Patterns Of Cancer In The Young & BMI And Mortality

The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy

CF 298: Patterns Of Cancer In The Young & BMI And Mortality

Today we’re going to talk about Patterns Of Cancer In The Young & BMI And Mortality

But first, here‘s that sweet sweet bumper music

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.

We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers.

I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together.

Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at [e-mail]

If you haven’t yet I have a few things you should do.

• Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.
• Then go Like our Chiropractic Forward Facebook page,
• Join our private Chiropractic Forward Facebook group, and then
• Review our podcast on whatever platform you’re listening to
• Last thing real quick, we also have an evidence-based brochure and poster store at com

You have found yourself smack dab in the middle of Episode #298

Now if you missed last week’s episode, we talked about vertibrogenic pain and fish oil benefit claims. Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

Lots of things going on personally and professionally. I was having a conversation with a friend yesterday while we watching our Dallas Cowboys stinking it up against the Cardinals and we were talking about me being on semaglutide.

I told him it hasn’t worked all that well on my. I’ve only lost about 10 pounds in 6 months and the side effects really, in my opinion, aren’t worth it. GI issues and heartburn like I’ve never had before. I don’t think 10 pounds is a good enough pay off and I’m considering trying monjourno or dropping it all together until some new ones come ot the market.

He asked me if I have been exercising and working out and you know what? I hated to tell him that I haven’t. I’m not going to get up in the morning to do it and while I used to work out at lunch, now my lunches are full of voice over work. The more I talked about it with him, the more and more I settled into the idea that I just have zero work/life balance.

Don’t get me wrong; this is not a brand new revelation. I’ve known this for years and years. Sometimes though, you have a conversation that wakes you out of your lull and renews your interest in trying to get closer to that work-life balance thing that is a healthy balance.

I don’t know how to achieve that but, I have some ideas. I told you all in a recent podcast that we are considering ((and probably will) bring on a partner group and investment group. When that happens, the soul sucking part of practice gets better. In fact, it goes away. No more HR, billing, collecting, and misery. Only patient treatment. No more keeping track of stats on my own. No more business bank account balancing. None of that.

That would provide me with some work-life balance. Also, I work 5 days a week and have since the beginning 25 years ago. Now, on the way I would be paid, if I can see the same amount of people in 3 days, I can just work 3 days. That would DEFINITELY give me some work-life balance.

Plus, I think I’ll have an opportunity to hire an associate in December that will take a little heat off of me. That would absolutely give me a better balance.

Just thinking out loud here, folks. But my thinking out loud sometimes speaks to others. These are the things I’m dealing with at the moment and it’s a big, transformational moment in my life. If you’re the praying type, I would ask for your prayers that I make the right decision for me and my family. I would appreciate it.

Item #1

The first one today is called “Patterns in Cancer Incidence Among People Younger Than 50 Years in the US, 2010 to 2019” by Benjamin Koh; Darren Jun Hao Tan; Cheng Han Ng, MBBS; et al and published in Jama Network and on August 16, 2023. Dayum. That’s hot.

Why They Did It

To characterize the patterns in the incidence of early-onset cancers in the US from 2010 to 2019 and provide granular data on the cancers with the fastest-growing incidence rates.

How They Did It

This population-based cohort study analyzed data from 17 National Cancer Institute Surveillance, Epidemiology, and End Results registries from January 1, 2010, to December 31, 2019.

Age-standardized incidence rates per 100 000 people were extracted for early-onset cancers, with rates age adjusted to the US standard population.

A total of 562,145 patients with early-onset cancer between 2010 and 2019 were identified and included.

Data were analyzed from October 16, 2022, to May 23, 2023.

What They Found

• Among 562,145 patients aged 40-49 years; 351,120 with early-onset cancer, 4,565 were American Indian or Alaska Native, 54,876 were Asian or Pacific Islander, 61,048 were Black, 118,099 were Hispanic, 314,610 were White, and 8947 were of unknown race and/or ethnicity.

• From 2010 to 2019, the age-standardized incidence rate of early-onset cancers increased overall and in female but decreased in male individuals. In contrast, the age-standardized incidence rate of cancers in individuals aged 50 years and older decreased over the study period

• In 2019, the highest number of incident cases of early-onset cancer were in the breast. From 2010 to 2019, gastrointestinal cancers had the fastest-growing incidence rates among all early-onset cancer groups. Among gastrointestinal cancers, those with the fastest-growing incidence rates were in the appendix, intrahepatic bile duct, and pancreas

Wrap It Up

In this cohort study, the incidence rates of early-onset cancer increased from 2010 to 2019. Although breast cancer had the highest number of incident cases, gastrointestinal cancers had the fastest-growing incidence rates among all early-onset cancers. These data may be useful for the development of surveillance strategies and funding priorities.

Before getting to the next one,

Next thing, go to https://www.tecnobody.com/en/products That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office.

When you decide you can‘t live without those products, send me an email and I‘ll give you the hookup. They will 100% differentiate your clinic from your competitors.

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Item #2

Our last one this week is called, “Body mass index and all-cause mortality in a 21^st century U.S. population: A National Health Interview Survey analysis” by Aayush Visaria and published in Plos One on July 5, 2023. Hot potato!

Why They Did It

Much of the data on BMI-mortality associations stem from 20^th century U.S. cohorts. The purpose of this study was to determine the association between BMI and mortality in a contemporary, nationally representative, 21^st century, U.S. adult population.

How They Did It

This was a retrospective cohort study of U.S. adults from the 1999–2018 National Health Interview Study (NHIS), linked to the National Death Index (NDI) through December 31^st, 2019.

BMI was calculated using self-reported height & weight and categorized into 9 groups.

We estimated risk of all-cause mortality using multivariable Cox proportional hazards regression, adjusting for covariates, accounting for the survey design, and performing subgroup analyses to reduce analytic bias.

What They Found

• The study sample included 554,332 adults
• Over a median follow-up of 9 years (IQR 5–14) and maximum follow-up of 20 years, there were 75,807 deaths.
• The risk of all-cause mortality was similar across a wide range of BMI categories
• These results persisted after restriction to healthy never-smokers and exclusion of subjects who died within the first two years of follow-up.
• A 21–108% increased mortality risk was seen for BMI ≥30. Older adults showed no significant increase in mortality between BMI of 22.5 and 34.9, while in younger adults this lack of increase was limited to the BMI range of 22.5 to 27.4.

Wrap It Up

The risk of all-cause mortality was elevated by 21–108% among participants with BMI ≥30. BMI may not necessarily increase mortality independently of other risk factors in adults, especially older adults, with overweight BMI.

Further studies incorporating weight history, body composition, and morbidity outcomes are needed to fully characterize BMI-mortality associations.

Let’s get to the message. Same as it is every week.

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The Message

I want you to know with absolute certainty that when Chiropractic is at its best, you can‘t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots.

When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few.

It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient.

And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!

Key Point:

At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints….

That‘s Chiropractic!

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We can‘t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.

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About the Author & Host

Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger

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