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A panel of doctors found current training falls short, to the detriment of patient health

By Mark Huffman Consumer News: Doctors need more training in how food affects health, experts say of ConsumerAffairs
December 6, 2024

Photo

Your doctors may know how your internal organs work but they may not be equipped to counsel patients about healthy food choices. A panel of nutrition experts says most medical students and trainees do not receive adequate training in this discipline.

The panel found that poor diets have been linked to seven of the 10 leading causes of death in the United States, from heart disease to diabetes and certain types of cancer. It has proposed 36 competencies to incorporate into the medical education of physician trainees.

Dr. Jaclyn Albin, associate professor of Pediatrics and Internal Medicine at UT Southwestern in Dallas, co-authored the consensus statement published in JAMA Network Open. Currently, she said medical training programs lack nationally required, uniform nutrition training competencies.

Included in the proposed competencies are foundational nutritional knowledge; assessment and diagnosis; communication skills; public health; collaborative support and treatment for specific conditions; and indications for referral.

Pairing nutrition experts with education leaders

Our goal was to create standardization, and this was the first national effort pairing nutrition experts and educational leaders to define what medical students and residents need to know about the impact of nutrition on health, said Albin, who launched UTSWs Culinary Medicine Program in 2017.

Fundamentally, the rate of chronic disease is so inextricably linked to eating patterns that if we are not teaching physicians properly, we cannot help people in a holistic or meaningful way. This is an opportunity to make people well, rather than simply managing illness.

Theres a growing awareness of the role of food in health among healthcare institutions. The National Institutes of Health recommends a well-balanced diet to provide energy for daily activities and nutrients to prevent diet-related illnesses.

The issue has also gained the attention of Congress in recent years, due to the growing impact of obesity and diet-related diseases. According to peer-reviewed research estimates, the total Medicare cost for these conditions was about $800 billion in 2019 and federal spending on graduate medical education surpassed $16 billion in 2020.

The Rockefeller Foundation reports that the U.S. spends approximately $1.1 trillion on treating diet-sensitive diseases.

Two years ago, the U.S. House of Representatives passed Resolution 1118, calling for enhanced training to better prepare physicians to provide practical, evidence-based, and culturally sensitive advice about food and diet.



Photo Credit: Consumer Affairs News Department Images


Posted: 2024-12-06 12:01:56

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Consumer News: Senate committee approves measure to increase home construction

Wed, 30 Jul 2025 13:07:07 +0000

The ROAD to Housing Act received bipartisan support

By Mark Huffman of ConsumerAffairs
July 30, 2025
  • The Senate Banking Committee unanimously approved the ROAD to Housing Act, a bipartisan effort to increase housing supply and reduce regulatory hurdles.

  • The bill includes provisions to streamline environmental reviews, promote construction in Opportunity Zones, and expand financial counseling programs.

  • The American Bankers Association voiced strong support, highlighting measures that would boost affordable housing investments and improve access to small-dollar mortgages.


In a rare show of bipartisan unity, the Senate Banking Committee voted unanimously to advance the ROAD to Housing Act, a major housing reform package aimed at increasing the nations housing supply crisis.

Supported by Chairman Tim Scott (R-S.C.) and Ranking Member Elizabeth Warren (D-Mass.), the legislation blends proposals from both sides of the aisle to address housing affordability through deregulation, expanded investment incentives, and community-level support.

The bill would reward communities that actively build new housing, reduce barriers to development such as lengthy environmental reviews, and rethink federal rules that stifle lending for smaller mortgages. It also includes tenant protections and programs to expand access to financial literacy and housing counseling.

For far too long, Congress believed this problem was too big to solve, Scott said. Today, were taking not a step but were taking a leap in the right direction in a bipartisan fashion.

Housing shortage

Since the housing market crash in 2009, home building has not kept up with housing demand, leading to a shortage and higher prices. Rock-bottom mortgage rates during the pandemic pushed home prices even higher. Now that rate have returned to normal, millions of people are priced out of the housing market.

By combining deregulatory reforms with expanded public support mechanisms, the bill attempts to strike a balance between supply-side growth and consumer protection.

The American Bankers Association has endorsed key provisions of the bill, including a provision enabling banks to channel more funding into affordable housing and community development projects.

The measure now goes to the full Senate where, with bipartisan support, approval is expected.


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Consumer News: Consumers feel a little more confident in July

Wed, 30 Jul 2025 13:07:07 +0000

The Consumer Confidence Index rose despite inflation worries

By Mark Huffman of ConsumerAffairs
July 30, 2025
  • The Conference Board Consumer Confidence Index increased to 97.2 in July, up from a revised 95.2 in June.

  • The Present Situation Index declined slightly to 131.5, reflecting continued concerns about current job conditions.

  • The Expectations Index rose to 74.4, but remained below the recession-indicative threshold of 80 for a sixth straight month.


Consumer confidence edged up in July, signaling cautious optimism about the short-term economic outlook, even though there are lingering concerns about the labor market and inflation.

According to The Conference Boards latest release, the Consumer Confidence Index rose by 2.0 points to reach 97.2 (1985=100), reflecting improved expectations across most age and income groups.

"Consumer confidence has stabilized since May, rebounding from April's plunge," said Stephanie Guichard, senior economist at The Conference Board. Though optimism remains below last year's highs, Julys improvement suggests consumers are regaining some confidence in future conditions, particularly regarding business prospects, employment, and personal income.

Recession worries persist

Despite a small lift in overall confidence, consumer perceptions of current economic conditions were mixed. The Present Situation Index dropped slightly to 131.5, driven largely by weakening sentiment around job availability.

While more consumers (30.2%) said jobs were "plentiful" in July compared to June (29.4%), a growing share 18.9% reported jobs were "hard to get," the highest percentage since March 2021. This figure is up significantly from 14.5% in January.

At the same time, the Expectations Index rose 4.5 points to 74.4, a sign that consumers are growing less pessimistic about the coming months. Even so, the index has remained under the 80-point mark, historically associated with recession risks, for half a year, indicating continued economic uncertainty.

Inflation concerns

Write-in survey responses revealed that consumers remain concerned about inflation, tariffs, and recent legislative developments. Despite a slight drop in 12-month inflation expectations, concerns over rising prices persisted. Tariffs were a top concern, especially in terms of their potential to drive costs higher.

Some respondents referenced the recent budget reconciliation bill passed by Congress, dubbed the Big Beautiful Bill, with opinions divided: some praised its economic potential while others voiced skepticism. However, the legislation did not dominate consumer concerns in July.

Consumer spending intentions painted a mixed picture. Plans to purchase cars and homes declined in July, though they remained relatively stable when viewed on a six-month average basis. Big-ticket items like appliances saw uneven demand, while interest in electronics crept upward.

In services, spending intentions weakened for the second month in a row, with dining out, travel, and lodging all seeing declines. Domestic vacation plans fell overall, while a slightly larger share of consumers expressed interest in traveling abroad.


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Consumer News: ‘Razor Blade Throat’ COVID strain fuels summer surge in California

Tue, 29 Jul 2025 22:07:08 +0000

Health officials urging vaccinations as infections mount

By James R. Hood of ConsumerAffairs
July 29, 2025

COVID levels in Bay Area now exceed this past winters peak

New Nimbus subvariant driving 55% spike in statewide wastewater data

Health officials brace for possible late-summer wave, urge vaccinations


California is facing a sharp summer spike in COVID-19 cases, with viral activity in parts of the state now surpassing last winters peak. Health officials say the rise is being driven by a newly identified subvariant, NB.1.8.1nicknamed Nimbus or razor blade throat for the severe symptoms it can cause.

Bay Area wastewater monitoring indicates the virus is spreading more widely there than during the states previous seasonal high in the colder months. While the increase has been less pronounced in Southern California so far, experts warn it may be just a matter of time.

We definitely are seeing an uptick in the summer, said Dr. Erica Pan, state epidemiologist and director of the California Department of Public Health (CDPH). But its still relatively low compared to, for example, last year around this time.

Over the past three weeks, coronavirus levels detected in statewide wastewater samples have surged by 55%, according to CDPH data. The dominant strain in California is currently NB.1.8.1, while XFG (dubbed Stratus) is gaining ground nationally.

Early signs point to an August peak

Dr. Pan said she expects at least a minor COVID wave in California this summer, likely peaking in late August. That would mirror last years trend, when a strong summer wave swept the state driven by FLiRT variants.

Federal data from the Centers for Disease Control and Prevention shows the West currently leads the nation in COVID activity based on wastewater surveillance. At the state level, California is now seeing high levels of viral presence, per the latest CDPH assessments.

Its been a longer time since a lot of people got infected, said Dr. Peter Chin-Hong, infectious disease expert at UC San Francisco. And just like last year, there are new variants afoot.

Chin-Hong added that waning immunity may also be fueling the uptick, with many Californians more than a year removed from their last infection or booster.

Though hospitalizations and deaths remain low, the current strains are not mild for everyone.Just because you had an easy case the last time doesnt mean that youll have an easy case this time, Chin-Hong warned. A lot of people Ive talked to whove gotten COVID this year, it was a pretty vicious case that lasted a long time.

He noted an increase in people reaching out for advice on how to stay safe, as the virus circulates more widely again.

Dr. Elizabeth Hudson, regional infectious disease chief for Kaiser Permanente Southern California, said the surge that began in Northern California is now spreading south.

I suspect it will be coming to Los Angeles soon, she told the Los Angeles Times. Well know over the next couple of weeks which direction things are going.

Vaccination still advised for all Californians

The California Department of Public Health continues to recommend that all residents ages 6 months and older stay up to date on their COVID vaccinations, especially ahead of the anticipated late-summer peak.

Dr. Pan said officials are watching closely to determine whether a winter wave will follow this summer surge or whether the state may experience a single seasonal spike.

We had a relatively mild winter [of] COVID activity, she said. Were still trying to learn what COVID seasonality is going to look like. Its just been a little bit different every year.

Bottom Line: While Californias summer COVID surge remains moderate for now, the growing dominance of new, fast-spreading variants like Nimbus has health officials on alert. With high wastewater activity and signs of rising transmission, residents are being urged to take basic precautions and stay vaccinated as the state navigates another unpredictable COVID season.


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Consumer News: FDA plans action against kratom, a potent opioid alternative

Tue, 29 Jul 2025 19:07:07 +0000

Sometimes known as "legal morphine at the gas station," it's potentially addictive

By Truman Lewis of ConsumerAffairs
July 29, 2025

  • Federal health officials plan action against 7-OH, a powerful kratom-derived compound in tablets and drinkable shots.

  • The FDA says 7-OH products may pose risks including sedation, respiratory issues, and addiction.

  • Industry divides over safety and regulation, with some calling the substance legal morphine at the gas station.


Federal health officials are preparing to announce new enforcement measures aimed at curbing the rise of a potent and controversial compound found in popular kratom-derived products sold in convenience stores and gas stations across the U.S.

The Department of Health and Human Services (HHS) said it is focusing on 7-hydroxymitragynine, or 7-OH, a highly concentrated substance synthesized from a compound in the kratom leaf, the Washington Post reported. While the natural plantnative to Southeast Asiais used in teas and powders and is touted by advocates as a mild stimulant and opioid alternative, 7-OH products are far more potent and have raised alarm among regulators, researchers, and even some kratom industry groups.

These arent plant extractstheyre essentially legal morphine being sold over the counter, said Christopher McCurdy, a professor of medicinal chemistry at the University of Florida.

The Food and Drug Administration (FDA) recently sent warning letters to seven companies it accuses of illegally marketing 7-OH products as dietary supplements or unapproved drugs. These companies allegedly promoted the substances as treatments for pain or anxiety without the necessary safety approvals.

The FDA has warned that use of 7-OH can lead to side effects including nausea, sedation, breathing problems, and addiction.

A press conference scheduled for Tuesday will include remarks from HHS Secretary Robert F. Kennedy Jr. and kratom advocate Melody Woolf. The inclusion of a plant-product proponent suggests the crackdown may target only the synthetic or enhanced forms of kratomnot the natural leaf or tea preparations.

What it is

Kratom (Mitragyna speciosa) is a tropical evergreen tree in the coffee family. It is native to Southeast Asia and has been used for centuries for its stimulant and pain-relieving properties. The trees leaves contain alkaloid compounds, primarily mitragynine and 7-hydroxymitragynine (7-OH), which interact with opioid receptors in the brain to produce a range of effects depending on the dose.

  • At low doses, kratom typically acts as a stimulant, increasing energy, alertness, and sociability.

  • At higher doses, it can have sedative and analgesic (pain-relieving) effects, mimicking those of opioids, though generally with less potency.

Itis indigenous to Southeast Asia, where it has a long cultural history as a natural remedy. It has become increasingly popular in the U.S. as an alternative to prescription opioids, to manage opioid withdrawal symptoms and for relieffrom anxiety, depression, or chronic pain.

Supporters argue it is a safer, natural alternative to opioids. But critics and regulators warn about the risks of dependence, unregulated products, and the emergence of potent semi-synthetic kratom derivatives, such as 7-OH extracts, which can be far more dangerous than the natural plant.

Mounting concerns

Kratom has long been a point of contention in Americas drug policy landscape. While some praise its use in easing chronic pain or managing opioid withdrawal, others warn of its psychoactive effects and potential for abuse.

The American Kratom Association (AKA), a trade group representing plant-based kratom producers, has distanced itself from companies selling concentrated 7-OH products. The group accuses 7-OH sellers of distorting kratoms public image by promoting chemically manipulated versions of the plant.

But others in the industry argue that 7-OH offers a safer and more effective alternative to opioids. Jeff Smith of the Holistic Alternative Recovery Trust dismissed the criticism as part of an intra-industry turf war, and said the group supports reasonable safeguards like third-party lab testing, warning labels, and age restrictions.


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Consumer News: Coastal living may come with a longevity bonus, study finds

Tue, 29 Jul 2025 19:07:06 +0000

Researchers find that Americans living near oceans may live longer than those living by rivers or lakes

By Kristen Dalli of ConsumerAffairs
July 29, 2025
  • Coastal proximity (within ~30miles of oceans or gulfs) is associated with about a year longer life compared to the U.S. average of roughly 79 years.

  • Living near large inland waters in urban areas shows a slight lifespan decrease, while rural proximity to inland waters may actually increase life expectancy.

  • Factors like milder temperatures, cleaner air, recreation access, better transport, less drought risk, and higher income likely help explain the coastal advantage.


Could where you live by the water affect how long you live?

A new U.S. study by researchers at Ohio State University suggests yes but with an interesting twist.

Proximity to coastal waters seems to be linked to longer life expectancy, while living near inland lakes or rivers tells a more mixed story.

Overall, the coastal residents were expected to live a year or more longer than the 79-year average, and those who lived in more urban areas near inland rivers and lakes were likely to die by about 78 or so. The coastal residents probably live longer due to a variety of intertwined factors, lead researcher Jianyong Jamie Wu said in a news release.

The study

Researchers analyzed data from 66,263 U.S. census tracts, using life expectancy numbers from the CDCs SmallArea Life Expectancy Estimates Project.

They compared those who lived within about 30miles of an ocean or gulf and those near inland water bodies larger than roughly 4 square miles. The study used multiple statistical models to account for differences across states and regions.

They also ran sensitivity checks and a mutual information model to identify key environmental and socioeconomic factors distinguishing coastal from inland areas.

The results

The researchers broke down the findings between coastal dwellers and inland residents. Heres a look at the results:

  • Coastal areas: Living near coasts correlated with a lifespan about one year longer than the average (~79 years), even after adjustments for other variables.

  • Inland waters: Urban residents near large lakes/rivers showed a modest decrease in life expectancy (to around age 78), possibly tied to environmental challenges like pollution and flood risks. In contrast, rural residents near inland water fared slightly better than urban counterparts, with a modest lifespan benefit.

We thought it was possible that any type of blue space would offer some beneficial effects, and we were surprised to find such a significant and clear difference between those who live near coastal waters and those who live near inland waters, said Wu.

We found a clear difference in coastal areas, people are living longer.

The researchers stress these findings dont prove causation and note limitations like not tracking quality or usage of the water itself. But the results do open a valuable conversation about how built and natural environments shape health, inviting planners and policymakers to think carefully about where and how blue spaces fit into healthier communities.


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