WIN
Notes
Summer
2009
In
This Issue:
- Reduced-calorie Diets Result in Meaningful Weight Loss Regardless of Diet Composition
- Exercise Increases Physical and Mental Well-being in Previously Sedentary Postmenopausal Women
- Mathematical Model Estimates Dietary and Physical Modifications Necessary for Long-term Weight Control
- Eating on the Run Is Associated With Poor Dietary Habits for
Young Adults
- New Administration Creates the American Recovery and Reinvestment Act of 2009 to Stimulate Economy
- National Collaborative on Childhood Obesity Research Launched
- NIDDK Director Dr. Griffin Rodgers's Five Facts About Diabetes
- Revamped Healthfinder.gov Offers More Interactive Health Assessment Tools
- New Feature From MyPyramid.gov Helps Parents Make Healthier Choices for Their Preschoolers
- WIN in the Community
- WIN Reaches Out to the Media
- Materials From WIN
- Materials From Other Organizations
- Tell Us What You Think!
Cover Story
First WIN Coordinating Panel Meeting Held December 19, 2008
December 19, 2008 marked the first WIN Coordinating Panel Meeting. The meeting, chaired by Dr. Delia Smith West, Director, Center for the Study of Obesity, University of Arkansas for Medical Sciences, provided an opportunity for regional and national organizations conducting and implementing obesity prevention programs to meet and discuss potential sources of collaboration aimed at reducing the burden of overweight and obesity. In addition, Dr. Griffin P. Rodgers, Director of NIDDK, provided panel members with an overview of obesity research at NIDDK and NIH. Leslie Curtis, M.A., Director of WIN, provided an overview of WIN and its services.
During the meeting, each panel member had the opportunity to discuss his or her organization's obesity-related efforts and programs, which covered a wide range of activities, such as offering practical resources for implementing obesity prevention programs with a particular focus on exercise in addition to dietary intake, studying consumers' knowledge of food and nutrition, instituting weight-loss programs within their organizations in order to lead by example, investigating ways to involve the entire family in making healthier choices, and implementing WIN's Sisters Together program at the local level.
Specific examples of these organizations' efforts include a program from the American College of Sports Medicine: Exercise is Medicine. The program is a joint effort with the American Medical Association, and it is designed to encourage patients to incorporate physical activity and exercise into their lives. The program calls on health care providers to prescribe exercise to their patients. Organizations can join the Exercise is Medicine network on its website: http://www.exerciseismedicine.org.
At the Federal level, the Office on Women's Health (OWH) presented two wellness programs for adolescent girls: the Best Bones Forever program, aimed at helping girls increase their consumption of calcium and vitamin D, as well as increase their physical activity, and the BodyWorks program, a free adolescent obesity prevention program that focuses on parents being role models. The BodyWorks program includes a toolkit with food and fitness journals, a videotape with shopping tips, and a menu planner. It aims to provide parents with the tools to be leaders in their household to empower girls to adopt healthy habits. The information is available from the OWH website: http://www.womenshealth.gov/bodyworks.
Lastly, the President's Council on Physical Fitness and Sports forms partnerships with public, private, and nonprofit organizations to promote health, physical activity, and fitness for people of all ages through participation in physical activity and sports. Partnering organizations can raise their profile by incorporating the presidential seal into their own materials. In addition, organizations are able to use the materials on the Council's free, interactive website for various target audiences. Website users can learn about the benefits of physical activity, track physical activity habits, and create certificates for program participants. The Council's website is online at http://www.fitness.gov.
For more information about the organizations represented at the WIN Coordinating Panel Meeting, please visit their websites:
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Research Notes
Reduced-calorie Diets Result in Meaningful Weight Loss Regardless of Diet Composition
Individuals embarking on a weight-loss program face a tough decision when it comes to the type of diet to follow. This is because information regarding the weight-loss benefits of a low-fat or high-protein diet can be confusing. In addition, information regarding the long-term effects of these diets is limited.
In a study funded by the National Heart, Lung, and Blood Institute and published in The New England Journal of Medicine, researchers from Harvard University, the Channing Laboratory, Brigham and Women's Hospital, and Pennington Biomedical Research Center compared the weight-loss results of various reduced-calorie diets and examined the health effects of the diets after 2 years. In the randomized controlled trial of 645 participants, researchers compared four diets: 1) low-fat, average-protein, high-carbohydrate, 2) low-fat, high-protein, high-carbohydrate, 3) high-fat, average-protein, average-carbohydrate, and 4) high-fat, high-protein, low-carbohydrate.
Each of the diets followed recommendations for cardiovascular health in that they included 8 percent or less of saturated fat, at least 20 grams of dietary fiber per day, and 150 milligrams or less of cholesterol per 1,000 calories. Demographic information was similar for participants assigned to the four diets and between participants in each diet group. The average age for all participants was 52. Sixty-four percent of participants were female, and 79 percent were White.
In addition to being assigned at random to a particular diet, all study participants attended weekly group sessions three of every 4 weeks during the first 6 months, and two of every 4 weeks from 6 months to 2 years. Individual sessions were held every 8 weeks for the entire 2 years. Behavioral counseling was integrated into the group and individual sessions to promote adherence to the assigned diets. Participants also received daily meal plans in 2-week blocks, and they were instructed to record their daily food and beverage intake in a diary and Web-based self-monitoring tool. Subjects were to get 90 minutes of moderate-intensity physical activity per week. Physical activity information was monitored by questionnaire and the online self-monitoring tool.
The primary outcome researchers examined was the change in body weight over the course of 2 years. Researchers also analyzed the change in waist circumference and changes
in risk factors for cardiovascular diseases and diabetes (e.g., cholesterol and triglyceride levels, insulin levels, and blood pressure).
While all groups observed a weight loss between 7 and 10 pounds, there were no significant differences between the four diets in terms of changes in body weight or waist circumference. Diets that were lower in fat and higher in protein produced the most weight loss, though the results were not significant. A diet's carbohydrate level did not have an effect on weight loss. Most of the weight loss occurred during the first 6 months, and after 12 months all groups slowly regained weight. However, about 23 percent of participants continued to lose weight throughout the 2-year study period.
Attendance at group sessions was similar for all groups, and it was strongly associated with weight loss. Despite the attendance at group sessions, participants did report difficulty with adhering to the specific dietary requirements of their assigned diet.
Regarding risk factors for cardiovascular disease and diabetes, researchers observed significant changes. The low-fat diets and the highest carbohydrate diet significantly decreased low-density lipoprotein cholesterol levels in comparison with the other diets. The lowest carbohydrate diet increased high-density lipoprotein cholesterol levels significantly. All diets decreased triglyceride levels similarly, and all diets except the high-carbohydrate diets decreased insulin levels. Changes in blood pressure were not significantly different among the four groups.
Researchers concluded that any diet that follows recommendations for cardiovascular health and diabetes prevention, regardless of its nutrient composition, can be effective for weight loss. In addition, rather than focusing on specific nutrient composition, individuals may be successful at weight loss by following a diet that emphasizes various amounts of fat, protein, and carbohydrate. Such a diet can be tailored to an individual's preferences, thus increasing the chances of successful long-term weight management.
Article Information
Sacks FM, Bray GA, Carey VJ, et al. Comparison of Weight-loss Diets with Different Compositions of Fat, Protein, and Carbohydrates. New England Journal of Medicine. 2009;360:859–873.
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Exercise Increases Physical and Mental Well-being in Previously Sedentary Postmenopausal Women
Research suggests that regular physical activity may help prevent heart disease, stroke, diabetes, certain types of cancer, and premature death. In addition, some research has provided evidence that regular physical activity can improve mood, energy level, and other quality-of-life measures. These benefits have been observed in individuals with serious conditions, such as cancer and chronic obstructive pulmonary disease. However, little evidence exists that regular physical activity can improve quality of life in individuals without serious illnesses.
A group of researchers from the Biomedical Research Center, the University of South Carolina, and the University of North Texas sought to examine the link between quality of life and physical activity among sedentary postmenopausal women. The study population was part of a randomized controlled trial, the Dose-Response to Exercise in postmenopausal Women study (DREW), designed to examine the dose-response relationship between physical activity and certain health benefits, such as increases in cardiovascular fitness and decreases in blood pressure.
A total of 430 women were randomized to one of three exercise groups or the non-exercise control group and followed for 6 months. The women were postmenopausal, between the ages of 45 and 75, and overweight or obese based on body mass index. Sixty-five percent of the women were White. All subjects had high blood pressure, but they had no history of cardiovascular disease, diabetes, or any other serious medical condition. All were sedentary at the start of the study.
The exercise groups were based on energy expenditure: 4, 8, or 12 kilocalories per kilogram of body weight per week (KKW). These levels correspond to percentages of weekly exercise recommendations from the 1996 NIH Consensus Development Panel on Physical Activity and Cardiovascular Health:
- 4 KKW = 50 percent of the recommendations, or 1 hour and 15 minutes per week.
- 8 KKW = 100 percent of the recommendations, or 2 hours and 30 minutes per week.
- 12 KKW = 150 percent of the recommendations, or 3 hours and 45 minutes per week.
The women participated in three or four training sessions per week for 6 months, engaging in moderate-intensity activities (either by semi-recumbent cycling or on a treadmill). Training sessions took place in an exercise laboratory and were closely monitored by study staff. Participants were weighed each week, and their weight was multiplied by their exercise dosage to determine the number of calories to be expended for the week.
Quality-of-life measures were gathered using the Medical Outcomes 36-Item Short Form Health Survey (or SF-36), which assesses both physical and mental aspects of quality of life. This tool was designed to survey the health status of participants in the Medical Outcomes Study, which was conducted from 1986 to 1987. The physical measures on the
form include physical functioning, everyday-life limitations because of physical problems, bodily pain, and general health perceptions. The mental measures include everyday-life limitations because of emotional problems, social functioning, vitality, and mental health.
The study revealed a significant dose-response effect of exercise on quality of life for all aspects measured, with the exception of bodily pain. The 12-KKW exercise group had significant improvement in all quality-of-life measures except bodily pain when compared to the control group. The 4-KKW group had significant improvements in general health perception, vitality, and mental health when compared to the control group. All three exercise groups had significantly improved social functioning in comparison with the control group.
All four groups had a modest amount of weight loss, but there were no significant differences between them. To examine if weight loss had an effect on the quality of life of the women, researchers divided the participants into those who had lost weight and those who maintained or gained weight. This analysis revealed no significant differences in the quality-of-life measures, indicating that weight loss was not responsible for the improvements in quality of life among the women.
Researchers concluded that even a slight increase in physical activity can significantly improve a woman's quality of life, and that the improvements increase along with the amount of physical activity. The authors based their conclusion on the significant improvements in quality-of-life measures among the participants engaging in both the least and most amounts of physical activity. Researchers also concluded that exercise may improve both physical and mental quality of life, even in the absence of meaningful weight loss, adding to the evidence that improved quality of life is a health benefit of engaging in physical activity.
Article Information
Martin CK, Church TS, Thompson AM, et al. Exercise Dose and Quality of Life: A Randomized Controlled Trial. Archives of Internal Medicine. 2009;169:269–278.
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Mathematical Model Estimates Dietary and Physical Modifications Necessary for Long-term Weight Control
It has been well documented that incorporating healthier eating habits and more physical activity into one's life may lead to weight loss for some individuals considered overweight or obese. However, sticking to these healthy habits can prove to be difficult, and many people regain lost weight. Would weight loss and management be less intimidating if one knew the exact dietary and physical activity changes needed to not only lose weight, but prevent weight regain?
A pair of researchers from the NIDDK Laboratory of Biological Modeling sought to answer this question by developing a mathematical model to estimate the amount of weight one can lose by adhering to specific amounts of energy intake and expenditure, as well as the amounts of energy intake and expenditure needed for weight control. Using this mathematical device, a person can estimate the dietary and physical activity changes they need to make to maintain a prescribed goal-weight before a weight-loss program begins. A person can also use the model to set their weight-loss goal to correspond to the permanent lifestyle changes they are willing to make to stay at their goal-weight.
The model was developed using weight-change data from studies that measured energy expenditure and body weight before and after weight loss. Researchers designed the model to calculate change in body weight based on a person's initial body fat mass and specific changes in dietary intake and physical activity. The model uses standard spreadsheet files that allow individuals to perform calculations by themselves. These files can be assessed online at http://www2.niddk.nih.gov/NIDDKLabs/LBM/lbmHall.htm.
Because this is a generalized mathematical model, and there are many variables that determine how one loses weight, the researchers recognize that achieving precise calculations for every person is difficult. However, the researchers hope to further develop the model prospectively, with the hopes of developing personalized models of weight change.
Article Information
Hall KD, Jordan PN. Modeling Weight-loss Maintenance to Help PreventBody Weight Regain. American Journal of Clinical Nutrition. 2008;88:1495–1503.
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Dietary
and Obesity Report
Eating on the Run Is Associated With Poor Dietary Habits for Young Adults
Taking the time to sit down for a meal can be a challenge while leading a busy life, but eating on the run may be associated with making poor food choices, especially for young adults. A new study by researchers from the University of Minnesota suggests that young adults who do not engage in regular sit-down meals report poorer dietary habits.
Researchers gathered data via questionnaire from 1,687 young adults participating in a study called Project EAT-II (Eating Among Teens). This was the follow-up to Project EAT-I, a population-based study designed to examine what determines food intake and weight status among young people. The study population was 56 percent female, 56 percent White, and the average age was 20.
The Project-II survey assessed young adults' meal attitudes and behaviors, the frequency at which they eat fast food, and information on race, gender, and weight status. Meal attitude measures included the enjoyment of social eating, perceived importance of social eating, perceived importance of meal regularity, and perceived time constraints on meals. Meal behaviors referred to the structure of the meal (eating alone vs. eating with other people), and eating on the run. Fast food frequency was determined over the course of the week prior to administration of the survey. In addition to age, sex, race and ethnicity, and weight status (defined by body mass index), demographic information gathered by the survey included living arrangements, student status, and romantic relationship status.
The Youth Adolescent Food Frequency Questionnaire was used to assess dietary intake of fruits, vegetables, dark green and orange vegetables, whole grains, and soft drinks over the past year. Through this questionnaire, researchers were able to gather information regarding total energy intake, the total intake of all fat, saturated fat, calcium, sodium, and fiber.
The majority of all young adults enjoyed social eating and felt that it was important to have social eating experiences and regular meals. However, most participants reported perceived time constraints on meals. Social eating was most often reported by participants living in campus housing and those in a committed romantic relationship. Young adults who lived alone were least likely to report social eating. Participants who were obese also reported less social eating when compared to those who were overweight or at a normal weight.
While the majority of participants reported that they usually ate dinner with other people, a similar percentage of participants reported eating on the run. White and African-American participants, full- and part-time students, and full- and part-time employed participants were more likely to report eating on the run. Lastly, while not statistically significant, a higher percentage of participants who were obese reported eating on the run compared to overweight and normal-weight participants.
Researchers also examined meal attitudes and behaviors in relation to food intake and fast food frequency. For instance, social eating was significantly associated with higher intakes of fruit, vegetables, and dark green and orange vegetables. Conversely, eating on the run was significantly associated with higher intakes of soft drinks, fast food, saturated fat, and total fat.
Researchers concluded that young adults clearly value and understand the importance of eating meals with others, and that they tend to make healthier food choices when eating socially. Researchers suggested that health promotion programs aimed at this population should address ways to effectively manage time and reduce personal barriers to eating healthfully.
Article Information
Larson NI, Nelson MC, Neumark-Sztainer D, et al. Making Time for Meals: Meal Structure and Associations with Dietary Intake in Young Adults. Journal of the American Dietetic Association. 2009;109:72–79.
NIH
News
The American Recovery and Reinvestment Act (ARRA) of 2009 was signed into law in February 2009. The Act was designed to jumpstart the American economy, create and save jobs, and lay the foundation for long-term economic growth. While several areas will be affected by the Act, such as energy conservation, tax relief, and education, revitalizing the nation's health care system and expanding research programs are primary goals of the Act.
Under the ARRA, NIH received an unprecedented $10.4 billion. Forthcoming awards from NIH are expected to help create and maintain jobs, as well enhance the quality of biomedical research in the United States. In addition to creating critically important research programs, the funding will also be awarded to provide assistance in upgrading research facilities, provide administrative support for current research programs, and create and continue summer research programs for students and science educators.
Individuals can follow the progress of the ARRA and learn more about how economic stimulus monies will be distributed online at http://www.recovery.gov.
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The National Collaborative on Childhood Obesity Research (NCCOR) is an effort between NIH, the Centers for Disease Control and Prevention, and the Robert Wood Johnson Foundation. NCCOR aims to improve the efficiency and effectiveness of research by evaluating new and current programs aimed at preventing and reducing childhood overweight. The Collaborative also aims to assess policy changes having a direct impact on this serious health concern.
NCCOR will focus heavily on the populations with the highest obesity rates, including African-American, Hispanic, Native-American, and Asian/Pacific-Islander children, as well as children living in low-income communities.
NCCOR's initial efforts included a four-part webinar series on the evaluation of state and local policies related to obesity prevention, which began in February 2009. Future areas of focus include creating a catalog of childhood obesity-related policy and health monitoring systems, identifying promising interventions and programs, and developing a system for identifying opportunities for research funding.
For more information about NCCOR, please visit http://www.nccor.org/index.html.
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Dr. Griffin P. Rodgers, Director of NIDDK, has outlined the "Five Facts About Diabetes." The article, which provides readers with information to help people with diabetes manage the condition, is being promoted by the National Diabetes Education Program for use in general print and online publications.
The article outlines the five most important aspects of managing diabetes, including the importance of blood glucose monitoring, healthy eating, and regular physical activity. To obtain a free copy of the article, visit http://ndep.nih.gov/media/five-diabetes-facts.pdf.
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Cyber
Notes
Healthfinder.gov, a consumer health site from DHHS, has been updated to be more interactive and user friendly. In addition to providing health news and information gathered from over 1,600 government and nonprofit organizations, the website now offers several personal health tools and assessments with a specific focus on preventing chronic health conditions.
In the "Personal Health Tools" section accessible from the home page, users will find the "Online Checkups" section, which is a compilation of quizzes to determine one's risk for a certain disease or condition. There are also activity and menu planners, as well as health calculators to determine body mass index, calories burned during certain activities, target heart rate, and other tools to evaluate one's health and lifestyle.
You can visit the updated website at http://www.healthfinder.gov.
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"MyPyramid for Preschoolers" is a new section at Mypyramid.gov designed to help children age 2 to 5 eat well and be more active. The new feature offers a wide variety of helpful tips and suggestions for parents and caregivers, such as how to help children develop healthier eating habits, incorporate more physical activity into their days, and monitor a child's growth and overall health.
MyPyramid for Preschoolers offers ways for children to learn about making healthier food choices, such as setting a positive example or having your child help in the kitchen. For example, activities like rinsing fruit and vegetables or preparing a tossed salad are ways to help children try new, healthier foods. According to MyPyramid.gov, children are less likely to reject new foods that they helped prepare.
MyPyramid for Preschoolers can be found online at http://mypyramid.gov/preschoolers/index.html.
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Program
Notes
In February 2009 WIN participated at the National Women's Heart Day event in Washington, DC, as part of American Heart Month. WIN provided appreciative attendees with water bottles in addition to WIN and Sisters Together publications.
Also in February, WIN participated at the annual conference of the Association of Maternal and Child Health Programs, held in Washington, DC. Many of the attendees had not heard of WIN, but were eager to learn about WIN's mission, services, and new materials, such as Getting on Track: Physical Activity and Healthy Eating for Men.
At the Centers for Disease Control and Prevention's National Conference on Chronic Disease Prevention and Control: Cultivating Healthy Communities, held in February 2009, WIN presented a poster titled "Addressing the Obesity Crisis Through Education: The Role of the Weight-control Information Network." Also in February, WIN highlighted the Sisters Together program in a workshop at the Office of Minority Health's Third National Leadership Summit on Eliminating Racial and Ethnic Disparities.
In April 2009 WIN attended the American Alliance for Health, Physical Education, Recreation and Dance Convention and Expo in Tampa, FL. Attendees were extremely interested in WIN's publications and giveaways, especially those that could be incorporated into health class curriculums. Popular publications were Helping Your Child, Helping Your Overweight Child, and Take Charge of Your Health.
In May WIN attended the Bronner Brothers Hair Show in Baltimore, MD. This exciting event is always a great opportunity for WIN to provide enthusiastic attendees with important information about healthy eating habits and physical activity. Attendees also receive fun giveaways, such as Sisters Together backpacks and t-shirts.
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WIN Reaches Out to the Media
WIN has continued its efforts to promote overweight and obesity information across all ages and ethnicities with the Spanish-language article "Consejos para controlar el peso y mejorar la salud." The article outlined ways to stay healthy and fit during the winter months. The article appeared in the January 2009 issues of El Tejano, which circulates in Corpus Christie, TX; El Especial, which circulates in Union City, NJ; and El Extra, which circulates in Dallas, TX.
The Sisters
Together Program
The Sisters Together program was designed to encourage Black women to maintain a healthy weight by becoming more physically active and eating healthier foods. Four more cities have joined the Sisters Together family by starting programs in their communities: Gulfport, MS; Elizabeth, NJ; Stanford, KY; and Groton, CT.
WIN Reaches Out to the Top 10 "Fattest" States
This year WIN and Sisters Together are reaching out to the top 10 "fattest" states, as noted in the Trust for America's Health report F as in Fat: How Obesity Policies Are Failing in America. WIN will provide agencies in those states with information on healthy eating, physical activity, and obesity that they can pass on to their constituents, with the hope of reducing obesity rates.
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Comments
From the Road!
What
are conference attendees saying about WIN?
"I teach an online obesity-management class, and you have some of the best resources—they are so easy to understand and comprehend. And best of all, your program does not restrict duplication or usage of your materials. Thanks!"
—American Dietetic Association Annual Conference
Chicago, IL
"I work with a lot of obese kids. This guide for teenagers is perfect [because] it's presented in a style that's easy for them to understand."
—Association of Maternal and Child Health Programs Annual Conference
Washington, DC
"Can we order more of these brochures for our office. It's so hard to find good information for patients."
—American College of Sports Medicine
Seattle, WA
"Our school is working towards a student-initiated campaign for being healthier and more active. I want one of each of your applicable publications."
—American College Health Association
San Francisco, CA
"I love your website and all of the materials you provide. I'm retired, but I keep in close contact with all of my health educator colleagues, and [I] always pass along information that I receive from WIN."
—American Alliance for Health, Physical Education, Recreation & Dance
Tampa, FL
"Good! You have information for men! I have been trying to get my husband to walk with me in the evenings, but he doesn't understand the importance of being active. I'm going to give this to him as soon as I get home."
—Bronner Brothers Hair Show
Washington, DC
Resource
Notes
Materials
From WIN
WIN has created a new publication that encourages men to take stock of their eating and physical activity habits and make small changes toward living healthier. Getting on Track: Physical Activity and Healthy Eating for Men addresses the issues men face when deciding to incorporate healthier habits into their lives. Research shows that men are less likely than women to change their eating habits, enroll in a weight-control program, or consider the health consequences of their behaviors. WIN recognizes how challenging it can be for some to change their eating and physical activity habits and believes that providing accurate information and encouragement is essential for long-term success.
Getting on Track helps readers determine if they are at a healthy weight by using the body mass index and measuring weight circumference. Readers are encouraged to set a plan to eat healthy, engage in physical activities they enjoy, and stay motivated by setting attainable goals.
In addition, Getting on Track lists resources for further reading and information, such as the Centers for Disease Control and Prevention, the American Heart Association, and the National Diabetes Education Program.
Updated and Reprinted Materials
WIN has also updated and reprinted several fact sheets and brochures. The publications listed below have been revised to include the latest scientific research:
Bariatric Surgery for Severe Obesity
Tips to Help You Get Active
Weight-loss and Nutrition Myths
Weight Loss for Life
To obtain a free copy of
these or other publications, contact
WIN at 1–877–946–4627 or win@info.niddk.nih.gov.
You can also download PDF copies at http://www.win.niddk.nih.gov.
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Materials From Other Organizations
A new, comprehensive women's health book is available both in print and online. The Healthy Woman: A Complete Guide for All Ages offers a broad range of information on various health topics for women at any stage of their life. From the DHHS Office on Women's Health, The Healthy Woman provides practical health information, such as when specific health screenings are appropriate, how to prevent or manage type 2 diabetes, and how to recognize the signs and symptoms of heart disease or stroke. The Healthy Woman also contains personal health stories from women throughout the United States, as well as a glossary and an extensive resource section.
The Healthy Woman: A Complete Guide for All Ages can be purchased through the Government Bookstore at http://bookstore.gpo.gov/actions/GetPublication.do?stocknumber=017-001-00560-6.
A tip sheet outlining the importance of physical activity in preventing the onset of chronic diseases in older adults is available from the National Diabetes Education Program (NDEP). Five Ways Older Adults Can Be More Physically Active provides five ways one can incorporate physical activity easily into one's daily schedule. Regular physical activity, along with healthy eating, can prevent or delay the onset of chronic illness and improve strength, balance, and flexibility in older individuals.
You can download Five Ways Older Adults Can Be More Physically Active from NDEP's website: http://ndep.nih.gov/diabetes/pubs/five-ways-older-adults-active.pdf.
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Editor's
Notes
Tell
Us What You
Think!
- What articles did you
enjoy or find most useful in this
edition of WIN Notes?
- What topics would you
like to see addressed in WIN
Notes?
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Editor
Weight-control Information Network
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Bethesda, MD 20892–3665
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NIH Publication No: 09–7410
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