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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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As a primary care doctor, I see a lot of women dealing with the inconvenience, discomfort, and embarrassment of urinary incontinence (unintended leaking of urine). Some are comfortable bringing this up right away. Others suffer needlessly because they feel too shy or awkward to mention it. The truth is, an estimated 45% of women experience some form of urinary incontinence at some point in their lives. That’s almost half of all women! It’s a very big deal. Urinary incontinence can negatively affect physical and emotional well-being. For example, women may avoid going out because they’re worried about havi...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Kidney and urinary tract Women's Health Source Type: blogs
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Source: International Journal of Cancer - Category: Cancer & Oncology Authors: Tags: Research Article Source Type: research
Conclusions Women with a low MedD Score were more obese and showed instrumental sign of preclinical peripheral atherosclerosis. MedD rich in antioxidants from fruit, vegetables and nuts influenced the development of atherosclerosis and was associated with a lower incidence of asymptomatic atherosclerosis.
Source: Nutrition, Metabolism and Cardiovascular Diseases - Category: Nutrition Source Type: research
Conclusions: At baseline, several PFAS were cross-sectionally associated with small differences in markers of insulin secretion and β-cell function. However, there was limited evidence suggesting that PFAS concentrations are associated with diabetes incidence or changes in glycemic indicators during the follow-up period. https://doi.org/10.1289/EHP1612 Received: 12 January 2017 Revised: 03 August 2017 Accepted: 04 August 2017 Published: 02 October 2017 Address correspondence to E. Oken, Obesity Prevention Program, Harvard Medical School and Harvard Pilgrim HealthCare Institute, Dept. of Population Medicine, 401 ...
Source: EHP Research - Category: Environmental Health Authors: Tags: Research Source Type: research
This study examined the effects of a mindful eating intervention on health-related outcomes. Thirty-six obese, post-menopausal women were randomized to a 6-week mindful eating and living (MEAL) intervention or an active control group (CONT), consisting of nutritional counseling, goal setting, and group support. Additionally, there were ten monthly refreshers. Weight, body mass index (BMI), waist-hip ratio (WHR), binge eating, interleukin-6 (IL-6), and C-reactive protein (CRP) were assessed at baseline and four follow-up periods up to 1  year. Multilevel analyses showed that the MEAL group had reductions in weight, BMI...
Source: Mindfulness - Category: Psychiatry & Psychology Source Type: research
Weight gain accompanied by an increased tendency for central fat distribution is common among women in midlife. These changes are a result of aging, decreasing estrogen levels after menopause, and other unique influences in menopausal women that interfere with the adoption of healthy lifestyle measures. Central obesity, in particular, results in several adverse metabolic consequences, including dysglycemia, dyslipidemia, hypertension, and cardiovascular disease. Given that cardiovascular disease is the leading cause of death in postmenopausal women, the importance of weight management in midlife cannot be overemphasized.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Concise review for clinicians Source Type: research
CONCLUSIONS: The most important clinical characteristics that can be predictors of survival of patients with advanced ovarian malignancies are comorbidities and being overweight. PMID: 28952215 [PubMed - in process]
Source: Journal of B.U.ON. - Category: Cancer & Oncology Tags: J BUON Source Type: research
Epigenetic clocks based on the measurement of changing patterns of DNA methylation are perhaps the most promising approach to the production of a biomarker of aging - a way to quickly assess an individual's biological age, allowing assessment of the effectiveness of potential rejuvenation therapies in a rapid, low-cost manner. They are certainly far more accurate and useful on an individual basis than is the case for telomere length measured in the immune cells called leukocytes taken from a blood sample. The latter metric is really only reliable over large populations of individuals, and even then there are studies that f...
Source: Fight Aging! - Category: Research Authors: Tags: Daily News Source Type: blogs
Conclusions: Long-term exposure to NO2 and road traffic noise was associated with higher risk of heart failure, mainly among men, in both single- and two-pollutant models. High exposure to both pollutants was associated with highest risk. https://doi.org/10.1289/EHP1272 Received: 25 October 2016 Revised: 09 August 2017 Accepted: 09 August 2017 Published: 26 September 2017 Address correspondence to M. Sørensen. Diet, Genes and Environment, Danish Cancer Society, Strandboulevarden 49, 2100 Copenhagen, Denmark. Telephone: +45 35257626. Email: mettes@cancer.dk Supplemental Material is available online (https://doi...
Source: EHP Research - Category: Environmental Health Authors: Tags: Research Source Type: research
Conclusions: Both stress eating and menopause status significantly contributed to the depressive symptom—weight association. Psychosocial factors play an important role in the association between depressive symptoms and weight, and the results highlight the need to focus on both behavioral factors, and also menopause status, when identifying who is at risk for the development of poor weight outcomes.
Source: Menopause - Category: OBGYN Tags: Original Articles Source Type: research
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