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Posts tagged behavior change
Behavior Change, On the Road

It’s my first trip to London, or to the UK for that matter.  The city itself has the distinctive, quintessential, old-world charm I pictured, yet it’s blanketed with the expected conveniences of modern technology.  My office for the past two days has rotated between a few wifi-enabled local pubs, a scene that may in fact be the clearest example of the integration of the old and the new. Some simple trip stats thus far:  Days in London: two.  Number of times I’ve ordered fish and chips as a meal: two.  Number of close calls I’ve had with speeding cars after looking in the wrong direction while crossing the street: four (This is in spite of the clearly marked ‘Look Left’ or ‘Look Right’ warnings pasted in the crosswalk).

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Time to Make a Dopamine Run

It's 6am and my alarm clock is buzzing, but I don't hear it. I don't even move. But the incessant noise wakes my wife, and her gentle nudges (read: elbows) and soft whispers (read: expletives) eventually convince me to get out of bed. It seemed like a great idea: Run in the morning before work, to free up countless evening hours. “Think of all you'll get done at night if you don't have to run after work”, I said to myself. “For once you'll actually hit your goal of blogging multiple posts per week! Maybe even finish some of those half-read books lining the shelves.” But two days into the new regime, I'm having second thoughts.

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What Did the NIH Report on Lifestyle Modification/Alzheimer's Really Say?

My inbox flooded with links to the report released by NIH (and evangelized by TIME) stating that lifestyle interventions (diet, physical activity, mental exercises, etc.) may not be that effective in preventing Alzheimer's Disease. Before I mount my full counterattack, I need to carefully read through the studies the meta-analysis cites.  Still, a quick glance at the exclusion criteria of the meta-analysis reveals the authors limited their review to studies using patients over the age of fifty.  So really, these results imply that lifestyle modifications may not prevent, delay, or treat Alzheimer's Disease if you start these changes later in life.

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The Truth About Cholesterol

We've all heard the mantra: keep LDL levels – the “bad” cholesterol – down, and the “good” HDL cholesterol up. But thanks in part to the ubiquity of statins, such as Lipitor, which allow us to simply pop a pill to limit LDL production in the body, we've recently adopted tunnel vision when thinking about managing cholesterol. LDL levels are all we seem to care about now, as we strive for lower and lower numbers at each visit to the doctor's office. However, I think we're missing the bigger picture by focusing solely on LDL. First, it's made us reliant on medication to solve a problem that can many times be addressed with changes in diet and exercise regimes. Once someone starts Lipitor treatment, they'll be taking it for life, and if LDL levels don't quite get as low as they should, it's all too easy to solve the problem by increasing the dose. When patients first begin Lipitor treatment, physicians typically prescribe the lowest possible amount, 10mg. However, dosing can go as high as 80mg, which begs the question: Do higher doses of the drug really improve outcomes?

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How "The Science of Success" Redefines Psychology

I just finished reading Dave Dobbs' new article in the the December issue of The Atlantic, "The Science of Success".  Dobbs turns the classic question of Nature vs. Nurture, whether our genes or our environment are the deterministic drivers of our fate, on its head.  Traditionally, those who support "nature" say that our genes are most influential in defining us.  On the other hand, those that support the "nurture" side say that our environment plays a more important role. Based on new research, Dobbs introduces the idea of two types of people, "dandelions" and "orchids".  Dandelions can thrive anywhere, despite their environment or upbringing.  Orchids, however, are more temperamental, and require a stable environment to survive.  At first glance, the orchids may seem like a liability, and in fact, they often carry genes that make them susceptible to mood disorders and psychological disease.  The astounding part of Dobbs' report is that he shows that given the right care, or environment, the orchids don't just do OK, but far surpass the dandelions in perfomance.  In other words, given the right training, orchids may in fact be destined for greatness.

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Why Behavior Change Is (Still) Better Medicine Than Drugs

While attending the Institute for the Future's Health Horizons Fall Conference on Monday, one thing became eminently clear. The 21st century will be the era of brain, the last great scientific frontier. Due to societal shifts, environmental changes, and the fact that we are just living longer, we are poised to see a sharp rise in cases of diseases such as Alzheimer's, Parkinson's, autism, and post-traumatic stress disorder. The only thing worse than the increasing prevalence of brain disease is the sobering fact that few viable treatments currently exist.

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How Much Personal Data is Needed to Stay Healthy?

A few months ago, a story ran in Wired Magazine that described a noticeable shift in the scientific method, and attributed the change to our ability to produce and store large amounts of data.Historically, the scientific method was built around a testable theory.  But in the 21st century, theories were becoming obsolete; the data simply spoke for itself.

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Behavior Change: A Central Topic at Health 2.0

The afternoon of Day 1 of the Health 2.0 Conference was highlighted by the session, "The Patient is In".  First up, a video that documented the experiences of a group of people that recently started using patient health tools, such as online health journals that track diet or exercise, support sites for quitting smoking, or home blood test kits.

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