Tuesday, 26 February 2013

Princess Health and Survey suggests Great Recession has harmed the health of Kentuckians.Princessiccia

A recent poll shows continuation of a trend threatening Kentucky's overall health: as the number of Kentuckians living in poverty goes up, the percentage of adults who report their health as excellent or very good goes down.

Just over four in 10 Kentucky adults in the latest Kentucky Health Issues Poll described their health as excellent or good. In 2008, almost half used those descriptions.

People with higher incomes have consistently reported better health since the poll began tracking the health status of Kentucky adults 2008. Since research has shown a strong link between higher income and better health, the Great Recession and the resulting increases in unemployment, underemployment and poverty appear to be harming the overall health of Kentucky�s population.

In the accompanying graph, showing responses by income categories, FPL stands for federal poverty level, which in 2011 was a yearly household income of $22,350. Among the categories, 58 percent in the highest category said their health is excellent or good, but only 25 percent of those living in poverty used those descriptions.


Although the health status for each income category has remained fairly constant, the poll reflects federal data that show more people living in poverty. More than 33 percent in the latest poll were earning less than the federal poverty level; in 2008, that was only 19 percent. The polls, which used self-reporting of income and survey methods that differ from federal methods, showed much higher poverty rates than federal data.

�We know there is a direct relationship between income and good health, and these data reflect that,� said Dr. Susan Zepeda, president and CEO of the Foundation for a Healthy Kentucky, a sponsor of the poll. �While changes in our health-care delivery system may provide more health-care opportunities for low-income Kentuckians, these results show how vital a strong economy, and jobs that pay well, are to our population�s health.�

The poll, co-sponsored by the Health Foundation of Greater Cincinnati, was taken Sept. 20 through Oct. 14 by the Institute for Policy Research at the University of Cincinnati. A random sample of 1,680 adults throughout Kentucky was interviewed by landline and cell telephones. The poll's margin of error is plus or minus 2.5 percentage points.

Monday, 25 February 2013

Princess Health andH+P at the 2013 Re-Fridgee-Eighter.Princessiccia

The team had a great time at the 2013 Waterloo Running Series Re-Fridgee-8er!

Here are the team results:

8K results:

1st place 8KM team

Coach Sean was 2nd male overall, 1st in the 8K team, 1st in his AG
Greg won his AG, was 5th overall and 2nd on our 8K team
Kevin was 3rd in his AG, and 3rd on our team
Mike Piazza was 4th in his AG, 4th on our team (and only seconds away from Kevin- what a sprint finish- check out the pictures!)
Dragan-Ball-Zubac ran yet another PB, and placed 6th in his very competitive AG
Maria had a great 8K, finishing 3rd in her category!


8M results:
1st place 8M team
1st place spouse team (good job Mailman and Jessica!)
Luke had a great race, finishing 6th overall and 1st in his AG
Florian finished right behind him in 7th place overall, winning his AG
Dave had an awesome race, going over 2 minutes faster than his anticipated pace, finishing 9th overall and winning his AG
Jeremy had a great race, finishing second in his category (had he filled out his form properly haha!)
Jerry had a great race, coming in 4th in his category
Aaron had an awesome race, finishing 15th overall, 3rd in his AG, and winning the spouse category
Jessica was great, winning the spouse team award with Aaron!
Heidi ran very strong, finishing 3rd in her category


Here are some of our favourite pictures of the event:


















Princess Health and Salt Sugar Fat. Princessiccia

Princess Health and Salt Sugar Fat. Princessiccia

I'd just like to put in a quick word for a book that will be released tomorrow, titled Salt Sugar Fat: How the Food Giants Hooked Us, by Pulitzer prize-winning author Michael Moss.  This is along the same lines as Dr. David Kessler's book The End of Overeating, which explains how the food industry uses food reward, palatability, and food cues to maximize sales-- and as an unintended side effect, maximize our waistlines.   Judging by Moss's recent article in New York Times Magazine, which I highly recommend reading, the book will be excellent.  I've pre-ordered it.


Princess Health and Exercise And Water Intake. Princessiccia


How does water intake affect your health and fitness goals? Why to drink plenty of water? How much do we actually need? Why is it extremely important to drink water during exercising? What if we are not thirsty? And why is that?

Water-facts

-Water makes up nearly 60% of total body weight.
-For example: bone contains 22% water, muscle cells contain 75% water, blood contains nearly 83% water.
-Without exercising, we lose an average 1500 ml of water every day.
-Thirst is a very poor indicator of hydration status, in fact, thirst usually isn't perceived until 1-2% of body weight is lost. At that point, if you are exercising, performance decreases will already have occurred. Even if you are not exercising, mental focus and clarity may have dropped off.

Why do we need water?

-Lubricates joints
-Lessens the burden on the kidneys and liver by flushing out waste products
-Carries oxygen and nutrients to cells
-Helps dissolve minerals and other nutrients to make them accessible to the body
-Helps prevent constipation
-Regulates body temperature

It is very simple: our body needs water to function properly. 

What happens when we don't drink enough?

Here is an easy-to-understand chart about the effect of water loss on the body. (The first column shows the water loss in %, and the second column the effect of it:

0.5%Increased strain on the heart
1% Reduced aerobic endurance
3% Reduced muscular endurance
4% Reduced muscle strength, reduces motor skills, heat cramps
5% Heat exhaustion, cramping, fatigue, reduced mental capacity
6% Physical exhaustion, heatstroke, coma

How much water do we actually need?

There are different ways to estimate the fluid need. One of the easier methods is estimating according to body weight. 
As per this method, for every kilogram of body weight you would ingest 30-40 milliliters of water. So if you weigh 50 kg for example, you would need 1.5-2 liters of water per day. 
This requirement increases in warm weather conditions and during exercising.

Why do I not feel thirsty?

You might ask the question. As pointed out above, thirst itself is a sign of danger, your body has already lost a lot of water.
Our body gives different signs of being dehydrated: headache, fatigue, low blood pressure, dizziness. And one of the interesting signs could be hunger. 

So before you make your afternoon coffee, or reach for a painkiller, or think you are being hungry again, try this "trick": drink a glass of water!
Beside these, there are certain types of food- processed, sugary, fatty food - which will make you not feeling thirsty. If you eat plenty of fruit and veg, beside the fact that these foods contain higher amount of water themselves, you will feel the need of more water because of the fibers.

Can I drink any kind of fluid?

No. You can't replace water with sugary and flavored drinks. Why? There are several reasons for that. Flavored drinks usually contain high amount of unhealthy sugars and artificial additives, which do more harm than good for your body. Not to mention their weight-gain 'side-effect'.

We are talking here about mineral water. That is what your body needs. Not just plain tap water, because, especially during exercising, you do not only need to replace the lost body-water, but also the salts and minerals.

Hydration before and during exercising

As we were saying, exercising increases the amount of water our body needs. During  aerobic types of exercises, like Zumba, where we sweat a lot, it is extremely important to drink enough water.

About 500 milliliters of water is recommended approximately 30 minutes before exercise followed by approximately 250 milliliters every 15 minutes during exercise.
The way our classes are designed lets you sip a bit of water after each song, so you can make sure your body continuously gets the water so much needed.


How to start drinking more water? The best way to get used to drinking more water is to always have water somewhere around you: on your working desk, in your bag, everywhere. Seeing the glass or bottle of water all the time will remind you of drinking, and you will actually feel "thirsty" more times than usually.

Never start your Zumba class (or any other exercise) without having a bottle of water at hand. Slowly-slowly you will get to the point where you will drink enough water with no extra effort. And your body will reward that!

So grab your bottle of water, and book your next Zumba class! CLICK HERE











































































































Princess Health and Essential-benefits rule expands mental-health and substance-abuse coverage; Ky. needs more facilities to treat newly eligible.Princessiccia

The Department of Health and Human Services has defined the 10 "essential health benefits" insurance plans must provide, and it included benefits for mental health and treatment of substance-abuse disorders..

Nearly 20 percent of Americans don't have access to mental-health services and over 30 percent have no coverage for substance-abuse treatment. This rule will expand mental health and substance-abuse treatment benefits to 62 million Americans, according to HHS.

Expanded coverage for mental health and substance abuse treatment programs in Kentucky could bring about a dramatic shift in the delivery of these services. There is already a shortage of treatment options and centers for Kentuckians, and those suffering from addiction have not had coverage for such treatment; the proposed rule will change that.

Recovery Kentucky, a public-private partnership with residential facilities, was created to help Kentuckians recover from substance abuse. It has 10 centers, in Campbellsville, Erlanger, Florence, Harlan, Henderson, Hopkinsville, Morehead, Owensboro, Paducah, and Richmond, according to the 2012 Justice & Public Safety Cabinet report, which included the map below. 

Health-insurance plans must cover the 10 essential benefits beginning in 2014, so the state must prepare for the newly insured in addition to newly covered services. The rule defines what must be covered in insurance plans and bans discrimination based on age or pre-existing conditions. Among the core package of items and services, known as �essential health benefits" are items and services in the following categories:
  1. Ambulatory patient services
  2. Emergency services
  3. Hospitalization
  4. Maternity and newborn care
  5. Mental health and substance use disorder services, including behavioral health treatment
  6. Prescription drugs
  7. Rehabilitative and habilitative services and devices
  8. Laboratory services
  9. Preventive and wellness services and chronic disease management
  10. Pediatric services, including oral and vision care
States are given flexibility in implementing the federal health-care reform law with a benchmark approach. The Kentucky Department of Insurance has recommended that the Anthem Preferred Provider Organization plan serve as the �benchmark� plan for the Kentucky Health Benefit Exchange. HHS will review the recommendation and accept public comments prior to making a final decision. (Read more)
Princess Health and Medicaid expansion brings primary care access to the forefront.Princessiccia

Princess Health and Medicaid expansion brings primary care access to the forefront.Princessiccia

The federal health reform law will usher at least seven million more Americans into Medicaid, and as states like Kentucky debate Medicaid expansion, policymakers are struggling with the question of whether there will even be enough primary care doctors to provide care, reports Michael Ollove of Stateline.

The country is already short of primary-care doctors. Although many primary-care physicians would take on new Medicare or privately-insured patients, only two out of three primary-care physicians surveyed in 2011 were willing to accept new Medicaid patients.

Why? Poor compensation is one reason; on average, Medicaid pays physicians 59 percent of the amount Medicare pays for primary care services, reports Ollove. Many Kentucky primary-care providers are also deterred by existing Medciaid problems. Providers report being burdened by a lack of or delayed payments from the new managed-care system.

Congress hopes to lure practitioners to primary care with a provision that raises primary-care providers' Medicaid fees to Medicare levels. This is only a temporary fix, which went into effect at the beginning of the year and will remain in effect for two years, reports Ollove.

The impact in Kentucky remains uncertain. Lawrence Kissner, Kentucky's commissioner for health and family services, says the state�s Medicaid pay raise in 2005 resulted in a 36 percent increase in the number of primary care doctors accepting Medicaid patients, reports Ollove. This is precisely what the health-law authors hope will happen now.

Kentucky is addressing the health coverage issue in other ways.  The General Assembly is considering a bill that would repeal a burdensome supervision requirement and encourage more independent physician assistants to remain in Kentucky to serve medically underserved areas.

Although Kentucky already allows nurse practitioners to practice independently, the Medicaid rate increase applies only to physicians who provide primary care services. It does not apply to nurse practitioners, who have been touted as a potential solution to the primary care problem and often provide care in underserved areas of the state. (Read more)

Princess Health and Foundation for a Healthy Kentucky gives UK $1 million for endowed co-chairs in rural health policy.Princessiccia

Tyrone "Ty" Borders in the University of Kentucky College of Public Health's Department of Health Services Management, and Brady Reynolds in the UK College of Medicine's Department of Behavioral Science, have been named the Foundation for a Healthy Kentucky endowed co-chairs in rural health policy.

A $1 million gift from the foundation to the College of Medicine was matched by the state Research Challenge Trust Fund, better known as "Bucks for Brains." The gift has the goal of enriching Kentucky's research capabilities in regards to rural health issues and rural health policy.

Reynolds earned doctoral and master's degrees in life-span developmental psychology from West Virginia University. He also holds a master's degree in general/experimental psychology and a bachelor's degree (magna cum laude and with distinction) from James Madison University. His research has focused on nicotine use by adolescents, drug use, gambling and other addictive behaviors. In recent years Reynolds has begun research to promote smoking cessation among pregnant smokers in rural Appalachia.

Borders earned doctoral and master's degrees in health administration, as well as a master's degree in epidemiology from the University of Iowa, and a bachelor's degree in psychology from the University of Kansas. His research focuses on the conduct and analysis of population-based studies to identify subgroups of persons at risk for poor health and problems obtaining health services, with an emphasis on rural populations.

�Drs. Reynolds and Borders have skills in intervention research and rural health policy expertise that can help the University remain at the forefront of rural health policy work in today�s rapidly changing healthcare environment,� said Susan Zepeda, president and CEO of the foundation.

The mission of the foundation is to addresses the unmet health care needs of Kentuckians. Mission objectives are advanced through two initiative areas: promoting responsive health policy and a new children�s initiative named �Investing in Kentucky�s Future.� Foundation work aims to improve access to health care, reduce risks and disparities, promote health equity and healthy lifestyles. Since 2001, over $22 million has been invested in health policy research and demonstration grant projects across Kentucky