Chronic Health

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28 posts · 11,451 views

Chronic health is achievable for almost everyone. It's the opposite of the epidemic of chronic diseases which plagues us today. This blog is all about how we can turn the tide into an epidemic of chronic health. With the tools and the knowledge of health sciences.

Lutz Kraushaar
28 posts

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  • April 23, 2012
  • 02:13 AM
  • 740 views

To hell with exercise

by Lutz Kraushaar in Chronic Health

Some claim that exercise is medicine. What's wrong with this view?... Read more »

MORRIS JN, & RAFFLE PA. (1954) Coronary heart disease in transport workers; a progress report. British journal of industrial medicine, 11(4), 260-4. PMID: 13208943  

  • June 25, 2012
  • 12:30 AM
  • 560 views

Why Risk Screening For Heart Disease Is As Good As Crystal Ball Gazing

by Lutz Kraushaar in Chronic Health

If weather forecasts were as reliable as cardiovascular risk prediction tools, meteorologists would miss two thirds of all hurricanes, expect rain for 8 out of 10 sunny days, and fail to see the parallels to fortune telling. ... Read more »

  • June 21, 2012
  • 01:00 AM
  • 557 views

Are You A Unique Medical Case?

by Lutz Kraushaar in Chronic Health

Research says yes, public health doesn't listen, and you suffer the consequences: too little benefits from generic interventions. And it could be so simple. ... Read more »

  • June 28, 2012
  • 12:30 AM
  • 523 views

Will The Polypill Prevent Your Heart Attack?

by Lutz Kraushaar in Chronic Health

Giving the polypill to everybody above the age of 55 kills two birds with one stone: cardiovascular risk and preventive medicine. That's what the proponents of the polypill say. The medical establishment is in uproar. Here is why you should be, too. But for a different reason. ... Read more »

  • June 11, 2012
  • 01:50 AM
  • 511 views

Can Chocolate Save You From Heart Attack?

by Lutz Kraushaar in Chronic Health





The media says yes. Science says maybe. In the end, you decide. Here are the facts:

A truffle treatment for heart disease is imminent. That's what a recent article suggests, headlined in the New York Daily News as: "Dark chocolate cuts heart deaths; Study shows benefits for high risk cardiac patients." 



The funny thing is, the cited  study does not show what the media geniuses claim it does. So, let's look at this master piece of research journalism and do a little fact check.
........ Read more »

  • June 4, 2012
  • 01:52 AM
  • 498 views

No Time To Exercise? You Are Not Alone!

by Lutz Kraushaar in Chronic Health




Lack of time is the most often cited excuse for not exercising. I deliberately chose the word "excuse" over its less judgmental alternative "obstacle". Simply because I cannot see an "obstacle" when I compare two simple metrics: the hours people spend watching TV and the minutes needed to maintain one's health with exercise. With high intensity interval training, or HIT, health enhancing exercise can be compressed into an amazingly short amount of time. When done right.


According to the Ni........ Read more »

  • June 7, 2012
  • 01:47 AM
  • 433 views

Can A Genetic Test Say Why You Are Fat?

by Lutz Kraushaar in Chronic Health




With the decoding of the human genome came the hope of getting a lever on the chronic diseases, which kill most of us today: heart disease, stroke, diabetes and many cancers. And since overweight and obesity are a common cause of those diseases, many obese people were, and still are, yearning for that exculpatory headline: "It's all in your genes!" Why and how this headline is unlikely to ever appear in any serious media, was a subject of my earlier post "It's not your genes, stupid!".

Now,........ Read more »

  • July 16, 2012
  • 01:30 AM
  • 432 views

How The Media Monkeys Get You Panicked About Sitting Too Long!

by Lutz Kraushaar in Chronic Health

From "man is made to move" to "man is not made to sit" is a very recent transition of scientific insight. Let's get our readers panicked over more than not doing exercise, is the response of the media. Here is why you should sit down and get the facts straight before jumping up in fear.... Read more »

Katzmarzyk PT, Church TS, Craig CL, & Bouchard C. (2009) Sitting time and mortality from all causes, cardiovascular disease, and cancer. Medicine and science in sports and exercise, 41(5), 998-1005. PMID: 19346988  

Patel AV, Bernstein L, Deka A, Feigelson HS, Campbell PT, Gapstur SM, Colditz GA, & Thun MJ. (2010) Leisure time spent sitting in relation to total mortality in a prospective cohort of US adults. American journal of epidemiology, 172(4), 419-29. PMID: 20650954  

Brown WJ, Trost SG, Bauman A, Mummery K, & Owen N. (2004) Test-retest reliability of four physical activity measures used in population surveys. Journal of science and medicine in sport / Sports Medicine Australia, 7(2), 205-15. PMID: 15362316  

  • July 23, 2012
  • 01:30 AM
  • 432 views

Why Medicine Might Be Wrong About Salt, Fat & BMI

by Lutz Kraushaar in Chronic Health

Salt and fat kill you early, and your BMI tells you how early. That has been the wisdom for years, but wisdoms have an expiry date, too. Particularly medical wisdoms. Recent research says those three are probably well beyond their use-by date.... Read more »

  • June 14, 2012
  • 02:35 AM
  • 420 views

Why You Should Arm Your Bullshit Alarm Before Reading Diet News.

by Lutz Kraushaar in Chronic Health





In the fight over best diet for health and weight loss, it's protein lovers vs. vegetarian zealots. So far, a clear winner has not emerged. Only one loser: you, the victim of biased research. Here is an example of why you should keep your bullshit alarm on high alert when reading about weight loss diets.
 

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Ellen M. Evans and colleagues wanted to know whether overweight men and women differ in their body composition responses to different weight loss diets [1]. So t........ Read more »

Evans, Ellen, Mojtahedi, Mina, Thorpe, Matthew, Valentine, Rudy, Kris-Etherton, Penny, & Layman, Donald. (2012) Effects of protein intake and gender on body composition changes: a randomized clinical weight loss trial. Nutrition and Metabolism. info:/doi:10.1186/1743-7075-9-55

  • July 9, 2012
  • 12:30 AM
  • 419 views

Supplements: Nutrition Science Or Nutrition Crap?

by Lutz Kraushaar in Chronic Health

Nutritionists claim they are doing science, consumers buy it, and the supplements industry makes a healthy living from it. Only you probably won't. Here is why: ... Read more »

Peto R, Doll R, Buckley JD, & Sporn MB. (1981) Can dietary beta-carotene materially reduce human cancer rates?. Nature, 290(5803), 201-8. PMID: 7010181  

Galan P, Kesse-Guyot E, Czernichow S, Briancon S, Blacher J, Hercberg S, & SU.FOL.OM3 Collaborative Group. (2010) Effects of B vitamins and omega 3 fatty acids on cardiovascular diseases: a randomised placebo controlled trial. BMJ (Clinical research ed.). PMID: 21115589  

  • May 31, 2012
  • 01:56 AM
  • 418 views

How to Live Longer And Exercise Shorter?

by Lutz Kraushaar in Chronic Health




Let's face it, if exercise was really that much fun, everybody would do it and we wouldn't be fat, diabetic or die of heart disease. So when your doctor tells you that you better start exercising, your immediate question might be: how much do I have to do? The answer is, it depends. It depends on whether you want to hear the polite version or the truth.



The polite version goes something like this:  As long as you do some exercise, you will see some health benefits. When your doctor gi........ Read more »

  • May 14, 2012
  • 02:11 AM
  • 402 views

Why your heart attack may just be collateral damage in big pharma's turf wars.

by Lutz Kraushaar in Chronic Health

























When a pharmaceutical company tells you that its drug is
safer than it really is, it probably plays with your health. And possibly with
your life. That's not a very nice thing to do. But it's also very profitable. Which
is why it happens more often that you care to know. 


 These days Takeda Pharmaceuticals has gotten some bad press
from a whistle blower suit which claims that TP deliberately withheld trial
data for Actos, a drug which t........ Read more »

  • May 7, 2012
  • 01:30 AM
  • 397 views

Who says being fat is bad?

by Lutz Kraushaar in Chronic Health

Would you have guessed that, one fine day, health insurers will regret the demise of big tobacco and its contribution to health care costs? Would you have guessed that, when that day arrives, health insurers would also learn to love other frowned-upon-vices of their policy holders, such as getting fat and lazy? Your answer is probably "no, I wouldn't have guessed that in my dreams.". And also very probably this answer is based on what you typically read in the media, such as this piec........ Read more »

Moriarty, J., Branda, M., Olsen, K., Shah, N., Borah, B., Wagie, A., Egginton, J., & Naessens, J. (2012) The Effects of Incremental Costs of Smoking and Obesity on Health Care Costs Among Adults. Journal of Occupational and Environmental Medicine, 54(3), 286-291. DOI: 10.1097/JOM.0b013e318246f1f4  

van Baal PH, Polder JJ, de Wit GA, Hoogenveen RT, Feenstra TL, Boshuizen HC, Engelfriet PM, & Brouwer WB. (2008) Lifetime medical costs of obesity: prevention no cure for increasing health expenditure. PLoS medicine, 5(2). PMID: 18254654  

Flegal, K. (2005) Excess Deaths Associated With Underweight, Overweight, and Obesity. JAMA: The Journal of the American Medical Association, 293(15), 1861-1867. DOI: 10.1001/jama.293.15.1861  

  • May 21, 2012
  • 04:12 AM
  • 391 views

Individualized medicine, ignorant medics and an invitation to lose weight.

by Lutz Kraushaar in Chronic Health

Why individualized medicine will not be a reality anytime soon, how physicians often misinterpret published studies, and how individualized prevention is a clear and present benefit.










In my previous post I promised to talk about your
individualized way to achieving optimal health. If that made you think
about personalized medicine, you were right. Almost. Because personalized
medicine is still light-years away from us. That's the bad news. The good news,
personalized prev........ Read more »

Pammolli, F., Magazzini, L., & Riccaboni, M. (2011) The productivity crisis in pharmaceutical R. Nature Reviews Drug Discovery, 10(6), 428-438. DOI: 10.1038/nrd3405  

Yang Q, Cogswell ME, Flanders WD, Hong Y, Zhang Z, Loustalot F, Gillespie C, Merritt R, & Hu FB. (2012) Trends in cardiovascular health metrics and associations with all-cause and CVD mortality among US adults. JAMA : the journal of the American Medical Association, 307(12), 1273-83. PMID: 22427615  

  • May 2, 2012
  • 01:30 AM
  • 381 views

Pass me the salt. And shut up about stroke risk.

by Lutz Kraushaar in Chronic Health

They say, statistics lie. That's a bad rep for a science, which has no other aspiration than that of making sense from data, of discovering an association between salt intake and stroke, of proving that the former causes the latter. Statistics is above lies. Those who interpret it are not. Which is why you should be a skeptic when someone is giving you the creeps about your food habits. For instance, by saying that "high sodium intake is associated with an increased risk of stroke", a........ Read more »

Gardener, H., Rundek, T., Wright, C., Elkind, M., & Sacco, R. (2012) Dietary Sodium and Risk of Stroke in the Northern Manhattan Study. Stroke, 43(5), 1200-1205. DOI: 10.1161/STROKEAHA.111.641043  

  • June 18, 2012
  • 01:32 AM
  • 379 views

10 Good Reasons Not To Exercise?

by Lutz Kraushaar in Chronic Health





Exercise may actually be bad for you! A professor says he stumbled upon this "potentially explosive" insight. The New York Times has been quick to peddle it. And couch potatoes descend on it like vultures on road kill. But professors can get it wrong, too. 



Before we judge the verity of the "exercise may be bad" claim, let's first look at how the media present it to us. We shall use the recent article in The New York Times, headlined "For Some, Exercise May Increase Heart Risk". The ........ Read more »

Bouchard C, Blair SN, Church TS, Earnest CP, Hagberg JM, Häkkinen K, Jenkins NT, Karavirta L, Kraus WE, Leon AS.... (2012) Adverse metabolic response to regular exercise: is it a rare or common occurrence?. PloS one, 7(5). PMID: 22666405  

Wilmore, J. H., Stanforth, P. R., Gagnon, J., Rice, T., Mandel, S., Leon, A. S., Rao, D. C., Skinner, J. S., & Bouchard, C. (2001) Heart rate and blood pressure changes with endurance training: the HERITAGE family study. Medicine and Science in Sports and Exercise. DOI: 10.1097/00005768-200101000-00017  

  • April 27, 2012
  • 01:30 AM
  • 377 views

Your shortcut to longevity.

by Lutz Kraushaar in Chronic Health

If you don't die from an accident, a serious infection or a cancer, you'll live as long as your arteries let you. And how long they let you is all in your hands. I know this sounds over-simplified, but it's biomedical knowledge in a nutshell. Lets look at what happens in and to your arteries and what that means for keeping them in mint condition.  You may have thought about your arteries as elastic tubes, which transport blood to where its oxygen and nutrient load is needed. But ........ Read more »

  • May 24, 2012
  • 01:58 AM
  • 361 views

The Death Of Good Cholesterol

by Lutz Kraushaar in Chronic Health











Briefly

There were always two types of cholesterol, the good and the
bad. Until now. A large new study tells us that good cholesterol might have
been an impostor. That's food for the media types. For those who think before
they type, the real news is that we are finally getting closer to uncovering
the impostors. Thanks to the genetics revolution which seems to be paying off
in an unexpected area.  




 




 




HDL - The Knight in Shining Armor

In the cholesterol u........ Read more »

Voight, B., Peloso, G., Orho-Melander, M., Frikke-Schmidt, R., Barbalic, M., Jensen, M., Hindy, G., Hólm, H., Ding, E., Johnson, T.... (2012) Plasma HDL cholesterol and risk of myocardial infarction: a mendelian randomisation study. The Lancet. DOI: 10.1016/S0140-6736(12)60312-2  

  • August 6, 2012
  • 01:30 AM
  • 358 views

What Infants Teach Us About Preventing Obesity.

by Lutz Kraushaar in Chronic Health

Public health has been telling you for years: you are fat because you move too little and eat too much. And yes, it's your fault if you don't break a sweat every day to keep our waist line in check. But research says, that's not the entire truth. In fact, public health might have taken the easy way out, and here is how it could finally make amends...... Read more »

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