All Articles Tagged "New England Journal of Medicine"

MN, M.D.:The Skinny On Obesity And Successful Weight Loss

March 18th, 2013 - By Mercy Edionwe MD
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Source: Shutterstock

Source: Shutterstock

From your mother to your girlfriends, and even yourself, we all have our views on how to lose weight. But, has anyone actually stopped to see if these general views are true? Well, a recent article in the New England Journal of Medicine (NEJM) exposed some of the common views and tested their truth. Researchers completed an internet search for popular weight loss tips and then searched research papers for evidence on how effective — or ineffective — the advice was. Here’s a breakdown of what they found.

COMMON MYTHS

  1. Engaging in sex can cause you to lose a good amount of calories. Wrong!  A study that looked into this found that an average man would only lose a total of 21 calories during a 6 minute sex session (FYI, it takes a deficit of 3,500 calories to lose one pound).  Although the amount of energy used during sex is a lot, the average amount of time people use to have sex is not.  As a result, the total amount of calories used is very small.  Maybe the next time you are in the mood, you can consider an hour-long continuous session?
  2. Those who win the weight loss “race” are those who stay slow and steady and not those who are fast. According to the NEJM article, there is NO truth in that. The research fact is this: those who stick to a “starvation diet” (AKA a very low calorie diet) will lose a lot more weight in the beginning compared to those who don’t.  However, when the study visited both groups in one year, they saw no difference in the total amount of weight loss.  Basically, it doesn’t matter if you do it rapidly or slowly.
  3.  Skipping breakfast or eating a snack can hurt your weight loss. I’m sure a lot of you have heard these myths.  Skipping breakfast or eating a snack will not stop your weight loss. The more important thing is what you are eating, not when you do eat.
  4. Setting realistic goals and motivation are key to success. Nope. Apparently these factors are not important when you are losing weight according to this article. I don’t know about this one because I personally think that if you start a diet/exercise program, there has to be some form of motivation tied to it. But I have also seen people lose weight even when their goals were or were not realistic.
  5. Those who were breastfed tend to be skinny. I think this seems more obvious.  Although breastfeeding has multiple benefits for a baby, being forever skinny is not one of them.

 THE FACTS

  1. Obesity can be in your genes, but it will only come to fruition in the right environment. Pretty much you are what you eat!  If you choose foods high in calories and fat, you are likely to be fat, especially if it is in your genes.  If you eat a well-balanced diet and stick to portion control, you can be skinny even if obesity is in your genes.
  2. Dieting is not the long term solution. Dieting can help you lose the weight.  However, if you go back to the same way of eating afterward, the weight will always come back.
  3. Exercise is the long term solution. One of the true keys to weight loss is tying exercise to your daily life for the rest of your life.
  4. There is more to exercise than losing weight. Exercise alone has been tied to a huge  improvement in high blood pressure and diabetes in some people. It is the best known secret for curing, if not preventing, many diseases, including some cancers.
  5.  For overweight kids, weight loss programs should involve everyone in the home. How are the kids going to lose weight if you don’t?

The bottom line is that in order to lose weight, there have to be multiple approaches which include: lower food intake (stick with only eating a certain amount of calories per day), exercising, and reducing the amount of sweets/fat.  Lastly, it is not just about dieting; it should be a lifestyle change.

 

Ish is Getting Real: Gonorrhea’s Becoming Untreatable

February 9th, 2012 - By Brande Victorian
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No one wants to contract an STD but if you had to catch one, gonorrhea, chlamydia, or syphilis would be it because they’re at least treatable. Well, they were.

A new study in the New England Journal of Medicine found that the number of drug-resistant cases of gonorrhea is on the rise in the US to the point that the sexually transmitted disease may become untreatable. According to the authors, “It is time to sound the alarm.” They wrote:

“During the past 3 years, the wily gonococcus has become less susceptible to our last line of antimicrobial defense, threatening our ability to cure gonorrhea and prevent severe sequelae.”

The threat is nothing to laugh at. Gonorrhea is the second most commonly reported communicable disease in the United States, affecting an estimated 600,000 people annually. Complications from the disease include scaring of the uterus, pelvic inflammatory disease, and infertility, plus the disease can be spread to a child during delivery so it’s not something you want to play with. Here’s one more reason to wrap it up.

Brande Victorian is a blogger and culture writer in New York City. Follower her on Twitter at @be_vic.

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Health Study: Where You Live Affects Your Obesity Risks

October 20th, 2011 - By madamenoire
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In a study published in the New England Journal of Medicine this week, it is stated that people who live in lower-poverty neighborhoods tend to have lower levels of obesity and diabetes compared to those who reside in rough, poverty-stricken areas. According to CNN, this realization all started after the U.S. Department of Housing and Urban Development offered residents of poor neighborhoods the chance to move on up (not necessarily to the East Side). While they were initially supposed to just be studying how where you reside affects employment, income and education, with the rise in the number of obese Americans, they decided to take their study a step further.

They studied 4,498 single mothers who volunteered for the program to get their families out of high-poverty areas. They found that individuals who moved to lower-poverty areas were 19 percent less likely to have morbid obesity, and 22 percent less likely to have the glucose levels usually connected with diabetes. According to study author Jens Ludwig, “Neighborhood disadvantages contribute to obesity and diabetes. Improving the economic situations [of families] improves their health.”

If you were wondering what is it about poverty-stricken areas that increases your risk for obesity aside from the usual, “No money to afford good food” answer, here are a few ideas, according to previous studies. Many struggling neighborhoods, for one, lack places where you can get healthy sources of food. Corner stores and local food joints usually don’t supply people with the healthy items they need in their diet. Who wants to go far out to the grocery when the corner store has some delicious delights too? And on top of that, the lack of medical benefits, education aspects and stress, a lot of neighborhoods don’t have safe places to exercise or where children can play at and work up a sweat. Interesting.

Can’t say I’m surprised about this revelation. It’s pretty true that you can’t really drive down the street in a bad neighborhood and find an LA Fitness or Equinox to get your mind and body right. But we definitely thought it was worth sharing. So the moral of the story is, the area you live in could possibly be making you obese–but let’s not use our residences as scapegoats either. You know when it’s time to put down that cheeseburger…

What do you think of the study’s findings?

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