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April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review

Ask the Harvard Experts: Huge and healthy is real?

By Howard LeWine, M.D.




Understanding metabolically healthy obesity


JewishWorldReview.com | Q: My friend's 89-year-old father has been obese all his life and his diet is awful. But his blood sugar is normal, and his total cholesterol is 122. And his doctor tells him he has the heart of a 30-year-old. How is that possible?


A: The new term for this condition is metabolically healthy obesity.


Not many obese people are fortunate enough to have this favorable condition. It means that despite being obese, a person has a risk of getting diabetes and heart disease that is no greater than someone of normal body weight. In fact, the risk may actually be lower.


Obesity is defined as a body mass index (BMI) of 30 or higher. BMI is a number that's based on the relationship between weight and height.


The reason that this subgroup of obese people doesn't have the same diabetes and heart disease risk is almost certainly genetic. Scientists have yet to discover which genes control it.


But we do know a lot about the profile of the metabolically healthy obese:


Despite their weight, they tend to have smaller waist sizes than most obese people. A large waist means you carry more belly fat. Doctors call it visceral fat. More belly fat translates to a greater diabetes and heart disease risk.


Their body cells have normal insulin sensitivity. This means the cells use insulin in a normal way to turn the glucose (sugar) in food into energy. Most obese people develop insulin resistance, when cells don't use insulin well. Insulin resistance is the first step toward type 2 diabetes.


They tend to have lower total cholesterol levels and normal blood pressure.


They don't show evidence of lasting, low-level inflammation, which is common in metabolically un-healthy obese people. Long-term inflammation is linked with an increase in heart disease and stroke risk. A study published earlier this week confirmed the lower levels of inflammation in people who are obese but metabolically healthy.


Metabolic health matters a lot, no matter how many pounds show up on your scale. You can improve your metabolic health even if you didn't inherit those "good genes" by following these tips:


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1. Stay physically active as much as possible during the day.


2. Dedicate at least 30 minutes per day to exercise. Ideally, aim for 60 minutes each day.


3. Eat a Mediterranean-style diet.


4. Load up on fruits, vegetables and whole-grain foods.


5. Eat healthy sources of protein, such as fish, nuts and beans.


6. Avoid tobacco products.

(Howard LeWine, M.D., is a practicing internist at Brigham and Women's Hospital, Boston, Mass., and Chief Medical Editor of Internet Publishing at Harvard Health Publications, Harvard Medical School.)

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