Monday, May 20, 2019

Lifestyle Coach Refresher Training Webinar in Spanish

The Colorado Department of Public Health and Environment (CDPHE) is sponsoring a free National DPP Lifestyle Coach Refresher Training webinar in Spanish, facilitated by the Diabetes Training and Technical Assistance Center (DTTAC). The training will take place on Tuesday, June 11, 2019 via webinar. This is a Spanish training - the material will be presented by a Spanish speaking Master Trainer.

Register for the training. 
This refresher training is free, please use discount code CODPP19 when registering.

Heart Patients Benefit From Home-Based Cardiac Rehab

Home-based cardiac rehabilitation is a viable alternative for patients who experienced a cardiac event but can't participate in center-based rehabilitation programs due to cost, distance and other barriers, according to a scientific statement in the journal Circulation. Cardiac rehab programs "help patients recover better, feel healthier, and live longer," according to lead author Dr. Randal Thomas. Read the article here.

Thursday, May 16, 2019

WHO Issues Guidelines on Reducing Dementia Risk

CNN: There's no effective treatment for dementia, which affects 50 million people worldwide, but the World Health Organization (WHO) says there's much can be done to delay or slow the onset and progression of the disease.
In guidelines released Tuesday, WHO issued its first recommendations to reduce the risk of dementia globally. They include regular physical exercise, not using tobacco, drinking less alcohol, maintaining healthy blood pressure and eating a healthy diet -- particularly a Mediterranean one.

Tuesday, May 14, 2019

New CPSTF Recommendations for Gestational Hypertension

The Community Preventive Services Task Force (CPSTF) recommends exercise programs for pregnant women to reduce the development of gestational hypertension.

Why is this important?
The rate of hypertensive disorders in pregnancy increased 73% from 1993 to 2014. The rate of chronic hypertension also increased considerably over time, increasing 39% from 1993 to 2014 (Data on Pregnancy Complications).

Chronic, poorly-controlled high blood pressure before and during pregnancy puts a pregnant woman and her baby at risk for problems such as preeclampsia, placental abruption and gestational diabetes (Reproductive Health). However, moderate-intensity physical activity by healthy women during pregnancy increases or maintains cardiorespiratory fitness, reduces the risk of excessive weight gain and gestational diabetes, and reduces symptoms of postpartum depression (Physical Activity Guidelines).
The CDC provides additional guidance on high blood pressure in pregnancy.

Healthy Brain Initiatives Road Map for Indian Country

This week, the Alzheimer’s Association and the Centers for Disease Control and Prevention (CDC) released the Healthy Brain Initiative’s Road Map for Indian Country. As the number of American Indians and Alaska Natives (AI/AN) with Alzheimer’s grows — and grows quickly — a broad response is needed by those in the community to reduce the impact of dementia across generations. The HBI Road Map for Indian Country is a guide for AI/AN leaders to learn about cognitive health and start planning their communities’ response to dementia. Eight public health strategies are offered to help shape this response by embracing community strengths, including traditional practices, resilience, and existing services. The full guide provides suggestions for implementation, case studies, and data to jumpstart this process.

“Communities are stronger when older generations share knowledge and traditions,” said Molly French, director of public health for the Alzheimer’s Association. “To protect that heritage, tribal leaders can promote brain health across generations, including through existing programs addressing diabetes and hypertension. Early diagnosis and support for caregivers are two ways AI/AN communities can improve well-being and functioning for elders living with Alzheimer’s and other dementias and all who care for them.”

To develop this landmark document, many experts and leaders throughout Indian Country provided guidance, reviewed drafts, and shared their experience addressing dementia and supporting caregivers. These AI/AN leaders recognized Alzheimer’s and other dementias as a serious and growing problem. In response, these leaders wanted ways to learn more about dementia and promote wellness while preparing for the future. This expertise shaped the Road Map for Indian Country into a guide that AI/AN communities could tailor and generate their own solutions based on local priorities and unique heritage.

The full HBI Road Map for Indian Country — along with an executive summary, a growing database of implementation examples, and readymade resources — can be accessed at (more details below). The guidebook is also online at, which has a wide array of data to inform this critical public health work. Be sure you and your colleagues to stay up-to-date on Alzheimer’s news by subscribing to our newsletter at

Friday, May 10, 2019

May is National Stroke Awareness Month

May marks National Stroke Awareness Month. A stroke can happen to anyone at any age, but 80% of all strokes are preventable.

Hypertension remains the single most important modifiable risk factor, accounting for nearly 48% of strokes. With eight in 10 people experiencing their first stroke having hypertension, getting your blood pressure checked is an important first step in controlling your stroke risk.

Research has shown that unhealthy behaviors such as physical inactivity, poor diet, and smoking have an adverse effect on health and increase your stroke risk. For example, smokers have an increased risk of stroke, up to two to four times, compared to a nonsmoker or those that have quit for longer than 10 years.
Read more about Preventing Stroke Here and about Recognizing the Signs of Stroke Here.


What does poverty have to do with health?

People with lower incomes have a shorter life expectancy than people with higher incomes. The gap in life expectancy between the richest 1% and poorest 1% of people living in the US is 15 years for men and 10 years for women.

People living in poverty experience higher rates of heart disease, diabetes, stroke, and other chronic conditions than people with higher incomes, and face more mental health challenges like depression, anxiety, and other psychiatric disorders.

People living in poverty are more likely to live in overcrowded, unsafe living conditions, or experience homelessness. Overcrowded housing and high rent burdens are associated with higher rates of emergency department visits for asthma, high blood pressure, and mental health issues, and can interfere with children’s educational outcomes.

Who lives in poverty in the US? As of 2017, 14.6% of people in the US live below the federal poverty line. That includes over 20% of all children in the US—more than 15 million kids. Native Americans, African Americans, and Latinos experience disproportionately high rates of poverty. Women and people with disabilities are also overrepresented among those who currently ‘count’ as poor.

In 2008, the United Way developed a tool to help policymakers and the public understand just how many families are financially insecure but do not fall below the official federal poverty level. The tool, ALICE, which stands for “Asset Limited, Income Constrained, Employed,” looks at the total cost of five household essentials—housing, child care, food, transportation, and healthcare—based on county-level cost of living, and also takes into account different family structures. The ALICE “threshold” more accurately calculates a household’s survival budget, helping communities develop a more complete picture of economic hardship than traditional poverty measures, and is now being used in over 400 communities across 16 states.

Many communities are using the ALICE Index data to make the case that traditional measures to calculate poverty are seriously undercounting the number of people who are struggling to get by and often are not eligible to access services that would help meet their basic needs.

Learn more about the ALICE Index here.