Posts Tagged ‘childhood obesity’

Doctors Ignore Obesity

September 30th, 2009

dr-julius-hibbert

So, how come “many overweight patients are not being advised to lose weight, diet, or exercise”.

In fact, when it comes to medical intervention in cases of obesity, the numbers are as follows:

  1. Having a doctor tell the patient about the health problems associated with being overweight (48.0%),
  2. Suggesting diet and exercise (46.5%),
  3. Referring the patient to a formal diet program (5.2%),
  4. Prescribing a weight loss medication (4.0%),
  5. Recommending a non-prescription weight loss product (1.8%),
  6. Recommending stomach bypass surgery (1.5%).

I don’t know about you, but considering that obesity is fast becoming the western world’s #1 health issue, I think that the global medical community should be taking obesity prevention/treatment much more seriously.

I don’t know if it’s a lack of knowledge or the threat of discrimination lawsuits or the frustration of being ignored by obese patients over and over and over, but if we want to reverse the tide of obesity related disease, real steps need to be taken.

The time for talk is over.

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In Defense of Farmers

September 28th, 2009
photographer: Alia Malley

photographer: Alia Malley

In my hometown of Toronto, Michael Pollan is a hipster gOD.

His mantra to Eat food. Not too much. Mostly plants. is spoken with reverence by those Torontonians with a social conscience and enough disposable income to live organic, green and sustainable.

And it isn’t only Toronto. From what I have heard, this new breed of Agri-Intellectuals can be found in every city in North America and beyond.

In fact, according to the most recent census data, Agri-Intellectuals are America’s fastest growing ethnic population.

And that’s great for Michael Pollan’s book sales.

But, not so great for conventional farmers.

And they’re starting to get a little pissed off.

omnivores delusion

This past July, farmer Blake Hurst penned this article.

In the article, Mr Hurst disputes a number of the anti-Big Ag arguments raised by Michael Pollan and other Agri-Intellectual deities.

He reminds us that “farming has always been messy and painful, and bloody and dirty. It still is. This is something the critics of industrial farming never seem to understand”.

He goes on to say that “farmers have reasons for their actions, and society should listen to them as we embark upon this reappraisal of our agricultural system.

“I use chemicals and diesel fuel to accomplish the tasks my grandfather used to do with sweat, and I use a computer instead of a lined notebook and a pencil, but I’m still farming the same land he did 80 years ago, and the fund of knowledge that our family has accumulated about our small part of Missouri is valuable”.

And everything I know and I have learned tells me this: we have to farm “industrially” to feed the world, and by using those “industrial” tools sensibly, we can accomplish that task and leave my grandchildren a prosperous and productive farm, while protecting the land, water, and air around us”.

Please note that this is only a small portion of the article. Please read the rest.

And when you do read the article, keep in mind that way back in 1995, farmer Hurst asked congress to end crop subsidies. At that time, Hurst was quoted as saying that “government farm programs have fleeced taxpayers and stifled farmers’ ingenuity and profits”.

This is not a man content to sit back and let the government nor the Agri-Intellectuals tell him how to do his job.

And he’s not alone.

Last Thursday, Michael Pollan was invited to speak about his book, In Defense of Food to an audience of 8000 at the U of Wisconsin.

Michael Pollan at the U of Wisconsin – Watch more Videos at Vodpod.

Luckily, it was all very…civilized.

Dammit.

(media hates civilized protests)

On Friday, the protest continued when the U of W held a panel discussion involving Pollan, a U of W student and two farmers.

I can’t find any video of the event, but according to this review of the panel discussion, the U of W student took the position of Big Ag and went right at Pollan.

She covered the typical Big Ag talking points:

  • America has the safest, most abundant food supply in the world.
  • Global food production needs to double by 2050 if we are going to feed everyone.
  • She said that 99% of Wisconsin’s farmers are family farmers.
  • And she called Pollan “polarizing”

Pollan responded by:

  • commending one of the farmers on his innovations and said that he would love to come and visit his farm.
  • saying that he doesn’t think the world should have only one type of farming. He used the phrase “Let a hundred flowers bloom,” meaning: the more diversity in farming, the better. Let’s try everything and only through that will we see what works best.
  • Pollan went on to say that critique is not necessarily a bad thing, and it’s not necessarily an attack. He said that he’s critiquing the system, not the farmers, and he made the analogy that in our national critique of the health care system, we aren’t criticizing the doctors.
  • He said that in fact, much of his critique is directed at the people who buy the food from the farmers and process it before selling it to the consumer.
  • He also said that the interests of agribusiness is often at odds with the interest of farmers. In fact, agribusiness exploits farmers and squeezes them off the land.

Conclusion

North American food production is becoming an even more important topic as we attempt to climb out of the global recession and hope to reverse current trends in obesity and healthcare.

Now if only the policymakers can act half as civilized as Michael Pollan & the folks from In Defense of Farmers.

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Uncle Sam Wants You to Lose 20 Pounds

September 23rd, 2009
family fun fitness

It's Family Fun Fitness Time!!!

Obesity costs America billions and billions of dollars each and every year.

budget-deficitAnd, in case you hadn’t heard it, America is having a little trouble balancing it’s books lately.

So, in an effort to trim the fat and earn some tax dollars, America is going to war against obesity.

And, damn it, this is a war that America is determined to win.

And here’s how they’re going to do it…..starting from the top and working our way down to your local city government.

jones-soda-orange-you-glad-for-change-obama-labelPresident Obama

The Federal Government

  • Obesity will likely be addressed in the new healthcare bill, but to what extent is anybody’s guess at this point.
  • In addition to the info, they also fund 25 states to help them combat obesity on a state level.

State Governments

At the state level, the story is very similar.

  • Lots of info on a gov’t anti-obesity website.
  • Grants given to fat fighting municipalities.
  • Sin taxes are also being discussed
  • But unlike the feds, state governments are enacting anti-obesity bylaws.

(see Soda Tax, Restaurant Menu Bylaw)

Municipal Governments

On a municipal level, we get programs like Activate Omaha’s Kids

activate omaha kids

Programs designed by kind and caring people.

Programs with lots of information about how to lose weight and lists of the resources available in the community to help you actually do it.

As well, to some degree, you see municipal governments working with taxes and grants in an attempt to influence behavior.

On a personal note, up here in socialist Canada, our governments look after our each and every need (sarcasm).

Here’s what Toronto’s government is doing about making Toronto into Canada’s Fittest City.

get your move on

Note - if you were actually expecting anything other than announcements and promises, I am sorry to disappoint you. Our government is just as ineffective as your government.

My Conclusion

It’s all a bunch of crap.

Every overweight person alive knows that in order to lose weight, they need to stop doing what they are currently doing and start doing what their physically fit neighbors are doing.

Being overweight doesn’t make you stupid.

All of the money and effort being spent on information programs and taxes and websites is a complete waste unless….it is acted upon.

And that is the problem that no one is addressing.

How do we get people to actually get up off their butts and get their move on?

  1. We need to realize that reducing obesity is in the best interest of everyone, not just the people that need to lose weight. Lowered taxes, higher productivity, etc…
  2. We need to realize that overweight people really, really, really want to lose weight. For a bunch of reasons, they are just not very good at it.
  3. Calling them lazy isn’t going to help. It’s just going to make them sad and the next thing you know, they are drowning their sorrows in a pint of Chunky Monkey.
  4. We need to reduce the barriers to exercise and healthy food. Make healthy food cheaper via the redistribution of government food subsidies. Offer free community fitness classes…that’s right, I said free. Make lots of those classes available at peak hours. Offer free transit to and from the classes.
  5. Keep providing helpful weight loss info on those flashy gov’t websites…or just send them over to HealthHabits. your choice.
  6. We need to make healthy eating and exercise cool. Here’s where the gov’t can spend some money trying to brainwash us ala Canada’s 1970s Participaction ads  [youtube=http://www.youtube.com/watch?v=SdFxYe6vmq0]
  7. We need to pay for results via tax incentives

If anyone has any other suggestions or knows of any interesting grassroots campaigns or just thinks that I am full of it, please leave a comment.

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Just in case America isn't fat enough…

September 21st, 2009

taco bell fourth meal

As the debate over President Obama’s healthcare proposal rages on, Taco Bell continues to give Americans exactly what they crave….melty, crunchy, spicy and heart attack inducing.

I especially love the tagline at the end…

taco bell it's not just food fourth meal

Of course, I would change it just a little bit.

taco bell not real food

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NYC Declares War on Soda

September 13th, 2009

soda obesity nyc

New York City’s public health officials opened a new front in their struggle against high-calorie beverages on Monday, unveiling a new ad campaign that graphically depicts globs of human fat gushing from a sideways drink bottle.

Mmmmmmmm….I could rally go for a great big glass of globby liquified human body-fat.

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Did You Play Today?

September 11th, 2009

childhood obesity psa where the wild things are

The U.S. Dept of Health and Human Services and the Ad Council today launched a new series of PSAs designed to address childhood obesity. Featuring characters from the upcoming film Where the Wild Things Are, the PSAs are an extension of HHS’ Childhood Overweight and Obesity Prevention campaign with the Ad Council, which encourages children and families to lead healthy lifestyles.

These PSAs cost millions of dollars.

But do they work?

Will this PSA get your kid to put down the Wii controller and go outside and play?

did you play today

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Here Come the Soda Tax

September 9th, 2009

jones-soda-orange-you-glad-for-change-obama-label

Last month, I predicted that America will soon be paying 5 bucks for a can of Coke.

And it looks like that prediction may be coming true.

In an interview with Men’s Health magazine, President Obama was asked “would he consider so-called sin taxes, on soda and other sugar-laden products, or on activities that sabotage the health of the masses?

His response:

I actually think it’s an idea that we should be exploring,” the president says. “There’s no doubt that our kids drink way too much soda. And every study that’s been done about obesity shows that there is as high a correlation between increased soda consumption and obesity as just about anything else. Obviously it’s not the only factor, but it is a major factor.”

But even the most powerful man on the planet needs to keep an eye on what’s politically feasible:

“Obviously there is resistance on Capitol Hill to those kinds of sin taxes,” he says. “Legislators from certain states that produce sugar or corn syrup are sensitive to anything that might reduce demand for those products. And look, people’s attitude is that they don’t necessarily want Big Brother telling them what to eat or drink, and I understand that.

It is true, though, that if you wanted to make a big impact on people’s health in this country, reducing things like soda consumption would be helpful.”

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OrangeGladObamaSomehow, I don’t think that this is the type of change that the people at Jones Cola had in mind when they came up with their Orange “You Glad For Change” Cola to commemorate the inauguration of President Obama.

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Recipe for a Fat Man

August 27th, 2009
Matt McClain - Rocky Mountain News

Matt McClain - Rocky Mountain News

Reading the comments from my last two posts (here and here), I was struck by the very strong, yet very different opinions about the cause(s) of obesity.

Some people believe in ye olde Calories in vs Calories Out theory, while others believe in the power of insulin while others blame their DNA.

So, I raise the question….Is there a one size fits all cause / cure for obesity?

Or are there a whole bunch of factors coming together to create America’s obesity epidemic?

To aid in the discussion, I have put together a list of the factors that I think influence human obesity.

Feel free to comment/criticize or add to the list

Determinants of Obesity

bigfatburger.

Food

  • Quantity of food – Calories
  • Quantity of food – Volume
  • Type and Quality of food – Macronutrients – Carbs, Fat, Protein
  • Type and Quality of food – MicronutrientsVitamins, Minerals, Enzymes, Phytochemicals, etc…
  • Type and Quality of food – Nutrient Density v.s Caloric Density
  • Your beliefs and emotions regarding food – food as pleasure, food as fuel
  • Dining habits – eat on the run vs sit down dinner

Your Body

Your Life

Physical Activity

As you can see, there are a lot of factors that influence obesity.

I didn’t even get into all of the bleeding edge obesity research.

The search for an obesity cure never ends. Just today, there were two new obesity discoveries (here and here). Tomorrow, there will probably be two more.

But for now, I think we have enough on our plate.

BTW, feel free to critique or add to the list.

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Better Than The Biggest Loser

August 24th, 2009

This post is for all of those people out there who watch The Biggest Loser.

STOP! x-weighted xweighted x weighted

TBL is BAD. biggest loser

But, luckily for you, I am here to help.

I am here to tell you about…

X-Weighted

X-Weighted is such a perfect example of the difference between Canadian and American television programming.

Where The Biggest Loser is about quick results, X-Weighted is about long term success.

Where The Biggest Loser is about sound bites and perfect hair, X-Weighted is real.

And where The Biggest Loser is a worldwide ratings success, X-Weighted exists in relative obscurity.

Like most other weight loss reality shows, X-Weighted follows one or two people through their transformation from fat to slightly less fat.

The trainees receive help from personal trainers, nutritionists and various other medical personnel.

Unlike other shows, the stars of X-Weighted are followed for 6 whole months.

6 Months….enough time to make some real changes in your life.

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Real people getting real results.

And if that isn’t enough for ya, you are going to love the host/celebrity trainer, Paul Plakas.

Personally, I don’t agree with all of his training/diet ideas. But, what I do like about Paul is that he is a real person. When I watch the show, it feels more like a documentary than a reality show, and Paul is a big part of that.

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So, please…switch off The Biggest Loser and switch on X-Weighted

Here’s a link to X-Weighted episodes online.

Enjoy

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Hormones, Problem Areas and Your Body-Fat Map – Part 2

August 12th, 2009

In yesterday’s post, I introduced you to the idea that your hormones are responsible for your personal fat-distribution patterns.

For example, women with an excessive percentage of fat on the back of their arms are likely to have elevated insulin levels or low DHEA levels.

Body-Fat Map - Female woman

Men unlucky enough to be lugging around a generous set of man-boobs are likely to have high levels of estrogen (often combined with high insulin and low testosterone)

Body-Fat Map - Male

So, as a public service to all of my man-boobed brothers out there, we are going to take a look at how to get those hormones back in balance.

(For this post, I will be using a variety of reference sources. Most of the sources are pretty dry and technical, but one that I can heartily recommend to y’all is The Hormone Diet by Dr. Natasha Turner (Canada). It is a great reference that is easy to read and understand. I will be doing a more detailed book review about this book in the coming weeks.)

High Insulin

Causes

  • Eating too much over-processed, nutrient deficient carbohydrates – fast food, frozen dinners, pop, fruit drinks, sugary foods, processed diet foods…you know. Crap.
  • Eating too little protein – real protein, not processed McNugget protein
  • Eating too little fat – real fat, not trans-fat
  • Not enough fiber in your diet - no need for supplements, you should get enough protein from fruit & veg
  • Unmanaged high levels of chronic stress
  • Not enough exercise
  • Excessive exercise to the point of muscle wasting
  • Steroid based medications
  • Poor liver function
  • Environmental toxins
  • Poor sleep patterns
  • Aging – sorry about that one

Solutions

  • Diet – Sugar/Insulin control diet – Paleo/Atkins/Medierranean
  • Botanical – Cinnamon, Chromium – talk to your naturopath
  • Increase consumption of fiber
  • Increase consumption of fish oils
  • Weight loss
  • Exercise
  • Reduce exposure to toxins & improve liver function – talk to your naturopath
  • Sleep
  • Get your hormone levels checked

High Testosterone

While not very common in men, it affects about 10% of women

Causes

  • Increased production by the adrenal glands
  • Polycystic ovaries caused by Polycystic Ovarian Syndrome
  • Low Estrogen. Estrogen is a potent inhibitor of testosterone production, so anything that decreases estrogen levels beyond the norm is going to increase the testosterone to estrogen balance

Solutions

  • Stress management = lowered cortisol = reduction in adrenal production
  • Insulin control diet – Paleo/Atkins/Mediterranean
  • Pharmaceutical – Troglitazone and Metformin – talk to your doctor
  • Botanical – Saw Palmetto – talk to your naturopath
  • Estrogen replacement – bio-identical or conventional – talk to your doctor
  • Get your hormone levels checked

Low Testosterone

Causes

  • Aging
  • Damage  to the testicles
  • Radiation
  • Testicular or Pituitary tumors
  • Serious viral infections
  • Vasectomy
  • Various genetic conditions – Klinefelter’s, Kallmann’s, Prader-Willi syndromes and Myotonic Dystrophy

In addition to these causes, there are a variety of lifestyle causes. These include:

  • Obesity…it’s a vicious circle – low test causes obesity and obesity causes lowered test…sorry
  • Exposure to pesticides
  • Exposure to hormones used in factory farm meat and poultry production. These hormones act like Estrogen in your body, and…
  • Estrogen is a potent inhibitor of testosterone production, so anything that increases estrogen levels beyond the norm is going to negatively impact testosterone production
  • Phthalates (found in soap, cosmetics and plastics) are another estrogen like compound that suppresses testosterone.
  • Alcohol…especially beer
  • Temperature – boxers v.s briefs
  • Sleep apnea
  • Narcotics

Solutions

Female

  • Diet – Dump your low-fat diet and increase your healthy fats
  • Botanical – Tribulus – talk to your naturopath
  • High Intensity exercise
  • Get your hormone levels checked

Male

  • Diet – Dump your low-fat diet and increase your healthy fats
  • Botanical – Tribulus – talk to your naturopath
  • Pharmaceutical – Aromatase blockers and/or testosterone, anabolic steroids – talk to your doctor and/or your lawyer…see Manny Ramierez
  • High Intensity exercise
  • Get your hormone levels checked

High Estrogen or Estrogen Dominance

Causes

  • Pregnancy & menstrual cycle fluctuations
  • Unmanaged high levels of chronic stress
  • Obesity – obesity causes high estrogen which causes obesity…
  • Poor diet – processed foods, a high fat diet, a high sugar diet, excessive caffeine, low levels of magnesium and B6
  • Birth control pill
  • Exposure to hormones used in factory farm meat and poultry production. These hormones act like Estrogen in your body, and…
  • Phthalates and other xenoestrogens (found in soap, cosmetics and plastics)
  • Low testosterone
  • Impaired liver function
  • Poor digestion
  • Alcohol
  • Lack of exercise
  • Lack of sleep

Solutions

  • Stress management
  • Improve your diet – Paleo/Atkins/Mediterranean/increase your fiber
  • Reduce your exposure to hormones and xenoestrogens
  • Improve liver function – talk to your naturopath
  • Get more sleep
  • Exercise more
  • Pharmaceutical – Testosterone – talk to your doctor
  • Get your hormone levels checked

Low Estrogen

Causes

  • Aging – Menopause
  • Premature failure of the ovaries
  • Surgical menopause
  • Unmanaged high levels of stress
  • Smoking
  • Low-fat diets
  • Extremely low body-fat

Solutions

Female

  • Estrogen replacement – bio-identical or conventional – talk to your doctor
  • Get your hormone levels checked

High Cortisol

We all have stress in our lives. The problems begin when we can’t handle the stresses that are thrown our way. That is when stress starts negatively impacting our health. Chronic elevated levels of corisol is just one symptom of that impact.

Causes

  • Unmanaged high levels of chronic stress

Solutions

  • Stress management – meditation, breathing techniques, psychiatry, psychotherapy, mindfulness practice, biofeedback + a million more techniques available on late-night infomercials and the inter-web.
  • Insulin control diet – Paleo/Atkins/Mediterranean
  • Reduce intake of stimulants
  • Supplements – Multi-Vitamin/Mineral, magnesium, B5, B6, Phosphatidylserine, adaptogens such as ginseng – talk to your naturopath.
  • Get your hormone levels checked

Low Growth Hormone

Causes

  • Aging
  • Lack of sleep
  • Lack of exercise
  • Eating before bed
  • Sleeping with lights on

Solutions

  • Don’t eat before bed
  • Sleep in the dark
  • High Intensity exercise – low intensity (ie cardio) has little effect
  • Intermittent fasting
  • Supplements – GHB and the Amino Acids Arginine, Lysine and Ornithine – talk to your doctor/naturopath
  • Get your hormone levels checked

Low DHEA

Causes

  • Aging
  • Unmanaged high levels of chronic stress

Solutions

  • DHEA supplements – talk to your naturopath
  • Stress management – meditation, breathing techniques, psychiatry, psychotherapy, mindfulness practice, biofeedback + a million more techniques available on late-night infomercials and the inter-web.
  • Insulin control diet – Paleo/Atkins/Mediterranean
  • Reduce intake of stimulants
  • Supplements – Multi-Vitamin/Mineral, magnesium, B5, B6, Phosphatidylserine, adaptogens such as ginseng – talk to your naturopath.
  • Get your hormone levels checked

Low Progesterone

Causes

  • Lack of ovulation
  • Unmanaged high levels of chronic stress
  • Low levels of luteinizing hormone
  • Hypothyroidism
  • Excess prolaction

Solutions

  • Progesterone cream – talk to your doctor/naturopath
  • Stress management – meditation, breathing techniques, psychiatry, psychotherapy, mindfulness practice, biofeedback + a million more techniques available on late-night infomercials and the inter-web.
  • Get your hormone levels checked

Note

I am not a doctor, nor do I pretend to be one on tv. So, if you think something is out of whack with your hormones, go and get them checked.  That doesn’t mean that you have to take the drugs that your doctor is probably going to push on you. But, at least you will have the info to make your best decision.

If anyone has any questions, feel free to shoot them my way. If I don’t feel confident about my ability to answer it, I will try and convince an “expert” to weigh in.

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