A cautionary tale about pharmaceutical research, women in the safety profession and firefighters who face a danger from within were among the stories featured this week on ISHN.com.

With November being National Diabetes Awareness Month and Americans collectively spending nearly $200 billion per year on obesity-related health costs, the personal-finance website WalletHub released a report on 2019's Fattest States in America. To determine which states contribute the most to America’s overweight and obesity problem, WalletHub compared the 50 states and the District of Columbia across 29 key metrics.

According to the U.S. Centers for Disease Control and Prevention, prediabetes is a serious health condition in which blood sugar levels are higher than normal, but not high enough to meet the threshold for type 2 diabetes. The federal agency says that some 84 million Americans ages 18 or older — more than one out of three — have prediabetes but 90% don’t know it.

Soft drinks – whether diet versions or in their regular, sugar-laden form – are associated with a higher risk of dying from any cause, according to new research published in JAMA Internal Medicine. The study titled, Association Between Soft Drink Consumption and Mortality in 10 European Countries, is the largest of its kind to date. This study found even in people of a healthy weight, sugary and diet drinks increase risk of dying from circulatory and digestive disease.

Early-onset colorectal cancer –cancer occurring before age 50—is rising most rapidly in Western states, where healthy behaviors are prominent, according to a new study. The authors of the study, which appears in the Journal of the National Cancer Institute, say the findings indicate the need for further etiologic studies to explore early-life colorectal carcinogenesis.

Placing healthier options in more prominent positions on grocery store shelves and packaging food in smaller serving sizes are among the improvements in the U.S. food system that would make it easier for consumers to choose healthy foods – and to get heathier. That’s according to a science advisory from the American Heart Association (AHA), which says that change that needs to occur at multiple levels- the food industry, agricultural industry, public health and medicine, policy, and among communities, worksites, schools, and families.

A label showing added sugars content on all packaged foods and sugary drinks could have substantial health and cost-saving benefits in the United States over the next 20 years, according to a new study published in the American Heart Association’s journal Circulation. Using a validated model, researchers were able to estimate a significant reduction in cardiovascular disease and type 2 diabetes cases from 2018 to 2037, if such a mandated addition to the Nutrition Label was implemented.

The American Academy of Pediatrics (AAP) and the American Heart Association (AHA) have put together a list of public health measures they say will reduce kids’ consumption of sugary drinks – a habit strongly linked to obesity, diabetes, heart disease and tooth decay. The recommendations in a joint policy statement issued by the two organizations, “Public Policies to Reduce Sugary Drink Consumption in Children and Adolescents,” include excise taxes, limits on marketing to children, and financial incentives for purchasing healthier beverages.

Yo-yo dieting may make it harder for women to control a variety of heart disease risk factors, according to preliminary research presented at the American Heart Association’s (AHA) Epidemiology and Prevention | Lifestyle and Cardiometabolic Health Scientific Sessions 2019, a premier global exchange of the latest advances in population-based cardiovascular science for researchers and clinicians.

Could air pollution be making us fat? A new USC study suggests that exposure to traffic pollution during childhood makes adolescents 34 percent more likely to eat foods high in unhealthy trans fats — regardless of household income, parent education level or proximity to fast-food restaurants. The findings on air pollution and obesity in teens appear in The American Journal of Clinical Nutrition.