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We give you many useful information about health

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Rabu, 09 November 2011

Fast Food's Biggest Customer: Not the Poor, But the Middle Class

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Contrary to popular wisdom, eating at McDonald's isn't exactly cheap, costing some $28 for a family of four. Which might help explain the results of a recent study from the University of California, Davis, which found that people's visits to fast-food joints increased along with their incomes, and that poor people were spending fewer dollars on fast food than lower-middle and middle-income Americans.

The authors said their study suggests that the availability of fast food isn't the only driver of obesity in poor groups. "There is a correlation between obesity and lower income, but it cannot be solely attributed to restaurant choice," said J. Paul Leigh, professor of public health sciences at U.C. Davis and senior author of the study, in a statement. "Fast-food dining is most popular among the middle class, who are less likely to be obese."

MORE: Why Lovin' the McRib Isn't Heart Smart

Leigh and colleague DaeHwan Kim analyzed 1994-96 data from the Continuing Survey of Food Intakes by Individuals and the accompanying Diet and Health Knowledge Survey. The data included responses from 5,000 Americans who were asked about restaurant dining habits, income, race, gender, age and education.

The researchers found that people visited fast-food restaurants more often as their household income increased — at least up to a point. Fast-food visits rose along with annual income up to $60,000; beyond that, visits started to drop back down, replaced by full-service, sit-down dining at slightly higher prices.

Based on the data, the researchers described the typical fast-food consumer as a lower-middle income head of household, who is budget-conscious and harried and likes the convenience and low price of fast food, compared with other restaurants. Poor people, by contrast, can't easily afford fast-food "value meals," and the poorest, who may rely on the FNS Supplemental Nutrition Assistance Program, or SNAP, certainly can't use food stamps at McDonald's.

LIST: Health-Washing: Is 'Healthy' Fast Food for Real?

For many years, the connection between poverty and obesity has been linked in part to the abundance of fast food in low-income areas. While the current study challenges the notion that poorer people eat more fast food than those who are better off, it doesn't absolve fast-food restaurants completely.

The study didn't take into consideration what people ate outside of restaurants, for example, and it's well established that low-income neighborhoods tend to be "food deserts" — where fresh, whole foods are scarce and where the bulk of available food is the high-fat, high-sugar stock of convenience stores. That type of environment is thought to contribute to unhealthy eating and weight gain.

"It would be a big mistake to look at the results of this report and say the environments people live in don't matter, because they do," Micah Weinberg, a senior policy adviser at the Bay Area Council who works on public health issues, told The Sacramento Bee.

The study's authors agreed that fast food certainly isn't helping the national waistline. "I'm not a big fan of fast food," Leigh told the Bee. "I'm sure that fast food in general has a big effect on obesity. This research does not contradict that."

The study will be published in Population Health Management in December

MORE:
Orders Fast-Food Salads, But That's Not the Real Problem" href="http://healthland.time.com/2011/10/04/fat-nation-fast-food-salads-arent-selling-but-thats-not-the-problem/">Nobody Orders Fast-Food Salads, But That's Not the Real Problem

Meredith Melnick is a reporter at TIME. Find her on Twitter at @MeredithCM. You can also continue the discussion on TIME's Facebook page and on Twitter at @TIME.



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Local, organic foods not always safer

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WASHINGTON (AP) — Shoppers nervous about foodborne illnesses may turn to foods produced at smaller farms or labeled "local," ''organic" or "natural" in the hopes that such products are safer. But a small outbreak of salmonella in organic eggs from Minnesota shows that no food is immune to contamination.

While sales for food produced on smaller operations have exploded, partially fueled by a consumer backlash to food produced by larger companies, a new set of food safety challenges has emerged. And small farm operations have been exempted from food safety laws as conservatives, farmers and food-lovers have worried about too much government intervention and regulators have struggled with tight budgets.

The government has traditionally focused on safety at large food operations — including farms, processing plants, and retailers — because they reach the most people. Recent outbreaks in cantaloupe, ground turkey, eggs and peanuts have started at large farms or plants and sickened thousands of people across the country.

"While it's critical that food processors be regularly inspected, there is no way the Food and Drug Administration would ever have the resources to check every farm in the country, nor are we calling for that," says Erik Olson, a food safety advocate at the Pew Health Group. "Unfortunately, there are regulatory gaps, with some producers being completely exempt from FDA safeguards."

The FDA, which oversees the safety of most of the U.S. food supply, often must focus on companies that have the greatest reach. A sweeping new egg rule enacted last year would require most egg producers to do more testing for pathogens. Though the rule will eventually cover more than 99 percent of the country's egg supply, small farms like Larry Schultz Organic Farm of Owatonna, Minn., would not qualify. That farm issued a recall last week after six cases of salmonella poisoning were linked to the farm's eggs.

A new food safety law President Barack Obama signed earlier this year exempts some small farms as a result of farmers and local food advocates complaining that creating costly food safety plans could cause some small businesses to go bankrupt. The exemption covers farms of a certain size that sell within a limited distance of their operation.

Food safety advocates unsuccessfully lobbied against the provision, as did the organic industry. Christine Bushway of the Organic Trade Association, which represents large and small producers, says food safety comes down to proper operation of a farm or food company, not its scale.

"How is the farm managed? How much effort is put into food safety?" she asks. "If you don't have really good management, it doesn't matter."

Smaller farms do have some obvious food safety advantages. Owners have more control over what they are producing and often do not ship as far, lessening the chances for contamination in transport. If the farm is organic, an inspector will have to visit the property to certify it is organic and may report to authorities if they see food being produced in an unsafe way. Customers may also be familiar with an operation if it is nearby.

But those checks aren't fail-safe. The FDA has reported at least 20 recalls due to pathogens in organic food in the last two years, while the Agriculture Department, which oversees meat safety, issued a recall of more than 34,000 pounds of organic beef last December due to possible contamination with E. coli.

Egg safety is equally ambiguous. While many people like to buy cage-free eggs, those chickens may be exposed to bacteria on the grounds where they are roaming.

So what can a consumer do? Experts say to follow the traditional rules, no matter what the variety of food. Cook foods like eggs and meat, and make sure you are scrubbing fruit and cleaning your kitchen well.

Do your part, and hope for the best, the experts say.

"Labels like organic or local don't translate into necessarily safer products," says Caroline Smith DeWaal of the Center for Science in the Public Interest. "They are capturing different values but not ensuring safety."

Bushway of the Organic Trade Association says one of the best checks on food safety is the devastating effect a recall or foodborne illness outbreak can have on a company's bottom line.

"It's just good business to make sure you are putting the safest products on the market," she says.

Associated Press

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Kamis, 13 Oktober 2011

Not safe to eat: Three foods to avoid

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The warm, moist environment necessary for growing sprouts provides the perfect conditions for bacteria to multiply.The warm, moist environment necessary for growing sprouts provides the perfect conditions for bacteria to multiply.Pasteurization is the only effective way of killing harmful bacteria in milkThere have been 30 reported outbreaks of foodborne illness from sproutsEating raw shellfish from the Gulf of Mexico is particularly dicey

(Health.com) -- Recent headlines about contaminated foods, from peanut butter and salad to turkey and eggs, are enough to make even the most intrepid eater a little bit paranoid.

But before you commit to a life of vitamins and astronaut ice cream, take comfort in the fact that you'll likely be OK eating as you always have: "We have a very safe food system," says Shelley Feist, executive director of the Partnership for Food Safety Education.

There are only three foods so risky that you should avoid them altogether. Here's the red-light list:

Raw milk

Fans of raw milk (meaning milk that hasn't been pasteurized or homogenized) credit it with having more beneficial bacteria and enzymes than its processed counterpart, but science hasn't proven any of these claims. And raw milk can become contaminated in a number of ways: by coming into contact with cow feces or bacteria living on the skin of cows, from an infection of the cow's udder, or from dirty equipment, among others.

The special heating process we know as pasteurization is the only effective way of killing most, if not all, harmful bacteria -- which can include listeria, salmonella, and E. coli.

Health.com: 10 types of food that can make you sick

According to the Centers for Disease Control (CDC), there were 86 reported food poisoning outbreaks from raw milk between 1998 and 2008, resulting in 1,676 illnesses, 191 hospitalizations, and two deaths.

Raw milk is responsible for nearly three times more hospitalizations than any other foodborne disease outbreak, says Hannah Gould, Ph.D., senior epidemiologist with the CDC's Enteric Diseases Epidemiology Branch.

It's no wonder selling raw milk to consumers is illegal in about half of U.S. states.

"We have two people, in California and Pennsylvania, who developed Guillain-Barré syndrome [which can cause paralysis and respiratory failure] after contracting a bacterial infection called campylobacteriosis from drinking raw milk," says John Sheehan, head of dairy safety at the U.S. Food and Drug Administration (FDA). "These were healthy, active people who came down with debilitating, lifelong diseases."

Health.com: How to practice food safety in your home kitchen

Raw sprouts

When sprouts were identified as the culprit in the food poisoning outbreak that killed at least 50 people in Europe this past summer, you probably wondered: What could be so bad about innocent, vegan-friendly sprouts?

But food-safety experts weren't surprised. According to the CDC, there have been at least 30 reported outbreaks of foodborne illness in the U.S. from raw or lightly cooked sprouts since 1996. All types of sprouts -- from the alfalfas you get on a sandwich to the mung bean sprouts garnishing your Thai food -- can be dangerous when not thoroughly cooked.

This is largely because of how they're grown, explains Michelle Smith, Ph.D., senior policy analyst at the FDA: The warm, moist environment necessary for growing sprouts provides the perfect conditions for bacteria (such as salmonella or E. coli) to multiply.

Health.com: How can you tell if food poisoning is harmless, or life-threatening?

Ask for restaurant and take-out meals to be sprout-free, since you can't know how well they've been cooked. And if you just can't live without sprouts, try getting used to giving them a hot bath before you eat them: Research has shown that you can kill salmonella by immersing contaminated sprouts in boiling water for five seconds.

Raw oysters from the Gulf of Mexico

Everyone knows that eating raw shellfish can be dicey (and in fact the CDC advises against it entirely), but bivalves from the Gulf of Mexico take it to a whole new level. Waters in the Gulf are warmer than those in the Pacific Northwest and other popular oystering spots, making it possible for a bacterium called Vibrio vulnificus to thrive.

"Oysters are filter feeders, which means they concentrate any contaminants in the water," explains William E. Keene, Ph.D., a senior epidemiologist at the Oregon Public Health Division. "A number of toxins can get into an oyster, but none are remotely as bad as Vibrio vulnificus."

Health.com: 10 states where rare and exotic diseases lurk

Healthy people who ingest a V. vulnificus--ridden oyster might have vomiting, diarrhea, and abdominal pain, but for anyone with a compromised immune system, the bug can infiltrate the bloodstream, causing a severe and life-threatening illness called septicemia, which is fatal in one-third of cases. And while having a pre-existing medical condition puts you at particular risk, "anyone at all can get horrifically sick," Keene says.

The good news is that several big seafood purchasers, like Legal Sea Foods and Costco, require that Gulf oysters be pasteurized before being served, as does the state of California -- so in these places the risk is far lower.

Pasteurized or not, "the simplest tactic here is to avoid raw Gulf oysters altogether," says Sarah Klein, staff attorney at the Center for Science in the Public Interest. That can go a long way toward keeping you safer.

Copyright Health Magazine 2010



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Eating solid foods early doesn't affect baby growth

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By Linda Thrasybule

NEW YORK | Wed Oct 12, 2011 11:18am EDT

NEW YORK (Reuters Health) - Infants raised on formula who are introduced to solid foods before four months of age tend to gain more weight within the first year than infants who start later, a recent study suggests.

But the age at which babies were given solid foods didn't seem to influence much of their longer-term growth.

"It's not about how fast they grow, but whether the children are likely to be overweight," said Dr. Berthold Koletzko, a study co-author who studies nutrition at the Dr. von Hauner Children's Hospital in Munich, Germany. "And they're not more likely to be overweight by two years if they receive solids earlier."

Researchers tracked nearly 700 European infants for two years. Infants between six and seven pounds raised on formula received solid foods starting a little over three months, between three and four months, between four and five months, or six months or later.

Babies who started solid foods at three months weighed less but caught up in growth within six months compared to those who started solid foods at six months and grew slowly within three months.

By two years, there were no differences between groups in weight or length.

Infants eating solid foods also consumed more calories during the first eight months.

Among children born at lower weights, "researchers found an association between lower birth weight and introducing solid foods earlier," said Dr. Lindsey Sjaarda, a researcher at Children's Hospital of Pittsburgh, who was not part of the study.

"It's something that needs to be explored. Recent research seems to indicate that catch-up growth isn't always a good thing," she told Reuters Health.

The study applies to populations in industrialized countries, where "a large fraction of children" have "already been introduced to solid foods before four months of age," according to the authors, not developing countries.

Previous studies have shown conflicting results on whether infants who start eating solid foods earlier are more likely to become obese.

Childhood obesity has tripled over the past three decades, with about 12.5 million American children and adolescents obese, according to a 2007-2008 report from the U.S. Centers for Disease Control and Prevention.

Though Koletzko agreed that children who grow faster will demand more food, and possibly gain more weight, he didn't think they will likely become obese.

He recommended introducing solid foods when a baby shows interest by sitting up and reaching for food or opening their mouths when they see their parents eating. But he cautioned that some infants may need more calories than others.

"At this age, communication happens between infants and parents," he told Reuters Health. "They give a lot of signals to parents. But if the baby is not signaling, don't force it, just wait."

SOURCE: bit.ly/qZMqeA American Journal of Clinical Nutrition, online September 14, 2011.



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