Archive for Prevention

New Childhood Obesity Op-Ed co-written by Bill Clinton Correctly Emphasizes Prevention in Kids, but Omits the Adult Solution, says Dr. Feiz and Associates



Changes to school lunches will help fight obesity in the long-run, but many currently obese adults need immediate solutions.


A June 30 CNN opinion piece written by former president Bill Clinton and American Heart Association CEO Nancy Brown argues for a variety of ongoing programs aimed at lowering childhood obesity. Los Angeles based weight loss surgery center Dr. Feiz and Associates agrees that initiatives aimed at encouraging more nutritionally sound school lunches and increased fitness are extremely important for lowering the terrifying rates of childhood obesity. However, the center also notes such procedures as the gastric sleeve may be the only way to deal with severe obesity when it comes to individuals for whom preventive efforts have come too late.

Dr. Feiz and Associates agrees that prevention is always preferable to a safe but admittedly aggressive treatment such as a weight loss procedure. At the same time, the clinic adds, the emphasis on prevention and relatively small lifestyle changes such as the #Commit2Ten campaign, encouraging children and adults to add 10 minutes of daily activity to their daily routine, can create a false sense that severely overweight individuals can overcome their obesity simply by taking up a few modest lifestyle changes.

The struggles of a person trying to lose 10 or 20 pounds can be difficult enough, but should not be compared with the battle to lose as much as 100 pounds or more that many severely obese people must wage, notes Dr. Feiz and Associates. Specifically, bariatric surgeon Michael Feiz, M.D., F.A.C.S. has often discussed the importance of the hormonal aspects of obesity. Dr. Feiz often notes that ghrelin, a powerful hunger hormone, appears to be more present in the bodies of obese people, and its presence increases the more weight a patient loses. The doctor adds that procedures such as the sleeve gastrectomy, which significantly reduces the production of ghrelin by removing approximately 80 percent of the stomach, make it far easier for severely obese people to unlearn the bad eating habits they learned in childhood.

People who may have only struggled with a few additional pounds often have a hard time understanding the nature of severe obesity, says Dr. Feiz and Associates. While efforts to encourage children and adults to trim unnecessary calories and exercise are important and extremely laudable, more proactive efforts are needed once preventive efforts have failed and severe obesity has set in, says the weight loss clinic.

Individuals who may be interested in learning more about weight loss surgery with Dr. Feiz & Associates may call 310-817-691. They can also visit the bariatric surgery center online at http://www.drfeiz.com.







PreDiabetes Centers Nutrition Expert Hosts Online Event Revealing Three Keys to a Diabetes Prevention Diet


Austin, Texas (PRWEB) April 30, 2015

PreDiabetes Centers, the country’s leading company specializing in personalized prediabetes treatment, will host a free nutrition-focused online event at PreD University, the Company’s new online diabetes prevention and treatment program.

The interactive webinar, titled “Reverse the Curse: 3 Ways to Fight Diabetes with Food,” is hosted by nutrition expert and chef Han Ashley. Chef Ashley gives attendees smart dietary tips and explains how eating healthfully to reverse prediabetes or diabetes is not only easy, it saves money and time!

Chef Ashley cultivated her knowledge of health and nutrition at the Weimar Center of Health and Education in Weimar, Calif., more than 25 years ago. As the PreDiabetes Centers Concierge Chef, Ashley creates recipes and meal plans for clients and collaborates with the Company’s medical department in nutritional development efforts for PreD University.

Anyone interested in living a healthier lifestyle and learning how to eat the right foods any time, anywhere, is encouraged to join Chef Ashley’s nutrition event. To sign up for the next online event, readers can click here.

All attendees leave the interactive nutrition webinar with valuable tips on:


How to eliminate sugar-filled foods from your home
Why you shouldn’t obsess over calories and weight loss
Four simple ways to start a diabetes prevention plan

Captivating webinars is one of the many valuable features of PreD University, a revolutionary new online prediabetes treatment program that uses the same treatment techniques used in the PreDiabetes Centers treatment clinics.

People who are interested in reducing their risk for diabetes can log on to the next PreD University nutrition event here.







Nor Cal Bail Bonds DUI Prevention Program Keeping You Safe


(PRWEB) December 21, 2014

Starting on December 22nd Nor Cal Bail Bonds will be providing rides from bars to peoples’ homes in an effort to prevent DUIs and help keep the roads safe from now into the new year.

If someone is a resident of Pleasanton, Livermore or Dublin call Nor Cal Bail Bonds to get picked up from a bar to make sure everyone is able to get home safe. They are willing to pick anyone up from any bar in the Tri-Valley area at no cost from December 22, 2014 and March 22, 2015.

During the 2013 holiday season about 2,575 arrests were made on California highways. Out of those arrests a majority made over the New Year’s weekend. A DUI can be very costly and can even result in jail time. It is estimated that in California a first offense misdemeanor DUI can cost over $ 15,000 and result in a license suspension.”California DUI: What Are the Penalties?” (http://dui.drivinglaws.org/resources/dui-laws-state/penalties-dui-california.htm) USDT, Fall 2014. Web. 19 Dec. 2014. After the first offense the fees and penalties drastically rise and the probability of jail time increases. When someone is injured in a drunk driving related accident the driver may be charged with a felony and up to five years in prison.

Alcohol significantly impairs judgment, reaction times and motor skills. The negative effects of alcohol can begin to affect the brain even after your first drink. Every year thousands of people die in drunk driving accidents and even more are injured. 013, Dot Hs 812, and May 2014. (n.d.): n. pag. National Highway Traffic Saftey Administration. U.S. Department of Transportation, May-June 2014. Web. 18 Dec. 2014. (http://www-nrd.nhtsa.dot.gov/Pubs/812013.pdf) There are countless families across the county whose lives have been affected from a drunk driving incident and Nor Cal Bail Bonds is making an effort to do their part to help make the roads safer for everyone.

It is important to understand that buzzed driving can still be very dangerous. A person may not feel drunk because of a built up tolerance to alcohol and that they are merely feel buzzed, but this can still result in a conviction, injury or even death. Someone might say that coffee, exercise or eating bread might sober you up quickly, but the only method that really works is time. It can take several hours for alcohol to properly filter through the bloodstream. Getting charged with a DUI is a 100-percent avoidable as long as everyone is responsible when drinking and makes sure to take preventative measures.

Help keep yourself and others safe by participating in this prevention program whenever you plan to go out for drinks with relatives or friends. Be sure to contact Nor Cal Bail Bonds for more information on how to utilize this service for any future trips to a bar or club. They will be available 24 hours a day and will be looking forward to help anyone in need.







SHAPE Task Force Applauds Recent Urgent Calls to Overhaul CVD Prevention Guidelines


Houston, TX (PRWEB) November 12, 2014

Leading preventive cardiologists and academic cardiovascular specialists from the Society for Heart Attack Prevention and Eradication (SHAPE), a non-profit organization advocating for early detection of future heart attack victims, endorse and applaud Dr. Steven Nissen’s urgent call to improve upon the existing inaccurate guidelines for detection and prevention of cardiovascular disease.

“We are delighted to hear Dr. Nissen and other well established physicians in the cardiology community call for revising existing guidelines” said Dr. PK. Shah, Chairman of SHAPE Scientific Advisory Board. “As many of you know, we have raised flags repeatedly since 2005 when we announced the SHAPE Guidelines and are looking forward to the much needed overhaul”.

After 10 years, as the field of cardiology anxiously awaited the NCEP IV Guidelines, the SHAPE Task Force was disappointed that several clinically important discoveries of the past decade were not incorporated in the AHA-ACC “Pooled Cohort” Guidelines. The Guidelines did not assign a proper role to the detection of subclinical atherosclerosis.

“In the past decade, a mountain of evidence has amassed supporting the superiority of screening for atherosclerosis over screening for risk factors of atherosclerosis, specially for detecting those with the highest near-term risk “the Vulnerable Patient”, however, most physicians are still treating their patients based on the outdated NCEP Guidelines” said Dr. Morteza Naghavi, Founder of SHAPE and Executive Chairman of the SHAPE Task Force. “It is disappointing that while other countries started incorporating atherosclerosis testing in their diagnostic algorithms, the US, where the research was largely done, lags in this regard. It is time for the US physicians to adopt practicing detection and treatment of atherosclerosis.”

The large, consistent body of evidence has demonstrated the value of using noninvasive imaging for early detection of atherosclerosis in its pre-symptomatic stage as recommended by the SHAPE Guidelines. While assessment of traditional risk factors such as high cholesterol and high blood pressure are important, it is now clear that the direct measurement of atherosclerosis, which measures the lifetime effects of known and unknown risk factors, is essential in identifying high risk individuals and improves the accuracy of their risk classification. SHAPE Guidelines focus on early detection of atherosclerosis whereas the existing guidelines focus on epidemiological risk factors of atherosclerosis which depict the statistical probability of developing atherosclerosis. The burden of atherosclerotic plaques predicts adverse events much more accurately than risk factors of atherosclerosis, particularly near-term events.

“We need to adopt Personalized Medicine to advance our patient care” said Dr. Daniel Berman, Chief of Nuclear Cardiology at Cedars Sinai Medical Center in Los Angeles and a leading member of SHAPE Task Force. “Treating patients for atherosclerosis without knowing if they have atherosclerosis, is a blind approach. The SHAPE Guidelines is a major step toward Personalized Medicine for prevention of atherosclerotic cardiovascular disease”

In 2009, the Appropriate Use Criteria considered coronary artery calcium scoring (CAC) “appropriate” for asymptomatic adults with an “Intermediate” global risk estimate, as well as those deemed lower risk with a family history of premature coronary heart disease. In 2010, the ACC/AHA Guideline for Assessment of Cardiovascular Risk in Asymptomatic Adults followed suit, elevating CAC and carotid plaque and intima-media thickness (CIMT) to Class IIa recommendations for cardiovascular risk assessment in asymptomatic adults at intermediate (10% to 20% 10-year) risk.

“The ACC’s Appropriate Use Criteria and 2010 Guidelines for Assessing Cardiovascular Risk was a big step forward. Unfortunately the new 2013 AHA/ACC Guidelines reversed some progress leading to significant over-treatment, especially in female populations” said Mathew Budoff, Professor of Medicine at UCLA and a leading member of SHAPE Task Force. “Today, there is absolutely no doubt that coronary calcium imaging predicts cardiovascular events better than all risk markers put together, including Framingham Risk Score, hs-CRP, and other new biomarkers”

The new AHA-ACC “Pooled” Guideline1, with its arbitrary change in the definition of High Risk in the primary prevention setting, is likely to result in marked overtreatment and undue “High Risk” labeling and statin therapy of many healthy women. For example, a 65year old non-smoking, non-diabetic, non-hypertensive woman with total cholesterol of 200 mg/dl and HDL of 49 mg/dl who lives an active life style would now be recommended statin therapy. In contrast, the same individual would be defined as Low Risk by the 2010 ACCF/AHA2 and NCEP Guidelines. More importantly, regardless of her cholesterol levels, if this female is tested negative for atherosclerosis, (absence of coronary calcium, absence of carotid plaques, or normal carotid wall thickness), she will be truly a low-risk individual and would not need statin therapy. The use of the new Guidelines also results in overestimation of the need for medications in certain subgroups of men. On the other side of the spectrum, high-risk individuals, men and women, with normal or borderline risk factors but a significant level of atherosclerotic plaques are overlooked as they would not qualify for intensive therapy. The existing AHA-ACC Guidelines address the PROBABILITY of coronary atherosclerotic disease and do not take into account whether such an individual has any evidence of subclinical atherosclerosis.

The Guidelines should no longer blindly favor intensive cholesterol lowering independent of atherosclerosis, but instead must target intensive therapy for those individuals with the highest burden of atherosclerotic “the Vulnerable Patient” who are expected to benefit the most from aggressive cholesterol-lowering and other interventions. The heightened awareness of possible statin induced hyperglycemia (diabetes mellitus) reinforces the need for more accurate and individualized risk assessment to insure that widespread drug therapy is appropriately implemented.

SHAPE is continuing its scientific quest for innovative approaches to heart attack prevention, and ultimately, eradication. As an educational nonprofit organization, SHAPE advocates only the most scientifically proven approach, independent of specific practices or procedures. SHAPE is actively supporting the Department of Health & Human Services Million Hearts™ initiative to prevent one million heart attacks and strokes over 5 years and encourages the DHHS authorities to consider national adoption of SHAPE Guidelines which is much more like to identify and save “the Vulnerable Patient” at risk of adverse events over 5 years.

In conclusion, given the large, consistent and growing body of evidence showing that testing for subclinical atherosclerosis is a more accurate method of predicting atherosclerotic cardiovascular events than testing for risk factors of atherosclerosis, the SHAPE Task Force applauds recent calls for revision of existing guidelines and respectfully urges the authorities at the American Heart Association and American College of Cardiology and effectively incorporate screening for atherosclerosis in determining risk and correspond the intensity of therapy to the burden of atherosclerosis.

****************************************

END

SHAPE encourages people to watch “Widowmaker”

http://www.widowmakerthemovie.com/

About the Society for Heart Attack Prevention and Eradication (SHAPE):

Originated from Houston, Texas and founded by Dr. Morteza Naghavi, SHAPE is a non-profit organization and is supported by leading cardiologists and cardiovascular researchers worldwide. The mission of SHAPE is to eradicate heart attack by championing new strategies for prevention while promoting the scientific quest for a cure such as “vaccine for atherosclerosis”. The immediate focus of SHAPE is on proper risk assessment of the asymptomatic individuals who are at risk of sudden cardiovascular events. SHAPE is committed to raising public awareness about revolutionary discoveries that are opening exciting avenues to prevent and ultimately eradicate heart attacks. Through educational programs presented to both medical professionals and the community, SHAPE raises awareness for the primary prevention of atherosclerotic cardiovascular disease. The vision of SHAPE is a world free from heart attack in the 21st century. Additional information is available on the organization’s website at http://www.shapesociety.org.

About the SHAPE Task Force:

Morteza Naghavi, M.D. – Executive Chairman

PK Shah, M.D. – Chair of Scientific Board

Erling Falk, M.D., Ph.D. – Chief of Editorial Committee

Members:

Arthur Agatston, M.D., Michael Blaha, M.D.,M.P.H., Daniel S. Berman, M.D., Matthew J. Budoff, M.D., Michael H. Davidson, M.D., Jim Ehrlich, M.D., Raimund Erbel, M.D., Erling Falk, M.D., Ph.D., Steven B. Feinstein, M.D., Craig Hartley, Ph.D., Harvey S. Hecht, M.D., Howard Hodis, M.D., Ioannis Kakadiaris, Ph.D., Sanjay Kaul, M.D., M.P.H., Iftikhar J. Kullo, M.D., Daniel Lane, M.D., Ph.D., Marge Lovell, R.N., Ralph Metcalfe, Ph.D., Morteza Naghavi, M.D., Tasneem Z. Naqvi, M.D., Khurram Nasir, M.D., Paolo Raggi, M.D., George P. Rodgers, M.D., John Rumberger, M.D., Ph.D., PK Shah, M.D., Leslee Shaw, Ph.D., David Spence, M.D., H. Robert Superko, M.D., Henrik Sillesen, M.D., Ph.D., Pierre-Jean Touboul, M.D.

Affiliation of Members of the SHAPE Task Force:

Arthur Agatston, M.D.

Associate Professor of Medicine,

University of Miami Miller School of Medicine

Founder and Director of the South Beach Diet and Heart Health Program

Miami, FL

Michael Blaha, M.D. M.P.H.

The Johns Hopkins

Ciccarone Center for the Prevention of Heart Disease

Baltimore, MD

Daniel S. Berman, M.D.

Director of Cardiac Imaging and of Nuclear

Cardiology at Cedars-Sinai

Los Angeles, CA

Matthew Budoff, M.D.

Vice President, Society of Atherosclerosis Imaging,

Professor of Medicine and Director of Preventive

Cardiology, UCLA Harbor

Los Angeles, CA

Michael H. Davidson, M.D.

FNLA Professor, Director of Preventive Cardiology, The University of Chicago Pritzker School of Medicine, Executive Medical Director,

Radiant Research

Chicago, IL

James Ehrlich, M.D.

Clinical Associate Professor

University of Colorado

Denver, CO

Raimund Erbel, M.D.

Professor of Medicine

University of Duisburg-Essen

Director of Department of Cardiology

West German Heart Center

Essen, Germany

Erling Falk, M.D., Ph.D.

Chief of SHAPE Guidelines Editorial Committee

Professor of Pathology and Cardiology

Aarhus University Hospital (Skejby)

Aarhus, Denmark

Steven B. Feinstein, M.D.

Professor of Medicine and Director of Echocardiograpy

Division of Cardiology, Rush University Medical Center

Chicago, IL

Craig Hartley, Ph.D.

Professor of Bioengineering

Baylor College of Medicine

Houston, TX

Harvey S. Hecht, M.D.

Professor of Medicine

Associate Director of Cardiac Imaging

The Mount Sinai Medical Center

New York, NY

Howard Hodis, M.D.

Professor of Cardiology and Preventive Medicine

Professor for Molecular Pharmacology and Toxicology

Director of Atherosclerosis Research Unit at the Division of Cardiovascular Medicine

Keck School of Medicine University of Southern California

Los Angeles, CA

Ioannis Kakadiaris, Ph.D.

Professor of Biomedical Computer Sciences

University of Houston<

Houston, TX

Sanjay Kaul, M.D., M.P.H.

Director, Cardiology Fellowship Training Program

Director, Vascular Physiology and Thrombosis Research

Laboratory at the Burns and Allen Research Institute

Cedars-Sinai Medical Center

Los Angeles, CA

Iftikhar J. Kullo, M.D.

Professor of Medicine

Division of Cardiovascular Disease

College of Medicine

Mayo Clinic

Rochester, MN

Roxana Mehran, M.D.

Professor of Medicine and Director of Interventional Cardiovascular Research and Clinical Trials, Mount Sinai Heart, the Zena and Michael A. Wiener Cardiovascular Institute

Mount Sinai School of Medicine

New York, NY

Ralph Metcalfe, Ph.D.,

Professor of Biomedical Engineering

University of Houston

Houston, TX

Morteza Naghavi, M.D.

Executive Chairman of SHAPE Task Force

President and CEO of MEDITEX

Houston, TX

Tasneem Z Naqvi, M.D. MMM

Professor of Medicine

Mayo College of Medicine

Director Echocardiography

Mayo Clinic

Arizona

Khurram Nasir, M.D.

Director,

Center for Prevention and Wellness Research,

Baptist Health South Florida,

Miami, Florida

Paolo Raggi, M.D.

Academic Director, Mazankowski Alberta Heart Institute

University of Alberta

Edmonton, AB

Canada

George P. Rodgers, M.D.

Preventive Cardiology and Wellness Center

Seton Heart Institute

Austin, TX

John Rumberger, M.D.

Director of Cardiac Imaging

The Princeton Longevity Center,

Princeton, NJ

PK Shah, M.D.

Chairman of SHAPE Scientific Committee

Chief of Cardiology and Director of Atherosclerosis Research, Cedars Sinai Medical Center

Professor of Medicine at UCLA School of Medicine

Los Angeles, CA

Leslee Shaw, Ph.D.

Professor of Cardiology

Outcome Research Center

Emory University

Atlanta, GA

Henrik Sillesen, M.D., D.MSc.

Director of HRP Study Carotid Examinations

Chairman, Department of Vascular Surgery Rigshospitalet

Professor of Surgery, University of Copenhagen

Copenhagen, Denmark

J. David Spence, M.D.

Professor of Neurology and Clinical Pharmacology,

University of Western Ontario

Director of Stroke Prevention & Atherosclerosis Research Centre,

Robarts Research Institute

London, ON

Canada

H. Robert Superko, M.D.

President – Cholesterol, Genetics, and Heart Disease Institute

Adjunct Professor

Mercer University School of Pharmaceutical Sciences

Atlanta, GA

Pierre-Jean Touboul, M.D.

Professor of Neurology

Department of Neurology and Stroke Center

AP-HP Bichat University Hospital

Neurology and Stroke Center

Paris, France