What Might a Microbiome Study Accomplish?

apple-a-day
A lot of researchers have found evidence that, even though the path might not be direct, gut permeability can indirectly lead to obesity. When junk molecules sneak through the unauthorized holes and enter the bloodstream, the body defends by setting up the reaction we call inflammation, and multiple bad outcomes can ensue.

This is why the old saying, “An apple a day keeps the doctor away,” may be literally true. Asher Preska Steinberg, co-author of a Caltech study, says, “It’s too early to draw any conclusions, but it may be that eating an apple a day will affect the shape of the lining in your gut.”

The study had set out to discover what happens when the gel layer encounters different kinds of polymers. But what is the gel layer, and why should we care?

The university’s website says:

Our intestinal tracts are lined with a mucus gel that acts as a protective barrier between the insides of our bodies and the outside world. The gel lets in nutrients and largely blocks out bacteria, preventing infections. It also regulates how some drugs are delivered elsewhere in our bodies.

A whole list of co-existing factors is suspected of contributing to the leaky gut syndrome, and its mysteries are far from explained. Scientists were already aware that the bacterium H. pylori makes holes in the stomach lining to burrow in and protect itself from the acidic environment, and those same holes allow acid to escape into places where it doesn’t belong.

Also, they had learned that the gel (the mucus lining of the gut) can change rapidly. It is described as being something like a sponge, with natural holes that are compressed by some substances, including polymers like dietary fiber. This appears to offer protective value. In mice that had been raised germ-free, the compressive effect was greater.

The report quotes team member Dr. Rustem Ismagilov:

This implies that species of bacteria in our gut that are known to break down polymers can weaken the compressing effect. We previously thought of the gel as a static structure, so it was unexpected to find an interplay between diet and gut microbiota that rapidly and dynamically changes the biological structures that protect a host.

The condition known as the Irritable Bowel Syndrome (IBS) is also under scrutiny, and is not completely understood, but connections have been observed between its symptoms and the presence of bacterial overgrowth in the small intestine. People with more severe IBS are found to have more than is considered normal of some types of bacteria, and less of others.

In particular, their aerobe to anaerobe ratio is increased, in comparison with the norm. What this may mean in terms of eventually alleviating this condition is unknown, but the signs look hopeful.

Your responses and feedback are welcome!

Source: “Dietary Fiber and Microbes Change the Gel That Lines Our Gut,” Caltech.edu, 06/13/16
Source: “The Interplay of the Gut Microbiome, Bile Acids, and Volatile Organic Compounds,” NIH.gov, 03/03/15
Photo credit: Valerie Everett via Visualhunt/CC BY-SA

Appetite, Its Lack, and the Microbiome

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One way we can think of the microbiome is as an organ. According to The Economist,

An organ does not have to have form and shape… The immune system, for example, consists of cells scattered all around the body but it has the salient feature of an organ, namely that it is an organized system of cells.

Childhood Obesity News has been exploring the connections between the microbiome and various other things, and between those various other things and obesity. Many questions remain to be answered, but it appears that the microbiome is able to influence appetite and its delinquent sister, craving.

Difficult as it might be to imagine in the midst of the obesity epidemic, the eating disorder called anorexia nervosa (AN) is still much dreaded. In search of a preventative, Japanese researchers…

[…] studied 25 women with AN and compared their microbiomes to 21 age-matched healthy females. They found that AN patients had a lower amount of total bacteria and specifically, lower amounts of C. coccoides group, C. leptum subgroup, B. fragilis, and Streptococcus.

It has been shown that a lack of eating goes along with a decrease in gut flora diversity and a less-than-optimal microbiome.

Nutritionist and trainer Sean Croxton works on the premise that when a person doesn’t take in enough calories, the leptin levels aren’t right, which results in a craving for carbohydrates. Some of the organisms in us are called fat-inducing microbiota, because they can cause the body to resist leptin.

However, the causation/correlation ratio between various bugs and a multitude of reactions has yet to be determined. One study, published in Psychosomatic Medicine, showed that a patient’s Clostridia population can be rebuilt, if that turns out to be desirable.

It does seem that working with the gut bacteria could put an end to anorexia. AN is particularly challenging and tantalizing to researchers because the majority of anorexia patients also suffer from depression. The Microbiome Institute says,

In terms of the mental health aspect of anorexia and the microbiome, the researchers found a direct association between eating disorder psychopathology and microbiome diversity, with lower diversity corresponding to worse eating disorder psychopathology. The same was true for depression, as the degree of depression was inversely correlated with bacterial diversity.

Your responses and feedback are welcome!

Source: “Me, myself, us,” Economist.com, 08/18/12
Source: “Microbiome therapies may be an option for treating anorexia nervosa,” MicrobiomeInstitute.org, 01/07/16
Source: “The anorexia nervosa gut microbiome differs from healthy controls and is related to mental health,” MicrobiomeInstitute.org, 10/13/15
Source: “The Dark Side of Fat Loss with Sean Croxton,” BulletproofExec.com, undated
Photo credit: mind on fire (John Nakamura Remy) via Visualhunt/CC BY-SA

Stomach Pump Backlash

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Anyone who has followed along with “Newfangled Gizmo — the Reverse Feeding Tube” and “More on the Personal Stomach Pump” will recall that the device/system is designed to extract stomach contents that have barely begun the digestive process. As a result, a person can savor all the captivating sensations of aroma, mouth feel, texture, taste, chewing, and swallowing, without paying the weight-gain consequences. Of course this invention has been compared to high-tech bulimia.

It is also reminiscent of the legendary vomitorium, a special room where Roman dinner guests could empty their stomachs and return, refreshed, to feast more. Actually, the vomitorium in that sense of the word didn’t exist. The myth was started by one writer about 50 years ago. Despite the reputation for decadence enjoyed by the ancient Romans, they never sank quite that low. It took contemporary American ingenuity to perfect the science of wasting food.

How old is old enough?

As we learned, AspireAssist is meant to be prescribed only to people age 22 and above. Maybe that will change; maybe it won’t. Either way, 22 could still include college students, and let’s hope they don’t decide to experiment with the device as a means to avoid a hangover after drinking too much alcohol. Inspired by TV depictions of emergency tracheotomies, will some kid think he can reverse a friend’s drug overdose by stabbing him in the stomach with a ball-point pen and applying the suction gear?

In a more mundane scenario, it is easy to envision someone frantically scrambling to unplug the drain tube with a knitting needle, unbent wire hanger, or other unsanitary object, because of not having the time or money for a doctor appointment.

Erika Nicole Kendall, an NASM-certified trainer who “lost 170 lbs on my own through diet and exercise,” has major doubts about AspireAssist and no hesitancy about expressing them:

How do we explain this to all of the bulimics, in recovery, who used the binge and purge system as a means of weight management… How do we explain to bulimics that the logic behind why they did what they did was wrong, but so long as they gave some money to big pharma, they could have medically assisted bulimia? This device is enabling emotional eaters. This device enables people to eat their feelings…

Kendall also wonders if having the device might “compel them to become just as addicted to their precious stomach pump as they already are to the food they keep consuming.” She worries about infection, what with the skin port being basically an eternally open wound.

Can people who have this go swimming? And what about intimate situations? A grownup who slims down might want to get into some serious dating. With a supernumerary plastic belly-button, how does that work out?

Kendall, who calls this “the greatest big pharma scam ever in the history of big pharma scams,” raises another excellent question. If the candidates for AspireAssist were amenable to changes in their eating habits, such as they are expected to make once the device is installed, why didn’t they just make those changes, and forget about the stomach-hole solution?

She points out a huge liability. Because all that mandatory chewing is an exhausting hassle, the person is tempted to stick with “smooth, soft, dissolving food that will probably obliterate your blood sugar and cause any number of components of metabolic syndrome.” Kendall goes on to say:

Check this out. You can’t eat the things that promote weight loss, you can only eat the things that promote weight gain… which is why you need — need — to keep wearing the device long term.

Normally, when a person undergoes abdominal surgery, one of the most horrifying prospects is the necessity for an ileostomy or colostomy. Who wants to walk around with a hole in the front of their torso that they have to empty waste from? But apparently, some people don’t mind so much.

Imagine this future for today’s overweight and obese kids. Will so many grow up to be so intractably heavy that the apparatus of the personal stomach pump will become the norm? And even fashionable? Will we wake up one day to find that the skin port is the new navel ring?

Your responses and feedback are welcome!

Source: “Vomitoriums: Fact or Fiction?,” History.com, 11/20/12
Source: “Friday 5: Five Things VERY Wrong With A Personal Stomach Pump,” BlackGirlsGuideToWeightLoss.com, 03/24/14
Photo credit: jammmick via Visualhunt/CC BY

More on the Personal Stomach Pump

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To get up to speed, see yesterday’s post on the reverse feeding tube, and we will consider the lifestyle changes involved in having one of these installed. What is it like to live with AspireAssist?

Sara G. Miller interviewed Dr. Shelby Sullivan of the Washington University School of Medicine, where clinical trials took place. Like many other professionals, Dr. Sullivan recommends a slow and mindful rate of eating on general principles, because the body then has time to send and recognize its signals of fulness. With the AspireAssist system, very thorough chewing is not suggested as an option, but mandated as an absolute necessity.

No matter how diligently chewed, the food has to be broken down even more by the stomach. So the person must wait half an hour before retiring to the bathroom with the handy gadget in its carrying case. The steps for use are described in yesterday’s post, and illustrated in a 1:40 video that shows a greatly condensed version.

But sometimes, the emptying mechanism refuses to work, which can easily happen, especially in the early days to an inexperienced user. The inside diameter of the tube is just under a third of an inch. Food particles need to be no more than .02 inches.

In other words, to eventually fit through that tube, a piece of food an inch long must be divided in at least five parts. Miller reports:

Patients need to chew their food up really well, until it basically disintegrates in their mouth, Sullivan said. Otherwise, the food particles will get stuck in the tube, and nothing will come out… A clogged tube won’t cause any pain, and patients can normally clean it out on their own, though as a last resort doctors can clean the tube using a brush…

In the best-case scenario, the clear evacuation tube provides entertainment. According to Dr. Sullivan, by this time, the fat will have separated out, so globs of it can be seen among the general stream.

Or, in the case of a healthful meal, the stomach contents may still resemble dinner as it looked on the way in. While the sludge spurts from the device, observing it is said to provide “positive reinforcement for healthier foods and negative reinforcement for unhealthier foods.” In other words, depending on how squeamish the person is, watching the recently-eaten meal exit through the tube can be an extreme form of aversion therapy.

So. Eat very, very slowly and chew everything until it liquifies. Say, half an hour for that. Then wait an additional half hour, go to the bathroom and do your thing, which is (optimistically) another 15 minutes. Seems like, once the routine is done, it would be time to start the next round. One and a quarter hours per meal, minimum. With two meals, 2.5 hours; with three meals, almost four hours per day, devoted to eating and purging.

Who has that kind of time? Could anyone handle this, who has children or elders to take care of? And what about an outside job? Imagine trying to cope with this process in the restroom of an office suite, or the port-a-potty on a construction site.

Then, imagine going through the expensive procedure and daily time-consuming ritual, only to suspect that it was all an exercise in futility. Would there be grounds to believe this? Yes. Critics suggest that any benefits attributed to AspireAssist should actually be credited to the slow eating and thorough chewing alone.

Next: More stomach pump backlash.

Your responses and feedback are welcome!

Source: “Stomach Sucker: How Does New Weight-Loss Device Work?,” LiveScience.com, 06/22/16
Photo credit: John Loo via Visualhunt/CC BY

Newfangled Gizmo — the Reverse Feeding Tube

orange-cooler
A device called AspireAssist is said to help people lose 31 pounds, or an average 12% of body weight, in the first year. Here’s the spoiler: That first year will cost between $8,000 and $13,000. And the aftercare goes on forever. But we will get back to that.

While the patient is under twilight anesthesia for about a quarter of an hour, the doctor (not necessarily a surgeon; could be a gastroenterologist) puts a tube in the person’s mouth and maneuvers it until the end reaches its exit point, a hole in the abdomen. The other end winds up in the patient’s stomach. This is the standard procedure to place a feeding tube. However, rather than inputting a nutritional liquid, this tube will serve to evacuate partially digested food.

But the system is not up and running quite yet. Swollen tissue needs a couple of weeks to shrink. Then a valve, or skin port, is joined to the protruding tube end. Now, the person can attach “a smartphone-sized device” (which has to be carried around at all times) to the valve. It sucks matter from the stomach into a toilet (or flowerpot or kiddie pool — the possibilities are many.)

It’s not over yet. Next, a little bag is used to force water into the stomach; then the draining process happens again. The number of repetitions is not specified, but the developers estimate that each use of the system takes as long as 15 minutes, and removes about a third of whatever food started out in there.

Another Step

This is not an episode that just blends seamlessly into normal life. Medscape.com says:

As you lose weight and your belly size decreases, the doctor has to shorten the tube so the valve remains against your skin. Also, the device stops working after about 5 or 6 weeks, so you have to return to your doctor to get a replacement part.

As if that weren’t deterrent enough, the side effects include “occasional indigestion, nausea, vomiting, constipation, and diarrhea.” Also, if too large of a meal was consumed, the tube might refuse to drain, because of the necessity to leave “space in the stomach for food to flow out through the device.” There will be repeated contact with medical professionals.

The company’s press release says:

Patients need to be regularly monitored by their health-care provider and should follow a lifestyle program to help them develop healthier eating habits and reduce their calorie intake.

This means monthly counseling sessions, apparently forever. Maybe W8Loss2Go could help them, at this stage, to get their lives on track.

A big AspireAssist selling point is that, unlike many types of bariatric surgery, theirs is reversible. But, confusingly, the Food and Drug Administration says it is “not intended to be used for short durations in those who are moderately overweight.”

Presumably, the goal is to retrain the person’s lifestyle so the apparatus will some day no longer be needed, and the skin port can be removed. But the person is eligible only if morbidly obese, and only if their commitment to the system promises to be a lengthy one. Here is another puzzling caveat from the FDA:

The AspireAssist device should not be used on patients with eating disorders…

But overeating to the point of dangerous obesity is an eating disorder.

Presently, AspireAssist is only recommended for people over the age of 22, but in the bariatric surgery field, those recommendations tend to shift downward pretty quickly. It has been called a brand of high-tech bulimia, whose sole advantage is that it doesn’t dissolve the patient’s teeth enamel like vomiting does. It has been called strange, gross, enabling, and, by a health worker we will discuss tomorrow, “the greatest big pharma scam ever in the history of big pharma scams.”

Your responses and feedback are welcome!

Source: “FAQ: New ‘Stomach Pump’ Weight Loss Device,” Medscape.com, 06/20/16
Source: “Stomach Sucker: How Does New Weight-Loss Device Work?,” LiveScience.com, 06/22/16
Source: “FDA Approves Stomach Pump Device For Weight Loss,” NaturalSociety.com, 06/17/16
Photo credit: Barry Pousman via Visualhunt/CC BY

A Bouquet of Morbid Obesity Posts

bouquet-of-morbid-obesity
What ExactlyIs Morbid Obesity?” is the question asked by a Childhood Obesity News post, and the answer is, “Nothing you’d want to have.” Unfortunately, millions of children are afflicted with morbid obesity before they even get a chance to have any say in the matter, and it leads to nothing good.

For an adult, it makes sense to say that anyone 100 pounds or more over their ideal weight is morbidly obese, but kids are smaller, so “severe obesity” is an interchangeable term. Every professional in the field is aware of the importance of early intervention. It is empirically demonstrable that the longer a child remains overweight, the more difficult weight loss becomes.

According to one theory, after a certain amount of time in the obese zone, the body’s “set point,” the weight it believes it must maintain in order to survive, is recalibrated with such finality that it can never be adjusted downward.

Dr. Pretlow has learned that kids are honest enough to admit a basic fact: Overeating stretches their stomachs and opens up the potential for those poor abused organs to be stuffed with even more food. A huge European-based research project has shown that the dopamine system of a morbidly obese individual goes all out of whack — like that of an alcoholic or drug addict.

Psychotherapy is expensive and not widely available, especially for children, but it can help a morbidly obese person with an eating addiction to figure out what’s going on underneath the cupcake fetish.

All the mental/emotional angles are tricky and vitally important. What circumstances conspire to make a patient “treatment resistant“? Is this person reaping some kind of special attention that builds self-esteem more than being obese tears it down? Is he or she unconsciously trying to prevent the reoccurrence of inappropriate attention, or even assault? What does the fortress of denial protect?

Statisticians find that extreme obesity in children has been increasing at a more voracious rate that plain old everyday childhood obesity. As a result, millions of kids are going to lose 10 or even 20 years from what would have been their expected lifespans, if they weren’t morbidly obese. This is partly due to the frequent presence of comorbidities, or concurrent disease processes that tend to gang up and cause early death.

Even worse, every possible co-morbidity that goes along with obesity now manifests in children of younger and younger ages. The problem is not just that their lives will be shorter, but that the years of life they do have will be impeded by health problems that devastate its quality. This topic is explored further in “Childhood Obesity Comorbidities” and its companion piece that also brings in surgery.

Also recommended are “The Unhealthy Weight Epidemic,” “Morbid Obesity and Motivation,” and “Where Did the World’s Biggest Boy Go?”

Your responses and feedback are welcome!

Photo via Visualhunt (modified)

Diet, Set Point, and Mindfulness

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Everyone in the world is quite literally on a diet, which consists of whatever they eat. A cow may eat grass or grain, but in either case the substance is its diet, and vice versa. In the laboratory sense, “diet” is value-neutral, with no judgment implied.

Then, there are special cases, like a diabetic diet or a celiac diet, intentional programs or regimes designed to eliminate any substance that will worsen the patient’s medical condition. But for everyday purposes, “diet” colloquially means “reducing diet.” For simplicity, most people say “diet” as shorthand for the concept of pursuing weight loss by consciously limiting caloric intake, which involves eating certain foods and, mainly, not eating other foods.

The premise behind the work of neuroscientist Sandra Aamodt is, “If diets worked, we’d all be thin by now,” so we know she means diet in the “Get a Bikini Body!” sense. Dr. Aamodt published the book Why Diets Make Us Fat, which explains the research behind the TEDGlobal talk she presented in June of 2013. It answers such questions as, “Why might one person lose 10 times as much weight as another person on the exact same diet?” (A sample is available of her reading of the audio version of the book.)

What got Aamodt fired up in the first place was the work of Dr. Jules Hirsch, whose 1995 study of caloric intake and energy expenditure reinforced, although it did not invent, the “set-point theory.” The Rockefeller University bio page holds this summary:

Both obese people and those who had never been obese reduced their energy expenditure when their weight was lower than normal, and burned calories faster when their weight was higher than normal.

The basic concept is, the set point mechanism can’t distinguish between a reducing diet and a legit survival-threatening famine situation, so it zealously defends its fat stores. The more strenuously a person tries to reach a weight that is below her or his predetermined “set point,” the harder the body will fight back. Thanks to the inexorable power of metabolic suppression, even a person who easily and successfully loses weight will eventually “plateau out.”

In fact, according to the studies on which Dr. Aamodt bases her theory, getting stuck at a certain weight is the best-case scenario. Because, says an article she wrote for The New York Times:

After about five years, 41 percent of dieters gain back more weight than they lost. Long-term studies show dieters are more likely than non-dieters to become obese over the next one to 15 years. That’s true in men and women, across ethnic groups, from childhood through middle age.

For one thing, concern about calorie restriction produces stress hormones, which increases abdominal fat, the dangerous kind. Surprisingly, there is evidence that exercise can reduce abdominal fat and produce health improvements, even when no measurable weight loss is attained. In other words, the scale is not the only measure of health — a finding that has greatly encouraged the Fat Acceptance movement.

Also, dieting teaches us to respond to external cues like clocks, calendars, scales, and calorie charts. But a brain that is trained to obey external signals is much more likely to respond to TV ads and billboards — which are, of course, full of messages that urge people to eat. What we need to do is focus on internal cues instead. Dr. Aamodt says:

I recommend mindful eating — paying attention to signals of hunger and fullness, without judgment, to relearn how to eat only as much as the brain’s weight-regulation system commands.

Your responses and feedback are welcome!

Source: “Obesity and Metabolism: Why Weight Loss Is Difficult to Sustain,” rucares.org, undated
Source: “Why You Can’t Lose Weight on a Diet,” NYTimes.com, 05/06/16
Photo credit: Dave Parker via Visualhunt.com/CC BY

Mindfulness and Obesity

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Often, overeaters admit to not even realizing that they are snacking. There are two pragmatic solutions. One is to keep snackable items in a location that can only be accessed with difficulty, like in the basement or up on the highest shelf. Another is to not even bring these tempting pseudo-foods into one’s living quarters in the first place.

At its most basic level, mindfulness is asking the question, “What am I doing right now?” and being aware of the true answer. It would seem that developing a rudimentary degree of awareness should be possible — enough of it, anyway, for enlightenment to dawn and allow the person to acknowledge that she or he is currently eating. There are probably people who can follow that up by asking themselves, “When I catch myself eating between meals, what is the best thing to do?,” and who can then stop.

Dr. Pretlow points out a quandary: When emotional eaters realize what they are doing, they still are not able to stop. In the moment, the consequences of emotional eating are overwhelmed by the emotional urgency to either pursue pleasure or, more likely, to escape from pain.

Yet, mindfulness is widely recommended, so it might be useful to learn more. Two months ago Dr. Pretlow said:

Our current 4th study has provided a unique glimpse into the minds of obese young people and why they struggle to resist overeating and the forces/feelings that they say drive them to overeat, including the following:

1) continual thoughts of food that they can’t shake (like a thought form)
2) a coping mechanism for stress relief or comfort
3) pleasure and missing out if they don’t eat the food
4) playing tug of war with the mind — constant decision-making, over giving in or not
5) boredom, feeling alone, having nothing to do, a void (eating to relieve this)

Many more in our 4th study have been able to rise above these forces and lose substantial weight. We still haven’t figured out why some are able to rise above these forces while others are not.

The alert reader will have noticed that everything on that list originates in the mind, and here is an interesting idea that Childhood Obesity News neither endorses nor condemns. In discussing motivation, we mentioned kinesiologist and functional diagnostic nutritionist Sean Croxton.

One of his current projects is a podcast, “The Sessions.” As a guest on someone else’s podcast, he talked about graduating from college with all the knowledge of health and fitness that he would ever need — or so it seemed.

But reality intervened, and Croxton saw that he was charging people for advice that didn’t work for them. As a results-oriented trainer, he could not accept this, and began to educate himself from primary sources.

One thing he found among his clients was a widespread underlying issue called self-sabotage. It wasn’t going to matter much what people ate, or what else they did with their time, if they also insisted on shooting themselves in the foot. This series of excerpts describes the problem as he perceived it, and his solution:

I feel like some people need to do some work on the inside before we can really focus on their physical nature…

Mindset is huge. If your mind is not right, then you should probably get it right or go get yourself a new goal.

The subconscious mind is not in line with the conscious mind, then you’re always going to have that self-sabotage issue no matter what you do.

I took my butt over to hypnotherapy… and wrote a book.

I do recommend that some people go get hypnotherapy if they really have a hard time with self sabotage.

Your responses and feedback are welcome!

Source: “The Dark Side of Fat Loss with Sean Croxton,” BulletproofExec.com, undated
Photo credit: ilovememphis via Visualhunt/CC BY-ND

Obesity in Four Books and a Theater Piece

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Dr. David Ludwig, a well-known figure in the childhood obesity field, teaches at Harvard University and is founding director of Boston Children’s Hospital’s Optimal Weight for Life program. His work is based on the premise that the body can be convinced to accept a new, lower “set point.”

For The New York Times, Anahad O’Connor reviewed Dr. Ludwig’s book Always Hungry? and asked the author a number of questions, beginning with the underlying cause of obesity. Here is an excerpt from that answer:

It’s the low fat, very high carbohydrate diet that we’ve been eating for the last 40 years, which raises levels of the hormone insulin and programs fat cells to go into calorie storage overdrive. I like to think of insulin as the ultimate fat cell fertilizer.

Insulin programs the body to store calories, and most of those calories get stored in the fat cells. If you’ve got too much insulin, you’re going to store too many calories.

Social worker, attorney and trained therapist Rebecca Jane Weinstein presides over PeopleOfSize.com, a community that provides information, support and interaction. Her book, Fat Kids: Truth and Consequences, is described as containing “deeply personal tales and essential information, focusing on the lives, questions, and concerns of parents and children living in a childhood obesity crisis.”

Its press release says:

Fat Kids powerfully combines interviews, relevant research, social anecdotes, personal author accounts, and the reality of children struggling with weight, to create a narrative that is profoundly poignant, accessible, and essential for understanding our current war on fat.

Weinstein is also author of a rhyming children’s book, Ella’s Tummy, which covers teasing and bullying, eating disorders, disdain for the overweight, parental self-esteem building, and other pertinent issues.

Another book for children, Fartzee Shmartzee’s Fabulous Food Fest, is illustrated with cartoon characters because author Adam Michael Segal noticed how successful they were at selling products, and deduced that they might also be useful, along with humor, to sell ideas. Already an experienced writer about health and wellness, Segal was motivated by the school activities of his own two kids, which included many treat rewards and institutional fundraisers that basically depended on having the students sell junk food.

Spencer James developed a one-man show called “How to Hide a Fat Kid” to chronicle the struggles he experienced as a child and a young man. He had addressed obesity as a stand-up comic, but told a journalist:

I wanted to talk more about what the impacts are when you don’t like your own body and you’re simultaneously going through all the insecurity and crazy self-doubt of being a kid and then a teen-ager.

In James’s case, there was the additional stress of growing up in a constantly relocated military family. The stories begin with worrisome memories of waiting for the bus on the first day of school. For the longer-form stage presentation, he was aided by playwright Steve Stajich who related to the problems and said:

I had weight issues when I was a kid, and sometimes it just felt overwhelming. You wear goofy oversize clothing, you avoid certain things… You hide.

Your responses and feedback are welcome!

Source: “Rethinking Weight Loss and the Reasons We’re ‘Always Hungry’,” NYTimes.com, 01/07/16
Source: “Fat Kids: Truth and Consequences — Essential Reading about Childhood Obesity,” PRLog.org, 11/02/14
Source: “‘Fartzee Shmartzee’ book character educates children about healthy eating,”
CanadianInquirer.net, 04/15/16
Source: “Award-Winning Comedian Spencer James to Perform His One-man Show ‘How to
Hide a Fat Kid’,” PRWeb.com, 10/22/14
Photo credit: AJC ajcann.wordpress.com via Visualhunt/CC BY-SA

What’s Up With Healthful Snack Boxes?

snacks-in-store
Several online companies now offer a service that delivers healthful, natural snacks to the subscriber at regular intervals. The brands are Naturebox, Vegan Cuts, Conscious Box, Graze, and many more. Anyone may watch dozens of YouTube videos in which various customers taste-test the contents of their snack boxes. After sampling the gluten-free chipotle sorghum pilaf, a person can generally order larger amounts. The snack box is an interesting business model.

If they have any class at all, the various companies make available the complete nutritional and caloric information on each snack. For the skeptical consumer, some review websites offer “best of lists” with recommendations or the opposite. Graze.com attracted Dr. Pretlow’s attention because in the medical community, one school of thought describes grazing as a form of binge eating.

Devil’s advocate

Admittedly, these products would be useful in gift situations. In the old days, a professional in almost any field might give business friends candy or liquor on holidays. Now, fear of criticism might persuade someone to give healthful snack subscriptions instead. A six-month membership would be an ideal gift in another way. Because the customary holiday glut of food offerings can be oppressive, a monthly dose of natural snacks, stretching over half the year, might be a welcome innovation. Also, one of these snack assortments would be nice to have on hand when guests drop by.

They could be great for people in offices, who don’t want to buy vending machine crap or tote food in which, face it, is kind of uncool. Just sign up for delivery and, voila! It’s righteous snack time!

But aside from a few special circumstances, does the world really need more noshes? Big-picture-wise, it probably is better for people to eat dried cranberries than bite-size atrocities bloated with sugar, salt, and grease. (Viewing the big picture from a different angle, there are plenty of people in the U.S. whose entire monthly food stamp allotment would not cover the price of one snack box.)

Hot or not?

That these services exist is open to several possible explanations. Just as some individuals are capable of civilized, controlled social drinking, there probably are people who enjoy the occasional snack without going overboard. For them, these products are appropriate.

Let’s talk about the people who can’t stop with just a little bit of their addictor. When someone embarks on Dr. Pretlow’s W8Loss2Go program, one important aspect is the identification and elimination of problem foods. That’s just how it works. An alcoholic who goes into A.A. is cut off from all kinds of drugs, and the morbidly obese have to give up their favorite treats — but there will be many more kinds of okay foods than not-okay foods. In this respect, a person addicted to overeating is much more fortunate than an alcoholic. But, bottom line, some things will just be off-limits.

Oh no, not snacks!

In another stage of the process, snacking is ended. What??? There must be a misunderstanding, because aren’t some weight loss diets totally based on snacking or grazing? Maybe so, but W8Loss2Go is not a diet, it’s a life-saving lifestyle. Now, listen to what Dr. Pretlow says about the W8Loss2Go trials:

More than 70% of the young people in our past threes studies involving over 100 participants were able to completely stop snacking. Most were surprised that they were able to do this and even more so that they didn’t miss it. Furthermore, stopping snacking avoided the seesaw effect of increased snacking when mealtime amounts were reduced.

In other words, if snacking is accepted, then when the stage of cutting down meal portions comes along, participants will tend to compensate for smaller meal servings by dishing out bigger snacks for themselves. So, no snacking.

Your responses and feedback are welcome!

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Childhood Obesity News | OVERWEIGHT: What Kids Say | Dr. Robert A. Pretlow
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