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And since the symptoms of a heart attack are different for women, and since the kind I had can strike young people with no markers of heart disease, I've decided to tell my story. And because I love to name drop, I'll do some of that along the way because I was with authors I love that night.\u003c/p>\n\u003cp>I was at Queen Anne Book Company in Seattle, surrounded by friends. Authors \u003ca href=\"http://www.kirbylarson.com\">Kirby Larson\u003c/a>, \u003ca href=\"http://www.kristenkittscher.com/%22%3E\">Kristen Kittscher\u003c/a> and I had just finished a presentation on our middle-grade mysteries when in a flash everything changed for me. I had full-on flu-like symptoms, unlike anything I'd ever experienced before.\u003c/p>\n\u003cp>I whispered to Kirby that I didn't feel well and needed to leave. She took one look at me and tried to intervene, asking to take me home or to urgent care. Something was off. She told me she was worried, and that I looked \"ashen.\" (That word comes into play later.)\u003c/p>\n\u003cp>I assured her I'd be fine. My friend Sara Nickerson looked concerned and touched her chest, a movement that triggered something in my brain.\u003c/p>\n\u003cp>As I headed to my car, a pressure came into my chest. Weird, but not too bad. I thought about what Kirby had said, how Sara had touched her heart. I tried to stop the crazy thoughts in my head that maybe I was heading toward a heart attack. I thought about going back to the store, knowing that anyone in there would help me. My dear friend Jane, a friend since college, had just left the bookstore and lives nearby. I knew I didn't have to be alone. But I decided to drive home anyway.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A few minutes into the drive, stabbing pain in my back came and I knew precisely what it was — thank you PBS documentary on women and heart disease! Still, because I'm a dummy, I drove all the way home, threw up and then the pain went down my left arm to my little finger.\u003c/p>\n\u003cp>I walked inside and asked Kevin, my husband, to take me to the ER. He asked no questions, just jumped up and grabbed his keys. I remember saying something like I might be embarrassed if it was nothing, but that I'd rather be embarrassed than dead. He just said: \"We're going.\"\u003c/p>\n\u003cp>My heart attack was not the Hollywood kind where someone, almost always a man, grabs his chest and doubles over in pain. Every one of my symptoms was one that would stand on its own as a possible heart attack; all of my symptoms are ones that could be, and often are, dismissed by health care professionals, let alone by the people having them. When I walked into the ER, I listed them quickly and specifically. If you are a woman, or you know one, please take note:\u003c/p>\n\u003cul>\n\u003cli>Stabbing back pain between my shoulder blades\u003c/li>\n\u003cli>Pain radiating down my left arm to my little finger and ring finger\u003c/li>\n\u003cli>Vomiting\u003c/li>\n\u003cli>Chest pain (this was the least of my symptoms)\u003c/li>\n\u003cli>\"A friend said I looked ashen.\"\u003c/li>\n\u003c/ul>\n\u003cp>All were recorded on the intake form, the word \"ASHEN\" in all caps, and I was taken in immediately. It was confirmed that I was having a heart attack, or as I now call it, a myocardial infarction (MI). Just a couple months after a physical where I'd had a normal ECG and full blood work, with cholesterol scores so good I could have framed them. I exercise, eat reasonably well, don't smoke, I'm not \u003cem>that\u003c/em> old — OK, I'm 55. And I was having a heart attack.\u003c/p>\n\u003cp>The MI was caused by a tear in the inner lining of an artery, which is called a spontaneous coronary artery dissection, or \u003ca href=\"http://www.scadresearch.org/about/\" target=\"_blank\">SCAD\u003c/a>. SCADs occur predominantly in women who are \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4060337/\" target=\"_blank\">fit and healthy\u003c/a>, with an average age of 42. We don't know why they happen, and I'm not sure there's anything I could have done to prevent it from happening. The first articles I read kept referring to SCAD as a rare disease. The \u003ca href=\"http://scadalliance.org/\" target=\"_blank\">SCAD Alliance\u003c/a> says this: \"SCAD isn't rare. It's rare to meet a survivor.\"\u003c/p>\n\u003cp>My SCAD is being treated medically, which means healing on its own without stenting or bypass surgery. I've met survivors who have had multiple bypasses or stents, as well as a good percentage of us who, after an angiogram and hospital stays, are being treated with blood thinners and other prescription medications.\u003c/p>\n\u003cp>I've met some wonderful women through an online SCAD Survivors group and I'm thankful every day for them and the research now being done at the \u003ca href=\"http://www.scadresearch.org/about/research-notes/\">Mayo Clinic\u003c/a> in an effort to find causes and poss. SCAD survivors share information on how hard the first year is, the fear of recurrence (a real fear, as it happens frequently), anxiety, making progress in cardiac rehabilitation, and finding a \"new normal.\"\u003c/p>\n\u003cp>The Mayo SCAD study is a fine example of patient-initiated research and the power of social media. Women from around the world have connected online when searching for answers to a relatively unknown and underdiagnosed cause of heart attacks. We're still connecting online, still searching.\u003c/p>\n\u003cp>Each week there are new people sharing their stories, many who are in their 20s, 30s and 40s, and others like me, who are over 50 but still too young for a heart attack. Some tell stories where they slip in \"after my third SCAD and second MI\" or \"three MIs in the first year.\" Sometimes the numbers in their stories are even higher. We all hope to keep the numbers down and find answers.\u003c/p>\n\u003cp>I am incredibly grateful to my friend Kirby, because her concern and her words got me to the point where I knew this was real. This was big. Ashen is an unusual color for me unless, as it turns out, my heart is not getting enough oxygen.\u003c/p>\n\u003cp>Heaps of thanks to my family and to my friends, especially those who, when they asked what they could do, came when I said that the dog really could use a walk.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Linda Johns is a librarian and children's book author who is happy to still be alive in Seattle. Find her \u003ca href=\"https://lindajohns.net/\" target=\"_blank\">online\u003c/a>, on Twitter \u003ca href=\"https://twitter.com/LJBookie\" target=\"_blank\">@LJBookie\u003c/a>, and at cardiac rehabilitation three times a week. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Guess+Which+Woman+Is+Having+A+Heart+Attack+%28Hint%3A+You+Can%27t%29&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"This type of heart attack kills healthy young women. Here's what you need to know about it.","status":"publish","parent":0,"modified":1465148682,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":1085},"headData":{"title":"Guess Which Woman Is Having A Heart Attack (Hint: You Can't) | KQED","description":"This type of heart attack kills healthy young women. Here's what you need to know about it.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"194215 http://ww2.kqed.org/stateofhealth/?p=194215","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/06/05/guess-which-woman-is-having-a-heart-attack-hint-you-cant/","disqusTitle":"Guess Which Woman Is Having A Heart Attack (Hint: You Can't)","nprByline":"Linda Johns\u003cbr />\u003ca href=\"http://www.npr.org/sections/health-shots/\">NPR Shots\u003c/a>","nprImageAgency":"Courtesy of Linda Johns","nprStoryId":"480488038","nprApiLink":"http://api.npr.org/query?id=480488038&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2016/06/04/480488038/guess-which-woman-is-having-a-heart-attack-hint-you-cant?ft=nprml&f=480488038","nprRetrievedStory":"1","nprPubDate":"Sat, 04 Jun 2016 05:00:00 -0400","nprStoryDate":"Sat, 04 Jun 2016 05:00:20 -0400","nprLastModifiedDate":"Sat, 04 Jun 2016 05:00:20 -0400","path":"/stateofhealth/194215/guess-which-woman-is-having-a-heart-attack-hint-you-cant","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Three months ago I had a heart attack. And since the symptoms of a heart attack are different for women, and since the kind I had can strike young people with no markers of heart disease, I've decided to tell my story. And because I love to name drop, I'll do some of that along the way because I was with authors I love that night.\u003c/p>\n\u003cp>I was at Queen Anne Book Company in Seattle, surrounded by friends. Authors \u003ca href=\"http://www.kirbylarson.com\">Kirby Larson\u003c/a>, \u003ca href=\"http://www.kristenkittscher.com/%22%3E\">Kristen Kittscher\u003c/a> and I had just finished a presentation on our middle-grade mysteries when in a flash everything changed for me. I had full-on flu-like symptoms, unlike anything I'd ever experienced before.\u003c/p>\n\u003cp>I whispered to Kirby that I didn't feel well and needed to leave. She took one look at me and tried to intervene, asking to take me home or to urgent care. Something was off. She told me she was worried, and that I looked \"ashen.\" (That word comes into play later.)\u003c/p>\n\u003cp>I assured her I'd be fine. My friend Sara Nickerson looked concerned and touched her chest, a movement that triggered something in my brain.\u003c/p>\n\u003cp>As I headed to my car, a pressure came into my chest. Weird, but not too bad. I thought about what Kirby had said, how Sara had touched her heart. I tried to stop the crazy thoughts in my head that maybe I was heading toward a heart attack. I thought about going back to the store, knowing that anyone in there would help me. My dear friend Jane, a friend since college, had just left the bookstore and lives nearby. I knew I didn't have to be alone. But I decided to drive home anyway.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A few minutes into the drive, stabbing pain in my back came and I knew precisely what it was — thank you PBS documentary on women and heart disease! Still, because I'm a dummy, I drove all the way home, threw up and then the pain went down my left arm to my little finger.\u003c/p>\n\u003cp>I walked inside and asked Kevin, my husband, to take me to the ER. He asked no questions, just jumped up and grabbed his keys. I remember saying something like I might be embarrassed if it was nothing, but that I'd rather be embarrassed than dead. He just said: \"We're going.\"\u003c/p>\n\u003cp>My heart attack was not the Hollywood kind where someone, almost always a man, grabs his chest and doubles over in pain. Every one of my symptoms was one that would stand on its own as a possible heart attack; all of my symptoms are ones that could be, and often are, dismissed by health care professionals, let alone by the people having them. When I walked into the ER, I listed them quickly and specifically. If you are a woman, or you know one, please take note:\u003c/p>\n\u003cul>\n\u003cli>Stabbing back pain between my shoulder blades\u003c/li>\n\u003cli>Pain radiating down my left arm to my little finger and ring finger\u003c/li>\n\u003cli>Vomiting\u003c/li>\n\u003cli>Chest pain (this was the least of my symptoms)\u003c/li>\n\u003cli>\"A friend said I looked ashen.\"\u003c/li>\n\u003c/ul>\n\u003cp>All were recorded on the intake form, the word \"ASHEN\" in all caps, and I was taken in immediately. It was confirmed that I was having a heart attack, or as I now call it, a myocardial infarction (MI). Just a couple months after a physical where I'd had a normal ECG and full blood work, with cholesterol scores so good I could have framed them. I exercise, eat reasonably well, don't smoke, I'm not \u003cem>that\u003c/em> old — OK, I'm 55. And I was having a heart attack.\u003c/p>\n\u003cp>The MI was caused by a tear in the inner lining of an artery, which is called a spontaneous coronary artery dissection, or \u003ca href=\"http://www.scadresearch.org/about/\" target=\"_blank\">SCAD\u003c/a>. SCADs occur predominantly in women who are \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4060337/\" target=\"_blank\">fit and healthy\u003c/a>, with an average age of 42. We don't know why they happen, and I'm not sure there's anything I could have done to prevent it from happening. The first articles I read kept referring to SCAD as a rare disease. The \u003ca href=\"http://scadalliance.org/\" target=\"_blank\">SCAD Alliance\u003c/a> says this: \"SCAD isn't rare. It's rare to meet a survivor.\"\u003c/p>\n\u003cp>My SCAD is being treated medically, which means healing on its own without stenting or bypass surgery. I've met survivors who have had multiple bypasses or stents, as well as a good percentage of us who, after an angiogram and hospital stays, are being treated with blood thinners and other prescription medications.\u003c/p>\n\u003cp>I've met some wonderful women through an online SCAD Survivors group and I'm thankful every day for them and the research now being done at the \u003ca href=\"http://www.scadresearch.org/about/research-notes/\">Mayo Clinic\u003c/a> in an effort to find causes and poss. SCAD survivors share information on how hard the first year is, the fear of recurrence (a real fear, as it happens frequently), anxiety, making progress in cardiac rehabilitation, and finding a \"new normal.\"\u003c/p>\n\u003cp>The Mayo SCAD study is a fine example of patient-initiated research and the power of social media. Women from around the world have connected online when searching for answers to a relatively unknown and underdiagnosed cause of heart attacks. We're still connecting online, still searching.\u003c/p>\n\u003cp>Each week there are new people sharing their stories, many who are in their 20s, 30s and 40s, and others like me, who are over 50 but still too young for a heart attack. Some tell stories where they slip in \"after my third SCAD and second MI\" or \"three MIs in the first year.\" Sometimes the numbers in their stories are even higher. We all hope to keep the numbers down and find answers.\u003c/p>\n\u003cp>I am incredibly grateful to my friend Kirby, because her concern and her words got me to the point where I knew this was real. This was big. Ashen is an unusual color for me unless, as it turns out, my heart is not getting enough oxygen.\u003c/p>\n\u003cp>Heaps of thanks to my family and to my friends, especially those who, when they asked what they could do, came when I said that the dog really could use a walk.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Linda Johns is a librarian and children's book author who is happy to still be alive in Seattle. Find her \u003ca href=\"https://lindajohns.net/\" target=\"_blank\">online\u003c/a>, on Twitter \u003ca href=\"https://twitter.com/LJBookie\" target=\"_blank\">@LJBookie\u003c/a>, and at cardiac rehabilitation three times a week. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Guess+Which+Woman+Is+Having+A+Heart+Attack+%28Hint%3A+You+Can%27t%29&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/194215/guess-which-woman-is-having-a-heart-attack-hint-you-cant","authors":["byline_stateofhealth_194215"],"categories":["stateofhealth_12"],"tags":["stateofhealth_167","stateofhealth_397"],"featImg":"stateofhealth_194216","label":"stateofhealth"},"stateofhealth_81576":{"type":"posts","id":"stateofhealth_81576","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"81576","score":null,"sort":[1442878481000]},"guestAuthors":[],"slug":"pregnancy-complications-may-signal-heart-disease-risk-later-in-life","title":"Pregnancy Complications May Signal Heart Disease Risk Later in Life","publishDate":1442878481,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Certain complications during pregnancy may increase a woman's risk of dying from heart disease later in life, according to a new analysis.\u003c/p>\n\u003cp>That increased risk can be dramatic, more than 7-fold, if a woman experiences combinations of problems.\u003c/p>\n\u003cp>The analysis is from Oakland's Public Health Institute and was \u003ca href=\"http://circ.ahajournals.org/content/early/2015/09/14/CIRCULATIONAHA.113.003901.abstract?sid=07de4322-6ada-4d01-9f5b-513f74251791\" target=\"_blank\">published Monday\u003c/a> in the American Heart Association journal, Circulation.\u003c/p>\n\u003cp>Heart disease is the number one killer of women in America, responsible for \u003ca href=\"http://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_women_heart.htm\" target=\"_blank\">one in every four deaths\u003c/a> among women, according to the Centers for Disease Control.\u003c/p>\n\u003cp>While doctors have long known that pregnancy puts real stress on a woman's cardiovascular system, this study confirms and quantifies some known risks and identifies new ones.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The women followed and assessed were part of a unique group of more than 15,000 pregnant women who enrolled in the Oakland metropolitan area Child Health and Development Studies between 1959 and 1967. Researchers have been following these women for decades since.\u003c/p>\n\u003cp>The 7.1 times increased risk of death from heart disease happened in women who had pre-pregnancy or early-pregnancy high blood pressure in combination with a pre-term delivery of the baby.\u003c/p>\n\u003cp>If a woman had pre-existing high blood pressure and\u003ca href=\"http://www.webmd.com/baby/guide/preeclampsia-eclampsia\" target=\"_blank\"> pre-eclampsia\u003c/a>, which is characterized by high blood pressure after 20 weeks of pregnancy and protein in the urine, her risk of later heart disease death increased 5.6 times.\u003c/p>\n\u003cp>Senior author Barbara Cohn with Oakland's Public Health Institute said she was surprised by the some of the findings.\u003c/p>\n\u003cp>\"Knowing additional information about the combinations of complications ... led to higher risk of cardiovascular disease than we expected.\u003c/p>\n\u003cp>Cohn and her colleagues also identified statistically significant differences for African-American women. They made up 22 percent of the enrollees in the study, but were 1.7 times more likely to die of heart disease, if they developed high blood pressure after 20 weeks of pregnancy. Women in other ethnic groups -- Hispanic, Asian, and Caucasian -- did not appear to be at significant increased risk from this development.\u003c/p>\n\u003cp>Cohn argued that doctors could save lives simply by taking a woman's pregnancy history.\u003c/p>\n\u003cp>\"If she has had these complications, (doctors) can begin surveillance early, recommend prevention measures that the patient can take to address factors they can control,\" Cohn said. \"It's really not expensive to get this history. It doesn't require an intervention like a blood test or a special medical test.\u003c/p>\n\u003cp>UC San Francisco professor Dr. Rita Redberg, who directs women's cardiovascular services, was not involved in the study. In an interview with \u003ca href=\"http://consumer.healthday.com/cardiovascular-health-information-20/misc-stroke-related-heart-news-360/complicated-pregnancy-linked-to-later-heart-disease-703466.html\" target=\"_blank\">HealthDay \u003c/a>she said that the study reveals an opportunity to identify the at-risk population at a younger age.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Obviously, we're catching women younger when we're doing it during pregnancy,\" Redberg said. \"While it's never too late, we like to start young.\"\u003c/p>\n\n","blocks":[],"excerpt":"Some combinations of complications during pregnancy put women at risk of a 7-fold increase in death from heart disease.","status":"publish","parent":0,"modified":1442878570,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":476},"headData":{"title":"Pregnancy Complications May Signal Heart Disease Risk Later in Life | KQED","description":"Some combinations of complications during pregnancy put women at risk of a 7-fold increase in death from heart disease.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"81576 http://ww2.kqed.org/stateofhealth/?p=81576","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/09/21/pregnancy-complications-may-signal-heart-disease-risk-later-in-life/","disqusTitle":"Pregnancy Complications May Signal Heart Disease Risk Later in Life","path":"/stateofhealth/81576/pregnancy-complications-may-signal-heart-disease-risk-later-in-life","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Certain complications during pregnancy may increase a woman's risk of dying from heart disease later in life, according to a new analysis.\u003c/p>\n\u003cp>That increased risk can be dramatic, more than 7-fold, if a woman experiences combinations of problems.\u003c/p>\n\u003cp>The analysis is from Oakland's Public Health Institute and was \u003ca href=\"http://circ.ahajournals.org/content/early/2015/09/14/CIRCULATIONAHA.113.003901.abstract?sid=07de4322-6ada-4d01-9f5b-513f74251791\" target=\"_blank\">published Monday\u003c/a> in the American Heart Association journal, Circulation.\u003c/p>\n\u003cp>Heart disease is the number one killer of women in America, responsible for \u003ca href=\"http://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_women_heart.htm\" target=\"_blank\">one in every four deaths\u003c/a> among women, according to the Centers for Disease Control.\u003c/p>\n\u003cp>While doctors have long known that pregnancy puts real stress on a woman's cardiovascular system, this study confirms and quantifies some known risks and identifies new ones.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The women followed and assessed were part of a unique group of more than 15,000 pregnant women who enrolled in the Oakland metropolitan area Child Health and Development Studies between 1959 and 1967. Researchers have been following these women for decades since.\u003c/p>\n\u003cp>The 7.1 times increased risk of death from heart disease happened in women who had pre-pregnancy or early-pregnancy high blood pressure in combination with a pre-term delivery of the baby.\u003c/p>\n\u003cp>If a woman had pre-existing high blood pressure and\u003ca href=\"http://www.webmd.com/baby/guide/preeclampsia-eclampsia\" target=\"_blank\"> pre-eclampsia\u003c/a>, which is characterized by high blood pressure after 20 weeks of pregnancy and protein in the urine, her risk of later heart disease death increased 5.6 times.\u003c/p>\n\u003cp>Senior author Barbara Cohn with Oakland's Public Health Institute said she was surprised by the some of the findings.\u003c/p>\n\u003cp>\"Knowing additional information about the combinations of complications ... led to higher risk of cardiovascular disease than we expected.\u003c/p>\n\u003cp>Cohn and her colleagues also identified statistically significant differences for African-American women. They made up 22 percent of the enrollees in the study, but were 1.7 times more likely to die of heart disease, if they developed high blood pressure after 20 weeks of pregnancy. Women in other ethnic groups -- Hispanic, Asian, and Caucasian -- did not appear to be at significant increased risk from this development.\u003c/p>\n\u003cp>Cohn argued that doctors could save lives simply by taking a woman's pregnancy history.\u003c/p>\n\u003cp>\"If she has had these complications, (doctors) can begin surveillance early, recommend prevention measures that the patient can take to address factors they can control,\" Cohn said. \"It's really not expensive to get this history. It doesn't require an intervention like a blood test or a special medical test.\u003c/p>\n\u003cp>UC San Francisco professor Dr. Rita Redberg, who directs women's cardiovascular services, was not involved in the study. In an interview with \u003ca href=\"http://consumer.healthday.com/cardiovascular-health-information-20/misc-stroke-related-heart-news-360/complicated-pregnancy-linked-to-later-heart-disease-703466.html\" target=\"_blank\">HealthDay \u003c/a>she said that the study reveals an opportunity to identify the at-risk population at a younger age.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Obviously, we're catching women younger when we're doing it during pregnancy,\" Redberg said. \"While it's never too late, we like to start young.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/81576/pregnancy-complications-may-signal-heart-disease-risk-later-in-life","authors":["240"],"categories":["stateofhealth_12","stateofhealth_13"],"tags":["stateofhealth_167","stateofhealth_349","stateofhealth_461","stateofhealth_397"],"featImg":"stateofhealth_81627","label":"stateofhealth"},"stateofhealth_28877":{"type":"posts","id":"stateofhealth_28877","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"28877","score":null,"sort":[1432234735000]},"guestAuthors":[],"slug":"heart-risk-factors-may-affect-black-women-more-than-white-women","title":"Heart Risk Factors May Affect Black Women More Than White Women","publishDate":1432234735,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>African-American women can be at risk of heart disease even if they don't have metabolic syndrome, a study finds.\u003c/p>\n\u003cp>That's a problem, because the current thinking is that metabolic syndrome — defined as high triglycerides, bad cholesterol, abdominal fat, high blood pressure and impaired glucose metabolism — is the big risk factor for heart attacks and strokes.\u003c/p>\n\u003cp>The picture with women appears to be a lot more complicated, especially when you compare women in different racial or ethnic groups.\u003c/p>\n\u003cp>This \u003ca href=\"http://jaha.ahajournals.org/content/4/5/e001695.abstract?sid=d5e8b267-0c63-4a4f-8602-a7343e97523b\" target=\"_blank\">study\u003c/a>, published Wednesday in the \u003cem>Journal of the American Heart Association\u003c/em>, found that having just having two metabolic abnormalities raised heart disease risk in African-American women. Being overweight or obese with two or three metabolic factors almost doubled their heart disease risk.\u003c/p>\n\u003cp>That wasn't true for white women. For them, being overweight or obese didn't boost their risk unless they had full-on \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/More/MetabolicSyndrome/About-Metabolic-Syndrome_UCM_301920_Article.jsp\" target=\"_blank\">metabolic syndrome\u003c/a>, too.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"The metabolic health concept has only been investigated in the white population,\" says Dr. Michelle Schmiegelow of Copenhagen University Hospital Gentofte in Denmark. She led the research while at Stanford University. \"We found that it cannot be directly applied to black individuals.\"\u003c/p>\n\u003cp>Looking just at metabolic syndrome will underestimate risk in African-American women and overestimate it in white women, Schmiegelow says.\u003c/p>\n\u003cp>This study looked at data from 14,364 postmenopausal women who participated in the Women's Health Initiative, tracking their health for 13 years. Hispanic women were included, but there weren't enough of them to come to any firm conclusions.\u003c/p>\n\u003cp>\"There's a lot we don't know,\" says Dr. Robert Eckel, a professor at the University of Colorado's Anschutz School of Medicine who was not involved in the study. \"Does culture or race, environmentally or genetically, have impacts that we can't quite assess accurately?\"\u003c/p>\n\u003cp>It also raises the question of how the health effects of race and culture vary around the globe, Eckel says.\u003c/p>\n\u003cp>And it shows that a one-size-fits-all approach to health risks doesn't cut it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"You have to make an individual risk assessment,\" Schmiegelow told Shots. \"I'm really hoping this study will motivate other groups to see if they can replicate our finding in men or in other races and ethnicities.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Heart+Risk+Factors+May+Affect+Black+Women+More+Than+White+Women&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/em>\u003c/div>\n\n","blocks":[],"excerpt":"Study finds black women are more likely to have heart disease with just a few risk factors. That's not the case for white women. ","status":"publish","parent":0,"modified":1432250991,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":14,"wordCount":389},"headData":{"title":"Heart Risk Factors May Affect Black Women More Than White Women | KQED","description":"Study finds black women are more likely to have heart disease with just a few risk factors. That's not the case for white women. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"28877 http://ww2.kqed.org/stateofhealth/?p=28877","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/05/21/heart-risk-factors-may-affect-black-women-more-than-white-women/","disqusTitle":"Heart Risk Factors May Affect Black Women More Than White Women","nprByline":"Nancy Shute, NPR","nprStoryId":"408289249","nprApiLink":"http://api.npr.org/query?id=408289249&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2015/05/21/408289249/heart-risk-factors-may-affect-black-women-more-than-white-women?ft=nprml&f=408289249","nprRetrievedStory":"1","nprPubDate":"Thu, 21 May 2015 11:31:00 -0400","nprStoryDate":"Thu, 21 May 2015 10:34:00 -0400","nprLastModifiedDate":"Thu, 21 May 2015 11:31:53 -0400","path":"/stateofhealth/28877/heart-risk-factors-may-affect-black-women-more-than-white-women","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>African-American women can be at risk of heart disease even if they don't have metabolic syndrome, a study finds.\u003c/p>\n\u003cp>That's a problem, because the current thinking is that metabolic syndrome — defined as high triglycerides, bad cholesterol, abdominal fat, high blood pressure and impaired glucose metabolism — is the big risk factor for heart attacks and strokes.\u003c/p>\n\u003cp>The picture with women appears to be a lot more complicated, especially when you compare women in different racial or ethnic groups.\u003c/p>\n\u003cp>This \u003ca href=\"http://jaha.ahajournals.org/content/4/5/e001695.abstract?sid=d5e8b267-0c63-4a4f-8602-a7343e97523b\" target=\"_blank\">study\u003c/a>, published Wednesday in the \u003cem>Journal of the American Heart Association\u003c/em>, found that having just having two metabolic abnormalities raised heart disease risk in African-American women. Being overweight or obese with two or three metabolic factors almost doubled their heart disease risk.\u003c/p>\n\u003cp>That wasn't true for white women. For them, being overweight or obese didn't boost their risk unless they had full-on \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/More/MetabolicSyndrome/About-Metabolic-Syndrome_UCM_301920_Article.jsp\" target=\"_blank\">metabolic syndrome\u003c/a>, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"The metabolic health concept has only been investigated in the white population,\" says Dr. Michelle Schmiegelow of Copenhagen University Hospital Gentofte in Denmark. She led the research while at Stanford University. \"We found that it cannot be directly applied to black individuals.\"\u003c/p>\n\u003cp>Looking just at metabolic syndrome will underestimate risk in African-American women and overestimate it in white women, Schmiegelow says.\u003c/p>\n\u003cp>This study looked at data from 14,364 postmenopausal women who participated in the Women's Health Initiative, tracking their health for 13 years. Hispanic women were included, but there weren't enough of them to come to any firm conclusions.\u003c/p>\n\u003cp>\"There's a lot we don't know,\" says Dr. Robert Eckel, a professor at the University of Colorado's Anschutz School of Medicine who was not involved in the study. \"Does culture or race, environmentally or genetically, have impacts that we can't quite assess accurately?\"\u003c/p>\n\u003cp>It also raises the question of how the health effects of race and culture vary around the globe, Eckel says.\u003c/p>\n\u003cp>And it shows that a one-size-fits-all approach to health risks doesn't cut it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"You have to make an individual risk assessment,\" Schmiegelow told Shots. \"I'm really hoping this study will motivate other groups to see if they can replicate our finding in men or in other races and ethnicities.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Heart+Risk+Factors+May+Affect+Black+Women+More+Than+White+Women&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/em>\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/28877/heart-risk-factors-may-affect-black-women-more-than-white-women","authors":["byline_stateofhealth_28877"],"categories":["stateofhealth_12","stateofhealth_13"],"tags":["stateofhealth_167","stateofhealth_397"],"featImg":"stateofhealth_28878","label":"stateofhealth"},"stateofhealth_22419":{"type":"posts","id":"stateofhealth_22419","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"22419","score":null,"sort":[1415632743000]},"guestAuthors":[],"slug":"ucsf-initiative-links-sugar-science-to-your-health","title":"UCSF Initiative Links 'Sugar Science' to Your Health","publishDate":1415632743,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_22428\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000015590176_Large-e1415408861531.jpg\">\u003cimg class=\"size-large wp-image-22428\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000015590176_Large-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>These days, sugar is pretty close to everywhere in the American diet. You probably know that too much sugar is probably not great for your health.\u003c/p>\n\u003cp>Now, a new initiative from UC San Francisco is spelling out the health dangers in clear terms. The project is called \"sugar science,\" and science there is.\u003c/p>\n\u003cp>A team of researchers distilled 8,000 studies and research papers, and found strong evidence showing overconsumption of added sugar overloads vital organs and contributes to three major chronic illnesses: heart disease, Type 2 diabetes and liver disease.\u003c!--more-->\u003c/p>\n\u003cp>While there are no federal guidelines recommending a limit on sugar consumption, the American Heart Association (AHA) recommends cutting our consumption way down. Right now, the average American consumes the equivalent of \u003ca title=\"http://www.cdc.gov/nchs/data/databriefs/db122.pdf\" href=\"http://www.cdc.gov/nchs/data/databriefs/db122.pdf\" target=\"_blank\">19.5 teaspoons \u003c/a>a day in added sugars. The AHA says men should cut that down to no more than \u003ca title=\"http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyDietGoals/Added-Sugars_UCM_305858_Article.jsp\" href=\"http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyDietGoals/Added-Sugars_UCM_305858_Article.jsp\" target=\"_blank\">9 teaspoons and women should consume less than 6 teaspoons\u003c/a>.\u003c/p>\n\u003cp>UCSF Professor Laura Schmidt is lead investigator on the project. \"Right now, the reality is that our consumption of sugar is out of whack, and until we bring things back into balance, we need to focus on helping people understand what the consequences are to having the average American … consume too much added sugar.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As part of its outreach, Schmidt's team has created a\u003ca title=\"Sugar Science\" href=\"http://sugarscience.org\" target=\"_blank\"> user-friendly website\u003c/a> and is partnering with health departments across the country to spread the word. The website includes downloadable resources, including television commercials, that public health officials can localize for their own cities.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/176317993&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\"And that's what sugar science is all about,\" Schmidt says. \"It's about translating the information that's locked up in the medical journals and sharing it with the public in ways that are understandable.\"\u003c/p>\n\u003cp>Health departments from San Francisco to New York City have already agreed to participate in outreach. In a statement, the New York Department of Health called Sugar Science a \"wonderful resource\" and said it was \"\u003cspan style=\"color: #000000\">something that can be used by researchers, the public health community and those who just want thorough information.\"\u003c/span>\u003c/p>\n\u003cp>Schmidt is quick to point to the food environment as a driver in the increase of obesity that America has seen in the last generation. \"It's not like Americans suddenly lost their willpower,\" she says. \"The only major change in the diet that explains the obesity epidemic is this steep rise in added sugar consumption that started in the 1980s.\"\u003c/p>\n\u003cp>That sugar isn't just making us fat, she says, \"it's making us sick.\"\u003c/p>\n\u003cp>Schmidt insists the team, which includes researchers from UC Davis and Emory University, is not \"anti-sugar.\" Instead, it's really about knowing how much sugar is too much.\u003c/p>\n\u003cp>But knowing how much sugar you're eating can be challenging. Some key facts on the Sugar Science website are these:\u003c/p>\n\u003cul>\n\u003cli>Added sugar is hiding in 74 percent of packaged foods. (\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/02/27/fda-proposes-food-label-overhaul/\" href=\"http://ww2.kqed.org/stateofhealth/2014/02/27/fda-proposes-food-label-overhaul/\" target=\"_blank\">Proposed changes\u003c/a> to the nutrition label would change this by including a separate line for added sugars.)\u003c/li>\n\u003cli>A common type of sugar can damage your liver -- just like too much alcohol.\u003c/li>\n\u003cli>One 12-ounce can of soda a day can increase your risk of dying of heart disease by one-third.\u003c/li>\n\u003c/ul>\n\u003cp>The site also includes tips on concrete steps that people can take to cut down on sugar. \u003ca title=\"http://sugarscience.org/ask-the-sugarscientists.html#.VF1q3EvJ4Ts\" href=\"http://sugarscience.org/ask-the-sugarscientists.html#.VF1q3EvJ4Ts\" target=\"_blank\">The most straightforward\u003c/a> way to cut down on sugar is to stop drinking sugar-sweetened drinks, like sodas, sports drinks and energy drinks, the researchers say. More than one-third of added sugar in the diet \u003ca title=\"http://www.health.gov/dietaryguidelines/dga2010/DietaryGuidelines2010.pdf\" href=\"http://www.health.gov/dietaryguidelines/dga2010/DietaryGuidelines2010.pdf\" target=\"_blank\">comes from sugary drinks\u003c/a>. They also recommend reading nutrition labels. While there are 61 different names for sugar on ingredients labels, the UCSF team says that \"if the chemical name has an 'ose' at the end—as in dextrose, fructose, lactose —- it’s likely to be added sugar.\"\u003c/p>\n\u003cp>\u003cstrong>Seeing Diabetes as the AIDS Crisis of This Generation\u003c/strong>\u003c/p>\n\u003cp>Dean Schillinger is also part of the Sugar Science team. He's a primary care doctor at San Francisco General Hospital. He first came to San Francisco in 1990 at the peak of the AIDS epidemic. \"At that point, one out of every two patients we admitted was a young man dying of AIDS,\" he says. At that time, there were no treatments, little any doctor could do.\u003c/p>\n\u003cp>Today, he says, there are good treatments, and it's rare to admit someone to the hospital dying of AIDS.\u003c/p>\n\u003cp>Instead, Schillinger says, that same ward, Ward 5A, where young men died of AIDS is now filled with diabetes patients.\u003c/p>\n\u003cp>\"I feel like we are with diabetes where we were in 1990 with the AIDS epidemic,\" Schillinger said. \"The ward is overwhelmed with diabetes –- they're getting their limbs amputated, they're on dialysis. And these are young people. They are suffering the ravages of diabetes in the prime of their life.\"\u003c/p>\n\u003cp>But unlike AIDS, where activists pushed hard for action from researchers and governments, there's little activist response for diabetes \"because it affects low-income communities disproportionately,\" Schillinger said. \"We're at the point where we need a public health response to it.\"\u003c/p>\n\u003cp>The timing of the SugarScience launch is not a coincidence. The UC researchers waited until after the election last week voters in Berkeley and San Francisco were considering soda tax measures. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" href=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\">Measure D in Berkeley passed \u003c/a>with 75 percent of the vote. Schmidt says that since the university is a public institution, it could not be seen as trying to sway votes with the announcement of the new initiative.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Sugar Science was funded by a grant from the\u003ca title=\"http://www.arnoldfoundation.org\" href=\"http://www.arnoldfoundation.org\" target=\"_blank\"> Laura and John Arnold Foundation\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"'Sugar Science' distills more than 8,000 scientific papers on the health effects of added sugar. It's not pretty.","status":"publish","parent":0,"modified":1415770284,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":941},"headData":{"title":"UCSF Initiative Links 'Sugar Science' to Your Health | KQED","description":"'Sugar Science' distills more than 8,000 scientific papers on the health effects of added sugar. It's not pretty.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"22419 http://blogs.kqed.org/stateofhealth/?p=22419","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/11/10/ucsf-initiative-links-sugar-science-to-your-health/","disqusTitle":"UCSF Initiative Links 'Sugar Science' to Your Health","path":"/stateofhealth/22419/ucsf-initiative-links-sugar-science-to-your-health","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22428\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000015590176_Large-e1415408861531.jpg\">\u003cimg class=\"size-large wp-image-22428\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000015590176_Large-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>These days, sugar is pretty close to everywhere in the American diet. You probably know that too much sugar is probably not great for your health.\u003c/p>\n\u003cp>Now, a new initiative from UC San Francisco is spelling out the health dangers in clear terms. The project is called \"sugar science,\" and science there is.\u003c/p>\n\u003cp>A team of researchers distilled 8,000 studies and research papers, and found strong evidence showing overconsumption of added sugar overloads vital organs and contributes to three major chronic illnesses: heart disease, Type 2 diabetes and liver disease.\u003c!--more-->\u003c/p>\n\u003cp>While there are no federal guidelines recommending a limit on sugar consumption, the American Heart Association (AHA) recommends cutting our consumption way down. Right now, the average American consumes the equivalent of \u003ca title=\"http://www.cdc.gov/nchs/data/databriefs/db122.pdf\" href=\"http://www.cdc.gov/nchs/data/databriefs/db122.pdf\" target=\"_blank\">19.5 teaspoons \u003c/a>a day in added sugars. The AHA says men should cut that down to no more than \u003ca title=\"http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyDietGoals/Added-Sugars_UCM_305858_Article.jsp\" href=\"http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyDietGoals/Added-Sugars_UCM_305858_Article.jsp\" target=\"_blank\">9 teaspoons and women should consume less than 6 teaspoons\u003c/a>.\u003c/p>\n\u003cp>UCSF Professor Laura Schmidt is lead investigator on the project. \"Right now, the reality is that our consumption of sugar is out of whack, and until we bring things back into balance, we need to focus on helping people understand what the consequences are to having the average American … consume too much added sugar.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As part of its outreach, Schmidt's team has created a\u003ca title=\"Sugar Science\" href=\"http://sugarscience.org\" target=\"_blank\"> user-friendly website\u003c/a> and is partnering with health departments across the country to spread the word. The website includes downloadable resources, including television commercials, that public health officials can localize for their own cities.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/176317993&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\"And that's what sugar science is all about,\" Schmidt says. \"It's about translating the information that's locked up in the medical journals and sharing it with the public in ways that are understandable.\"\u003c/p>\n\u003cp>Health departments from San Francisco to New York City have already agreed to participate in outreach. In a statement, the New York Department of Health called Sugar Science a \"wonderful resource\" and said it was \"\u003cspan style=\"color: #000000\">something that can be used by researchers, the public health community and those who just want thorough information.\"\u003c/span>\u003c/p>\n\u003cp>Schmidt is quick to point to the food environment as a driver in the increase of obesity that America has seen in the last generation. \"It's not like Americans suddenly lost their willpower,\" she says. \"The only major change in the diet that explains the obesity epidemic is this steep rise in added sugar consumption that started in the 1980s.\"\u003c/p>\n\u003cp>That sugar isn't just making us fat, she says, \"it's making us sick.\"\u003c/p>\n\u003cp>Schmidt insists the team, which includes researchers from UC Davis and Emory University, is not \"anti-sugar.\" Instead, it's really about knowing how much sugar is too much.\u003c/p>\n\u003cp>But knowing how much sugar you're eating can be challenging. Some key facts on the Sugar Science website are these:\u003c/p>\n\u003cul>\n\u003cli>Added sugar is hiding in 74 percent of packaged foods. (\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/02/27/fda-proposes-food-label-overhaul/\" href=\"http://ww2.kqed.org/stateofhealth/2014/02/27/fda-proposes-food-label-overhaul/\" target=\"_blank\">Proposed changes\u003c/a> to the nutrition label would change this by including a separate line for added sugars.)\u003c/li>\n\u003cli>A common type of sugar can damage your liver -- just like too much alcohol.\u003c/li>\n\u003cli>One 12-ounce can of soda a day can increase your risk of dying of heart disease by one-third.\u003c/li>\n\u003c/ul>\n\u003cp>The site also includes tips on concrete steps that people can take to cut down on sugar. \u003ca title=\"http://sugarscience.org/ask-the-sugarscientists.html#.VF1q3EvJ4Ts\" href=\"http://sugarscience.org/ask-the-sugarscientists.html#.VF1q3EvJ4Ts\" target=\"_blank\">The most straightforward\u003c/a> way to cut down on sugar is to stop drinking sugar-sweetened drinks, like sodas, sports drinks and energy drinks, the researchers say. More than one-third of added sugar in the diet \u003ca title=\"http://www.health.gov/dietaryguidelines/dga2010/DietaryGuidelines2010.pdf\" href=\"http://www.health.gov/dietaryguidelines/dga2010/DietaryGuidelines2010.pdf\" target=\"_blank\">comes from sugary drinks\u003c/a>. They also recommend reading nutrition labels. While there are 61 different names for sugar on ingredients labels, the UCSF team says that \"if the chemical name has an 'ose' at the end—as in dextrose, fructose, lactose —- it’s likely to be added sugar.\"\u003c/p>\n\u003cp>\u003cstrong>Seeing Diabetes as the AIDS Crisis of This Generation\u003c/strong>\u003c/p>\n\u003cp>Dean Schillinger is also part of the Sugar Science team. He's a primary care doctor at San Francisco General Hospital. He first came to San Francisco in 1990 at the peak of the AIDS epidemic. \"At that point, one out of every two patients we admitted was a young man dying of AIDS,\" he says. At that time, there were no treatments, little any doctor could do.\u003c/p>\n\u003cp>Today, he says, there are good treatments, and it's rare to admit someone to the hospital dying of AIDS.\u003c/p>\n\u003cp>Instead, Schillinger says, that same ward, Ward 5A, where young men died of AIDS is now filled with diabetes patients.\u003c/p>\n\u003cp>\"I feel like we are with diabetes where we were in 1990 with the AIDS epidemic,\" Schillinger said. \"The ward is overwhelmed with diabetes –- they're getting their limbs amputated, they're on dialysis. And these are young people. They are suffering the ravages of diabetes in the prime of their life.\"\u003c/p>\n\u003cp>But unlike AIDS, where activists pushed hard for action from researchers and governments, there's little activist response for diabetes \"because it affects low-income communities disproportionately,\" Schillinger said. \"We're at the point where we need a public health response to it.\"\u003c/p>\n\u003cp>The timing of the SugarScience launch is not a coincidence. The UC researchers waited until after the election last week voters in Berkeley and San Francisco were considering soda tax measures. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" href=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\">Measure D in Berkeley passed \u003c/a>with 75 percent of the vote. Schmidt says that since the university is a public institution, it could not be seen as trying to sway votes with the announcement of the new initiative.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Sugar Science was funded by a grant from the\u003ca title=\"http://www.arnoldfoundation.org\" href=\"http://www.arnoldfoundation.org\" target=\"_blank\"> Laura and John Arnold Foundation\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/22419/ucsf-initiative-links-sugar-science-to-your-health","authors":["240"],"categories":["stateofhealth_11","stateofhealth_12"],"tags":["stateofhealth_118","stateofhealth_167","stateofhealth_461","stateofhealth_161"],"featImg":"stateofhealth_22453","label":"stateofhealth"},"stateofhealth_16243":{"type":"posts","id":"stateofhealth_16243","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"16243","score":null,"sort":[1384823004000]},"guestAuthors":[],"slug":"calculator-in-new-cholesterol-guidelines-may-be-flawed-ucsf-cardiologist","title":"New Cholesterol Guidelines Will Lead to Overprescribing Statins, Critics Say","publishDate":1384823004,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_16285\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/55908498-e1384822483114.jpg\">\u003cimg class=\"size-large wp-image-16285\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/55908498-640x373.jpg\" alt=\"A prescription label for the cholesterol-lowering drug Lipitor, a brand name statin medicine. (Tim Boyle/Getty Images)\" width=\"640\" height=\"373\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A prescription label for the cholesterol-lowering drug Lipitor, a brand name statin medicine. (Tim Boyle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Last Monday two major groups released a set of \u003ca href=\"http://circ.ahajournals.org/content/early/2013/11/11/01.cir.0000437738.63853.7a\" target=\"_blank\">new guidelines\u003c/a> designed to lower cholesterol. Now, it appears a major component of the guidelines — an online risk calculator — may be flawed, the \u003ca href=\"http://www.nytimes.com/2013/11/18/health/risk-calculator-for-cholesterol-appears-flawed.html?hpw&rref=us\" target=\"_blank\">New York Times reports\u003c/a>.\u003c/p>\n\u003cp>Since the publication of the guidelines, two Harvard Medical School professors \"evaluated the guidelines using three large studies that involved thousands of people and continued for at least a decade,\" the Times reported. They knew the patients' health status at the start and then they looked to see how many had had a heart attack or stroke in the next decade. How accurate was the new calculator in predicting risk? From the Times:\u003c/p>\n\u003cblockquote>\u003cp>The answer was that the calculator overpredicted risk by 75 to 150 percent, depending on the population. A man whose risk was 4 percent, for example, might show up as having an 8 percent risk. With a 4 percent risk, he would not warrant treatment — the guidelines that say treatment is advised for those with at least a 7.5 percent risk and that treatment can be considered for those whose risk is 5 percent.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->If this critique is accurate, it could mean that millions more people could be prescribed statins unnecessarily. That's a problem because \"most of those people will see no benefits and have a lot of harm\" from the statins, said Dr. Rita Redberg, a cardiologist at UC San Francisco. Redberg is also editor of JAMA Internal Medicine, where she has directed the \u003ca href=\"http://iom.edu/Global/Perspectives/2012/LessIsMore.aspx\" target=\"_blank\">Less is More\u003c/a> campaign, designed to cut down on health tests or treatments where there are few (or no) benefits and lots of potential for harm.\u003c/p>\n\u003cp>In the case of statins, side effects include muscle problems, fatigue, memory loss and diabetes risk, Redberg says. And cumulatively, these side effects can happen to 20 percent of people taking the drug. Redberg is concerned that many people at low risk for heart disease will be prescribed a statin and be much more likely to experience harm than benefit from the drug.\u003c/p>\n\u003cp>\"The chance of having a benefit from that medicine depends proportionately on how high your risk is of getting the disease in the first place,\" Redberg said. \"If you're already at low risk to have a heart problem, it's very hard to make that even lower with medicines.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Medical \u003ca href=\"http://www.thennt.com/nnt/statins-for-heart-disease-prevention-with-known-heart-disease/\" target=\"_blank\">evidence is strong\u003c/a> that certain groups of people can benefit from taking statins. These groups include people who have had a heart attack or stroke and people who have diabetes. If these people take statins, the drug can reduce their risk of death from a heart attack.\u003c/p>\n\u003cp>But for people without known heart disease, the evidence stacks up differently. Redberg had the numbers at her fingertips. Take 100 people without heart disease but who do have a 20 percent risk of heart attack in the next 10 years, she explained to me. If you put all of them on statins, here's what the evidence shows:\u003c/p>\n\u003cul>\n\u003cli>98 of those 100 people would see no benefit from taking a statin over a 5-year period\u003c/li>\n\u003cli>20 will have side effects (muscle pain, fatigue, memory loss, diabetes onset)\u003c/li>\n\u003cli>2 people who would have had a heart attack will avoid having one, because of the statin\u003c/li>\n\u003cli>\u003cspan>0 will live longer than they would have, if they had not taken a statin\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>In other words, for people who haven't had a heart attack, \"you can take that drug for years and you won't live any longer,\" says Redberg.\u003c/p>\n\u003cp>\"There are a lot of people who have risk factors for heart disease,\" Redberg said. Many people have high blood pressure, about 1 in 5 Americans smoke. \"The best way to reduce your (heart disease) risk is to change your diet, do more physical activity, and if you're a smoker, to stop smoking.\"\u003c/p>\n\u003cp>I pointed out that many Americans seem to resist the kinds of lifestyle changes doctors recommend, that people really cling to the idea of a magic pill.\u003c/p>\n\u003cp>\"Of course!\" Redberg replied. \"Everyone wants a magic pill, but we don't have a magic pill.\" Worse, she says, recommending a pill creates a \"moral hazard\" where people say to themselves, 'OK, I don't have to pay attention to my diet because I have this magic pill and it's going to make it all right.' Unfortunately, statins are not a magic pill.\"\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>From KQED's Forum \u003ca href=\"http://www.kqed.org/a/forum/R201311190900\" target=\"_blank\">Doctors Divided Over New Cholesterol Guidelines\u003c/a>\u003cbr>\n\u003c/em>\u003cbr>\n\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201311190900.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201311190900.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n","blocks":[],"excerpt":"Last Monday two major groups released a set of new guidelines designed to lower cholesterol. Now, it appears a major component of the guidelines — an online risk calculator — may be flawed, the New York Times reports.\r\n\r\nSince the publication of the guidelines, two Harvard Medical School professors \"evaluated the guidelines using three large studies that involved thousands of people and continued for at least a decade,\" the Times reported. They knew the patients' health status at the start and then they looked to see how many had had a heart attack or stroke in the next decade. How accurate was the new calculator in predicting risk? From the Times:","status":"publish","parent":0,"modified":1385055897,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":765},"headData":{"title":"New Cholesterol Guidelines Will Lead to Overprescribing Statins, Critics Say | KQED","description":"Last Monday two major groups released a set of new guidelines designed to lower cholesterol. Now, it appears a major component of the guidelines — an online risk calculator — may be flawed, the New York Times reports.\r\n\r\nSince the publication of the guidelines, two Harvard Medical School professors "evaluated the guidelines using three large studies that involved thousands of people and continued for at least a decade," the Times reported. They knew the patients' health status at the start and then they looked to see how many had had a heart attack or stroke in the next decade. How accurate was the new calculator in predicting risk? From the Times:","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"16243 http://blogs.kqed.org/stateofhealth/?p=16243","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/11/18/calculator-in-new-cholesterol-guidelines-may-be-flawed-ucsf-cardiologist/","disqusTitle":"New Cholesterol Guidelines Will Lead to Overprescribing Statins, Critics Say","path":"/stateofhealth/16243/calculator-in-new-cholesterol-guidelines-may-be-flawed-ucsf-cardiologist","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16285\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/55908498-e1384822483114.jpg\">\u003cimg class=\"size-large wp-image-16285\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/55908498-640x373.jpg\" alt=\"A prescription label for the cholesterol-lowering drug Lipitor, a brand name statin medicine. (Tim Boyle/Getty Images)\" width=\"640\" height=\"373\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A prescription label for the cholesterol-lowering drug Lipitor, a brand name statin medicine. (Tim Boyle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Last Monday two major groups released a set of \u003ca href=\"http://circ.ahajournals.org/content/early/2013/11/11/01.cir.0000437738.63853.7a\" target=\"_blank\">new guidelines\u003c/a> designed to lower cholesterol. Now, it appears a major component of the guidelines — an online risk calculator — may be flawed, the \u003ca href=\"http://www.nytimes.com/2013/11/18/health/risk-calculator-for-cholesterol-appears-flawed.html?hpw&rref=us\" target=\"_blank\">New York Times reports\u003c/a>.\u003c/p>\n\u003cp>Since the publication of the guidelines, two Harvard Medical School professors \"evaluated the guidelines using three large studies that involved thousands of people and continued for at least a decade,\" the Times reported. They knew the patients' health status at the start and then they looked to see how many had had a heart attack or stroke in the next decade. How accurate was the new calculator in predicting risk? From the Times:\u003c/p>\n\u003cblockquote>\u003cp>The answer was that the calculator overpredicted risk by 75 to 150 percent, depending on the population. A man whose risk was 4 percent, for example, might show up as having an 8 percent risk. With a 4 percent risk, he would not warrant treatment — the guidelines that say treatment is advised for those with at least a 7.5 percent risk and that treatment can be considered for those whose risk is 5 percent.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->If this critique is accurate, it could mean that millions more people could be prescribed statins unnecessarily. That's a problem because \"most of those people will see no benefits and have a lot of harm\" from the statins, said Dr. Rita Redberg, a cardiologist at UC San Francisco. Redberg is also editor of JAMA Internal Medicine, where she has directed the \u003ca href=\"http://iom.edu/Global/Perspectives/2012/LessIsMore.aspx\" target=\"_blank\">Less is More\u003c/a> campaign, designed to cut down on health tests or treatments where there are few (or no) benefits and lots of potential for harm.\u003c/p>\n\u003cp>In the case of statins, side effects include muscle problems, fatigue, memory loss and diabetes risk, Redberg says. And cumulatively, these side effects can happen to 20 percent of people taking the drug. Redberg is concerned that many people at low risk for heart disease will be prescribed a statin and be much more likely to experience harm than benefit from the drug.\u003c/p>\n\u003cp>\"The chance of having a benefit from that medicine depends proportionately on how high your risk is of getting the disease in the first place,\" Redberg said. \"If you're already at low risk to have a heart problem, it's very hard to make that even lower with medicines.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Medical \u003ca href=\"http://www.thennt.com/nnt/statins-for-heart-disease-prevention-with-known-heart-disease/\" target=\"_blank\">evidence is strong\u003c/a> that certain groups of people can benefit from taking statins. These groups include people who have had a heart attack or stroke and people who have diabetes. If these people take statins, the drug can reduce their risk of death from a heart attack.\u003c/p>\n\u003cp>But for people without known heart disease, the evidence stacks up differently. Redberg had the numbers at her fingertips. Take 100 people without heart disease but who do have a 20 percent risk of heart attack in the next 10 years, she explained to me. If you put all of them on statins, here's what the evidence shows:\u003c/p>\n\u003cul>\n\u003cli>98 of those 100 people would see no benefit from taking a statin over a 5-year period\u003c/li>\n\u003cli>20 will have side effects (muscle pain, fatigue, memory loss, diabetes onset)\u003c/li>\n\u003cli>2 people who would have had a heart attack will avoid having one, because of the statin\u003c/li>\n\u003cli>\u003cspan>0 will live longer than they would have, if they had not taken a statin\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>In other words, for people who haven't had a heart attack, \"you can take that drug for years and you won't live any longer,\" says Redberg.\u003c/p>\n\u003cp>\"There are a lot of people who have risk factors for heart disease,\" Redberg said. Many people have high blood pressure, about 1 in 5 Americans smoke. \"The best way to reduce your (heart disease) risk is to change your diet, do more physical activity, and if you're a smoker, to stop smoking.\"\u003c/p>\n\u003cp>I pointed out that many Americans seem to resist the kinds of lifestyle changes doctors recommend, that people really cling to the idea of a magic pill.\u003c/p>\n\u003cp>\"Of course!\" Redberg replied. \"Everyone wants a magic pill, but we don't have a magic pill.\" Worse, she says, recommending a pill creates a \"moral hazard\" where people say to themselves, 'OK, I don't have to pay attention to my diet because I have this magic pill and it's going to make it all right.' Unfortunately, statins are not a magic pill.\"\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>From KQED's Forum \u003ca href=\"http://www.kqed.org/a/forum/R201311190900\" target=\"_blank\">Doctors Divided Over New Cholesterol Guidelines\u003c/a>\u003cbr>\n\u003c/em>\u003cbr>\n\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201311190900.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201311190900.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/16243/calculator-in-new-cholesterol-guidelines-may-be-flawed-ucsf-cardiologist","authors":["240"],"categories":["stateofhealth_13"],"tags":["stateofhealth_167","stateofhealth_461"],"featImg":"stateofhealth_16285","label":"stateofhealth"},"stateofhealth_6726":{"type":"posts","id":"stateofhealth_6726","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"6726","score":null,"sort":[1340666607000]},"guestAuthors":[],"slug":"epa-study-explains-link-between-smog-heart-problems","title":"EPA Study Explains Link Between Smog, Heart Problems","publishDate":1340666607,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>By\u003ca title=\"View user profile.\" href=\"http://californiawatch.org/user/bernice-yeung\"> Bernice Yeung\u003c/a>, \u003ca href=\"http://californiawatch.org/\" target=\"_blank\">California Watch\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_6727\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/car-exhaust-pollution.jpg\">\u003cimg class=\"size-medium wp-image-6727\" title=\"Nine of the ten regions with the most ozone pollution are in California. High ozone has now been linked to health problems. Photo: eutrophication&hypoxia/Flickr\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/car-exhaust-pollution-300x248.jpg\" alt=\"\" width=\"300\" height=\"248\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nine of the ten regions with the most ozone pollution are in California. High ozone has now been linked to health problems. (eutrophication&hypoxia/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Smog has been linked to heart problems and even death, and new research by the \u003ca href=\"http://www.epa.gov/\" target=\"_blank\">U.S. Environmental Protection Agency \u003c/a>begins to explain why.\u003c/p>\n\u003cp>Researchers found that healthy young adults who have been exposed to ozone – which is a major component of smog – experience physiological changes that could be linked to heart ailments in vulnerable populations, such as elderly people with cardiovascular disease. Additionally, the study “provides a plausible explanation for the link between acute ozone exposure and death,\" \u003ca href=\"http://www.epa.gov/ncer/air40/seminars/devlin_bio.html\" target=\"_blank\">lead author Robert B. Devlin\u003c/a> said in a statement.\u003c/p>\n\u003cp>The study has special implications for Californians, who are exposed to some of the highest ozone levels in the country.\u003c/p>\n\u003cp>Of the \u003ca href=\"http://www.stateoftheair.org/2012/city-rankings/most-polluted-cities.html\" target=\"_blank\">10 regions in the country with the most ozone pollution, nine are in California\u003c/a>, with Los Angeles-Long Beach-Riverside topping the list, according to the American Lung Association.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>“Our ozone problem is the result of the combination of population, climate, terrain and industry,” with car exhaust as the main source of the pollutant in California, Dimitri Stanich, a spokesman for the California Air Resources Board, wrote in an email. “California has historically had the worst air pollution in the union. In the 1940s, there were smog events in the L.A. area where residents couldn’t see a city block.”\u003c/p>\n\u003cp>Ozone is created when pollutants from cars, power plants and other sources interact with sunlight.\u003c/p>\n\u003cp>To address ozone pollution, the air resources board requires car manufacturers to meet more stringent emission standards and regulates some chemical-based consumer products that may contribute to ozone during evaporation.\u003c/p>\n\u003cp>In its new study, EPA researchers exposed 23 healthy young adults to two-hour sessions of both clean air and ozone-polluted air at levels about two times greater than what residents in China or Mexico experience during the middle of the day. After exposure to the pollutant, the study subjects saw an increase in various cardiovascular indicators that could result in heart problems in people with heart disease, including vascular inflammation and a reduced ability to dissolve artery-blocking blood clots.\u003c/p>\n\u003cp>Though studies of ozone and human health abound, the new EPA study, published in the American Heart Association journal Circulation, is among the first to use human volunteers to explain how ozone can potentially kill people by causing heart attacks. Previous epidemiological studies have shown a connection using statistical analyses.\u003c/p>\n\u003cp>“It’s the strongest evidence that there is a true causal connection” between ozone exposure and heart health, and confirms and expands what has been suggested in previous studies, said Douglas Dockery, an environmental epidemiology professor at Harvard’s School of Public Health.\u003c/p>\n\u003cp>Health experts said that the latest EPA study is an important contribution to determining the extent of the relationship between ozone exposure and cardiovascular problems – an issue that is far from scientifically settled.\u003c/p>\n\u003cp>A larger, 90-person study among the elderly was recently launched by the Boston-based Health Effects Institute in conjunction with UC San Francisco and two other universities.\u003c/p>\n\u003cp>“There is not a universal set of studies that say, ‘Yeah, ozone definitely contributes to cardiovascular effects,' \" said Dan Greenbaum of the Health Effects Institute. \"But that may be because we have not looked at it the right way, and that is what we are trying to do with this study (of the elderly).”\u003c/p>\n\u003cp>Joe Lyou, a governing board member of the South Coast Air Quality Management District and the CEO and president of the Coalition for Clean Air, said more could be done at a policy level to address the health impacts of ozone pollution.\u003c/p>\n\u003cp>“We need to move toward zero and near-zero emission transportation for both people and freight,” he said in an email. “In order to meet our clean air standards, we have to focus on the combustion of petrochemical fuels and identify ways to minimize and eliminate it. If we do it right, we can increase energy efficiency, reduce our dependency upon foreign oil and save boatloads of money.”\u003c/p>\n\u003cp>The EPA is currently reviewing the national air quality standards for ozone and will issue a final rule in 2014. In preparation, a \u003ca href=\"http://cfpub.epa.gov/ncea/isa/recordisplay.cfm?deid=242490#Download\" target=\"_blank\">draft scientific assessment\u003c/a> was recently released by the agency for public comment, and it states that the current health research is “suggestive of a causal relationship” between the pollutant and cardiovascular effects. The agency’s Clean Air Scientific Advisory Committee Ozone Review Panel, however, had \u003ca href=\"http://yosemite.epa.gov/sab/sabproduct.nsf/1336B2B88034AEB6852579C0007070CA/%24File/EPA-CASAC-12-004-unsigned.pdf\" target=\"_blank\">previously recommended \u003c/a>that the EPA upgrade this determination to “likely to be a causal relationship.”\u003c/p>\n\u003cp>In September, the Obama administration rejected a proposed rule from the EPA to tighten the federal air quality standards related to ozone pollution. In a \u003ca href=\"http://www.whitehouse.gov/the-press-office/2011/09/02/statement-president-ozone-national-ambient-air-quality-standards\" target=\"_blank\">statement\u003c/a>, the president cited the “importance of reducing regulatory burdens and regulatory uncertainty, particularly as our economy continues to recover.”\u003c/p>\n\u003cp>\u003cstrong>More information\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The U.S. Environmental Protection Agency has more on how to \u003ca href=\"http://www.epa.gov/airnow/aqi-forecasts.pdf\" target=\"_new\"> limit ozone exposure\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1340666949,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":861},"headData":{"title":"EPA Study Explains Link Between Smog, Heart Problems | KQED","description":"By Bernice Yeung, California Watch Smog has been linked to heart problems and even death, and new research by the U.S. Environmental Protection Agency begins to explain why. Researchers found that healthy young adults who have been exposed to ozone – which is a major component of smog – experience physiological changes that could be","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"6726 http://blogs.kqed.org/stateofhealth/?p=6726","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/06/25/epa-study-explains-link-between-smog-heart-problems/","disqusTitle":"EPA Study Explains Link Between Smog, Heart Problems","path":"/stateofhealth/6726/epa-study-explains-link-between-smog-heart-problems","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>By\u003ca title=\"View user profile.\" href=\"http://californiawatch.org/user/bernice-yeung\"> Bernice Yeung\u003c/a>, \u003ca href=\"http://californiawatch.org/\" target=\"_blank\">California Watch\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_6727\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/car-exhaust-pollution.jpg\">\u003cimg class=\"size-medium wp-image-6727\" title=\"Nine of the ten regions with the most ozone pollution are in California. High ozone has now been linked to health problems. Photo: eutrophication&hypoxia/Flickr\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/car-exhaust-pollution-300x248.jpg\" alt=\"\" width=\"300\" height=\"248\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nine of the ten regions with the most ozone pollution are in California. High ozone has now been linked to health problems. (eutrophication&hypoxia/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Smog has been linked to heart problems and even death, and new research by the \u003ca href=\"http://www.epa.gov/\" target=\"_blank\">U.S. Environmental Protection Agency \u003c/a>begins to explain why.\u003c/p>\n\u003cp>Researchers found that healthy young adults who have been exposed to ozone – which is a major component of smog – experience physiological changes that could be linked to heart ailments in vulnerable populations, such as elderly people with cardiovascular disease. Additionally, the study “provides a plausible explanation for the link between acute ozone exposure and death,\" \u003ca href=\"http://www.epa.gov/ncer/air40/seminars/devlin_bio.html\" target=\"_blank\">lead author Robert B. Devlin\u003c/a> said in a statement.\u003c/p>\n\u003cp>The study has special implications for Californians, who are exposed to some of the highest ozone levels in the country.\u003c/p>\n\u003cp>Of the \u003ca href=\"http://www.stateoftheair.org/2012/city-rankings/most-polluted-cities.html\" target=\"_blank\">10 regions in the country with the most ozone pollution, nine are in California\u003c/a>, with Los Angeles-Long Beach-Riverside topping the list, according to the American Lung Association.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>“Our ozone problem is the result of the combination of population, climate, terrain and industry,” with car exhaust as the main source of the pollutant in California, Dimitri Stanich, a spokesman for the California Air Resources Board, wrote in an email. “California has historically had the worst air pollution in the union. In the 1940s, there were smog events in the L.A. area where residents couldn’t see a city block.”\u003c/p>\n\u003cp>Ozone is created when pollutants from cars, power plants and other sources interact with sunlight.\u003c/p>\n\u003cp>To address ozone pollution, the air resources board requires car manufacturers to meet more stringent emission standards and regulates some chemical-based consumer products that may contribute to ozone during evaporation.\u003c/p>\n\u003cp>In its new study, EPA researchers exposed 23 healthy young adults to two-hour sessions of both clean air and ozone-polluted air at levels about two times greater than what residents in China or Mexico experience during the middle of the day. After exposure to the pollutant, the study subjects saw an increase in various cardiovascular indicators that could result in heart problems in people with heart disease, including vascular inflammation and a reduced ability to dissolve artery-blocking blood clots.\u003c/p>\n\u003cp>Though studies of ozone and human health abound, the new EPA study, published in the American Heart Association journal Circulation, is among the first to use human volunteers to explain how ozone can potentially kill people by causing heart attacks. Previous epidemiological studies have shown a connection using statistical analyses.\u003c/p>\n\u003cp>“It’s the strongest evidence that there is a true causal connection” between ozone exposure and heart health, and confirms and expands what has been suggested in previous studies, said Douglas Dockery, an environmental epidemiology professor at Harvard’s School of Public Health.\u003c/p>\n\u003cp>Health experts said that the latest EPA study is an important contribution to determining the extent of the relationship between ozone exposure and cardiovascular problems – an issue that is far from scientifically settled.\u003c/p>\n\u003cp>A larger, 90-person study among the elderly was recently launched by the Boston-based Health Effects Institute in conjunction with UC San Francisco and two other universities.\u003c/p>\n\u003cp>“There is not a universal set of studies that say, ‘Yeah, ozone definitely contributes to cardiovascular effects,' \" said Dan Greenbaum of the Health Effects Institute. \"But that may be because we have not looked at it the right way, and that is what we are trying to do with this study (of the elderly).”\u003c/p>\n\u003cp>Joe Lyou, a governing board member of the South Coast Air Quality Management District and the CEO and president of the Coalition for Clean Air, said more could be done at a policy level to address the health impacts of ozone pollution.\u003c/p>\n\u003cp>“We need to move toward zero and near-zero emission transportation for both people and freight,” he said in an email. “In order to meet our clean air standards, we have to focus on the combustion of petrochemical fuels and identify ways to minimize and eliminate it. If we do it right, we can increase energy efficiency, reduce our dependency upon foreign oil and save boatloads of money.”\u003c/p>\n\u003cp>The EPA is currently reviewing the national air quality standards for ozone and will issue a final rule in 2014. In preparation, a \u003ca href=\"http://cfpub.epa.gov/ncea/isa/recordisplay.cfm?deid=242490#Download\" target=\"_blank\">draft scientific assessment\u003c/a> was recently released by the agency for public comment, and it states that the current health research is “suggestive of a causal relationship” between the pollutant and cardiovascular effects. The agency’s Clean Air Scientific Advisory Committee Ozone Review Panel, however, had \u003ca href=\"http://yosemite.epa.gov/sab/sabproduct.nsf/1336B2B88034AEB6852579C0007070CA/%24File/EPA-CASAC-12-004-unsigned.pdf\" target=\"_blank\">previously recommended \u003c/a>that the EPA upgrade this determination to “likely to be a causal relationship.”\u003c/p>\n\u003cp>In September, the Obama administration rejected a proposed rule from the EPA to tighten the federal air quality standards related to ozone pollution. In a \u003ca href=\"http://www.whitehouse.gov/the-press-office/2011/09/02/statement-president-ozone-national-ambient-air-quality-standards\" target=\"_blank\">statement\u003c/a>, the president cited the “importance of reducing regulatory burdens and regulatory uncertainty, particularly as our economy continues to recover.”\u003c/p>\n\u003cp>\u003cstrong>More information\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The U.S. Environmental Protection Agency has more on how to \u003ca href=\"http://www.epa.gov/airnow/aqi-forecasts.pdf\" target=\"_new\"> limit ozone exposure\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/6726/epa-study-explains-link-between-smog-heart-problems","authors":["8344"],"categories":["stateofhealth_11"],"tags":["stateofhealth_21","stateofhealth_167"],"label":"stateofhealth"},"stateofhealth_2849":{"type":"posts","id":"stateofhealth_2849","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"2849","score":null,"sort":[1328568195000]},"guestAuthors":[],"slug":"what-does-the-fda-think-about-sugar","title":"What Does the FDA Think About Sugar?","publishDate":1328568195,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_2853\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/MargaretHamburg_FDA_USMissionGeneva_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-2853 \" title=\"Margaret Hamburg, FDA Commissioner. (US Mission Geneva: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/MargaretHamburg_FDA_USMissionGeneva_Flickr-300x220.jpg\" alt=\"Margaret Hamburg, FDA Commissioner. (US Mission Geneva: Flickr)\" width=\"300\" height=\"220\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Margaret Hamburg, FDA Commissioner. (US Mission Geneva: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Last week, the big story may have been the \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/03/komen-will-continue-funding-planned-parenthood-at-least-for-now/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/03/komen-will-continue-funding-planned-parenthood-at-least-for-now/\" target=\"_blank\">Susan G. Komen Foundation's flip-flopping over funding Planned Parenthood\u003c/a>. But coming in a close second (at least here at the health desk) was the call for \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" target=\"_blank\">regulating sugar\u003c/a> in the same way alcohol and tobacco are. The argument was made by UC San Francisco researchers in the journal \u003ca title=\"http://www.nature.com/nature/journal/v482/n7383/full/482027a.html\" href=\"http://www.nature.com/nature/journal/v482/n7383/full/482027a.html\" target=\"_blank\">Nature\u003c/a>. They laid out the science that sugar is behind many of the chronic maladies we see today--diabetes, heart disease and high blood pressure.\u003c/p>\n\u003cp>Today \u003ca title=\"http://www.fda.gov/AboutFDA/CommissionersPage/default.htm\" href=\"http://www.fda.gov/AboutFDA/CommissionersPage/default.htm\" target=\"_blank\">FDA Commissioner Margaret Hamburg\u003c/a> was a guest on KQED's \u003cem>\u003ca title=\"http://www.kqed.org/a/forum/R201202060930\" href=\"http://www.kqed.org/a/forum/R201202060930\" target=\"_blank\">Forum\u003c/a>. \u003c/em>Host Michael Krasny asked her if sugar should be removed from the FDA's \"\u003ca title=\"http://www.fda.gov/Food/FoodIngredientsPackaging/GenerallyRecognizedasSafeGRAS/default.htm\" href=\"http://www.fda.gov/Food/FoodIngredientsPackaging/GenerallyRecognizedasSafeGRAS/default.htm\" target=\"_blank\">GRAS\u003c/a>\" category--that's for Generally Recognized as Safe. Not surprisingly, the Commissioner did not announce imminent action. She said she did have a chance to \"look quickly at the initial report\" and that \"we’ll look very seriously at any new data that’s presented.\"\u003c!--more-->\u003c/p>\n\u003cp>In other words, nothing will be happening soon, just as researcher Robert Lustig expected when I talked to him last week. The commentary was an \"opening salvo,\" he said. \"Nothing in public health changes overnight. It's not possible to.\"\u003c/p>\n\u003cp>Here's the Commissioner's complete response to Krasny's question:\u003c/p>\n\u003cblockquote>\u003cp>Sugar is one important area of nutrition where there’s enormous interest in deepening our understanding of the health risks and benefits. It’s an area where consumers want to know more about what’s in the food that they’re eating and where the FDA has a critical role to play in terms of both supporting and building on important new research insights and through our responsibilities for providing accurate information about the content of processed foods.\u003c/p>\u003c/blockquote>\n\u003cp>As the Commissioner continued speaking, she seemed in this next section to be choosing her words very carefully:\u003c/p>\n\u003cblockquote>\u003cp>So, it’s an important area that sugar, along with other critical nutritional issues, such as sodium and saturated fats and overall calories all require strengthening our understanding of the science and really understanding individual and public health issues and linking that to what we do at the FDA.\u003c/p>\u003c/blockquote>\n\u003cp>Then she picked up steam again here:\u003c/p>\n\u003cblockquote>\u003cp>But I have had a chance to look quickly at this initial report, I understand the request that’s being made. We’ll look very seriously at any new data that’s presented. In the meantime, consumers should be aware that nutritional information is provided on the back of processed food packages that enables them to look at the relative contribution of different types of sugars in the foods that they’re eating along with other nutritional components and it’s an opportunity to make more informed choices about the food they eat and the food they serve their families.\u003c/p>\u003c/blockquote>\n\u003cp>More:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca title=\"http://www.kqed.org/a/forum/R201202030900\" href=\"http://www.kqed.org/a/forum/R201202030900\" target=\"_blank\">The Trouble with Sugar\u003c/a> on \u003cem>Forum\u003c/em>, February 2, 2012\u003c/p>\n\n","blocks":[],"excerpt":"Last week, the big story may have been the Susan G. Komen Foundation's flip-flopping over funding Planned Parenthood. But coming in a close second (at least here at the health desk) was the call for regulating sugar in the same way alcohol and tobacco are. The argument was made by UC San Francisco researchers in the journal Nature. They laid out the science that sugar is behind many of the chronic maladies we see today--diabetes, heart disease and high blood pressure.\r\n\r\nToday FDA Commissioner Margaret Hamburg was a guest on KQED's Forum. Host Michael Krasny asked her if sugar should be removed from the FDA's \"GRAS\" list--that's for Generally Recognized as Safe. ","status":"publish","parent":0,"modified":1328568261,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":493},"headData":{"title":"What Does the FDA Think About Sugar? | KQED","description":"Last week, the big story may have been the Susan G. Komen Foundation's flip-flopping over funding Planned Parenthood. But coming in a close second (at least here at the health desk) was the call for regulating sugar in the same way alcohol and tobacco are. The argument was made by UC San Francisco researchers in the journal Nature. They laid out the science that sugar is behind many of the chronic maladies we see today--diabetes, heart disease and high blood pressure.\r\n\r\nToday FDA Commissioner Margaret Hamburg was a guest on KQED's Forum. Host Michael Krasny asked her if sugar should be removed from the FDA's "GRAS" list--that's for Generally Recognized as Safe. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"2849 http://blogs.kqed.org/stateofhealth/?p=2849","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/02/06/what-does-the-fda-think-about-sugar/","disqusTitle":"What Does the FDA Think About Sugar?","path":"/stateofhealth/2849/what-does-the-fda-think-about-sugar","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2853\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/MargaretHamburg_FDA_USMissionGeneva_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-2853 \" title=\"Margaret Hamburg, FDA Commissioner. (US Mission Geneva: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/MargaretHamburg_FDA_USMissionGeneva_Flickr-300x220.jpg\" alt=\"Margaret Hamburg, FDA Commissioner. (US Mission Geneva: Flickr)\" width=\"300\" height=\"220\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Margaret Hamburg, FDA Commissioner. (US Mission Geneva: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Last week, the big story may have been the \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/03/komen-will-continue-funding-planned-parenthood-at-least-for-now/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/03/komen-will-continue-funding-planned-parenthood-at-least-for-now/\" target=\"_blank\">Susan G. Komen Foundation's flip-flopping over funding Planned Parenthood\u003c/a>. But coming in a close second (at least here at the health desk) was the call for \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" target=\"_blank\">regulating sugar\u003c/a> in the same way alcohol and tobacco are. The argument was made by UC San Francisco researchers in the journal \u003ca title=\"http://www.nature.com/nature/journal/v482/n7383/full/482027a.html\" href=\"http://www.nature.com/nature/journal/v482/n7383/full/482027a.html\" target=\"_blank\">Nature\u003c/a>. They laid out the science that sugar is behind many of the chronic maladies we see today--diabetes, heart disease and high blood pressure.\u003c/p>\n\u003cp>Today \u003ca title=\"http://www.fda.gov/AboutFDA/CommissionersPage/default.htm\" href=\"http://www.fda.gov/AboutFDA/CommissionersPage/default.htm\" target=\"_blank\">FDA Commissioner Margaret Hamburg\u003c/a> was a guest on KQED's \u003cem>\u003ca title=\"http://www.kqed.org/a/forum/R201202060930\" href=\"http://www.kqed.org/a/forum/R201202060930\" target=\"_blank\">Forum\u003c/a>. \u003c/em>Host Michael Krasny asked her if sugar should be removed from the FDA's \"\u003ca title=\"http://www.fda.gov/Food/FoodIngredientsPackaging/GenerallyRecognizedasSafeGRAS/default.htm\" href=\"http://www.fda.gov/Food/FoodIngredientsPackaging/GenerallyRecognizedasSafeGRAS/default.htm\" target=\"_blank\">GRAS\u003c/a>\" category--that's for Generally Recognized as Safe. Not surprisingly, the Commissioner did not announce imminent action. She said she did have a chance to \"look quickly at the initial report\" and that \"we’ll look very seriously at any new data that’s presented.\"\u003c!--more-->\u003c/p>\n\u003cp>In other words, nothing will be happening soon, just as researcher Robert Lustig expected when I talked to him last week. The commentary was an \"opening salvo,\" he said. \"Nothing in public health changes overnight. It's not possible to.\"\u003c/p>\n\u003cp>Here's the Commissioner's complete response to Krasny's question:\u003c/p>\n\u003cblockquote>\u003cp>Sugar is one important area of nutrition where there’s enormous interest in deepening our understanding of the health risks and benefits. It’s an area where consumers want to know more about what’s in the food that they’re eating and where the FDA has a critical role to play in terms of both supporting and building on important new research insights and through our responsibilities for providing accurate information about the content of processed foods.\u003c/p>\u003c/blockquote>\n\u003cp>As the Commissioner continued speaking, she seemed in this next section to be choosing her words very carefully:\u003c/p>\n\u003cblockquote>\u003cp>So, it’s an important area that sugar, along with other critical nutritional issues, such as sodium and saturated fats and overall calories all require strengthening our understanding of the science and really understanding individual and public health issues and linking that to what we do at the FDA.\u003c/p>\u003c/blockquote>\n\u003cp>Then she picked up steam again here:\u003c/p>\n\u003cblockquote>\u003cp>But I have had a chance to look quickly at this initial report, I understand the request that’s being made. We’ll look very seriously at any new data that’s presented. In the meantime, consumers should be aware that nutritional information is provided on the back of processed food packages that enables them to look at the relative contribution of different types of sugars in the foods that they’re eating along with other nutritional components and it’s an opportunity to make more informed choices about the food they eat and the food they serve their families.\u003c/p>\u003c/blockquote>\n\u003cp>More:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca title=\"http://www.kqed.org/a/forum/R201202030900\" href=\"http://www.kqed.org/a/forum/R201202030900\" target=\"_blank\">The Trouble with Sugar\u003c/a> on \u003cem>Forum\u003c/em>, February 2, 2012\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/2849/what-does-the-fda-think-about-sugar","authors":["240"],"categories":["stateofhealth_14"],"tags":["stateofhealth_48","stateofhealth_167","stateofhealth_161"],"label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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