Study: Abdominal obesity and average waist circumference up significantly over last decade
CHICAGO — The prevalence of abdominal obesity and average waist circumference increased among U.S. adults from 1999 to 2012, according to a study in the Sept. 17 issue of JAMA.
Waist circumference is a simple measure of total and intra-abdominal body fat. Although the prevalence of abdominal obesity has increased in the United States through 2008, its trend in recent years has not been known, according to background information in the article.
Earl Ford of the Centers for Disease Control and Prevention and colleagues used data from seven two-year cycles of the National Health and Nutrition Examination Survey, starting with 1999-2000 and concluding with 2011-2012, to determine trends in average waist circumference and prevalence of abdominal obesity among adults in the United States. Abdominal obesity was defined as a waist circumference greater than 40.2 inches (102 cm) in men and greater than 34.6 inches (88 cm) in women.
Data from 32,816 men and nonpregnant women ages 20 years or older were analyzed. The overall age-adjusted average waist circumference increased progressively and significantly, from 37.6 inches in 1999-2000 to 38.8 inches in 2011-2012. Significant increases occurred in men (0.8 inch), women (1.5 inch), non-Hispanic whites (1.2 inch), non¬Hispanic blacks (1.6 inch) and Mexican Americans (1.8 inch).
The overall age-adjusted prevalence of abdominal obesity increased significantly from 46.4% in 1999-2000 to 54.2% in 2011-2012. Significant increases were present in men (37.1% to 43.5%), women (55.4% to 64.7%), non-Hispanic whites (45.8% to 53.8%), non-Hispanic blacks (52.4% to 60.9%) and Mexican Americans (48.1% to 57.4%).
The authors write that previous analyses of data from NHANES show that the prevalence of obesity calculated from body mass index did not change significantly from 2003-2004 to 2011-2012. “In contrast, our analyses using data from the same surveys indicate that the prevalence of abdominal obesity is still increasing. The reasons for increases in waist circumference in excess of what would be expected from changes in BMI remain speculative, but several factors, including sleep deprivation, endocrine disruptors and certain medications, have been proposed as potential explanations.”
“Our results support the routine measurement of waist circumference in clinical care consistent with current recommendations as a key step in initiating the prevention, control and management of obesity among patients,” the authors noted.
Report: Giant Eagle hiring 1,000 new associates
PITTSBURGH — Giant Eagle is planning to hire as many as 1,000 new associates to keep pace with its growing grocery business, the Pittsburgh Business Times reported Tuesday.
According to the report, Giant Eagle will hold three events to hire new employees from Sept. 19 to 21.
Giant Eagle advertised the hiring events, which will be held throughout the Pittsburgh area on local television, the report noted.
McKesson launches McKesson Care Manager, a care management workflow solution for providers
ATLANTA — McKesson on Wednesday announced a new care management workflow and documentation solution — McKesson Care Manager — specifically designed for the provider environment to help affect patient behavior and improve clinical and financial outcomes.
McKesson Care Manager provides a holistic view of the patient, using an evidence-based clinical assessment that incorporates multiple conditions and social factors to help accurately assess patients’ care gaps and barriers to accessing care. The result is an integrated care plan, informed by clinical, financial and quality data, that includes goals, interventions and education tailored to meet the patient’s needs. That information helps care managers identify and proactively manage patients who would benefit most from targeted programs.
St. Vincent’s Health Partners of Bridgeport, Conn., served as the beta partner for McKesson Care Manager. SVHP is a URAC-certified, physician health organization with nearly 400 local primary care and specialist physicians in over 50 practices. Its member hospital is the 473-bed St. Vincent’s Medical Center in Bridgeport. SVHP adopted a hybrid model comprising a centralized infrastructure that also supports a care management presence in the physician’s office.
“We at St. Vincent’s Health Partners take pride in supporting our providers with the transition to value-based care,” stated Michael Hunt, CMO/CMIO, St. Vincent’s Health Partners. “We use McKesson’s Population Manager, McKesson Risk Manager and now McKesson Care Manager so we can manage and measure patient care at the time of service, during transitions in care, and between each encounter in the context of a patient-centric care model," he said. “McKesson Care Manager helps us identify and manage patients needing high levels of care and intervention. Our care teams are able to stay connected to their patients and actively influence them to close care gaps and improve outcomes,” he added. “The success we achieve reflects directly on the health of the community we serve. We’ve seen the cost of care decrease substantially while improving the patient’s quality of life when we aggressively manage the patient’s care using a unified care plan.”
Designed to address this need, McKesson Care Manager provides a streamlined, analytics-informed workflow that identifies, stratifies and prioritizes patients needing support and a single work queue that helps care managers manage their daily tasks. The solution uses automated, rules-based algorithms to update care plans with recent changes to clinical, lab and medication data, along with risk scores and utilization cost and likelihood of admission data. McKesson Care Manager helps to enable a proactive team approach to patient care using consistent guidelines and access to a comprehensive patient record and care plan.
“McKesson Care Manager enables providers to coordinate care across the continuum. This helps to ensure that patients don’t get lost in follow-up and are getting the right care in the most appropriate setting,” said Rose Higgins, SVP and general manager of McKesson’s population and risk management business. “With more proactive care management, providers can reduce unnecessary hospitalizations and emergency room visits while improving outcomes for the patient.”
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