Soltalk January 2018 - Page 40

Doctor’s notes Dr Rik Heymans is a general practitioner in Nerja and writes on developments in the world of medicine Obesity and Heart Disease Climate change and health An analysis of more than half a million people in Europe with 12 years of follow-up showed that, compared with normal- weight individuals, overweight and obese patients had a higher risk for heart attacks, regardless of their metabolic health (lipids, glucose, and blood pressure). The study also found that metabolically unhealthy persons (high cholesterol, uncontrolled diabetes, sleep apnea) are at a higher risk for heart disease regardless of their body weight. So, lean patients with risk factors still have an increased risk for heart disease. This is a story from recent history that we believe President Trump urgently needs to hear. In 1985, a huge and growing hole in the planet’s ozone layer was identified. Ozone in the stratosphere blocks some of the sun’s ultraviolet radiation from reaching the Earth’s surface, thus protecting its biosphere (which includes humans) from DNA damage that would otherwise occur. The hole was caused by the action of chlorofluorocarbons (CFCs) used in refrigeration and as aerosol propellants. This is robust evidence against the notion of healthy obesity (meaning an overweight person but with normal cholesterol and/or sugar values), supporting the idea that maintaining a normal body weight is a key step toward maintaining a healthy heart. So, here is a good intention to adapt for the New Year; I am afraid to say that in all likelihood applies to all of us here in the Western World… A sobering statistic is that between 2000 and 2014, the amount of obese people increased by 44.9% in the US. Margaret Thatcher is admired by many on both sides of the Atlantic, including President Trump as a strong politician, a person with clear beliefs on which she acted without ever doubting them. A scientist by background, Thatcher appreciated the magnitude of the threat immediately, throwing her weight behind international efforts to address this. Working with Ronald Reagan, within two years the 1987 Montreal Protocol was signed to phase out the production and use of CFCs. Despite this, because CFCs persist in th )ѵɔȁɔѡ䰁ѡ齹ȁݥ)ɕٕȁѕչѥɔ͡Ёѡ)ѥݽձٔхɽ)91ٕȁ͕͔)ѡȁѥѡͥ䁕́ѡЁѡ)ɑ䁱ٕȁ͕͔91)ɕͥɕѱ䰁ѡɕձѥȁٕȁɅ)́Ѽɥѡ䁽̰ɕ͕ɍ́ɕи)ͥȁܸ́́Q٥ѡЁє)́ɥٕ䁡յѥ٥ѥ́ݡ)ɕ͔ѵɥɕ͔͕̰ٕ́ݡ)%ɕ͕ѕɅɕ́ѥѕ́)єЁɕѱ䁽ѠչѠ)ѥձȸ5եѼɹ͕͕́ݽ͕́ѡ)ɥѥɕѕɹ́聄ə)ᅵ́ѡɕQȁեѼɽɔɽ)Ёٕ݅́ɕݕѡȁٕ̤ݥɥٔ)хمѥ͕́ѕɥɡɔѼ)ѽ᥌́ݥɕ͔)91Ց́䁱ٕȀ90)ѕѽѥѥ̀9M ݡ́ɕͥ)͔хٕȁ͕͔́ѡ͕)Ё͔ѽձȁɍ! )ɕեɥٕȁɅхѥ%Ё́ͥѡЁѡٕ)ѽɕ́ѽՍ쁙ЁݡͻeЁɽ)ɽፕٕͥɥи]Ѡѡѥѕɕ͔)ѡ͔ձѥѼɔѡȁձ́Ԥ)ѡյȁ9M ɕѕ݅ѥЁѥ́́ͼ)ѕѼɕ͔ԸД) єɕ͔ɔѼձ)ɝ̸I͕ѕɅɕ́ɕ͔Ʌѥ́)ɽչٕ齹͵ѥ́ѡȸQ́)ѠѡٕЁѡ͕ٕɥ䁽ѡ)ɡͥͥѥ̰ =AɕɅѽɅЁѥ̸M)ɽɕЁɕ́ɕѕѼЁٕ݅́́չѠ)%ѡչ䰁ѡɔ͕͔́ѡЁ䁱ٕȁݥ)ɵ́ɽѡUѕMхѕ̰ݔݥ)ѡɔͥɕ́ѡULѥՔѼ)ѡɅѽѡ䁡ٔݥѠɽɅЁ)չչѕ)Q́єɔɔѼЁ)ѡ͔ݥѠɔѥɑձ䁑͕͔丁%)́ȁѡЁѡЁѥє܁́ȁ)ѡѡЁɕͥѡ͕Օ́ѡɔ)ɕɕɥхє͡ձɽ٥͡)Ʌݽɭ́ȁɕٕѵЁɅՍɔɝ)Ʌѥѡ́ٽѡݽɱݸѡ́)ɕи Ёѡ́ɕեɕ́͡٥ͥݡȁѼ)ѡٕɹ́ݡȁє)=ͱЁɅ䁽聥Ё́ѡЁ ́Ʌ䁝)ɕٕѥɕ݅ɝ̀䁉͔ѡ)eЁ݅ЁѼѡ5Ё=Q́ЁЁݥ)ɕЁ+ ȁI%,!e59L)ѥ̀а9ɩ)QԀȀ(