Commentary on medical news by a practicing physician.

  • Epocrates MedSearch Drug Lookup


    "When many cures are offered for a disease, it means the disease is not curable" -Anton Chekhov

    ''Once you tell people there's a cure for something, the more likely they are to pressure doctors to prescribe it.''
    -Robert Ehrlich, drug advertising executive.

    "Opinions are like sphincters, everyone has one." - Chris Rangel

    email: medpundit-at-ameritech.net

    or if that doesn't work try:


    Medpundit RSS

    Quirky Museums and Fun Stuff

    Who is medpundit?

    Tech Central Station Columns

    Book Reviews:
    Read the Review

    Read the Review

    Read the Review

    More Reviews

    Second Hand Book Reviews


    Medical Blogs


    DB's Medical Rants

    Family Medicine Notes

    Grunt Doc




    Code Blog: Tales of a Nurse

    Feet First

    Tales of Hoffman

    The Eyes Have It


    SOAP Notes


    Cut-to -Cure

    Black Triangle



    Kevin, M.D

    The Lingual Nerve

    Galen's Log



    Doctor Mental



    Finestkind Clinic and Fish Market

    The Examining Room of Dr. Charles

    Chronicles of a Medical Mad House



    Health Facts and Fears

    Health Policy Blogs

    The Health Care Blog

    HealthLawProf Blog

    Facts & Fears

    Personal Favorites

    The Glittering Eye

    Day by Day


    The Business Word Inc.

    Point of Law

    In the Pipeline


    Tim Blair

    Jane Galt

    The Truth Laid Bear

    Jim Miller

    No Watermelons Allowed

    Winds of Change

    Science Blog

    A Chequer-Board of Night and Days

    Arts & Letters Daily

    Tech Central Station





    The Skeptic's Dictionary

    Recommended Reading

    The Doctor Stories by William Carlos Williams

    Pox Americana: The Great Smallpox Epidemic of 1775-82 by Elizabeth Fenn

    Intoxicated by My Illness by Anatole Broyard

    Raising the Dead by Richard Selzer

    Autobiography of a Face by Lucy Grealy

    The Man Who Mistook His Wife for a Hat by Oliver Sacks

    The Sea and Poison by Shusaku Endo

    A Midwife's Tale by Laurel Thatcher Ulrich



    American Academy of Pediatrics

    General Health Info

    Travel Advice from the CDC

    NIH Medical Library Info



    Thursday, April 05, 2007

    Fat Moms Make Fat Babies:

    Modern medicine is way too obsessed with weight:

    Women who gain excessive or even the recommended amount of weight during pregnancy are more likely to have an overweight child than their counterparts who don't gain enough weight, new research shows.

    In light of the obesity epidemic that is sweeping many developed countries, the new findings suggest that guidelines dictating appropriate weight gain during pregnancy may need to be revised, according to a report in the American Journal of Obstetrics and Gynecology.

    The study, according to the press release which is quoted in every newspaper article covering the subject:

    Oken and her colleagues conducted a study of 1,044 mother-child pairs. The women were divided into three groups based on whether their pregnancy weight gain was below, within, or above the values set by the Institute of Medicine.

    According to the guidelines, the amount of weight that should be gained, based on the mother's BMI before pregnancy, ranged from 25.35 to 35.27 lb. for women with a normal BMI, 27.56 to 39.68 lb. for a low BMI, 15.43 to 25.35 lb. for an overweight BMI, and at least 13.23 lb. for women with an obese Excessive weight gain was noted in 51 percent of subjects, adequate weight gain in 35 percent, and inadequate weight gain in 14 percent. Mothers with excessive or adequate weight gain were roughly four times more likely than those with inadequate weight gain to have a child who was overweight by age 3.

    The abstract is very vague about just what "roughly four times more likely" means. There is also no mention - or measurement - of the risks those fat babies face, other than an assumption that they will grow up to be fat kids and fat adults and get diabetes and heart disease and be generally unsightly.

    On the other hand, we do know that mothers who are too skinny during pregnancy have higher rates of low birth weight babies, and that is very bad for babies.

    UPDATE: Managed to get a copy of the full paper this morning at the hospital. The data do support the contention that moms who gain the most weight have heavier babies. Among babies born at weights greater than the 90th percentile, 66% had moms who gained excessive amounts of weight by the Institute of Medicine standards. But so did 50% of the appropriate weight babies.

    Among those babies who weighed more than the 95th percentile at three years of age, 61% had mothers who had excessive weight gain. But, again, the normal weight kids also had higher rates of moms with excessive weight gain than appropriate weight gain. (54% and 52% for kids in the 85th-94th percentile and 50th-84th percentile respectively.)

    What's more, the mean weight gain wasn't dramatically different in the different groups. For underweight babies, the mean maternal weight gain was 14 kilograms. For fat babies it was 17 killograms. (About a 6-7 pound weight difference.) At age 3 the skinniest kids had moms whose mean weight gain during pregnancy was 15 kilograms, while the fattest kids had moms whose mean weight gain was 16kg, only a 3 pound difference. Hard to believe that such a small difference can be that significant.

    posted by Sydney on 4/05/2007 09:30:00 PM 2 comments


    Just after the launch of Viagra in the pharmaceutical market, the drug has evolved to be the most extensively utilized erectile dysfunction treatment in America. Strikingly, statistics related to viagra and america, i.e. details concerning Viagra use in America point out that other than being used as a prescription drug to treat erectile dysfunction, Viagra is also being increasingly used by the Generation X for recreational purposes. The association between viagra and generation X is alarming and the usage of viagra by youngsters for recreational means should be stopped immediately if the youth brigade is to be saved from ruining themselves. However, old men suffering from impotency can use Viagra on being recommended by a doctor and viagra and old age related information confirm that Viagra has been proved to be a superb cure for erectile dysfunction in old men.

    By Anonymous viagra, at 1:47 AM  

    Indulge yourself and find partners for hot Sexual Encounters and Adult Dating at Adult friend finder free dating site!
    If you are looking for a one night stand or a casual encounter, then the Adult Swingers Club is where the game is played.
    If you practice a different range of sexual and sensual activities then adult personals has the Club for you.
    Download over 2000 adult dvd movies, available formats: windows, mpeg, psp and ipod!
    Shop for Adult Toys, DVDs and Lingerie and other Erotic Adult Products at adult sex toys shop and adult toys store.

    By Anonymous Anonymous, at 11:19 AM  

    Post a Comment

    This page is powered by Blogger, the easy way to update your web site.

    Main Page


    Home   |   Archives

    Copyright 2006