Obesity, Blood Pressure Rising in the YoungAugust 2004
|LE Magazine August 2004|
|Obesity, Blood Pressure Rising in the Young|
More than 15% of children and adolescents are now considered overweight, and these statistics are amplified in minority and socioeconomically disadvantaged youth.1,2 Now researchers report that blood pressure among the young is also on the rise, a trend they attribute to growing rates of obesity.
Overweight children often become overweight adults at increased risk of degenerative diseases such as heart disease, high blood pressure, and diabetes. These “diseases of aging” result in premature death, and new evidence suggests they are having a premature onset as well—in other words, children not only have high blood pressure, but their blood pressure is on the rise. Indeed, high blood pressure is nine times more common in overweight children than in those of normal weight.
Researchers compared the blood pressure measurements of children and adolescents aged 8-17 from the NHANES III study of 1988-1994 with those of the NHANES study of 1999-2000.3 They found a small yet significant increase in blood pressures between the two groups. Systolic blood pressure was 1.4 mm Hg higher in the 1999-2000 participants than in the earlier group, while diastolic blood pressure was 3.3 mm Hg higher than in the 1988-1994 group.
According to the researchers, an increase in body mass index (BMI) among children and adolescents over the time period between the two NHANES studies accounts for some of the observed blood pressure elevations. By implementing weight maintenance and weight loss strategies such as dietary modification and increased physical activity, the blood pressure crisis in children and adolescents may yet be averted.
—Dean S. Cunningham, MD, PhD
1. Ogden CL, Flegal KM, Carroll MD, Johnson CL. Prevalence and trends in overweight among US children and adolescents, 1999- 2000. JAMA. 2002 Oct 9;288(14):1728-32.
2. Mei Z, Scanlon KS, Grummer-Strawn LM, Freedman DS, Yip R, Trowbridge FL. Increasing prevalence of overweight among US low-income preschool children: the Centers for Disease Control and Prevention pediatric nutrition surveillance, 1983 to 1995. Pediatrics. 1998 Jan;101(1):E12.
3. Muntner P, He J, Cutler JA, Wildman RP, Whelton PK. Trends in blood pressure among children and adolescents. JAMA. 2004 May 5;291(17):2107-13.
|The Medicare Debacle Hurts Patients|
Editorial by Dr. Jonathan Wright
It would almost be entertaining to watch the Medicare prescription drug fiasco—if it did not affect millions of people so negatively. First, the act, officially known as the Medicare Prescription Drug Improvement and Modernization Act of 2003, is passed under duress. It barely makes it through the House, and it only escapes the Senate under the threat of filibuster. Lawmakers on both sides of the fence have issues with it. While it is nice to see our lawmakers can occasionally unite in their assessment of a stinker, the resounding dislike for the bill still did not keep it from being passed. Then, early this year, tales of withheld budget and actuarial information started to surface. A number-cruncher named Richard Foster gets caught up in a maelstrom of allegations. It seems that lawmakers were told the bill would cost $400 billion; Foster put it at closer to $551 billion—but he was not allowed to tell anyone.
Months after the bill was passed, a mysterious fax surfaces that reveals Foster's figures (I am telling you, this stuff is right out of All the President's Men). When questioned, Foster claims his boss threatened to fire him if he released those numbers to lawmakers. Earlier this month, a relatively quick and painless inquiry into the ethics of this whole situation reveals that, yes, the boss gagged the employee, but, no, he will not be prosecuted any time soon due to some technicality in the law. In fact, none of the employees involved even had to appear to testify on the matter.
The boss in question, Thomas A. Scully, is now a private consultant, and apparently had too busy of a travel schedule to even respond to inquiries into the matter for 10 days. Quietly enough, the President revised the estimated cost of the overhaul to $534 billion. I wish I could say it gets better, but it does not. In fact, it gets worse. Another inquiry was launched into $20 million that went into ads and marketing materials for the new program. Finally, an element of the new program was rolled out last month: Medicare drug-discount cards. By all accounts to date, these are so confusing that they border on being completely useless.
In a Kaiser Health Poll Report Survey done last month, six in 10 seniors did not even know about the discount card or did not think they were eligible. This mess is so wide and so deep, it is hard to know where to start. The saddest part is that, once again, Medicare recipients—and, of course, taxpayers—will be the ones to pay the price for such shenanigans. If there is any consolation here, it may be that we are in an election year—one of the few times that lawmakers might actually listen to us.
Make your voice heard. Contact your congressman, join an advocacy or watchdog group that is active on this issue, and pay attention to the press. When these kinds of dramas can get swept under the rug so easily, despite all the red flags flying all along the way, I am afraid we are in deep, deep trouble. And if you would like to learn more about the bill or the discount drug program, go to: www.medicare.gov or call 1-800-MEDICARE. Please let us know your experiences with Medicare under the new plan as they roll it out. We would like to know how this legislation is affecting our readers, for better or worse.*
Life Extension's comments: It is interesting that executives from dozens of corporations are facing possible life terms in prison for accounting fraud, whereas the $151 billion accounting fraud perpetrated by government employees, and the accompanying perjury committed before Congress, is not even considered a crime. This $151 billion cover-up may exceed the aggregate amount of dollars recently pillaged from public companies.
* Compiled by Amanda Ross, managing editor of Agora Publishing, from Dr. Wright's monthly newsletter, “Nutrition & Healing.”