Single best thing we can do for our health is exercise

In an innovative video that draws a complete picture of the answer, Dr. Mike Evans asks the question "What is the single best thing we can do for our health?"

It turns out that whether a person wants to reduce the risk of knee arthritis, dementia, Alzheimer's, diabetes, hip fractures, anxiety, depression, fatigue and low quality of life, the key is exercise.

"The best thing you can do for your health is to spend half an hour being active," said Evans, an associate professor of family medicine and public health at the University of Toronto. "Low fitness was the strongest predictor of death."

The 9-minute video is worth a watch.

Happily, a survey shows more doctors like Evans are telling their patients to get out and exercise. Nearly 33 percent of adults who went to the doctor in the previous year said their doctor told them to be more physically active. In 2000, just 23 percent did, the survey by the Centers for Disease Control and Prevention showed.

The survey found more women were told to do so than men, reports Mike Stobbe of The Associated Press. Of patients with chronic health issues, diabetics were told the most often. Cancer patients were least likely.

The widest margin of increase was in patients ages 85 and older. In 2000, just 15 percent were told by their doctors to exercise. In 2010, nearly 30 percent were. "It's very encouraging that doctors feel people at that age still have time to live and can make their health better," said Pat Barnes, a CDC health statistician who was the lead author of the report. (Read more)

Courier-Journal editorialists change position and join the Herald-Leader in supporting meds-for-meth legislation

The state's two biggest newspapers are in agreement: pseudoephedrine should be available by prescription only in order to curb methamphetamine production. The Courier-Journal offered its opinion in an editorial today: "Meth remains a scourge in Kentucky. It is not going to go away soon and without strong action its deadly, family-shattering impact will not diminish."

The position represents an about-face for the paper in Louisville, where the editorial board previously felt "such a restriction would create unnecessary burdens and expenses for legitimate users of pseudoephedrine."

However, with the meth problem not going away — there were a record 1,080 labs discovered in 2010 — the newspaper has changed its position, though acknowledged prescription-only will create some problems of its own: "'Pill mills' will likely dispense pseudoephedrine, just as they now illegally and unethically flood the market with pain medication, and police will have to crack down on such sales."

In December, the Lexington Herald-Leader offered its position, backing a prescription-only pills bill by Rep. Linda Belcher, D-Shepherdsville. "Methamphetamine would be a scourge if it hurt only those who ingested it. But the harm is far more widespread than that," it reads. "Highly mobile and as compact as a large soft-drink bottle, the meth-making process creates a risk of toxic exposure, respiratory injury and fire to all who come close."

The Courier-Journal backs Senate Bill 50, sponsored by Sen. Tom Jensen, R-London, and Sen. Robert Stivers, R-Manchester, which is similar to Belcher's bill. It narrowly cleared the Senate Judiciary Committee last week, but opposition to it "has hardened" in the Senate, the editorial reads. (Read more)

Kentuckians talk about health care on new video channel

Featuring stories of Kentuckians telling their stories about their experiences with the health care system, Kentucky Voices for Health has launched a video advocacy channel.

"The mission of Kentucky Voices for Health is to advocate for the needs of the Kentucky health care consumer," Executive Director Jodi Mitchell said. "That means our main priority is helping to ensure that all Kentuckians have access to the quality care they deserve. This new video advocacy effort will ensure that legislators, media and the public can always hear firsthand about the healthcare concerns facing our state."

KVH is a coalition of more than 250 health care organizations, individuals and advocates. The stories will initially focus on stories relating to the move to Medicaid managed care. For more information, click here.

New federal rules on vending machines in schools are expected in the next few weeks

With new lunch standards set to kick in by next school year, the Obama administration is looking at its next target in the school food landscape: vending machines. New guidelines are expected to be released in the coming weeks "for foods that children can buy outside the cafeteria," reports Ron Nixon of The New York Times. Kentucky already has some rules in place, may get stronger as a result of the new guidelines. (NYT photo by Kirsten Luce)

Students eat from one-fifth to one-half of their daily diet at schools, and the Centers for Disease Control and Prevention report 20 percent of American children are obese. As of 2007 in Kentucky, more than 37 percent of children were either obese or overweight, a study by the National Conference of State Legislatures shows. The administration wants to ensure that students eat what is good for them and avoid becoming overweight, Nixon reports, but there is strong pushback from the food and beverage industries.

A study by the National Academy of Sciences reports that about $2.3 billion worth of snack food and drinks are sold each year in schools nationwide. Schools have a stake in the fight as well, with candy sold in fundraisers often used to help pay for sports, music and arts programs. In Kentucky, the changeover to water, lowfat milk and fruit juices caused a downturn in revenue from the machines, but in most cases it appears to have rebounded to earlier levels.

The forthcoming guidelines are unknown, but officials predict they will be similar to the changes in the school lunch program, which reduced sugar, salt and fat. Those changes were a compromise after a fight between health advocates and the food industry. Nancy Huehnergarth, executive director of the New York State Healthy Eating and Physical Activity Alliance, said she expects another fight. "I think the food and beverage industry is going to fight tooth and nail over these rules," she said.

In Kentucky, schools are not allowed to sell food that competes with the national school lunch and breakfast programs from the minute students arrive until 30 minutes after the last lunch period. Only water, 100 percent fruit juice, lowfat milk and any beverage that contains no more than 10 grams of sugar per serving are allowed to be sold in school vending machines, as per state mandate. There are no limits as to what foods or drinks that can be sold in fundraisers. (Read more)

Columnist likens pain docs to drug pushers and loan sharks

Doctors at some pain management clinics are the equivalent to modern-day drug pushers, writes Richmond business columnist Don McNay in a piece entitled, "Making money in businesses that are supposed to (and should) be illegal."

"People spend a few minutes and lots of money to get a 'physical'," he writes. "They skip insurance and pay the clinic with cash or a credit card. The 'medical staff' will then arrange for you to get a large order of the highly addictive pain medicines prescribed by the clinic doc. You can often get the prescription filled right at the clinic."

McNay points out such clinics are "perfectly legal" in Kentucky and owners do not have to have a medical background. (A bill in the legislature would change that.) "I'm not a lawyer, but would love to own a law firm," he writes. "I'd like to own a plumbing contracting firm but not be a licensed plumber. . . . None of those options are available to me. But owning a pain management clinic is."

He likens the clinics to payday lenders, which he likens to "legalized loan sharking." He also takes issue with the "Super PAC" concept, which allows corporations to make unlimited contributions to political campaigns. "With super PACs allowing corporations to give unlimited amounts to fund campaigns," he writes, "the big corporations control the political process."

McNay concludes, "As a society, it would seem logical that we would want drug pushing, loan sharking and corporate influence peddling to stop. At the very least, we could go back to making it against the law." (Read more)

National School Breakfast Week to be observed March 5-9

National School Breakfast Week, an observance meant to increase awareness of the availability of the federal School Breakfast Program, will be held from March 5 to 9 this year.

Research has shown students who eat breakfast score better on tests, have fewer health issues and are better behaved, says a press release from the Kentucky Department of Education. In Kentucky, about 190,000 students eat breakfast at school each day, which represents about 30 percent of public school enrollment, said spokeswoman Lisa Gross. The numbers are not broken down by district.

Schools are encouraged to participate in a spirit contest whose winners will be given a certificate of excellence by Kentucky Education Commissioner Terry Holliday. Schools can plan festivities and then share what they've done to celebrate the event. Winners will be recognized April 19. The deadline to enter is March 22. For more information about contest rules, click here.

King-size Snickers and Twix will be things of the past by 2014

King-size versions of Snickers and Twix bars will no longer be on store shelves in 2014, as their maker tries to improve the nutritional value of its products. (Photo by Candy Warehouse)

Mars Inc. will no longer sell chocolate products with more than 250 calories, Reuters reports. The giant Snickers and Twix contain a whopping 540 calories.

It's not the first time the Virginia-based maker has tried to improve its image. In 2007, "It said it would stop buying advertising time or space if more than a quarter of the audience was likely to be under 12 years old," Reuters reports.

Mars also makes M&Ms, Skittles and Juicy Fruit chewing gum, along with Uncle Ben's rice and Dove ice cream bars. (Read more)