Physical activity, diabetes and mortality Research published in the Archives of Internal Medicine (online first) looked at 5859 individuals with diabetes and found that increased physical activity related to a 33% lower risk of overall mortality and a 35% lower risk of CVD mortality, compared with inactivity.
Even those undertaking moderate amounts of activity were at appreciably lower risk for early death compared with inactive persons. These findings provide empirical evidence supporting the widely shared view that persons with diabetes should engage in regular physical activity. Article abstract (the full text of the article can be accessed via your NHS Athens account):
Stricter food polices could reduce cardiovascular mortality
Cardiovascular disease deaths could be cut by 20% through government policies that ban industrial trans fats, reduce saturated fats and salt in food, and encourage more fruit and vegetable consumption. A study published in the WHO Bulletin shows that healthier food policies, similar to those already introduced in some countries, could save up to 30 000 lives each year in the United Kingdom.
NICE guidance: preventing type 2 diabetes NICE has published new public health guidance on identifying people at high risk of developing type 2 diabetes and the provision of clinically and cost effective interventions to help reduce the risk or delay the onset of the condition. 'Preventing type 2 diabetes: risk identification and interventions for individuals at high risk' (PH38) recommends the following groups should be encouraged to have a risk assessment, so that they can be offered advice to help them prevent or delay developing the condition: all adults aged 40 and above (except pregnant women); those aged 25-39 and of South Asian, Chinese, African-Caribbean or Black African descent, and other high risk black and minority ethnic groups (except pregnant women); and adults with conditions that increase the risk of type 2 diabetes.
NICE press release: http://www.nice.org.uk/newsroom/pressreleases/IdentifyingRiskPreventType2Diabetes.jsp
Patient involvement / Shared decision making / Doctor-patient consultation The Health Foundation has published the following three reports:
- Do changes to patient-provider relationships improve quality and save money? - This report reviews the evidence about how involving patients more in their care can improve quality and save costs.
- Helping people share decision making - This report brings together evidence and provides an up-to-date single reference point for the current state of knowledge about shared decision making. This evidence shows that shared decision making improves patient’s satisfaction, involvement in their care and knowledge of their condition, and can improve clinical outcomes.
- When doctors and patients talk: making sense of the consultation - This report explores the consultation between a patient and a clinician. The report offers a powerful analysis of the current relationship, identifying the mutual fears that drive doctors and patients and the invisible structures that are natural to the doctor but hidden from the patient. It also describes the potential for a more nuanced model for the consultation.
Tackling obesity update
The National Audit Office has published 'An update on the government's approach to tackling obesity'. This briefing explains how responsibility for measures to tackle obesity is changing and it reviews what the Department of Health has done, and is now doing, to address the main areas of concern highlighted by the Committee of Public Accounts. There are a number of key issues that it will be important for the Government and others to continue to focus on as more responsibility for tackling obesity is taken up locally, including: what information will local communities need to support commissioning decisions for the interventions most suited to local needs?; how will success be measured, and best practice shared; and how effective will the new accountability arrangements be in recording and promoting progress on obesity?