jadual pembelajaran yang ketat, baik semasa di sekolah mahupun luar waktu sekolah, serta kesibukan ibu bapa zaman sekarang, pemakanan betul dan tabiat makan yang sihat sering diabaikan.
Ramai ibu bapa mungkin tidak sedar pentingnya pemakanan dan tabiat makan yang betul ketika anak-anak berusia antara 7 dan 12 tahun. Hakikatnya, pemakanan dan tabiat makan yang baik adalah faktor yang sangat penting untuk mempengaruhi kesihatan dan kesejahteraan anak-anak anda, baik dari segi fizikal mahupun mental.
Pemakanan yang baik memberi manfaat kepada anak-anak dalam pelbagai aspek, termasuk:
Membolehkan pertumbuhan optimum
Pemakanan yang betul membolehkan anak-anak anda mencapai pertumbuhan yang optimum. Ia juga boleh mencegah masalah berat badan dan kekurangan nutrien seperti anemia yang berpunca daripada kekurangan zat besi.
Meningkatkan perkembangan kognitif
Makanan yang betul dan tabiat makan yang sihat adalah penting untuk otak kerana ia menggalakkan pembelajaran yang lebih baik, meningkatkan daya tumpuan dan perhatian, dan menguatkan daya ingatan anak anda untuk membolehkan mereka terus kekal cerdas di sekolah.
Menggalakkan perkembangan sosio-emosi
Jenis makanan dan bila anda memberi makanan kepada anak-anak juga mempengaruhi keadaan emosi dan tingkah laku mereka.
Bagaimanapun, anda juga perlu ingat bahawa pemakanan yang betul perlu disokong dengan aktiviti fizikal. Aktiviti fizikal adalah sama penting dengan makanan yang baik, kerana ia banyak memberi manfaat kepada anak-anak yang sedang membesar. Aktiviti fizikal akan membakar tenaga berlebihan daripada makanan dan menguatkan tulang serta otot. Ia juga membantu meningkatkan selera makan anak anda dan mengelak mereka daripada menjadi gemuk. Ingatlah bahawa kesejahteraan sosio-emosi anak anda juga bergantung kepada aktiviti fizikal. Aktiviti seperti sukan berpasukan membantu membina keyakinan diri, menyemai nilai-nilai kepimpinan dan menyumbang kepada perkembangan keseluruhan anak anda.
Makan untuk hari esok
Menyediakan pemakanan yang baik untuk anak bukan sahaja penting untuk kesejahteraan semasa mereka, malah ia juga membina asas yang kuat untuk kesihatan pada masa hadapan dan menyemai gaya hidup yang sihat.
Sebagai contoh, pemakanan yang baik mula mempengaruhi kesihatan tubuh anak anda pada usia awal mereka. Ia juga membantu menguatkan sistem imun mereka pada masa kini dan masa hadapan serta menguatkan sistem daya ketahanan semula jadi tubuh.
Pemakanan yang baik pada hari ini akan mengurangkan risiko kesihatan pada masa hadapan. Jika berat badan anak anda berlebihan, besar kemungkinan mereka akan membesar menjadi remaja dan orang dewasa yang berlebihan berat badan juga. Risiko orang dewasa yang mempunyai berat badan berlebihan untuk mengalami penyakit kronik adalah lebih tinggi, termasuk penyakit jantung, kencing manis (diabetes) dan tekanan darah tinggi. Berat badan berlebihan juga boleh menjejaskan perkembangan sosio-emosi kerana bentuk badan yang kurang menarik menyebabkan anak anda merasa rendah diri.
Apa yang anda boleh lakukan
Sebagai ibu bapa yang penyayang, anda mesti berusaha memberikan makanan yang betul kepada anak anda yang bersekolah dan menggalakkan tabiat makan yang sihat sejak kecil lagi. Ingatlah, makanan yang betul tidak bermakna memberi mereka makanan yang mahal. Pemakanan yang betul bermakna memberi anak-anak anda pelbagai jenis makanan yang seimbang, dan dalam jumlah yang sewajarnya.
Anda juga patut berusaha sedaya upaya menanam tabiat makan yang sihat dan menggalakkan anak anda kerap melakukan aktiviti fizikal. Walaupun mereka akan diajar tentang aspek pemakanan yang baik di sekolah akan tetapi anda juga harus mendidik mereka di rumah, dan tidak menyerahkan segalanya kepada guru di sekolah.
Dapatkan maklumat lebih lanjut tentang kaedah membesarkan anak-anak sihat untuk negara yang lebih sihat menerusi pelbagai bahan dan aktiviti pendidikan Bulan Pemakanan Sihat Malaysia 2010 (NMM '10) yang dimuatkan dalam laman web www.nutriweb.org.my. Sertailah Karnival NMM '10 yang menyeronokkan di Pusat Pameran Mid Valley pada 15 & 16 Mei 2010, bermula dari 10 pagi.
Penting tabiat makan sihat
Oleh Profesor Madya Dr. Zaitun Yassin & Mahenderan Appukutty
Persatuan Pemakanan Malaysia (NSM)
Sebagai ibu bapa sudah tentu anda menaruh harapan yang tinggi dan mendoakan anak-anak a cemerlang dalam pelajaran dan menyertai aktiviti kokurikulum agar menjadi pelajar yang cergas dan serba boleh. Anak anda sedang memasuki alam pembelajaran yang serba baru dan membina kemahiran hidup lain yang diperlukan. Anda tahu sekiranya dia cemerlang dalam pelajaran, dia akan berjaya dalam kehidupan.
Tetapi dengan segala tumpuan diberi terhadap pencapaian akademik dan aktiviti kokurikulum, kebanyakan ibu bapa lupa pentingnya memberi makanan dengan cara yang betul kepada anak-anak. Dengan jadual pembelajaran yang ketat, baik semasa di sekolah mahupun luar waktu sekolah, serta kesibukan ibu bapa zaman sekarang, pemakanan betul dan tabiat makan yang sihat sering diabaikan.
Ramai ibu bapa mungkin tidak sedar pentingnya pemakanan dan tabiat makan yang betul ketika anak-anak berusia antara 7 dan 12 tahun. Hakikatnya, pemakanan dan tabiat makan yang baik adalah faktor yang sangat penting untuk mempengaruhi kesihatan dan kesejahteraan anak-anak anda, baik dari segi fizikal mahupun mental.
Pemakanan yang baik memberi manfaat kepada anak-anak dalam pelbagai aspek, termasuk:
Membolehkan pertumbuhan optimum
Pemakanan yang betul membolehkan anak-anak anda mencapai pertumbuhan yang optimum. Ia juga boleh mencegah masalah berat badan dan kekurangan nutrien seperti anemia yang berpunca daripada kekurangan zat besi.
Meningkatkan perkembangan kognitif
Makanan yang betul dan tabiat makan yang sihat adalah penting untuk otak kerana ia menggalakkan pembelajaran yang lebih baik, meningkatkan daya tumpuan dan perhatian, dan menguatkan daya ingatan anak anda untuk membolehkan mereka terus kekal cerdas di sekolah.
Menggalakkan perkembangan sosio-emosi
Jenis makanan dan bila anda memberi makanan kepada anak-anak juga mempengaruhi keadaan emosi dan tingkah laku mereka.
Bagaimanapun, anda juga perlu ingat bahawa pemakanan yang betul perlu disokong dengan aktiviti fizikal. Aktiviti fizikal adalah sama penting dengan makanan yang baik, kerana ia banyak memberi manfaat kepada anak-anak yang sedang membesar. Aktiviti fizikal akan membakar tenaga berlebihan daripada makanan dan menguatkan tulang serta otot. Ia juga membantu meningkatkan selera makan anak anda dan mengelak mereka daripada menjadi gemuk. Ingatlah bahawa kesejahteraan sosio-emosi anak anda juga bergantung kepada aktiviti fizikal. Aktiviti seperti sukan berpasukan membantu membina keyakinan diri, menyemai nilai-nilai kepimpinan dan menyumbang kepada perkembangan keseluruhan anak anda.
Makan untuk hari esok
Menyediakan pemakanan yang baik untuk anak bukan sahaja penting untuk kesejahteraan semasa mereka, malah ia juga membina asas yang kuat untuk kesihatan pada masa hadapan dan menyemai gaya hidup yang sihat.
Sebagai contoh, pemakanan yang baik mula mempengaruhi kesihatan tubuh anak anda pada usia awal mereka. Ia juga membantu menguatkan sistem imun mereka pada masa kini dan masa hadapan serta menguatkan sistem daya ketahanan semula jadi tubuh.
Pemakanan yang baik pada hari ini akan mengurangkan risiko kesihatan pada masa hadapan. Jika berat badan anak anda berlebihan, besar kemungkinan mereka akan membesar menjadi remaja dan orang dewasa yang berlebihan berat badan juga. Risiko orang dewasa yang mempunyai berat badan berlebihan untuk mengalami penyakit kronik adalah lebih tinggi, termasuk penyakit jantung, kencing manis (diabetes) dan tekanan darah tinggi. Berat badan berlebihan juga boleh menjejaskan perkembangan sosio-emosi kerana bentuk badan yang kurang menarik menyebabkan anak anda merasa rendah diri.
Apa yang anda boleh lakukan
Sebagai ibu bapa yang penyayang, anda mesti berusaha memberikan makanan yang betul kepada anak anda yang bersekolah dan menggalakkan tabiat makan yang sihat sejak kecil lagi. Ingatlah, makanan yang betul tidak bermakna memberi mereka makanan yang mahal. Pemakanan yang betul bermakna memberi anak-anak anda pelbagai jenis makanan yang seimbang, dan dalam jumlah yang sewajarnya.
Anda juga patut berusaha sedaya upaya menanam tabiat makan yang sihat dan menggalakkan anak anda kerap melakukan aktiviti fizikal. Walaupun mereka akan diajar tentang aspek pemakanan yang baik di sekolah akan tetapi anda juga harus mendidik mereka di rumah, dan tidak menyerahkan segalanya kepada guru di sekolah.
Dapatkan maklumat lebih lanjut tentang kaedah membesarkan anak-anak sihat untuk negara yang lebih sihat menerusi pelbagai bahan dan aktiviti pendidikan Bulan Pemakanan Sihat Malaysia 2010 (NMM '10) yang dimuatkan dalam laman web www.nutriweb.org.my. Sertailah Karnival NMM '10 yang menyeronokkan di Pusat Pameran Mid Valley pada 15 & 16 Mei 2010, bermula dari 10 pagi.
Friday, March 26, 2010
Exercise, diet can cut up Breast Cancer risk by 30%
Published: Friday March 26, 2010 MYT 2:43:00 PM
Excercise, diet can cut breast cancer risk by 30%
BARCELONA (Spain): Up to a third of breast cancer cases in Western countries could be avoided if women ate less and exercised more, researchers at a conference said, renewing a sensitive debate about how lifestyle factors affect the disease.
Better treatments, early diagnosis and mammogram screenings have dramatically slowed breast cancer, but experts said the focus should now shift to changing behaviors like diet and physical activity.
"What can be achieved with screening has been achieved. We can't do much more," Carlo La Vecchia, head of epidemiology at the University of Milan, said in an interview. "It's time to move on to other things."
La Vecchia spoke Thursday at a European breast cancer conference in Barcelona.
He cited figures from the International Agency for Research on Cancer, which estimates that 25 to 30 percent of breast cancer cases could be avoided if women were thinner and exercised more. The agency is part of the World Health Organization.
His comments are in line with recent health advice that lifestyle changes in areas such as smoking, diet, exercise and sun exposure can play a significant role in risk for several cancers.
Dr. Michelle Holmes of Harvard University, who has studied cancer and lifestyle factors, said people might wrongly think their chances of getting cancer depend more on their genes than their lifestyle.
"The genes have been there for thousands of years, but if cancer rates are changing in a lifetime, that doesn't have much to do with genes," she told The Associated Press in a phone interview from Cambridge, Massachusetts.
Breast cancer is the most common cancer in women.
In Europe, there were about 421,000 new cases and nearly 90,000 deaths in 2008, the latest available figures. The United States last year saw more than 190,000 new cases and 40,000 deaths.
A woman's lifetime chance of getting breast cancer is about one in eight.
Obese women are up to 60% more likely to develop any cancer than normal-weight women, according to a 2006 study by British researchers.
Many breast cancers are fueled by estrogen, a hormone produced in fat tissue. So experts suspect that the fatter a woman is, the more estrogen she's likely to produce, which could in turn fuel breast cancer.
Even in slim women, experts believe exercise can help reduce the cancer risk by converting more fat into muscle.
Yet any discussion of weight and breast cancer is considered sensitive because some may misconstrue that as the medical establishment blaming women for their disease.
Tara Beaumont, a clinical nurse specialist at Breast Cancer Care, a British charity, said her agency has always been careful about giving lifestyle advice.
She noted that three of the major risk factors for breast cancer - gender, age and family history - are clearly beyond anyone's control.
"It is incredibly difficult to isolate specific factors.
Therefore women should in no way feel that they are responsible for developing breast cancer," she said.
Yet Karen Benn, a spokeswoman for Europa Donna, a patient-focused breast cancer group, said it was impossible to ignore the increasingly stronger links between lifestyle and breast cancer.
"If we know there are healthier choices, we can't not recommend them just because people might misinterpret the advice and feel guilty," she said.
"If we are going to prevent breast cancer, then this message needs to get out, particularly to younger women."
That means avoiding becoming overweight as an adult.
Robert Baan, a cancer expert with the international cancer research agency, said it isn't clear if women who lose weight can lower their risk to the level of a woman who was never fat.
The American Cancer Society Web site says the connection between weight and cancer risk is complex.
It says risk appears to increase for women who gain weight as adults, but not for women who have been overweight since childhood.
The cancer society recommends 45 to 60 minutes of physical activity five or more days a week to reduce the risk of breast cancer.
Drinking less alcohol might also help. Experts estimate that having more than a couple of drinks a day can boost the risk of breast cancer by 4 to 10 percent.
After studies several years ago linked hormone-replacement therapy to cancer, millions of women abandoned the treatment, leading to a sharp drop in breast cancer rates.
Experts said a similar reduction might be seen if women ate healthier and exercised more.
Holmes, the Harvard expert, said changing diet and nutrition is arguably easier than tackling other breast cancer risk factors.
In the 1980s and 1990s, breast cancer rates steadily increased, paralleling a rise in obesity and the use of estrogen-containing hormones after menopause.
La Vecchia said countries like Italy and France - where obesity rates have been stable for the past two decades - show that weight can be controlled at a population level.
"It's hard to lose weight, but it's not impossible," he said. "The potential benefit of preventing cancer is worth it." - AP
Excercise, diet can cut breast cancer risk by 30%
BARCELONA (Spain): Up to a third of breast cancer cases in Western countries could be avoided if women ate less and exercised more, researchers at a conference said, renewing a sensitive debate about how lifestyle factors affect the disease.
Better treatments, early diagnosis and mammogram screenings have dramatically slowed breast cancer, but experts said the focus should now shift to changing behaviors like diet and physical activity.
"What can be achieved with screening has been achieved. We can't do much more," Carlo La Vecchia, head of epidemiology at the University of Milan, said in an interview. "It's time to move on to other things."
La Vecchia spoke Thursday at a European breast cancer conference in Barcelona.
He cited figures from the International Agency for Research on Cancer, which estimates that 25 to 30 percent of breast cancer cases could be avoided if women were thinner and exercised more. The agency is part of the World Health Organization.
His comments are in line with recent health advice that lifestyle changes in areas such as smoking, diet, exercise and sun exposure can play a significant role in risk for several cancers.
Dr. Michelle Holmes of Harvard University, who has studied cancer and lifestyle factors, said people might wrongly think their chances of getting cancer depend more on their genes than their lifestyle.
"The genes have been there for thousands of years, but if cancer rates are changing in a lifetime, that doesn't have much to do with genes," she told The Associated Press in a phone interview from Cambridge, Massachusetts.
Breast cancer is the most common cancer in women.
In Europe, there were about 421,000 new cases and nearly 90,000 deaths in 2008, the latest available figures. The United States last year saw more than 190,000 new cases and 40,000 deaths.
A woman's lifetime chance of getting breast cancer is about one in eight.
Obese women are up to 60% more likely to develop any cancer than normal-weight women, according to a 2006 study by British researchers.
Many breast cancers are fueled by estrogen, a hormone produced in fat tissue. So experts suspect that the fatter a woman is, the more estrogen she's likely to produce, which could in turn fuel breast cancer.
Even in slim women, experts believe exercise can help reduce the cancer risk by converting more fat into muscle.
Yet any discussion of weight and breast cancer is considered sensitive because some may misconstrue that as the medical establishment blaming women for their disease.
Tara Beaumont, a clinical nurse specialist at Breast Cancer Care, a British charity, said her agency has always been careful about giving lifestyle advice.
She noted that three of the major risk factors for breast cancer - gender, age and family history - are clearly beyond anyone's control.
"It is incredibly difficult to isolate specific factors.
Therefore women should in no way feel that they are responsible for developing breast cancer," she said.
Yet Karen Benn, a spokeswoman for Europa Donna, a patient-focused breast cancer group, said it was impossible to ignore the increasingly stronger links between lifestyle and breast cancer.
"If we know there are healthier choices, we can't not recommend them just because people might misinterpret the advice and feel guilty," she said.
"If we are going to prevent breast cancer, then this message needs to get out, particularly to younger women."
That means avoiding becoming overweight as an adult.
Robert Baan, a cancer expert with the international cancer research agency, said it isn't clear if women who lose weight can lower their risk to the level of a woman who was never fat.
The American Cancer Society Web site says the connection between weight and cancer risk is complex.
It says risk appears to increase for women who gain weight as adults, but not for women who have been overweight since childhood.
The cancer society recommends 45 to 60 minutes of physical activity five or more days a week to reduce the risk of breast cancer.
Drinking less alcohol might also help. Experts estimate that having more than a couple of drinks a day can boost the risk of breast cancer by 4 to 10 percent.
After studies several years ago linked hormone-replacement therapy to cancer, millions of women abandoned the treatment, leading to a sharp drop in breast cancer rates.
Experts said a similar reduction might be seen if women ate healthier and exercised more.
Holmes, the Harvard expert, said changing diet and nutrition is arguably easier than tackling other breast cancer risk factors.
In the 1980s and 1990s, breast cancer rates steadily increased, paralleling a rise in obesity and the use of estrogen-containing hormones after menopause.
La Vecchia said countries like Italy and France - where obesity rates have been stable for the past two decades - show that weight can be controlled at a population level.
"It's hard to lose weight, but it's not impossible," he said. "The potential benefit of preventing cancer is worth it." - AP
Sunday, March 7, 2010
Fakta Gejala Kerosakan Buah Pinggang
8Mac2010
Khamis 11 Mac 2010 merupakan Hari Buah Pinggang Sedunia yang bertemakan "Melindungi Buah Pinggang Anda-Kawal Diabetes"
FAKTA:
1. Dianggarkan seorang daripada 10 orang dewasa berdepan dengan pelbagai masalah kerosakan buah pinggang.
2. Setiap tahun lebih 2,500 orang berada pada tahap kegagalan akhir buah pinggan (ESRD) yang memerlukan rawatan dialisis berkala.
3. Sekitar tahun 1980, hanya 43 orang memerlukan bantuan dialisis tetapi pada 2006 jumlah itu meningkat menjadi 3152 orang.
4. Punca Peningkatan ini adalah disebabkan kenaikan jumlah pesakit diabetes dan tekanan darah tinggi.
5. 55% daripada kegagalan buah pinggang tahap yang serius berpunca daripada penyakit diabetes mellitus/kencing manis.
6. Di Malaysia, lebih 2500 orang mengalami masalah ESRD atau 100 orang dalam sejuta populasi
7. Di Pulau Pinang saja, kadar rawatan mencecah hingga 181 orang dalam sejuta populasi! (Makan nasi kandar banyak sangat?)
8. Kajian 2006 menunjukkan ada 14946 pesakit bergantung kepaa mesin dialisis.
9. Kebergantungan pada dialisis meningkat dua kali ganda iaitu 52orang pada 1997 menjadi 104 pada 2003. Sejak itu ia meningkat kepada 110 orang untuk setiap sejuta penduduk.
10. Kes dialisis pada 2006 ialah 3152 pertambahan lebih 50% dari jumlah pesakit buah pinggang yang direkodkan pada 2000.
Kenapa statistik sebegini mendadak meningkatnya pesakit buah pinggang di abad ini?
PUNCA UTAMA: Pemakanan yang berlebihan dan kurangnya bersenam!
sumber http://www.freedomtolive.com.my
Wan Hamidi Wan Sulaiman
Ahli Farmasi/Konsultan Kesihatan
Millionaire Coach/Leader
Products: Alpha Lipid Lifeline & Slim Diet II
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Facebook Name: Wan Hamidi Dreamchaser
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Copyright(c) Wan Hamidi 2010
Friday, February 19, 2010
Protect Your Heart at Every Age
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Protect Your Heart at Every Age
Follow these easy health tips specific to every stage of aging
More from Woman's Day
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By Woman's Day Staff
You're never too young—or too old—to start lowering your heart disease risk. Of course, exercising, eating healthy and reducing stress are key throughout life, but due to physiological changes that happen as we age, certain risk factors do become more of a threat.
In Your 20s
Stub Out a Social Smoking Habit
Smoking is enemy number one when it comes to heart disease, and even just a few cigarettes can do damage: New research from McGill University in Montreal found that smoking just one cigarette a day stiffens your arteries by a whopping 25 percent. Plus, smoking erases the hormonal advantage you have from estrogen, which can leave you vulnerable to a heart attack before menopause, explains Dr. Bonow.
Don't Ignore the Birth Control Factor
Remember that hormonal contraceptives slightly increase the risk of blood clots, so if you've ever had one, make sure to discuss it with your doctor before going on birth control. And if you're currently a smoker, don't take oral contraceptives, because the combo can be especially dangerous, says Sharonne N. Hayes, MD, director of the Women's Heart Clinic at Mayo Clinic in Rochester, Minnesota.
Watch Your Alcohol Intake
Moderate amounts of alcohol can have a beneficial effect on your heart. (By "moderate," we mean one drink a day or about 5 ounces—but many restaurants serve far more than that.) Overdoing it can raise triglycerides, increase blood pressure and lead to weight gain, thanks to all those empty calories.
In Your 30s
Get a Grip on Stress
When you're juggling career and family, it's crucial to find stress management techniques that work. "Untamed stress has a direct negative impact on heart health," says Dr. Stevens. "The constant bombardment of adrenaline raises blood pressure and destabilizes plaque in your arteries, making it likely to cause a clot or heart attack."
Lose the Baby Weight
No, you don't have to fit into your skinny jeans by the time the baby's 6 months old, but do aim to get back to your pre-pregnancy weight within one to two years. "Carrying around extra pounds can lead to high cholesterol, high blood pressure and other heart disease risk factors," Dr. Bonow says. Also remember that it's easier to lose weight in your 30s than in your 40s, when your metabolism slows down.
Stay Social
It's important to stay connected to friends and family for the sake of your mood and heart. Research at the University of Pittsburgh School of Medicine found that high levels of loneliness increase a woman's risk of heart disease by 76 percent. On the flip side, having strong social support can help lower your blood pressure and improve other cardiovascular functions. Set aside time once or twice a week to call friends, or make a monthly dinner date.
In Your 40s
Make Sleep a Priority
Thanks to peri-menopause, fluctuating hormone levels can interfere with a good night's sleep. But not getting at least seven hours of shut-eye regularly can lead to increased blood pressure, low-grade inflammation and higher levels of the stress hormone cortisol, all of which are harmful for your blood vessels and heart, explains Jennifer H. Mieres, MD, a cardiologist at New York University School of Medicine and coauthor of Heart Smart for Black Women and Latinas. Lack of sleep has also been linked to weight gain. So establish good habits: Turn in (and wake up) at the same time every day—even on weekends—and do your best to relax before going to bed, whether it's watching a favorite funny TV show or reading.
Reassess Your Risk Factors
You may discover that your cholesterol, blood pressure and blood sugar levels have changed in this decade, even if you aren't doing anything differently, says Dr. Hayes. In fact, 22 percent of 40-something women have high blood pressure and 50 percent have high cholesterol (a jump from 38 percent of women in their 30s), according to the National Heart, Lung, and Blood Institute. Also, be sure to get your thyroid checked around 45; hypothyroidism (an underactive thyroid gland), which becomes more common as women get older, can negatively affect your cholesterol levels as well as your heart.
Step Up Strength Training
You start to lose muscle mass more rapidly in your 40s, which causes your metabolism to slow down since muscle burns more calories than fat. Unfortunately, this makes it harder to stave off those extra pounds. To help maintain muscle and keep your metabolism going, aim for two 15-minute sessions weekly of lifting weights, using a resistance band or doing other toning exercises.
Carve out Personal Time
"Between the demands of work and family, it becomes even more challenging to find time for yourself in your 40s," says Dr. Mieres. But it's crucial to do so—not only to help ease stress but also to guard against depression, which commonly crops up in this decade and can raise your risk of heart disease. "Find at least 10 minutes of 'me' time every day to do something—even if it's just chatting on the phone with a friend—that helps you destress and regroup," says Dr. Mieres.
In Your 50s
Move More
Around menopause, you tend to gain extra weight around your belly, which can lead to insulin resistance, inflammation and heart strain. Cardiovascular fitness also starts to decline, particularly if you're not that physically active to begin with. "Unfortunately, at this point, women have to burn more calories to stay at the same weight," Dr. Stevens says. Start taking the stairs instead of the elevator whenever you can, walk faster around the mall, or jog to the mailbox to send letters instead of sticking your hand out the car window as you drive by. Small changes really do add up.
Have an ECG
Silent heart abnormalities become more common in your 50s, and an electrocardiogram (ECG) to check your heart's electrical activity can pick them up, says Dr. Goldberg. Also ask your doctor if you should have a stress test; this is especially important if you're just starting to exercise.
Add Fiber
Besides being good for your cholesterol and blood sugar, pumping up your fiber intake (think whole grains like oatmeal, brown rice and flaxseeds, as well as beans, fruits and veggies) can help prevent constipation, which becomes more of a problem as you get older and your digestive system starts to slow down.
In Your 60s
Get Even More Vigilant About Screenings
After you go through menopause and get older, your blood pressure and cholesterol tend to go up, and blood vessels get stiffer. "Have your blood sugar, blood pressure and cholesterol measured yearly," advises Dr. Goldberg.
Consider Medication
If you have hypertension or high cholesterol, the way you've been managing it before may not be enough. "As you get older, you may need more aggressive therapy," Dr. Bonow says. "High blood pressure that was controlled with one medication may now require three to control it." Talk to your doctor about whether you need to add to or adjust your medications to control your risk factors.
Be Alert to Symptoms
Now is when the first noticeable symptoms of heart disease may appear, so it's important to know what's normal for your body and be on the lookout for worrisome signs like chest discomfort, shortness of breath or changes in exercise tolerance—meaning you suddenly feel winded going up a flight of stairs or feel unusually tired for no apparent reason, says Dr. Mieres. If these appear, see your doctor pronto!
Monday, February 1, 2010
Low-Carb Diet Best for Lowering Blood Pressure
Low-carb diet best for lowering blood pressure
By Anne Harding - Tue Jan 26, 2:21 PM PST
NEW YORK (Reuters Health) - People with high blood pressure who want to drop some pounds may want to choose a low-carb diet, a new study shows.
Fresh vegetables are chopped in the kitchen of Revolution Foods in Los Angeles
August 19, 2009. REUTERS/Mario Anzuoni
In the study, overweight or obese individuals who went on a low-carb diet lost about the same amount of weight as those who cut down on their fat intake and took the weight-loss aid orlistat (sold as Xenical or Alli). However, the low-carb diet produced more favorable effects on blood pressure.
Most studies of weight loss methods have enrolled overweight or obese volunteers who were healthy, aside from weighing too much. The current study, in contrast, enrolled "real patients" with common conditions like diabetes and heart disease, William S. Yancy Jr. of the VA Medical Center in Durham, North Carolina, told Reuters Health. People with these health issues are often excluded from weight loss studies, Yancy said.
He and his colleagues assigned 146 patients to either receive instruction on eating a low-carbohydrate diet, and to start out by eating fewer than 20 grams of carbohydrate daily, or to take 120 mg of orlistat three times a day and receive instructions on eating a lower calorie, lower-fat diet. All of the study participants received diet instructions at group meetings, which were every two weeks for the first six months of the study, and monthly thereafter.
After 48 weeks, the low-carb group had lost about 9.5 percent of their body weight, compared to 8.5 percent for the orlistat group, which wasn't a significant difference. There also were similar improvements in cholesterol levels between the two groups. But the low carb diet did offer an advantage in terms of blood pressure reduction.
The low-carb group showed about a 6 percent drop in their systolic blood pressure (the top number in a blood pressure reading) and a 4.5 point drop in their diastolic pressure (the lower number). In contrast, the orlistat group did not see a drop in blood pressure; the corresponding changes for the orlistat group were 1.5 (systolic) and 0.4 (diastolic).
The two "fairly powerful weight loss treatments were equally effective, and one of them was more effective for lowering high blood pressure," Yancy said.
Orlistat works by blocking the body's absorption of fat from food so people who use the drug need to cut down on their fat intake or risk unpleasant side effects like gas and even incontinence.
Patients using orlistat in the current study were more likely to report gas, bowel incontinence, and diarrhea than those in the low-carb group. However, only one person stopped taking the drug due to these side effects. "Orlistat can work quite well if it's used correctly," Yancy said.
The group meetings for diet advice were a key element of success, Yancy added, with those who came to 80 percent or more of these visits losing an average of 14 percent to 15 percent of their body weight.
"I don't think that too many insurance (policies) would cover this," he said, "but I think it's something that needs to happen."
SOURCE: Archives of Internal Medicine, January 25, 2010.
By Anne Harding - Tue Jan 26, 2:21 PM PST
NEW YORK (Reuters Health) - People with high blood pressure who want to drop some pounds may want to choose a low-carb diet, a new study shows.
Fresh vegetables are chopped in the kitchen of Revolution Foods in Los Angeles
August 19, 2009. REUTERS/Mario Anzuoni
In the study, overweight or obese individuals who went on a low-carb diet lost about the same amount of weight as those who cut down on their fat intake and took the weight-loss aid orlistat (sold as Xenical or Alli). However, the low-carb diet produced more favorable effects on blood pressure.
Most studies of weight loss methods have enrolled overweight or obese volunteers who were healthy, aside from weighing too much. The current study, in contrast, enrolled "real patients" with common conditions like diabetes and heart disease, William S. Yancy Jr. of the VA Medical Center in Durham, North Carolina, told Reuters Health. People with these health issues are often excluded from weight loss studies, Yancy said.
He and his colleagues assigned 146 patients to either receive instruction on eating a low-carbohydrate diet, and to start out by eating fewer than 20 grams of carbohydrate daily, or to take 120 mg of orlistat three times a day and receive instructions on eating a lower calorie, lower-fat diet. All of the study participants received diet instructions at group meetings, which were every two weeks for the first six months of the study, and monthly thereafter.
After 48 weeks, the low-carb group had lost about 9.5 percent of their body weight, compared to 8.5 percent for the orlistat group, which wasn't a significant difference. There also were similar improvements in cholesterol levels between the two groups. But the low carb diet did offer an advantage in terms of blood pressure reduction.
The low-carb group showed about a 6 percent drop in their systolic blood pressure (the top number in a blood pressure reading) and a 4.5 point drop in their diastolic pressure (the lower number). In contrast, the orlistat group did not see a drop in blood pressure; the corresponding changes for the orlistat group were 1.5 (systolic) and 0.4 (diastolic).
The two "fairly powerful weight loss treatments were equally effective, and one of them was more effective for lowering high blood pressure," Yancy said.
Orlistat works by blocking the body's absorption of fat from food so people who use the drug need to cut down on their fat intake or risk unpleasant side effects like gas and even incontinence.
Patients using orlistat in the current study were more likely to report gas, bowel incontinence, and diarrhea than those in the low-carb group. However, only one person stopped taking the drug due to these side effects. "Orlistat can work quite well if it's used correctly," Yancy said.
The group meetings for diet advice were a key element of success, Yancy added, with those who came to 80 percent or more of these visits losing an average of 14 percent to 15 percent of their body weight.
"I don't think that too many insurance (policies) would cover this," he said, "but I think it's something that needs to happen."
SOURCE: Archives of Internal Medicine, January 25, 2010.
Family fat explains some of family diabetes risk
Family fat explains some of family diabetes risk
Reuters – People line up to buy food at a fast food restaurant in Harlem in New York December 16, 2009. REUTERS/Finbarr …
Thu Jan 28, 3:21 pm ET
NEW YORK (Reuters Health) – Having type 2 diabetes in the family more than doubles a woman's own risk of developing the disease, new research shows.
But the fact that fat -- and certain dietary habits -- also run in families accounts for a "substantial part" of this increased risk, Dr. Rob van Dam of the Harvard School of Public Health in Boston and his colleagues found.
Having a close relative with type 2 diabetes -- the kind closely linked to obesity --is a key risk factor for the disease, but known gene variants that increase diabetes risk only explain part of this relationship.
To investigate whether excess weight and lifestyle factors might also be involved, van Dam and his team looked at 73,227 women participating in the Nurses' Health Study. Over the course of 20 years, 5,101 developed type 2 diabetes, they report in the journal Diabetes Care.
Having at least one parent or sibling with type 2 diabetes boosted the risk of developing the disease more than two-fold, the researchers found. Women with a family history of diabetes were also more likely to be overweight, as were their family members, and this accounted for about 20 percent of the link between family history and diabetes risk.
And certain dietary habits shared by women and their relatives -- specifically, drinking alcohol, eating red meat, and consuming sugar-sweetened beverages -- also helped explain the association between family history and diabetes risk. The influence was smaller, though; alcohol accounted for 5 percent of the link, red meat 1 percent, and sugary drinks 3 percent.
The new findings, coupled with recent studies on diabetes-associated gene variants, van Dam and his team say, "suggest that most of the association between family history of diabetes and diabetes risk remains unexplained."
SOURCE: Diabetes Care, online January 12, 2010.
Reuters – People line up to buy food at a fast food restaurant in Harlem in New York December 16, 2009. REUTERS/Finbarr …
Thu Jan 28, 3:21 pm ET
NEW YORK (Reuters Health) – Having type 2 diabetes in the family more than doubles a woman's own risk of developing the disease, new research shows.
But the fact that fat -- and certain dietary habits -- also run in families accounts for a "substantial part" of this increased risk, Dr. Rob van Dam of the Harvard School of Public Health in Boston and his colleagues found.
Having a close relative with type 2 diabetes -- the kind closely linked to obesity --is a key risk factor for the disease, but known gene variants that increase diabetes risk only explain part of this relationship.
To investigate whether excess weight and lifestyle factors might also be involved, van Dam and his team looked at 73,227 women participating in the Nurses' Health Study. Over the course of 20 years, 5,101 developed type 2 diabetes, they report in the journal Diabetes Care.
Having at least one parent or sibling with type 2 diabetes boosted the risk of developing the disease more than two-fold, the researchers found. Women with a family history of diabetes were also more likely to be overweight, as were their family members, and this accounted for about 20 percent of the link between family history and diabetes risk.
And certain dietary habits shared by women and their relatives -- specifically, drinking alcohol, eating red meat, and consuming sugar-sweetened beverages -- also helped explain the association between family history and diabetes risk. The influence was smaller, though; alcohol accounted for 5 percent of the link, red meat 1 percent, and sugary drinks 3 percent.
The new findings, coupled with recent studies on diabetes-associated gene variants, van Dam and his team say, "suggest that most of the association between family history of diabetes and diabetes risk remains unexplained."
SOURCE: Diabetes Care, online January 12, 2010.
Sunday, January 24, 2010
Soup Therapy: Detoxify, Lose Weight, and Boost Immunity
Soup Therapy: Detoxify, Lose Weight, and Boost Immunity
By Dr. Maoshing Ni - Posted on Fri, Jan 15, 2010, 5:59 pm PST
Dr. Mao's Secrets of Longevity
by Dr. Maoshing Ni a Yahoo! Health Expert for Alternative Medicine
VISIT ALTERNATIVE MEDICINE HOME »
MORE BY THIS EXPERT
• Soup Therapy: Detoxify, Lose Weight, and Boost Immunity
• 5 Secrets to Winter Health and Energy
• 3 Healthy Life-Changing Goals for 2010
The healing power of soup: something that both scientists and grandmothers can agree on. From helping you lose weight to warming you up from the inside out to boosting your immunity, soup is a winter staple that you shouldn’t be without. Maybe that is one reason that it is celebrated this month with its very own National Soup Month. Here's a closer look at what you can do to benefit from soup's amazing healing powers.
The healing power of soup
An ancient Chinese proverb states that a good doctor uses food first, then resorts to medicine. A healing soup can be your first step in maintaining your health and preventing illness. The therapeutic value of soup comes from the ease with which your body can assimilate the nutrients from the ingredients, which have been broken down by simmering.
Here are some healing soup tips that will preserve your wellness and longevity:
1. Lose weight with soup
Obesity is on the rise throughout the industrialized world, resulting in a startling increase in the rates of heart disease, stroke, cancer, and diabetes. You can count yourself out of the statistics if you eat a bowl of soup at least once a day. Nutritious low-salt soups will nourish you as they flush excess wastes from your body. It has been found that people who eat one serving of soup per day lose more weight than those who eat the same amount of calories, but don’t eat soup. Homemade soup is your best bet, because canned soups tend to be loaded with salt and chemicals. My advice is to use organic vegetables whenever possible. The herbicides and pesticides that can be present in conventional produce can assault the immune system and overload it with toxins.
2. Build your immunity
Your immune system needs a lot of minerals to function properly and the typical Western diet does not always hit the mark. When you slowly simmer foods over low heat, you gently leach out the energetic and therapeutic properties of the foods, preserving the nutritional value of the foods. Keep in mind that boiling can destroy half of the vitamins found in vegetables, so cook soup over a low heat.
Immune-Boosting Soup
Simmer these ingredients for 30 minutes: cabbage, carrots, fresh ginger, onion, oregano, shiitake mushrooms (if dried, they must be soaked first), the seaweed of your choice, and any type of squash in chicken or vegetable stock. Cabbage can increase your body’s ability to fight infection, ginger supports healthy digestion, and seaweed cleanses the body. Shiitake mushrooms contain coumarin, polysaccharides, and sterols, as well as vitamins and minerals that increase your immune function, and the remaining ingredients promote general health and well-being. Eat this soup every other day to build a strong and healthy immune system.
3. Detoxify your body
As a liquid, soup is already helping you flush waste from your body. When you choose detoxifying ingredients, such as the ones featured in the recipe below, you are really treating your body to an internal cleanse. The broth below boasts many benefits: it supports the liver in detoxification, increases circulation, reduces inflammation, and replenishes your body with essential minerals.
Super Detoxifying Broth
Simmer the following for 1–2 hours over a low flame: anise, brussels sprouts, cabbage, Swiss chard, cilantro, collards, dandelion, fennel, garlic, ginger, kale, leeks, shiitake mushrooms, mustard greens, daikon radish, seaweed, turmeric, and watercress. Drink 8 to 12 ounces twice a day. You can keep this broth in your fridge for up to one week; however, it is always best to serve soups when fresh because each day, the therapeutic value decreases.
In addition to using cleansing herbs in soups, you can take cleansing herbs in supplements. For a gentle but powerful cleanse using Chinese herbs, Internal Cleanse increases the ability of the liver to cleanse the body of internal and environmental toxins.
4. Warm up with a hearty soup
You always want to eat for the season. Soups provide something the body craves in cold weather. When you cook foods into a soup, you are adding a lot of what Chinese nutrition would call “warming energy” into the food. Warming foods to feature in your soups include: leeks, onions, turnips, spinach, kale, broccoli, quinoa, yams, squash, garlic, scallions, and parsley. As a spice, turmeric aids with circulation, a great boost against the cold weather.
5. Get well faster
As you mother may have instinctively known, when you are sick, there is no better healing food than soup. The reason for this is that soups and stews don’t require as much energy to digest, freeing your body up to fight the infection.
It would be impossible to talk about soup’s healing abilities without putting the spotlight on homemade chicken noodle soup. Studies have found that chicken noodle soup does seem to relieve the common cold by inhibiting inflammation -- helping to break up congestion and ease the flow of nasal secretions.
While chicken soup may not cure a cold outright, it does help alleviate some of the symptoms and can help as a preventative measure. Many of my patient’s keep the herbal formula Cold & Flu in their medicine cabinets so its there to support recovery when a cold strikes.
In Chinese medicine, you would traditionally be given a tonic soup specifically tailored to your needs, and for that level of personal care, it is a good idea to consult a health practitioner knowledgeable in Chinese nutrition.
I hope you have gotten a taste of the healing power of soup! I invite you to visit often and share your own personal health and longevity tips with me.
May you live long, live strong, and live happy!
—Dr. Mao
This blog is meant to educate, but it should not be used as a substitute for personal medical advice. The reader should consult his or her physician or clinician for specific information concerning specific medical conditions. While all reasonable efforts have been made to ensure that all information presented is accurate, as research and development in the medical field is ongoing, it is possible that new findings may supersede some data presented
By Dr. Maoshing Ni - Posted on Fri, Jan 15, 2010, 5:59 pm PST
Dr. Mao's Secrets of Longevity
by Dr. Maoshing Ni a Yahoo! Health Expert for Alternative Medicine
VISIT ALTERNATIVE MEDICINE HOME »
MORE BY THIS EXPERT
• Soup Therapy: Detoxify, Lose Weight, and Boost Immunity
• 5 Secrets to Winter Health and Energy
• 3 Healthy Life-Changing Goals for 2010
The healing power of soup: something that both scientists and grandmothers can agree on. From helping you lose weight to warming you up from the inside out to boosting your immunity, soup is a winter staple that you shouldn’t be without. Maybe that is one reason that it is celebrated this month with its very own National Soup Month. Here's a closer look at what you can do to benefit from soup's amazing healing powers.
The healing power of soup
An ancient Chinese proverb states that a good doctor uses food first, then resorts to medicine. A healing soup can be your first step in maintaining your health and preventing illness. The therapeutic value of soup comes from the ease with which your body can assimilate the nutrients from the ingredients, which have been broken down by simmering.
Here are some healing soup tips that will preserve your wellness and longevity:
1. Lose weight with soup
Obesity is on the rise throughout the industrialized world, resulting in a startling increase in the rates of heart disease, stroke, cancer, and diabetes. You can count yourself out of the statistics if you eat a bowl of soup at least once a day. Nutritious low-salt soups will nourish you as they flush excess wastes from your body. It has been found that people who eat one serving of soup per day lose more weight than those who eat the same amount of calories, but don’t eat soup. Homemade soup is your best bet, because canned soups tend to be loaded with salt and chemicals. My advice is to use organic vegetables whenever possible. The herbicides and pesticides that can be present in conventional produce can assault the immune system and overload it with toxins.
2. Build your immunity
Your immune system needs a lot of minerals to function properly and the typical Western diet does not always hit the mark. When you slowly simmer foods over low heat, you gently leach out the energetic and therapeutic properties of the foods, preserving the nutritional value of the foods. Keep in mind that boiling can destroy half of the vitamins found in vegetables, so cook soup over a low heat.
Immune-Boosting Soup
Simmer these ingredients for 30 minutes: cabbage, carrots, fresh ginger, onion, oregano, shiitake mushrooms (if dried, they must be soaked first), the seaweed of your choice, and any type of squash in chicken or vegetable stock. Cabbage can increase your body’s ability to fight infection, ginger supports healthy digestion, and seaweed cleanses the body. Shiitake mushrooms contain coumarin, polysaccharides, and sterols, as well as vitamins and minerals that increase your immune function, and the remaining ingredients promote general health and well-being. Eat this soup every other day to build a strong and healthy immune system.
3. Detoxify your body
As a liquid, soup is already helping you flush waste from your body. When you choose detoxifying ingredients, such as the ones featured in the recipe below, you are really treating your body to an internal cleanse. The broth below boasts many benefits: it supports the liver in detoxification, increases circulation, reduces inflammation, and replenishes your body with essential minerals.
Super Detoxifying Broth
Simmer the following for 1–2 hours over a low flame: anise, brussels sprouts, cabbage, Swiss chard, cilantro, collards, dandelion, fennel, garlic, ginger, kale, leeks, shiitake mushrooms, mustard greens, daikon radish, seaweed, turmeric, and watercress. Drink 8 to 12 ounces twice a day. You can keep this broth in your fridge for up to one week; however, it is always best to serve soups when fresh because each day, the therapeutic value decreases.
In addition to using cleansing herbs in soups, you can take cleansing herbs in supplements. For a gentle but powerful cleanse using Chinese herbs, Internal Cleanse increases the ability of the liver to cleanse the body of internal and environmental toxins.
4. Warm up with a hearty soup
You always want to eat for the season. Soups provide something the body craves in cold weather. When you cook foods into a soup, you are adding a lot of what Chinese nutrition would call “warming energy” into the food. Warming foods to feature in your soups include: leeks, onions, turnips, spinach, kale, broccoli, quinoa, yams, squash, garlic, scallions, and parsley. As a spice, turmeric aids with circulation, a great boost against the cold weather.
5. Get well faster
As you mother may have instinctively known, when you are sick, there is no better healing food than soup. The reason for this is that soups and stews don’t require as much energy to digest, freeing your body up to fight the infection.
It would be impossible to talk about soup’s healing abilities without putting the spotlight on homemade chicken noodle soup. Studies have found that chicken noodle soup does seem to relieve the common cold by inhibiting inflammation -- helping to break up congestion and ease the flow of nasal secretions.
While chicken soup may not cure a cold outright, it does help alleviate some of the symptoms and can help as a preventative measure. Many of my patient’s keep the herbal formula Cold & Flu in their medicine cabinets so its there to support recovery when a cold strikes.
In Chinese medicine, you would traditionally be given a tonic soup specifically tailored to your needs, and for that level of personal care, it is a good idea to consult a health practitioner knowledgeable in Chinese nutrition.
I hope you have gotten a taste of the healing power of soup! I invite you to visit often and share your own personal health and longevity tips with me.
May you live long, live strong, and live happy!
—Dr. Mao
This blog is meant to educate, but it should not be used as a substitute for personal medical advice. The reader should consult his or her physician or clinician for specific information concerning specific medical conditions. While all reasonable efforts have been made to ensure that all information presented is accurate, as research and development in the medical field is ongoing, it is possible that new findings may supersede some data presented
Wednesday, January 20, 2010
RISIKO OBESITY/kegemukan
Source: CDC/NCHS, Health, United States, 2006
Q: What is the mortality rate associated with obesity?
A: Most studies show an increase in mortality rates associated with obesity. Individuals who are obese have a 10- to 50-percent increased risk of death from all causes, compared with healthy weight individuals (BMI 18.5 to 24.9). Most of the increased risk is due to cardiovascular causes.[1] Obesity is associated with about 112,000 excess deaths per year in the U.S. population relative to healthy weight individuals.[9]
Top
Q: What is the mortality rate associated with obesity?
A: Most studies show an increase in mortality rates associated with obesity. Individuals who are obese have a 10- to 50-percent increased risk of death from all causes, compared with healthy weight individuals (BMI 18.5 to 24.9). Most of the increased risk is due to cardiovascular causes.[1] Obesity is associated with about 112,000 excess deaths per year in the U.S. population relative to healthy weight individuals.[9]
Top
Complex Weight-Loss Plans Erode Dieters'
Bacalah artikel ini, bezanya produk kami SLIM DIET II ialah ianya simple -makan seperti biasa (cuma kurangkan karbohidrat) dan ambil meal supplement SLIM DIET 4 kali sehari disamping breakfast, lunch, minum petang dan malam.
Pasti turun berat badan anda!
Pasti turun berat badan anda!
Complex Weight-Loss Plans Erode Dieters'
TUESDAY, Jan. 19 (HealthDay News) -- The more complex a person's diet plan, the sooner the person will abandon it, a new study finds.
The finding came from a study of 390 German women who were using one of two diet plans. The simpler plan provided shopping lists for dieters and a meal plan they were to follow. The more complex plan assigned point values to every food and instructed participants to eat only a certain number of points each day.
The women completed questionnaires over an eight-week span.
"For people on a more complex diet that involves keeping track of quantities and items eaten, their subjective impression of the difficulty of the diet can lead them to give up on it," Peter Todd, a professor in the department of psychological and brain sciences at Indiana University, said in a university news release.
The effect endured even after the researchers accounted for the influence of significant social-cognitive factors such as self-efficacy -- people's belief that they're capable of achieving a goal, such as adhering to a diet regimen to lose weight.
"Even if you think you can succeed, thinking that the diet is too cognitively complex can undermine your efforts," the study's co-author, Jutta Mata, a psychology professor at Stanford University, explained in the news release.
The study was published online in Appetite.
Mata suggested that people considering going on a diet should look at a number of diet plans and consider how many rules a plan has and how many things a dieter needs to keep in mind while using the plan.
"If they decide to go with a more complex diet, which could be more attractive, for instance, if it allows more flexibility, they should evaluate how difficult they find doing the calculations and monitoring their consumption," she said. "If they find it very difficult, the likelihood that they will prematurely give up the diet is higher, and they should try to find a different plan."
More information
The U.S. National Institute of Diabetes and Digestive and Kidney Diseases has suggestions for selecting a weight-loss program.
Monday, January 11, 2010
Menonton TV mungkin memendekkan Usia Anda
TV Watching May Shorten Your Life
Too much sitting raises your risk of dying from heart disease, researchers say By Steven Reinberg
HealthDay Reporter
MONDAY, Jan. 11 (HealthDay News) -- Every hour spent watching TV each day may increase your risk of an early death from cardiovascular disease by as much as 18 percent, Australian researchers say.
What's on the television is not the problem; it's the time spent sitting while watching.
"This research provides another clear link between too much sitting and death from disease," said lead researcher David Dunstan, head of the Physical Activity Laboratory at the Baker IDI Heart and Diabetes Institute in Victoria.
"The findings have serious implications for Americans and Australians when you consider that aside from sleeping, watching television is the behavior that occupies activity of four hours viewing a day," he added.
The good news is research has shown that moving the muscles frequently throughout the day is one of the most effective ways of managing weight and protecting against disease, Dunstan added.
"We tend to underestimate the value of incidental, non-sweaty activity throughout the day when we are either not sleeping or exercising -- the more you move, the greater the benefits for health," he noted.
Dunstan pointed out that while obesity can add to these problems, even normal-weight people can have increases in blood sugar and cholesterol if they sit too much.
The report was released online Jan. 11 in advance of publication in an upcoming print issue of Circulation.
For the study, Dunstan's team collected data on the lifestyles of 8,800 healthy men and women aged 25 years and older. In addition to lifestyle habits, the researchers tested participants' cholesterol and blood sugar levels. Over more than six years of follow-up, 284 people died. Among these deaths, 87 were due to cardiovascular disease and 125 from cancer.
The participants were grouped into three TV-watching categories: those who watched less than two hours a day; those who watched two to four hours a day; and those who watched more than four hours a day.
The researchers found that every hour of daily TV watching increased the risk of dying from any cause by 11 percent. For cardiovascular diseases the increased risk was 18 percent, and for cancer it was 9 percent. Compared with those who watched less than two hours per day, those who watched TV for more than four hours each day had an 80 percent increased risk of dying early from cardiovascular disease and a 46 percent increased risk of dying from any cause.
The association between TV watching and death remained even when the researchers took into account risk factors for cardiovascular disease such as smoking, high blood pressure, high cholesterol, unhealthy diet, excessive weight and exercise.
Although the study was done in Australia, the findings are applicable to Americans, Dunstan said. Average daily television watching is about three hours in Australia and the United Kingdom, and up to eight hours in the United States, where many people are either overweight or obese, he noted.
"What we are now starting to understand is that the risks associated with sedentary behavior are not necessarily offset by doing more exercise," Dunstan said.
"In other words, irrespective of how much exercise you do, if you sit watching television for four hours on a daily basis you still have a substantially increased risk of early death from all causes and a much greater risk of cardiovascular disease," he said.
Experts agreed that to stay healthy you need to keep on the move.
Dr. Gregg C. Fonarow, a professor of cardiology at the University of California, Los Angeles, said that "regular exercise has been consistently demonstrated to result in improved cardiovascular health and lower risk of heart attacks, stroke, diabetes and premature death."
He added that "reducing time spent inactive may be of benefit in reducing the risk of cardiovascular disease and should be considered as part of a comprehensive approach to improve cardiovascular health."
David Bassett Jr., a professor of health and exercise science at the University of Tennessee, said that "when one looks at time trends in physical activity over the past century, it is clear that people are doing more structured, purposeful exercise than before."
However, what has changed is that people are doing less walking, household chores and manual labor than in the past, he said. "We are also spending more time in sedentary activities like television watching, computer use and desk jobs," Bassett explained.
"This study adds to a growing body of evidence that the amount of time spent in sedentary activity, as distinct from the amount of time spent in purposeful exercise, can affect your health," he said.
More information
Too much sitting raises your risk of dying from heart disease, researchers say By Steven Reinberg
HealthDay Reporter
MONDAY, Jan. 11 (HealthDay News) -- Every hour spent watching TV each day may increase your risk of an early death from cardiovascular disease by as much as 18 percent, Australian researchers say.
What's on the television is not the problem; it's the time spent sitting while watching.
"This research provides another clear link between too much sitting and death from disease," said lead researcher David Dunstan, head of the Physical Activity Laboratory at the Baker IDI Heart and Diabetes Institute in Victoria.
"The findings have serious implications for Americans and Australians when you consider that aside from sleeping, watching television is the behavior that occupies activity of four hours viewing a day," he added.
The good news is research has shown that moving the muscles frequently throughout the day is one of the most effective ways of managing weight and protecting against disease, Dunstan added.
"We tend to underestimate the value of incidental, non-sweaty activity throughout the day when we are either not sleeping or exercising -- the more you move, the greater the benefits for health," he noted.
Dunstan pointed out that while obesity can add to these problems, even normal-weight people can have increases in blood sugar and cholesterol if they sit too much.
The report was released online Jan. 11 in advance of publication in an upcoming print issue of Circulation.
For the study, Dunstan's team collected data on the lifestyles of 8,800 healthy men and women aged 25 years and older. In addition to lifestyle habits, the researchers tested participants' cholesterol and blood sugar levels. Over more than six years of follow-up, 284 people died. Among these deaths, 87 were due to cardiovascular disease and 125 from cancer.
The participants were grouped into three TV-watching categories: those who watched less than two hours a day; those who watched two to four hours a day; and those who watched more than four hours a day.
The researchers found that every hour of daily TV watching increased the risk of dying from any cause by 11 percent. For cardiovascular diseases the increased risk was 18 percent, and for cancer it was 9 percent. Compared with those who watched less than two hours per day, those who watched TV for more than four hours each day had an 80 percent increased risk of dying early from cardiovascular disease and a 46 percent increased risk of dying from any cause.
The association between TV watching and death remained even when the researchers took into account risk factors for cardiovascular disease such as smoking, high blood pressure, high cholesterol, unhealthy diet, excessive weight and exercise.
Although the study was done in Australia, the findings are applicable to Americans, Dunstan said. Average daily television watching is about three hours in Australia and the United Kingdom, and up to eight hours in the United States, where many people are either overweight or obese, he noted.
"What we are now starting to understand is that the risks associated with sedentary behavior are not necessarily offset by doing more exercise," Dunstan said.
"In other words, irrespective of how much exercise you do, if you sit watching television for four hours on a daily basis you still have a substantially increased risk of early death from all causes and a much greater risk of cardiovascular disease," he said.
Experts agreed that to stay healthy you need to keep on the move.
Dr. Gregg C. Fonarow, a professor of cardiology at the University of California, Los Angeles, said that "regular exercise has been consistently demonstrated to result in improved cardiovascular health and lower risk of heart attacks, stroke, diabetes and premature death."
He added that "reducing time spent inactive may be of benefit in reducing the risk of cardiovascular disease and should be considered as part of a comprehensive approach to improve cardiovascular health."
David Bassett Jr., a professor of health and exercise science at the University of Tennessee, said that "when one looks at time trends in physical activity over the past century, it is clear that people are doing more structured, purposeful exercise than before."
However, what has changed is that people are doing less walking, household chores and manual labor than in the past, he said. "We are also spending more time in sedentary activities like television watching, computer use and desk jobs," Bassett explained.
"This study adds to a growing body of evidence that the amount of time spent in sedentary activity, as distinct from the amount of time spent in purposeful exercise, can affect your health," he said.
More information
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