The news was less disappointing for aerobic exercise, with 51.6% of adults getting the recommended amount, than it was for muscle-strengthening activities, with only 29.3% getting the recommended amount.
The overall exercise rates also varied widely by state, ranging from 13% in Tennessee and West Virginia to 27% in Colorado.
The report was published in the May 3 issue of the Morbidity and Mortality Weekly Report, a CDC publication.
"Exercise not only helps with weight management, it helps reduce anxiety and depression; boosts energy, immunity and brain power; and significantly lowers the risk for chronic diseases such as cancer, diabetes and cardiovascular disease," she said.
According to the Physical Activity Guidelines for Americans, adults should get at least:
=> two and a half hours a week of moderate-intensity aerobic activity such as walkin
=> or an hour and 15 minutes a week of vigorous-intensity aerobic activity, such as jogging.
In addition, adults should do muscle-strengthening activities, such as push-ups, sit-ups or activities using resistance bands or weights. These exercises should be done two or more days a week and work all major muscle groups, the guidelines suggested.
The highest proportion of adults meeting those guidelines were in the West (24 percent) and the Northeast (21 percent). Women, Hispanics and older and obese adults were less likely to meet the guidelines
"Simple steps to start moving include: enlisting a friend or family member to join you; taking a walk every evening after dinner; getting up and marching in place at every TV commercial; limiting TV and computer time; [and] scheduling your time to exercise in your daily calendar,
One of the biggest questions in biology is the nature versus nurture debate, the relative roles that genetic and environmental factors play in determining human traits.
In 2006, George Church at Harvard University and a few others started the Personal Genome Project (PGP) to help answer this question. The goal is to collect genomic information from 100,000 informed members of the public along with their health records and other relevant phenotypic data. The idea is to use this information to help tease apart the relative contributions of genetic and environmental factors.
The project does not guarantee privacy for those who sign up. Indeed, the participants can reveal as much information as they like, including their ZIP code, birth date and sex.
However, the data is ‘de-identified’ in the sense that the owners names and addresses are not included in their profiles on the PGP website and this generates a veneer of privacy.
Today, Latanya Sweeney and colleagues at Harvard show that even this is practically useless in keeping owners identities private. They say a relatively simple comparison of the list of PGP participants with other databases such as voter lists reveals the identity of a significant number of them with remarkable accuracy.
Traditional health insurance reimbursement to providers (though payment is a more appropriate word) for healthcare services and products is at the root of our healthcare crisis. Our traditional fee for service system in the USA rewards hospitals and providers for doing more (and more costly) procedures to patients. Some interesting findings from a study from Harvard Medical School were that the higher the cost of surgery, the greater the likelihood of complications and the more out-of-pocket a patient with Medicare or private insurance paid, the more complications were reported. In addition, if a patient paid for the surgery fully out-of-pocket or through government-funded Medicaid, the likelihood of complications was lower. The Affordable Care Act, which introduces newer payment models including bundled payments, is creating an economic environment which is conducive to the widespread use of remote patient monitoring (RPM) for recently discharged hospital patients and those with chronic diseases. RPM will be most focused on vital signs monitoring for cardiac and pulmonary patients and diabetes monitoring. Larger opportunities abound for weight management, medication adherence, and preventive medicine.
Recent institution of Medicare payment penalties for hospital readmissions is probably the most immediate impetus for the interest by healthcare systems in RPM. Studies at Johns Hopkins University and Geisinger Medical Center are just a few which demonstrate this utility of RPM.
RPM, will, in addition, foster other offshoot benefits of its technology. Firstly, I believe it will accelerate interoperability of disparate digital monitoring technologies, EHRs and patient portals. The ability of different technologies to talk to each other and to EHRs is at the heart of potential benefits of electronic health data. Secondly, it will change the culture of healthcare to shift the focus from the provider to the patient. Data emanating from patients will de facto involve patients more than they are now in their own care. Seeing the data will educate them and facilitate self-management (to detractors of the concept of self-management, patients have been self-managing diabetes for decades). RPM will increase interest in (and hopefully use of) patient portals which will be mobile hubs of patient health records and communication. But I digress (something I usually don’t do, but RPM has so many ramifications). This will also herald an introduction into the use of mobile apps by patients, recommended by providers. The issue surrounding reimbursement for health apps in general will also be resolved as it follows the path of RPM.
Organizations adopting RPM now are those who already have value-based or bundled payment systems or who realize that determining the ROI of technology in healthcare can be complex and that the predictable prevention of penalties is a good starting place. Improving longer term outcomes of RPM certainly needs more study.
While RPM is not new, its place as a leader of technology in the new payment system healthcare space is. RPM is well-suited for bundled payment systems because it is not just a technology. It involves the creation of processes and changes in workflow around the technology, some of which are home-based and some office and hospital-based. The success of RPM depends upon physician champions who will design these processes, and devise alert self-management, provider notification and treatment algorithms. RPM, via technology, can be the door to better provider-patient communication, more meaningful office follow-up visits, and increased caregiver participation. Nothing I’ve said here is earth shattering news. I meant to bring the discussion of RPM to a practical level about why it is here, needs to be utilized now and where it fits in to existing strategies. Let’s all welcome it.
Researchers found that patients saw physicians who use CDS as somehow less capable than those who don't. They saw the IT tools as impersonal, and thought the systems were a barrier between them and their caregivers.
That's the wrong way to think about it, says John Hoyt, executive vice president, HIMSS Analytics.
"They just need to understand it's not taking the place of their physician," he says. "It's an aid and reminder of the latest peer-reviewed advice and best practice alerts, etc."
It can "touchy," says Hoyt, because it may suggest, "subconsciously, that your physician is flawed, that he has a human brain – that may be a shock to some people."
But far from being a cheat, or a crutch to be leaned upon, decision support is an essential tool in the clinician's arsenal. Especially nowadays.
"Things get complex," he says. "A good physician will go out and search the literature. In days of old, they used to spend time in the medical library. But now we can bring it to their faces, at the moment."
But there's a fine line between that and "in your face," as it were.
Designing CDS to supply relevant information – at the right time and place – without risking physician alert fatigue, "is an art," said Hoyt. "We don't want to remind the physician, 'Hey, we've got a patient with high cholesterol, order a lipid test.' For God's sake, they know that."
It's even worse in the pharmacy: "Every minute, today, in these hospitals, the pharmacists are getting alerts that are far more detailed and hypnotic than the physicians get."
But clinical and business intelligence technology is changing, evolving – and getting smarter.
A range of diseases and conditions, from asthma to liver disease, could be diagnosed and monitored quickly and painlessly just by breathing, using gas sensing technology developed by a Cambridge spin-out.
The highly sensitive, low-power, low-cost infrared emitter developed by Cambridge CMOS Sensors (CCMOSS) is capable of identifying more than 35 biomarkers present in exhaled breath in concentrations as low as one part per million, and is being developed for use as a non-invasive medical testing device and other applications.
In addition to nitrogen, oxygen and carbon dioxide, we exhale thousands of chemical compounds with every breath: elevated acetone levels in the breath can indicate poorly-controlled diabetes, asthmatics will exhale higher than normal levels of nitric oxide, and glucose is a sign of kidney failure.
Proteus Digital Health has developed a pill that can text an alert when it enters a patient’s stomach.
The technology, widely tested and already available for over-the-counter sale in a pilot program in the UK is just one of several new developments in caregiving technology designed to prevent hospital readmissions and relieve family caregivers of the persistent worry: “Is Dad taking his meds?”
A British-Australian company has entered the US market with a low-cost template for individual physicians, dentists, orthodontists and small practices to customize mobile apps.
The company, Lexington Creative, which has built an app for people with attention deficit-hyperactivity disorder called ADHD Organizer and notably has designed a mobile app for Dick’s Sporting Goods in the US, last month had a soft launch internationally of Apps for Doctors, according to Alex Harrington, Australia-based head of client relations.
Presentation by Lisa Rhodes of Verne Global, and Pawan Deshpande, CEO of Curata. Published on SlideShare in April 2013.
"There's a good reason why content curation is such a hot topic these days: It works! Explore real-world examples of how leading B2B marketers identify, find, organize and share relevant content with their core markets via content curation, and learn why curation delivers strong ROI for today's marketing organizations."
Eating fish, chicken, olive oil and other foods rich in omega-3 fatty acids while staying away from meats and dairy -- the so-called Mediterranean diet -- may help older adults keep their memory and thinking skills sharp, a large new U.S. study suggests.
Using data from participants enrolled in a nationwide study on stroke, the researchers gleaned diet information from more than 17,000 white and black men and women whose average age was 64.
The participants also took tests that measured their memory and thinking (cognitive) skills. During the four years of the study, 7 percent of the individuals developed problems with these skills, the researchers reported.
"Greater adherence to Mediterranean diet was associated with lower risk of incident cognitive impairment in this large population-based study," said lead researcher Dr. Georgios Tsivgoulis, from the University of Alabama at Birmingham as well as the University of Athens, in Greece.
Sometimes, too much of a substance that's supposed to help can cause serious harm.
Drug overdose death rates in the United States have more than tripled since 1990, according to the Centers for Disease Control and Prevention (CDC). Just in 2008, for example, the CDC says there were 14,800 deaths in the U.S. caused by prescription painkillers.
Considering this problem, a group of Brigham Young University (BYU) students reimagined the prescription drug bottle and have developed a high-tech regulator.
Their invention, called Med Vault, basically lets a pharmacist give instructions to the bottle, which then dispenses painkillers accordingly to the patient. Via a USB connection, a pharmacist can use special software to load the pills and program how many can be dispensed per day.
"They can dispense one pill every four hours or two pills every 24 hours or whatever the doctor prescribes," said BYU senior Madison Clark, the team's electrical engineer.
It's a pretty complex design that the team claims is tamper-resistant and break-resistant. The Med Vault requires users to put in an access code to get a pill, making it harder for the drugs to get into the wrong hands (e.g., a small child).
"The physical requirements of the shell and of the material properties are such that you can't take a hammer to it and break it open," Clark told Mashable.
Panelists from a hospital forum have agreed that there is still progress needed before the devices can be integrated.
According to a panel at the Hospital Cloud Forum from the Information Management Network last week, doctors still need to be able to find a way to integrate mhealth and the data available through those systems into clinical care.
The devices that would be used would be connected to the cloud and would bring physicians and patient data together.
Mhealth could provide a very important way to bring the data regarding a patient’s current health and medical history to the fingertips of a doctor, according to the Maimonides Medical Center senior vice president and chief medical informatics officer, Dr. Steven J. Davidson, from Brooklyn, New York. He said that “I’d like to offer a vision as a longtime clinician that has talked to lots of patients over the years that the cloud is where patients and physicians are going to meet.”
Many panel members saw the value of giving doctors access to virtualized services through mhealth technology.
According to senior information and communications technology strategist and architect at Intel, Matthew Taylor, giving physicians direct access to mhealth services by way of mobile devices would give the entire healthcare industry a way to shrink the number of readmissions, and avoid unnecessary admissions from the very start.
Consumer health IT can dramatically impact patient care by facilitating such vital functions as medication management, remote patient monitoring, and tighter communication between patients and their care providers. The guide is particularly timely because in the next few years, health care providers will focus as never before on electronic linkages with their patients. Many hospitals and health systems have patient portals on the Internet, with access to rudimentary health record information, and perhaps the ability to e-mail physicians. Some offer mobile versions of those portals. But providers have so far been under no outside pressure to get patients to use those resources.
Patient-oriented health IT is officially on the national agenda through the federal “meaningful use” program, which gives billions in cash incentives to providers for using IT to improve care (and in 2015 is scheduled to start penalizing holdouts by reducing their Medicare payments). The most recent set of criteria for meaningful use, to be phased in starting in 2014, requires an active effort to link patients into the information loop. Not only do providers have to make patients’ information available to them online, they also have to show that at least 5% of the patients have accessed that information in a given year. That percentage is likely to increase with the next round of meaningful use requirements.
No matter how much technology we throw at it, the diabetes epidemic just won’t budge. Today, 8.3% of the U.S. population has the disease--a problem that cost the country $245 billion in 2012 alone.
For the past few years, drugmaker Sanofi US has run the $100,000 Data Design Diabeteschallenge, a call for entrants to design data-driven diabetes solutions. This isn’t a challenge for flash in the pan ideas that disappear soon after winning. Past competitions have yielded successful initiatives like Ginger.io, a behavioral health analytics startup that recently raised $6.5 million.
The finalists for this year’s competition (theme: using open data to make the right diabetes decisions at the right time) are below.
The GoCap is perhaps the simplest concept of the bunch: it’s a high-tech replacement cap for pre-filled insulin pens that can read dose amounts and time, and then wirelessly communicate that information to cell phones and glucometers. The resulting data can be used by both patients and large organizations for analysis.
CONNECT & COACH TM
A product of software development firm PHRQL, Connect & Coach TM calls itself the first clinical and consumer application to let dietitians and diabetes educators perform Diabetes Self-Management Education and Medical Nutrition Therapy in local communities. The product is designed for supermarket and pharmacy use.
Created by healthcare analytics company Allazo Health, the AllazoEngine attempts to solve the niggling problem of medication non-adherence by using existing data from its members to predict who will neglect to take their pills--and the best way to get them back on track.
Like many products breaking into the market today, Nuduro provides healthy meal recommendations that match customer lifestyle, taste, and nutritional requirements. Unlike the other products out there, however, Nuduro presumably focuses specifically on diabetes patients.
MEDISAPIEN DIABETIC CLINICAL DATA REPOSITORY
This product, created by ZyDoc, is an enterprise healthcare analytics platform that lets users deposit all sorts of unstructured data--dictation, legacy data, transcribed text, and more--and transforms it all into fully-coded structured data. The platform is obviously relevant outside of the diabetes world as well.
Mobile technology is experiencing a surge of advances in relation to the medical industry.
Technological advances once merely imagined in Sci-Fi flicks (think of Star Trek’s communicator, Bluetooth technologies, and even a quasi version of touch enabled computer screens) are being realized and even superseded thanks to modern innovation.
Mobile technology, in particular, is experiencing a surge of advances in relation to the medical industry. Research breakthroughs, advances in supporting technology infrastructure, and even substantial allocations of resources from private investors are realizing far reaching technological dreams, and then some.
Several weeks ago, Mike Lazaridis’ Research In Motion’s Blackberry Vice Chairman, (the maker of those once ubiquitous handheld wireless devices), launched a $97 million dollar Quantum Valley Investments fund to support innovation and entrepreneurs focused on creating non-invasive medical diagnostic equipment. The idea is simply to make “Star Trek’s” medical tricorder device for diagnosis a reality.
The push to go mobile has been years in the making and has, in many respects, been assisted by underlying communications technology and the utilization of what many in Silicon Valley have termed the social, mobile, web trifecta. Smartphones, applications, and social media have helped to drive mobile advancements in relation to consumer technology adoption, and impactful breakthroughs in medical technologies have been evolving as well.