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Excessively high or low body mass index measurements have been linked to an increased risk of dying from nearly every major cause except transport accidents, new research says.The?study, published Wednesday in The Lancet Diabetes and Endocrinology and conducted by scientists at London School of Hygiene and Tropical Medicine, revealed that BMI that's either too high or too low is tied to increased morbidity from a range of major diseases.Krishnan Bhaskaran, lead author of the study and associate professor of statistical epidemiology, noted that his team found "important associations" between BMI and most causes of death."BMI is a key indicator of health. We know that BMI is linked to the risk of dying overall, but surprisingly little research has been conducted on the links to deaths from specific causes," he said."We have filled this knowledge gap to help researchers, patients and doctors better understand how underweight and excess weight might be associated with diseases such as cancer, respiratory disease and liver disease."BMI is determined by dividing a person's weight in kilograms by the square of their height in meters.The study authors say they discovered that maintaining a BMI in the range of 21 to 25 kg/m2 is linked to the lowest level of morbidity.BMI outside this range was shown to have a "J-shaped association" with nearly all causes of death, not solely the most prevalent diseases. This means BMIs both lower and higher than the optimal range lead to increased risk of morbidity.The study, which analyzed data from 3.6 million people and 367,512 deaths, showed that obesity, or BMI of 30 or more, was linked to an increased prevalence of two major causes of death: heart disease and cancer."BMI higher than 25, the upper end of healthy, is linked to most cancers, most cardiovascular diseases, respiratory disease, and liver and kidney conditions," Bhaskaran said.Obesity was shown to reduce life expectancy by 4.2 years in men and 3.5 years in women, and it can contribute to other chronic conditions including respiratory disease, liver disease and diabetes.The British Journal of Cancer reported in April that obesity is linked to 7.5% of cancers in UK women.The charity Cancer Research UK estimated that 23,000 women will deal with obesity-related cancers by 2035. Obesity will also become the most common cause of cancer in women by 2043 if trends continue.The study also revealed that being underweight is linked to a "surprising wide range of deaths," including dementia, Alzheimer's, cardiovascular disease and suicide.However, Bhaskaran noted that links between low BMI and causes of death were more "observative," as it was less clear whether low weight was the direct cause of illness or rather a marker of poor health more generally.He also acknowledged the limitations of the study, which included a lack of information on the diet or level of physical activity of the individuals involved and the impact these factors may have had on morbidity.He nevertheless noted that the findings reiterated the importance of maintaining a BMI within the 21 to 25 range. 3130

ENCANTO, Calif. (KGTV) - A set of triplets took sibling rivalry to new heights in this year's spelling bee at O'Farrell Charter School.Seventh graders Miguel, Maya and Mia Brizuela finished 1st, 2nd and 4th in the school competition, respectively. Miguel advanced to the County-wide bee, held Thursday at Town and Country Hotel in Mission Valley."I'm very good at grammar, so it's really easy for me," says Miguel, when asked how he managed to win. But he also admits he got help from his sister, Maya."We were going back and forth, back and forth. And then, finally, Maya just decided to give up because she said that she didn't want to go to the county," he says.Maya confirmed the story that she let her brother win."Like, 1% of me wanted to win," she says. "But I have stage fright. I didn't want to go up there in the auditorium and spell words in front of a lot of people," she says.But it's Mia, who finished 4th at the school, who believes she's the best speller of the three."I felt like I needed to raise myself to their level of spelling," she says of her finish in the competition. "And I like to correct their grammar a lot."The three say they practice by holding mini-spelling bees at home, where their parents give them words to spell. They also study for 1-2 hours each night before bed.Now that Miguel had advanced to the County-wide competition, his sisters say they'll be there to cheer for him."He's my brother, I love him," says Maya. "No matter what, we love each other." 1501

ENCINITAS, Calif., (KGTV) -- Friends and family celebrated the survival of 14-year-old Keane Webre-Hayes at a community paddle-out event. The teenager was attacked by a great white shark at Beacon's Beach one year ago this month. The line between life and death is so thin for Keane."People come up to me and say, 'hey what's that from'?" Keane said as he pointed at the large scars on this left cheek, ear, and neck. Last September, the then 13-year-old was bitten by a great white shark while lobster diving at Beacon's Beach. "I swam 70 yards to a kayak with basically no arm," Keane said. He screamed for help toward a few kayakers in the distance. That is when he met Matthew Ephron, who helped him get to shore. "He did most of the work, and we just got him in so that he wouldn't be out there forever," Ephron said. Doctors said Keane lost half of the blood in his body. But 1,000 stitches later, the boy survived. And for the last year, doctors, trainers, therapists, and teachers helped Keane find his new normal."We honestly couldn't have gone through it without the support of the community," Keane's mother, Ellie Hayes, said. "The hugs, the love, the gifts, the support."So to say thank you, Keane's family hosted a paddle-out at Moon Light State Beach to honor his survival. "Without them, I would not be able to move my arm," Keane said. "I probably would not be who I am today without them."Keane has made incredible strides. From being bedridden for weeks, he now plays in a club beach volleyball team. Family and friends said Saturday's paddle-out is a celebration of life and proof of Keane's incredible resilience. "I definitely want people to know that I can do things, and also if I can do that, you can do that if you put your mind to it," Keane said. Local surf-art legend Andy Davis also attended the event and gave Keane a custom painting featuring a man on a surfboard in Keane's favorite color, pink. 1937

Experts say the United States is going through a maternity and child health crisis.“We know that every 12 hours, around the clock, a mother dies as a consequence of childbirth, and if you are a Black woman, those numbers are three-fold higher,” said Dr. Rahul Gupta, Chief Medical and Health Officer at the March of Dimes. “If you're an American Alaskan woman, its two and a half times higher.”The March of Dimes is highlighting the areas of the country that are considered maternity care deserts, meaning places where there are no hospitals providing obstetric care.They say a third of counties are affected and it’s not just a rural American problem. It’s urban counties too.Dr. Rahul Gupta touched on some of the consequences, such as mothers dying unnecessarily, 22,000 infants dying before their first birthday, and the pre-term birth rate rising for a fifth year in a row.The numbers and problems are amplified in maternity care deserts, which have a higher poverty rate and lower household income. That’s something that's escalated during the pandemic.“The COVID-19 pandemic has unveiled the underlying challenges as well as ugliness within our systems of care as well as communities in terms of institutional racism and bias as well as the socioeconomic conditions that lead to some of these outcomes,” said Gupta.A report touches on many different policy-based solutions that could improve access to maternity care, including expanding access to Medicaid for new moms from 60 days to 1 year after childbirth, allowing better access to midwives, reimbursement for doula care, and expansion of telehealth services. 1629

Even the cleaning materials are being cleaned. As people start letting house cleaners back into their homes, there are new protocols you should know about and new challenges out there because of COVID-19.The home cleaning industry was hit hard by the pandemic, because of everyone's fear. But as things start opening up, people want the service back. Brian Wiersma is a strategic initiatives and branch operations manager for Merry Maids.“A lot of our customers, they need our help cleaning their home and when you look at the CDC guidelines, the first step in maintaining a healthy home is to clean it before you disinfect it,” said Wiersma.He says, like everyone else, Merry Maids has had to adjust and adapt to every new recommendation from the CDC. No masks at first, and now masks all the time. There are new protocols for their team members and for their clients.“If you’re sick please, let us know even if it’s not COVID,” said Wiersma. “Let us know if you’re sick, so we can reschedule you just to be overly cautious.”They're asking employees to self-monitor, pay attention to everything they might feel, COVID-19 or not. They suggest clients either leave or remain in one part of the home. They bring their own equipment and clean the cleaning supplies when they're done.“As the team leaves the home, they take off the mask, they disinfect the kit before they put it in their vehicle to go to the next home, so they’re not taking contaminants into their vehicle and taking it to another customer,” said Wiersma.There are training videos, daily checklists, and they've even held meetings about how to take your gloves off.“It’s little things but in the same respect, it’s important things,” said Wiersma. “You take all these steps to be careful and precautious and at the very last step, if you don’t take your gloves off right you, might as well not have done the rest of them as far as keeping the team safe.”Angel Gatewood, 24, has been cleaning for Merry Maids for the past year. The hardest part for her, someone who loves customers and customer service, has been keeping her client relationships at a distance.“I still try to maintain that personal relationship with my customers which I think is important because I’m in their house every other week touching their things,” said Gatewood. “Your home is your personal bubble. When somebody enters it, you have to have that trust and I like to maintain that."She loves to connect with people and loves her detail-oriented job, but she has asthma and now has to be even more cautious than ever.“I personally take those extra steps,” she said. “I take my inhaler in every time. I wear two pairs of gloves. I also have eczema. It’s a double problem. I wear two pairs of gloves and the mask every time.”Wiersma says while COVID-19 has been challenging, it's about to get busier than ever as people realize health starts in the home."Merry Maids has been around for 40 years and Service Master for 90 years of cleaning and disinfecting, we'll stay who we are and that has helped us sustain through the crisis, but come out of it on a stronger footing." 3118