Health
Kids with obesity need ‘behavioral counseling,’ task force recommends: 'Call to action'
Young people with obesity should receive intensive behavioral counseling, according to a major health agency.
The US Preventive Services Task Force (USPSTF) conducted a systematic review of various types of weight management interventions — including behavioral counseling and prescription medications — for kids and teens aged 6 and older.
The official recommendation was published in JAMA on Tuesday.
SEVERE CHILDHOOD OBESITY HAS INCREASED IN THE US
The task force stated that people in this age group with a high BMI (95% or greater) should receive at least 26 hours of “comprehensive, intensive behavioral interventions.”
“The USPSTF concludes with moderate certainty that providing or referring children and adolescents 6 years or older with a high BMI to comprehensive, intensive behavioral interventions has a moderate net benefit,” the recommendation stated.
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“Therefore, clinicians should provide those with a high BMI with such interventions or refer them to appropriate health care professionals.”
Approximately 19.7% of U.S. children and adolescents between 2 and 19 years of age have a body mass index (BMI) at or above 95%, according to data from the U.S. Centers for Disease Control and Prevention (CDC).
BMIs tend to rise with age and in certain ethnic groups, including Hispanic/Latino, Native American/Alaska Native and non-Hispanic Black children and adolescents.
Youth from lower-income families are also more likely to have obesity, per the CDC.
While BMI is an “imperfect measure” of obesity, the task force noted that most children with a BMI above 95% will have obesity, while few children with a BMI below 85% will fall in the obese category.
‘A gateway disease’
Dr. Brett Osborn, a Florida neurologist and longevity expert, is not affiliated with the USPSTF, but offered his reaction to the new guidance.
“This recommendation is not just a guideline; it’s a call to action,” he told Fox News Digital.
“Early recognition and intervention are critical to curbing a potential lifetime of health problems.”
Obesity can be seen as a “gateway disease,” according to Osborn, linked to many other non-infectious, age-related diseases, including type 2 diabetes, hypertension, heart disease and even certain cancers.
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Osborn agreed that the recommended behavioral interventions are “vital” in helping young individuals adopt healthier lifestyles.
“These interventions focus on supervised physical activity (supplanting mobile phone usage with structured exercise), healthy eating education and behavior change techniques,” he said.
In addition to behavioral changes, Osborn recommends incorporating medications like GLP-I agonists — such as Ozempic — as a “necessary boost” to kick-start weight loss.
“These medications can be particularly beneficial when behavioral interventions alone do not suffice, helping adolescents gain the momentum needed to adopt and maintain healthier lifestyles,” Osborn said.
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“Just as we once revolutionized public health by combating infections, we must now focus on preventing and managing obesity to stave off a cascade of future diseases.”
Health
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Health
One state leads country in human bird flu with nearly 40 confirmed cases
A child in California is presumed to have H5N1 bird flu, according to the San Francisco Department of Public Health (SFDPH).
As of Dec. 23, there had been 36 confirmed human cases of bird flu in the state, according to the California Department of Public Health (CDPH).
This represents more than half of the human cases in the country.
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The latest pediatric patient, who lives in San Francisco, experienced fever and conjunctivitis (pink eye) as a result of the infection.
The unnamed patient was not hospitalized and has fully recovered, according to the SFDPH.
The child tested positive for bird flu at the SFDPH Public Health Laboratory. The U.S. Centers for Disease Control and Prevention (CDC) will perform additional tests to confirm the result.
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It is not yet known how the child was exposed to the virus and an investigation is ongoing.
“I want to assure everyone in our city that the risk to the general public is low, and there is no current evidence that the virus can be transmitted between people,” said Dr. Grant Colfax, director of health, in the press release.
BIRD FLU PATIENT HAD VIRUS MUTATIONS, SPARKING CONCERN ABOUT HUMAN SPREAD
“We will continue to investigate this presumptive case, and I am urging all San Franciscans to avoid direct contact with sick or dead birds, especially wild birds and poultry. Also, please avoid unpasteurized dairy products.”
Samuel Scarpino, director of AI and life sciences and professor of health sciences at Northeastern University in Boston, is calling for “decisive action” to protect individuals who may be in contact with infected livestock and also to alert the public about the risks associated with wild birds and infected backyard flocks.
“While I agree that the risk to the broader public remains low, we continue to see signs of escalating risk associated with this outbreak,” he told Fox News Digital.
Experts have warned that the possibility of mutations in the virus could enable person-to-person transmission.
“While the H5N1 virus is currently thought to only transmit from animals to humans, multiple mutations that can enhance human-to-human transmission have been observed in the severely sick American,” Dr. Jacob Glanville, CEO of Centivax, a San Francisco biotechnology company, told Fox News Digital.
“This highlights the requirement for vigilance and preparation in the event that additional mutations create a human-transmissible pandemic strain.”
As of Jan. 10, there have been a total of 707 infected cattle in California, per reports from the California Department of Food and Agriculture (CDFA).
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In the last 30 days alone, the virus has been confirmed in 84 dairy farms in the state.
Health
Chronic Pain Afflicts Billions of People. It’s Time for a Revolution.
“In the beginning, everyone thought they were going to find this one breakthrough pain drug that would replace opioids,” Gereau said. Increasingly, though, it’s looking like chronic pain, like cancer, could end up having a range of genetic and cellular drivers that vary both by condition and by the particular makeup of the person experiencing it. “What we’re learning is that pain is not just one thing,” Gereau added. “It’s a thousand different things, all called ‘pain.’”
For patients, too, the landscape of chronic pain is wildly varied. Some people endure a miserable year of low-back pain, only to have it vanish for no clear reason. Others aren’t so lucky. A friend of a friend spent five years with extreme pain in his arm and face after roughhousing with his son. He had to stop working, couldn’t drive, couldn’t even ride in a car without a neck brace. His doctors prescribed endless medications: the maximum dose of gabapentin, plus duloxetine and others. At one point, he admitted himself to a psychiatric ward, because his pain was so bad that he’d become suicidal. There, he met other people who also became suicidal after years of living with terrible pain day in and day out.
The thing that makes chronic pain so awful is that it’s chronic: a grinding distress that never ends. For those with extreme pain, that’s easy to understand. But even less severe cases can be miserable. A pain rating of 3 or 4 out of 10 sounds mild, but having it almost all the time is grueling — and limiting. Unlike a broken arm, which gets better, or tendinitis, which hurts mostly in response to overuse, chronic pain makes your whole world shrink. It’s harder to work, and to exercise, and even to do the many smaller things that make life rewarding and rich.
It’s also lonely. When my arms first went crazy, I could barely function. But even after the worst had passed, I saw friends rarely; I still couldn’t drive more than a few minutes, or sit comfortably in a chair, and I felt guilty inviting people over when there wasn’t anything to do. As Christin Veasley, director and co-founder of the Chronic Pain Research Alliance, puts it: “With acute pain, medications, if you take them, they get you over a hump, and you go on your way. What people don’t realize is that when you have chronic pain, even if you’re also taking meds, you rarely feel like you were before. At best, they can reduce your pain, but usually don’t eliminate it.”
A cruel Catch-22 around chronic pain is that it often leads to anxiety and depression, both of which can make pain worse. That’s partly because focusing on a thing can reinforce it, but also because emotional states have physical effects. Both anxiety and depression are known to increase inflammation, which can also worsen pain. As a result, pain management often includes cognitive behavioral therapy, meditation practice or other coping skills. But while those tools are vital, it’s notoriously hard to reprogram our reactions. Our minds and bodies have evolved both to anticipate pain and to remember it, making it hard not to worry. And because chronic pain is so uncomfortable and isolating, it’s also depressing.
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