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How long will it take to burn off these calories?: The controversial next step in nutrition labeling – Gananoque Reporter

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Critics say putting exercise calorie counts on food packaging would only reinforce the notion that exercise earns people the right to eat ‘crappy foods’

A traditional nutrition label. Studies show the public consistently underestimates the number of calories in food. “Just putting numbers on a packet really has no relevance.”

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According to scientists, Brits consume, on average, 6,000 calories on Christmas Day alone.

So, in an experiment published last year in the British Medical Journal, U.K. researchers explored whether providing people with the amount of exercise required to burn off the calories in, say, a single piece of mincemeat pie (21 minutes of running) or one small Christmas pudding (a staggering 110-minute run) would help prevent weight gain over the holidays.

In fact, they found participants in the “brief intervention” group exposed to this new kind of food labelling ended the holidays weighing 0.5 kg less, on average, than a comparison group.

Now, in a new review and analysis that pooled data from 14 randomized controlled trials, some of the same collaborators are reporting that when labeling known as PACE — physical activity calorie equivalent — is displayed on menu items, people consume, on average, 65 fewer calories per meal compared with other types of labeling, or no labeling.

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It may not sound like much. However, the average person eats three meals a day, plus two snacks — five separate eating occasions where PACE might nudge people to reduce their total calorie intake by 200 to 250 calories a day, said Amanda Daley, of the School of Sport, Exercise and Health Sciences at Loughborough University.

“In the U.K., the guidance is that if you want to lose weight then you should look for a deficit of 500 calories per day, so already you could see how PACE could cut into that 500 calories,” she said.

The Royal Society for Public Health in the U.K. is already calling for PACE labeling on the front of food packaging.

But not everyone is so enthralled. Some worry it could lead to an exercise/eating disorder nightmare. “We know that many people with eating disorders struggle with excessive exercising, so being told exactly how much exercise it would take to burn off particular foods risks exacerbating their symptoms,” Tom Quinn, of the eating disorders charity Beat, told the BBC.

“Quite honestly, we have as a society, over quite a long time really, only focused on exercise as a means to manage weight or burn calories when it is poor at both,” said obesity specialist Dr. Yoni Freedhoff, an associate professor of family medicine at the University of Ottawa.

One advantage around PACE is that it tells people what it takes to burn that muffin or that Frappuccino

Freedhoff’s issue with the idea of putting exercise calorie counts on food packaging is that it would reinforce those messages, as well as the notion that exercise earns people the right to eat “crappy foods.” (In a related tweet, he also worried it could reinforce weight bias by suggesting people struggling with obesity are “lazy gluttons.”)

The idea that some “magical set of instructions” will lead everybody to make healthier choices is, well, magical thinking, he said, when the wider problem is the constant provision of junk food at every turn.

“And if you discourage the consumption of junk food and simultaneously discourage people from exercising, I don’t think that’s a public health win,” Freedhoff said.

Daley, however, argues that traditional nutritional labeling is difficult for the public to grasp and doesn’t provide any context or meaning. Many people don’t understand the meanings of calories or grams of fat in terms of energy balance, she and her coauthors wrote, and studies show the public consistently underestimates the number of calories in food. “Just putting numbers on a packet really has no relevance,” Daley said.

“One advantage around PACE is that it tells people what it takes to burn that muffin or that Frappuccino,” she said. It could help people decide whether the calories are “worth it.”


“We have as a society, over quite a long time really, only focused on exercise as a means to manage weight or burn calories when it is poor at both.”

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Some festive examples include: one thick slice of roast turkey (roughly 100 calories) would require 16 minutes of walking, three large roast potatoes (161 calories) 27 minutes of walking and one small Christmas pudding (1,280 calories) 110 minutes of running.

According to the formula, 100 calories is about 10 minutes of running and 20 minutes of walking for an 80kg man (the average weight for a man).

Daley said there is no evidence to date that physical activity campaigns lead to unhealthy or disordered eating. Obesity is related to cancer deaths, cardiovascular deaths and stroke, among other killers. “We’re interested in trying to save lives from those diseases,” she said.

Ultimately the researchers would like PACE to be seen on labels in supermarkets, on packages, and particularly on menus in restaurants and fast food outlets. “All those types of places where we eat high-calorie foods would be a really good place to start.”

There are some caveats: Most of the studies Daley and colleagues analyzed were small, and based on lab settings or “hypothetical meal selection scenarios,” not real life ones.

• Email: skirkey@postmedia.com | Twitter:

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

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Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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UK regulator approves second Alzheimer’s drug in months but government won’t pay for it

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LONDON (AP) — Britain’s drug regulator approved the Alzheimer’s drug Kisunla on Wednesday, but the government won’t be paying for it after an independent watchdog agency said the treatment isn’t worth the cost to taxpayers.

It is the second Alzheimer’s drug to receive such a mixed reception within months. In August, the U.K. regulator authorized Leqembi while the same watchdog agency issued draft guidance recommending against its purchase for the National Health Service.

In a statement on Wednesday, Britain’s Medicines and Healthcare regulatory Agency said Kisunla “showed some evidence of efficacy in slowing (Alzheimer’s) progression” and approved its use to treat people in the early stages of the brain-robbing disease. Kisunla, also known as donanemab, works by removing a sticky protein from the brain believed to cause Alzheimer’s disease.

Meanwhile, the National Institute for Health and Care Excellence, or NICE, said more evidence was needed to prove Kisunla’s worth — the drug’s maker, Eli Lilly, says a year’s worth of treatment is $32,000. The U.S. Food and Drug Administration authorized Kisunla in July. The roll-out of its competitor drug Leqembi has been slowed in the U.S. by spotty insurance coverage, logistical hurdles and financial worries.

NICE said that the cost of administering Kisunla, which requires regular intravenous infusions and rigorous monitoring for potentially severe side effects including brain swelling or bleeding, “means it cannot currently be considered good value for the taxpayer.”

Experts at NICE said they “recognized the importance of new treatment options” for Alzheimer’s and asked Eli Lilly and the National Health Service “to provide additional information to address areas of uncertainty in the evidence.”

Under Britain’s health care system, most people receive free health care paid for by the government, but they could get Kisunla if they were to pay for it privately.

“People living with dementia and their loved ones will undoubtedly be disappointed by the decision not to fund this new treatment,” said Tara Spires-Jones, director of the Centre for Discovery Brain Sciences at the University of Edinburgh. “The good news that new treatments can slow disease even a small amount is helpful,” she said in a statement, adding that new research would ultimately bring safer and more effective treatments.

Fiona Carragher, chief policy and research officer at the Alzheimer’s Society, said the decision by NICE was “disheartening,” but noted there were about 20 Alzheimer’s drugs being tested in advanced studies, predicting that more drugs would be submitted for approval within years.

“In other diseases like cancer, treatments have become more effective, safer and cheaper over time,” she said. “ We hope to see similar progress in dementia.”

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

The Canadian Press. All rights reserved.

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