Quote for Today – 09.22.22

Charlie Munger, the billionaire partner to Warren Buffett at Berkshire Hathaway, describes his friend’s day as 80 percent reading—often five hundred pages. Before he invests his client’s money in a company, Buffett puts the odds in his favor by reading everything he possibly can about the company itself and the broader industry. He is not always right, but he is always informed. We might imagine him flying around on private jets, wheeling and dealing, when in fact he is more likely sitting at his desk, reading everything from the great books to technical analysis.

Mr. Buffett’s reading habit provides a powerful lesson for all of us. But most Americans read almost nothing. A friend who teaches at a large public university thinks less than half of his incoming freshmen have ever read a single book in full.

Jeff Deist President of the Mises Institute. Five Keys to Professional and Personal Development accessed online 9/22/22 — https://mises.org/wire/five-keys-professional-and-personal-development

Some good advice, no matter what stage in life you find yourself. This talk was delivered on September 2, 2022, to a student workshop at the Ron Paul Institute conference in northern Virginia.

  1. Sift
  2. Read
  3. Learn Continuously
  4. Avoid Arguments
  5. Promote People, Not Just Ideas

Another Sweet Saturday – 09.17.22

Our 1-year RCT indicated that a lifestyle intervention program can be highly successful in older adults with diabetes and chronic comorbidities. In this specific population, lifestyle intervention not only improved glycemic control associated with improved insulin action and secretion but also improved age-relevant outcomes such as body composition, physical function, and quality of life.

Alessandra Celli, Yoann Barnouin, Bryan Jiang, Dean Blevins, Georgia Colleluori, Sanjay Mediwala, Reina Armamento-Villareal, Clifford Qualls, Dennis T. Villareal; Lifestyle Intervention Strategy to Treat Diabetes in Older Adults: A Randomized Controlled Trial. Diabetes Care 1 September 2022; 45 (9): 1943–1952. https://doi.org/10.2337/dc22-0338

From the periods 1988–1994 to 2017 to March 2020, there was an increase in the prevalence of diagnosed diabetes (from 4.6% to 11.7%), but no change in prevalence of persistent undiagnosed diabetes (from 2.23% to 2.53%) or confirmed undiagnosed diabetes (from 1.10% to 1.23%). Consequently, the proportion of all undiagnosed diabetes cases declined from 32.8% to 17.8% (persistent undiagnosed diabetes) and from 19.3% to 9.5% (confirmed undiagnosed diabetes). Undiagnosed diabetes was more prevalent in older and obese adults, racial/ethnic minorities, and those without health care access. Among persons with diabetes, Asian Americans and those without health care access had the highest proportion of undiagnosed cases, with rates ranging from 23% to 61%.

Michael Fang, Dan Wang, Josef Coresh, Elizabeth Selvin; Undiagnosed Diabetes in U.S. Adults: Prevalence and Trends. Diabetes Care 1 September 2022; 45 (9): 1994–2002. https://doi.org/10.2337/dc22-0242

Remember, Stay as Thin as You Can as Long as You Can.

Exposome! (I Learned a New Word Today)

In an extensive review, the team found that the early life exposome, which encompasses one’s diet, lifestyle, weight, environmental exposures, and microbiome, has changed substantially in the last several decades. Thus, they hypothesized that factors like the westernized diet and lifestyle may be contributing to the early-onset cancer epidemic…

Possible risk factors for early-onset cancer included alcohol consumption, sleep deprivation, smoking, obesity, and eating foods. Surprisingly, researchers found that while adult sleep duration hasn’t drastically changed over the several decades, children are getting far less sleep today than they were decades ago. Risk factors such as highly-processed foods, sugary beverages, obesity, type 2 diabetes, sedentary lifestyle, and alcohol consumption have all significantly increased since the 1950s, which researchers speculate has accompanied altered microbiome.

Cancers in adults under 50 on the rise globally – https://www.sciencedaily.com/releases/2022/09/220906161454.htm. Brigham and Women’s Hospital. “Cancers in adults under 50 on the rise globally: Researchers identify risks factors and trends behind an increasing incidence of early-onset cancers around the world.” ScienceDaily. (accessed September 7, 2022).

I’ve been cooking a lot this week and decided to give myself a break tonight. Grab a burger maybe some pizza.

Then I read this article.

Maybe I will cook tonight.

Got Kids? READ THIS

Beyond just online platforms, the new survey finds that the vast majority of teens have access to digital devices, such as smartphones (95%), desktop or laptop computers (90%) and gaming consoles (80%). And the study shows there has been an uptick in daily teen internet users, from 92% in 2014-15 to 97% today. In addition, the share of teens who say they are online almost constantly has roughly doubled since 2014-15 (46% now and 24% then).These are some of the findings from an online survey of 1,316 teens conducted by the Pew Research Center from April 14 to May 4, 2022

Teens, Social Media and Technology 2022 — https://www.pewresearch.org/internet/2022/08/10/teens-social-media-and-technology-2022/

Remember my earlier post I Thought I Told You To Put That Phone Down! This earlier post has additional links to other posts on the topic of social media addiction.

Technology addictions, also commonly known as digital addictions or internet addictions, are often overlooked due to the acceptance that society has placed on using digital devices. Technology addictions often go unnoticed by loved ones because the addicted individual may appear as though they are tending to something important such as work-related tasks on their digital device, when in reality hiding behind the screen is something extraneous. When a technological problem does develop and is noticed it is often not viewed as being an imminent risk akin to an addiction to alcohol or drugs because not only is it more acceptable, but it is also not viewed as being acute or deadly. Despite these beliefs, pathological technology use can indeed be pervasive and detrimental to one’s health and well being. In a growing digital age there is a rapid expansion of digital use and subsequent potential for problematic pathological technology use to ensue.

https://www.familyaddictionspecialist.com/blog/the-6-most-common-types-of-technology-addiction

The link provided above is neither an endorsement or evidence of a previous or existing patient-therapist relationship.

Although I will admit to a quasi-addiction to You Tube for new music.

Loneliness and Mortality

The discomfort of loneliness eases with time. You come to accept solitude like a cracked tile in a corner of the bathroom floor. Eventually, you just stop noticing the defect. For older people, however, one crack could easily, quietly, lead to more. Living in isolation, for people over 50, can spur a 50 percent increased risk of dementia, according to the CDC, and a 32 percent increased risk of stroke. Loneliness is also associated with higher rates of anxiety, depression, and suicide. Prolonged isolation is the equivalent to smoking 15 cigarettes a day. (And older members of marginalized communities are at an even higher risk for all of the above when they’re socially secluded.) In the years since my mom lost her husband and her friends in Florida, her health declined and her shine dimmed. The woman who owns more makeup than Dolly Parton — including Stila compacts from the early aughts she audaciously calls “my vintage cosmetics” — stopped putting on her face.

My Mom Has No Friends — https://www.thecut.com/2022/08/helping-my-mom-make-friends.html

A beautifully written article. I hope you choose to read the entire piece.

A Plan is Not a Strategy – Update 08.03.22

A few months ago I was thinking about retirement. The funny thing about life at “retirement age” and still working is you think about retirement a lot. See Thinking About Retirement (or just another fine Saturday Morning) While catching up on news I came across several articles on unretirement. I learned the word unretire is actually in the dictionary. See https://www.merriam-webster.com/dictionary/unretire. Rather than retire then unretire I decided I needed a plan. The more I thought about coming up with a plan the more I realized I needed a strategy instead.

So now I’m working on strategy only to realize I’ve had a strategy for many years. I’ve just never taken the time to write it down. It might be time to document my strategy. But it’s been too hot to write and Too Hot to Blog.

Take Home Message: A Plan is Not a Strategy.

Update 08.03.22

For an excellent example of strategy read this piece https://www.noceilingsnba.com/p/the-art-of-presti on how Sam Presti the General Manager of the OKC Thunder epitomizes this definition of strategy.

Cannabinoid Hyperemesis Syndrome

It’s not entirely clear how cannabis hyperemesis syndrome occurs though there are several theories. One is that since cannabinoids have long-half lives and are lipid soluble, they accumulate in the brain and over time cause symptoms, particularly in young people who may have genetic variations in enzymes which lead to further accumulation. Another theory is that there is a thermoregulatory and autonomic imbalance in the limbic system caused by chronic use. Other suggestions are that with long-term consumption cannabis becomes a receptor antagonist, or that they become down-regulated or de-sensitised over time. This reverses the antiemetic effect of cannabis. It seems that chronic over-stimulation of receptors leads to dysregulation of the body’s control of nausea and vomiting, leading to CHS.

Owen Hibberd . What you need to know about Cannabinoid Hyperemesis Syndrome, Don’t Forget the Bubbles, 2022. Available at: https://doi.org/10.31440/DFTB.48627

I am so glad I never inhaled.

READ THIS BOOK

Now that I have your attention…

“Some of the best evidence for the role of exercise in maintaining weight loss comes from the National Weight Control Registry, an online group of over ten thousand men and women who have lost at least thirty pounds and kept it off for at least a year. These folks defy the cynical view that meaningful, sustainable weight loss is impossible. The average Registry member has lost over sixty pounds and kept it off for more than four years. They are truly exceptional…Nearly all of them (98 percent) report changing their diet to lose weight, which makes sense given how diet can affect the reward and satiety systems in our brain and impact how much we eat.”

Pontzer, Herman. Burn (pp. 255-256). Penguin Publishing Group. Kindle Edition.

It took a while for me to find the manila folder hanging somewhere in one of my file drawers. Surprising because I have a lot less paper files gathering dust in hanging folders. I know it’s here but where? Ah, there it is… Desk 2 south of the tax files, north of my paper life insurance policies. I am participant number 8784.

The National Weight Control Registry (NWCR) was established in 1994 by Rena Wing, Ph.D. from Brown Medical School and James O. Hill, Ph.D. from the University of Colorado. This study is the largest investigation of long-term successful weight loss maintenance. Few individuals succeed at long-term weight loss. The NWCR was developed to identify and investigate the characteristics of individuals who have succeeded at long-term weight loss. The NWCR is tracking over 10,000 individuals who have lost significant amounts of weight and kept it off for long periods of time. http://www.nwcr.ws/

I started sending data to this study in 2007. Most years I get one annual survey. Occasionally I’ve received and completed a number of smaller supplemental surveys. I am 8784 and have kept the weight off for nearly 50 years. Since the Great Melt of 1975 I’ve cycled between 163 and 205 pounds. For the past decade I carried 200-205 pounds on my 5.10 frame. During the first year of the pandemic I dropped 25 pounds (again). Currently I’m holding around 170.

I am exceptional but you can be exceptional too. 8784 signing out.

Thinking About Retirement (or just another fine Saturday Morning)

Andel’s suggestion to anyone contemplating retirement: “Find a new routine that’s meaningful.” He points to people living in the Blue Zones, regions of the world that have been identified to be home to a greater number of residents who’ve reached the age of 100 and beyond. One of the common characteristics among Blue Zone inhabitants is, says Andel, “these people all have purpose.”

Think Retirement Is Smooth Sailing? A Look at Its Potential Effects on the Brain — https://getpocket.com/read/2840794990

The funny thing about life at “retirement age” and still working is you think about retirement a lot.

Since I still work a full time job I have a lot of trouble envisioning what my retirement will look like.

After reading this article and listening to Andel’s short talk I am now scared of retirement.

I need to figure out how to avoid brain rot. But my journal tells me I already have.

My Purpose is to educate others on diet and disease, weight loss and weight management by sharing my personal journey through writing and other teaching activities.