Diabetes can cause gum disease and tooth decay

Though it's commonly known that diabetes can affect organ function and eyesight, an oral-health expert points out that the disease can also cause tooth decay and gum disease.

"Diabetics with uncontrolled glucose levels tend to develop more gum disease and may lose more teeth than diabetics who have good control of their glucose levels," writes Dr. John Novak, associate director of University of Kentucky's Center for Oral Health Research, in an op-ed piece for the Lexington Herald-Leader. A high carbohydrate/sugar diet can also lead to high levels of sugar in the blood, which can hamper the way the body deals with infection, he writes. Gum disease may be the result because the gums are inflamed by the increased levels of bacteria living in the mouth.

Diabetes can also cause dry mouth, which "creates the perfect environment for the growth of bacterial plaque and for fungal infections such as thrush," he writes. To avoid these problems, Novak recommends brushing teeth and gums twice a day with a fluoride toothpaste, flossing every day and using fluoride mouth wash before going to bed.

Signs of tooth decay or gum disease include tender gums that bleed easily when brushing or flossing; teeth sensitive to hot or cold temperatures; loose or broken teeth; sores, ulcers or a burning sensation in the mouth; and bad breath or a bad taste. (Read more)

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Body-mass index fails to identify some as obese, mainly women

Many Americans, particularly women, are actually obese though they think their weight is healthy because of weaknesses in the body-mass index formula.

A study comparing people's BMIs to a blood test and body scan found that the height-to-weight ratio formula was wrong in half of women and 1 in 4 men.

"It's commonly acknowledged that the BMI can produce inaccurate results for athletes and others with a lot of muscle mass,"  Misti Crane reports for The Columbus Dispatch . "But this research illuminates a problem on the other end of the scale: people who think they're fine but are carrying a lot of fat and little muscle."

"Particularly women, as they age, their muscles become inserted with fat, even though they stay thin and beautiful in a dress," said Dr. Eric Braverman, a New York physician who co-wrote the study.

Braverman and co-author New York State Health Commissioner Nirav R. Shah propose that the BMI cutoff for determining obesity should be 24 for women and 28 for men. Now, it's 30 for both sexes. "They also say that doctors should consider blood tests to measure leptin, a hormone that goes up with increased body fat, and DXA scans. The scans are commonly used to assess bone density but can be used to analyze body fat," Crane reports.

Though experts know the BMI calculation is not perfect, there is one major advantage: It's free. "You have to understand that BMI is an estimate of fatness, it's not a measure of fatness. But there are very few screening-tool estimates we have that are as simple to use," said Dr. Patricia Choban, medical director of the bariatric-surgery problem at Mount Carmel West Hospital. (Read more)

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Obesity adds more health-care costs than smoking, study finds

Obesity costs the health care system more than smoking does, a new study has found. The annual health costs for someone who is obese average $1,850 more than for a person a normal weight. The excess costs were up to $5,500 per year for people who are morbidly obese. Smokers' health costs averaged $1,275 more than those of nonsmokers.

Researchers studied the additional costs "of smoking and obesity among more than 30,000 Mayo Clinic employees and retirees. All had continuous health insurance coverage between 2001 and 2007," reports research-reporting service Newswise. The findings were published in the Journal of Occupational and Environmental Medicine.

The additional costs associated with obesity appeared to be lower after they were adjusted for other related health problems. "This may lead to underestimation of the true incremental costs, since obesity is a risk factor for developing chronic conditions," said James P. Moriary and his fellow researchers. (Read more)

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Norton and UK HealthCare formalize the collaboration they announced almost a year and a half ago

UK HealthCare and Norton Healthcare have formalized the collaboration they announced almost a year and a half ago and will "focus on creating collaborations with hospitals across the state in stroke, cardiovascular and cancer care," Dr. Michael Karpf, executive vice president for health affairs at the University of Kentucky, announced today.

Said Steve Williams, president and CEO of Norton: "Our intent is to bring our combined health care expertise and resources into communities across the commonwealth to improve health-care outcomes."

The partnership will be in the form of a non-profit organization. The board of the Norton-UK HealthCare Partnership for Quality has already approved a budget of $595,000 to grow stroke outreach and education and launch programs to fight heart attacks and cancer, a press release says.

In late 2010, the two systems joined forces to create a statewide collaboration that addresses Kentucky's major health issues, including cancer, stroke and heart disease that stem from high obesity and smoking rates. Some of the accomplishments since the agreement include a transplant program, an effort to increase the number of obstetricians statewide; pharmacy education; and cancer care.

A competing collaboration, between the University of Louisville, Jewish Hospital and the Lexington-based St. Joseph Health System, is again trying to formalize its arrangement following rejection of a merger by state officials on grounds that University Hospital was a public institution that could not be bound by the Catholic system's restrictions on reproductive care.

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How to help your child lose weight? Lose weight yourself

If parents want to help their children lose weight, they should lose weight themselves, a new study shows.

"Parents are the most significant people in a child's environment, serving as the first and most important teachers," said Kerri N. Boutelle, associate professor of pediatrics and psychiatry at the University of California-San Diego. "They play a signifiant role in any weight-loss program for children, and this study confirms the importance of their example in establishing healthy eating and exercise behaviors for their kids."

Researchers analyzed 80 adults who were parent to a 8- to 12-year child who was either overweight or obese for five months. Some adults participated in a parent-only treatment program, while others were in a program designed for themselves and their child.

The study looked at "the impact of three types of parenting skills taught in family-based behavioral treatment for childhood obesity, and the impact of each on the child's body weight: the parent modeling behaviors to promote their own weight loss, changes in home food environment, and parenting style and techniques (for example, a parent's ability to help limit the child's eating behavior, encouraging the child and participating in program activities)," reports research-reporting service Newswise. (Read more)

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Kentucky ranked sixth in nation for obesity, fourth in high blood pressure, second for diabetes

A new report shows 29.5 percent of Kentuckians are obese, sixth highest in the nation. The state ranked second in the nation for the highest percentage of diabetes, with 13.7 percent of Kentucky residents diagnosed with the disease, and fourth in high blood pressure, at 36.3 percent.

According to the Gallup-Healthways Well-Being Index, West Virginia had the highest rates of obesity (35.3 percent),  diabetes (15.7 ) and high blood pressure (38.9) in the country. Colorado had the lowest, with 18.5, 6.8 and 22.6, respectively. Colorado "is the only state where fewer than 20 percent of adults are obese," reports Elizabeth Mendes for Gallup. West Virginia's obesity rate is the highest for any state since the study began in 2008.

The survey asked respondents if they had been diagnosed with diabetes or hypertension. to measure obesity, "participants were asked to report their height and weight, allowing Gallup to calculate their body mass index," reports The Huffington Post. A person with a BMI of 30 or higher is considered obese. (Read more)

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Single best thing we can do for our health is exercise

In an innovative video that draws a complete picture of the answer, Dr. Mike Evans asks the question "What is the single best thing we can do for our health?"

It turns out that whether a person wants to reduce the risk of knee arthritis, dementia, Alzheimer's, diabetes, hip fractures, anxiety, depression, fatigue and low quality of life, the key is exercise.

"The best thing you can do for your health is to spend half an hour being active," said Evans, an associate professor of family medicine and public health at the University of Toronto. "Low fitness was the strongest predictor of death."

The 9-minute video is worth a watch.

Happily, a survey shows more doctors like Evans are telling their patients to get out and exercise. Nearly 33 percent of adults who went to the doctor in the previous year said their doctor told them to be more physically active. In 2000, just 23 percent did, the survey by the Centers for Disease Control and Prevention showed.

The survey found more women were told to do so than men, reports Mike Stobbe of The Associated Press. Of patients with chronic health issues, diabetics were told the most often. Cancer patients were least likely.

The widest margin of increase was in patients ages 85 and older. In 2000, just 15 percent were told by their doctors to exercise. In 2010, nearly 30 percent were. "It's very encouraging that doctors feel people at that age still have time to live and can make their health better," said Pat Barnes, a CDC health statistician who was the lead author of the report. (Read more)

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New federal rules on vending machines in schools are expected in the next few weeks

With new lunch standards set to kick in by next school year, the Obama administration is looking at its next target in the school food landscape: vending machines. New guidelines are expected to be released in the coming weeks "for foods that children can buy outside the cafeteria," reports Ron Nixon of The New York Times. Kentucky already has some rules in place, may get stronger as a result of the new guidelines. (NYT photo by Kirsten Luce)

Students eat from one-fifth to one-half of their daily diet at schools, and the Centers for Disease Control and Prevention report 20 percent of American children are obese. As of 2007 in Kentucky, more than 37 percent of children were either obese or overweight, a study by the National Conference of State Legislatures shows. The administration wants to ensure that students eat what is good for them and avoid becoming overweight, Nixon reports, but there is strong pushback from the food and beverage industries.

A study by the National Academy of Sciences reports that about $2.3 billion worth of snack food and drinks are sold each year in schools nationwide. Schools have a stake in the fight as well, with candy sold in fundraisers often used to help pay for sports, music and arts programs. In Kentucky, the changeover to water, lowfat milk and fruit juices caused a downturn in revenue from the machines, but in most cases it appears to have rebounded to earlier levels.

The forthcoming guidelines are unknown, but officials predict they will be similar to the changes in the school lunch program, which reduced sugar, salt and fat. Those changes were a compromise after a fight between health advocates and the food industry. Nancy Huehnergarth, executive director of the New York State Healthy Eating and Physical Activity Alliance, said she expects another fight. "I think the food and beverage industry is going to fight tooth and nail over these rules," she said.

In Kentucky, schools are not allowed to sell food that competes with the national school lunch and breakfast programs from the minute students arrive until 30 minutes after the last lunch period. Only water, 100 percent fruit juice, lowfat milk and any beverage that contains no more than 10 grams of sugar per serving are allowed to be sold in school vending machines, as per state mandate. There are no limits as to what foods or drinks that can be sold in fundraisers. (Read more)

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Journalists invited to apply for free, four-day obesity fellowship

Kentucky journalists wanting to expand their knowledge on obesity, one of the most critical and widespread health issues in the state and nation, should apply for the fellowship "Obesity Issues: The Complete Skinny on Why We're Getting Fatter, What it Means, and What We Can Do About It."

The four-day fellowship, a collaboration between the National Press Foundation and the Colorado Center for Health and Wellness, includes round-trip transportation to Denver, lodging and most food costs. The application deadline is Feb. 13. Sixteen fellows will be chosen.

Fellows will learn about the biology of obesity; environmental factors; the relationship between obesity and chronic diseases, including cardiovascular disease, disease and Alzheimer's; the economics of obesity; how the health-care system responds; why it's difficult to change behavior; and strategies for a healthier workforce.

Speakers include James O. Hill, executive director of the Colorado Center for Health and Wellness; D. John Peters, a leading nutrition and obesity researcher; and other scholars from the  University of Colorado. To apply, click here.

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Penny-per-ounce tax on sugar drinks could save $17 billion, cut consumption and prevent disease and death, academics say

More than $17 billion in medical costs over 10 years could be saved if sugared drinks were taxed at 1 cent per ounce, and it would prevent 95,000 cases of coronary heart disease, 8,000 strokes and 26,000 premature deaths, say researchers at Columbia University and the University of California.

The tax would mean an extra 12 cents per can or 20 cents per bottle, and would generate about $13 billion in annual tax revenue. The study, published in this month's HealthAffairs, found the consumption of sugary drinks, including soda, sports drinks like Gatorade and energy drinks like Red Bull, would be cut by 15 percent among adults ages 25 to 64.

"Even our conservative estimates show that a penny-per-ounce tax on sugar-sweetened beverages could substantially reduce the negative health and financial impacts of obesity, diabetes and cardiovascular disease," said Dr. Y. Claire Wang, assistant professor at the Mailman School of Public Health at Columbia  and lead author of the study. "Putting the money raised by the tax into efforts to prevent obesity and other health problems could potentially increase the impact of such a policy."

In 2009, Americans consumed 13.8 billion gallons of sugar-sweetened beverages, which translates to about 45 gallons per person. The average 20-ounce bottle of a sugar drink contains almost 17 teaspoons of sugar. (Read more)

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Kentucky is 43rd among the states in health rankings report

Kentucky is near the bottom of the list in a ranking that determines which states are the healthiest. It came in 43rd, up from 44th last year.

Kentucky's low ranking is attributed to its unusually high numbers of people who smoke, are obese, die of cancer and are hospitalized for preventable reasons, according to America's Health Rankings, funded by the United Health Foundation.

"As it has for the last decade, Mississippi was ranked 50th on this year's list, which was topped by Vermont at No. 1," Louisville's Business First reports.

"Kentucky's rank of 43rd is a reminder that, while are making progress, as Kentuckians we still have much to do to keep ill health from holding us down," said Susan Zepeda, president/CEO of the Foundation for a Healthy Kentucky. "The good news is there are many concerned civic leaders working to reduce rates of smoking and obesity in the state and keep young people from starting to smoke."

Highlights of the report show:

• While smoking has decreased from 30.5 percent to 24.8 percent of Kentucky adults in the past 10 years, 822,000 still smoke. Recently, Kentucky ranked 36th in the nation for its smoking cessation efforts.

• Almost 1.1 million Kentuckians are obese, 353,000 more than 10 years ago.

• Diabetes decreased from 11.5 percent to 10 percent of the populations in the past year, but there are still 322,000 adults in Kentucky with diabetes.

• In the past five years, the percentage of people without health insurance increased from 13 percent to 15.4 percent.

• In the past 10 years, the percentage of children living in poverty increased from 15.2 percent to 24.7 percent.

As for the entire country, overall health has not improved this year over 2010. "Between 1990 and 2000, the overall health of the nation ... improved by an average of 1.6 percent each year. After 2000, however, the upward trend slowed to 0.5 percent annually," until this year, Health.com reports.

"Physical activity, nutrition, and tobacco: If we could get people focused on those three, we could take a huge bite out of the chronic-disease epidemic," said Georges Benjamin, the executive director of American Public Health Association. "This is not an infinite list of things that people have to address."

America's Health Rankings has been assessing health data for the past 22 years, making it the longest-running health assessment report in the country. For its methodology, researchers look at four groups of health determinants: behaviors, such as smoking and obesity rates; community and environment, such as children living in poverty, violent crime and infectious disease; public and health policies, such as lack of health insurance and public health funding; and clinic care, such as prenatal care, the number of primary care physician and preventable hospitalization rates.

Each of these four determinants are intimately connected with one other, researchers contend. "For example, an initiative that addresses tobacco cessation requires not only efforts on the part of the individual but also support from the community in the form of public and health policies that promote non-smoking and the availability of effective counseling and care at clinics," the report reads.

Data sources include the Centers for Disease Control and Prevention; American Medical Association; Federal Bureau of Investigation; U.S. Census Bureau; and National Center for Health Statistics.

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The common 'fat gene' can be overcome with a little exercise

Even if they've inherited "the fat gene," people don't have to be overweight if they have a relatively small amount of physical activity, such as walking their dog, a study has found. (Getty Images photo)

The research, published this month in the journal of PLoS Medicine, reviewed dozens of studies about the fat mass and obesity-associated gene, which is very common. "By most estimates, about 65 percent of people of European and African descent and perhaps 44 percent of Asians carry some version of the FTO gene," reports Tara Parker-Pope of The New York Times.

But physical activity, even a small amount, may counter the effects of the gene, reducing reduced the effect of the FTO by 30 percent. "While that still leaves 70 percent of the potentially fat-encouraging effect of the gene intact, the consequences of physical activity on the workings of this single gene seem to be substantial enough to perhaps allow someone who otherwise would become seriously overweight to maintain a normal waistline," Parker-Pope reports.

Scientists are still stumped by how the FTO encourages weight gain, but know the gene is particularly active in the the regions of the brain "that regulate the balance of energy intake and expenditure," said Dr. Lu Qi, assistant professor in the department of nutrition at the Harvard School of Public Health. "The loss of energy balance is the basis of development of obesity."

Physical activity, though, my counteract that. "Biologically, it is possible these two factors, genes and physical activity, may interact in affecting energy balance," Qi said. And exercise might affect how the FTO gene works, influencing "whether it expresses certain proteins or remains quiet," Parker-Pope reports.

Though researchers are being cautiously optimistic, they hope the implications of the findings will be encouraging. "Often people feel that obesity runs in the family or that obesity is in their genes, and therefore feel they have no control over their weight issues," said Dr. Ruth Loos, a program leader at the Institute of Metabolic Science in Cambridge, England. "Our study shows that physical activity plays a role in weight control, even in those who are genetically predisposed." (Read more)

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The Halloween candy face-off: Real Simple magazine tries to answer which candy is healthier

A nutritional analysis by Real Simple magazine pitted favorite Halloween treats against one another to see which are healthier. While neither winner is necessarily good for you, the competition offers one way to choose the lesser of two evils. (Photo by Lucas Allen)

Snickers candy bars are a better choice than Reese's Peanut Butter Cups, Kate Rope reports for Real Simple. Snickers "contains less fat, less saturated fat, and 10 fewer calories per two pieces," said Cynthia Sass, coauthor of "The Ultimate Diet Log."

Peanut M&M's or Skittles? Skittles are lower in calorie count, but M&M's will make you feel full longer.

Selecting Kit Kat over Twix will "save you 20 calories and rack up less saturated fat and sodium," Sass said, though it's a toss-up between Candy Corn and Tootsie Rolls.

What about Butterfinger or York Peppermint Patties? "Butterfingers boast 200 calories, 8 grams of fat, and 100 milligrams of sodium," Rope reports. "Meanwhile, three mini York patties pack 150 calories, 3 grams of fat, and 15 milligrams of sodium."

Jolly Rancher beat out Starburst, though not because there is a significant difference in calorie count, but because Jolly Ranchers take longer to suck and you're not as likely to eat several in a row.

Ther survey found for SweeTarts over Smarties; Milky Way over PayDay; Almond Joy over Mounds; Bubble Yum ove rTootsie Pop; and the classic caramel apple vs. candy apple. (Read more)

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Combating childhood obesity reinvigorates Barren County Chamber of Commerce health committee

Combating childhood obesity has become the focus of the health-care committee of the Glasgow-Barren County Chamber of Commerce, a panel that had otherwise lost its drive.

The committee has started using the "We Can" childhood obesity prevention program, which has already been adopted by more than 1,000 communities nationwide. Designed for children 8 to 13, the program "offers a curriculum that can be used to teach parents about healthy eating," reports Gina Kinslow of the Glasgow Daily Times. The committee has now partnered with various organizations, including the Boys and Girls Club of Glasgow-Barren County, to get the word out and start educating parents.

"The 'We Can' education program provides parents and caregivers with tools, fun activities and more to help them encourage healthy eating, increased physical activity and reduced time sitting in from of the screen (TV or computer) in their entire family," said Kelly Lile Jenkins, director of the Boys and Girls Club. Nearly 1 in 6 American children between the ages of 2 and 19 are obese, an estimated to 12 million youth. Another 14.8 percent are overweight, committee chair Beverly Mortimer noted. (Read more)

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Teens who drink sugary beverages add 300 calories a day to their diet, national survey finds

American teens who drink pop, energy drinks like Red Bull and other sugar-based beverages like Gatorade are consuming an average of 327 calories a day, the equivalent of two and a half cans of cola, according to an analysis conducted by the National Center for Health Statistics, part of the Centers for Disease Control and Prevention.

Data also show half of Americans drink sugary drinks on any given day, reports Nanci Hellmich of USA Today. Teens and young adults are drinking more of them than any other age group. About 25 percent of people drink at least 200 calories from them. Another 5 percent of the population age 2 and older consume nearly 600 calories a day from these drinks.

"Sugar-sweetened beverages are the No. 1 single source of calories in the American diet and account for about half of all added sugars that people consume," said Rachel Johnson, spokeswoman for the American Heart Association. "These are empty calories with no health benefits," said Barry Popkin, a nutrition professor at the University of North Carolina-Chapel Hill.

The findings stem from the National Health and Nutrition Examination Survey, which studies the eating and drinking habits of Americans. The results are from more than 17,000 in-person interviews about dietary habits conducted from 2005 to 2008. Added calories can lead to obesity, which increases the risk of diabetes and heart disease. (Read more)

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Drivers at rest stops and welcome centers on Kentucky interstates and parkways will be reminded to eat healthy

When drivers on Kentucky roads stop at welcome centers or rest stops, they will now be reminded that picking up some baked potato chips, a pack of SnackWells or a Vitamin Water might be a wiser choice than a can of pop or chocolate bar.

Under an initiative called Healthier Highways, YMCA "Food Fight" posters will be placed at vending sites in 23 rest areas and welcome centers. The posters encourage healthy food choices at the point where people are making their purchase.

"Kentucky is the first state in the nation to promote healthier options at state-operated vending sites," said Joe Meyer, education and workforce development cabinet secretary. "We hope to serve as a model to the rest of the country."

Healthy choices make up 25 percent of the options in the vending machines, which are operated by the Office of the Blind's Kentucky Business Enterprises. The program trains people who are blind to be self-employed operators of snack bars, cafeterias and vending machines in Kentucky.

Kentucky has the seventh highest obesity rate nationwide and the fourth highest rate of childhood obesity, a press release from the Education and Workforce Development Cabinet notes. That is estimated to cost Kentucky more than $1 billion annually in health-care costs, the Kentucky Alliance of YMCAs reports. "Reversing this trend is going to require changes to the environment to facilitate healthier living," said Ben Reno-Weber, executive director of the Kentucky YMCA Youth Association. "It is going to require new ways of thinking about how people make health choices. And it's going to require changes in people's attitudes about food and exercise."

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Following advice to eat healthy is too expensive for many

Though the Department of Agriculture has recommended that most of a dinner plate should be filled with foods rich in potassium, dietary fiber, vitamin D and calcium, a new study says adopting such a diet "would add hundreds more dollars to (Americans') grocery bill," reports Donna Gordon Blankinship of The Associated Press.

Adding more potassium to one's diet alone could add $380 per year to the average person's food costs, a paper published in professional journal Health Affairs found. Lead researcher Pablo Monsivais, an assistant professor at the School of Public Health at the University of Washington, objected to how healthy eating is marketed, with ads showing a plate of salmon with green, leafy veggies and rice pilaf. Many Americans cannot afford to eat that way, he said.

He added some government policies are helping to cut down on the cost of fruit and vegetables, but some policies create problems. A state policy in Washington makes it difficult to buy potatoes with food assistance coupons, despite the fact that eating potatoes is an inexpensive way to gain potassium.

The study was based on a random telephone survey of about 2,000 adults in a county in Washington. It was followed up by a printed questionnaire, to which 1,300 people responded. Hilary Seligman, an assistant professor of medicine at the University of California, found the results eye-opening. A lot of people assume the poor eat cheap food because it tastes good, but they would make better choices if they could afford to, she said. (Read more)

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Overweight people tend to cluster with those who are likewise

The adage "birds of a feather flock together" seems to apply when it comes to the obesity, with a study concluding that overweight people tend to befriend others who are overweight. Obesity also tends to run in families, with obese parents raising obese children, research-reporting service Newswise reports.

The Arizona State University study didn't conclude why obese people tend to "cluster," but did provide "some important information about trends in obesity and the public health implications," said Dian and Tom Grisel, who wrote TurboCharged: Accelerate Your Fat Burning Metabolism, Get Lean Fast and Leave Diet and Exercise Rules in the Dust.

"Obese families and friends usually have two things in common: food choices and activity levels or more accurately, lack of activity. Obese parents tend to raise obese children. Obese family and friends hang out and eat the same kinds of detrimental foods and participate in the same kinds of detrimental habits," the Griesels said.

That has serious implications for Kentucky, which has the sixth highest obesity rate in the country. More than 67 percent of adult Kentuckians are either obese or overweight and Kentucky was one of just six states whose obesity rate has increased two years in a row, the recently-release report "F as in Fat" found.

Though people may tend to find others who are like-minded when it comes to food, that doesn't mean they want to be overweight. "Study participants revealed that if given the choice, they would select some pretty serious diseases like alcoholism, depression or herpes instead. In fact, 25.4 percent preferred sever depression and 14.5 percent actually preferring total blindness over obesity," Newswise reports. (Read more)

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Kentucky 6th in obesity; state rate rises for 2nd consecutive year

"It's official: Kentucky is a mecca for blubber," The Courier-Journal's Darla Carter reports. The state has the sixth highest rate of obese adults, is one of just six states whose obesity rate has risen for the second year in a row, and is one of a dozen states with above 30 percent. The findings are in the 2011 "F as in Fat" report released by the Trust for America's Health and the Robert Wood Johnson Foundation.

Kentucky's obesity rate is 31.5 percent. Mississippi had the highest rate with 34.4 percent and Colorado was lowest with 19.8 percent. The problem is biggest in the South, which has nine of the 10 fattest states; Michigan also ranks. Fifteen years ago, no state had an obesity rate of more than 15 percent, the report notes. "Today, the state with the lowest obesity rate would have had the highest rate in 1995," said Jeff Levi, executive director of the Trust for America's Health. "There was a clear tipping point in our national weight gain over the last 20 years, and we can't afford to ignore the impact obesity has on our health and corresponding health care spending."

The problem is largest for racial and ethnic minority adults — the obesity rate for blacks in Kentucky is over 43 percent — and for those with less education and lower incomes. Almost 33 percent of adults who didn't graduate from high school are obese, compared to 21.5 percent of people who have college or technical college degrees. More than 33 percent of adults who earn less than $15,000 per year were obese, compared to nearly 1 in 4 adults who earn at least $50,000 each year.

The obesity epidemic is having an effect on people's health. Since 1995, diabetes rates have doubled in eight states, including Kentucky. In 1995, Kentucky had a diabetes rate of 4.2 percent. Now it is 10.5 percent. The hypertension rate 15 years ago was 22.2 percent. Now it is 31.6 percent. (Read more)

The rates only reflect adults who are defined as obese, not overweight. Taking both figures into account means 67.1 percent of Kentucky adults are either obese or overweight. For county-by-county data, from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System and Kentucky Health Facts, click here.

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Weight gain after gastric bypass is common; study will see if post-operative supervision helps keep it off

Though 200,000 people undergo gastric bypass surgery to lose weight each year, more than half of patients put back on at least 20 percent of the weight they lost, research-reporting service Newswise reports. A new study will test whether supervising patients' exercise and food intake post surgery will help the pounds from creeping back on. This should be of more than passing interest in Kentucky, given our high nrate of obesity.

"You wouldn't invest $25,000 to remodel your home and not maintain it. Shocking as it may seem, follow-up on diet and exercise just isn't the norm with gastric bypass," said Gary D. Miller, who will head the study at Wake Forest University in North Carolina. "With so many people seeking gastric bypass each year, we can improve the long-term outcome of gastric bypass by keeping up with patients as they figure out their new lifestyle."

In the sixth-month study, one group of patients who recently underwent gastric bypass surgery will receive aerobic training, such as walking or cycling, and resistance training three days a week. They will also be supervised by an exercise psychologist and will be asked to document what they eat in a food diary, which will later be analyzed. They will additionally be encouraged to exercise at least two more days a week.

A second group will receive post-surgery care that is standard to gastric bypass patients. Generally, these patients receive guidance about diet and exercise, but their fitness levels and eating habits are not supervised. "This could show that surgery plus supervised exercise and diet might be the best, most efficient option for weight loss in obese and morbidly obese people," Miller said. (Read more)

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