Category Archives: Physical activity
Too Few Disabled Adults Participate in Physical Activities
Working-age adults with disabilities who get no aerobic physical activity are 50 percent more likely to have a chronic disease such as cancer, diabetes, stroke or heart disease than are their active peers, according to a Vital Signs report released today by the U.S. Centers for Disease Control and Prevention (CDC). Most adults with disabilities are able to participate in physical activity, yet nearly half (47 percent) of them get no aerobic physical activity. An additional 22 percent aren’t active enough. However, only about 44 percent of adults with disabilities who saw a doctor in the past year got a recommendation for physical activity.
The key findings of the report include:
- Working-age adults with disabilities are three times more likely to have heart disease, stroke, diabetes or cancer than are adults without disabilities.
- Nearly half of adults with disabilities get no aerobic physical activity, an important protective health behavior to help avoid these chronic diseases.
- Inactive adults with disabilities were 50 percent more likely to report at least one chronic disease than were active adults with disabilities.
- Adults with disabilities were 82 percent more likely to be physically active if their doctor recommended it.
- The CDC recommends that adults with disabilities talk to their doctor about how much and what kind of physical activity is right for them, and that doctors and other health professionals recommend options that fit each disabled patients. The agency has created a resource page to help health professionals direct disabled patients to fitness options.
Read more on physical activity.
>>Bonus Link: Read a NewPublicHealth interview with James Rimmer, director of the National Center on Health, Physical Activity and Disability.
HHS: Quality Improvement Efforts Saved 15,000 Lives, $4B in Health Spending
New data from the U.S. Department of Health and Human Services (HHS) indicates that quality improvements to the country’s health care system helped prevent nearly 15,000 deaths in hospitals, avoid 560,000 patient injuries and saved approximately $4 billion in health spending from 2011 to 2012. The preliminary data also indicates an overall nine percent decrease in hospital-acquired infections over that period. “We applaud the nationwide network of hospital systems and providers that are working together to save lives and reduce costs,” said HHS Secretary Kathleen Sebelius. “We are seeing a simultaneous reduction in hospital readmissions and injuries, giving patients confidence that they are receiving the best possible care and lowering their risk of having to be readmitted to the hospital after they get the care they need.” Read more on HHS.
AAP: Drunk Driving Remains a Significant Safety Threat for U.S. Children
Despite improvements in safety efforts and the data, motor vehicle crashes remain a leading cause of death for U.S. children and in approximately 20 percent of the deaths at least one of the drivers is legally drunk, according to a new study in the journal Pediatrics. Researchers examined National Highway Traffic Safety Administration data of children under age 15 who were killed in a traffic crash between 2001 and 2010. The study determined that child deaths with an alcohol-impaired driver decreased by 41 percent over that period, with a total of 2,344 victims. Researchers also determined that 61 percent of impaired drivers were unrestrained at the time of the crash and one-third did not have a valid driver’s license. The researchers said that communities need to “urge states and communities to target efforts at protecting children from impaired drivers and increasing use of age- and size-appropriate restraints for child passengers,” according to a release from the American Academy of Pediatricians. Read more on alcohol.
In the wake of disasters communities often share stories of resiliency, not just to show how far they have come, but to model for others the critical need for an infrastructure of planning and preparedness when disaster hits. When the bombs went off at the Boston Marathon last year, Achilles International, a non-profit group that pairs able-bodied runners with disabled people, already had a chapter in place in the Boston area.
The group reached out using social media, as well as bright yellow banners and shirts during twice-weekly training sessions along the Charles River, to help attract attention and encourage Bostonian volunteers and potential athletes to join up. One survivor did. Thirty-one-year old Mery Daniel, a single mother of a five-year-old, who is close to completing her medical boards to become a general practitioner physician, lost one leg and suffered damage to the other during the blast. She joined up with Achilles and ran its 5K Hope and Possibility race—her first race ever—using a hand cycle last June.
The community rallying around the Boston Marathon over the last year has resulted in several new competitors joining up to compete in the Boston Marathon. A team of thirty differently abled Achilles runners, each with at least one guide for the race, will be wearing yellow Achilles shirts in today’s marathon. Their disabilities—ranging from Dwarfism and scoliosis to visual impairment—have not held them back.
“The stories about the survivors’ recoveries brought attention to the fact that people with disabilities have opportunities to do things they enjoy and learn new skills,” said Eleanor Cox, director of chapter development for Achilles. “So when the chapter put extra effort this past year into outreach through social media, word of mouth and the bright yellow banners on the Charles—matched up with people wanting to volunteer and people with disabilities wondering what was possible—it turned a previously quieter Achilles chapter into a strong one. Boston Strong.”
>>Bonus Link: Read more from Boston Marathon Survivor Adrianne Haslet-Davis on Recovery, Care, and Collaboration on the RWJF Culture of Health blog.
One in Four Teen Births Are Among Younger Teens Ages 15 to 17
While births to younger teens ages 15 to 17 years have declined, they still represent over a quarter of teen births and nearly 1,700 births a week, according to this month’s Vital Signs, the monthly health indicator report from the U.S. Centers for Disease Control and Prevention (CDC). “Although we have made significant progress reducing teen pregnancy, far too many teens are still having babies,” said CDC Director Tom Frieden, MD, MPH. “Births to younger teens pose the greatest risk of poor medical, social and economic outcomes. Efforts to prevent teen childbearing need to focus on evidence-based approaches to delaying sexual activity and increasing use of the most effective methods of contraception for those teens who are sexually active.” Read more on sexual health.
Study: Rural Girls Get More Daily Exercise than Those in Suburban, Urban Communities
While the level of urbanicty—whether they live in rural, suburban or urban communities—does not seem to affect boys’ levels of moderate-to-vigorous physical activity, there is a noticeable effect for girls, according to a new study in the American Journal of Preventive Medicine. Researchers determined that girls from rural areas are 4.6 times more likely than those in suburban areas and 2.8 times more likely than those in urban areas to exceed the national physical activity recommendation of 60 or more minutes of moderate-to-vigorous physical activity each day. The study tracked the daily activity of a random selection of 1,354 youth in 20 counties in North Carolina. Read more on physical activity.
Study: Mentions of Alcohol Brands in Popular Music Increase Youth Alcohol Use
The average young person in the United States hears approximately eight alcohol brand names each day while listening to music, increasing the risk they will use and abuse alcohol, according to a new study in the journal Alcoholism: Clinical & Experimental Research. Using information collected from more than 3,400 males and females ages 15 to 23, researchers determined that the average youth in that age group listens to 2.5 hours of music per day, with 3-4 brand mentions each hour. Lisa Henriksen, senior research scientist at the Stanford Prevention Research Center, called the findings “worrisome” in a release. "It would be foolish to think that the alcohol industry is unaware of and uninvolved with alcohol-brand mentions in music," said Henriksen. "The strategy of associating products with hip culture and celebrities who are attractive to youth comes straight from a playbook written by the tobacco industry." Approximately 39 percent of U.S. teens are current drinkers and about 22 percent are binge drinkers, according to the U.S. Centers for Disease Control and Prevention. Read more on alcohol.
Why walk? Well, today’s a good day to walk because it’s National Walking Day, an event hosted by the American Heart Association (AHA). And also every day is a good day to walk because research from the AHA finds that thirty minutes of walking each day had health benefits that include:
- Weight loss
- Lower blood pressure
- Reduced risk of heart disease and diabetes
- Increased well being
Walking, like other forms of exercise, releases endorphins linked to reduced depression and increased happiness—which certainly seems to be the case for the folks in the video PSA, Just Walk!, from the American Heart Association.
- National Walking Day
- 2013 Vital Signs report on the benefits of walking from the Centers for Disease Control and Prevention
“College is certainly a different experience today than it was in my day,” said an audience participant at a panel discussion late last week on campus health initiatives at the Partnership for a Healthier America summit in Washington, D.C. The partnership is a nonprofit that includes health leaders working on childhood obesity issues.
The college health panel, moderated by former U.S. Health and Human Services Secretary Donna Shalala, who is the president of the University of Miami and co-chair of the Bipartisan Policy Center’s Nutrition and Physical Activity Initiative, included Lynn R. Goldman, dean of the George Washington School of Public Health and Health Services; Beverly Daniel Tatum, president of Spelman College, a historically Black college in Atlanta; and Michael Goldstein, Associate Vice-Provost for the Healthy Campus Initiative, at the University of California, Los Angeles (UCLA).
A driving force behind health and wellness improvement initiatives on campus—including bike and walking paths, more staircases and smoking bans—is the opportunity to help students make changes that will last their lifetimes.
- At Spelman several years ago, Tatum canceled the schools’ competitive sports program—which was benefitting less than 5 percent of the 2,000-person student body—and replaced it with a “wellness revolution.” The campus-wide programs include “Body Fat Tuesday” weekly checks, new exercise equipment and a “PE for life” initiative that includes integrating such things as lunges and squats for students waiting for tennis courts to encourage greater physical activity.
- Changes at UCLA include a new restaurant, the Bruin Plate. Entrees—none more than 400 calories each—include root-vegetable tagine; a red-quinoa-and-sweet-potato burger with pineapple salsa; and chicken with dates, polenta and spinach. Side dishes have no more than 200 calories each and there are no French fries, traditional desserts, cured meats or heavily processed foods. The restaurant serves only calorie-free sodas and house-made infused waters with flavors such as pineapple-mango-hibiscus, vanilla-peach and butternut squash. Desserts have been overhauled and include seasonal fruit with balsamic sauces and lower-calorie quick breads.
- Changes on the George Washington University campus, which is just blocks from the White House, include indoor and outdoor bike racks, four bike rental stations, widened pathways and changes at the Food Court to include many healthier options. Goldman says that since the school is in the middle of the city, rather than a closed campus, many of the changes were also aimed at benefitting the community residents.
“A lot has changed since campuses were filled with cigarette smoke and offered just a single dining hall with a set menu,” said Shalala. “We have a captive audience, and campuses are good places to learn healthy habits.” Recent changes at the University of Miami include more visible staircases and signage pointing to the stairs; widened walkways for walking and biking; bike repair stations; outdoor fitness equipment; and farmer’s markets.
CDC: H1N1 Flu Killing at Epidemic Levels
The H1N1 flu virus has been killing at epidemic levels since mid-January, according to new data from the U.S. Centers for Disease Control and Prevention (CDC). While flu is known to disproportionately affect the very young and very old, this strain—also known as the swine flu and the cause of the 2009 global pandemic that killed tens of thousands—has so far caused 243 deaths of residents younger than 65 this year in California alone, with an additional 41 unconfirmed cases. In the 2012-13 season there were 26 deaths at this point and in the 2011-12 season there were nine. According o the CDC the average age of someone diagnosed with flu this season is 28.5 years. “These severe flu outcomes are a reminder that flu can be a very serious disease for anyone, including young, previously healthy adults,” CDC spokesman Jason McDonald said to The Washington Post. Read more on influenza.
Teens Who Text About Condoms, Birth Control More Likely to Use Them
Teens who talk about condoms and other types of birth control over text message and other technology are more likely to use them, according to a new study in the Journal of Adolescent Health. Researchers studied 176 high school juniors and seniors, finding that half of the 64 who reported being sexually active also failed to use condoms consistently. According to the U.S. Centers of Disease Control and Prevention, close to 40 percent of the 47 percent of high school students who reported having sex did not use a condom the last time. However, the study found that students who texted or used other private electronic technology to discuss condoms or other forms of birth control were approximately four times more likely to use them. It also found that the odds of consistently using condoms doubled among students reporting discussions of pregnancy or sexual limits. "Although prior research and media attention has focused on the risks of technology use, like sexting, we found that adolescents might also use electronic tools to communicate about ways they might promote their sexual health," said study lead author Laura Widman, who studies adolescent sexuality at the University of North Carolina at Chapel Hill. "It's not all about risky behavior. It might be another way that teens can have these conversations that can be a little bit awkward.” Read more on sexual health.
Study: Average Obese Woman Gets Only One Hour of Vigorous Exercise Each Year
The average obese woman in the United States gets only one hour of vigorous exercise each year, and the average obese man gets only 3.6 hours, according to a new study in Mayo Clinic Proceedings. The study utilized the results of a 2005-2006 government survey of adults aged 20 to 74, which covered areas such as weight, diet and sleep patterns of the nearly 2,600 adults and use accelerometer devices to track their movements. The study defined "vigorous" exercise as fat-burning activities such as jogging and jumping rope. “They're living their lives from one chair to another," said Edward Archer, a research fellow with the Nutrition Obesity Research Center at the University of Alabama at Birmingham. "We didn't realize we were that sedentary. There are some people who are vigorously active, but it's offset by the huge number of individuals who are inactive." According to the U.S. Centers for Disease Control and Prevention (CDC), approximately one in three U.S. adults is obese, which increases the risk of cardiovascular problems such as heart disease and stroke, diabetes and some cancers. Read more on obesity.
Tips on a Healthy Super Bowl Sunday
Super Bowl Sunday usually also means super-sized portions of unhealthy foods. Knowing this side of the annual event, gastroenterology experts from NewYork-Presbyterian are offering advice on how to get through game day as healthy as possible. "Fats, spices and carbonated beverages are likely to wreak havoc on the gastrointestinal tract, if not at the time of ingestion, then in the hours that follow," said Christine Frissora, MD, a gastroenterologist at New York-Presbyterian Hospital/Weill Cornell Medical Center in New York City. "Pass on the junk food at the Super Bowl party and your body will thank you later.” Among the “do” and “don’t” tips:
- Avoid spicy foods, which can trigger irritable bowel syndrome, indigestion and acid reflux.
- Reduce dairy intake, or try cheeses that are low in lactose, including brie, parmesan and aged cheddar.
- Beans are challenging to digest, so limit intake.
- Avoid "high fiber" snacks, which can leave you feeling bloated.
- Reduce fat intake, which can lead to indigestion.
- Make sure you provide your guests with nutritional options, such as yogurt dip, nuts, fruits, multigrain or whole-grain crackers and chips, non-spicy guacamole, baked chicken or fish, salads, fresh vegetables, and water with lemon or citrus garnishes.
Read more on nutrition.
Study: One-third of Adults with Chronic Diseases Have Trouble Paying for Both Food and Medicine
One in three U.S. adults living with chronic diseases such as diabetes, arthritis or high blood pressure have difficulty paying for both food and their needed medications—and sometimes both—according to a new study in The American Journal of Medicine. Using data collected by the 2011 National Health Interview Survey, which covered almost 10,000 people ages 20 and older, researchers determined that people who had difficult affording food were also four times more likely to skip medications because of their cost. They also found that 23 percent took their medication less often than prescribed because of the cost, 19 percent reported difficulty affording food and 11 percent said they were having trouble paying for both food and medications. "This leads to an obvious tension between 'milk' or 'med,'" said Niteesh Choudhry, MD, who worked on the study at Brigham and Women's Hospital in Boston. "If you have a fixed income, should you treat or should you eat?" The researchers recommend that patients speak to their doctors about difficulties affording medications and look food assistance programs such as the Supplemental Nutrition Assistance Program (SNAP) and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), as well as food banks, for help with food. Read more on access to health care.
Exercise Can Help Relieve Stress of Work/Home Conflict
Increased exercise can help relieve stress over the conflict between balancing work and family life, according to a new study in the journal Human Resource Management. Utilizing a survey of 476 working adults who were asked about their exercise behavior and their confidence in handling work-family conflicts, researchers determined that people who engaged in regular exercise were also more confident in both their home and work environments. "If, for example, you go for a two-mile jog or walk 10 flights of steps at work and feel good about yourself for doing that, it will translate and carry over into other areas of life," said study author Russell Clayton, an assistant professor of management at Saint Leo University in Florida. "We found that [participants] who exercised felt good about themselves, that they felt that they could accomplish tough tasks, and that carried over into work and family life," Clayton added. Read more on physical activity.
Texting while walking can have a way of changing where we go...such as into a tree trunk or a fountain. However, a recent study in the journal PLOS ONE finds that texting also dramatically changes how we walk.
Researchers from the University of Queensland in Australia analyzed 26 health people while walking normally, while reading texts on a cell phone, and while writing a text themselves. They looked at speed and gait, as well as the positions of their heads, torso and arms.
They found that, essentially, when we walk and text we walk in a way that makes texting easier. That focus has a significant impact on our movements, which limits the health benefits of the physical activity.
“We walk much slower when handling a cell phone (even moreso while texting than reading), and we're not very good at sticking to a straight line. Not surprisingly, we tend to keep our heads down, our necks immobile, and our arms locked at our sides. We don't swing our arms, which can be a crucial part of staying balanced while moving.”
Read more at Atlantic Cities.
HHS to Form Committee to Address Children’s Needs in Disasters
The U.S. Department of Health and Human Services (HHS) is forming a new advisory committee to help meet the particular needs of children before, during and after a disaster or other public health emergency. The committee will seek to bring together experts from the scientific, public health and medical fields. HHS’s Office of the Assistant Secretary for Preparedness and Response (ASPR) also created the Children’s HHS Interagency Leadership on Disasters (CHILD) working group in 2010, which has so far increased interagency coordination and recommendations to improve lifesaving care for children in disasters; developed ways to mitigate the behavioral and psychological needs of children in disasters; and identification of medications and vaccines for children in emergencies. The deadline for nominations for committee membership is Feb. 14. Read more on disasters.
Study: Cold Weather May Help People Lose Weight
There’s at least one benefit to the frigid air currently blanketing much of the country—regular exposure to mild cold may help people lose weight and sustain healthier weights, according to a new study in the journal Trends in Endocrinology & Metabolism. However, that also means that the during the winter, when most buildings keep their temperature warmer, our body is working less to stay warm, so using less energy. "Since most of us are exposed to indoor conditions 90 percent of the time, it is worth exploring health aspects of ambient temperatures," said first author of the article Wouter van Marken Lichtenbelt of Maastricht University Medical Center in The Netherlands. "What would it mean if we let our bodies work again to control body temperature? We hypothesize that the thermal environment affects human health and more specifically that frequent mild cold exposure can significantly affect our energy expenditure over sustained time periods." Read more on obesity.
AHA, NFL App to Encourage Kids’ Physical Activity
The American Heart Association and the National Football League have released a new app, NFL Play 60, to encourage kids to get the full 60 minutes of daily recommended physical activity. In the interactive running experience, players dropped into a virtual world full of obstacles, and have to run, jump, pivot and turn in place to make their app character do the same and navigate the world. “One-third of U.S. children and adolescents are overweight or obese and at a higher risk for heart disease and stroke. Engaging young people in physical activity is one of the best ways to decrease their risk for heart disease,” said Mariell Jessup, MD, President of the American Heart Association. “We’re proud to partner with the NFL in developing an innovative way to reach adolescents, through their schools and now via their smartphones, in an effort to impact their lives earlier to make their lives longer.” The app is available for free download in the iTunes store starting today and will be available for Android on Feb. Read more on physical activity.
TFAH: Not Enough Americans are Getting the Flu Vaccine
Only a little more than a third of U.S. adults ages 18-64 got their flu shot last season, according to a new analysis by the Trust for America’s Health (TFAH). The report also found that 66.2 percent of adults ages 65 and older and 56.6 percent of children ages 6 months to 17 years were vaccinated. The U.S. Centers for Disease Control and Prevention (CDC) recommends that all American above the age of 6 months be vaccinated each year. “The trend of low vaccination rates among younger adults is particularly troubling this year, when they are more at risk than usual for the effects of the H1N1 strain of flu that’s circulating,” said Jeffrey Levi, PhD, executive director of TFAH. The overall vaccination rate came out approximately 45 percent for the 2012-13 flu season, which while still far short of CDC goals surpassed the previous season’s overall rate of 41.8 percent. Read more on influenza.
FDA: New Regulations on Acetaminophen to Help Curb Liver Toxicity
The U.S. Food and Drug Administration (FDA) is making changes to regulations on acetaminophen to help combat the dangers of liver toxicity, calling for manufacturers of prescription combination products to limit the amount of acetaminophen to no more than 325 milligrams in each tablet or capsule, as well as update the labels on those drugs to warn about the potential risk for severe liver injury. Acetaminophen is found in opioids such as codeine (Tylenol with Codeine), oxycodone (Percocet), and hydrocodone (Vicodin). “FDA is taking this action to make prescription combination pain medications containing acetaminophen safer for patients to use,” said Sandra Kweder, MD, deputy director of the Office of New Drugs in FDA’s Center for Drug Evaluation and Research. “Overdose from prescription combination products containing acetaminophen account for nearly half of all cases of acetaminophen-related liver failure in the United States; many of which result in liver transplant or death.” Read more on prescription drugs.
Study: Specialized School Health Programs Also Improve Healthy Behaviors at Home
Broad school health programs can improve children’s health and healthy behaviors at both school and in the home, according to a new study in the journal Pediatrics. Researchers tailored programs for the specific needs of individual elementary schools in ten disadvantaged neighborhoods in Edmonton, with activities such as yoga and dance classes, and then tracked their activity compared to kids at schools without the programs. They found that students with the health programs increased their average daily steps during a typical week by 21 percent, compared to 7 percent for the kids without the programs. "It shows that if you deliver a school program well, kids not only will be active more during the school hours when they are in the hands of the teachers but they're also being trained and understand that it's important to be physically active at other times," said Paul J. Veugelers, who worked on the study at the University of Alberta's School of Public Health in Edmonton. Read more on physical activity.