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

Tue Apr 28 10:25:53 PDT 2009

Write the following on post it notes:
'Starting now, I eat healthy and exercise regularly because it feels  
better when I do."
Put one on your computer, one on your bathroom mirror, one on your  
dashboard, and everywhere else you can think of.

After that you can step it up with hypnosis, acupuncture, taking  
classes, controlled food plans, joining a gym, motivational videos  
etc one step at a time and what ever technique you are comfortable  
with. Try them all until you find what works for you.

The most important first step is the one that happens when you talk  
to yourself and you have already started that.
Just do it for yourself and yourself alone, not necessarily by  
yourself, but for yourself.

Good on ya Bob. You are in good company. And if you start some kind  
of online support group there are others who will join you.

Katie

On Apr 28, 2009, at 9:27 AM, Bob Browning wrote:

> 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
> ++++++++++++++++++++++++++++++++
>> <minithologo_white.jpg>
>>
>> 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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