Posts Tagged ‘bulimia’

The Mandometer…a cure for obesity, anorexia & bulimia?

January 6th, 2010

There’s a new weapon in the battle against obesity, anorexia and bulimia.

It’s called the Mandometer.

It was developed in 2003 by researchers at the Karolinska Institute to test their theory that restrictive eating behaviors cause psychological disorders (anorexia, bulimia, binge eating, etc).

The Mandometer: A device that teaches you how to eat

Here’s how it works:

Mandometer® consists of a scale that is connected to a computer.

You place your plate on the scale and put food on the plate. The computer registers the decrease in the weight of the plate over the course of the meal and in real time shows a curve for your eating speed in grams per minute. At regular intervals, a satiety scale is shown on the computer screen and you are asked to evaluate your satiety by pointing at the screen.

The computer saves the satiety evaluations and generates another curve that shows your feelings of satiety during the meal compared to that of a normally eating individual. When you practice eating, your disordered eating pattern and the normal eating pattern are shown on the screen simultaneously. You are asked to model both your eating rate and feelings of satiety to more closely conform to the normal patterns.

And for seven years, mandometer clinics in Sweden, Australia & the U.S. have been using this tool to help their anorexic & bulimic patients reclaim their healthy eating patterns.

So, what does this have to do with obesity?

Like anorexics & bulimics, I think we would all agree that there is a strong link between obesity and our disordered eating behaviors and sense of satiety.

And these bad habits are precisely what the Mandometer was designed to correct.

But, when it comes to treating obesity, everything we’re talking about here is theoretical. What about the research?

Glad you asked.

In this paper, published online in the BMJ, the Mandometer has been shown to be more successful in helping obese children and adolescents lose weight than traditional methods.

At the end of the 12 month study, the Mandometer group not only had a significantly lower average body mass index and body fat score than the standard care group, but their portion size was smaller and their speed of eating was reduced by 11% compared with a gain of 4% in the other group.

Obviously, more research needs to be done – different settings, different patients, different control methods…

However, the idea of using the Mandometer to help people retrain the eating behavior and re-set their satiety level seems pretty exciting to me.

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Scarlett Johansson, Body Image, Health, Fitness and the Gossip Rags

April 14th, 2009

skinny-scarlett-johansson

Here we go again.

  • Hollywood actress gains and/or loses weight.
  • Tabloids go crazy with stories of extreme diets, 5 hour personal training torture sessions, shrinking boobs, etc…
  • Hollywood actress gets angry and fights back.

jennifer love hewitt stop calling me fatLast year, it was actress Jennifer Love Hewitt kicking some tabloid butt in response to their over the top coverage of her weight gain and subsequent weight loss.

This year, it’s Scarlett Johansson opening up a can of literary whoop-ass on the tabloids.

In an article written for the Huffington Post, Scarlett defends her recent transformation as a result of her dedication to “getting into ’superhero shape’ for her upcoming role in the sequel to Iron Man.

She also went on to say that “once filming is completed, I’ll no longer need to rehash the 50 ways to lift a dumbbell, but I’ll commit to working out at least 30 minutes a day and eating a balanced diet of fruit, vegetables and lean proteins”.

“Pull ups, crunches, lunges, squats, jumping jacks, planks, walking, jogging and push ups are all exercises that can be performed without fancy trainers or gym memberships”.

“I’ve realized through this process that no matter how busy my life may be, I feel better when I take a little time to focus on staying active. We can all pledge to have healthy bodies no matter how diverse our lifestyles may be”.

Alright! Way to go Scarlett. Health & fitness Woo Hoo!!!

Since dedicating myself to getting into “superhero shape,” several articles regarding my weight have been brought to my attention. Claims have been made that I’ve been on a strict workout routine regulated by co-stars, whipped into shape by trainers I’ve never met, eating sprouted grains I can’t pronounce and ultimately losing 14 pounds off my 5′3″ frame.

Losing 14 pounds out of necessity in order to live a healthier life is a huge victory.

I’m a petite person to begin with, so the idea of my losing this amount of weight is utter lunacy.

If I were to lose 14 pounds, I’d have to part with both arms. And a foot.

I’m frustrated with the irresponsibility of tabloid media who sell the public ideas about what we should look like and how we should get there.

Ooh, that had to hurt. Gotta give that round to Scarlett.

Every time I pass a newsstand, the bold yellow font of tabloid and lifestyle magazines scream out at me: “Look Who’s Lost It!” “They Were Fabby and Now They’re Flabby!” “They Were Flabby and Now They’re Flat!” We’re all aware of the sagas these glossies create: “Look Who’s Still A Sea Cow After Giving Birth to Twins!” Or the equally perverse: “Slammin’ Post Baby Beach Bodies Just Four Days After Crowning!”

Another round to Ms. Johansson.

And feeling that she is in control of this fight, Scarlett proceeds to smack around her opponent with a discussion of the media and eating disorders, healthy body image, our culture of celebrity worship and her assertion that celebrities are just like us.

She ends her essay by saying that “I’m not normally the type to dignify toilet paper rags with a response, but in this case I feel it’s my responsibility to comment. In a way, I’m glad some dummy journalist (and I use the term “journalist” loosely) is banking on my “deflating” so that I can address the issue straight from my healthy heart.

After reading that paragraph, I wondered which dummy journalist she was referring to. After a little googling, I found this post at Gawker.com:

Scarlett Johansson Deflates

Scarlett Johansson complained about the “rigid diet” she’s on when she showed up “very slim” to a London film party Tuesday, says Page Six’s source. The starlet does seem streamlined.

Perhaps the actress is prepping for a film role. Maybe she’s tired of people talking about “The Johanssons.”

scarlett-johansson-breasts

But the sudden weight loss does make one wonder whether Johansson has changed her opinion about America being “obsessed with dieting rather than focusing on eating well, exercising and living a healthy life.”

Particularly if one is insane with jealousy at Johansson’s frankly elegant new look.

scarlett_johansson-moet

So, now we know why Scarlett wrote what she wrote.

How did Gawker respond to Scarletts verbal tongue lashing?

Like this…

Oh, Scarlett, We Were Talking About Your Tits

We support your non-crash-dieting advocacy and condemnation of gross fattie-fat-fat stories.

But we were just talking about your cans, love. Your precious, precious, career-making cans.

Classy

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How to Beat Emotional Eating

May 13th, 2008

Are you an Emotional Eater?

Do your feelings drive your appetite and your eating behavior?

Do you eat when you are not hungry?

Do you continue to eat when you are full?…stuffed?…about to explode?

Do you ever find yourself on the couch with your hand at the bottom of a LARGE bag of chips?

Do you eat like this while you are alone?

When you are bored?

When you are stressed?

To take your mind off of your problems?

Do you feel guilty about this behavior?

YES

Then you are an Emotional Eater.

You’re not alone.

Janet Jackson and Britney Spears are celebrity examples of Emotional Eaters

So What Do I Do?

If you think that your manner of eating may constitute a threat to your health, please contact your doctor.

And here is some solid reference info:

What Do I Do Right Now?!

One tool you should look into right away is Mindful Eating.

Here are some links to mindful eating sites. TCME CAMP System Dr.Susan Albers Amazon book list

In the past few years, the practice of mindful eating has grown out of the more generalized psychiatric practice of Mindfulness Meditation, made popular by Jon Kabat-Zinn.

It finds it’s origin in Buddhist teachings. The Buddhist practice of Mindfulness can be defined as “awareness of one’s thoughts, actions or motivations”.

A similar practice is currently being espoused by Oprah’s protege, Mr. Eckhart Tolle.

TLC’s – I Can Make You Thin with Paul McKenna employed mindful eating in it’s weight loss plan.

In the 1920’s, Horace Fletcher was the diet guru of the day with his theory of Fletcherizing.

Mindful Eating – The Basics

Eat consciously. By this I mean:

  • Take a bite of food
  • Put down your implements/sandwich/glass/etc…
  • Chew your food
  • Taste your food
  • Enjoy your food
  • Repeat until you ‘think’ you are starting to feel full
  • Stop Eating
  • Eat again when you are hungry – not bored or nervous – listen for a ‘grumbly tummy’

That’s It.

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Genetics & Obesity

April 14th, 2008

The American Society for Addiction Medicine held their annual conference in Toronto this past weekend. One of the attendees, Dr. Carolyn Ross spoke about the link between human genetics and obesity. In an interview with a local radio station, 680 News, Dr. Ross said that “70 per cent of obesity is genetic”.

Dr. Ross hopes that this linkage between obesity and genetics will ‘take away some of the stigma and shame associated with obesity’.

A related newspaper article appeared in this past Sunday’s Toronto Star. In this article, the link between anorexia nervosa and human genetics was discussed. In this article, the point was made that over the past 30 years, the rate of anorexia has remained unchanged while the rate of bulimia has risen sharply. The point being made here is that while bulimia may indeed be driven by a societal demand for thinness, anorexia may be driven by a genetic flaw.

While research into a genetic cause of anorexia (or bulimia, binge eating, etc) is only in it’s infancy, “results of the first genetic studies, released in the past five years, reveal that genetic vulnerability for anorexia nervosa lies on chromosome 1 of the 24 chromosomes that make up the human genome”.

So what do we take from this?

If Dr. Ross is correct and genetics has a huge impact on obesity, do we ignore the smaller role of our own behaviour? If you knew that you had inherited a genetic propensity towards obesity, do you give up trying to eat a healthy diet and engage in physical exercise? Do you wait for science to come up with a genetic cure?

While I agree with Dr. Ross that the social stigma attached to obesity is cruel and thoughtless ( if there is a genetic component to both obesity & cancer, why is it acceptable to mock the obese but not a cancer patient?), obese individuals still have to accept responsibility for their own health.

For every person who was born with a congenital leptin deficiency, there are thousands upon thousands of obese individuals who have a simple genetic predisposition towards obesity. A PREDISPOSITION.

Genetics is not Destiny.

Learn how to keep your body healthy, learn how to train your body to overcome cravings, eat well, exercise, and make the most with the genetic hand that you were dealt.

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Dieting – what a tangled web

April 4th, 2008

As of April 3, 2008; a Google search of the word “diet” would return you over 179,000,000 hits.

There are thousands upon thousands of individuals & corporations who will sell you the perfect solution to your weight loss dreams. Take this pill. Use this cream. Wear this belt. Do this workout. Try this diet.

Marketdata Enterprises, Inc., a U.S. market research company estimates that the weight loss industry had sales of $58 billion in 2007. They are projecting that by 2010, the industry will be worth $68.7 billion. This projection would have been even greater if it wasn’t for the scare of a possible recession.

So where do you start?

Let’s begin by dividing all of the different weight loss methods into 2 main camps.

Eat Less and Burn More

Eat Less

Simple. Eat less food and you WILL lose weight. That will be $58 billion, please.

Not so simple. Every seasoned dieter knows that our bodies are stubborn about holding onto our fat and that unless we are willing to survive on nothing but air and sunshine, (see breatharianism) we had better become smarter about burning body-fat.

To that end, smart people throughout history have com up with smart ways to help the rest of us eat less food. Here are some of their methods.

Structured Diets

Instead of just eating less of the foods you usually eat, there have always been diet gurus willing to sell you their one of a kind, guaranteed to work, fat burning diet. Some work, some don’t. Some work for a while, but then stop working. Wikipedia lists 79 different types of diets. In future posts, I will analyze some of the diets on the market today.

I will also look at extreme diets like the VLCD diets used in hospital settings, fasting or detox diets like the “Master Cleanse” and anorexia.

Behaviour Modification Techniques

From 1895 to 1919, a man named Horace Fletcher popularized a method of eating that promised weight loss, greater health and an abundance of energy. His practice was called Fletcherizing. Practitioners of his method were called Fletcherizers. The secret of his method – chew each bite of food until it liquifies in your mouth. In 2008, a modified version of this technique is part of Paul McKenna’s “I Can Make You Thin” program.

Another behaviour modification technique comes from the field of psychology. Psychologists (see Judith Beck) are teaching cognitive behavioural therapy techniques to clients trying to lose weight.

Appetite Suppressants

Attempts to suppress appetite have been around almost forever. In the 1800s, tree sap & camphor tea were thought to suppress appetite. Ice water is purported to both suppress appetite and increase short term metabolism. Along the same lines, soup based diets (see Cabbage Soup diet) claim to suppress appetite.

Other methods of appetite suppressant include dietary fibre (see food & supplements), homeopathic & aromatherapy preparations, herbal appetite suppressants (see Hoodia Gordonii), and synthetics like fen-phen.

Diuretics & Laxatives

These two methods of weight loss have a long and undistinguished history. In the 1800s, dieters used Potassium acetate (diuretic) and chalk (laxative) for rapid yet temporary weight loss. Commonly used as a last ditch effort to lose weight FAST, laxatives and diuretics come in many forms.

While most natural diuretics, like asparagus and cranberries, have a relatively safe and gradual effect on body fluids, herbal products like ephedra, horsetail and dandelion root along with synthetic products such as lasix and aldactone have a much more powerful and potentially dangerous effect on fluid levels and your kidneys.

Like the diuretics, laxatives come in varying strengths and from both natural sources like coffee, senna leaf, and aloe vera as well as from synthetic sources like Tegaserod. Like diuretics, laxatives can have serious side effects when abused.

Fat Blockers & Carb Blockers

Fat and Carbohydrate blocking supplements are designed to stop either dietary fats or carbohydrates from being absorbed by your digestive system. The theory is that “blocked” fats and carbs pass straight through your digestive track without being used for energy or stored as body-fat.

Bulimia & Anorexia

Bulimia and Anorexia are the only methods of weight loss currently recognized in the AMA’s Diagnostic and Statistical Manual of Mental Disorders as eating disorders. Other forms of disordered eating, such as binge eating, while not recognized as mental illnesses by the psychiatric industry, are still very serious medical conditions. To engage is these behaviours is dangerous.

Bariatric Bypass Surgery

Bariatric or Gastric Bypass surgery is the catch-all phrase for the different types of surgical procedures designed to treat obesity by altering the G.I. tract and consequently reducing the amount of food eaten and/or absorbed by the patient. As of April 2008, there are at least 8 different types of Gastric Bypass surgeries.

Like all surgeries, Gastric Bypass surgery is not without risk. On top of the surgical risk, the success of this procedure is not guaranteed. Recent research has shown a genetic component to the success of Gastric Bypass surgeries

Scientific Research

As science learns more and more about our bodies, the search for effective weight loss moves farther away from diets, behaviour modification and diet pills and towards anti-obesity vaccines targeting various hormones (leptin, ghrelin, pyy, agrp, etc…) and genetic research.

While the search for a genetic answer to obesity is very exciting, it seems like for the present, genetic research into obesity is creating more questions than answers. I will be following this research closely and will be posting as new developments come to light.

As I mentioned at the start of this post, all of the different weight loss methods available today fall into two camps, Eat Less and Burn More.

This post served as a general introduction to the “Eat Less” methods of weight loss. My next post will address the “Burn More” methods.

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