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Sunnyside Ave. project placed on hold

Posted: February 19, 2012 at 1:43 am

SALT LAKE CITY — A controversial lane-reduction test planned for Sunnyside Avenue has been put on hold while city leaders debate its necessity and merits.

Last week, four members of the Salt Lake City Council sent a letter to Mayor Ralph Becker requesting that the city abandon plans for a six-week "road diet" between Guardsman Way and Foothill Drive, saying the test was creating "unnecessary controversy."

On Tuesday, Becker agreed to delay the test "pending further council consideration and additional discussion." But he also noted that the council members' request represents "a significant departure from the city's current approach to redesigning streets using the Complete Streets philosophy."

City transportation officials planned to temporarily reduce the number of travel lanes on the stretch of Sunnyside Avenue from five — two lanes in each direction and a median/turn lane — to four by converting one westbound lane into a bike lane.

The project has been seen as an opportunity to advance the city's Complete Streets initiative to design and operate streets safely for all users — pedestrians, bicyclists, motorists and transit riders of all ages and abilities.

City officials planned to use a resurfacing project already scheduled for this summer to determine whether reducing lanes for motorists would work on Sunnyside Avenue. That resurfacing project also has been delayed, pending further discussion, Becker said.

I don't view this as all or nothing. I think there are other ways we can accomplish the same objectives without unnecessarily hindering traffic flow.

–- Charlie Luke, councilman

Charlie Luke, the first-year councilman who spearheaded the effort to stop the test, said he appreciates Becker's willingness to delay the project and allow for additional discussion.

Luke said feedback he's received from residents who would be most impacted by the lane reduction has been "overwhelmingly negative," with many neighbors worried about traffic backing up along Sunnyside and spilling onto neighborhood streets.

"I don't view this as all or nothing," he said. "I think there are other ways we can accomplish the same objectives without unnecessarily hindering traffic flow."

Luke favors an option that would maintain two travel lanes in each direction and still move forward with Complete Streets concepts on Sunnyside Avenue by removing the center turn lane in some locations and replacing it with a narrow, landscaped median.

That plan was suggested by city consultants as an option in the event the road diet doesn't work for Sunnyside Avenue.

The Complete Streets project planned for Sunnyside Avenue stemmed from residents' concerns about speeding, noise levels and safety in the area.

Following what Becker said was a "lengthy public process," the City Council authorized a study of the corridor "that would slow traffic, create a welcoming environment for active transportation modes and lessen the division between the neighborhoods on the north and south sides of the street that result from a wide, high-speed road."

The six-week test was seen as a way to "understand the effects of a road diet on this neighborhood before this option (is) considered for implementation," Becker stated in his response.

"Given this test, planners and engineers would know better how to plan for auto, pedestrian and bicycle experiences on Sunnyside and throughout the neighborhood," he said.

Becker has asked the City Council to reconsider its "apparent change in policy direction" in an upcoming public meeting to clarify what it "intends with its Complete Streets ordinance and policy" and how it applies to Sunnyside Avenue.

Luke said that discussion likely will take place in March.

Email:jpage@ksl.com

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Sunnyside Ave. project placed on hold

Weight Loss Surgery

Posted: February 19, 2012 at 1:43 am

LEWES, Del. - The first day of Spring is just about a month away, which means bathing suit season isn't far behind. Since weight-loss is a hot topic, many have questions about the many options out there to help you lose weight. That can include surgery, but it's not for everyone and it can be costly.

"As I get older I find different things are starting to happen that the diabetes is causing," replied Maryann Opatt who is looking into getting weight loss surgery.
  
69-year-old Maryann Opatt was diagnosed with diabetes 20 years ago. She believes that weight loss surgery could improve her condition, but on a fixed income, she's concerned about the cost. "If the insurance doesn't take care of it then I have to worry," said Opatt.

Mary Ann brought her concerns to the Beebe Medical Center's Weight Loss Surgery Seminar where Dr. Daniel McCullough addressed sticky issues like medical insurance. "Most insurance companies now will provide a benefit for weight loss surgery," said McCullough.

But Dr. McCullough adds that insurance companies determine eligibility for surgical benefits by the BMI or the body mass index rate. "If your BMI is less than 35, insurance companies will not provide a benefit for weight loss surgery," said McCullough.

Dr. McCullough also discussed the pros and cons of different procedures - gastric by-pass surgery and lap banding are two of the most common surgeries done.

Not all surgical procedures for weight loss are covered by insurance - seminars like this give the patient the information they need to eventually make the right decisions.

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Weight Loss Surgery

Can A Diet Clean Out Toxins In The Body?

Posted: February 18, 2012 at 4:14 pm

Enlarge iStockphoto.com

Experts say specialized diets won't help rid the body of toxins any more than what the liver and kidneys already do every day.

iStockphoto.com

Experts say specialized diets won't help rid the body of toxins any more than what the liver and kidneys already do every day.

Between lingering New Year's resolutions and impending Lenten restraint, it's the season when many people are inspired to get healthy by refusing foods they normally delight in.

And increasingly, we're seeing elimination diets that promise weight loss and a tantalizing bonus: detoxification.

"Cleansing diets" trade on this most alluring idea: By limiting our intake of food to a few superpure items, we can free up the body to get rid of all the gunk accumulated in our cells.

There's only one problem with the idea of using food, or a lack thereof, to detox: Medical experts say it's baloney. What's most ironic about the detox myth, they say, is that the body is already quite capable of eliminating toxins – a gift from human evolution.

 

"The body has its own amazing detoxification systems: the liver and the kidneys," says Ranit Mishori, a faculty member in family medicine at the Georgetown University School of Medicine who has reviewed the medical literature on colon cleanses. "Unless there's a blockage in one of these organs that do it day and night, there's absolutely no need to help the body get rid of toxins."

I happen to know a few people who recently embarked on the Clean Program, a 21-day diet created by Alejandro Junger — who was once called the "detox movement's It Boy." A cardiologist by training, the Uruguayan-born, Los Angeles-based Junger has managed to sell a lot of books (a best-seller titled Clean: The Revolutionary Program to Restore the Body's Natural Ability to Heal Itself) and a lot of dietary supplements to people on his program.

One of Junger's fundamental arguments is that our body is full of toxins we've picked up from food and the environment. These toxins slow us down and make us sick. As Junger recently tweeted, a "main cause of dysfunction in the body is the presence of obstacles [toxins] to the normal functioning of things."

However, Junger writes, it is possible to get rid of them by giving our digestive system a break. That system is normally so busy breaking down irritating foods that it rarely has time to do the hard work of detox. In effect, Junger sees the average body on an average American diet akin to a dirty house that needs an occasional deep scrubbing.

His diet bans a laundry list of foods: dairy, sugar, alcohol, caffeine, gluten, nightshade vegetables, soy and peanuts — all foods he calls irritants to good digestion. His website also actively encourages people to spend $425 on the Clean supplement package, which comes in vanilla or chocolate flavor.

After several years of promoting the Clean Program, Junger has hundreds of devotees who chatter on the Clean forum and elsewhere about feeling marvelous, and indeed cleaner after the program — like this writer from Outside. That group of believers includes such celebrities as Donna Karan and Gwyneth Paltrow, who recently launched her own $425 goop cleanse with Junger.

Despite its heavy restrictions, it's not hard to see why Clean is compelling. Who doesn't sometimes feel icky, or bloated, or displeased with his decision to wolf down a few too many cookies or french fries? And surely there's a benefit to eating a lot more fruits and vegetables.

But will that change in diet really push out toxins?

"The body is constantly filtering the toxins in alcohol, food and medicines, not storing them," Boston dietitian Maria Adams tells The Salt. "So they're not going to build up. I think the reason people feel better on a cleanse is probably just they're losing weight and are less bloated."

It's true there are plenty of very real toxins in the environment we could be exposed to: the ultrafine particulate matter we inhale from dirty air, asbestos from old homes, or heavy metals like lead or mercury. Unfortunately, there's really no easy way to get these toxins out. Chelation therapy may work for some metals, but particulates in our lungs are probably there to stay, says Mishori. "A lot of these are irreversible," she says.

So why, despite the science, does the idea of cleansing with food remain so powerful?

"We live in an era where there are daily assaults on our psyche and body, so cleansing may give you a false sense of getting the gunk out," says Mishori. As for psychological gunk? Try a little exercise and nature, she says.

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Can A Diet Clean Out Toxins In The Body?

Healthhound.org Sets Up A Rapid Weight Loss Department

Posted: February 18, 2012 at 4:14 pm

Healthhound.org has set up a rapid weight loss department on their site. The new department will be fielding question from people interested in rapid weight loss.

Houston, TX (PRWEB) February 18, 2012

Healthhound.org has just set up a rapid weight loss department for their readers. People who are interested in rapid weight loss can check out the site right now for more details on the new department.

Michael Connors, one of the main Directors on the site said that “this new rapid weight loss department is something that we have been working on for some time now. We have hired a number of people with knowledge in the weight loss sector to man this department. The new department will be located on a special page on the site where people will be able to log on and talk to a person through a live chat program about their rapid weight loss goals. The person working for the health hound team will then advise the person accordingly. We hope that our readers will really appreciate the level of customer service that we are providing with this new department”.

The news of the rapid weight loss department has caught the attention of a number of forum members on the site and many of them have been leaving comments about the new department. Many of the commentators are praising the team at the site for setting up a department like this and other commentators are saying that they are looking forward to checking out the new rapid weight loss department.

The management team at the site have come up with something else this week that will help people who are looking to lose weight right now.

For a limited time only there is a free report on the site on quick and easy ways to lose weight.

The team at health hound are hoping that this report will help people to get even further with their weight loss goals.

The report can be downloaded right now at http://www.healthhound.org/3225/rapid-weight-loss/.

###

Jose C. Boyd
healthhound.org
978-874-6879
Email Information

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Healthhound.org Sets Up A Rapid Weight Loss Department

Your Twitter Diet – Video

Posted: February 18, 2012 at 11:10 am

16-02-2012 22:54 Author Rebecca Regnier of Your Twitter Diet discusses how the diet works.

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Your Twitter Diet - Video

Diet pop tied to heart attack, stroke risks: Study

Posted: February 18, 2012 at 1:46 am

Diet pop may benefit the waistline, but a new study suggests that people who drink it every day have a heightened risk of heart attack and stroke.

The study, which followed almost 2,600 older adults for a decade, found that those who drank diet pop every day were 44 per cent more likely than non-drinkers to suffer a heart attack or stroke.

The findings, reported in the Journal of General Internal Medicine, don't prove that the sugar-free drinks are actually to blame.

There may be other things about diet-pop lovers that explain the connection, researchers say.

"What we saw was an association," said lead researcher Hannah Gardener, of the University of Miami Miller School of Medicine. "These people may tend to have more unhealthy habits."

She and her colleagues tried to account for that, Gardener told Reuters Health.

Daily diet-pop drinkers did tend to be heavier and more often have heart risk factors like high blood pressure, diabetes and unhealthy cholesterol levels.

That all suggests that people who were trying to shed pounds or manage existing health problems often opted for a diet pop over the sugar-laden variety.

But even after the researchers factored in those differences -- along with people's reported diet and exercise habits -- they found that daily diet pop was linked to a 44-per cent higher chance of heart attack or stroke.

Nevertheless, Gardener said, it's impossible for a study to capture all the variables that could be at work.

The findings do build on a few recent studies that also found diet-pop drinkers are more likely to have certain cardiovascular risk factors, like high blood pressure or high blood sugar.

This is the first study, Gardener said, to look at actual "vascular events" -- that is, heart attacks, strokes and deaths from cardiovascular causes.

The findings are based on 2,564 New York City adults who were 69 years old, on average, at the outset. Over the next decade, 591 men and women had a heart attack, stroke or died of cardiovascular causes.

That included 31 per cent of the 163 people who were daily diet-pop drinkers at the study's start. In contrast, 22 per cent of people who rarely or never drank diet pop went on to have a heart attack or stroke.

There was no increased risk linked to less-than-daily consumption. Nor was regular pop tied to heart attacks and strokes.

If diet pop, itself, somehow contributes to health risks, it's not clear how, Gardener said.

There's research in rats suggesting that artificial sweeteners can end up boosting food intake and weight. But whether results in rodents translate to humans is unknown.

"I don't think people should change their behavior based on this study," Gardener said. "And I wouldn't advocate drinking regular pop instead."

Regular pop is high in calories, and for people who need to shed pounds, experts often suggest swapping regular pop for the diet version.

A study out this month found that the advice may be sound. Obese people who were randomly assigned to drink water or diet drinks in place of sugary ones lost about five pounds over six months.

Gardener said that further studies such as hers are still needed to confirm a connection between diet pop and cardiovascular trouble.

Ultimately, she noted, clinical trials are considered the "gold standard" for proving cause-and-effect. That would mean randomly assigning people to drink diet pop or not, and then following them over time to see if there were differences in their rates of heart problems or stroke.

A study like that, Gardener said, would be "difficult and costly" -- since it would have to follow large groups of people over many years, and rely on people to stick with their assigned beverages.

SOURCE: Journal of General Internal Medicine, online January 27, 2012.

© Copyright (c) Reuters

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Diet pop tied to heart attack, stroke risks: Study

FDA to Reconsider Diet Drug

Posted: February 18, 2012 at 1:46 am

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FDA to Reconsider Diet Drug

Panel to Ponder Fate of Qnexa Weight-Loss Pill

Posted: February 18, 2012 at 1:46 am

Once Rejected Over Safety, Qnexa Again Before FDA Panel

Feb. 17, 2012 -- Once rejected by the FDA over safety concerns, the weight loss pill Qnexa on Wednesday will get a second chance before an FDA advisory committee.

Will the second time around be the charm? Qnexa maker Vivus Inc. hopes so. And the company will be showing off new safety data from patients who took Qnexa for a second year after completing a one-year clinical trial.

Whether that will sway the panel -- and, ultimately, the FDA -- is a tough call.

Qnexa combines two currently approved drugs. One is the appetite suppressant phentermine, the safer "phen" part of the infamously unsafe fen-phen diet drug.

The other half of Qnexa is the seizure/migraine drug topiramate. The topiramate label lists some scary side effects: eye problems, decreased sweating and increased body temperature, acidic body fluids, suicidal thoughts and behaviors, and fetal toxicity.

But Vivus' new data suggests that the FDA's main safety concerns, heart risk and birth defects, were not a big issue in the follow-up study. Neither were worries about increased suicide risk, mental dulling, or too much acid in body fluids.

These may not have been major issues in the clinical trials, but troubling safety issues persist. In the FDA's analysis of Qnexa safety, there were some ominous comments:

There was indeed evidence of increased heart rate and acidic body fluids in people taking Qnexa. The FDA states that "only a long-term" study can tell whether Qnexa increases the risk of heart disease in obese people already at high heart risk. One question before the panel is whether Vivus must conduct such a study. A disturbing number of women in the clinical trials got pregnant, even though they had agreed to be on birth control and had regular pregnancy checks. One of the ingredients in Qnexa is linked to birth defects, although none were seen in the clinical trial. Since 36% of U.S. women are obese, the FDA worries that a lot of pregnant women will be exposed to Qnexa.

 

Does Qnexa Benefit Outweigh Qnexa Risk?

While the argument over Qnexa approval isn't about efficacy, not everyone taking the drug loses a significant amount of weight:

On average, people taking the dose of Qnexa proposed for approval lost 6.6% of their body weight. For approval, the FDA requires that a drug result in average loss of at least 5% of body weight. In one study, 62% of obese and overweight people taking Qnexa lost at least 5% of their body weight -- about three times as many as in the placebo group. The FDA standard is that 35% of people must lose 5% of body weight. In a follow-up study, people continuing to take Qnexa for a second year regained some of the weight they lost the first year. They did not regain as much weight as people taking a placebo.

Since Qnexa exceeds the FDA's minimum effectiveness requirement, the question is whether the new safety data will sway the new FDA panel.

The last panel voted 10 to 6 against approval. But a lot of those voting said it was a close call.

This year, there are 22 panel members scheduled to vote. Twelve of them were on the last panel. Last time, seven of them voted "no" to approval, and five voted "yes."

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Panel to Ponder Fate of Qnexa Weight-Loss Pill

Want to Lose Weight? Try Teamwork

Posted: February 18, 2012 at 1:46 am

Weight Loss Influenced by Team Support, Researchers Say

Feb. 17, 2012 -- Weight loss may be influenced by joining a team.

A new study shows that people who shed at least 5% of their initial body weight during a weight loss competition were likely to be on the same teams. Those who said their teammates played a large role in their weight loss were more likely to lose a significant amount of weight.

The findings appear in Obesity.

Shows like The Biggest Loser often have team-, family-, or couples-based competitions that harness the power of peer influence when it comes to weight loss.

“People around us affect our health behaviors,” says researcher Tricia Leahey, PhD. She is with The Miriam Hospital’s Weight Control and Diabetes Research Center and is an assistant professor of psychiatry and human behavior at Alpert Medical School of Brown University in Providence, R.I.

This is true for healthy and unhealthy behaviors. “It could be quite beneficial if a bunch of friends that choose to lose weight make healthy food choices together, and hold each other accountable to those choices,” she says.

Team members can motivate one another to stay the course. “If someone is doing really well, it could influence the whole group,” Leahey says.

The findings are based on the results of the 2009 Shape Up Rhode Island campaign, a 12-week statewide, online weight loss competition. Participants competed against other teams for weight loss, physical activity, and the number of steps taken. The weight loss arm included 3,330 overweight or obese people on 987 teams. The teams had between five and 11 members.

Two of the study’s co-authors, Rajiv Kumar, MD and Brad M. Weinberg, MD, are co-founders of ShapeUp, Inc.

There Is No ‘I’ in Team

People who lost at least 5% of their body weight, which is an amount that is thought to be significant in improving health, tended to be on the same teams. Those who reported a higher level of social influence by their teammates increased their odds of significant weight loss by 20%. 

“This is really quite powerful,” Leahey tells WebMD. "We were surprised by the magnitude of the effect."

Team captains lost more weight than team members. This may be because they were more motivated and engaged in the contest.

Kevin Sloan is the acting psychology director at Beaumont Weight Control Center in Royal Oak, Mich. The findings mirror what he sees in his practice. “We find that when couples begin their weight loss journey together, they tend to do better. There is a lot of credence to the buddy concept,” he says.

Not everyone is a team player. “It is important to do a self-assessment before signing up, but this a good approach for some people who are joiners and do much better as part of a group,” he says.

Weight Loss Is Contagious

“People do better in a group because of the peer pressure,” says Louis Aronne, MD, founder and director of the Comprehensive Weight Control Program at New York-Presbyterian Hospital/Weill Cornell Medical Center.

And “virtual” weight loss works, too. Groups can get together via the web. “Social support helps people to do better, and there are a variety of ways to accomplish it,” Aronne says.

Still, group dynamics can backfire. "When someone is not doing very well, sometimes that person gets pulled along and sometimes they don’t,” he says.

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Want to Lose Weight? Try Teamwork

Hey, dieters, research indicates you should eat dessert with breakfast

Posted: February 17, 2012 at 7:01 pm

If you're reading this at breakfast, it's our pleasure to bring you good tidings of great joy: You may eat cake.

Dig in. Have a cookie. Have some chocolate mousse or ice cream.

If that sounds insane, let us turn your attention to a counter-intuitive new study from a team of researchers at Tel Aviv University. They've stumbled onto some earthshaking evidence that suggests adding dessert to a balanced 600-calorie breakfast that includes proteins and carbohydrates can help dieters shed weight and keep it off in the long run.

Here's the skinny:

Researchers split 193 clinically obese, nondiabetic adults into two groups. The groups were assigned nearly identical low-carb diets of 1,400 calories a day for women and 1,600 calories a day for men, similar to the popular Atkins diet. But one group was given a low-carb 300-calorie breakfast and the other was given a 600-calorie breakfast that was high in protein and carbohydrates and always included a dessert.

Weight loss was about equal for the two groups at 16 weeks. But after 32 weeks, those who added a cookie or cake or ice cream to breakfast had lost an average of 40 pounds more than those who ate the lighter, low-carb breakfast, according to the findings published in the journal Steroids.

Shocking, right? How on earth does that work?

We reached the lead researcher in Tel Aviv.

"What you eat for breakfast does not make you fat," said professor Daniela Jakubowicz, part of the Sackler Faculty of Medicine

and the Diabetes Unit at Wolfson Medical Center.

She explained that breakfast provides energy for the day, revs the body's metabolism and aids brain function. What you consume early is fuel. If a low-calorie diet restricts carbohydrates at breakfast, metabolism goes down and the body makes compensatory changes that encourage weight gain if you eat carbohydrates later. And you will, because by lunchtime you'll be super hungry.

"Breakfast increases metabolism and decreases hunger," she said.

And adding the sweet to breakfast reduces the desire to eat the sweet later in the day.

Serotonin, a neurotransmitter popularly thought to be a contributor to feelings of happiness, is high in the morning but falls in the afternoon, she said. When you eat chocolate in the afternoon, serotonin increases and has an antidepressive effect; it makes you happier. That ups the likelihood that you'll reach for it the next afternoon when your serotonin levels drop.

That's what happened to the group eating the lower-carb breakfast, those who didn't eat a balanced breakfast with dessert. They craved sweets later in the day, when indulging is worse, and they cheated on their diet.

"When serotonin goes down, you become sad and the chocolate makes you happy," she said. "It's like a vicious cycle."

So we should eat sweets in the morning?

"Chocolate in the morning maintains the serotonin levels during the day, so you don't feel depressed," Jakubowicz said. "When you think of the chocolate you ate in the morning, you don't remember that it made you happy because when you ate it your serotonin level was up. The dependence on the chocolate begins to decrease."

The study shows that the group that ate dessert at breakfast was far more successful at maintaining the diet in the long run.

We ran this by Dr. Denise Edwards, director of the Healthy Weight Clinic at the University of South Florida. She said the study made sense because people often fail at very restrictive diets and engage in "emotional eating," indulging on foods that give pleasure.

The best plan is one that strikes a balance, she said, so don't think you can just eat sweets and lose weight.

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Hey, dieters, research indicates you should eat dessert with breakfast


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