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By DAVID VON DREHLE Wednesday, May 04, 2011
A jubilant crowd of mostly college students celebrated in front of the White House the night bin Laden's
death was announced by the President
Brooks Kraft for TIME
The Four Helicopters chuffed urgently through the Khyber Pass, racing over the lights of Peshawar and
down toward the quiet city of Abbottabad and the prosperous neighborhood of Bilal Town. In the dark
houses below slept doctors, lawyers, retired military officers ― and perhaps the world's most wanted
fugitive. The birds were on their way to find out.
Ahead loomed a strange-looking house in a walled compound. The pilots knew it well, having trained for
their mission using a specially built replica. The house was three stories tall, as if to guarantee a clear
view of approaching threats, and the walls were higher and thicker than any ordinary resident would
require. Another high wall shielded the upper balcony from view. A second smaller house stood nearby.
As a pair of backup helicopters orbited overhead, an HH-60 Pave Hawk chopper and a CH-47 Chinook
dipped toward the compound. A dozen SEALs fast-roped onto the roof of a building from the HH-60
before it lost its lift and landed hard against a wall. The Chinook landed, and its troops clambered out.
Half a world away, it was Sunday afternoon in the crowded White House Situation Room. President
Barack Obama was stone-faced as he followed the unfolding drama on silent video screens ― a drama
he alone had the power to start but now was powerless to control.
At a meeting three days earlier, Obama had heard his options summarized, three ways of dealing with
tantalizing yet uncertain intelligence that had been developed over painstaking months and years. He
could continue to watch the strange compound using spies and satellites in hopes that the prey would
reveal himsel
正在加载中，请稍后...not allow view draftMetabolic Issues
Actively Ageing
Alison Ford - Tuesday, September 18, 2012
Metabolic Syndrome
Metabolic Syndrome (also called syndrome X or
insulin-resistance syndrome) is a collection of conditions, which often
occur together and can increase your risk of type 2 diabetes, stroke and
heart disease. More than 25 % of Australian adults have metabolic
syndrome and & 25% in people with diabetes.
Eating a healthy diet, exercising regularly, not smoking and
losing weight will reduce your risk of the diseases associated with
metabolic syndrome.
The causes of metabolic syndrome are complex and not well
understood, but there is thought to be a genetic link. It is obvious
that being overweight or obese and physically inactive adds to your
As we get older, we tend to become less active and may gain
excess weight and as we al know, this weight is generally stored around
our abdomen! This can lead our bodies becoming resistant to the hormone
insulin. This means that insulin in the body is less effective,
especially in the muscles and liver. This can be a precursor for
A group of conditions that occur together
Metabolic syndrome is not a disease in itself, but a collection of risk
factors that often occur together. When a person presents with three or
more of these conditions, they are Clinically diagnosed with Metabolic
Central (abdominal) obesity & excess fat in and around the stomach (abdomen)
Raised blood pressure (hypertension)
High blood triglycerides
Low levels of high density lipoproteins (HDL) & the &good& cholesterol
Impaired fasting glucose (IFG) or diabetes. IFG occurs when blood glucose levels are higher than normal, but not high enough to be diagnosed as type 2 diabetes.
As a general rule, if your waist measures 94 cm or more (men) or 80 cm or more (women), you probably need to lose some weight.
The ideal blood pressure range is less than 130/80 mmHg (or
lower, if other diseases are present), but everyone is different.
Consult your doctor to find the right target for you and make sure your
blood pressure is checked regularly.
What can I do about it?
Consider yourself fortunate to have the diagnosis, as it is
an early indicator of impending disease. You now have the chance to
reverse the effects by changing your lifestyle.
So you&ve been given a second chance! This is your
opportunity to take some time to rethink your lifestyle and plan to work
on achievable changes you think you can tackle.
You should analyze your daily aerobic type of exercise routine and increase the amount you are currently doing.
You should also consider adding in some resistance
exercise as that will build up your muscle. What that does is to help
with glucose uptake so you have less sugar in your bloodstream.
You really should try to minimize and then eventually quit smoking.
Reduce the amount of sodium (salt) in your diet. If you
are adding heaps of salt to your meals, ask yourself if you really need
to. After a short while, your taste buds will adjust to less salty food.
Reduce the amount of stress in your life. Try taking up
some form of contemplative or creative activity. Your blood pressure
will benefit and lowering this might take you out of the risk category
for Stroke or Heart Disease.
Limit your alcohol intake. Most people are not excited
about giving up their favourite tipple but there is great benefit to be
gained by reducing your intake incrementally over time.
Achieving a healthy body weight will help. The golden
rule for losing weight is to work on it in a manageable and sustainable
way. Yo-yo dieting never works!
What should I eat?
Lifestyle changes have been shown to be effective for people
who are have Metabolic Syndrome. Studies also show that by losing 5-10%
of body weight and increasing physical activity, the risk of developing
type 2 diabetes can be significantly reduced.
The type of carbohydrate food eaten influences your body&s
insulin requirements. Foods which have a low Glycaemic index (GI) are
favourable over those with a high GI.
If you have to lose a substantial amount of weight, then you should visit your Dietitian for their professional help.
I am in favour of following the hunter-gatherer diet and
lifestyle for which we remain genetically adapted. Although it is
neither practical nor even possible to replicate all prehistoric living
conditions today, these general characteristics should serve as a
template to design and test effective interventions to reduce the
incidence of degenerative cardiovascular diseases.
Consume a diet high in fruits, vegetables, nuts, and
berries and low in refined grains and sugars. Nutrient-dense,
low-glycaemic-load fruits and vegetables such as berries, plums, citrus,
apples, cantaloupe, spinach, tomatoes, broccoli, cauliflower, and
avocados are best.
Increase consumption of omega-3 fatty acids from fish, fish oil, and plant sources.
Avoid trans-fats entirely, and limit intake of saturated
fats. This means eliminating fried foods, hard margarine, commercially
baked goods, and most packaged and processed snack foods. Substitute
monounsaturated and polyunsaturated fats for saturated fats.
&Increase your consumption of lean protein, such as skinless poultry, fish, game meats and lean cuts of red meat.
Avoid high-fat dairy
Avoid salty processed meats such as bacon, sausage, and deli meats.
Incorporate olive oil and/or cold pressed oils into your diet.
Drink plenty of filtered water. Research has found that generous
water intake, 2 litres daily, is associated with a lower risk of
coronary heart disease. This may be simply a function of the fact that
water, when consumed frequently, displaces calorie-dense beverages such
as sugared drinks from the diet. Or it may be that water provides
adequate hydration and reduces blood viscosity better than other
commonly ingested drinks. In any event, water is the beverage we are
adapted to drink, and evidence suggests that it should remain the
principal fluid we drink. Obviously, a vegetarian diet can be a very
health diet as well and really it is a matter of &horses for courses&
when talking about diet preferences.
What Exercises should I do?
You should talk to you Physiotherapist about what is good
for you and you will be given a program to work with. Also, check out
your Actively Ageing Kit for all the exercises you need to do.
Increase the amount of daily activity you are currently doing.
Add in some aerobic exercise.
Add in some resistance training.
Add in some stretching.
My suggestion is to record the work you are putting in to
this better health outcome. On days that manage to make changes of any
sort, then record them on a wall calendar and refer to that to spur you
You should also measure your waist or weigh yourself after
about a month. These physiological outcomes may or may not improve
significantly early on but don&t be disheartened. By recording the
positive effort you are putting in to achieving these goals, you are
going to be encouraged to stay on track. As time goes by, your clinical
indicators will also change and your health outcomes will have improved.
By then, you will be feeling more energized and positive about your
future so you will not have any problems sticking to it.
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