Archive for the 'Health, Disability & Mortality' Category

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Genetic Markers of Adult Obesity Risk Are Associated with Greater Early Infancy Weight Gain and Growth

Genetic Markers of Adult Obesity Risk Are Associated with Greater Early Infancy Weight Gain and Growth
By: Cathy E. Elks, et al.
Source: PLoS Medicine

Abstract:
Genome-wide studies have identified several common genetic variants that are robustly associated with adult obesity risk. Exploration of these genotype associations in children may provide insights into the timing of weight changes leading to adult obesity.

Methods and Findings

Children from the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort were genotyped for ten genetic variants previously associated with adult BMI. Eight variants that showed individual associations with childhood BMI (in/near: FTO, MC4R, TMEM18, GNPDA2, KCTD15, NEGR1, BDNF, and ETV5) were used to derive an “obesity-risk-allele score” comprising the total number of risk alleles (range: 2–15 alleles) in each child with complete genotype data (n = 7,146). Repeated measurements of weight, length/height, and body mass index from birth to age 11 years were expressed as standard deviation scores (SDS). Early infancy was defined as birth to age 6 weeks, and early infancy failure to thrive was defined as weight gain between below the 5th centile, adjusted for birth weight. The obesity-risk-allele score showed little association with birth weight (regression coefficient: 0.01 SDS per allele; 95% CI 0.00–0.02), but had an apparently much larger positive effect on early infancy weight gain (0.119 SDS/allele/year; 0.023–0.216) than on subsequent childhood weight gain (0.004 SDS/allele/year; 0.004–0.005). The obesity-risk-allele score was also positively associated with early infancy length gain (0.158 SDS/allele/year; 0.032–0.284) and with reduced risk of early infancy failure to thrive (odds ratio = 0.92 per allele; 0.86–0.98; p = 0.009).

Conclusions

The use of robust genetic markers identified greater early infancy gains in weight and length as being on the pathway to adult obesity risk in a contemporary birth cohort.

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Health, United States, 2009

Health, United States, 2009
Source: Centers for Disease Control and Prevention

From Press Release:

The use of medical technology in the United States increased dramatically between 1996 and 2006, according to “Health, United States, 2009,” the federal government’s 33rd annual report to the President and Congress on the health of all Americans.

The report was prepared by the Centers for Disease Control and Prevention’s National Center for Health Statistics from data gathered by state and federal health agencies and through ongoing national surveys.

This year’s edition features a special section on medical technology, and finds that the rate of magnetic resonance imaging, known as MRI, and computed and positron emission tomography or CT/PET scans, ordered or provided, tripled between 1996 and 2007.

Health, United States, 2009 Home Page. Includes complete report, executive summary, highlights, charts, and trend tables.

How Healthy Is Your County?

How Healthy Is Your County? New County Health Rankings Give First County-by-County Snapshot of Health in Each State
Source: University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation

From the press release:

The County Health Rankings—the first set of reports to rank the overall health of every county in all 50 states—were released today by the University of Wisconsin’s Population Health Institute and the Robert Wood Johnson Foundation at a briefing in Washington, D.C and on www.countyhealthrankings.org. The 50 state reports help public health and community leaders, policy-makers, consumers and others to see how healthy their county is, compare it with others within their state and find ways to improve the health of their community.

Each county is ranked within the state on how healthy people are and how long they live. They also are ranked on key factors that affect health such as: smoking, obesity, binge drinking, access to primary care providers, rates of high school graduation, rates of violent crime, air pollution levels, liquor store density, unemployment rates and number of children living in poverty.

County Health Rankings

Trends in Breast Cancer Mortality in the United States

Trends in Breast Cancer Mortality in the United States
By: Rogelio Saenz
Source: Population Reference Bureau

Recent recommendations from the U.S. government suggesting a relaxation in the age women should begin undergoing regular mammography exams have raised major debate and concerns.
The Department of Health and Human Services’ Preventive Services Task Force recommends that women in their 40s forego routine mammography exams until they turn 50, at which time they should have the procedure done every two years. The report came on the heels of a debate in the medical community initiated months earlier with the publication of an article that suggested the benefits of early mammography screening were exaggerated, with false-positive detections too easily disregarded.
Critics of the report have accused the task force of using cold cost/benefit analyses that could potentially overturn the reductions in breast cancer deaths over the last couple of decades. Many fear that the recommendations represent the rationing of health care and that the health insurance industry will use the new guidelines to block access to mammography exams to women younger than 50.
According to the American Cancer Society, death rates associated with breast cancer have declined since 1990 at about 2 percent per year for women 50 and older and 3.2 percent annually among those younger than 50. Early detection of breast cancer through regular mammograms has been credited as one of the primary reasons behind the declining death rate from breast cancer.
Despite the decline, the disease continues to inflict a heavy toll on women in the United States. In 2009, approximately 40,000 women are expected to die from breast cancer, while roughly 192,000 women are expected to be diagnosed with the disease. There are also substantial race and ethnic gaps in breast cancer mortality rates, which could potentially increase under the newly proposed guidelines.

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Death in the United States, 2007

Death in the United States, 2007
By: Arialdi M. Miniño, Jiaquan Xu, Kenneth D. Kochanek, and Betzaida Tejada-Vera
Source: National Center for Health Statistics

* In 2007, the age-adjusted death rate for the United States reached a record low of 760.3 per 100,000 population. Life expectancy at birth reached a record high of 77.9 years.
* States in the southeast region have higher death rates than those in other regions of the country.
* In 2007, the five leading causes of death were heart disease, cancer, stroke, chronic lower respiratory diseases, and accidents. These accounted for over 64 percent of all deaths in the United States.
* White females have the longest life expectancy (80.7 years), followed by black females (77.0 years).
* The gap in life expectancy between white persons and black persons declined by 35 percent between 1989 and 2007. The race differential was 4.6 years in 2007.

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Improving Effectiveness and Outcomes for the Poor in Health, Nutrition and Population

Improving Effectiveness and Outcomes for the Poor in Health, Nutrition and Population
Source: World Bank

The World Bank Group’s support for health, nutrition, and population (HNP) has been sustained since 1997—totaling $17 billion in country-level support by the World Bank and $873 million in private health and pharmaceutical investments by the International Finance Corporation (IFC) through mid-2008. This report evaluates the efficacy of the Bank Group’s direct support for HNP to developing countries since 1997 and draws lessons to help improve the effectiveness of this support.

Click here to download Project Performance Assessment Reports for these countries

Immigrants & Health Care

Immigrants and Health Care Reform: What’s Really at Stake?
By: Randy Capps, Marc R. Rosenblum, and Michael Fix
Source: Migration Policy Institute
In a new report, Immigrants and Health Care Reform: What’s Really at Stake?, MPI’s National Center on Immigrant Integration Policy offers the first-ever estimates of the size of uninsured immigrant populations in major immigrant-destination states, the number of immigrant workers covered by employer-provided plans and the share of immigrants employed by small firms likely to be exempted from employer coverage mandates. The report, based on MPI’s analysis of Census Bureau data, also examines health coverage for immigrants by legal status, age and poverty levels.
Of the estimated 12 million lawful permanent residents in the United States, 4.2 million are uninsured and more than 1 million would be excluded from Medicaid coverage or insurance subsidies if Congress does not remove the five-year waiting period for eligibility. Thirty-eight percent of legal immigrants work at small firms of 25 workers or less, which are likely to be exempted from employer mandates. Just 32 percent of legal immigrant workers at these small firms have insurance compared with 71 percent for U.S.-born workers.
Full report (PDF)

New Families and Work Institute Study Reveals Declines in the Health of the American Workforce

The State of Health in the American Workforce
By: Kerstin Aumann and Ellen Galinsky
Source: Families and Work Institute

In the midst of the most vigorous national health care debate in 15 years, and at a time of heightened economic insecurity, new data on employers show that the health of employed American workers is trending downward in a number of important areas. The State of Health in the American Workforce, a report released today by the Families and Work Institute (FWI), finds that only 28% of employees today report that their overall health is “excellent,” down from 34% just six years ago. Perhaps surprisingly, men’s overall health has declined more rapidly than women’s. The report also sheds light on the relationship between an effective workplace and employee health, underlining the significant role that employers play beyond providing health insurance and wellness programs.

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Nation’s Teen Vaccination Coverage Increasing, Variability Observed By Area, Race/Ethnicity, and Poverty Status

Nation′s Teen Vaccination Coverage Increasing, Variability Observed By Area, Race/Ethnicity, and Poverty Status
Source: Centers for Disease Control and Prevention

From Press Release:

Vaccine coverage rates for the nation’s preteens and teens are increasing, but nationally, rates remain low for the vaccines specifically recommended for preteens, according to 2008 estimates released today by the Centers for Disease Control and Prevention.

“Vaccination coverage for teens is moving up, but much work remains,” said Melinda Wharton, M.D., Deputy Director of the CDC’s National Center for Immunization and Respiratory Diseases. “We have the most room for improvement for the vaccines that are recommended at 11 or 12 years of age, and for making sure that teens who are not immune to chickenpox receive the vaccine as recommended.”

The National Immunization Survey (NIS) estimates the proportion of teens aged 13 through 17 years who have received six recommended vaccines by the time they are surveyed. Three of these are recommended to be given at age 11 or 12 years: the tetanus-diphtheria-acellular pertussis vaccine (Tdap), the meningococcal conjugate vaccine (MCV4), and, for girls, the human papillomavirus vaccine (HPV4). If missed at this age, the vaccines can be given in the teen years. The survey also covers three other vaccines, which are recommended to be given earlier in life: measles, mumps and rubella vaccine (MMR), hepatitis B vaccine (HepB), and varicella (chickenpox) vaccine. Preteens and teens should get all recommended doses of these vaccines if they missed them when they were younger. All doses are counted, no matter when they were received.

2008 National Immunization Survey Data Released

School Meal Program Participation and Its Association with Dietary Patterns and Childhood Obesity

School Meal Program Participation and Its Association with Dietary Patterns and Childhood Obesity
By: Philip Gleason, Ronette Briefel, Ander Wilson, and Allison Hedley Dodd
Source: United States Department of Agriculture, Economic Research Service

This study used data from the School Nutrition Dietary Assessment III Study to examine the dietary patterns of school meal program participants and nonparticipants and the relationship between school meal participation and children’s Body Mass Index (BMI). School Breakfast Program (SBP) participants ate more low-nutrient energy-dense (LNED) baked goods and more calories at breakfast than did nonparticipants. National School Lunch Program (NSLP) participants had lower intake of sugar-sweetened beverages and a lower percentage of calories from LNED foods and beverages than did nonparticipants. Overall, NSLP participation was not significantly related to students’ BMI, although participants were less likely to be overweight or obese than nonparticipants among Black students but more likely to be so among “other race” students. SBP participants had significantly lower BMI than did nonparticipants, possibly because SBP participants are more likely to eat breakfast and eat more at breakfast, spreading calorie intake more evenly over the course of the day.

This study was conducted by Mathematica Policy Research, Inc., under contract number 59-5000-6-0076. The views expressed are those of the authors and not necessarily those of ERS or USDA.

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