ShowNotes for April 13, 2012

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast, and Proud to be the #1 Search Result for Chiropractic Podcasts in the iTunes Podcast Directory.

In this week’s news:  We’ll Be Looking At –

  • Doctors Call For End to Unnecessary Tests – Including X-Rays
  • How the Smell of Food Affects How Much You Eat
  • And Finally, a Story about Geographic variation in cost of health care not linked to inappropriate care

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #353, recorded April 13, 2012.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

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And Now for some news ….



Doctors Call For End to Unnecessary Tests – Including X-Rays

Citing unnecessary medical tests and procedures as a major driver of soaring health-care costs, a coalition of doctors groups and consumer groups Wednesday unveiled a campaign to push doctors and patients away from 45 tests or procedures that are overused and often unhelpful.  The campaign was sponsored by the American Board of Internal Medicine Foundation.

The campaign, “Choosing Wisely”, aims to get doctors and patients talking about these procedures to achieve “better decision-making.

A 2005 National Academy of Sciences report found that 30 percent of U.S. health-care spending was unnecessary or wasteful; more recent studies arrive at similar figures. That amounts to a staggering $600 billion to $700 billion annually.

One of the tests cited for being questionable included X-rays for low back pain: These tests were deemed Unnecessary unless “red flags” signify possible serious disease.

Surf to our Show Notes for the full list –

Video –





How the Smell of Food Affects How Much You Eat

According to a March 21st Science Daily article, bite size depends on senses such as texture of food. Smaller bite sizes are taken for foods which need more chewing and smaller bite sizes are often linked to a sensation of feeling fuller sooner.

New research published in BioMed Central’s new open access journal Flavour, shows that strong aromas lead to smaller bite sizes and suggests that aroma may be used as a means to control portion size.

The aroma experience of food is linked to its constituents and texture, but also to bite size. Smaller bites sizes are linked towards a lower flavour release which may explain why we take smaller bites of unfamiliar or disliked foods.

In order to separate the effect of aroma on bite size from other food-related sensations researchers from the Netherlands developed a system where a custard-like dessert was eaten while different scents were simultaneously presented directly to the participant’s nose.

The results showed that the stronger the smell the smaller the bite.

This study suggests that manipulating the odor of food could result in a 5-10% decrease in intake per bite. Combining aroma control with portion control could fool the body into thinking it was full with a smaller amount of food and aid weight loss.

As always, discuss all Nutritional recommendations with your Qualified Health Care Professional.

Surf to our Show Notes for Links –




Geographic variation in cost of health care not linked to inappropriate care

A literature review published in Medical Care questions the notion that U.S. regions spending more on health care and having higher rates of use deliver more unnecessary care to patients and that areas spending less provide more efficient and higher quality care.

The authors performed a Medline search to analyze 114,830 articles published between January 1, 1978 — the first year a framework for quality appeared in the literature — and January 1, 2009. They found five papers that compared geographical variations of health care to the overuse of health care services, according to the study abstract.

However, the results of those studies were insufficient to conclude that geographical areas with higher health care costs deliver inappropriate care.

According to the Authors, “The literature is so limited that you cannot either support or refute such an assertion. There is just not enough data”.

A lack of patient care guidelines plays a major factor. Guidelines will tell physicians when to perform a test, but do not indicate when a test might be inappropriate or unnecessary. This impacts expenses and patient care. A nationwide effort to create guidelines to address these problems is needed, according to the study’s Author.

The study concluded that the limited available evidence does not lend support to the hypothesis that inappropriate use of procedures is a major source of geographic variations in intensity and/or costs of care. More research is needed to improve our understanding of the relationship between geographic variations and the quality of care.

Surf to our Show Notes for links –




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And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.



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Finally, I leave you with the following quote:

“A wise man can learn more from a foolish question than a fool can learn from a wise answer.”
– Bruce Lee

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.


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