Abstract
In the current issue of Population Health Metrics, two reports paint a bleak picture of American public health. Both physical inactivity and obesity remain highly prevalent; yet, it is not clear that increased physical activity will reduce the burden of obesity. There continue to be widespread disparities in life expectancy across United States counties. These reports appear against a backdrop of debate regarding how we should allocate our scarce resources for improving health: should we focus more on improving access to high-quality medical care, or should we instead focus on more and better public health interventions? While optimal solutions remain obscure, a look at prior successes suggests that ultimately they will come from the conduct and implementation of rigorous science, and in particular event-driven trials.
Highlights
In the current issue of Population Health Metrics, two reports paint a bleak picture of American public health
Tim Wycoff, an experienced family physician suggested in reply that the United States focus more on public health interventions, “reining in the food and agriculture industry,” while promoting healthier diets along with increased physical activity [1]
Just a few days after the New York Times published this dialogue, the “Look Look at action for health in diabetes (AHEAD)” investigators published the results of a long-awaited trial of the impact of lifestyle interventions on cardiovascular outcomes in patients with diabetes [2]
Summary
In the current issue of Population Health Metrics, two reports paint a bleak picture of American public health. Tim Wycoff, an experienced family physician suggested in reply that the United States focus more on public health interventions, “reining in the food and agriculture industry,” while promoting healthier diets along with increased physical activity [1].
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