{"id":229,"date":"2007-05-20T17:55:56","date_gmt":"2007-05-20T16:55:56","guid":{"rendered":"http:\/\/resource.bmj.com\/bmj\/2007\/05\/20\/arch-intern-med-14-may-2007-vol-167\/"},"modified":"2007-05-20T17:55:56","modified_gmt":"2007-05-20T16:55:56","slug":"arch-intern-med-14-may-2007-vol-167","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bmj\/2007\/05\/20\/arch-intern-med-14-may-2007-vol-167\/","title":{"rendered":"Arch Intern Med  14 May 2007  Vol 167"},"content":{"rendered":"<p>I suppose that I receive about half a dozen autoanalyser reports of serum phosphorus levels from my patients every day, but I can\u2019t remember ever having made a clinical decision based on them. I don\u2019t think <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/abstract\/167\/9\/879\">this paper from Framingham<\/a> will change that:<!--more--> it shows that higher serum phosphorus is associated with higher risk for vascular and renal disease in the community, but the hazard ratio in the highest quartile is 1.55.<\/p>\n<p>In Shanghai, only 5% of women between the ages of 40 and 70 are obese by BMI criteria (&gt;30). But <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/abstract\/167\/9\/886\">this study of 73,000 non-smoking women <\/a>there found that abdominal adiposity (the waist-hip ratio) was more closely related to overall mortality, cardiovascular disease, and diabetes. Another reminder to forget the scales and get out the tape measure.<\/p>\n<p>Could <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/abstract\/167\/9\/893\">calcium and vitamin D supplementation help to prevent obesity<\/a> in postmenopausal women? Only if you count 0.13 kg as a significant weight difference.<\/p>\n<p>More evidence that patients with acute myocardial infarction do better in hospitals with a capacity for immediate percutaneous coronary intervention. In <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/abstract\/167\/9\/913\">this French study<\/a>, these hospitals also tended to send MI patients home on the right drugs, and the overall mortality difference at one year was about 25%.<\/p>\n<p>Believe it or not, \u201c<a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/abstract\/167\/9\/921\">the natural history of type 2 diabetes in the elderly <\/a>has not been previously described in a national longitudinal sample<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I suppose that I receive about half a dozen autoanalyser reports of serum phosphorus levels from my patients every day, but I can\u2019t remember ever having made a clinical decision based on them. I don\u2019t think this paper from Framingham will change that: [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/bmj\/2007\/05\/20\/arch-intern-med-14-may-2007-vol-167\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":38363,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[111],"tags":[],"class_list":["post-229","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-richard-lehmans-weekly-review-of-medical-journals"],"jetpack_featured_media_url":"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2017\/02\/richard-lehman.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/229","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=229"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/229\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/38363"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=229"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=229"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=229"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}