[Grovenet] Hope for us all if we can do it . . . .

Tue Apr 28 09:37:21 PDT 2009

Heh-heh, good plug, Bonnie!
Seriously though folks, we plan to open the garden for the season on  
May 4, and there are still plenty of plots left!
Check out our Web page, www.fggardens.org, for the application form.
Walt

On Apr 28, 2009, at 9:33 AM, Bonnie Combs wrote:

> Hi, Mr. Bob, sir,
>
> Maybe you could sign up  for a plot at the FG Community Garden and  
> get a different kind of exercise there.  Also you could grow  
> veggies and eat them and get more enjoyment that way.
>
> Bonnie
>
> --- On Tue, 4/28/09, Bob Browning <rab at jurislex.com> wrote:
>
> From: Bob Browning <rab at jurislex.com>
> Subject: [Grovenet] Hope for us all if we can do it . . . .
> To: "Grovenet" <grovenet at rdrop.com>
> Date: Tuesday, April 28, 2009, 9:27 AM
>
>
> Here's a recent report on a study that suggests how important it is  
> for all of us (me included!!) to try to figure out what we need to  
> do to end this epidemic. Maybe we could start some kind of online  
> support group or?? I am certainly open for suggestions as to how to  
> get down to a BMI of 25 (195 pounds) from my current BMI of 35 (and  
> my current weight of 275) - an 80 pound difference!!
>
> Suggestions anyone (other than just stop eating or exercise more)?  
> I need some guidance as to how to make the change, not what change  
> is needed, since and probably all of you know that!!
>
> bob "help me, Ronda" browning
> ++++++++++++++++++++++++++++++++
>
>
>
>
>
>
>
>
> New-onset diabetes in older adults largely attributable to  
> lifestyle April 27, 2009 | Michael O'Riordan
>
>
>
> Boston, MA - Even among older adults, a healthy lifestyle, one that  
> includes physical activity, healthy dietary habits, smoking  
> cessation, and light or moderate alcohol use, is associated with a  
> significantly lower incidence of new-onset diabetes mellitus.  
> Researchers showed that 80% of new cases of diabetes are  
> attributable to these risk factors, a number that increases when  
> obesity is included as a risk factor.
> "Our findings suggest that, even later in life, the great majority  
> of cases of diabetes are related to lifestyle factors," write  
> Dariush Mozaffarian (Brigham and Women's Hospital, Boston, MA) and  
> colleagues in the April 28, 2009 issue of the Archives of Internal  
> Medicine. "Our results support the need for emphasizing healthy and  
> achievable physical activity and dietary goals among older adults,  
> including moderate leisure-time activity and walking pace, higher  
> intake of dietary fiber and polyunsaturated fat, and lower intake  
> of trans fat and easily digestible carbohydrates."
> Previous studies, including a secondary analysis of the Diabetes  
> Prevention Program trial, have shown that structured dietary advice  
> and physical activity were most effective at reducing the risk of  
> diabetes among the oldest participants. However, as the  
> investigators point out, that trial included mostly high-risk  
> patients participating in a highly structured intervention. Other  
> studies have shown that certain lifestyle behaviors can lower the  
> risk of diabetes, but these often looked at each lifestyle factor  
> individually.
> In this analysis of the Cardiovascular Health Study, Mozaffarian  
> and colleagues investigated the relationship between lifestyle risk  
> factors, evaluated in combination, and the incidence of diabetes  
> over a 10-year period in 4883 men and women 65 years of age and  
> older. The group defined optimal lifestyle characteristics and  
> compared these low-risk behaviors with the risk of incident  
> diabetes mellitus.
> Low-risk lifestyle behaviors were defined by physical-activity  
> levels above the median and never smoking or smoking <5 pack-years  
> or having quit >20 years ago. Alcohol use in this cohort was rare,  
> with 94% consuming less than two drinks daily. Individuals were  
> also assigned a dietary score based on their intake of dietary  
> fiber, low glycemic index foods, lower trans fats, and a higher  
> polyunsaturated-to-saturated-fat ratio. Assessments of adiposity  
> were also performed, with a low-risk body-mass index (BMI) defined  
> as not being overweight, or a BMI <25, while a low-risk waist  
> circumference for men was <92 cm and <88 cm for women.
> Basic lifestyle risk factors, according to the researchers,  
> strongly predicted diabetes incidence, with individuals cutting  
> their risk in half when they were physically active and had good  
> dietary habits. Overall, the risk of diabetes was 80% lower among  
> individuals with physical-activity levels above the median, healthy  
> dietary and smoking habits, and moderate alcohol use. When healthy  
> BMIs and waist circumference were added to the model, the risk of  
> new diabetes was reduced by 89%.Risk of diabetes mellitus according  
> to low-risk lifestyle factors
>
>
>
>
>
> Low-risk lifestyle factors, n
>
> Participants (%)
>
> Hazard ratio (95% CI)
>
>
> 2 low-risk lifestyle factors (physical activity level >median and  
> dietary score upper two quintiles)
>
> 22.3
>
> 0.54 (0.38-0.76)
>
>
> 3 low-risk lifestyle factors (same as above plus never smoker or  
> former smoker <5 pack-years or having quit >20 years ago)
>
> 12.0
>
> 0.42 (0.25-0.71)
>
>
> 3 low-risk lifestyle factors (physical activity level >median,  
> dietary score upper two quintiles, and light or moderate alcohol use)
>
> 12.8
>
> 0.32 (0.18-0.55)
>
>
> 4 low-risk lifestyle factors (physical activity level >median,  
> dietary score upper two quintiles, never smoker or former smoker <5  
> pack-years or having quit >20 years ago, and light or moderate  
> alcohol use)
>
> 6.0
>
> 0.18 (0.06-0.56)
>
>
> 5 low-risk lifestyle factors (same as above plus BMI <25 or waist  
> circumference <88 cm women or <92 cm men)
>
> 3.4
>
> 0.11 (0.01-0.76)
>
> To download table as a slide, click on slide logo above
> If these associations are causal, "eight in 10 new cases of  
> diabetes might have been prevented if all older adults were in the  
> low-risk group for these lifestyle factors," write Mozaffarian and  
> colleagues. When not being overweight or not having a large waist  
> circumference was considered as a risk factor in addition to these  
> other lifestyle behaviors, the number of possible prevented cases  
> attributable to lifestyle factors would rise to nine in 10.
> "The findings provide an estimate of the public-health burden of  
> combined nonoptimal lifestyle risk factors for incidence of  
> diabetes in older adults, the fastest growing segment of the  
> population," write the researchers.
> Source
>
> Mozaffarian D, Kamineni A, Carnethon M, et al. Lifestyle risk  
> factors and new-onset diabetes mellitus in older adults. Arch  
> Intern Med 2009; 169:798-807.
>
> Related links
>
> Control of CVD risk factors has improved, but disparities between  
> ethnic groups persist
> [Clinical cardiology > Clinical cardiology; Apr 20, 2009]
>
> EUROASPIRE: Better lifestyle management needed for patients with CHD
> [Prevention > Prevention; Mar 12, 2009]
>
> FIT HEART: Novel family-based intervention a good idea, but better  
> methods needed
> [Prevention > Prevention; Nov 12, 2008]
>
> Lifestyle, not drugs, for preventing type 2 diabetes:  
> "Gladiatorial" debate concludes
> [Prevention > Prevention; Sep 11, 2008]
>
> Statistics show a drop in heart-disease rates for women, but ethnic  
> gaps still exist, and obesity a growing problem
> [HeartWire > News; Feb 09, 2007]
>
>
>
>
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