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Doctors have weight problems, too. Here ’s my story.

Eighteen months ago, I wrote about my plan for maximizing menopause preparedness. As with so many missions, this one has experienced both successes and failures. Since January 2016, I have grooved my exercise routine in the most awesome way. I am all over the TRX, doing Spiderman push-ups, incline presses, pistols and more. I get my cardio intervals, and I’m foam rolling. I feel stronger now than at any time since high school, and I’m proud of this accomplishment. *sigh* The eating, on the other hand, continues to be a challenge. Earlier this year a patient looked at me without expression and stated bluntly that I had gained 8.7 pounds since the last time he saw me. Right after that’s kind of inappropriate, I thought, well, he’s right, I have been gaining weight. Last March, I wrote about weight loss strategy, thinking mainly about my exercise habit formation. Sadly, my own weight has gone opposite to the desired direction, despite an honest attempt at adherence to my own advice. Evidence suggests that weight loss really is about 80 percent diet and 20 percent exercise. But sometimes, you can only focus on one thing at a time. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Conditions Nutrition Obesity Primary care Source Type: blogs

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Conclusion.Both general and central obesity contribute to breast cancer risk, with different effects on specific subtypes. General obesity, indicated by BMI, is more strongly associated with ER+/PR+ subtype, especially among premenopausal women, whereas central obesity, indicated by WHR, is more specific for ER−/PR− subtype, independent of menopausal status. These results suggest that different chemoprevention strategies may be appropriate in selected individuals.Implications for Practice.The results of this study suggest that general and central obesity may play different roles in different breast cancer subty...
Source: The Oncologist - Category: Cancer & Oncology Authors: Tags: Breast Cancer Source Type: research
Authors: González-García I, Tena-Sempere M, López M Abstract Physiologically, estrogens carry out a myriad of functions, the most essential being the regulation of the reproductive axis. Currently, it is also dogmatic that estrogens play an important role modulating energy balance and metabolism. In this sense, it is well known that low estrogens levels, occurring due to ovarian insufficiency, in conditions such as menopause or ovariectomy (OVX), are associated with increased food intake and decreased energy expenditure, leading to weight gain and obesity at long term. Concerning energy expendi...
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
Authors: Palmisano BT, Zhu L, Stafford JM Abstract Before menopause, women are protected from atherosclerotic heart disease associated with obesity relative to men. Sex hormones have been proposed as a mechanism that differentiates this risk. In this review, we discuss the literature around how the endogenous sex hormones and hormone treatment approaches after menopause regulate fatty acid, triglyceride, and cholesterol metabolism to influence cardiovascular risk.The important regulatory functions of estrogen signaling pathways with regard to lipid metabolism have been in part obscured by clinical trials with hormo...
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
Middle-aged women experience various menopausal symptoms during the menopause. These symptoms can affect their quality of life and health. Several epidemiological studies reported that obesity associates with ...
Source: BMC Women's Health - Category: OBGYN Authors: Tags: Research article Source Type: research
Conclusions: Among midlife women who were already glucose-intolerant and overweight, androgen concentrations and irregular menses did not additionally contribute to increased risk for diabetes or CAC. PMID: 29220533 [PubMed - as supplied by publisher]
Source: The Journal of Clinical Endocrinology and Metabolism - Category: Endocrinology Authors: Tags: J Clin Endocrinol Metab Source Type: research
(Natural News) Women who are skinny are also prone to fertility problems, much in the same way overweight ladies are. A new study finds that being underweight as a teenager and during their mid-30s increases a woman’s chance of having an early menopause, as reported by The Daily Mail.  Researchers at the University of Massachusetts...
Source: NaturalNews.com - Category: Consumer Health News Source Type: news
Abstract BackgroundHypertriglyceridemia prevalence is increasing as more individuals become obese, and chylomicronemia risk factors for the individual and community have not been described previously. ObjectiveTo describe chylomicronemia risk factors in the general population for individuals and community. MethodsA total of 108 711 individuals from the Copenhagen General Population Study were grouped as unlikely chylomicronemia (nonfasting triglycerides
Source: Journal of Internal Medicine - Category: Internal Medicine Authors: Tags: Original Article Source Type: research
In this study, we integrated atomic force microscopy (AFM) and molecular approaches to determine whether increased stiffness of aortic VSMCs in hypertensive rats is ROCK-dependent, and whether the anti-hypertensive effect of ROCK inhibitors contributes to the reduction of aortic stiffness via changing VSMC mechanical properties. Despite a widely held belief that aortic stiffening is associated with changes in extracellular matrix proteins and endothelial dysfunction, our recent studies demonstrated that intrinsic stiffening of aortic VSMCs, independent of VSMC proliferation and migration, is an important contributo...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
Conclusions: Establishing educational and counseling programs for postmenopausal women, their spouses, and other family members could improve social support and hence quality of life of postmenopausal women. Effective preventive strategies to deal with modifiable risk factors, such as obesity and work stress, should also be implemented.
Source: Menopause - Category: OBGYN Tags: Original Articles Source Type: research
ConclusionsMaintaining at least low levels of physical activity throughout middle age was associated with lower prevalence and incidence of joint symptoms in later life. This apparent protective effect of physical activity on joint symptoms was stronger in obese women than in under or normal weight women, and not related to menopause and HT status.This article is protected by copyright. All rights reserved.
Source: Arthritis Care and Research - Category: Rheumatology Authors: Tags: Original Article Source Type: research
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