instruction:
Given a paragraph, generate a claim that is supported by the given paragraph. 1) The claim must contain information from within the paragraph. 2) A sentence within the paragraph can be used as a claim. 3) The claim should not have contradictions within the paragraph. 4) The claim should be at most one sentence long.
question:
The study evaluated the combined effect of six lifestyle habits on prostate cancer mortality. Those six factors were, as described in the journal article: “not currently smoking or quit 10 or more years ago, body mass index under 30 kg/m2, high vigorous physical activity, high intake of tomatoes and fatty fish, and low intake of processed meat.” It’s tough to put a price tag on those lifestyle choices. How much does “high vigorous physical activity” cost? How much does it cost to avoid eating processed meat? It would be easy to say this category doesn’t apply. But the release does address the issue, saying the study findings underscore “the ongoing need for more effective prevention measures and policies to increase exercise, improve diet quality and reduce tobacco use in our population….It takes co-operation and effort from multiple areas, like insurance companies, employers, policy makers and city planners, to figure out how to creatively support and encourage more exercise into most busy adults’ working day.” Recognizing the need for policies that support these lifestyle changes is important — and addresses the cost issue in a meaningful way. This is where things get a little tricky. The research described in this journal article looked at data from two different studies: the Health Professionals Follow-Up Study (HPFS) and the Physicians’ Health Study (PHS). The HPFS tracked 42,701 men from 1986-2010. The PHS tracked 20,324 men from 1982-2010. The release (and journal article) explain that the researchers used the HPFS data to develop a “healthy lifestyle score,” and then applied that score to the men in the PHS to see if it predicted whether someone would contract a lethal form of prostate cancer. The researchers identified the number of lethal cases of prostate cancer in each group to calculate benefits. The release states: “Participants with 5 to 6 points [the highest scores] in the HPFS had a 68 percent decreased risk of lethal prostate cancer[,] and a 38 percent decreased risk was observed in the [PHS] for the same comparison.” Several points to make here. First, the ‘healthy’ group appeared to have been compared to the ‘least healthy’ group (score 0-1) and not all the other groups combined. This was noted in the published results but not mentioned in the release. That’s important. Second, the release does not note (but the journal article does) that the 38 percent decreased risk seen in the PHS was not found to be statistically significant. That’s also an important distinction. Third, this is the relative reduced risk, and doesn’t tell readers what the actual, absolute reduction of risk is. The release doesn’t address harms. But the lifestyle choices at issue here are (for the most part) so broadly defined that it would be difficult to say what the harms would be. What harms are associated with eating tomatoes, avoiding processed meats, or not smoking? We’ll rate this one not applicable. The release does a good job of explaining what is a somewhat complicated study design. The study is basically an analysis of data drawn from two large, previous studies — and the release describes the overall sample size, age range, and length of those two studies. But the language used to describe the results is inappropriate. Since this was an analysis of observational study data that’s unable to prove cause and effect, it’s misleading to use active verbs to describe the results. The release does this in several places: It’s more appropriate to state that these habits were “associated with” reduced risk — not that the habits “save lives” or “cut” risk. Another thing that’s not clearly explained to readers (as noted above) is what it means to develop a lifestyle scoring system based on one study’s data set, and then apply that scoring system to a second data set, when the results section is provided for both data sets. It’s confusing. We’d encourage public affairs specialists preparing news releases and reporters using them as their initial sources to focus more on the limitations of this type of research. Sometimes referred to as “data dredging,” it’s basically finding statistically significant results only by chance. In this case it’s a statistic of a statistic (up to 47% of cancer cases could be prevented with these lifestyle interventions). No disease mongering here. Funding sources were clearly identified, and there are no clear conflicts of interest. Things get tricky again here. As the release notes, most prostate cancers don’t metastasize and aren’t life threatening. But some do metastasize and can be fatal. Are there different types of prostate cancer, just like there are different types of flu? Are there genetic factors that affect risk? Readers would have benefited from that information. And we suppose that the release could have also mentioned other dietary or lifestyle factors that might help reduce risk that were not considered in the paper. However, the range of healthy behaviors discussed here is pretty broad, and it seems excessive to expect the release to address an entire laundry list of possibilities. We’ll give this a Satisfactory rating. The study was limited to a relatively high level income group and the interventions may not be attainable for all men, in all socioeconomic groups. Does partaking of vigorous physical exercise on a regular basis require access to a gym or just a high degree of motivation? Are tomatoes and fish attainable year round for all socioeconomic groups? The study addresses this to some extent when it says, “It takes co-operation and effort from multiple areas, like insurance companies, employers, policy makers and city planners, to figure out how to creatively support and encourage more exercise into most busy adults’ working day.” We’ll award a Satisfactory here. There are a lot — a lot — of papers out there on lifestyle choices and prostate cancer. In fact, the opening sentences in the abstract for the journal article says as much, while articulating what sets this research apart: “Several lifestyle factors have been associated with risk of lethal prostate cancer, but little is known about their combined effect. Our objective was to develop and apply a lifestyle score for prevention of lethal prostate cancer.” However, the release does not acknowledge all of the existing work on lifestyle and prostate cancer, and therefore fails to highlight how this paper fits into that broad body of work. Apart from the cause-and-effect statements addressed above, there is no unjustifiable language used here.
answer:
Working up a sweat may protect men from lethal prostate cancer


question:
Tuesday is the final day of Sexually Transmitted Disease Awareness Month, and the state CDC says it’s recommending prevention, screening and treatment. The agency says Maine has seen “dramatic increases” in gonorrhea and syphilis in the last five years. Gonorrhea cases increased nearly 200 percent, to 686, from 2014 to 2018. Syphilis cases have risen by almost 600 percent, to 104, in that same timeframe. Acting Maine CDC Director Nancy Beardsley says the health consequences of sexually transmitted infections are serious enough that residents “know the facts about STDs and get tested if they believe they are at risk.”
answer:
Maine stresses test as sexually transmitted infections surge.


question:
Diana Nyad cries as she speaks to reporters and fans after arriving back in Key West, Florida August 9, 2011. An asthma attack, a painful shoulder and battering wind and waves forced 61-year-old swimmer Diana Nyad to abandon early on Tuesday her bid to become the first person to swim from Cuba to Florida without a shark cage. REUTERS/Rob O'Neal/Florida Keys News Bureau/Handout The American, who tried and failed the 103-mile swim more than three decades ago when she was 28, gave up after enduring nearly 30 hours of a crossing expected to last 60, exhausted by her body’s limits and the force of the elements. “I thought this was my time. We set out, thinking the conditions were favorable. They were not. The winds were stronger and the waves were bigger than what I’d expected,” she told Reuters after her escort boat Bellisimo brought her to the Key West Yacht Club on Stock Island. Nyad, a veteran long-distance swimmer, had started out strongly, stroking rhythmically through calm seas after she dived off from the Marina Hemingway on the western outskirts of Cuba’s capital Havana at 7:45 p.m. EDT on Sunday. But, she said in an interview with CNN, she suffered an unexpected bout of asthma that left her gasping for oxygen. An “excruciating pain” also developed in her right shoulder and these physical handicaps combined with contrary winds and seas that pushed her floundering off course. “Last night at midnight, I was trembling, the 11 hours of asthma had taken so much from my body ... I just knew that it wasn’t mind over matter any more, I was absolutely spent,” Nyad, wearing a white bathrobe, told CNN at Stock Island. She said that toward the end she was “limping” and “slapping around” in the water and even resorted to breast stroke instead of her usual crawl. Her doctor joined her in the water at one point to try to give her relief with an inhaler. CNN, which had a producer on one of the boats accompanying Nyad, said she was vomiting when she was brought aboard an escort boat at 12:45 a.m. EDT (0445 GMT) on Tuesday. Nyad, who later recovered to breakfast on scrambled eggs on her way to Key West, was disappointed but had no regrets about her motives for attempting the swim. She turns 62 this month. She had said her main aim in attempting the Cuba to Florida swim again, without a shark cage, was to help people her age and older realize they can still achieve many things. “I was the best person I could be ... that’s the message. I dug down, I dug deep ... Whatever you’re doing, do your job well,” Nyad, who has the muscled body and the steely resolve of a marathon swimmer, told CNN. Raised in southern Florida, she first tried the crossing from Cuba in 1978, but failed in the face of winds and heavy waves. The same swim was completed successfully in May 1997 by Australian Susan Maroney, who was 22 at the time. But Maroney used a shark cage. Nyad’s flotilla of escort vessels included specially equipped kayaks transmitting an anti-shark shield in the form of an electronic signal that is annoying to the sleek ocean predators that stalk the waters of the Florida Straits. When she was years younger, Nyad put herself into the record books by swimming around Manhattan in 1975 in less than eight hours and by completing a 102.5 mile swim from Bimini in the Bahamas to Florida in 1979. Despite her having to abandon her bid, her fans tweeted their admiration on Tuesday. “That was Diana’s whole point. Rethink old. Sorry she (had) to abandon but my admiration doesn’t waiver. Go Diana,” said one. Asked whether she would attempt the swim again, Nyad told CNN: “You don’t beat Mother Nature ... I think I’m going to have to go to my grave without swimming from Cuba to Florida.”
answer:

Sea defeats body, not spirit, of swimmer, 61.