2011年6月9日星期四

Surgery for weight loss linked to increased Fracture Risk (HealthDay)

(Saturday, June 4, HealthDay News) - the risk of fractures after intervention of weight loss can be even higher than that previously thought, a new study suggests.

Prior research has shown that people who undergo surgery to lose weight, like gastric bypass, have an increased risk of bone fractures. For example, a study shows that a factor 1.8 increased risk of fracture by report to the general population.

But further analysis has shown the risk was in fact closer to 2.3 times higher, according to the study will be presented Saturday at the system company endocrine annual meeting in Boston.

The researchers noted the chances of breaking the feet or hands are still higher - approximately three times higher than normal.

"A negative effect on the health of bones that may increase the risk of fractures is an important consideration for people taking account of Bariatric Surgery and those who have undergone Bariatric Surgery," said author Kelly Nakamura, medical student at the clinic of Mayo College of Medicine in Rochester, Minnesota, in a press release of the study.

258 Patients following surgery Bariatric, researchers found that 79 of them were 132 fractures in nine years. On average, the first break happened approximately six years after surgery. The study noted patients having obtained more than physical activity before the surgery had a lower risk of fracture than those who were more sedentary.

The authors of the study noted the increased risk of bone fracture does not necessarily coincide with a greater risk for developing osteoporosis, bone-thinning of age-related disease.

As a result, they said, drugs used to treat osteoporosis may not be appropriate for these patients. Researchers have found additional studies are needed to explain not only the link between the Bariatric Surgery and fractures, but also to determine the best way to prevent these breaks that passes in the first place.

"Clinicians can must consider measures to optimize bone health and reduce the risk of fracture after Bariatric Surgery, such as the prevention of falls and the optimization of calcium and vitamin d nutrition,", said the investigator of the study, Dr. Kurt Kennel, Assistant Professor of medicine at the Mayo clinical endocrinology division, in the press release.

Because this study was presented at a medical meeting, the data and conclusions should be considered preliminary until published in a refereed journal.

More information

The American Society for metabolic and bariatric surgery has more information about the benefits of Bariatric Surgery.


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Prolonged bottle feeding linked to obesity of children (Reuters)

NEW YORK (Reuters Health) - two years that still use the bottles are more likely to be obese by kindergarten, concludes a new study.

Researchers who studied the children of U.S. 6.750 concluded that toddlers who were still drink bottles at the age of 2 years were a third more likely than other children to be obese at the age of 5 years.

Researchers do not know if long-term bottle feeding is directly responsible for.

But they say raise them the opportunity gain conclusions that babies of the bottle around their first birthday of withdrawal could help prevent excessive weight gain.

Pediatricians already advise parents to divert children from the bottle to cups toddler friendly when they are about 12 to 14 months, or even earlier.

However, it is in large part because the bottle-feeding prolonged, especially during the night, is thought to increase the risk of cavities. It can also contribute to iron deficiency.

The latest results, published in the journal of Pediatrics, may offer incentive added parents to follow these recommendations, according to the principal investigator Rachel a. Gooze, doctoral candidate in public health at Temple University in Philadelphia.2

And that incentive may be necessary, she noted in an interview, since it seems that lot of 2 years are still using bottles.

Gooze children and colleagues studied, 1-5 was still using a bottle at the age of 24 months - either at night or all the time.

And these users long-term bottle, approximately 1 in 5 obese at the age of 5 years, against about 1 in 6 children, who had earlier been weaned.

The researchers then examined a number of factors that could affect the risk of a child of obesity - the weight of the mother, family income and education, and if the child had already been breastfed.

They found that prolonged feeding bottle, itself, was linked to an increase of 33% of risk of childhood obesity.

The connection does not cause and effect, prove said Gooze.

But it is possible that for some children, the bottle is providing unnecessary calories.

"The bottle could provide a source of comfort, rather than meet the nutritional needs," said Gooze.

And the additional calories could be considerable. For example, Gooze pointed out that if a girl of 2 years of average size drinks a bottle of 8 ounces of whole milk at bedtime, which would respond to 12% of its calories needed for the day.

Prolonged bottle feeding can also get toddlers having a varied, nutritious, diet according to Dr. Marc s. Jacobson, a member of the American Academy of obesity Leadership Workgroup of Pediatrics.

"Parents often say that it is difficult to get children to eat vegetables," Jacobson noted in an interview.

A way of helping with that, he said, is to "begin soon" - gradually introducing foods of different flavours, textures and colours in the feeding of infants and toddlers.

In General, parents should start introducing solid foods at the age of 6 months. Prior to this, experts recommend exclusive breastfeeding - a practice that has been associated with a lower risk of childhood obesity, Jacobson remarked.

As Gooze, Jacobson noted that this study shows an association and not necessarily cause and effect. But he said that the conclusions turn attention to the importance of the early life in the risk of childhood obesity.

"Many of the public discussion on the obesity epidemic has been on restoring quick, junk food and soda," said Jacobson. "But there are also feed problems associated with childhood obesity."

Withdrawal of babies of the bottle to cup can be difficult, Gooze noted, particularly of the "ritual" of the bottle at bedtime.

Jacobson, said that if parents are challenging times, they may speak with their pediatrician to different methods to ease the transition. "This is what the pediatrician is there for," he said.

SOURCE: http://bit.ly/mnCVrl Journal of Pediatrics, may 5 online, 2011.2


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Loss of weight surgery may more likely low of Alzheimer's in diabetics (HealthDay)

(Sunday, June 5, HealthDay News) - while the finding is not conclusive, a new study suggests that surgery of the weight loss in obese diabetic may reduce their risk of developing Alzheimer's disease.

Researchers have found that patients of gastric bypass, the test of six months after their weight loss surgeries, less the expression of genes which are considered precursors of debris which obstructs the brains of people with Alzheimer's disease.

"Our study shows for the first time that the loss of weight resulting from Bariatric Surgery decreases the expression of genes associated with Alzheimer's disease," study author Dr. Paresh Dandona, Professor at the State University of New York at Buffalo, said in a press release of the endocrine society.

The study was to be presented Sunday at the annual meeting of the society in Boston. Research presented at meetings should be considered preliminary because it was not subject to the same level of review as studies published in most medical journals.

In the study, researchers analyzed the blood of the 15 patients with diabetes type 2, who had undergone weight loss surgery and an average of approximately 86 pounds lost more than six months. In relation to prior surgery, the expression of amyloid precursor protein patients dropped by 22 per cent, and researchers have noticed also less expression of other genes that appear to be related to Alzheimer's disease.

However, the study did not examine patients for signs of disease, so there is no way of knowing if their risk has actually declined.

Scientists believe there is a link between obesity and diabetes, which appears to increase the risk of Alzheimer's disease, said Greg Cole, Deputy Director of the Centre for Alzheimer's disease at the University of California at Los Angeles. He said that obesity can stimulate the inflammation in the body and brain.

"Weight loss is likely to improve the health, but a warning is that the epidemiology of weight loss is complicated," he added. Weight loss in the elderly may be a harbinger of incipient dementia. Moreover, according to a National Institute on Aging study, there may be significant differences in the way that the mid-life weight changes effect the risk for Alzheimer's disease: the women who lose weight between 30 and 45 appear to actually be at increased risk. ?

More information

For more information about Alzheimer's disease, visit the U.S. National Library of Medicine.


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Low diet fat may not increase the risk of diabetes (Reuters)

NEW YORK (Reuters Health) - then the craze for the low-fat diet has led some doctors worry that Americans would rather begin to eat too many carbohydrates, a new study suggests that eating low in fat is not to increase the health risks has fueled carbohydrates.

Instead, if the additional carbohydrates are the framework of a plan of food which includes more fruits, vegetables and whole grains, the risk of diabetes - the major of related health concern - could actually decrease, at least among elderly women, with the conclusions.

However, a regime low in fat, high carbohydrate content could create problems in people who already have diabetes, researchers caution.

"Usually when people reduce the fat in the diet they replace by carbohydrates," study author Dr. James Shikany told Reuters Health. "There was some concern that the increased carbohydrate intake may lead to otherwise increased diabetes itself... of changes which, over time, could lead to diabetes."

"We said women to reduce their fat material consumption for a long time and we didn't really know the possible effects, which would have" diabetes, added Shikany, University of Alabama at Birmingham.

The results suggest that the balancing of two diabetes and other disease risks requires considering the types of carbohydrates, fats and protein we eat, researchers, said, rather than simply reduce the Group food and eat more than another.

The study, published in the American Journal of Clinical Nutrition, included a group of approximately 2 300 postmenopausal women who were part of the Initiative of women health of the trial, which dealt with the effect of the therapy diet and hormone on the risk of disease.

Approximately 900 women, selected randomly, have been encouraged to reduce their total fat intake that fat accounted for approximately 20% of the calories in the diet. For a 2,000 calorie diet, this would mean that eating 44 grams of fat each day.

Under the new diet, women were also said to increase the number of fruit, vegetables and grain portions that they ate, and they attended regular sessions with nutritionists to help do so.

The other 1 400, used as a comparison group, women were not given any extra nutritional guidance or told to change their diet.

Researchers followed women for the next six years with surveys on diet and exercise and also tested their blood for the levels of sugar and insulin in search of diabetes or its warning signs.

On average, women in the low fat group, said that they have between 25 and 29 percent of their calories from fat in follow-up investigations. Than 36 to 37% in the group without intervention of the diet.

The U.S. Government guidelines suggest adults get between 20 and 35 percent of their calories from fat.

Diet group ate also generally less of total calories and more fruits, vegetables, cereals and sugar that the comparator group, on average.

After 1 year, women on the low fat diet lost more weight than the comparison group and had bigger their sugar decreases in blood and insulin levels. By age 6, the groups looked like on these measures. Who told researchers that the diet low in fat, high carbohydrate content had not increased opportunities for women of diabetes.

However, in women who already had diabetes at baseline, those on the low fat diet had a greater increase in blood sugar levels in the first year than women who did not change their diet. This could be because people with diabetes had lost the ability to handle additional carbohydrates, said Shikany.

Carbohydrates are "clearly not a poison,", said Dr. David Jenkins, Chief of Clinical Nutrition and the Centre of Modification factor of risk to the Toronto St. Michael's Hospital. "If it is ingested wisely (they) useful."

However, in General, "we've gone from a diet high in saturated fat and cholesterol and was not as good (to) a scheme which was just as tasty, but relying on carbohydrate of refining in particular" ups the risk of obesity and diabetes, Jenkins, who was not involved in the research, told Reuters Health.

Refined carbohydrates include bread white and rice and sweet drinks and snacks.

Jenkins stated that obtaining more fats and proteins from plant, as sources by eating beans or adding bread peanut butter or hummus is a good way to prevent diabetes and heart disease.

Now, doctors usually recommend a diet that is full of healthy, non-gras saturated, rather than one that attempts to reduce all fats, Shikany said - but that does not mean that the new data is not useful.

"Type, things have changed, but still there are a lot of (doctors) which recommends a low fat diet and people who are on these diets," he said. "I think certainly it is a very safe diet, but the question is, is the best regime?

Mary Gannon, University of Minnesota, stated that a diet low in carbohydrate and higher in fat and protein can actually help people feel more complete early - which could lead to a loss of weight over time. Men with diabetes, that she studied, men had improved most markers of diabetes when they are the smallest percentage of their calories from carbohydrates.

Shikany added that because the research has been limited to women aged 50 years and more, his conclusions not necessarily apply to men or young women on a low fat diet.

SOURCE: http://bit.ly/ktCLuv American Journal of Clinical Nutrition, online may 11, 2011.


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Weight loss can help symptoms of apnea sleep (HealthDay)

(Monday June 6 HealthDay News) - many people who suffer from obstructive sleep apnea could eliminate the condition by losing a significant amount of weight, a new study suggests.

Without knowing it, people with sleep apnea wake up several times throughout the night they have trouble breathing. The condition can cause a severe daytime fatigue and other symptoms. In many cases, patients are treated with continuous positive airway pressure (CPAP), a treatment that uses a machine to keep their airways open during sleep.

According to Dr. Virend Somers, Professor of medicine and cardiovascular disease at the clinic in Rochester, Minnesota Mayo, it seems y have a relationship between apnea sleep and additional books. But exactly how they are related, it is not quite clear, he said. "Although the majority of patients are obese, not everyone with the sleep apnea is obese, said Somers, who was not involved with the new study.

Doctors who know "as weight gain, sleep apnea was worse still, and you lose, it improves", said Somers. Obesity can affect the ability of the respiratory tract stay open during sleep, or extra fat cells may affect control of the brain of the airway, it suggested.

In the new study, published online June 1 to BMJ, researchers led by Kari Johansson of the Karolinska Institute in Stockholm followed 63 male patients sleep apnea, 30 to 65 years, who were overweight. Of this number, 58 completed a version of the Plan of weight of the Cambridge, which began with a diet very low-calorie for nine weeks, followed by a year of counseling for weight-maintenance program. The weight of Cambridge Plan provided partial funding for the study.

After a year, about half of patients who have lost weight and kept is no longer required a machine CPAP to keep their airways open during sleep and the sleep apnea went to 10 per cent of them.

Somers pointed out that it is unlikely that the approach of the diet specific itself was important. "I am not aware of any interaction between what we eat and sleep apnea," he said. Instead, it is likely that simply losing weight did the trick, he explains.

More information

For more information on sleep apnea, visit the U.S. National Library of Medicine.


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Fat Brown cells may one day help Combat obesity (HealthDay)

(Sunday, June 5, HealthDay News) - the human body has two types of FAT: the "bad" kind white that stores the calories and the "good" Brown type that consumes the. Now, researchers say that it is actually possible to do more contents fat brown to help people lose weight.

"We are now more optimistic that brown fat could be used to treat obesity and diabetes," study author main Dr. Aaron Cypess, Professor at Harvard Medical School and the Joslin Diabetes Center in Boston, said in a press release of the endocrine society.

In 2009, Cypess showed that while adults tend to be much more fat white that they Brown, have some Brown fat in an area extending from the front of their neck to the chest.

Now, in a follow-up study, scheduled for presentation Sunday at the system company endocrine meeting in Boston, found Cypess more good Brown fat cells exist also in deep fat. In fact, some of them have been effectively mixed with white fat cells.

"It's a mottling at the cellular level," Cypess said in the press release. "We we're requested: would be step wonderful if you could grow more contents fat brown." "The answer is Yes."

Researchers have increased of mature human cells of brown adipose tissue of preadipocytes, or pre-fat cells, taken from a fresh sample of Brown fat. Cypess stressed that the process, which takes about two weeks in a laboratory, would be probably more quickly in the body.

By measuring the rate of oxygen consumption of fat cells, the researchers have also demonstrated that Brown fat actually burn a large number of calories. Although the study found that stimulating the growth of additional Brown fat can be a promising treatment for obesity, the researchers noted that do more than fat is not a substitute for a healthy diet and exercise.

"As powerful as that Brown fat might be combustion calories, we can easily eat-out the advantage," Cypess warned.

Because this study was presented at a medical meeting, the conclusions should be considered preliminary until they are published in a refereed journal.

More information

The Centers for Disease Control and Prevention provides more information on the causes and consequences of obesity.


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Indicated more likely to trust the packaging of foods (HealthDay)

(Wednesday, June 8, HealthDay News) - indicated is more likely than non-indicated to be misled by food names, a new study said.

For example, indicated rated food with names such as "salad" as being more healthy than identical products with names like "pasta", though not indicated without such distinctions.

Indicated also believed that labeled candy "fruit chew" was healthier than candy even when he was labelled "candy chew" and most sweets eaten when it was called fruit chews, said researchers at the University of South Carolina.

"The fact that perceptions of the safety people vary with the name of the food is amazing." What is interesting is that indicated, who try to eat health and care about what they eat, fell into these "naming Office trap" more that it is not indicated who does really care about healthy eating, "author of the study Caglar Irmak, an assistant professor of marketing, said in a press release from the University."

The findings of the study of people more than 520 suggest indicated rely on food names to identify the so-called healthy, explained Irmak. Instead, indicated need to focus on the reading of nutritional food products information and menus of the restaurants.

"These results provide indicated break.". The study indicated shows based their decisions to food on the name of the food instead of the ingredients of the element. As a result, they can eat more of their goals plans prescribe "Irmak said."

The study appears in the issue of the journal of research consumer August.

More information

The American Heart Association offers tips to plan food non - fad.


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Virtual weight loss: online meetings results in health (LiveScience.com)

Karen Rowan, editor in Chief MyHealthNewsDaily
LiveScience.com Karen Rowan, editor in Chief Myhealthnewsdaily
LiveScience.com - Wed Jun 8, 5: 14 pm EST

Support of online weight loss programs have increased in popularity, and a new study suggests that for some, they work better than their counterparts in the real world in the strengthening of the confidence of a person.

The results showed that participants in a group weight loss support "meeting" in a virtual world were more likely to report eating healthy and being physically more active after 12 weeks than those who participated in a support group which met in real life.

"They were more confident in their ability to exercise", and more confident that they would maintain their regime of exercise of real life to critics, such as the bad weather or go on vacation, said study investigator Jeanne Johnston, Assistant Professor in Kinesiology at the University of Indiana.

No there was no difference between the online and the Group of real in terms of the weight, they have lost. Johnston, said the difference in levels of trust between the groups can mean a difference in their ability to maintain their loss of weight over time. However, more long-term studies are needed to study it.

Online support group has met in the world on the Web, known as Second Life, where people create avatars to represent themselves in their interactions with others. Virtual "room" where meetings were held included from treadmills and exercise bikes that avatars can use in their training sessions, Johnston said.

Of course, these virtual training sessions is a not burn any real life calories, but they built the confidence of participants in their ability to exercise, Johnston said.

"I think it's something to do with visualization," to see your avatar through a training session, she said. "Power to go to the virtual world - you do not have to drive it, you can hide any weight gained - it makes you less timid.".

"Online management of the problems of weight, with a variety of different tools, will become more and more popular," said Dr. Louis Aronne, clinical professor and Director of the comprehensive weight control program at Cornell University, who was not involved in the study.

Aronne created the program online weight loss called BMIQ, said the research showed that a key component of the decision-making of these work programmes is capturing the spirit of a meeting of real life.

"When Dietitians support online, online groups have good results." They are very similar to go to a group, at a physical meeting, "he said to MyHealthNewsDaily.

Aronne and Johnston said that online programs won't work for everyone. "For some people, these tools will be as good [as real-life support]." For others, they will be, "he says. Some people just need to meet face to face with other people, he said.

Another drawback is that, for the participants in online programs, it may be easier to become distracted, Aronne said. And those who are not tech-savvy are unlikely to benefit from these programs.

Johnston study was conducted in collaboration with a fitness club, but she received no funding from the company for her research, she said. She presented her work Friday (June 3) at the American College of Sports Medicine annual meeting in Denver.

Pass it: Support online weight loss programs may raise the confidence of participants more in-person meetings.

This story was provided by MyHealthNewsDaily, sister of LiveScience site. Follow MyHealthNewsDaily Chief Editor KarenRowan on Twitter @ karenjrowan.


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2011年6月4日星期六

Obesity more risk of fatty liver alcohol, study finds (HealthDay)

(Thursday, June 2, HealthDay News) - obesity and insulin resistance are a greater risk than moderate consumption of alcohol fatty liver disease, according to a new study that found drinking small amounts of red wine does posed no greater risk for the development of the condition.

For their study, published online on May 23, in the annals of medicine Swedish researchers asked 44 people either refrain from alcohol or drink (women) one or two glasses (men) of red wine per day for three months. At the beginning and the end of three months, investigators collected blood samples and conducted MRI to measure the content of fat in livers of participants.

"It proved that the amount of fat in the liver was connected to the resistance of obesity and insulin and was almost not at all affected by red wine." Specifically, after three months, none of the wine drinkers had developed fatty liver or elevated liver transaminases, "Dr. Stergios Kechagias, a specialist of the liver at Linkoping University, said in a press release from the Swedish Council for research.

In addition, the study showed a decrease of 16 per cent of the levels of bad cholesterol LDL among those who drank red wine. "There is a strong correlation between moderate alcohol consumption and reduced risk of cardiovascular disease and our data provides a mechanism to do this since the LDL cholesterol was reduced to a great extent," Dr. Fredrik Nystrom, Professor at Linkoping, found in the press release.

Because it is known that the large amounts of alcohol contribute to liver disease, it has long believed that even moderate consumption may have a harmful effect.

Foie gras, which is associated with diabetes, hypertension and cardiovascular disease, can lead to cirrhosis of the liver, noted researchers.

More information

The U.S. National Institute of Diabetes and Digestive and kidney diseases has more information on the fatty liver disease.


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Hula could help shed unwanted pounds (HealthDay)

(Friday, June 3, HealthDay News) - the Hula, a large ring which can be turned around the waist, won in intense popularity in the 1950s, and now it appears to be re-emerging as a hot trend in weight loss, a new study has found.

"hooping" spends the same amount of energy the hike of 4-4.5 miles per hour - enough to help a business person up and slim down, according to a press release of the American College of Sports Medicine (CMHA). And the author of the study John Porcari, of the University of Wisconsin - La Crosse, "it becomes a popular form of exercise of group choreography," stated in the press release.

The study examined 16 women, aged 16 to 59, who regularly attend choreographed hooping classes. Researchers have measured women consumption of oxygen, heart rate and rate of physical effort that they have completed a hooping led video 30 minutes class.

Researchers have set "to determine the effect of hooping on the status of physics and whether the intensity falls within guidelines CMHA to improve cardiovascular fitness", said Cathy.

The study revealed that the average heart rate for the class of 30 minutes was 151 beats per minute, and the average caloric expenditure was equivalent to 210 calories for 30 minutes of hooping. The total energy of the costs, researchers revealed, was enough to help people to control their body weight.

The results would be presented this week at the American College of Sports Medicine annual meeting, held jointly with the World Congress on exercise is Medicine, in Denver. They note that research presented at meetings is not subject to the same type of consideration given to the research published in journals.

More information

The Centers for Disease Control and Prevention has more physical activity and weight control.


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Study: Obese women, quality of life suffers more (Time.com)

Many factors determine your health-related quality of life, including your weight. In General, more you - that is, the more you turns in the territory of overweight - the worst your quality of life. But a new study finds that some groups, such as women, are more negatively affected than others.

For the survey, researchers requested Romanian adult American aged 35-89 a series of questionnaires designed to measure physical and mental quality of life of the respondents. Issues included measures of mobility, pain, cognition, the "vitality", anxiety and depression, among other factors.

(More on TIME.com: obese adolescents are more likely to smoke, have sex more risky)

Overall, the survey found, people with the mass index body "normal" (from 18.5 to 24.9) reported better health-quality of life related that the overweight (BMI 25 to 29.9) or obese (BMI of 30-50) respondents. But when researchers examined more closely the participants African-Americans, they found the group reported overweight of the higher notes to quality of life than their peers in normal weight and overweight.

Why this is the case is not clear, but researchers say the findings are in line with previous studies that have found a smaller association between increasing BMI and mortality among blacks than among the non-noirs. "The mechanisms by which overweight and obesity affect the daily life and mortality may also differ between the races," the authors write. "Way of life, roles, bodily pain, vitality or may simply be less affected by overweight among blacks, in the non-noirs."

(More on TIME.com: overcoming obesity)

The questionnaires also has suggested that obese women were more likely to suffer from low quality of life than obese men, especially when it comes to mental health measures. The authors write:

[Lthough has] there is new evidence that obesity can be negatively related to mental health in women in non-U.S. media, our analysis is the first to indicate that such a reverse relationship can be significant in American women, while confirming evidence that men, the association seems important that with physical health.

It is perhaps due in part to the fact that obese women tend to suffer more stigma and bias that while both men. A study of the year last on the differences in salary between Obese Americans found that obese women tended to earn less than their counterparts of normal weight, while obese men suffer from compensation for their size. (For both sexes, however, the cost of obesity was high after factoring in days of illness and charges increases medical, premature death more high and even grocery bills the additional gas - the burden of your car, gas prices you engulfing.)

(More on TIME.com: want to refine your mind?) (Drop a few pounds)

"Our study did not examine why additional weight seems to be less of a burden for blacks and more a burden for women, but there are several possible explanations, said David Feeny of Kaiser Permanente Center for health research in Portland, Oregon, co-author, investigator of the current study." These are issues that should be addressed in future studies. ?

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