#Sleep Duration and Quality: Impact on Lifestyle Behaviors and Cardiometabolic #Health: A Scientific Statement From the American Heart Association

http://circ.ahajournals.org/content/early/2016/09/19/CIR.0000000000000444

Here, we review the evidence relating sleep duration and sleep disorders to cardiometabolic risk and call for health organizations to include evidence-based sleep recommendations in their guidelines for optimal health.

Working hours and #sleep duration in midlife as determinants of #health-related quality of life among older businessmen

http://m.ageing.oxfordjournals.org/content/early/2016/10/04/ageing.afw178.abstract

Conclusion businessmen who had long working hours coupled with short sleep duration in midlife had poorer physical health in old age.

Changes in #Sleep Duration, Quality, and Medication Use Are Prospectively Associated With #Health and Well-being: Analysis of the UK Household Longitudinal Study
https://academic.oup.com/sleep/article/2845958/Changes

.. Poorer outcomes were on the other hand associated with a reduction in sleep duration, a decrease in sleep quality, and an increase in sleep medication use. Changes in sleep quality yielded the largest effects on the health and well-being outcomes.
Conclusions:
Changes in sleep were temporally associated with subsequent health and well-being. Initiatives that aim to protect a critical amount of sleep, promote sleep quality, and reduce sleep medication use may have public health values.

Vital Signs: #Health Care–Associated #Legionnaires’ Disease Surveillance Data from 20 States and a Large Metropolitan Area — United States, 2015
https://www.cdc.gov/mmwr/volumes/66/wr/mm6622e1.htm

Background: Legionnaires’ disease, a severe pneumonia, is typically acquired through inhalation of aerosolized water containing Legionella bacteria. Legionella can grow in the complex water systems of buildings, including health care facilities. Effective water management programs could prevent the growth of Legionella in building water systems. Among the 21 jurisdictions, 16 (76%) reported 1–21 definite health care–associated cases per jurisdiction. Among definite health care–associated cases, the majority (75, 88%) occurred in persons aged ≥60 years, and exposures occurred at 72 facilities (15 hospitals and 57 long-term care facilities). The case fatality rate was 25% for definite and 10% for possible health care–associated Legionnaires’ disease.

Conclusions and Implications for Public Health Practice: Exposure to Legionella from health care facility water systems can result in Legionnaires’ disease. The high case fatality rate of health care–associated Legionnaires’ disease highlights the importance of case prevention and response activities, including implementation of effective water management programs and timely case identification.

#Health Effects of #Overweight and #Obesity in 195 Countries over 25 Years
http://www.nejm.org/doi/full/10.1056/NEJMoa1614362

BACKGROUND
Although the rising pandemic of obesity has received major attention in many countries, the effects of this attention on trends and the disease burden of obesity remain uncertain. In 2015, a total of 107.7 million children and 603.7 million adults were obese. Since 1980, the prevalence of obesity has doubled in more than 70 countries and has continuously increased in most other countries.

High BMI accounted for 4.0 million deaths globally, nearly 40% of which occurred in persons who were not obese. More than two thirds of deaths related to high BMI were due to cardiovascular disease. The disease burden related to high BMI has increased since 1990; however, the rate of this increase has been attenuated owing to decreases in underlying rates of death from cardiovascular disease.

CONCLUSIONS
The rapid increase in the prevalence and disease burden of elevated BMI highlights the need for continued focus on surveillance of BMI and identification, implementation, and evaluation of evidence-based interventions to address this problem