Thursday, May 29, 2014

The increasing size of waistlines

Article taken directly from
LONDON (AP) — Almost a third of the world is now fat, and no country has been able to curb obesity rates in the last three decades, according to a new global analysis.
Researchers found more than 2 billion people worldwide are now overweight or obese. The highest rates were in the Middle East and North Africa, where nearly 60 percent of men and 65 percent of women are heavy. The U.S. has about 13 percent of the world's fat population, a greater percentage than any other country. China and India combined have about 15 percent.

"It's pretty grim," said Christopher Murray of the Institute for Health Metrics and Evaluation at the University of Washington, who led the study. He and colleagues reviewed more than 1,700 studies covering 188 countries from 1980 to 2013. "When we realized that not a single country has had a significant decline in obesity, that tells you how hard a challenge this is."
30 percent of world is now fat, no country immuneAP Photo: Kirsty Wigglesworth, FILE
In this file photo dated Wednesday, Oct. 17, 2007, an overweight person eats in London, 
Murray said there was a strong link between income and obesity; as people get richer, their waistlines also tend to start bulging. He said scientists have noticed accompanying spikes in diabetes and that rates of cancers linked to weight, like pancreatic cancer, are also rising.
The new report was paid for by the Bill & Melinda Gates Foundation and published online Thursday in the journal, Lancet.

Last week, the World Health Organization established a high-level commission tasked with ending childhood obesity.

"Our children are getting fatter," Dr. Margaret Chan, WHO's director-general, said bluntly during a speech at the agency's annual meeting in Geneva. "Parts of the world are quite literally eating themselves to death." Earlier this year, WHO said that no more than 5 percent of your daily calories should come from sugar.

"Modernization has not been good for health," said Syed Shah, an obesity expert at United Arab Emirates University, who found obesity rates have jumped five times in the last 20 years even in a handful of remote Himalayan villages in Pakistan. His research was presented this week at a conference in Bulgaria. "Years ago, people had to walk for hours if they wanted to make a phone call," he said. "Now everyone has a cellphone."

Overweight total tops 2.1bn globally

Overweight total tops 2.1bn globally
Shah also said the villagers no longer have to rely on their own farms for food.
"There are roads for (companies) to bring in their processed foods and the people don't have to slaughter their own animals for meat and oil," he said. "No one knew about Coke and Pepsi 20 years ago. Now it's everywhere."

In Britain, the independent health watchdog issued new advice on Wednesday recommending heavy people be sent to free weight-loss classes to drop about 3 percent of their weight, reasoning that losing just a few pounds improves health and is more realistic. About two in three adults in the U.K. are overweight, making it the fattest country in Western Europe.

"This is not something where you can just wake up one morning and say, 'I am going to lose 10 pounds,'" said Mike Kelly, the agency's public health director, in a statement. "It takes resolve and it takes encouragement." End of article.

While in the midst of consuming mass quantities of food during the day every day for months and years at a time, consider those individuals who have not eaten. Consider the less fortunate adults who are unable to provide the daily caloric necessities for their children and therefore wonder if they have enough money to pay for the food their undernourished bodies desperately need.

After you have overindulged, remember those children here in the United States and world-wide who go about their day feeling hungry and weak because their bodies lack nourishment. Remember the same children who then go to bed on an empty stomach and get a poor night sleep because the hunger pangs are keeping from a quality sleep. And the scenario repeats daily.

Personal accountability is needed in addition to "it takes resolve and encouragement" in weight loss.

Being stick thin is not a requirement to living a healthy lifestyle. A fair amount of daily exercise and healthy food choices is all that is needed.

Consult with your doctor in making lifestyle changes for a healthy you.

Trisha M. Pacenti RN,BSN

Tuesday, May 13, 2014

Ice or heat? When to use which

Most people know that it is wise to apply one or the other. But which is best for the situation at hand? Ice or heat? And, for how long?

A common soft tissue injury is an ankle sprain. The best choice for this type of injury would be ice. A slush bucket would be ideal. A mixture of water and slush with a temperature reading between 33 and 45 degrees.  The affected ankle would be submerged in the slush bucket for approximately 15 minutes no longer than 20 minutes.
Keeping soft tissue at low temperature longer than 20 minutes will cause tissue death.  For an acute injury, such as an ankle sprain, it is best to treat the area for the first 72 hours with slush or ice 15-20 minutes every hour. The standard treatment for ankle sprain is rest, ice, compression and elevation to keep pain and swelling at a minimal.
Cold therapy in essence leads to decreased blood flow, decreased swelling and decreased pain.  The swelling of tissue causes increase pressure on the nerves which in turns causes pain.
When to use heat therapy.  Heat is the best  choice when treating stiff, tight muscles.  Heat is the preferred choice for back pain. Same time application applies to the use of heat. It is best not to use heat therapy while you sleep as the risk of burn is great.  If possible, place a protective layer between the skin and heat. Where applies, do the same for ice.  If you are a diabetic, care should be taken with areas of decreased sensation because it will be difficult to tell if a negative reaction occurs.
As always, please seek medical attention.
Good health,
Trisha M. Pacenti RN,BSN