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Archive for January, 2010

Exercise Important in Teens’ Blood Pressure Control

Wednesday, January 6th, 2010

In the American Journal of Epidemiology, researchers report that as exercising increased among participants of their study, blood pressure decreased. High blood pressure rates are linked to heart disease, high cholesterol, and the overwhelming obesity rates growing in populations of children and teens.

Teenagers’ blood pressure is affected by weight and exercise.  It would be very wise for parents and teens to monitor weight, exercise and blood pressure from an early age.  Habits formed by children and teenagers can certainly impact their health and well being in the long run.

12/2/09

NEW YORK (Reuters Health) – Regular exercise may help keep teenagers’ blood pressure in check, regardless of their body weight, a new study suggests.

Researchers found that among nearly 1,300 Canadian teenagers they followed for five years, declining exercise levels over time were linked to small increases in blood pressure.

Gains in body fat were also linked to blood pressure increases, but excess weight did not fully account for the relationship between exercise and blood pressure changes –especially in girls.

The implication, the researchers report in the American Journal of Epidemiology, is that both weight and exercise habits independently affect teenagers’ blood pressure.

And that means that getting teens off the couch might help keep their blood pressure under better control, write Katerina Maximova and colleagues of McGill University in Montreal.

The findings are based on 1,293 boys and girls who were 12 to 13 years old at the start of the study. The teens reported on their typical physical activity levels and had their body fat and blood pressure measured at the outset, and then periodically over five years.

For each exercise assessment, the teenagers reported the number of times in the past week they had engaged in moderate to vigorous activities — like biking, walking or jogging — for at least 5 minutes.

Overall, the researchers found, the teens’ blood pressure inched upward for each session of exercise they lost over time. The increase amounted to less than one point in systolic blood pressure — the top number in a blood pressure reading — but the findings do suggest that sedentary lifestyles directly affect teenagers’ blood pressure, according to Maximova’s team.

And that, they write, could have “important public health implications.”

High blood pressure and other heart disease risk factors like type 2 diabetes and high cholesterol were once uncommon, or unheard of, in children and teenagers. But rates of these conditions in teenagers have risen since the 1990s, in tandem with escalating obesity rates.

A study of Canadian teenagers published last month found that between 2002 and 2008, the percentage with at least one heart disease risk factor — such as high blood pressure or high cholesterol — rose from 17 percent to 21 percent.

Those researchers also noted that more than half of Canadian children between the ages of 5 and 17 are not getting enough exercise.

And while young people may not see immediate health effects, studies show that teens who are overweight, inactive and carrying heart disease risk factors tend to become adults with those same problems.

The American Heart Association recommends that all children ages 3 and older have their blood pressure checked yearly. Diet changes and exercise are usually the first-line treatment for high blood pressure in teenagers, though some may also need medication.

When it comes to exercise, experts generally recommend that kids strive for 30 minutes of moderate activity, like brisk walking, on most days of the week, as well as 20 minutes of vigorous exercise, like running or bicycling, at least three days per week.

SOURCE: American Journal of Epidemiology, November 1, 2009.

Obesity May Wipe Out Benefit of Anti-Smoking Effort, Study Says

Wednesday, January 6th, 2010

In the New England Journal of Medicine, there is evidence supporting two major risk factors that shorten people’s lives. Obesity and smoking are neck in neck, but obesity has won as of today according to Susan Stewart of the National Bureau of Economic Research of Cambridge, MA.

Researchers report that the efforts to reduce smoking have been tremendous and effective, but now Americans must tackle the prevalence of obesity with the same effort. According to the study, the positive effects of the reduction of smoking will be wiped out by the negative effects brought with obesity.

Dec. 2 (Bloomberg) — About 40 years of health improvements from declining numbers of smokers may be undermined because too many U.S. adults are obese, researchers said.

Under one scenario of obesity and smoking trends, by 2020 the future life expectancy of a typical 18-year-old would be shortened 8 months, according to a study published today in the New England Journal of Medicine.

The number of adults who were obese more than doubled in 25 years to 72 million people, or 34 percent of U.S. adults, in 2006, according to the U.S. Centers for Disease Control and Prevention. Public-health programs and rising cigarette taxes reduced smoking rates to 21 percent in 2008 from 37 percent in 1970, according to the CDC.

“We found that in a horse race between obesity and smoking, obesity won, in a bad way,” said Susan Stewart, an author of the study and a researcher at the National Bureau of Economic Research, a nonprofit, nonpartisan group based in Cambridge, Massachusetts.

Obesity-related medical costs reached $147 billion in 2008, or about 10 percent of U.S. medical spending, according to a CDC study published July 27. Other studies have found the obesity epidemic threatens efforts to reduce deaths from heart disease and breast cancer.

Today’s analysis found obesity accounts for 5 percent to 15 percent of U.S. deaths each year, while smoking is tied to 18 percent of deaths. Failing to change continuing increases in obesity could erode the steady gains in health seen in recent decades.

National Health Assessment

Researchers from Harvard University, the University of Michigan and the economic research bureau used data from three large U.S. health assessment surveys to forecast life expectancy through 2020. Obesity was defined as having a body-mass index of 30 or greater, or about 192 pounds for person who is 5 feet 7 inches tall. Body-mass index is a method to determine body fat.

“If past obesity trends continue unchecked, the negative effects on the health of the U.S. population will increasingly outweigh the positive effects gained from declining smoking rates,” the authors wrote in the study.

The effort to reduce smoking “is probably one of the greatest health achievements in the 20th century,” said Sara Bleich, an obesity researcher at Johns Hopkins University’s Bloomberg School of Public Health in Baltimore, who wasn’t involved with the study. “Reduction of obesity should be the primary focus of public health efforts in the 21st century.

As of 2005, a typical 18-year-old male was expected to live to about age 76, while an 18-year-old woman would live to about age 81, according to the U.S.Social Security Administration.

Reduced Life Expectancy

If current obesity and smoking trends continue, by 2020 the life expectancy ages would subtract 0.71 years, or 8 months from future gains, according to today’s research.

If every U.S. adult stopped smoking and reached a normal weight, life expectancy for an 18-year-old would increase by 3.76 years, the authors estimated.

“Life expectancy will continue to rise but less rapidly than it otherwise would have” because of obesity, the researchers wrote.

The study is a “sophisticated analysis’” of the comparative risks of obesity and smoking in the general public, Bleich said in an interview. The study wasn’t designed to examine variations by race and ethnicity, which may produce “important differences” in life expectancy, she said.

Future Trend

The authors said recent data suggest U.S. obesity rates “may be decelerating.” About 32 percent of children ages 2 to 19 were at risk for being overweight or obese from 2003 to 2006, according to a study published in the Journal of the American Medical Association in May 2008. The high rates in children mean increases in obesity among adults are “likely to occur,” the researchers wrote.

Policy and environmental factors may cause obesity rates to change, the authors said.

“It could vary from someone inventing a pill that gets rid of obesity to someone developing a therapy that markedly changes the care for diabetes or heart disease,” Allison Rosen, an author of the study and researcher at the University of Michigan’s School of Public Health in Ann Arbor, Michigan, said in an interview.

San Diego-based Arena Pharmaceuticals Inc., Mountain View, California-based Vivus Inc. and Orexigen Therapeutics Inc. of La Jolla, California, are developing late-stage weight-loss drugs aimed at people who are obese.

The study was funded by the National Institute on Aging, Harvard University and the Albert and Mary Lasker Foundation, a New York-based a nonprofit biomedical research organization.

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