Posted: 01 September 2011

The MOU signing ceremony between AWAK Technologies and University Children's Hospital Tubingen. (Photo Courtesy of SPRING Singapore)
SINGAPORE: AWAK Technologies on Wednesday signed a Memorandum of Understanding with University Children's Hospital Tubingen, Germany, for clinical trials of automated wearable artificial kidneys on paediatric patients.

AWAK Technologies was incorporated in 2007 in collaboration with Temasek Polytechnic in Singapore to design and develop Automated Wearable Artificial Kidney (AWAK) to address end-stage renal disease market.

This marks AWAK's automated wearable artificial kidney's first trial on paediatric patients and the beginning of long-term collaboration in advancement of paediatric renal research.

The collaboration between AWAK Technologies and University Children's Hospital Tubingen aims to bring a much more effective and efficient therapy that suits the life of children while having dialysis.

Children on dialysis tend to have poor appetite which limits their nutritional intake. With little energy intake, this can lead to decreased in activity and resistance to infection. 

AWAK's automated wearable artificial kidney allows for better dietary protein intake.

Typical centre-based dialysis requires paediatric patients to spend four hours, three times a week at the centre. The new wearable artificial kidney allows children to undergo dialysis anytime and anywhere. 

The greatest benefit of the wearable artificial kidney to paediatric patients is their ability to travel freely, allowing them to attend school and participate in family and social activities. 

SPRING Singapore facilitated the meeting between AWAK Technologies and University Children's Hospital Tubingen during a Germany business mission trip in 2009.

"The automated wearable artificial kidney is a major breakthrough in the care of children with renal insufficiency. The children become independent from dialysis centres and will be able to continue a normal life with their families and friends. 

"It is an honour that AWAK has chosen our paediatric centre to bring this highly innovative and ground-breaking technique to clinical application," said Professor Rupert Handgretinger, Medical Director of General Paediatrics, Haematology, Oncology (Department I) and Managing Medical Director of the University Children's Hospital Tubingen.

"It is great honour to be able to partner University Children's Hospital Tubingen, a world renowned medical institution of paediatric care and research in the application of automated wearable artificial kidney.

"In our visits to Tubingen, facilitated by SPRING Singapore, we were impressed by the innovative, leading-edge paediatric medicine and great medical care through the leadership of Prof Rupert Handgretinger. I believe the enthusiasm of both parties in bringing an innovative therapy to the world will greatly benefits paediatric ESRD patients," said Mr Neo Kok Beng, Chief Executive Officer and President of AWAK Technologies.

The MOU signing ceremony was witnessed by Mr Png Cheong Boon, Chief Executive of SPRING Singapore and Dr Tim Philippi, Executive Director, Singaporean-German Chamber of Industry and Commerce.

- CNA/de



Taken from ChannelNewsAsia.com; source article is below:
AWAK Technologies' wearable artificial kidney on clinical trials

Posted: 30 August 2011

1940 STD Research
WASHINGTON: At least 83 people died as human guinea pigs in macabre US research on sexually transmitted diseases in Guatemala in the 1940s, a commission ordered by US President Barack Obama concluded Monday.

Nearly 5,500 people were subjected to diagnostic testing and more than 1,300 were exposed to venereal diseases by human contact or inoculations in research meant to test the drug penicillin, the presidential commission found.

Within that group, "we believe that there were 83 deaths," said Stephen Hauser a member of the commission, which has pored over 125,000 documents linked to the shocking episode since being set up by Obama last November.

Among the 1,300 people exposed to STDs during research between 1946 and 1948, "under 700 received some form of treatment as best as could be documented," Hauser said.

Obama personally apologised to Guatemalan President Alvaro Colom in October before ordering a thorough review of what happened. Secretary of State Hillary Clinton described the experiments as "clearly unethical."

This sentiment was clearly expressed by the commission, which said US government researchers must have known they were contravening ethical standards by deliberately infecting mental patients with syphilis.

Commission president Amy Gutmann called it an "historic injustice," and said the inquiry aimed to "honour the victims and make sure it never happens again."

"It was not an accident that this happened in Guatemala," Gutmann said. "Some of the people involved said we could not do this in our own country."

The US researchers "systematically failed to act in accordance with minimal respect for human rights and morality in the conduct of research," she said, citing "substantial evidence" of an attempted cover-up.

A Guatemalan study, which was never published, came to light in 2010 after Wellesley College professor Susan Reverby stumbled upon archived documents outlining the experiment led by controversial US doctor John Cutler.

Cutler and his fellow researchers enrolled 1,500 people in Guatemala, including mental patients, for the study, which aimed to find out if penicillin could be used to prevent sexually transmitted diseases.

Initially, the researchers infected female Guatemalan commercial sex workers with gonorrhea or syphilis, and then encouraged them to have unprotected sex with soldiers or prison inmates.

Neither were the subjects told what the purpose of the research was nor were they warned of its potentially fatal consequences.

Cutler, who died in 2003, was also involved in a highly controversial study known as the Tuskegee Experiment in which hundreds of African-American men with late-stage syphilis were observed but given no treatment between 1932 and 1972.

The Guatemalan president has called the 1946-1948 experiments conducted by the US National Institutes of Health "crimes against humanity" and ordered his own investigation.

-AFP/wk



Taken from ChannelNewsAsia.com; source article is below:
US STD research killed 83

Are our Aussie friends insisting on being an emerging nation? That's good!
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Posted: 07 June 2011


An athlete puts on his crepe bandage during a training session. (AFP/File/Pierre-Philippe Marcou)
SYDNEY: Australian researchers have developed a "smart" bandage that changes colour as a wound worsens or improves, potentially leading to the better treatment of ailments such as leg ulcers.

Lead inventor Louise van der Werff, a materials scientist at the Commonwealth Scientific and Industrial Research Organisation, said the dressing would change from red to blue depending on the temperature of the wound.

"If the wound becomes infected then it typically gets warmer. It would get cooler if there were, for example, a compromised blood supply," she told AFP on Monday.

Van der Werff said wound changes were not always obvious and the fibre she helped devise, using liquid crystals which react to different temperatures, could show changes of less than half a degree Celsius.

"A temperature is sort of an obvious indication - if they can see that through a colour change then hopefully it can help a lot," she said.

Van der Werff, who is completing her doctorate at Monash University in Melbourne, said plans were underway to incorporate the colour-changing fibre into a textile which could then be woven or knitted into a wound dressing.

"Our main target is for chronic wound care - the elderly, obese and people with diabetes who can get wounds like leg ulcers and pressure ulcers and things like that which can really last a long time without healing properly," she said.

- AFP/de



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Taken from ChannelNewsAsia.com; source article is below:
Australians develop 'smart' bandage

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Well, this is the answer to the disputes!
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Posted: 24 May 2011

World Health Organisation headquarters in Geneva
GENEVA - After two days of dispute over the future of smallpox virus samples, member states of the World Health Organization decided Tuesday to postpone their negotiations on the issue for three years.

In a draft resolution put forward on Monday to the 193 WHO member states, Russia and the US sought to conserve the samples, and wanted to begin discussing a possible date for their destruction only in five years.

Many countries, however, want them destroyed as soon as possible and, with no deal in sight after two days, the member states decided to look to the 67th World Health Assembly in three years' time to reexamine the subject.

The question surrounding the destruction of the last official stocks of the deadly virus held by US and Russian laboratories has been recurring at the WHO since 1986.

Washington and Moscow want the viruses kept for scientific reasons, saying that it is necessary to continue research on their vaccines in order to prevent any resurgence of the transmissible disease which was officially eradicated in 1980.

They fear, in particular, that countries may have secretly kept the virus to be used as a biological weapon.

The European Union, Canada, Israel, Monaco, Colombia and China were among countries that support the US and Russia.

However, Iran speaking on behalf of 20 countries, as well as Thailand, Zimbabwe and Malaysia, were strongly against, saying that immediate destruction of the virus must be imposed.

- AFP/al



Taken from ChannelNewsAsia.com; source article is below:
WHO puts back decision on smallpox virus samples

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Now, this may be a late news, but it is worth keeping (and reading)...
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Posted: 23 May 2011

GENEVA - The World Health Organisation on Monday held a stormy discussion over the future of smallpox virus samples, which Russia and the United States are seeking to preserve while others want them destroyed.

The question surrounding the destruction of the last official stocks of the deadly virus held by the US and Russian laboratories has been recurring at the WHO since 1986.

Washington and Moscow want the viruses kept for scientific reasons, saying that it is necessary to continue research on their vaccines in order to prevent any resurgence of the transmissible disease which was eradicated in 1979.

They fear, in particular, that countries may have secretly kept the virus to be used as a biological weapon.

In a draft resolution put forward on Monday to the 193 WHO member states, Russia and the US once again sought to conserve the samples, and wanted to begin discussing a possible date for their destruction only in five years.

"We feel that we do not have sufficient guarantees on the efficiency and the preparation of the vaccines," explained the Russian envoy.

"Destruction will be irreversible," he added, noting that it is necessary to be "doubly prudent on a question that concerns security of all humanity."

"After the research, we can determine a date," he added.

The European Union, Canada, Israel, Monaco, Colombia and China were among countries that supported the move.

However, some 20 countries, including north African states, Iran, Thailand, Zimbabwe and Malaysia, were strongly against the resolution, saying that immediate destruction of the virus must be imposed.

"There is no longer scientific justification to keep these viruses," said a Malaysian diplomat.

"It's been 30 years since we agreed to keep the stocks," noted an Iranian envoy. "It is about time to fix a definitive date" to eradicate them.

Amid the discord, the WHO decided to create a working group to work towards a compromise draft later Monday.

- AFP/al



Taken from ChannelNewsAsia.com; source article is below:
Row at WHO meet over future of smallpox virus samples

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sickImage by jungmoon via FlickrI didn't know this, or at least this is to say that there are some companies, perhaps small ones, that don't allow paid sick leave.

this study finds out that providing for workers a paid sick leave is beneficial.

Read on...
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THE ASSOCIATED PRESS May 20, 2011, 11:06AM ET
By BRUCE SHIPKOWSKI
TRENTON, N.J.

Providing paid sick leave for all New Jersey workers would provide public health benefits as well as financial benefits for businesses, a study found.
Rutgers University's Center for Women and Work, which released the study findings on Thursday, found more than 1.2 million private sector workers in New Jersey don't get paid sick days.
If ailing workers know they can stay home and still be paid, they'll be able to get earlier and preventive health care and would be more likely to avoid costly visits to hospital emergency rooms, its authors concluded. They said that would reduce health care costs and allow workers to return to the job sooner.
"People without paid sick leave often have to choose between going to work sick and paying their bills. This highlights a disconnect between common sense measures that can aid public health and current policies," said Jonathan Heller of Human Impact Partners, a California-based organization focusing on health issues. "We must not only see (providing paid sick days) as good labor policy, but as good public health policy."
Proponents say they're not aware of any lawmakers who are planning to introduce such legislation, though they remain hopeful it will get more attention in the near future.
But the New Jersey Business and Industry Association says mandating paid sick leave would have a "serious, negative effect" on small businesses.
"Most large firms already provide it, so it really is a small business issue. And most small businesses either can't afford to do it or don't have enough people to cover shifts that need to be covered or perform duties that need to be done," associated President Phil Kirschner said. "Small companies also tend to be more flexible on these matters, so not providing paid sick days doesn't mean they don't accommodate employees when they're sick."

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Taken from businenessweek.com; source article is below:
Study: Workers, firms benefit from paid sick leave

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Ban on SmokingImage via WikipediaWill they really put a tab on smoking, while they generate tons of money from its sales?
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1 May 2011



A ban on smoking in public places has come into force in China - home to a third of the world's smokers.
The move is aimed at curbing the number of deaths from smoking-related diseases, running at a million a year.
But the new rules have been criticised because they do not include punishments for those who choose to ignore them.
Business owners often resent efforts to force them to ban smoking on their premises, because many customers do not like the rules and complain.
The new rules prohibit smoking in places like restaurants, hotels, railway stations or theatres, but not at the office.
Employers will be obliged to warn staff of the dangers of smoking but not to forbid them from lighting up at their desks.
Resistance
Shanghai imposed similar rules a year ago, but people do not seem to take much notice of them.
Often you find people smoking at the next table while you are eating your meal or having a drink in a bar.
The problem is the regulations do not specify punishments for businesses or individuals who flout them.
It appears that many Chinese people are unaware of the dangers of smoking. Research suggests only one in four knows the harm cigarettes or second-hand smoke can cause.
Officials say they have to try to persuade people not to smoke to try to reduce the numbers dying from smoking related diseases.
At the same time though the government makes a lot of money from the sales of cigarettes by the state-owned firm that makes and sells all tobacco products throughout the country.
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Taken from bbc.co.uk; source article is below:
China ban on smoking in public places comes into force

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And if you stay awake playing games at the casino, you tend to be 'brave' betting more and more...
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Posted: 09 March 2011

Casino at Marina Bay Sands
WASHINGTON: When people do not get enough sleep, they tend to make overly optimistic decisions and may be more prone to risky gambling, US researchers said on Tuesday.

The study published in the journal Neuroscience provides scientific evidence for what casino managers have long known - that flashing lights and ringing slot machines encourage gamblers to keep going until their money is gone.

Scientists used magnetic resonance imagining (MRI) to examine the brains of people who had spent a night of disturbed and shortened sleep compared to their better-rested counterparts.

The scans showed increased activity in the parts of the brain that assess positive outcomes, and decreased activity in the areas that process negative outcomes.

"Using a risky decision-making task, we showed that sleep deprivation shifted most persons' bias from avoiding loss to pursuing gain," said the study by Duke University researchers in North Carolina and Singapore.

The study examined 29 healthy adult volunteers with an average age of 22, and asked them to perform a series of economic decision-making tasks after a normal night of sleep and again after a night of sleep-deprivation.

Sleep deprivation "appears to create an optimism bias; for example, participants behave as if positive consequences are more likely (or more valuable) and as if negative consequences are less likely (or less harmful)," it said.

Drinking caffeine, getting fresh air or exercising are not enough to combat the effects of fatigue, said lead author Vinod Venkatraman, a graduate student in Psychology and Neuroscience at Duke.

"Late-night gamblers are fighting more than just the unfavourable odds of gambling machines; they are fighting a sleep-deprived brain's tendency to implicitly seek gains while discounting the impact of potential losses," said Venkatraman.

- AFP/de



Taken from ChannelNewsAsia.com; source article is below:
Lack of sleep can make you overly optimistic, says study
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final of All-Japan Judo Championships in 2007Image via WikipediaWe had our internal meeting today, and one of the questions that I asked is how the company is managing the supply shortage with Japan out of the supply chain.

"They are scampering to switch substrates," was the answer. Who is the 'they'? Those in-charge, of course.

Anyway, that isn't the point at all.

The point is - that change is so massive, and so massive that if the future, in the event that Japan comes back to the playing field and starts producing, the switch back may not be that easy after all.

So the question is, when the time comes, and Japan springs back to production, will everybody else be willing to switch back?

I'm just preempting the possible extent of Japan's damage, even in its industries.

Will Japan ever recover position as world key player afterwards?

Just my thoughts...

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Japan Earthquake & Tsunami Damage (24RTR2JTXO)Image by Kordian via FlickrThe day Japan was struck by earthquake and tsunami, I briefly discussed with my wife the possible impact to the world of Japan's partial destruction (we know roughly what that means by now, and its extent, current extent).

"In a week's time," I said, "the impact will be felt by the world." And that is true enough. Roughly three weeks after the incident, we are already starting to feel the absence of a major key player in the semiconductor industry - while there are many subsidiaries worldwide, Japan is still the major source of raw materials that these outsourced franchises rely on to build their subsequent products that is consumed by worldwide factories.

What will Jack Welch and John Maxwell write about the Japan incident that we will learn from, all of us, not just leaders?

That book, if I live to see and read it, I am sure will be worth waiting for.

Perhaps it is too much of a tragedy that struck Japan, but were the japanese people thinking of being hit? they got hit, and they asked what anybody who gets hit asks, "Why me?!" That is as if to say, "Why not the others?"

Well, were they thinking of the others that got hit when they're not?

I'm not saying that all those who perished or suffered in that tragedy well deserve it, whatever that means. Sometimes we reap the consequences of our actions, but I am not saying that all who died or affected deserved the rightful judgement. Who am I to say that?

But this is my point. Were those who cried 'Foul!' rightly playing by the rules? Did they stop to think and empathize with those who were recently hit by similar tragedies in other parts of the world? Japan's case isn't the first one -  there's been too many - and it won't be the last. As predicted, the belt would be continuously moving, once it moves. How many more earthquakes are we therefore expecting?

And so, with a short thought from me, I hope we learn from what has happened to Japan, now, and then. And not only Japan, but also from Egypt, Bahrain, Libya, and from all the other countless incidents and accidents that has happened in the past - to prioritize what we should, and not live in this world alone, not mindful of others who are suffering, simply because we are well off and convenient in our small, little place. Let our mind be broader and our perspective wider, and we would be living in a better world, whatever hardship we face.

Hopefully, I live long enough to see and read and learn from the book that Jack Welch or John Maxwell will write about leadership lessons from the Japan earthquake and tsunami incidents.

I hope we all do.

Till then!
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Credit CrunchImage by bitzcelt via FlickrI came across this article from MoneySavingExpert.com, and it seems a sensible article to be read, and apply or implement the suggested solutions/resolutions.

What think ye? Read on, and let us know.

There is actually a sort of caveat indicated at the end of the article from the source, so take note!
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Guy Anker
News Editor
24 February 2011

People suffering from mental health problems are almost five times as likely to have severe debts compared to everyone else.

That is the most shocking finding from a MoneySavingExpert.com poll to determine the scale of the problem of mental health and debt.

We are today launching a campaign to tackle the marriage made in hell of mental health and debt, including a major new free guide for sufferers and their carers (see the free Mental Health & Debt Help booklet).
Research for the guide showed that mental health problems cause debt, while debt worries also cause mental health issues.

In the poll of 6,700 people, 44% of those who've had mental health problems (or have partners who do) have had severe or crisis debts, nearly five times as many as everyone else (9%).

We asked the same questions of those with mental health problem and those without. Here are the results:
Those who've had or have mental health issues, including where partner had mental health problems.

  • Never been in debt – 18%
  • Only ever had limited debts – 22%
  • Big debts but not a problem – 16%
  • Severe or crisis debts – 44% 

No mental health issues

  • Never been in debt – 34%
  • Only ever had limited debts – 41%
  • Big debts but not a problem – 16%
  • Severe or crisis debts – 9%

    In both cases, mortgage and student loan debts are excluded.

    Separate figures also show one in four British adults experiences at least one mental health problem a year such as clinical depression, anxiety or bipolar disorder.

    Meanwhile, 38% of those seeking debt help had considered or attempted suicide. Deputy Prime Minister Nick Clegg this month pledged to give an extra £400 million to mental health services to put the sector on an equal footing with physical health.

    Free guide

    MoneySavingExpert.com today launches the first detailed guide of its type, to provide help and info for those with mental health and debt problems. It also provides help for family, friends, carers and counsellors.

    The free PDF booklet was written with guidance from several leading charities including Mind, Rethink and Christians Against Poverty. It includes help on where to find free one-to-one debt counselling, working with banks, tips for bipolar and depression sufferers and how friends and carers can help.

    The Mental health and debt booklet can be downloaded free.

    Martin Lewis, MoneySavingExpert.com creator, says: "Those who have never experienced problem debt often consider it to be a purely financial issue – it's not. It can break up families, take the roof from your children's heads, kill confidence, pile on stress, cause depression and lead to suicide.

    "As the UK's biggest money site, we can no longer divorce how people deal with debt emotionally and how they deal with it practically.

    "I've often argued we need to focus on responsible borrowing, as you can't expect lenders to be responsible – their job is flogging debt. Yet with so many suffering from mental health problems, as a nation we need to think about how we help those who, often temporarily, cannot be responsible for themselves.

    "We need to do some joined-up thinking to tackle this, such as banks allowing people to voluntarily register their mental health problems so they can track unusual spending patterns, then cut off accounts until a trusted friend says it's ok. We must help people take control.

    "As debt problems tend to lag until after a recession, these days the suicidal emails we receive from people in debt are a regular, not surprise, occurrence. We've already heard from people that launching this guide has made them feel better, because they realise they're not the only ones suffering."

    John Kirkby, founder of UK-wide debt-counselling charity Christians Against Poverty, says: "Life can be seriously miserable when you're dealing with problem debts. For the vast majority of our clients, these debts are not the only stressful thing going on in their lives.

    "There's often relationship breakdown, illness or job loss all adding to the pressure. Feelings of hopelessness and isolation can quickly affect mental health. The good news is we see these same vulnerable people become debt free every day and this great guide from Martin Lewis and his team shows there is hope."

    Paul Farmer, head of mental health charity Mind, comments: "Living with unmanageable debt is known to cause problems such as depression and anxiety, but the tactics of debt collectors can be one of the worst stresses of all.

    "Mind has spoken to people who have been hounded day and night by debt agencies, had their houses invaded by bailiffs and have had to pay fees for the privilege many times greater than the original debt.

    "When people's mental health deteriorates, it can be even harder for them to deal with debt, and the more their debts add up, the worse they feel, setting up a cycle of debt and despair that is very difficult to break.

    "MoneySavingExpert's new guidance should be a first port of call for anyone worried about the impact of debt on their lives, so they can manage their money and seek advice before it gets out of hand."

    Top ten tips for dealing with mental health and debt

    1. There's no such thing as an unsolvable debt. Martin Lewis says: "For as long as I've been doing my job, I've never once seen a debt case that isn't solvable. It may not be easy, it may not be quick, but it's always doable." If you start to sort it out, it gets better.
    2. Know the early warning signs. Even when people plunge into debt, depression doesn't bite overnight. Dr Rob Waller, consultant psychiatrist and director of Mindandsoul.info advises working out your warning signs such as tension headaches, arguments at work, back pain or bad skin. This is the time to take steps to keep on top of debt and depression.
    3. If in crisis, get free debt help. If you've not got enough to pay the bills, visit a non-profit free debt counsellor, whose job is to help you, not to make money out of you. Try Christians Against Poverty, which specialises in helping those in debt who are emotionally struggling, or agencies such as the Consumer Credit Counselling Service and Citizens Advice.
    4. Stop borrowing. It sounds obvious, but sorting out existing debts is harder if you keep adding to them. If you feel up to tackling your finances, the easy start point is to do a budget and work out where the money's going (see the free Budget Planner).
    5. Consider informing your bank. Once a lender is aware a customer has a mental health condition, it has to make adjustments. The Lending Code says banks should consider keeping a debt in-house rather than passing it to debt collectors and make court action the last resort. Though telling your bank is a decision to discuss carefully with a case worker or debt counsellor.
    6. Check if you qualify for disability living allowance (DLA). In some cases, mental health issues mean you qualify for DLA of between £19 and £121 per week (though this is currently under government review). Do Benefitsandwork.co.uk's quick DLA test see if you qualify.
    7. Banking control if you have bipolar. A few banks have procedures that allow you to register your mental health issues and stop your overdraft going beyond a certain amount. Bipolar disorder sufferers, who may be prone to overspending during a problem episode, could consider discussing this with their bank (worth chatting through with a debt counsellor or case worker first).
    8. Consider adding a note on your credit file. If you overspend when you are unwell, you can volunteer to add information on mental health problems to credit files in what is called a notice of correction, which alerts potential lenders so they don't lend further credit. This can be added or removed whenever you want. There is full help to evaluate this decision in the guide.
    9. Cut interest rates. The lower your interest rate, the more of your repayment goes towards clearing the actual debt, rather than just servicing the interest. For example, if you have credit cards, see if it's possible to do a balance transfer that pays off the debts on old cards for you, so you owe the new card the money at a cheaper interest rate.
    10. Repay highest rates first. Try listing your rates, then focusing all spare cash on clearing the highest interest debts first; just pay the minimum on everything else. Once the highest is clear, you can shift to the second costliest.


    Taken from MoneySavingExpert.com; source article is below:
    44% with mental health problems have crisis debts


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    A new era of athletes - fat and fit!
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    Posted: 14 February 2011

    Michelle Obama
    WASHINGTON: A lifelong acolyte of exercise and fitness, Sandy Shaffer works out three times per week, eats a diet loaded with fruits and vegetables, and somehow finds time to teach a weekly aerobics class.

    At five-foot, five inches (1.65 meters) and 320 pounds (145 kilograms), Shaffer also is considered obese.

    But the plus-sized sports enthusiast insists that the label says little about the generally excellent state of her health.

    And that is the single biggest problem she has with Michelle Obama's "Let's Move" health initiative.

    "I'm glad they encourage people to move, but it's still a negative message," said Shaffer, an administrator at a New York City labor union.

    "You can be healthy even if you're 300 pounds," Shaffer said.

    First Lady Michelle Obama's "Let's Move" signature initiative, which marked its one year anniversary this week, aims to help kids slim down by eating better and getting more active.

    The fitness community by-and-large has embraced the first lady's signature program, but a contingent of health experts and aficionados balk at equating improving one's health with lowering one's weight.

    They say it is possible to be extremely fit and also "overweight" by societal norms.

    "What if they end up with all the health benefits of movement, but they don't end up losing weight? Since this is an anti-obesity thing, are they not failures?" said Shaffer.

    "Ballet dancers look good, but you wouldn't necessarily call them healthy if you look at what they have to do to keep at that weight," she said.

    "If you take weight out of the picture and take diet out of the picture, you might get people to move longer and more often," she said.

    GeMar Neloms, a physical trainer in Silver Spring, Maryland, like Shaffer has been active for decades in the realm of sports, including as a varsity lacrosse player at Oberlin College in Ohio.

    She teaches a popular spinning class at Washington Sports Club in Silver Spring, Maryland where many of her students tell her that she is a role model as a "real sized" fitness instructor.

    Neloms has attained an admirable level of fitness over the years in spite of a body mass index that suggests she should be considered overweight.

    "I can cycle circles around a lot of thinner people. I can hold a plank position longer than a lot of thinner people," she said of a challenging yoga pose.

    She confesses that she would like to be a bit thinner, but only if it happens organically as a result of her efforts to attain greater fitness -- not as a primary goal.

    "Appearance plays a part, but it's not my priority, my priority has to be my overall health," said Neloms, an officer at a Washington-area non-profit.

    She added that as an African-American woman she felt that metrics for what constitutes thinness may be inaccurate.

    "We're built differently across cultures," she said. "We all have different body types."

    Dr Kenneth Cooper, one of America's leading experts on health and obesity, told AFP that the awareness that a robust body need not mean poor health is something that he has stressed for years.

    "We've incorporated both fitness and fatness into all of our studies," said Cooper, head of the Cooper Aerobics Center in Dallas, Texas and founder of the non-profit Cooper Institute which conducts health and fitness research.

    "We look at fitness as measured by treadmill time as opposed to body mass index," he said.

    With the current thinking, he said "I think you put too much emphasis on obesity," adding that one effective measurement of how fitness has actually improved is having a subject walk on a treadmill at 3.5 miles (5.6 kilometers) per hour.

    "I would focus first on inactivity, then on obesity," Cooper said.

    Another pet peeve he has with the "Let's Move" program, he said, is a lack of hard metrics to determine whether participants' fitness goals are actually attained.

    "I think they're scratching the surface," he said.

    "Unless you have some measurement you don't get anywhere. There's no means of quantifying it."

    While Cooper would add hard numbers to the First Lady's program, Shaffer said she would change its public face.

    One of its most visible spokespeople is diminutive former Olympic gymnast Dominique Dawes. Shaffer said heavyset kids might draw more inspiration from a fleshier celebrity.

    How about Mo'Nique?," she suggested, referring to the full-figured Oscar-winning actress and comedian.

    "She works out a lot," Shaffer said, "and she also embraces her size."

    -AFP/jl


    Taken from ChannelNewsAsia.com; source article is below:
    Plus-sized athletes to First Lady: Fat can be fit



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