Posts Tagged ‘Surgeon General’

Weight of the Nation: Childhood Obesity – Is Anything Working?

May 4th, 2012

The Surgeon’s General ground-breaking Call to Action on overweight and obesity came out in 2001. Surgeon General: Call to Action: Obesity Since then, millions of dollars have been spent by governmental and non-governmental organizations on steps to prevent obesity, primarily in children. How’s it going? Well, in spite of the best of intentions of hundreds of people, not well.

A paper just out by Dr. Jeffrey Mechanick , a highly respected researcher in the field, and colleagues, looked at three anti-obesity policies: increasing physical activity in children, taxing sugar-sweetened beverages and funding for walking and biking trails. They found, “While numerous studies have established their efficacy when implemented on a local or communal (small-) scale, there is little published evidence demonstrating statistical correlation between BMI (body mass index) and implementation of these policies, or any combination, thereof, on a statewide (large-) scale.” They conclude, “American culture, policy-making, and the obesity epidemic constitute a recursive, complex adaptive system. We have proposed that an emergent property of this system is that implementation of anti-obesity policies may not be reducing the obesity growth rates as early as expected, if at all. This somewhat counter-intuitive finding is, on the surface, discouraging, but with deeper deliberation, offers redirection for an anti-obesity campaign. Since the obesity epidemic remains uncontrolled with vast downstream adverse effects, it is imperative to gain a thorough understanding of this complex system. The focus should be broadened to improve consumer dietary patterns and physical activity. There should be greater supply-side regulation of food content, as well as interventions targeting obesogenic inflammatory mechanisms. PubMed:Lack of Correlation between anti-obesity poliicy and obesity growth rates

This one paper is not alone. The Cochrane Reviews are distinguished for their rigorous study of important health topics. A Cochrane Review was published in 2011 evaluating all randomized clinical trials (RCTs) of interventions for preventing obesity in children. The review included an 55 studies. The majority of studies targeted children aged 6-12 years. The meta-analysis included 27,946 children. According to the authors, overall, the programs were effective, but not all were, reflecting a high degree of heterogeneity. Children in the intervention group had a standard mean difference in adiposity  (measured as BMI or zBMI) of –0.15 kg/m2 The authors urged that the findings be taken cautiously because of the unexplained heterogeneity and the likelihood that studies with negative outcomes were not published. Cochrane Review: Preventing Obesity in Children

A near-universal policy goal is increasing physical activity of children in school. Yet, even here, the evidence is poor to weak.

Cawley and colleagues examined the impact of state physical activity requirements on youth physical activity and overweight, using data from the Youth Risk Behavior Surveillance System for 1991, 2001, and 2003. They found that high school students with a binding physical education (PE) requirement report an average of 31 additional minutes per week spent physically active in PE classes. Their results indicate that additional PE time raises the number of days per week that girls having exercised vigorously or have engaged in strength-building activity. They found “no evidence” that PE lowers BMI or the probability that a student is overweight. They conclude that “there is not yet the scientific basis to declare raising PE requirements an anti-obesity initiative for either boys or girls. PubMed: Cawley: The Impact of state physical education requirements

A 2011 paper found that adequate PE time was inversely related to recess, and vice versa, suggesting that schools are substituting one form of physical activity for another, rather than providing the recommended amount of both recess and PE.  PubMed: Slater: The Impact of State Laws and District Policies

 

The End of Summer

October 4th, 2009

September 22, 2009, 5:18 EDT

Thank Goodness. The mean summer of 2009 is finally over. Not only did we see an ugly side of America in the town hall meetings across the country and observe a Congressman insult the President of the United States in a joint session of Congress, it was mean season for persons with obesity.

Alabama has decided to impose a tax on overweight state employees; President Obama’s nominee for Surgeon General was attacked for her weight; the American Medical Association adopted as official policy that persons with obesity should not be eligible for disability payments and the CEO of the Cleveland Clinic, Dr. Toby Cosgrove, told his people to stop hiring overweight persons.

Dr. Cosgrove is a major leader in health care and in the health care reform debate. No doubt he sees the Cleveland Clinic, which already bars smokers from employment, as a leader not only in Cuyahoga County, Ohio but in the nation as well. Good solutions to the obesity epidemic? Make the overweight unemployed so they can’t get health insurance or disability payments if they are disabled? How does a leader like Dr. Cosgrove believe overweight/obese people will live? How will they preserve their families? Pay the rent? Clothe the kids? Not enough people unemployed in Ohio?

As reported by the Cleveland Plain Dealer, Cosgrove is slyly honing his message, trying to tamp down ire from obesity advocates while sending a clear signal to everyone at Cleveland Clinic: the boss doesn’t want to hire fat people. But there is another reason: The Cleveland Clinic is launching a for-profit “wellness” program and this attack on obese people keeps Cosgrove in the limelight. Does Cleveland Clinic’s Toby Cosgrove really hate fat people? : MedCity News Perhaps Dr. Cosgrove’s business strategy is to scare Clevelanders into paying to go to his ‘wellness’ clinic. Cleveland Clinic’s Lifestyle 180 promotes better health through better living | Health and Fitness – cleveland.com – – cleveland.com

Is the Cleveland Clinic plan mere discrimination? Perhaps we underestimate the good Dr. Cosgrove. Perhaps it is just a way to gin up business on the income side while cutting personnel expenses. What great health care reform!

The summer also brought the deaths of two Kennedys – Senator Ted Kennedy and his sister, Eunice Kennedy Shriver. We were in Massachusetts at the time of Eunice’s funeral and watched it on television and then watched Senator Kennedy’s a few weeks later. It doesn’t take much to see how dedicated these two were to the elimination of discrimination in whatever its form…persons with mental illness, persons denied health care, gays, women and the disabled. Senator Kennedy said, “Every American should have the opportunity to receive a quality education, a job that respects their dignity and protects their safety, and health care that does not condemn those whose health is impaired to a lifetime of poverty and lost opportunity.” Ending Segregation and Discrimination Against Disabled Americans | In His Own Words | Edward M. Kennedy

Where Dr. Cosgrove and the AMA would throw the sickest Americans under the bus, the Kennedys would pick them up. We can’t say how the intentional discrimination promoted by the good Dr. Cosgrove will work out. We do know he’s no Ted Kennedy. Thank Goodness the summer is over.

The Messenger or the Message? Part I

September 27th, 2009

July 30, 2009 :: By Morgan Downey

The ongoing furor over President Obama’s pick of Dr. Regina Benjamin as the next Surgeon General is to prejudice and obesity as the Harvard Professor Henry Lewis Gates’s arrest by Sergeant James Crowley in Cambridge, Mass., is to prejudice and race.

In both cases, it seems that a great magnet pulls part of the population to one side and part to the other side. After positions are staked out, we sort out the facts to fix our positions or, in some rare cases, to actually change our mind.

Dr. Benjamin’s opponents say that an overweight person cannot carry the message of healthy living. An ABC News report Is Regina Bejamin, Surgeon General Nominee, Overweight? – ABC News quotes former editor of the New England Journal of Medicine Dr. Marcia Angell stating, “I think it (the Surgeon General nominee’s weight) is an issue but then the president is said to still smoke cigarettes. It tends to undermine her credibility. We don’t know how much she weighs and just looking at her I would not say she is grotesquely obese or even overweight enough to affect her health. But I do think at a time when a lot of public health concern is about the national epidemic of obesity, having a surgeon general who is noticeably overweight raises questions in people’s minds.”“Grotesquely obese?” Is this not the crassest view of obesity that it offends my sense of beauty? And, is Dr. Angell aware of the scientific literature that even modest amounts of overweight may lead to increased risk of disease such as hypertension and type 2 diabetes? Does this mean that the Surgeon General cannot be a disabled person or someone with HIV/AIDS? I doubt she would say that.

The ABC NEWS piece neglected to mention Dr. Angell’s controversial editorial of January 1998 in the New England Journal of Medicine. In this editorial, Dr. Angell observed that weight loss efforts (which she acknowledged were nearly impossible) were “virtually ubiquitous among adolescent girls and young women. In middle schools and colleges throughout the country, girls who are far from overweight believe they are obese, or “gross.” (No citations in original). While dissing weight-loss efforts and physician counseling, she advised physicians, “Until we have better data about the risks of being overweight and the benefits and risks of trying to lose weight, we should remember that the cure for obesity may be worse than the condition.” Really, Dr. Angell? Eleven years later with obesity rates going through the roof, do you want to revisit that advice? Contrary to her statements to ABC NEWS, Dr. Angell closed by stating, “Finally, doctors should do their part to help end discrimination against overweight people in schools and workplaces. We should also speak out against the public’s excessive infatuation with being thin and the extreme, expensive, and potentially dangerous measures taken to attain that goal.”

Dr. Angell’s editorial produced strong reactions from obesity experts. William Dietz, MD and director of the CDC Division of Nutrition and Physical Activity wrote prophetically,

“You endorse the prevention of obesity but suggest that physicians “should provide advice if an overweight patient asks for help in planning a weight-loss program and recommend weight loss if a patient is suffering from health problems that can be ameliorated by weight loss.” This passive approach will not prevent weight gain in those at risk, nor will it prevent further weight gain in those who are already overweight. Furthermore, the rapid increase in body-mass index in the U.S. population over the past 15 years will most likely continue unabated if this passive approach is used.

The Massachusetts Medical Society Committee on Nutrition went on record opposing Dr. Angell’s editorial. In addition, the Committee took issue with an interview Dr. Angell gave to the Wall Street Journal on Feb. 9, 1998, in which she stated that some people “just like to eat — and in that case, it (obesity) is no more of a disease than bank robbery is a disease.” The Committee stated that such broad, unsubstantiated statements are inaccurate, inappropriate and irresponsible. The committee, whose members are physicians with extensive training and expertise in the fields of nutrition and obesity treatment, stands firm in its belief that obesity cannot be blamed solely on lack of willpower to control eating and activity. It also results from genetic factors affecting energy metabolism and eating behavior. Statements that belittle the life-threatening disease of obesity make a mockery of the plight of obese patients and undermine the medical profession.

Doctor Angell, you should take your own advice and unequivocally support Dr. Benjamin as Surgeon General regardless of her BMI.

The Message or the Messenger, Part 2

September 27th, 2009

July 30, 2009 :: By Morgan Downey

The debate over President Obama’s selection of Dr. Regina Benjamin as the next Surgeon General has focused on whether someone who appears to be somewhat overweight can carry the messages of the public health community to eat better food and less of it and exercise more to achieve a healthy weight.

While the debate ranges over the BMI range of the top government spokesperson, no one, it seems, is looking at the message itself.

One can well question whether the educational messages are working. One recent study showed that adherence to the federal government’s five recommendations for healthy living has decreased from 15% to 8%. Adherence to healthy lifestyle habits in US adults…[Am J Med. 2009] – PubMed Result This has occurred during an extensive educational campaigns about obesity during this period.

Given the investment in getting out the message of the values of living a healthy lifestyle, there are some disconcerting findings. For example, a new, small study indicated that messages to exercise may lead to greater food intake. Immediate increase in food intake following exerci…[Obesity (Silver Spring). 2009] – PubMed Result This experiment showed that when subjects were receiving information on exercise from actual campaigns, their consumption of available foods increased over the control group which did not get the messages.

As much as I am wary of anecdotal messages, I am reminded of a recent meeting of persons wanting to lose weight. One woman said she was the mother of five children and they had a family gathering (Thanksgiving, Christmas, Easter, Passover, weddings, graduation, christenings, bar mitzvahs, bat mitzvahs, etc. ..fill in the blanks.) One daughter told the mother she needed to eat better. The mother was resentful. But when another daughter talked to her about changing her food choices, she was receptive. The second daughter was overweight and struggling with it; the first daughter was always lean.

We have assumed that the best messenger was one who walked the walk. But does that mean only a lean person can be the messenger? OR would we rather have a leader who is like us…strugglingsometimes failing and trying to get back into the saddle?

Downey Fact Sheet 2 – Quick Facts

September 27th, 2009
The Downey Obesity Report

The Downey Obesity Report

Printable PDF

ADULT OBESITY

The adult obesity rates have risen dramatically from 1960 to today; rates of overweight (BMI >30) have doubled, rates of obesity (BMI 30-39.9) have nearly tripled and rates of extreme or morbid obesity (BMI >40) have nearly increased seven fold.

ADULT (age 20-74) Prevalence 1

Overweight (BMI 25-30) Percentage

1960-1962 31.5%

2005-2006 33%

Obese (BMI>30)

1960-1962 13.4%

2005-2006 35.1%

Extreme or Morbid Obese( BMI>40)

1960-1962 0.9%

2005-2006 6.2%

The rates of obesity only tell half the story. During this period, the total US population has also increased. Therefore, the raw numbers of Americans affected have also increased. Looking at the numbers of people affected, the overweight population has doubled, the obese population has increased 5 fold and the population with extreme or morbid obesity as increased by a factor of nearly 12!

Number of Americans Overweight in 1960: 56.5 million

Number of Americans Overweight in 2006: 94.5 million

Number of Americans Obese in 1960: 24 million

Number of Americans Obese in 2006:
40 million

Number of American with extreme or morbid obesity in 1960:
1.6 million

Number of Americans with extreme or morbid obesity in 2006: 18.6 million

Since 1960-61 to 2006, the number of American adults who became obese or extremely obese*: 61.1 million

Average number per year: 1.3 million

Average number per month: 110,779

Average number per day: 3,693

Average number per hour: 153

Average increase per minute: 2.5

Since 1960-61 to 2006, the number of American adults who became  extremely obese*: 11 million

Average number per year: 240,217

Average number per month: 20,018

Average number per day: 667

Average number per hour: 27

Adolescents Obesity age 12-19 3

Percent overweight/obese 2005-2006 18%

Young adult Obesity
Ages 18-29

Percent obese 1971-1974 8%

Percent obese 2005 24%

Childhood 2

Ages 6-11 15%

Ages 2-5 11%

Year at which each group will reach 80% obesity 4

All 2072

Men 2077

Women
2058

African American Women 2035

African American Men 2079

Mexican American Women 2073

Mexican American Men 20 91

White Women 2082

White Men
2073

Adipose Tissue (Fat Cells) 5

Age at which typical body has acquired its full number of fat cells: 13

Number of fat cells in average American Adult: 23-65 billion

Number of fat cells in persons with morbid obesity: 37-237 billion

Number of fat cells lost in weight-loss efforts: 0

By Julie Snider for the Downey Obesity Report

By Julie Snider for the Downey Obesity Report

 

Daily Calories Needed and Available 6

Recommended calories per day by typical American adult:

Men 2,400 to 2,800

Women 2,000 to 2,200

Mean (meaning half were above and half below) adult daily calorie intake per day 7 :

Men

1971 2,450

2001-2004 2,593

Women

1971 1,542

2001-2004 1,886

Percent increase in food available for consumption per person from
1970 to 2003: 16%

Amount of food available for each person increase from
1.67 pounds in 1970 to 1.95 pounds in 2003

Daily caloric intake has grown by 523 calories from 1970 to 2003. Leading the way were fats, oils, grains, vegetables and sugars and sweeteners.

U.S. Government Biomedical Research 8

2008 Budget of National Institutes of Health $29.6 billion

NIH Spending 2008 on selected diseases:

Cancer
$5.6 billion

HIV/AIDS funding $2.9 billion

Cardiovascular Disease
$2.0 billion

Heart Disease $1.2 billion

Obesity
$664 million

U. S. Government Infrastructure on Combating Obesity

Name of coordinator of U.S. global anti-obesity efforts:

(Trick question: no such position exists)

Name of White House coordinator of federal anti-obesity efforts:

(Another trick question: no such position exists)

Name of coordinator of Department of Health and Human Services***anti-obesity efforts:

(No such position exists)

*Calculations were made by taking the CDC prevalence figures for 1960-1962 and 2005-2006and multiplying them against US census data for 1960 and census data for 2006,respectively. See Census Bureau Home Page

**Available in this context means the total US calories available for consumption, less spoilage and waste. See ERS/USDA Data – Food Availability (Per Capita) Data System)

*** Department of Health and Human Services includes the National Institutes of Health, the Centers for Disease Control and Prevention, the Centers for Medicare and Medicaid Services, the Food and Drug Administration, Office of the Surgeon General, the Agency for Healthcare Research and Quality among others.)

Notes

1. N C H S – Health E Stats – Prevalence of overweight, obesity and exreme obesity among adults: United States, trends 1960-62 through 2005-2006

2. FASTSTATS – Overweight Prevalence

3. http://www.cdc.gov/nchs/data/hus/hus08.pdf

4. Studies of human adipose tissue. Adipose cell size…[J Clin Invest. 1973] – PubMed Result

5. Will all Americans become overweight or obese? est…[Obesity (Silver Spring). 2008] – PubMed Result. In this estimate, by 2030, 86.3% of adults will be overweight or obese and 51% obese; black women at a level of 96.9% will be the most effected, followed by Mexican-American men (91.1%). By 2048, all American adults would be overweight or obese but black women would reach that milestone by 2034. In children, the authors estimate, rates will nearly double by 2030.

6. http://www.usdaplate.com/

7. http://www.ers.usda.gov/AmberWaves/November05/pdf/FindingsDHNovember2005.pdf

8. NIH Research Portfolio Online Reporting Tool (RePORT) – Estimates of Funding for Various Research, Condition, and Disease Categories (RCDC)

By Julie Snider for the Downey Obesity Report

By Julie Snider for the Downey Obesity Report

Latest News

September 27th, 2009

October 21, 2009

FDA plans revision to nutrition label. FDA seeks to improve nutrition labeling on food products – washingtonpost.com

October 20, 2009

Women with obesity at risk for in vitro fertilization failure The Press Association: Obesity cuts IVF success – study

October 19,2009

Can anyone get insurance? Now an underweight girl is excluded. Underweight Girl Denied Insurance Coverage – Denver News Story – KMGH Denver

October 18, 2009

Washington Post columnist Robin Givhan address the Fashion industry and thinness in the culture.Robin Givhan on Fashion: Size of the Model vs. Size of the Customer – washingtonpost.com

Great Idea: solve obesity by making people taller. Idea Lab – Should a War on Shortness Be One of the Goals of Health Care Reform? – NYTimes.com

October 17, 2009

NYT reports on prospects for new drugs for obesity Arena, Orexigen and Vivus Are Chasing an Effective Diet Drug – NYTimes.com

Why can’t CDC find obese swine flu patients? Pneumonia, Susceptibility of Young Among Traits of Swine Flu – washingtonpost.com

October 15, 2009             

Family Physicians Ink deal with Coke Family Doctors Sign Educational Deal With Coca-Cola – NPR Health Blog : NPR

October 14, 2009

First Lady Michelle Obama tackles childhood obesity Michelle Obama’s Weight Loss Tips: Watch TV Standing Up — Politics Daily

North Carolina Plan criticized Obesity penalty isn’t fair or effective – Columnists/Blogs – News & Observer

Ralph Lauren model fired for being too fat Photoshopped Ralph Lauren Model Filippa Hamilton Fired For Being Fat – WPIX

Dr. Bernandine Healy hits punitive steps against the obese The Obesity Epidemic Isn’t Just About Willpower – US News and World Report

October 13, 2009

Candidate’s weight becomes important issue in NJ Governor Race Is Chris Christie Too Fat to Be the Next Governor of New Jersey? – The Gaggle Blog – Newsweek.com

October 12, 2009

Infant denied health care for  pre-existing conditions Why we need health-care reform: ‘Obese’ infant denied insurance!

Colorado Insurer caves The Associated Press: Colo. insurer changes course on fat infants

Baby denied health insurance for obesity as pre-existing condition 17-Pound, 4-Month-Old Baby Denied Health Insurance for Being Too Fat – Children’s Health – FOXNews.com

October 9, 2009

Groups push back on premium increases in Senate Finance Bill If Your Waistline Grows, Should Your Premiums, Too? – Prescriptions Blog – NYTimes.com

October 8, 2009

Corzine attacked as bigot Is Corzine A Bigot? | The New Republic

October 7, 2009

Physicians lead the way in treating obesity Doctors join fight against obesity – USATODAY.com

NJ Governor Corzine accused of attacking opponents weight Corzine Points Spotlight at Christie’s Weight – NYTimes.com

North Carolina to punish overweight state workers North Carolina state health plan to penalize smokers, obese

October 6, 2009

Study showing restaurant calorie labeling doesn’t change habits sure to add fuel to labeling debate Calorie Postings Don’t Change Habits, Study Finds – NYTimes.com

October 2, 2009,

New York Board of Education bans bake sales Bake Sales Are Banned in New York Schools – NYTimes.com

October 1, 2009

After 20 years USDA program for Women Infants and Children adds fruits and vegetables to its voucher program WIC nutrition program expands to cover fruits, vegetables — latimes.com

September 17, 2009 NEJM publishes study on taxing sugar-sweetened beverages NEJM — The Public Health and Economic Benefits of Taxing Sugar-Sweetened Beverages

September 11, 2009

Indiana Court allows workers comp coverage of bariatric surgery Indiana Appeals Court Affirms Work Comp Coverage for Obesity Surgery

September 9, 2009

STOP Obesity Alliance presents health care reform proposals Curbing Obesity Epidemic Key to Health Care Reform: Experts – US News and World Report See 16th and 17th U.S. Surgeons General, STOP Obesity Alliance Announce America has Reached Tipping Point on Obesity, Call for Direct Action – STOP Obesity Alliance

September 1, 2009

Institute of Medicine issues recommendations for combating childhood obesity Report maps out solutions to child obesity – USATODAY.com

USDA announces child nutrition grants Release No. 0416.09

More employers trying financial incentives As Federal Healthcare Reform Debate Continues, New Survey Reveals More Companies Turn to Financial Rewards to Tackle Soaring Employee Healthcare Costs

August 31, 2009

New target for therapies identified Study may lead to new obesity therapies – UPI.com

New York City targets sugar-sweetened drinks New Salvo in City’s War on Sugary Drinks – City Room Blog – NYTimes.com

Risk of infant mortality rises with mother’s weight Mom’s obesity tied to higher infant mortality

August 30, 2009

Obesity linked to swine flu deaths Obesity linked to swine flu deaths | World news | The Observer

August 27, 2009

Extreme obesity shortens lives by 12 years Extreme obesity can shorten people’s lives by 12 years – USATODAY.com

New drug claims ability to fight obesity and diabetes New fat-fighting drug has anti-diabetes action too | Health | Reuters

Obesity deniers come out http://www.newsweek.com/id/213807

August 24, 2009

American Heart Association raises alarm about sugar Heart Association recommends limits on added sugars – White Coat Notes – Boston.com

Interesting graph plots out contribution of obesity, age and health status on costs. A Concentration of Health Expenses – Prescriptions Blog – NYTimes.com

GE introduces new MRI geared for larger patients GE Healthcare shows off latest MRI – The Business Review (Albany):

Obesity a risk for swine flu deaths Half of swine flu deaths in high-risk people -study | Reuters

August 18, 2009

Sleep apnea on increase Sleep Apnea Rises With Obesity, Boosts Deaths in Middle-Aged – Bloomberg.com; PLoS Medicine: Sleep-Disordered Breathing and Mortality: A Prospective Cohort Study

Push back on doctor’s campaign against obesity Anti-Obesity Dr. Jason Newsom Chomps Down on Dunkin’ Donuts « Vitals Spotlight – We Give the Doctor an Exam

August 11, 2009

President Obama calls for health insurance reform to cover obesity treatments, stating, “All I’m saying is let’s take the example of something like diabetes, one of — a disease that’s skyrocketing, partly because of obesity, partly because it’s not treated as effectively as it could be. Right now if we paid a family — if a family care physician works with his or her patient to help them lose weight, modify diet, monitors whether they’re taking their medications in a timely fashion, they might get reimbursed a pittance. But if that same diabetic ends up getting their foot amputated, that’s $30,000, $40,000, $50,000 — immediately the surgeon is reimbursed. Well, why not make sure that we’re also reimbursing the care that prevents the amputation, right? That will save us money. Text – Obama’s Health Care Town Hall in Portsmouth – NYTimes.com

August 10, 2009

Nominee for Surgeon General attacked over body weight Does it matter what the doctor weighs? — latimes.com

Arena preparing to submit new obesity drug to FDA San Diego Business Journal Online – business news for San Diego, California

August 7, 2009

Recession could worsen obesity prevalence Recession could have negative impact on obesity levels | News | Nursing Times

July 17, 2009

Minorities, blacks hardest hit by obesity reports CDC Atlanta health, diet and fitness news | ajc.com

July 16, 2009

AHA: severe obesity increases risks in surgery Severe obesity increases risks of health problems during surgery

AHA: Clarity on the overweight mortality confusion Mortality, Health Outcomes, and Body Mass Index in the Overweight Range: A Science Advisory From the American Heart Association — Lewis et al. 119 (25): 3263 — Circulation

July 14, 2009

Excess weight speeds up osteoarthritis Excess Weight Speeds Up Osteoarthritis: MedlinePlus

July 14, 2009

RWJ releases report on taxes for sugar sweetened beverages Sugar-Sweetened Beverage Taxes and Public Health – RWJF

July 14, 2009 WHO addresses swine flu vaccine for persons with obesity. Swine Flu Vaccine Recommendations from World Health Organization – Health Blog – WSJ

July 10, 2009 CDC finds high prevalence of obesity in swine flu patients. Intensive-Care Patients With Severe Novel Influenza A (H1N1) Virus Infection — Michigan, June 2009

July 2009 Study finds insulin resistance in overeating lean humans for the first time. Short-term overeating induces insulin resistance i…[Mol Med. 2009 Jul-Aug] – PubMed Result

July 10,2009

The economy, stress and overeating Job Stress, Economy Weighing on Americans: MedlinePlus

June 24, 2009

Obesity: Africa’s Next Big Killer Africa’s newest silent killer: obesity | FP Passport

July 2, 2009

Connecticut Governor Vetoes Labeling Bill

Rell rejects nutritional labeling for chain restaurants – The Connecticut Post Online

July 1, 2009

Obama Address Obesity in Town HallObama Addresses Health-Care Reform at Virtual Town Hall Meeting – washingtonpost.com

July 1, 2009

Trust for America’s Health releases “F as in Fat 2009” http://www.rwjf.org/files/research/20090701tfahfasinfat.pdf

June 30, 2009

Institute of Medicine Issues Report on Comparative Effectiveness Research

Initial National Priorities for Comparative Effectiveness Research – Institute of Medicine

Read Morgan Downey’s Testimony

http://www.iom.edu/Object.File/Master/64/740/Speaker%20Testimonies%203-4PM%20b

lock.pdf

June 30, 2009

Oregon enacts restaurant labeling bill AP Wire – Oregon | kgw.com | News for Portland Oregon and SW Washington

June 29, 2009

More Data on surgery for diabetes Weight-Loss Surgery May Be Beneficial for Diabetes – NYTimes.com

June 29, 2009

Kentucky phasing out sugar sweetened beverages Congress May Look to Ky. Schools’ Healthy Example in Creating Nutritional Policy – washingtonpost.com

June 25, 2009

IOM release workshop on Food Desserts The Public Health Effects of Food Deserts. Workshop Summary – Institute of Medicine

May 28, 2009

IOM Releases report on Weight Gain in Pregnancy Report Brief. Weight Gain During Pregnancy: Reexamining the Guidelines – Institute of Medicine

May 9, 2009

Do obesity related diseases predispose to swine flu severity? Other Illness May Precede Worst Cases of Swine Flu – NYTimes.com

Federal Government

September 27th, 2009

Federal Programs on Obesity

For an excellent overview, see http://www.stopobesityalliance.org/research-and-policy/research-center/gw-research/ and F as in Fat: How Obesity Policies Are Failing in America 2008 – RWJF

National Institutes of Health

NIH is the preeminent research organization in the United States and the world and have a number of research programs related to obesity.

Weight Information Network has many fact sheets, also available in Spanish Welcome to WIN – The Weight-control Information Network

What is NIH spending on obesity? A projected $664 million. NIH Research Portfolio Online Reporting Tool (RePORT) – Estimates of Funding for Various Research, Condition, and Disease Categories (RCDC)

What are the specific grants now in process? NIH Research Portfolio Online Reporting Tool (RePORT) – RCDC Project Listing by Category

What is their plan to address obesity? Obesity Research at the National Institutes of Health (NIH)

Information on applying for grants. http://grants.nih.gov/favicon.ico

Clinical trials Home – ClinicalTrials.gov

Some particular projects:

Longitudinal Assessment of Bariatric Surgery Longitudinal Assessment of Bariatric Surgery

Clinical Nutrition Research Units WIN – Research – ONRCs and CNRUs

Research Opportunities Obesity Research at NIDDK : NIDDK

Advisory Groups Clinical Obesity Research Panel (CORP) : NIDDK

NIDDK Office on Obesity Research Office of Obesity Research : NIDDK

Look Ahead Trial Action For Health in Diabetes (Look AHEAD) : NIDDK

Food and Drug Administration (FDA)

The FDA has several responsibilities when it comes to obesity, including nutrition labeling and approval of drugs and devices

Calories Count: The 2004 plan of FDA to address obesity FDA/CFSAN – Calories Count: Report of the Working Group on Obesity Q&A Questions and Answers – The FDA’s Obesity Working Group Report

The Keystone Report on Away from Home Foods Calories Count and Keystone Report

Consumer information on reading the nutrition label. Make Your Calories Count

Department of Agriculture

Women Infants Children program of the USDA is a program of providing grants to states for nutrition education and support for low income pregnant, breastfeeding or post partum women WIC

Food and Nutrition Information Center Food and Nutrition Information Center

General Information on obesity General Information and Resources : Weight and Obesity : Food and Nutrition Information Center

Consumer Nutrition Information Weight Management : Nutrition.gov

Internal Revenue Service (IRS)

While the IRS is not considered a health agency, it does provide that taxpayers may use the medical deduction for expenses related to weight loss when a physician makes a recommendation of weight loss. Publication 502 (2008), Medical and Dental Expenses

Surgeon General

Surgeon General Richard Carmona on Obesity The Obesity Crisis in America

Surgeon General’s Report to Prevent and Decrease ObesityThe Surgeon General’s Call to Action to Prevent and Decrease Overweight and Obesity

Transcript of meeting where Surgeon General David Satcher decided to issue Surgeon General’s Report on Preventing and Overcoming Obesity: http://www.health.gov/hpcomments/council4-23-99/focus.htm

Earlier Surgeon General Reports on Nutrition and Health The Surgeon General’s Report on Nutrition and Health (1988) and Physical Activity Physical Activity and Health Executive Summary

Center for Medicare and Medicaid Services (CMS)

In 2004, CMS dropped language from its policies that obesity was not considered a disease. 2004.07.15: HHS Announces Revised Medicare Obesity Coverage Policy. A Deletion Opens Medicare To Coverage for Obesity – The New York Times

Subsequently, it convened an advisory panel to consider expanding or restricting medicare coverage of bariatric surgery which considered a summary of the evidence on the surgery’s safety and effectiveness. http://www.cms.hhs.gov/FACA/downloads/id26c.pdf

The outcome of the advisory panel was very favorable and, in 2006, official coverage policy was changed and expanded. Centers for Medicare & Medicaid Services

Disability

EEOC Policy on obesity EEOC Informal Discussion Letter

EEOC definition of “disability” Section 902 Definition of the Term Disability

6th Circuit Court of Appeals denies ADA claim based on morbid obesity. Read the full decision in EEOC v. Watkins Motors. http://www.ca6.uscourts.gov/opinions.pdf/06a0351p-06.pdf

Through the Social Security Administration, individuals who are morbidly obese and have cardiovascular, respiratory or musculoskeletal problems may quality for disability.

See: Disability Doc – Examining Social Security Disability – Obesity and Disability

Centers for Disease Control and Prevention (CDC)

The CDC has numerous fact sheets and guides. Where appropriate, they are incorporated into more specific sections of the site.

To see all the CDC resources available, go to Obesity and Overweight: Topics | DNPAO | CDC

Agency for Healthcare Research and Quality (AHRQ)

AHRQ funds research, especially on the translation of basic research into clinical practice, improvements to clinical care and a number of evidence-based guidelines. Relevant guidelines are included in the treatment or health effects sections. AHRQ is a leader in Comparative Effectiveness Research and obesity is one of their major conditions of interest.

See Agency for Healthcare Research and Quality (AHRQ) Home Page

Medicaid

Morbidly obese patients often return to work after gastric bypass surgery Return to work after gastric bypass in Medicaid-fu…[Arch Surg. 2007] – PubMed Result

Veterans Administration

Learn about the VA programs in weight management at MOVE! Home

Department of Defense

Information on the military’s Tricare program and weight management can be found at The TRICARE Blog