What is your physician diet?
Very disturbing, US physicians are not on the healthy tracks.
mercredi 29 janvier 2014
Waist circumference and waist/hip ratio are better predictive risk factors for mortality and morbidity after colorectal surgery than body mass index and body surface area.
Ann Surg. 2013; 258(5):722-30 (ISSN: 1528-1140)
Kartheuser AH; Leonard DF; Penninckx F; Paterson HM; Brandt D; Remue C; Bugli C; Dozois E; Mortensen N; Ris F; Tiret E;
OBJECTIVES: To determine whether body fat distribution, measured by waist circumference (WC) and waist/hip ratio (WHR), is a better predictor of mortality and morbidity after colorectal surgery than body mass index (BMI) or body surface area (BSA).
BACKGROUND: Obesity measured by BMI is not a consistent risk factor for postoperative mortality and morbidity after abdominal surgery. Studies in metabolic and cardiovascular diseases have shown WC and WHR to be better outcome predictors than BMI.
METHODS: A prospective multicenter international study was conducted among patients undergoing elective colorectal surgery. The WHR, BMI, and BSA were derived from body weight, height, and waist and hip circumferences measured preoperatively. Uni- and multivariate analyses were performed to identify risk factors for postoperative outcomes.
RESULTS: A total of 1349 patients (754 men) from 38 centers in 11 countries were included. Increasing WHR significantly increased the risk of conversion [odds ratio (OR) = 15.7, relative risk (RR) = 4.1], intraoperative complications (OR = 11.0, RR = 3.2), postoperative surgical complications (OR = 7.7, RR = 2.0), medical complications (OR = 13.2, RR = 2.5), anastomotic leak (OR = 13.7, RR = 3.3), reoperations (OR = 13.3, RR = 2.9), and death (OR = 653.1, RR = 21.8). Both BMI (OR = 39.5, RR = 1.1) and BSA (OR = 4.9, RR = 3.1) were associated with an increased risk of abdominal wound complication. In multivariate analysis, the WHR predicted intraoperative complications, conversion, medical complications, and reinterventions, whereas BMI was a risk factor only for abdominal wall complications; BSA did not reach significance for any outcome.
CONCLUSIONS: The WHR is predictive of adverse events after elective colorectal surgery. It should be used in routine clinical practice and in future risk-estimating systems.
Publié par THEGAP à 16:30
mardi 28 janvier 2014
lundi 27 janvier 2014
The novel 13S,14S-epoxy-maresin is converted by human macrophages to maresin 1 (MaR1), inhibits leukotriene A4hydrolase (LTA4H), and shifts macrophage phenotype(∼50%, P<0 .05="" 13="" but="" by="" converted="" em="" enzyme.="" mar1="" not="" style="border: 0px; font-family: inherit; font-size: inherit; line-height: inherit; margin: 0px; outline-style: none; padding: 0px; text-align: inherit; vertical-align: baseline;" this="" to="" was="">S0>,14S-epoxy-DHA also reduced (∼60%;P<0 .05="" 13="" acid="" and="" arachidonic="" biosynthesis="" by="" conversion="" em="" epoxide="" establish="" findings="" from="" hm12-lox="" m1.="" m1="" m2="" macrophages="" mar1="" more="" of="" phenotype="" produced="" promoted="" style="border: 0px; font-family: inherit; font-size: inherit; line-height: inherit; margin: 0px; outline-style: none; padding: 0px; text-align: inherit; vertical-align: baseline;" than="" the="" these="" to="" together="" which="">S0>,14S-epoxide, its absolute stereochemistry, its precursor role in MaR1 biosynthesis, and its own intrinsic bioactivity. Given its actions and role in MaR1 biosynthesis, this epoxide is now termed 13,14-epoxy-maresin (13,14-eMaR) and exhibits new mechanisms in resolution of inflammation in its ability to inhibit proinflammatory mediator production by LTA4 hydrolase and to block arachidonate conversion by human 12-LOX rather than merely terminating phagocyte involvement.—Dalli, J., Zhu, M., Vlasenko, N. A., Deng, B., Haeggström, J. Z., Petasis, N. A., Serhan, C. N. The novel 13S,14S-epoxy-maresin is converted by human macrophages to maresin 1 (MaR1), inhibits leukotriene A4 hydrolase (LTA4H) and shifts macrophage phenotype.
Publié par THEGAP à 11:11
Paternal high-fat diet consumption induces common changes in the transcriptomes of retroperitoneal adipose and pancreatic islet tissues in female rat offspring, suggesting early onset developmental changes that persist, shared responses to programmed systemic factors, or crosstalk between tissues. Thus, paternal HFD consumption triggers unique gene signatures, consistent with premature aging and chronic degenerative disorders, in both RpWAT and pancreatic islets of daughters.—Ng, S.-F., Lin, R. C., Maloney, C. A., Youngson, N. A., Owens, J. A., Morris, M. J. Paternal high-fat diet consumption induces common changes in the transcriptomes of retroperitoneal adipose and pancreatic islet tissues in female rat offspring.
Publié par THEGAP à 10:59
|Avocats||Noix de Coco et graisse de coco||Olives noires mures ou très peu salées||Amandes, noix de Grenoble, noisettes, nois du Brésil, noix de Macadamia|
|Beurre cru||Moelle des os longs ||Veau, boeuf et agneau à l'herbe||Tous les poissons gras sauvages|
Toutes ces bonnes graisses doivent être mangées crues ou cuites à moins de 70°...
You can cook but don't heat above 70° Celsius
You can cook but don't heat above 70° Celsius
Pour cela il vous faut un four à basse temperature
A low temp oven is mandatory!
Publié par THEGAP à 10:45
dimanche 26 janvier 2014
What mix of carbohydrate, fat, and protein should people eat in order to lose weight, keep it off, and stay healthy? HSPH’s diet study will examine four possibilities.
Publié par THEGAP à 11:53
samedi 25 janvier 2014
ATB use in animals should be taxed as high as the amount of negative externalities.
Publié par THEGAP à 15:05