An Ounce of Prevention, Part 3

As always, it is helpful to look at the various attempts that have been made to turn back the tide of childhood obesity, or at the very least, to prevent the surpassing of its current level. This series highlights why many parents so fervently hope that their children will not become obese, and how some parents want to do everything possible to keep this from happening. Sadly, circumstance has placed in the way of that worthy ambition a major stumbling block, i.e., the very fact that we are human.

If Earthlings are being surveilled and discussed by intelligent observers from somewhere else, our attitude toward food must leave them deeply puzzled. One extraterrestrial scientist says, “You know, I comprehend the ones who never have enough to eat. Their goal is basic survival, to sustain life itself. If they think about food and eating all the time, this is perfectly understandable.”

They just don’t get it

And the Extraterrestrial colleague says, “Sure. But look at the others, the ones who have so much food, they drown in it. They too think about consumption all the time! Build their day around it. Count up their energy units. All kinds of crazy nonsense that wastes the very essence of life they are so avid to preserve.”

The first ET scientist shakes one of its heads and says, “Check out this human specimen I’ve been observing. It does not want its body to increase in size. This could be prevented by causing some energy to be expended. So — and you won’t believe this — it goes out and activates its personal automated vehicle, in order to travel to the gym and — wait, what do they call it? — ‘Do some exercise’.”

It comes with the cream

Those researchers write a paper about how a little thing called “human nature” will always get in the way, warp our perceptions, pervert our best impulses, and waste our time and precious energy as we quarrel over details and side issues. Meanwhile, we are all in the same metaphorical sinking ship, and because of that, the best we can do, here on the Titanic, is to rearrange the deck chairs and play a tune, which explains the importance of Art in our relationship with the Universe.

Human nature has very much the appearance of being a package deal, where we must take the bitter with the better, and where we spend enormous energy to sabotage our own best interests. In the course of trying to solve our huge problems, we are capable of ideas and actions that turn out to be outrageously counterproductive. Often, enormous damage has been done before we figure this out, if we ever do. We humans are such contrarians, we are almost never able to totally stop working against our own best interests.

Parents are in a great position to understand how obesity works because they have gone through the experiences of being a child, an adolescent, and a young adult. Women are especially aware, because they are going to gain a certain amount of weight as expectant mothers, and of course, the fathers will notice the size increase too.

At any rate, it is to be hoped (though rarely achieved) that, once we understand what a drag it is to get out of obesity, we parents will be deeply inspired to instead prevent obesity. It is very easy to say that families should seek help from therapists. The next steps, finding a good therapist and affording the care, are quite a lot more difficult — and the hard part has not even started yet. Even with the aid of a professional, family conflicts and traumas can be incredibly difficult to cope with. Also, now in particular, the societal sources of help are drying up.

At any rate, after taking the long way round, we circle back to the main subject of this sequence, which is the type of therapy called IFS, or Internal Family Systems, about which there are two very important things to know. First, IFS has been widely utilized to address eating disorders and seems to have been promoted as particularly adaptable to this specific spectrum of problems.

Also, “Some patients say it’s destroyed their lives.”

(To be continued…)

Your responses and feedback are welcome!

Source: “The Therapy That Can Break You,” TheCut.com, 10/30/25
Image by lethanhstudio/Pixabay

An Ounce of Prevention, Part 2

Yes, according to one of the most familiar platitudes in English, “An ounce of prevention is worth a pound of cure.” Probably every other human language on earth has an equivalent old saying, because it is just so ridiculously, platitudinously true.

In this context, the meaning is obvious. We try to tell kids: Please make every effort to not be an obese child, because as you grow up and inevitably grow older, something unpleasant is programmed to occur. Most likely, you will wake up and realize it is time to shed those extra pounds, because you’re not a kid anymore. In addition, the effort to lose those pounds will make your life much more difficult than it would have been, if you had never added them in the first place.

Of course, kids never listen anyhow. Maybe some grownups listen, and if they have kids, they might take that warning to heart — especially because they probably know the truth firsthand. It behooves every parent to try to figure out how to get this message across in a way that might penetrate the juvenile mindset.

The oldsters do not say “You’ll be sorry” out of love for the lilting rhythm of the phrase. Hey kids, we know for a certainty that you will be sorry, because we made the same stupid mistakes, and we are now sorry, and we don’t care who knows it.

Monkey see, monkey do

This cannot be said too often: Children are much more likely to imitate what they see at home every day, than to follow precepts that are taught in any other way. A childhood that features unmonitored eating habits is awfully hard to overcome. Not to become a fat kid is a very difficult life challenge. Careless and excessive consumption makes it almost impossible to ever stop being a fat kid.

The great majority of grownups probably have a profound personal understanding of how difficult it is not to remain a fat kid. In other words, most adults grasp, from their own experience, how hard it is to retreat from the categories of “overweight” and “obese.”

But as Werner Erhard has said, “Understanding is the booby prize.” An adult can realize how difficult it is to lose body weight, and grasp the meaning of the sentence all day long, but none of that can help much. It is probably already too late for them, and their awareness and experience do not seem to go very far toward helping the next generation.

Plenty of words out there

There are a lot of words we can use in trying to convey to a child the importance of eating only worthwhile foods, and even then, not too much of them. Here’s the catch. By the time a child can understand the words, she or he has already logged several years of much more convincing communication. Mr. or Ms. Grownup, that kid has had an eye on you from Day 1, clocking your every move. Every single treat, snack, and third helping. It’s all there, on the shelves of their brain libraries.

Why must so much emphasis be placed on the prevention of childhood obesity? Because of a fact that becomes increasingly difficult to ignore with each passing day. We cannot avoid noticing that childhood obesity almost inevitably leads to adult obesity.

Okay, admittedly, there is another possibility, one that is equally damaging. A person can spend an entire lifetime tirelessly, devotedly taking measures to fend off adult obesity; every minute of every day being acutely conscious of the weight-related consequences behind every bite of food. That sounds like zero fun.

A grownup can be in therapy, able to recall and comprehend in exquisite detail every single factor in three decades of life that led to being a 30-year-old who weighs 350 pounds. But… Understanding is the booby prize.

Your responses and feedback are welcome!

Image by endho/Pixabay

An Ounce of Prevention, Part 1

In the realm of wisdom passed down through the generations, one of the most tried-and-true (and trite) sayings is, “An ounce of prevention is worth a pound of cure.” The maxim includes two terms that measure weight, which is very appropriate because weight is the subject here.

In the USA and the world, the emphasis on childhood obesity is a vital part of the overall health picture. Why? Because “As the twig is bent, so grows the tree,” and also because other corny old sayings with the same meaning are found all over the globe and in a variety of languages. They are all truthful descriptions of a real phenomenon.

“Give Me the Child Until He is Seven, and I Will Show You the Man” is a saying whose attribution is contested, but whose veracity is rarely questioned. Adjusting for traditional sexism, of course, it means that anyone who is entrusted with the upbringing of a child, male or female, during those first six years, is pretty much guaranteed to produce a kid trained to their satisfaction.

An even deeper truth is at work here, which is the rule known as “Monkey See, Monkey Do.” In other words: Granted, it is very likely that a child can be trained by deliberate and purposeful instruction. Still, it is even more likely that the kid will pick up the habits and ways that are consistently demonstrated by adults and observed by the child, rather than the ones being programatically instilled. Because, to roll out yet another ancient proverb, “Actions speak louder than words.”

Digression: an impactful best-seller

In 1973, Flora Rheta Schreiber published the hefty (almost 500-page) non-fiction book titled Sybil. Consequently, most people heard about multiple personalities for the first time, as the patient in the book had 16 of them. This is mentioned only to establish that prior to the publication of Sibyl, most Americans had never heard of any of this stuff. Suddenly, the multiple personality concept achieved wide awareness. People — especially parents — were primed and ready to hear more.

Now, granted, the odds of any one particular child developing such a serious problem are slim. Still, it is one of many possibilities. Given the choice, most parents would rather not have a situation like this to deal with, for the sake of the child and of themselves and their other children, and indeed for the well-being of the general public.

In the intervening decades, various branches of the psychological arts have taken on the challenge of rationalizing and working with multiple personalities. Some people are comfortable explaining them as visitors from the past, who previously had bodies and all the other accoutrements of standard human life. These tourists can be accepted as perfectly legitimate echoes of a person’s own previous incarnations, who have returned to work out their karma.

Or maybe…

Another narrative requires absorbing some information about the theories of Richard C. Schwartz, who may be thought of in shorthand as the father of IFS, the initials that must become intimately familiar if the rest of this is to make any kind of sense. IFS stands for Internal Family Systems, the operating assumption and principle connected with Schwartz’s controversial Castlewood Treatment Center. In a very recent article, journalist Rachel Corbett announced right up front and up top,

Internal Family Systems is a widely popular trauma treatment. Some patients say it’s destroyed their lives.

Corbett backed this up by presenting a case study, that of teenager Elizabeth Lerz, who in 2011 convinced her parents that her eating disorder necessitated a stay at Castlewood. They were relieved that she was amenable to treatment and that they were able to afford the hefty fee. What could go wrong?

All too soon, the answer became apparent. Mr. and Mrs. Lerz discovered that after four months of inpatient therapy, their daughter had become a hostile stranger who made horrendous accusations against them. This is not the place to cover those aspects in detail. Suffice it to say that, after enormous legal expenses, followed by 14 years (and counting) of hostile alienation, the family never recovered.

(To be continued… )

Your responses and feedback are welcome!

Source: “The Therapy That Can Break You,” TheCut.com, 10/30/25″
Image by geralt/Pixabay

Obesity: Bug or Feature?

Of course, all of our children are bound to belong to some category or other — quiet or loud; emotional or stoic; wanderer or stay-at-home; academic or athletic. As they grow, they will expand into even more categories: married or single; white-collar or blue-collar; traveler or stay-at-home, and so on.

All else aside, an obese adult is surely one category that no one wants their child to grow into. This is why we work so hard to help our kids, and everybody’s kids, if we can, to avoid being overweight. Most people in that group seem to get kind of stuck in that role. It is a tough category to grow out of.

What parent wants to see their child insulted by some nobody who says, “You’re so fat, what are you gonna be when you grow up? A stand-up comedian?” That cruel person has a point, however rude and hurtful it may be. Statistically, among the professional funnyperson demographic, extremely hefty people have been over-represented.

Obese actor John Belushi

John Belushi used heavy drugs, heavily, which no doubt contributed more than anything else to the physically ramshackle condition he was in when he died at age 33. And there seems to be little doubt that an overdose killed him. But he was also extremely and unapologetically overweight.

For OKMagazine.com, an uncredited author wrote that throughout life, Belushi had been chronically stressed, and that had contributed to his drug addiction and also led to an eating disorder. His appetite was a topic of discussion in his circle, and one biographer said,

John had a huge appetite. The way he physically ate food was larger than life. He would stuff himself. He could not eat enough food.

All this earned Belushi a 24-page autopsy report after his death at “only 222 pounds.” Later, forensic pathologist Dr. Michael Hunter reported that obesity had done massive damage by stressing the star’s heart, causing hypertension and a mortal risk. Psychologist Dr. Linda Papadopolous informed the public that an emotionally disturbed person will binge-eat as a coping mechanism, adding, “And this certainly would have applied to John.”

As if drug addiction, massive overweight, early death, and wasting a prodigious talent were not enough already enough of a legacy, Belushi unintentionally left behind a loose end. Years later, a significant problem landed on people who had only wanted to honor him. These were creative artists who intended to commemorate his life and work in a documentary film.

More than 15 years ago, actor Emile Hirsch intended to play the lead in a Belushi biopic. The funding to start work had not materialized, and no contract had been signed. Yet the director told Hirsch to start putting on the necessary weight, then production would commence.

Hirsch later told journalist Samantha Bergeson,

There’s all kinds of tricks and transformations. Ultimately you have to get the spirit of him first, the most important thing. It’s kind of annoying though because people are automatically so obsessed with the weight. I’d be the biggest sucker in the known universe to go and, like, gain 100 pounds.

Whatever artistic and commercial advantages he might gain from making the film, the idea of wrecking his body for such an uncertain outcome was untenable. The actor went on to relate how he had confided to people that, instead, the whole project had been reconceptualized. The movie would feature a thin Belushi, so actually he intended to not gain, but to lose weight in preparation for the role. In other words, at least he got some fun out of messing with people’s heads.

Your responses and feedback are welcome!

Source: “Overweight & Out Of Control! What Caused John Belushi’s Shocking Death?,” undated
Source: “Emile Hirsch Says John Belushi Biopic Director Was ‘Stupid’ for Asking Him to ‘Gain 100 Pounds’ Before the Film Was Greenlit,” IMDb.com, 09/20/24
Image by OK Magazine

We Are All From Ipanema

The previous post referenced the Girl from Ipanema, who was, by the way, a real person. At the tender age of 17, Helô Pinheiro inspired the world-famous song. Between the days of her international fame and the present, things have changed a lot, as suggested by the title of a New York Times article, “Brazil, Land of the Thong, Embraces Its Heavier Self.” It was published almost four years ago, so matters could only have gotten worse since then. In fact,

In 2020, nearly 29 percent of Brazilians older than 20 were obese, up from roughly 15 percent in 2000, one of the largest increases of any country over that period … Among the 10 most populous nations, only Mexico, the United States and Russia had higher obesity rates, ranging between 31 percent and 37 percent, according to the data.

Journalist Jack Nicas took a penetrating look at the Brazilian city of Recife, which had been dubbed one of the fattest in the country. He spoke with Karla Rezende, an activist who worked for the passage of laws designed to make the lives of overweight and obese people a bit less traumatic.

When Rezende discovered that passenger plane seatbelts did not fit her, she went the political route and worked for laws that would cause that situation to be rectified. Reforms have included practical measures like the installation of larger desks in schools, as well as the requirement to make teachers conscious of weight-based discrimination so they can pass the knowledge on to students.

Fresh vocabulary

The official language of Brazil is Portuguese, which now contains the word “gordofobia,” meaning discrimination based on weight. Gordofobia is vigorously discussed on local television, and millions of citizens fill the social media with discussions of it. Here are two of the shocking subjects.

Brazil’s biggest pop star, Anitta, has made waves by including obese women in her music videos, and sometimes by not even editing out her own cellulite. And after the Brazilian country-music star Marília Mendonça died in a plane crash last year, some journalists and commentators who mentioned her weight in that context were widely criticized.

Making a federal case of it

While in some countries, overweight acceptance just quietly advances, in Brazil, it became a major focus of the media, and a topic of fierce debate on the city, state, and national levels. In 2015, federal law classified overweight as a form of disability that needed to be protected by such measures as wide seats on public transportation and in soccer stadiums. The state of Rondônia legislated a guarantee that overweight people should be entitled to dignified treatment and untrammeled access to all places, along with being shielded from gordofobia.

Three states adopted a day, September 10, when overweight people’s rights are promoted. This part is not written, but it is a fundamental human right: not to be expected to have a perfect body with perfect curves. Another unspoken but existing right is not to be coerced by public opinion into submitting to bariatric surgery because other people believe you take up too much space.

Longtime Childhood Obesity News readers will remember Rebecca M. Puhl, Ph.D., whose area of expertise is the treatment of obesity by media outlets. This scholar has taken quite an interest in how Brazil is handling the matter. Nicas mentions an example:

[A] judge ordered a comedian to pay a $1,000 fine for making jokes about an obese Brazilian dancer’s weight. “The defendant exuded unequivocal gordofobia,” the judge said in the ruling. Freedom of speech is allowed, the judge added, “but it’s the state’s duty to protect minorities.”

Dr. Puhl remarks that most other countries, including the USA, are lagging behind Brazil in making sense out of all this. We may not want to go as far as punishing comedians for what they say on a nightclub stage, but there are plenty of other areas where we could stand some improvement. In 1976, Michigan was way ahead of the crowd in passing a law that “formally protected people from weight discrimination,” but other states have not followed the example.

Meanwhile, Brazil has continued to enact statutes meant to discourage gordofobia. Still, residents of that country say that despite a decade of progress, the sought-after improvement has proceeded at a glacial pace.

What has happened much more quickly is the increasing poundage of almost everyone in almost every country on the planet.

Your responses and feedback are welcome!

Source: “Brazil, Land of the Thong, Embraces Its Heavier Self,” NYTimes.com, 02/27/22
Image by guertzen/Pixabay

The Fat Tax in Brazil

What 1960s worldwide hit went on to become the (probably) second-most recorded pop song in history? That’s right, “The Girl From Ipanema,” written by Vinícius de Moraes and Antônio Carlos Jobim:

Tall and tan and young and lovely
The girl from Ipanema goes walking
And when she passes
Each one she passes goes “Ah!”

Additionally, the cool swing and sway of her walk reminds onlookers of a dance called the samba… But what is the use of reminiscing about a sight that has become increasingly rare in Ipanema or anywhere else in Brazil? Sadly, the nation that The New York Times journalist Jack Nicas called “a country known for beach bodies” has changed a lot in the intervening six decades.

Brief digression

Obviously, no one here advocates that overweight and obese people should be mistreated in any way, whether at school, at work, or in the wild. On the other hand, it is a pretty good bet that most obese people would prefer not to be in that situation, which can be uncomfortable in many ways: physically, emotionally, and — as we have especially been looking these days — financially.

One current trend is that all sorts of people pay big bucks in efforts to counteract the unpleasant effects of obesity, their own and others’. But it does not have to be like this. If we could somehow manage to be honest with ourselves and tolerant of others, those two practices would go a long way toward figuring out how to turn this thing around.

Meanwhile, back in Brazil

Still, some might argue that there is such a thing as too much tolerance. For example, in Brazil, obese people are favored with “preferential seats on subways, priority at places like banks and, in some cases, protection from discrimination.”

Note: Many would say that “protection from discrimination” belongs on a different list, because everyone should be protected from discrimination at all times. Everyone has enough problems already, and nobody needs that nonsense.

At any rate, Nicas has described how new laws have “made Brazil the world leader in enshrining protections for the overweight” while an “accelerating movement” has caused the country to become “one of the world’s most accommodating places for people with obesity.” Nicas writes:

[T]he schools are buying bigger desks, the hospitals are purchasing larger beds and M.R.I. machines, and the historic theater downtown is offering wider seats.

Many citizens resent all this, reasoning that ultimately, sooner or later, one way or another, every customer pays for these seats and desks and beds and machines. Many people favor tolerance in theory but can’t help thinking that perhaps, in practice, there has been a bit too much of it. As Nicas reported in February, “Over the past 20 years, Brazil’s obesity rate has doubled to more than one in four adults.”

Each day when she walks to the sea…

Ipanema is an area of Rio de Janeiro that features a beach. More than a thousand miles north is Recife, another coastal metropolis with great beaches and a population of over four million, and the reputation, Nicas says, of being “one of the fattest cities in Brazil.” He speaks of a public school there that mandated classes on weight prejudice for teachers and students alike. Since the days of the Girl, this whole South American nation has gained weight.

(To be continued…)

Your responses and feedback are welcome!

Source: “Brazil, Land of the Thong, Embraces Its Heavier Self,” NYTimes.com. 02/27/22
Image by phadoca/Pixabay

The Lifelong Price of Obesity

Multitudinous examples illustrate how, ultimately, every sector and group of which our society is composed will ultimately pay the price of obesity one way or another. Before getting into another one of those, here is a generalization.

The victims of it suffer the most, of course. But even people whose personal body weights are healthy will, one way or another, foot the bill that always falls due for the existence of obesity. There are a few essential messages that, for various reasons, need to be discussed repeatedly and by many voices.

What could surpass badness?

An important point is: To blame obese people is not only unfair and ignorant, but it’s worse than bad — it’s useless. If fat-shaming and fat-blaming have not revolutionized the situation in all these years, such a change is unlikely to happen in the future.

As has been discussed here before, what might turn things around is an uprising against corporations that fill up boxes and bags with any old detritus that happens to be lying around the laboratory, rather than with actual, viable food. Of course, we already have that, in a way. Numerous companies and chains specialize in foodstuffs that are scientifically proven to be superior in every way, and some folks pay a lot for them.

Others cannot afford to do that, or rationalize and justify to themselves that they can’t, and either way, the result is the same. The status quo is unfair, but — as many would argue — still preferable to nobody having any choice at all.

Let’s face it

The bottom line is our kids. They grow and get jobs and fall in love, and all that good stuff. Later on, they struggle to support the families that result from those first two milestones. Then, inevitably, one way or another, our children and their children will be handed a bill for a portion of obesity’s cost.

An article titled “Obesity is linked to higher rates of bankruptcy, according to a new study,” published not long ago by a website specializing in success, makes some interesting points. The information source was a study of bankruptcy in 3,000 counties in America, which found that the economic costs of obesity are staggeringly enormous and inescapable.

The medical costs are ultimately paid by everyone, regardless of individual weight status. According to the article,

The Center[s] for Disease Control and Prevention (CDC) reports that people who have obesity are at increased risk for many serious diseases and health conditions. This includes high blood pressure, type 2 diabetes, coronary heart disease, stroke, and many types of cancers, to name a few.

Those costs are shared by other insured individuals, patients’ family members, taxpayers, doctors who are pressured into corporate employment rather than private practice, and so on. Here is the technical, financial gist of the matter, as conveyed by economics professor Masanori Kuroki,

A one-percentage-point increase in the obesity rate is associated with a 0.02-0.03 increase (or a 1.0 percent increase) in Chapter 7 bankruptcy rates per 1,000 residents and a 0.02-0.04 increase (or a 3-4 percent increase) in Chapter 13 bankruptcy rates per 1,000 residents.

In addition to the cost of obesity, there is the cost of avoiding obesity, which also fits onto the scale when weighing the overall cost to the public. Childhood Obesity News has previously quoted Dr. Katy Miller, whose words are worth repeating:

We are proposing treatment strategies that are expensive and even in the best circumstances are often unsuccessful. How can we ask someone to diet when we’re not addressing things like poverty, food scarcity and housing instability?

This is true not only of Dr. Miller’s clientele, consisting of teenagers with eating disorders, but of every person in the USA. Furthermore, weight-loss pharmaceuticals will probably not vanquish obesity, and surgery is only suitable and affordable for a small minority of concerned individuals. And the money to pay for treatments of any kind could dry up any day.

Of course, there is the ongoing debate over which is worse: obesity that leads to poverty, or poverty that leads to obesity? The simple answer is that both need to be fixed. So, instead of wasting our breath debating that fine point, we might as well just get on with vanquishing both.

Your responses and feedback are welcome!

Source: “Obesity is linked to higher rates of bankruptcy, according to a new study,” TheLadders.com, 09/13/20
Image by Surprising Media/Pixabay

The Fat Tax at Work

The title of this piece is a two-fer, because it refers to the condition of someone who is inconveniently overweight in the job market and the workplace, but also it describes how obesity stays on the job every minute of every day, always doing its best to cheat a person of the full enjoyment of life in all its aspects.

Evidence that this is a widespread problem is provided in an essay, “The Real Cost of Being Fat.” Author Christian Curet begins with some thoughts about time and how a person tends to become careless, and to underestimate its worth. It does seem that in life, the specifics are negotiable. A person might put the highest value on work, or on personal relationships, or both, and that is a matter of individual preference. The point to keep in mind, however, is that wasted time is something we will never get back. Also, we will regret (sometimes bitterly) its loss.

As a prime example of a time-waster, the author offers, perhaps surprisingly, “excessive leisure,” an intriguing idea that stirs curiosity but is not discussed further in this essay.

Back to business

Meanwhile, he describes how much of his time is wasted by an activity which, while stationary and maybe even relaxing, could by no means be described as leisure. That is sitting in an outpatient clinic with a needle in his arm, receiving infusions to treat Crohn’s disease and ankylosing spondylitis.

To that information, he adds, “Because I’m about 100 lbs overweight, I have to sit in this chair for an extra hour every time because the volume of medicine is based on weight.” A repetitious weekly chore is organizing all the medications for the following seven days. In confessional mode, he writes:

I have to take time each day to deal with my CPAP machine for my sleep apnea. I have to take time to measure my blood sugar because I’m a Type 2 diabetic. I have multiple doctor appointments for these conditions too. You add all that up and I’m losing hours of my life a month because I didn’t take time to take care of myself before.

The great majority of this patient’s health problems are routinely associated with obesity. He admits, as many of us will if we are honest, that in our younger years, we were in fact quite careless, taking on board a plethora of inappropriate foods, and too much of them, as well as ignoring the necessity for frequent and meaningful exercise.

But wait, there’s more

Medical care is not the only cause of monetary outflow. Clothing is a major expense, and a sensitive issue. (See “Fatsploitation is Alive and Well.“) And food? Eating well is more expensive. Only junk food is cheap.

Now, here is an aspect of carrying too much weight that never occurs to most healthy-weight people. With 100 or more extra pounds of body weight, even the most motivated customer can find that the equipment for many health-inducing activities is forbiddingly expensive. A person who wants to get some exercise could be forever discouraged by the price difference between two different kayaks, one of them extra-large.

To finish up, this very fortunate writer credits his wife and kids in a lovely tribute:

I’ve found that if I ask, my family will do most of these things with me. They’ll cook healthy foods with me, join me in exercising (if it’s fun) and will slow down and climb the steep trails with me. I just have to be humble enough to ask and not see it as a burden for them, but as an opportunity. For all of us.

Your responses and feedback are welcome!

Source: “The Real Cost of Being Fat,” Medium.com, 08/21/20
Image by CDD20/Pixabay

How Can the Federal Government Help?

This current series looks at the costs of obesity to society as a whole, and many readers may experience surprise as instances and examples of harmful influence are revealed. One certainty cannot be repeated too often, and that is the unavoidable fact that childhood obesity affects all children — if not directly, then indirectly.

Our kids, no matter what shape they are in now, may grow into obese adults. Even if they do not personally share that fate, the society they live in for the rest of their lives will certainly be lavishly populated with obese adults. This fact will be reflected in the taxes they pay, as well as in many other aspects of their lives.

Many government departments are concerned about reducing the expenses that society is expected to cover, and in numerous cases, these bureaucracies can actually do something about the conditions that cause those expenses to mount.

As we have seen, adequate hydration is one of the conditions that can go some distance toward alleviating widespread obesity. The National Institutes of Health naturally want to know how workplaces, homes, and schools can be helped to maintain standards that will cause less obesity and less illness, and fewer injuries and thus, less expense to the national budget.

Consequently, that agency paid attention to a publication describing WHPPs, or workplace health promotion programs. Any WHPP that the government comes up with is intended to improve citizens’ lifestyles and consequently their health, and furthermore the prosperity and well-being of the businesses where they earn their salaries.

Every such program ever initiated has been launched with the purpose of promoting physical and mental health. By aiming to promote physical activity, such programs hope to increase workplace productivity and, ultimately, to reduce the number of sick days claimed by the workers. Furthermore, a well-designed WHPP can improve “employee productivity, working energy, and job satisfaction, as well as decrease absenteeism, enhance a sense of community, health behaviors, and overall well-being.”

That is a tall order, but the designers of these programs are quite serious and dedicated to their goals. The hope, always, is that employees who benefit from these well-intentioned programs will speak generously of them to other workers, thus making further adoption of the ideas frictionless.

When someone does not drink enough water, the body is aware of being deprived of something important, and may react by malfunctioning in ways that no employer wants to see — like changes in attitude and consciousness that can lead to expensive mistakes or counter-productive hostility, or even to internal conditions that foster actual physical illness.

The changes in people’s knowledge, attitudes, and expectations may be minor, and yet still exert significant influence on their capabilities and moods, and meaningfully impact the work environment’s overall emotional and cognitive weather. All in all,

Adequate water intake is a low-cost and effectively non-invasive strategy for individual health outcomes… Besides significantly increasing water intake, the intervention improved other health behaviors, thereby benefiting physical and mental health. Hence, promoting water consumption in workplaces till it becomes a habit may benefit the employees.

Your responses and feedback are welcome!

Source: “Effectiveness of a Water Intake Program at the Workplace in Physical and Mental Health Outcomes,” NIH.gov, 2022
Image by daha3131053/Pixabay

Overweight Because Impoverished, or Impoverished Because Overweight?

The title poses a trick question, because there is no “either-or” about it. People get fat because they are poor, and also become poor because they are fat. Both propositions are sadly and eternally true. One of the easiest tasks on the planet would be to populate a series of articles with references to reciprocity: specifically, about how overeating (which almost always results in obesity) can have a negative effect on personal and familial food budgets; and how either too much money or too little money can both drive a person toward obesity.

Of course, formal academic papers have been written about these stubborn questions. One such document is “Income and obesity: what is the direction of the relationship?,” which was published in 2018 by two researchers from the Department of Medical Sociology at Germany’s University Medical Center Hamburg-Eppendorf.

The subtitle is, “A systematic review and meta-analysis;” the “meta” designation being appropriate because 21 different studies were consulted, most from institutions in the United States, along with a few from the U.K. and Canada.

As the authors scrutinized the various sources, a pattern was apparent, of lower income being associated with a higher risk of obesity. At the same time, it became clear that “the perspective of a potential reverse causality is often neglected, in which obesity is considered a cause for lower income.” Their intention was to explore the relation between income and obesity by “specifically assessing the importance of social causation and reverse causality.” The materials included 14 studies on causation, along with half as many on reverse causality.

On a superficial level, it is easy to grasp some of the major reasons why poor people tend to become fat. A lot of cheap, fattening food is available, especially in what are called “food deserts,” where people don’t have the transportation opportunities to go to stores where healthier fare is available, cannot afford to pay for memberships to big discount stores, and don’t have access to gyms, and so on.

However…

Yet these researchers suspected, perhaps counter-intuitively, that “Findings suggest that there is more consistent evidence for reverse causality.” This indicated a need to take a closer look at reverse causality processes than had been previously attempted. So why and how, exactly, is obesity likely to lower a person’s income?

In general, a body perceived as too large conveys the impression, whether true or not, that the individual is weak-willed, lazy, and undisciplined. In the labor market, this translates into fewer opportunities to be hired, lower chances of being promoted, and a higher likelihood of being “let go” when staff needs to be reduced.

In the minds of many non-obese people, difficulties are presupposed, and penalties are pre-imposed. Judgment is not reserved until a chair is actually broken, but is arbitrarily rendered, based on suspicion that the person might break the chair.

Obviously, that reverse causality involves a massive amount of social causation. Obese people tend to “drift into lower-income jobs due to labor–market discrimination and public stigmatisation.” This is particularly true for women, who tend to draw much more criticism for being overweight, and who, when carrying excess pounds, find it more difficult to present themselves in public as being worthy of respect for other reasons.

To explain such differences, one of the researchers suggests that…

[…] obese women are confronted with disadvantages that derive from the stigmatisation of fatness, and additionally face higher expectations to perform their gender properly. According to the cultivation theory of the social sciences, there is a stronger idealisation of thin women, which may help to explain why there is a stricter weight penalty for women than for men.

Your responses and feedback are welcome!

Source: “Income and obesity: what is the direction of the relationship? A systematic review and meta-analysis,” NIH.gov, January 2018
Image by Pixabay, used under the Pixabay content license

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Profiles: Kids Struggling with Weight

Profiles: Kids Struggling with Obesity top bottom

The Book

OVERWEIGHT: What Kids Say explores the obesity problem from the often-overlooked perspective of children struggling with being overweight.

About Dr. Robert A. Pretlow

Dr. Robert A. Pretlow is a pediatrician and childhood obesity specialist. He has been researching and spreading awareness on the childhood obesity epidemic in the US for more than a decade.
You can contact Dr. Pretlow at:

Presentations

Dr. Pretlow’s invited presentation at the American Society of Animal Science 2020 Conference
What’s Causing Obesity in Companion Animals and What Can We Do About It

Dr. Pretlow’s invited presentation at the World Obesity Federation 2019 Conference:
Food/Eating Addiction and the Displacement Mechanism

Dr. Pretlow’s Multi-Center Clinical Trial Kick-off Speech 2018:
Obesity: Tackling the Root Cause

Dr. Pretlow’s 2017 Workshop on
Treatment of Obesity Using the Addiction Model

Dr. Pretlow’s invited presentation for
TEC and UNC 2016

Dr. Pretlow’s invited presentation at the 2015 Obesity Summit in London, UK.

Dr. Pretlow’s invited keynote at the 2014 European Childhood Obesity Group Congress in Salzburg, Austria.

Dr. Pretlow’s presentation at the 2013 European Congress on Obesity in Liverpool, UK.

Dr. Pretlow’s presentation at the 2011 International Conference on Childhood Obesity in Lisbon, Portugal.

Dr. Pretlow’s presentation at the 2010 Uniting Against Childhood Obesity Conference in Houston, TX.

Food & Health Resources