Posts Tagged ‘depression’

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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The Link between Belly Fat, Depression, Diabetes and Cardiovascular Disease

April 29th, 2009
sad homer

sad homer

In a previous article, I wrote about the link between belly fat (visceral fat) and depression.

I have also written numerous articles on the links between belly fat and chronic disease:

Today’s post connects all of that research.

Today’s post is based on the findings of this study, which suggest that belly fat (visceral fat) “is an important pathway by which depression adds to the risk for cardiovascular disease and diabetes.”

The Study

fat

Visceral belly fat is the white stuff surrounding your organs. Subcutaneous fat is the white stuff on top of the muscles but under the skin

Researchers from Rush University Medical Center looked at over 400 women “who were participating in the Women in the South Side Health Project (WISH) in Chicago, a longitudinal study of the menopausal transition”.

They screened the women for depression and measured their visceral fat with a CT scan.

Even after adjusting for variables that might account for the accumulation of visceral fat, the researchers found a strong correlation between depression and high levels of visceral fat.

The women who showed signs of depression (assessed using the CES-D scale) had 24.5% more visceral belly fat than the women with fewer depressive symptoms.

No association was found between depression and subcutaneous belly fat (non-visceral).

So, what does this mean and why is depression linked to increased visceral fat, diabetes and cardiovascular disease?

Lead researcher Dr. Lynda Powell speculated that “depression triggers the accumulation of visceral fat by means of certain chemical changes in the body”.

Some of those changes could include:

Future studies are planned to address the specific glucocorticoid or inflammatory mechanisms responsible for the link between depression, visceral body fat, diabetes and cardiovascular disease.

But for now, it’s going to have to be good enough to simply know that the link exists.

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Loneliness worse for your health than smoking and obesity

February 16th, 2009
Picasso - the old guitarist

Picasso - the old guitarist

According to the research of Dr. John Cacioppo, loneliness has a major impact on your overall health – both mental and physical.

In his research, Dr. Cacioppo employed brain scans, monitoring of autonomic and neuroendocrine processes, and assays of immune function to test the influence that social connection has upon our health. His research showed how our perceptions, behavior and physiology are strongly affected by a loss of that connection.

In fact, Dr. Cacoppo’s research has shown that loneliness can cause:

  • an increase in your blood pressure

  • an increase in your level of stress and cortisol production

  • a negative impact on your immune system

  • an inability to get a good nights sleep

  • an increased level of depression and anxiety

  • an increased risk of developing Alzheimer’s Disease

  • a reduction in your will to exercise

  • an increase in your cravings for comforting foods high in processed carbohydrates

  • an increase in caloric consumption

  • an increase in alcohol consumption

  • an increase in the consumption of a variety of drugs…both legal and illegal, and…
  • a feeling of sadness that feeds upon itself, causing even more isolation and an even greater sense of loneliness.

These finding were presented by Dr. Cacioppo at the most recent conference of the American Association for the Advancement of Science.

According to Dr. Cacioppo, “healthwise, the difference between a lonely person and a popular person was akin to “a smoker and a non-smoker”.

“That stunned all of us, myself and all my colleagues in terms of the effects it had,” he said. “It shows just how powerful it is.

“Loneliness lowers the ability to control yourself. It is really easy after a bad day to have a second scotch and a third to get some comfort.”

Dr. Cacioppo’s research has led him to believe that our need for connection can be traced back through our evolutionary roots.

In order to survive in the past, humans needed to bond to rear their children. In order to flourish, they needed to [increase their levels of altruism and cooperation].

Just as physical pain is a prompt to change behavior, such as moving a finger away from the fire, loneliness evolved as a prompt to action, signaling an ancestral need to repair the social bonds.

The problem of social isolation is likely to grow as conventional family structures die out, said Dr. Cacioppo.

People are living longer, having fewer children later in life and becoming increasingly mobile around the world.

Surveys also show that people report significantly fewer close friends and confidants than those a generation ago.

All of this adds up to more loneliness and more health problems because of that loneliness.

According to the good doctor, we need to realize that “human beings are simply far more intertwined and interdependent—physiologically as well as psychologically—than our cultural prejudices have allowed us to acknowledge”.

And if we don’t address our very real need for connection, we are risking our own psychological and physiological health.

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“If you want to go fast,” says an African proverb, “go alone. If you want to go far, go together.”

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Santa Claus is Clinically Depressed

December 3rd, 2008

santa_claus_is_coming_to_town

Poor ole Santa.

For all these years, we thought that he was jolly and full of Christmas (sorry, Seasonal Holiday) Cheer.

Little did we know, he has a dark secret.

Santa suffers from obesity, type 2 diabetes, clinical depression and may even have a drinking problem.

drunk-santa

But how could we have known?

It really isn’t too surprising.

In a recent study, scientists in the Netherlands have proven that a link exists between abdominal obesity and depression.

And Santa does have a bit of a belly.

How about you?

The Research

In this 5 year study, Dutch researchers found that “older adults with symptoms of depression appear more likely to gain abdominal fat”. Interestingly, in this study, the link applies only to abdominal fat, not overall body fat.

This study builds upon previous studies ( here, here, and here ) that suggested a link between general obesity and depression.

santa-cokeSo, let me get this straight…not all fat people are jolly?

Well, that certainly messes with Coca-Cola’s Christmas marketing plan, doesn’t it.

What are we supposed to do with a depressed Santa Claus?

Get him a prescription for antidepressants?

Buy him some personal training sessions?

Lap Band surgery?

Study Conclusions

According to the experts, “There are several mechanisms by which depression might increase abdominal fat. Chronic stress and depression may activate certain brain areas and lead to increased levels of the hormone cortisol, which promotes the accumulation of visceral fat”.

“Individuals with depression may have unhealthier lifestyles, including a poor diet, that could interact with other physiological factors to produce an increase in abdominal obesity”.

My Conclusions

Depression may indeed be a cause of abdominal obesity.

Depression may lead to increased cortisol which may lead to increased abdominal obesity.

However,

  • A typical 21st century lifestyle is loaded with stress
  • Stress is linked to anxiety and depression
  • The typical Western diet is a primary cause of systemic inflammation
  • Inflammation is linked to abdominal obesity
  • Depression often results in physical inactivity and unhealthy lifestyle choices

Perhaps, it isn’t the depression causing the obesity.

Perhaps it isn’t the obesity causing the depression.

Perhaps it is the combination of a stressful lifestyle, combined with a whole host of poor lifestyle choices that is causing the obesity and the depression.

But then again, what do I know?

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