Education, not income, the best predictor of a long life

The researchers point out that better education leads to improved cognition and in turn to better choices for health-related behaviours. Recent decades have seen a shift in the disease burden from infectious to chronic diseases, the latter of which are largely lifestyle-related. As time goes on, the link between education and better health choices, and therefore life expectancy, will become even more apparent.

Read the source article here.

Download the original study at this link.

I should have gone to graduate school.

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Fat and Getting Fatter

Trends in Obesity and Severe Obesity Prevalence in US Youth and Adults by Sex and Age, 2007-2008 to 2015-2016

JAMA. Published online March 23, 2018. doi:10.1001/jama.2018.3060

Age-standardized prevalence of obesity among adults increased from 33.7% (95% CI, 31.5%-36.1%) in 2007-2008 to 39.6% (95% CI, 36.1%-43.1%) in 2015-2016 (P?=?.001) (Table 2). Prevalence increased among women, and in adults aged 40 to 59 years and 60 years or older. The observed increases in men and adults aged 20 to 39 years did not reach statistical significance. There were no significant quadratic trends. The adjusted model also showed a significant overall linear trend for obesity among adults (P?<?.001; data not shown).

Age-standardized prevalence of severe obesity in adults increased from 5.7% (95% CI, 4.9%-6.7%) in 2007-2008 to 7.7% (95% CI, 6.6%-8.9%) in 2015-2016 (P?=?.001). Prevalence increased in men, women, adults aged 20 to 39 years and 40 to 59 years. There was no significant linear trend among adults 60 years and older. There were no significant quadratic trends. The adjusted model also showed a significant overall linear trend for severe obesity (P?<?.001; data not shown).

OK…I know I’m obsessive about this obesity trend.  But that’s what happens when your peak BMI used to be 53+.  Many people have told me I should write a book.  Let’s just say I’m working on it.  A book is not a collection of blog posts.  I am not going to publish a book until I am satisfied I’ve done the best writing job I possibly can.
I just returned from a week away.  I didn’t step on the scale.  I weighed myself today for the first time in a week.  BMI holding steady around 26.
Read the source study here.

5 Classifications of Diabetes Proposed

  1. Severe autoimmune diabetes (formerly type 1 diabetes): affected 6% of patients in the derivation cohort; characteristics include early-onset disease, relatively low BMI, and GADA-positive
  2. Severe insulin-deficient diabetes: 18% of patients; GADA-negative but similar to cluster 1; lowest HOMA2-B scores
  3. Severe insulin-resistant diabetes: 15%; higher HOMA2-IR scores
  4. Mild obesity-related diabetes: 22%; obese, but not insulin resistant
  5. Mild age-related diabetes: 39%; older than other clusters, but largely similar to cluster 4

Quoted from  NEJM Journal Watch.

 

Vitamin D and Mortality Risk in People With CVD

Summary:     A normal intake of vitamin D can reduce the risk of early death substantially in people with cardiovascular disease, a new study shows. The study concludes that people who have suffered from cardiovascular disease, and have a normal intake of vitamin D, reduce their risk of morality as a consequence of the disease by 30 per cent.

Source article can be found here.

Aging – Ignore, Deny or Embrace?

Perhaps the science will advance so that telomere reconstitution is a practical reality, that the DNA epigenetic changes can be reversed, that senescent cells can be eradicated, that the free radical damage to mitochondria can be dismantled, that the microbiome can be altered back to a youthful status. Perhaps metformin, rapamycin or resveratrol will have a significant impact. Perhaps.

But for now, it might be a more fruitful and meaningful personal use of time and endeavor to consider what the normal aging process means, not only physically and mentally but also spiritually and consider adjustments to lifestyles, behaviors and thought processes that will help usher in a productive and meaningful and hopefully healthy later years.

Source article here.

I see ignore and deny every day.  Male 35 5.6 220, elevated liver enzymes, elevated BP, and tobacco use within the past year.

Every now and then I see an embrace.  But this is rare.

My plan is to embrace and to live forever or die trying.

The Mortality Effects of Retirement

WSJ: What do the numbers show?

DR. FITZPATRICK: There’s a sizable, 2% increase in male mortality at age 62 in the U.S. Over the 34 years we studied, there were an additional 400 to 800 deaths per year beyond what we expected, or an additional 13,000 to 27,000 excess male deaths within 12 months of turning 62. That 2% is 2 of every 100 men in the whole male population who turn 62. We really think these deaths are concentrated among the 10% of men who retire at 62, so instead of 2 in 100, it’d be 2 in 10. So, the increase in the probability of death for men who retire could be as high as 20%. I actually think that’s a pretty big deal.

You can find the original WSJ article at this link. 

If you can’t get past the firewall or if you want to read the original study go here.

    Social Security eligibility begins at age 62.
    1/3 of Americans immediately claim benefits upon reaching this age.
    There is a discontinuous increase in male mortality at age 62 of 2%.
    This increase in mortality is closely connected to changes in labor force participation.
    Our results suggest mortality rises because men retire once Social Security is available.