Venezuela postpones inauguration for cancer-stricken Chavez


CARACAS (Reuters) - Venezuela will postpone the inauguration of President Hugo Chavez for a new term due to health problems, the government said on Tuesday, another sign the socialist leader's cancer may be bringing an end to his 14 years in power.


The 58-year-old former soldier who has dominated the South American OPEC nation since 1999 has not been heard from since surgery on December 11 in Cuba - his fourth operation since he was diagnosed with an undisclosed type of cancer in June 2011.


The announcement outraged opposition leaders who insist that Chavez must be sworn in before the National Assembly on January 10 as laid out in the constitution, or temporarily step aside and leave an ally in power.


"The commander president wants us to inform that, based on his medical team's recommendations, the post-operative recovery should extend past January 10," said Vice President Nicolas Maduro, Chavez's chosen successor, in a letter read to the legislature.


"As a result, he will not be able to be present at the National Assembly on that date."


The letter said authorities would seek another date for the inauguration ceremony but did not say when it would take place or give a time frame for Chavez's return from Havana.


Rather than being sworn in by the legislature, he would take his oath at a later date before the Supreme Court, the letter said, as allowed by the constitution.


Government leaders insist Chavez is completely fulfilling his duties as head of state, even though official medical bulletins say he has a severe pulmonary infection and has had trouble breathing.


The government has called for a massive rally outside the presidential palace on Thursday, and allied presidents including Uruguay's Jose Mujica and Bolivia's Evo Morales have confirmed they will visit Venezuela this week despite Chavez's absence.


Argentine President Cristina Fernandez has announced plans to visit Chavez in Havana on Friday.


But the unprecedented silence by the president - famous for regularly speaking for hours in meandering broadcasts - has left many convinced he could be in his last days.


His resignation or death would upend politics in the oil-rich nation, where he enjoys a deity-like status among poor supporters thankful for his social largesse.


His critics call him a fledgling dictator who has squandered billions of dollars from crude sales while dashing the independence of state institutions.


CONSTITUTION DISPUTE


The constitution does not specify what happens if the president does not take office on January 10.


The Supreme Court, which has been expected to provide a constitutional interpretation of the issues of the inauguration date, called a press conference for Wednesday.


Opposition leaders argue that Congress chief and Chavez ally Diosdado Cabello should take over, as mandated by the constitution if the president's absence is formally declared.


Cabello has ruled that out, saying the president continues to be in charge.


If Chavez dies or steps aside, new elections would be called within 30 days. Before leaving for Havana in December, the president instructed his supporters to back Maduro in that vote if he were unable to continue.


During a rambunctious session of Congress, opposition deputies accused Socialist Party leaders of failing to follow Chavez's instructions - a scene that would have been unimaginable before Chavez's prolonged absence.


"President Chavez is the only one among you who has spoken clearly," said opposition leader Julio Borges.


He was drowned out by pro-Chavez deputies clapping and chanting the socialist leader's name and rebuffed by Cabello, who had long been considered a potential successor to Chavez until he was passed over for Maduro.


"It's not my fault you weren't chosen, don't take your frustration out on me," Borges quipped.


Another opposition deputy complained that during the debate a copy of the constitution was thrown across the chamber from the direction of the Socialist Party's deputies.


Chavez's supporters have held near-daily vigils for his recovery, while opposition activists accuse the president's allies of a Cuban-inspired manipulation of the situation.


Maduro has taken over the day-to-day running of the government and looks set to continue in the role past Thursday.


The mustachioed former bus driver lacks Chavez's charisma, but he has sought to imitate the president's style with vituperative attacks on the opposition and televised ribbon-cutting ceremonies.


With the micro-managing Chavez away, major policy decisions in Venezuela, such as a widely expected devaluation of the bolivar currency, appear to be on hold.


Venezuelan bond prices, which had soared in recent weeks on Chavez's health woes, dipped on Monday and Tuesday as investors' expectations of a quick government change apparently dimmed.


"The 'regime change' euphoria seems excessive taking into account the unclear legal transition and perhaps, more importantly, the risk that regime change does not allow for policy change," New York-based Jefferies' managing director Siobhan Morden said in a note on the bonds.


(Editing by Daniel Wallis and Eric Beech)



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Arianespace says 2012 sales leapt by 30%






PARIS: The European space launch company Arianespace said Tuesday that its 2012 sales rose 30 per cent and forecast that it would dominate Russian and US rivals this year with a market share of more than 60 per cent.

Arianespace sales soared to more than 1.3 billion euros, and the company said that it already covered 60 per cent of the global market last year, bringing its order book to 4.0 billion euros, or three years' worth of activity.

This year, the company plans 12 launches with three different vehicles, the giant Ariane 5 rocket, the smaller Vega, and the Russian rocket Soyuz, up from 10 in 2012, chief executive Jean-Yves Le Gall told a press conference.

He called 2012 a "remarkable" year, noting that the company had launched seven Ariane 5 rockets to mark its 10th consecutive year without a failure, and had put a total of 75 tonnes of satellites into orbit.

Arianespace could even surpass 12 launches this year if one of its rivals is unable to honour their contracts, Le Gall noted, joking: "When they sign contracts we are the one that launches the satellites."

Competitors include the private US firm SpaceX, which developed its own launch vehicle over a period of 10 years and successfully delivered a payload last year to the International Space Station with its reusable Dragon launch vehicle.

The Russian rocket Proton has had a spotty launch record meanwhile, but its successor Angara is set for its first launch this year.

Elsewhere, the US-Russian company Sea Launch is in financial trouble, while Chinese rockets are not yet serious rivals for Arianespace.

The European group still depends on subsidies from countries that have backed it from the beginning, but Le Gall estimated that it needed a little more than 100 million euros last year, down from 125 million a year before, and 250 million 10 years earlier.

Ariane 5 is to be replaced by an Ariane 6 rocket, pending confirmation of that project next year. Arianespace forecasts that it would then be profitable without public aid.

- AFp/jc



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J&K likely to have fifth Kashmiri CS

SRINAGAR: Chief minister Omar Abdullah is learnt to have given his nod to senior-most Kashmiri IAS officer Iqbal Khanday taking over as the new chief secretary of Jammu & Kashmir following the posting of Madhav Lal as secretary, Union government. If appointed, Khanday, a 1978 batch IAS officer, would become fifth Kashmiri chief secretary of the state.

Lal, who has been secretary at the Centre, is likely to join the government by the end of January. Although two other 1978 batch IAS officers, including Anil Goswami and Pankaj Jain, are also in line, the Omar government has tacitly agreed on having a Kashmiri Muslim Iqbal Khanday as the chief secretary. The reasoning is this might help the ruling party in the run-up to the assembly elections in 2014.

If selected, Khanday will follow in the footsteps Vijay Bakaya, Sheikh Ghulam Rasool, Nasrullah and Noor Mohammad. According to sources, the Centre, too, has approved the name of Khanday for the post. Apparently, the tardy bureaucracy has not gone down well with both the Centre and the state government and Khanday's elevation could speed things up for Omar as he braces for tough elections.

Goswami and Jain are in Central deputation. Although Goswami, who is special secretary, home, is from Jammu, the National Conference government considers Khanday more of a key appointment.

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Menu Calorie Counts: How Accurate Are They?













They are supposed to help America's obesity problem: calorie counts boldly displayed on restaurant menus across the country and important information, considering Americans now eat one-third of their meals outside the home.


Two states and nine counties require them today, and by the middle of next year, a federal law is expected to force chain restaurants, convenience stores and vending machines nationwide to post calorie counts.


But how accurate are those numbers that so affect your waistline?


A 2011 study by Tufts University sampling food from 42 restaurants says it depends.


Fast food restaurants were the most accurate because of the uniform recipes and portions, but there were wide variations found in sit-down restaurants.


"We found that 20 percent of the foods we tested had 100 calories or more over what was stated on the menu," Lorien Urban, a postdoctoral associate in the energy metabolism lab at Tufts University and first author of the study, told ABC News. "We would consider that to be a considerable amount."


Urban explained that consuming an extra 100 calories per day can lead to an extra 10 pounds in one year.


Most concerning was that a majority of the errors Urban and her colleagues found were made on the diet side of the menu.










"These were the foods that people who are trying to manage their weight would gravitate towards and they may be getting more calories than they expect," she said.


ABC News sent producers in three cities that already require posting menu calories to major chains to do a sampling under the direction of a nationally known lab and found that more than half of the low-cal meals tested had more calories than listed on the menu.


In total 24 food samples from four sit-down restaurants and one McDonald's were collected and the results were surprising.


McDonald's did the best. Its Big Mac Meal (posted: 930) and its Premium Chicken Sandwich (posted: 400) tested 30 calories below the menu posting.


But the sit-down restaurants had results sometimes wildly different than advertised.


In all, only one calorie count was accurate -- a Skinnylicious chicken salad sandwich from the Cheesecake Factory.


Eleven meals had more calories than on the menu and 10 had fewer calories. Some were over by only 40 calories; another was over by as much as 420 calories, again at the Cheesecake Factory: This time an order of the fish and chips dinner.


Urban said that fast food restaurants tended to be more accurate than sit-down because of the formulaic preparation that fast food restaurants use.


"Things are arriving already packaged into the restaurants and it's just a matter of warming it up and serving it to the consumer," she said. "A sit-down restaurant, things are being prepared on [the] spot [and] by chance some extra butter gets into the pan."


That can change the calorie amount.


All the restaurants and their trade association say that most calorie counts are as accurate as possible and tested extensively to make sure.


They conceded that there are variations, mostly due to portion size and individual restaurant preparation, and that the menus warn actual calories may vary.


What can you do? Take control of what is put on top of the entree by asking for everything fattening -- such as cheeses, sauces or dressings -- on the side.



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Report: Death rates from cancer still inching down


WASHINGTON (AP) — Death rates from cancer are continuing to inch down, researchers reported Monday.


Now the question is how to hold onto those gains, and do even better, even as the population gets older and fatter, both risks for developing cancer.


"There has been clear progress," said Dr. Otis Brawley of the American Cancer Society, which compiled the annual cancer report with government and cancer advocacy groups.


But bad diets, lack of physical activity and obesity together wield "incredible forces against this decline in mortality," Brawley said. He warned that over the next decade, that trio could surpass tobacco as the leading cause of cancer in the U.S.


Overall, deaths from cancer began slowly dropping in the 1990s, and Monday's report shows the trend holding. Among men, cancer death rates dropped by 1.8 percent a year between 2000 and 2009, and by 1.4 percent a year among women. The drops are thanks mostly to gains against some of the leading types — lung, colorectal, breast and prostate cancers — because of treatment advances and better screening.


The news isn't all good. Deaths still are rising for certain cancer types including liver, pancreatic and, among men, melanoma, the most serious kind of skin cancer.


Preventing cancer is better than treating it, but when it comes to new cases of cancer, the picture is more complicated.


Cancer incidence is dropping slightly among men, by just over half a percent a year, said the report published by the Journal of the National Cancer Institute. Prostate, lung and colorectal cancers all saw declines.


But for women, earlier drops have leveled off, the report found. That may be due in part to breast cancer. There were decreases in new breast cancer cases about a decade ago, as many women quit using hormone therapy after menopause. Since then, overall breast cancer incidence has plateaued, and rates have increased among black women.


Another problem area: Oral and anal cancers caused by HPV, the sexually transmitted human papillomavirus, are on the rise among both genders. HPV is better known for causing cervical cancer, and a protective vaccine is available. Government figures show just 32 percent of teen girls have received all three doses, fewer than in Canada, Britain and Australia. The vaccine was recommended for U.S. boys about a year ago.


Among children, overall cancer death rates are dropping by 1.8 percent a year, but incidence is continuing to increase by just over half a percent a year. Brawley said it's not clear why.


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Ex-governor in North Korea with Google chief; seeks American's release


SEOUL (Reuters) - Former New Mexico Governor Bill Richardson and Google Executive Chairman Eric Schmidt began a controversial private mission to North Korea on Monday that will include an effort to secure the release of an imprisoned American.


The trip comes after North Korea carried out a long-range rocket test last month and as, according to satellite imagery, the reclusive state continues work on its nuclear testing facilities, potentially paving the way for a third nuclear bomb test.


Footage from North Korean state television showed Richardson and Schmidt at the Pyongyang airport on Monday evening.


"We are going to ask about the American who's been detained. A humanitarian private visit." Richardson said.


Richardson's efforts to seek the release of Kenneth Bae, a Korean-American tour guide who was detained last year will mark the latest in a series of high-profile visits over the years to free Americans detained by Pyongyang.


The delegation comprised Schmidt, his daughter, Richardson and Google executive Jared Cohen, according to South Korean news media and it arrived in Pyongyang on a flight from the Chinese capital, Beijing.


The mission has been criticized by the United States due to the sensitivity of the timing. The United States does not have diplomatic relations with North Korea and the isolated and impoverished state remains technically at war with U.S. ally South Korea.


"We continue to think the trip is ill-advised," U.S. State Department spokeswoman Victoria Nuland said in Washington. Last week she said the main U.S. objection was that the trip came so soon after North Korea's much-criticized December 12 rocket launch.


South Korea is in the midst of a transition to a new president who will take office in February, while Japan, another major U.S. ally in the region, has a new prime minister.


A U.S. official said the trip's timing was particularly bad from the Obama administration's point of view because it comes as the U.N. Security Council ponders how to respond to the North Korean missile launch.


"We are in kind of a classical provocation period with North Korea. Usually, their missile launches are followed by nuclear tests," said the official, who spoke on condition of anonymity.


"During these periods, it's very important that the international community come together, certainly at the level of the U.N. Security Council, to demonstrate to North Korea that they pay a price for not living up to their obligations."


Richardson, a former ambassador to the United Nations, has made numerous trips to North Korea in the past that have included efforts to free detained Americans. The reasons for Schmidt's involvement in the trip are not clear, though Google characterized it as "personal" travel.


Schmidt did not respond to requests for comment.


Richardson told CBS television last Friday that he had been contacted by Bae's family and that he would raise the issue while in North Korea.


Pyongyang's most notable success was securing a visit from former President Bill Clinton in 2009 to win the release of two American journalists.


Last year, Jared and Schmidt met defectors from North Korea, a state that ranks bottom in an annual survey of Internet and press freedom by Reporters Without Borders.


Media reports and think tanks say that officials from the North Korean government went to Google's headquarters in 2011, something the U.S. technology giant declined to comment on.


(Additional reporting by Cho Meeyoung and WASHINGTON Bureau; Editing by Michael Perry, Ron Popeski and David Brunnstrom)



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Samsung tips record Q4 profit of US$8.3b






SEOUL: South Korea's Samsung Electronics said Tuesday it expected to post a record operating profit of 8.8 trillion won ($8.3 billion) in the fourth quarter of 2012.

The predicted operating profit for October-December represents an 89 per cent rise from a year earlier, and would beat the record of 8.1 trillion won set in the previous quarter.

Samsung, the world's largest technology firm by revenue, was giving earnings guidance before announcing official results later this month.

Fourth-quarter sales were estimated at 56 trillion won, up 18.4 per cent from a year earlier, according to the company, which did not provide figures for each of its business divisions.

Samsung, also the world's leading smartphone and memory chip maker, did not disclose its net profit estimate.

For Samsung, 2012 was a watershed year that saw it take a giant bite out of Apple Inc as it carved out a dominant position in the global mobile computing market.

Having ended Nokia's 14-year rule as the world's top cell phone manufacturer, Samsung saw its share of the lucrative smartphone market surge to 31.3 per cent in the third quarter of 2012, up from just 3.3 per cent in late 2009.

It extended its lead over main rival Apple as the top maker of smartphones worldwide, according to research firm IHS iSuppli, which gave Samsung 28 per cent of the market in 2012, up from 20 per cent the previous year.

Apple's share rose to 20 per cent in 2012 from 19 per cent, IHS said.

While Apple continues to rely mainly on its iPhone series, Samsung produces dozens of smartphone models every year that address all segments of the market, from the high-end to the low-end.

- AFP/ac



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Activists seek action against Asaram Bapu for his comments on Delhi gang-rape incident

NEW DELHI: Asaram Bapu ran into a hail of protests from his comments on anti-rape laws with activists demanding that religious and political leaders be held accountable for their statements.

Coming amid a statement of what they called "sexist" and "misogynic" remarks from the political class, Asaram's statement infuriated the activists for whom he had so far been a distant figure. The so-called guru, hardly a stranger to controversies, had said that the victim of the Delhi gang-rape could have saved herself by addressing her violators as bhaiyya and beseeching for mercy.

He aggravated the provocation on Monday by claiming that an "anti-men" campaign had taken hold following the Delhi gang-rape incident, and that a new anti-rape law enacted in such a climate will be prone to be similarly misused as anti-dowry laws and SC and ST Act.

AIDWA's Sudha Sundaraman condemned the godman's statement terming it as injustice of the worst kind and advocating strong punishment against leaders making irresponsible statements. " The statements made are highly objectionable, regressive and anti-women. Such people should be called to question. This is further victimization of the victim and deeply insulting to women."

The strong sentiment was echoed by the Centre for Social Research's Ranjana Kumari who said that such "irresponsible and ridiculous statements were responsible for encouraging rapists." "Such people should be socially boycotted. It is these people who are responsible in society for creating misogynist values," she said.

Activist lawyer Vrinda Grover was also ourtaged, contending that Asaram Bapu was far removed from the reality, and represented those who were scared of women empowerment. "What he is saying is that women must beg for her life and not fight back. Reports said that the victim expressed a will to live. That is a huge paradigm shift from those victims of sexual assault who would like to kill themselves out of shame. People like him are scared that women are now asserting themselves," she said.

Social scientist Imitaz Ahmad also reacted angrily to the Asaram's utterances. "The Delhi rape case has become an occasion for whosoever to say whatever they feel like. A rapist is not going to go into the niceties of the act. Nor by calling him brother will stop him in the act. Somewhere deep down there's a moral, ethical and social decay in our society. We need to re-think our moral structures and values if we want to get over this".

Reacting in a similar vein, Ayesha Kidwai, an academic, said : "The statement is appalling. The thing we have to understand about competitive sexism as evident from such statements of religious leaders is that they are uncomfortable with the questions women have raised recently. What he has said goes beyond sexual assault; it is a tawdry attempt at putting the blame back on the victim.

Lawyer Kirti Singh said, " It is obvious the way they treated the victim that the rapists did not have any human consideration. It was a sexual assault of the worst kind with brutal beatings. You do get these kind of statements on a victim's conduct or clothing. But this one is really far-fetched."

Parties close ranks to condemn Asaram Bapu

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Colo. Suspect Bought Ticket 12 Days Before Shooting













Accused Aurora movie theater gunman James Holmes bought his movie ticket 12 days before the shooting, it was revealed in court today during the emotional first day of a preliminary hearing.


Aurora Police Department homicide detective Matthew Ingui testified that there is no video surveillance of the actual shooting, but there are several photos of Holmes checking into the theater kiosk with his cellphone. He scanned his phone three times.


Surveillance footage shown in court for the first time also showed Holmes lingering by the concession stand for about three minutes before entering theater nine dressed in dark pants, a light colored shirt and a skull cap. He would later be caught wearing a bullet proof vest and a gas mask.


Another video showed the lobby the moment theater staff heard shots ring out. Some of them ducked behind counters as people started streaming out of the front door.


Ingui also testified about the positions of the bodies in the theater, strewn across seats and aisles.


Click here for full coverage of the Aurora movie theater shooting.


Holmes is accused of killing 12 people and wounding dozens more in the movie theater massacre.


Earlier in the day, two veteran police officers broke down on the stand, with one officer choking up when he described finding the body of a 6-year-old girl inside the theater.


Sgt. Gerald Jonsgaard needed a moment to compose himself as he described finding the little girl, Veronica Moser Sullivan, in the blood splattered theater.








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Aurora, Colorado Gunman: Neuroscience PhD Student Watch Video





An officer felt for a pulse and thought Veronica was still alive, Jonsgaard said, but the officer then realized he was feeling his own pulse.


The officers wiped away tears as they described the horror they found inside of theater nine.


Officer Justin Grizzle recounted seeing bodies lying motionless on the floor, surrounded by so much blood he nearly slipped and fell.


Grizzle, a former paramedic, says ambulances had not yet made it to the theater, so he began loading victims into his patrol car and driving to the hospital.


"I knew I needed to get them to the hospital now, " Grizzle said, tearing up. "I didn't want anyone else to die."


Grizzle drove six victims in four trips, saying that by the end there was so much blood in his patrol car he could hear it "sloshing around."


An officer who took the stand earlier today described Holmes as "relaxed" and "detached" when police confronted him just moments after the shooting stopped.


The first two officers to testify today described responding to the theater and spotting Holmes standing by his car at the rear of the theater on July 20, 2012. He allegedly opened fire in the crowded theater during the midnight showing of "The Dark Knight Rises."


Officer Jason Oviatt said he first thought Holmes was a cop because he was wearing a gas mask and helmet, but as he got closer realized he was not an officer and held Holmes at gunpoint.


Throughout the search and arrest, Holmes was extremely compliant, the officer said.


"He was very, very relaxed," Oviatt said. "These were not normal reactions to anything. He seemed very detached from it all."


Oviatt said Holmes had extremely dilated pupils and smelled badly when he was arrested.


Officer Aaron Blue testified that Holmes volunteered that he had four guns and that there were "improvised explosive devices" in his apartment and that they would go off if the police triggered them.


Holmes was dressed for the court hearing in a red jumpsuit and has brown hair and a full beard. He did not show any reaction when the officers pointed him out in the courtroom.


This is the most important court hearing in the case so far, essentially a mini-trial as prosecutors present witness testimony and evidence -- some never before heard -- to outline their case against the former neuroscience student.


The hearing at the Arapahoe County District Court could last all week. At the end, Judge William Sylvester will decide whether the case will go to trial.






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Your medical chart could include exercise minutes


CHICAGO (AP) — Roll up a sleeve for the blood pressure cuff. Stick out a wrist for the pulse-taking. Lift your tongue for the thermometer. Report how many minutes you are active or getting exercise.


Wait, what?


If the last item isn't part of the usual drill at your doctor's office, a movement is afoot to change that. One recent national survey indicated only a third of Americans said their doctors asked about or prescribed physical activity.


Kaiser Permanente, one of the nation's largest nonprofit health insurance plans, made a big push a few years ago to get its southern California doctors to ask patients about exercise. Since then, Kaiser has expanded the program across California and to several other states. Now almost 9 million patients are asked at every visit, and some other medical systems are doing it, too.


Here's how it works: During any routine check of vital signs, a nurse or medical assistant asks how many days a week the patient exercises and for how long. The number of minutes per week is posted along with other vitals at the top the medical chart. So it's among the first things the doctor sees.


"All we ask our physicians to do is to make a comment on it, like, 'Hey, good job,' or 'I noticed today that your blood pressure is too high and you're not doing any exercise. There's a connection there. We really need to start you walking 30 minutes a day,'" said Dr. Robert Sallis, a Kaiser family doctor. He hatched the vital sign idea as part of a larger initiative by doctors groups.


He said Kaiser doctors generally prescribe exercise first, instead of medication, and for many patients who follow through that's often all it takes.


It's a challenge to make progress. A study looking at the first year of Kaiser's effort showed more than a third of patients said they never exercise.


Sallis said some patients may not be aware that research shows physical inactivity is riskier than high blood pressure, obesity and other health risks people know they should avoid. As recently as November a government-led study concluded that people who routinely exercise live longer than others, even if they're overweight.


Zendi Solano, who works for Kaiser as a research assistant in Pasadena, Calif., says she always knew exercise was a good thing. But until about a year ago, when her Kaiser doctor started routinely measuring it, she "really didn't take it seriously."


She was obese, and in a family of diabetics, had elevated blood sugar. She sometimes did push-ups and other strength training but not anything very sustained or strenuous.


Solano, 34, decided to take up running and after a couple of months she was doing three miles. Then she began training for a half marathon — and ran that 13-mile race in May in less than three hours. She formed a running club with co-workers and now runs several miles a week. She also started eating smaller portions and buying more fruits and vegetables.


She is still overweight but has lost 30 pounds and her blood sugar is normal.


Her doctor praised the improvement at her last physical in June and Solano says the routine exercise checks are "a great reminder."


Kaiser began the program about three years ago after 2008 government guidelines recommended at least 2 1/2 hours of moderately vigorous exercise each week. That includes brisk walking, cycling, lawn-mowing — anything that gets you breathing a little harder than normal for at least 10 minutes at a time.


A recently published study of nearly 2 million people in Kaiser's southern California network found that less than a third met physical activity guidelines during the program's first year ending in March 2011. That's worse than results from national studies. But promoters of the vital signs effort think Kaiser's numbers are more realistic because people are more likely to tell their own doctors the truth.


Dr. Elizabeth Joy of Salt Lake City has created a nearly identical program and she expects 300 physicians in her Intermountain Healthcare network to be involved early this year.


"There are some real opportunities there to kind of shift patients' expectations about the value of physical activity on health," Joy said.


NorthShore University HealthSystem in Chicago's northern suburbs plans to start an exercise vital sign program this month, eventually involving about 200 primary care doctors.


Dr. Carrie Jaworski, a NorthShore family and sports medicine specialist, already asks patients about exercise. She said some of her diabetic patients have been able to cut back on their medicines after getting active.


Dr. William Dietz, an obesity expert who retired last year from the Centers for Disease Control and Prevention, said measuring a patient's exercise regardless of method is essential, but that "naming it as a vital sign kind of elevates it."


Figuring out how to get people to be more active is the important next step, he said, and could have a big effect in reducing medical costs.


___


Online:


Exercise: http://1.usa.gov/b6AkMa


___


AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner


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