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161. Preventing excess weight gain

regular walking, particularly brisk walking, or cycling as a form of active travel (to school, work or other local destinations). (See NICE's guideline on walking and cycling.) Increasing activities during leisure time and breaks at work or school (including some periods of moderate-to-vigorous physical activity). This could include any form of physical activity, sport or exercise such as walking, cycling, swimming, dancing or gardening. Increasing activity as part of daily routines (such as taking (...) behaviour was limited, the Committee recognised that sedentary activity would be reflected in the evidence considered on TV viewing or other screen time, or total leisure time activity. (T otal leisure time activity is any physical activity outside of school or work, including play but excluding active travel.) 3.18 The Committee was of the view that some unexpected associations may have been the result of 'reverse causality' . This is likely to have been the reason for the observed association between

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

162. Type 1 diabetes in adults: diagnosis and management

is it for? 5 Introduction 6 Reasons for the update 6 Medicines 8 Patient-centred care 9 Key priorities for implementation 10 Education and information 10 Blood glucose management 10 Insulin therapy 11 Awareness and management of hypoglycaemia 11 Care of adults with type 1 diabetes in hospital 11 1 Recommendations 12 Blood glucose and plasma glucose 12 1.1 Diagnosis and early care plan 12 1.2 Support and individualised care 15 1.3 Education and information 17 1.4 Dietary management 18 1.5 Physical activity (...) of the person and carers their preferences in nutrition and physical activity other relevant factors, such as substance use cultural and educational assessment to identify prior knowledge and to enable optimal advice and planning about: treatment modalities diabetes education programmes assessment of emotional state to determine the appropriate pace of education. The results of the assessment should be used to agree a future care plan. Some items of the initial diabetes assessment: acute medical history

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

163. Diabetic foot problems: prevention and management

and children (2015) NICE guideline NG7 Diabetes in pregnancy (2015) NICE guideline NG3 Obesity: identification, assessment and management of overweight and obesity in children, young people and adults (2014) NICE guideline CG189 Exercise referral schemes to promote physical activity (2014) NICE guideline PH54 Lipid modification (2014) NICE guideline CG181 Pressure ulcers (2014) NICE guideline CG179 VibraTip for testing vibration perception to detect diabetic peripheral neuropathy (2014) NICE medical (...) technology guidance 22 Neuropathic pain – pharmacological management (2013) NICE guideline CG173 T obacco: harm reduction approaches to smoking (2013) NICE guideline PH45 Physical activity: brief advice for adults in primary care (2013) NICE guideline PH44 Lower limb peripheral arterial disease (2012) NICE guideline CG147 Walking and cycling (2012) NICE guideline PH41 Preventing type 2 diabetes: risk identification and interventions for individuals at high risk (2012) NICE guideline PH38 Preventing type

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

164. Weight management: lifestyle services for overweight or obese adults

people's weight, eating habits and physical activity to support monitoring in line with the Department of Health's information governance and data protection requirements (for example, see the Public Health Services Contract 2014/ 15: guidance on the non-mandatory contract for public health services.) Train staff to accurately measure and record height and weight to determine body mass index (BMI) and to accurately measure waist circumference. They should also be sensitive to how people feel about (...) 25 to 30 kg/m 2 ) (Statistics on obesity, physical activity and diet: England 2014, Health and Social Care Information Centre 2014). Although there are people in all population groups who are overweight or obese, obesity is related to social disadvantage (Fair society, healthy lives: strategic review of health inequalities in England post-2010, The Marmot Review 2010). Prevalence varies by population characteristics (for example see Public Health England briefing papers). For women, obesity

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

165. Obesity: identification, assessment and management

CG184), as well as psychological and psychiatric morbidities. The Health and Social Care Information Centre reported that in 2011/12 there were 11,740 inpatient admissions to hospitals in England with a primary diagnosis of obesity: 3 times as many as in 2006/07 (Statistics on obesity, physical activity and diet – England, 2013). There were 3 times as many women admitted as men. In the UK obesity rates nearly doubled between 1993 and 2011, from 13% to 24% in men and from 16% to 26% in women. In 2011 (...) ake into account the person's current physical fitness and ability for all activities. Encourage people to also reduce the amount of time they spend inactive, such as watching television, using a computer or playing video games. [2006] [2006] Children Children 1.6.4 Encourage children and young people to increase their level of physical activity, even if they do not lose weight as a result, because of the other health benefits exercise can bring (for example, reduced risk of type 2 diabetes

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

166. Developing evidence informed, employer-led workplace health

reviews on health topics falling outside of physical activity and mental health interventions, such as healthy eating, cancer prevention and cardiovascular risk. • The relative costs of different interventions and the cost-effectiveness of interventions. • ‘Business outcomes’ of relevance to stakeholders; for example, stakeholders may view lower staff turnover or lower business health expenditure costs as more important than ‘presenteeism’ or ‘absenteeism’. • Longer-term outcomes of both interventions (...) to influence their success. To address these issues, we undertook a systematic review of three sources of evidence: systematic reviews examining intervention effectiveness; research on stakeholders’ views and experiences; and key workplace health policy documents. What did we find? We identified 24 systematic reviews of WHPs which examined statistically the impact on a variety of outcomes, including mental health, weight management, absenteeism (and its costs), work ability and job stress. The reviews

2016 EPPI Centre

167. History, politics and vulnerability: explaining excess mortality

. This excess plays a major role in explaining why Scotland has both the lowest life expectancy, and the widest mortality inequalities, in Western Europe. Although usually expressed in statistical terms (such as standardised rates or ratios or expected years of life), behind such summary epidemiological expressions lie genuine human tragedies: individual stories of shortened, wasted lives, pain, sickness, early death and grief, affecting individual men, women and children, their families, friends (...) & Public Health Sciences Unit, University of Glasgow • Jill Muirie, Public Health Programme Manager, Glasgow Centre for Population Health • Dr John O’Dowd, Consultant in Public Health Medicine, NHS Greater Glasgow and Clyde • Dr Tony Robertson, Lecturer in Public Health, University of Stirling • Dr Katherine Smith, Reader - Global Public Health Unit, University of Edinburgh • Dr Michael Smith, Associate Medical Director for Mental Health, NHS Greater Glasgow and Clyde • Dr Katherine Trebeck, Senior

2016 Glasgow Centre for Population Health

168. Multi-criteria decision analysis for the appraisal of medical needs: a pilot study

3.4.5 Weighting and aggregating 42 3.4.6 Dealing with uncertainty 43 3.4.7 Dealing with criteria not covered in the MCDA 43 3.4.8 Dealing with two lists of “need” 44 3.5 TESTING AND EVALUATING THE PROPOSED BELGIAN APPROACH FOR NEEDS APPRAISAL 45 2 Multi-criteria decision analysis for the appraisal of medical needs KCE Report 272 3.5.1 Pre-test evaluation of the MCDA procedure 45 3.5.2 Pilot study 47 3.5.3 Statistical analysis 49 4 RESULTS 49 4.1 PRE-TEST STUDY 49 4.1.1 Methodological issues 49 4.1.2 (...) d’avis en cas d’intervention temporaire pour l’utilisation d’un medicament” CMD College of Medical Directors ETR Early Temporary Reimbursement FAMHP Federal Agency for Medicines and Health Products HTAi Health Technology Assessment International ICER Incremental cost-effectiveness ratio KBF King Baudouin Foundation LUSS Ligue des Usagers des Services de Santé MCDA Multi-criteria decision analysis NIH National Institute of Health PCIG Patient and Citizen Interest Group P.H. Public Health PROMIS

2016 Belgian Health Care Knowledge Centre

169. Model for the organization and reimbursement of psychological and orthopedagogical care in Belgium

(Vlaamse Vereniging voor Kinder-en Jeugdpsychiatrie), Jan De Clercq (Federatie van Diensten voor Geestelijke Gezondheidszorg), Jan De Lepeleire (Katholieke Universiteit Leuven), Jacques De Waegenaere (Ligue Wallonne de Santé Mentale), Tom Declercq (Domus Medica), Muriel Deguerry (Commission Communautaire Commune – Gemeenschappellijke Gemeenschapscommissie), Luc Dekeyser (Vlaamse Gemeenschapscommissie), Matthias Dekeyser (Belgische Vereniging voor Relatie-, Gezins- en Systeemtherapie), Gaston Demaret (...) - Hoge Gezondheidsraad), Marie-Claire Haelewyck (Association en Orthopédagogie), Steven Hermans (Christelijke Mutualiteit – Mutualité Chrétienne), Stéphan Hoyoux (Santhea), Gorik Kaesemans (Zorgnet Vlaanderen-Icuro), Paul Kestemont (Association Belge de Psychothérapie – Belgische Vereniging voor Psychotherapie), Charles Kornreich (Société Royale de Médecine Mentale de Belgique), Miguel Lardennois (SPF Santé Publique - FOD Volksgezondheid), Gilbert Lemmens (Vlaamse Vereniging voor Psychoanalytische

2016 Belgian Health Care Knowledge Centre

170. WHO recommendations on antenatal care for a positive pregnancy experience

of WHO recommendations on antenatal care (ANC) for a positive pregnancy experience These recommendations apply to pregnant women and adolescent girls within the context of routine ANC A. Nutritional interventions Recommendation Type of recommendation Dietary interventions A.1.1: Counselling about healthy eating and keeping physically active during pregnancy is recommended for pregnant women to stay healthy and to prevent excessive weight gain during pregnancy. a Recommended A.1.2: In undernourished (...) WHO recommendations on antenatal care for a positive pregnancy experience WHO recommendations on antenatal care for a positive pregnancy experienceWHO Library Cataloguing-in-Publication Data WHO recommendations on antenatal care for a positive pregnancy experience. I.World Health Organization. ISBN 978 92 4 154991 2 Subject headings are available from WHO institutional repository © World Health Organization 2016 All rights reserved. Publications of the World Health Organization are available

2016 World Health Organisation Guidelines

171. Daily iron supplementation in postpartum women

Daily iron supplementation in postpartum women 2016 IRON SUPPLEMENTATION in postpartum women GUIDELINEGuideline: IRON SUPPLEMENTATION IN POSTPARTUM wOMENWHO Library Cataloguing-in-Publication Data Guideline: Iron supplementation in postpartum women 1.Iron - administration and dosage. 2.Anemia, Iron-Deficiency - prevention and control. 3.Postpartum period. 4.Women. 5.Dietary Supplements. 6.Guideline. I.World Health Organization. ISBN 978 92 4 154958 5 (NLM classification: WH 160) © World Health (...) little iron is excreted through breast milk (9, 10). Nevertheless, one of the strongest predictors of postpartum anaemia is anaemia during pregnancy, as iron stores tend to remain low for several months after childbirth, especially if there is significant blood loss during the delivery and additional iron is not consumed in sufficient quantities (11–13). Worldwide, there are limited data on the prevalence of postpartum anaemia. Studies conducted in high-income countries have reported that 10–30

2016 World Health Organisation Guidelines

172. Evidence on financing and budgeting mechanisms to support intersectoral actions between health, education, social welfare and labour sectors

was conditional on the involvement of two or more sectors. It provided “tangible motivation for the different sectors to collaborate and find intersectoral solutions” (23). For example, funds were awarded 7 to the health, children and youth, and planning sectors to create a collaborative SPACE (schoolyard, playspot, active transport, fitness club activities and environment) project to develop attractive and inviting physical surroundings to encourage more physical activity in young people (24). Swedish county (...) . This can be seen, for example, in an evaluation of the Streets Ahead school-based programme, which was funded by VicHealth to create supportive environments for children’s physical activity when travelling to and from school (Case study 5) (34). More flexibility to compensate schools financially for teacher time spent on the programme, as well as more efforts to demonstrate direct benefits to schools, would have been desirable. Case study 5. Funding and scope for intersectoral action in the Streets

2016 WHO Health Evidence Network

173. Cultural contexts of health: the use of narrative research in the health sector

(to inform and refine the design of survey items) and in their own right (to add meaning, context and granularity to survey data). The third case study addresses mental health in refugees and asylum seekers. A narrative approach can illuminate the dramatic and often tragic life experiences of the displaced in a way that may be missed (and even obscured) by the use of conventional medical and psychiatric categories – both at an individual level and in relation to the diasporas of cultural groups. Policy (...) two main elements: a summary and synthesis of narrative research methods and three case studies to illustrate the range of narrative approaches and how these can complement other data. The case studies examine cultural aspects of nutrition, the cultural context of well-being, and mental health in refugees and asylum seekers.CULTURAL CONTEXTS OF HEALTH: THE USE OF NARRATIVE RESEARCH IN THE HEALTH SECTOR HEALTH EVIDENCE NETWORK SYNTHESIS REPORT 1.2. Methodology This report used a novel

2016 WHO Health Evidence Network

174. Prevention of Cardiovascular Disease in Women

should form 50% of total grain intake. • Naturally occurring sugars are preferred. Avoid sweets and sucrose -sweetened beverages. • Reduce daily salt intake to approximately 1-1¼ teaspoon salt. • Replace saturated and trans-fats with monounsaturated and polyunsaturated fats. Nutrition Physical Activity • Exercise for at least 30 - 45 minutes, 5 times a week. Women who need to lose weight or sustain weight loss should exercise more. Weight maintenance /reduction • Ideal BMI for Asian women is 18.5 (...) especially in females. For any given BMI, women have more total body fat. Waist circumference correlates better with abdominal fat content than BMI. Gender specific waist circumference cut-off points for CVD risk have been established. In Asians, a waist circumference of = 80 cm in women raises CVD risk. 317 Weight gain during adulthood is associated with a significantly increased risk of CHD, independent of physical activity level. 344 In a large prospective study in women, those who gained substantial

2016 Ministry of Health, Malaysia

175. Sleep Duration and Quality: Impact on Lifestyle Behaviors and Cardiometabolic Health: A Scientific Statement From the American Heart Association

-reported physical activity variables but that this relationship was generally nonlinear. Moderate exercise was generally not associated with insufficient sleep for values up to ≈1 h/d, and vigorous physical activity was nonlinearly but generally associated with greater insufficient sleep, which was consistent with employment data showing that manual labor was associated with more insufficient sleep than jobs that included mostly sitting or standing. In contrast, however, those engaging in no activity (...) are clearly complex and may not be well measured at the population level. For example, there may be subgroups of short sleepers who, by virtue of having more wake time, are more physically active, whereas others who sleep poorly have less energy and ability to be active. It seems to be the case, however, that decreased physical activity plays a role in the relation between sleep and CVD. In an analysis of data from the National Institutes of Health–AARP Diet and Health Study, SSD predicted CVD mortality

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2016 American Heart Association

176. Current Diagnostic and Treatment Strategies for Specific Dilated Cardiomyopathies: A Scientific Statement From the American Heart Association

hypertension usually precedes the development of HF with anti–vascular en- dothelial growth factor medications; it is also generally acknowledged that if blood pressure is well controlled with antihypertensive drugs, the risk of HF is low with anti–vascular endothelial growth factor therapy. Several other newer classes of medications for the treatment of cancer are in development; at this time, there are not enough data to clearly implicate them as causing cardiomyopathy, but with expanded clinical use (...) of anthracycline-based treatment at the present time, including doxorubicin, daunorubi- cin, mitoxantrone, epirubicin, and liposomal versions. 109 There have been a host of studies that attempted to gain an understanding of whether dosing frequency, length of each infusion, total dose, and concomitant therapy (such as trastuzumab) are major determinants of the severity of cardiomyopathy. 110 What is clear from the totality of data is that the risk of toxicity is related in part to the total dose; however

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2016 American Heart Association

177. Preventing and Experiencing Ischemic Heart Disease as a Woman: State of the Science

, and hair texture) that imposes social concerns. Interestingly, racial/ethnic variations in IHD exist in the United States, and black women have higher prevalence rates (7.0%) of IHD compared with Hispanic (5.9%) and white (4.6%) women. The same trend is noted with myocardial infarction (2.2%, 1.7%, and 1.8%, respectively) and angina (5.0%, 3.8%, and 2.9%). The AHA statistical data for Asian and American Indian/Alaska Native women either are not listed or did not meet the standards of reliability (...) on Aging, Exercise and Physical Activity . Silver Sneakers and other local programs are increasing opportunities for both older men and women to participate in physical activity. However, despite these educational materials tailored to older adults and increasing opportunities for age-related group exercise activities, women continue to have higher rates of PI than men (33.2% compared to 29.9%), perhaps because health professionals are not encouraging them to increase activity. , Unfortunately, high

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2016 American Heart Association

178. Use of Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia

- vention Effectiveness for Alzheimer’s Disease CGI Clinical Global Impressions CGI-C Clinical Global Impression of Change CI Confidence interval CMAI Cohen-Mansfield Agitation Inventory CV A Cerebrovascular accident DLB Dementia with Lewy body DSM-IV Diagnostic and Statistical Manual of Mental Disorders, 4th Edition DSM-5 Diagnostic and Statistical Manual of Mental Disorders, 5th Edition EPS Extrapyramidal symptoms FAST Functional assessment staging FGA First-generation antipsychotic GRADE Grading (...) of Recommendations Assessment, Development and Evaluation HR Hazard ratio ICD-10 International Classification of Diseases, 10th Revision IR Immediate release IRR Incidence rate ratio ITT Intention to treat MDS Minimum data set MI Myocardial infarction MMSE Mini-Mental State Examination NC Not calculated NIA National Institute on Aging NIMH National Institute of Mental Health NINCDS/ADRDA National Institute of Neurologi- cal and Communicative Diseases and Stroke/Alzhei- mer’s Disease and Related Disorders

2016 American Psychiatric Association

179. Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association

in physical activity. Blair et al studied 9777 men given 2 preventive medical examinations, each of which included assessment of CRF by maximal exercise testing, a mean of 5.1 years apart. The highest age-adjusted all-cause death rate was observed in men who were unfit at both examinations (122.0/10 000 man-years); the lowest death rate was observed in those who were physically fit at both examinations (39.6/10 000 man-years). Men who improved from unfit to fit between the first and second examination had (...) , PT, FAHA , MD, MPH, PhD , PhD, FAHA , PhD, FAHA , PhD , PhD, FAHA , MD, FAHA , MD , PhD, FAHA , MD, PhD, MBA , MD , PhD , and MD, MPH, PhD PhDOn behalf of the American Heart Association Physical Activity Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Clinical Cardiology; Council on Epidemiology and Prevention; Council on Cardiovascular and Stroke Nursing; Council on Functional Genomics and Translational Biology; and Stroke Council Robert Ross , Steven N. Blair , Ross

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2016 American Heart Association

180. Establishing breastfeeding

Refer to Table 6. Skin to skin contact and Table 7. Baby feeding patterns • Offer anticipatory guidance for managing minor concerns 2 • Offer information about breastfeeding support in the community o Peer counselling promotes the initiation and maintenance of breastfeeding 37 • Offer information about optimal maternal nutrition and physical activity 40 • Recommend an iodine supplement 150 micrograms oral daily 41 o Women with pre-existing thyroid conditions should seek advice from their general (...) Breastfeeding away from home o Maximising breastmilk if infant formula has been introduced o Continuing to breastfeed upon return to work o Contraception o Normal changes over time o Appropriate nutrition for babies o Smoking and alcohol consumption • Encourage review of baby by a health care professional at five to seven days of age o Refer to Queensland Clinical Guideline: Routine newborn assessment 73 Nutrition and physical activity • Provide advice about nutrition as per the Australian dietary

2016 Queensland Health

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