Coronavirus Chronicles — The Farmers’ Market, an Endangered Anachronism

A farmers’ market or green market is a relic of an institution, left over from earlier ages when there was no other kind of market. People grow vegetables, or raise chickens, or bake bread, then carry their turnips, eggs, and loaves into town. They set up shop on folding tables with, if they are really fancy, some kind of pole-and-sheet arrangement to keep the sun off. In the old days, for townspeople, the only shopping alternative was to wait until a peddler with a wheeled cart full of produce showed up in the lane, yelling out the day’s specialties.

In today’s cities, market hours are strictly delineated and space is carefully allotted, often on the grounds of a public building that is closed on the weekend anyway. The food producers can take advantage of manufactured shade awnings and arrange their vending tables as randomly or as primly as they like.

Their veggies might be meticulously trimmed and washed, or yanked from the ground and presented with soil clinging to them. One method is to set up an enormous long table with 20 varieties of vegetables laid out in heaps. The vendor does not bother to weigh, but simply issues a standard size plastic bag that every customer fills with whatever they like, for a set price.

The ambitious cook can buy a bushel of tomatoes or a hundred pounds of peaches to take home and preserve in mason jars. Locally sourced honey is advertised as being good against allergies to local plants. Other wares might include candy, coffee, jams, jellies, and kombucha. There are tiny seedlings for the customers to take home and nurture in their own gardens; aloe vera lotion and other natural remedies; enormous braided hanks of garlic; heirloom (ugly) tomatoes; hand-sewn aprons and pot-holders; and even tie-dye t-shirts.

Active customer participation

To minimize expense and waste, customers are encouraged to supply their own baskets and bags. Green market enthusiasts make up the most conscientious segment of today’s food-buying public. They scorn genetically fiddled-with products and enjoy quizzing the growers on every detail of production. Parents worried about their children’s (and their own) weight know that fruits contain no added sugar.

There might be homemade sausage on offer, and ethnic treats that can’t be found elsewhere. One farmer trucks in a huge apparatus to roast chili peppers right there on the spot. Another specializes in several varieties of edible mushrooms. Around the edges, musicians show off their talents, hoping for donations to be tossed into a hat or violin case.

It’s a nice outing for people who are wheelchair-bound and don’t get to see much of the world. Parents find opportunities to teach. Even kids who are used to seeing the produce sections of supermarkets can have their horizons broadened. All those lemons and melons exist through the efforts of actual human beings, whose life’s work is to make sure that other people are fed.

Casual and informal selling venue

There are downsides. Historically, prospective buyers are free to fondle the items, or even cough and sneeze over the tables. Transactions are carried out in cash, with people handling massive numbers of small-denomination bills. There are uncovered plates of samples impaled on toothpicks or measured into tiny portion cups. Some shoppers find it appropriate to bring their dogs, who get interested in each other and complicate the traffic flow.

Depending on climate, a market might be seasonal or year-round. It might set up for only a few hours each week and feature only a handful of vendors — but citizens want those hours and those vendors. The needs of ethnic communities might only met by small, independent growers. Some customers never cross the threshold of a chain supermarket, and shop exclusively at farmers’ markets.

An additional layer of complication is added by the fact that activists spent years haggling with the federal government to allow customers to use their SNAP benefits for fresh veggies at outdoor venues. That concession has been continually under threat and, as Nicholas Kulish reports for The New York Times,

Roughly 40 million people rely on the program, though a recent Trump Administration rule change was expected to push 700,000 people from the rolls before the coronavirus crisis began.

Now, in this time of contagion, it would seem that such informal selling venues must be doomed. Various levels of government claim jurisdiction, and they are not always “on the same page.” In one major city, since plague rules began, fresh-air markets were first allowed, then cancelled. In another, they were first ruled out, and then allowed.

In the best-case scenario, a state deems the farmers’ market an essential business, and sets guidelines, or delegates the making of safety rules to local authorities, and things continue pretty much as before. People want to get back to normal, eventually, and normalcy means farmers’ markets. Whatever happens, we need to be careful that nothing is done to permanently cripple this commercial format.

(To be continued…)

Your responses and feedback are welcome!

Source: “‘Never Seen Anything Like It’: Cars Line Up for Miles at Food Banks,” NYTimes.com, 04/08/20
Image by Alan Light/(CC BY 2.0)

Coronavirus Chronicles — Food Banks

A food bank might be administered by a faith-based group, or a not-for-profit organization. It might be a hobby run from the back of a truck by an eccentric citizen. It may have some sort of partnership with a government agency. All food banks (sometimes called pantries) have one thing in common. In order for food to be taken out, it first must be put in. Where does it all come from?

There are wonderful feel-good operations like the yearly “Cans Around the Oval” effort at Colorado State University. The campus features a vast and picturesque tree-shaded oval-shaped lawn, where students and local citizens are asked to bring canned goods to line up on the curb, all the way around the perimeter.

Sometimes, the donation process can be a mixed blessing, like the relationship between Mary’s Place in Seattle and its corporate donor, Amazon. Hopefully, things are better now, but two years ago, April Glaser described a situation where the organization had to deal with “major logistical nuisances to the detriment of its staff and clients” and “a relationship that seemed to prioritize optics over a thoughtful approach to philanthropic giving.”

Food banks are often filled by donations of unsold stock from retail grocery stores. But Claire Babineaux-Fontenot, who runs Feeding America, recently told National Public Radio (NPR) that since the COVID-19 crisis began,

[…] we’re seeing as much as a 35% reduction in that donation stream from retail…

Depending on what part of the country is being discussed, food banks often benefit enormously from contributions made by restaurants, casinos, and hotels. Now, business establishments designed for people to gather together are closed, some never to open again. Individuals and families who are accustomed to sharing generously suddenly face the prospect of eviction and starvation themselves.

But wait, that’s not all

It is bad enough that donations are greatly diminished just when they are needed most. Food banks also need person-power, and that too is in short supply. People who usually volunteer, are sick, or taking care of someone who is sick, or just plain terrified to come out in public. Many farmers who supply restaurants, hotels, school cafeterias, and the like are experiencing the dilemma voiced by vegetable grower Kim Jamerson, who is heartsick at having to plow beautiful crops back into the ground.

Since the usual customers are not buying, harvesting the vegetables would bankrupt her. According to NPR,

Jamerson says she can’t afford to pay workers to pick a crop that will be donated. She wants the government to step in, provide workers or the money to pay them, and make sure food gets to where it’s needed. “The government could send the food to the hospitals, the rest homes, to the food banks, to the churches,” she says.

One point made by the NPR reportage is that a horrible paradox is playing itself out. In some places, there is plenty of food — with nobody around to pick it or transport it. So it goes to waste. Meanwhile, in other places, people are desperate for something to eat.

See this grim collection of photos assembled by the Reuters news agency. Across the nation, people line up under miserable conditions, hoping that their local food bank will not run out before their turn comes.

What does this have to do with obesity? Right off the bat, two things. The supplies donated to food banks tend to be non-perishable, either canned or boxed, with a long shelf life. These types of food tend to be highly processed, pumped up with all kinds of chemical additives, and very calorie-dense — exactly the types of food that promote obesity.

Also, if and when the situation ever “normalizes,” many people will have new emotional issues about food, the kinds of psychological problems that provide fertile ground for eating disorders of every variety.

Your responses and feedback are welcome!

Source: “We’d Spend Hours Each Week Unpacking and Throwing the Food Away,” Slate.com, 05/22/18
Source: “Food Shortages? Nope, Too Much Food In The Wrong Places,” NPR.org, 04/03/20
Source: “Long lines at food banks across U.S.,” Reuters.com, 04/20/20
Image by Claudio Schwarz/Unsplash

Coronavirus Chronicles — Food Desert the Size of a Continent

As recently discussed here, one significant side effect of the necessity to shelter in place, or even to observe strict quarantine procedures, could be a vast increase in obesity among both adults and children. People who are depressed, bored, and frightened are apt to respond by eating simply because food is there.

But what happens when food isn’t there?

Well actually, let’s start by taking a step back. For many Americans, food already isn’t there. In describing food deserts, we have seen the desperate situation of many families who not only have no decent place to shop nearby, but who quite possibly also have no transportation, no child care, and no money. Even in a city with a bus system that happens to still be running, how does a single mom wrangle three kids through a two-way journey on public transportation, plus a grocery store visit, with them in masks and forbidden to touch anything or trust a single person they meet along the way?

What happens when one of the kids needs to go potty, but the store has closed its public restroom because staffing is tight, and management can’t schedule anyone for full-time bathroom cleaning duty, and besides, the customers just steal all the toilet paper? A lot of people who used to think their lives could not be any worse are learning that they were mistaken about that.

Afflicting the comfortable, without comforting the afflicted

Even in the best of times, poverty limits the capacity to put nutrition first. Impoverished mothers, says Lola Olufemi…

[…] do not have the luxury of considering nutritional value: of mulling over and picking the foods that might be best for their child’s development or health. The demands on their body and time mean they can only think about what will fill their stomachs.

Even before this current crisis, millions of children lived in households that rarely came close to affording the amounts of fruit, vegetables, and other beneficial foods to meet any official guideline standards. And no matter how loudly governmental agencies insist on the importance of preventing obesity, those same governments are not always diligent about helping people acquire the means to address those concerns in their daily lives.

The terrible irony is, all the specialized questions and issues about preventing obesity could soon be moot for many people, because they are constrained to eating only what comes their way via the food bank, if there even is one in their area, and if they can even access it.

One of the really cruel aspects of being compelled to stay home with fixed amount of food is that we don’t know how long the lockdown, whether de jure or de facto, will last. A parent can agonize all day over whether to give a child another slice of bread. Trying to ration a known quantity of supplies, to last for an unknown amount of time, is crazy-making.

Degrees of need

Families who are not yet feeling a financial pinch have their limits, too. When every trip to any commercial establishment is a life-or-death risk, how many supermarkets are worth visiting to try to find the most healthful foods? Even people who seemed prepared, who started out with a nice capacious freezer stocked with meat bought at wholesale prices, and a basement full of canned goods, are getting nervous.

Jessica Ball’s family used to depend on food stamps. However much you got, it could not be spent on anything else. She wrote,

With a budgeted amount for food I couldn’t steal from myself to pay other bills, we ate some gorgeous produce…

When the rules changed, Ball learned to feed the family on a strictly budgeted $230 per month. When the pandemic descended, with family members sick with what might or might not be the virus, she started to order online and pick up groceries or have them delivered. What with one thing and another, the monthly food budget was almost gone after a week. She wrote,

I want to be able to compete in the grocery market again. I want to be able to count on affording basic staples and not cry about the higher price of fresh foods my kids need to stay healthy. While I deeply believe in the Stay At Home orders, I’ve drained our bank account and maxed out the credit cards sourcing supplies I could have scrounged way cheaper in person.

It could get to the point where not even money will help. You can advise parents to serve fresh produce until you’re blue in the face, but if no fruit and vegetable pickers show up to harvest the crops; if no one is able to load or drive the trucks, or repair the refrigeration units, or deliver the diesel fuel; and if nobody is available to stock the grocery store shelves… It goes on.

Your responses and feedback are welcome!

Source: “Poor Mothers Do Not Have The Luxury Of Considering The Nutritional Value Of Food,” Refinery29.com, 03/18/20
Source: “We’re All Going Broke Buying Food,” Medium.com, 04/11/20
Image by Studio Incendo/(CC BY 2.0)

Coronavirus Chronicles — eHealth to the Rescue

The current period is being compared to other historical eras, namely the chunk of time immediately after 9/11, and the hysterical level of anxiety about nuclear war during the Cuban Missile Crisis, and, of course, the attack on Pearl Harbor that set off World War II. A spokesperson for the American Psychological Association (APA) confirms that folks are under a heavy stress load, to the point where “nearly every single person worldwide is currently experiencing some kind of coronavirus-related impact on their mental health.”

Things had already reached the point where potency medications for men could be obtained through an online consultation, and even several years ago, Colorado’s medicinal marijuana patients were able to renew their “red cards” by visiting with their prescribing physicians electronically.

A scientific journal, Telemedicine and E-Health, is devoted to these two subjects. In the psychological area, many therapists have been practicing online for years. A patient could use lunch hour to sit in his or her car and keep a weekly cell-phone appointment, and some therapists can be texted any time, and called on an as-needed basis. Sara Gaynes Levy writes that…

[…] telehealth services will be crucial in reducing the mental health burden of Covid-19, and organizations that currently offer digitized mental health services are already seeing spikes in users.

Patients are not the only ones who need answers, and the APA is modifying its website to assist practitioners in the protocols appropriate to therapy, when everyone is supposed to stay home. There are questions that have never been faced before. If the home-bound therapist conducts a talk session while holding a baby, is confidentiality breached?

Scheduled phone meeting have always been part of the plan for Dr. Pretlow’s W8Loss2Go program. The current research involves a multi-center randomized control trial to assess the effectiveness of a mHealth (mobile health) weight-loss intervention. One of the objects is to assess use of the smartphone application alone, as compared to a combination of the app with phone coaching.

Hanging in there

Meanwhile, school closures plus shelter-in-place orders are wreaking havoc on family life. Yes, some very lucky people live near bike trails or playgrounds, and are able to squeeze in a modicum of exercise in these trying times, but team sports are out of the picture. Schools have been decreasingly reliable suppliers of physical activity opportunity, but now, even that minimal amount of calorie-burning is gone. Frequent vigorous exercise inside the home is usually not feasible.

The sad truth is, some families live in circumstances that rely on all members not being home at the same time, because if they are, it may not even be possible for everyone to find a seat. With luck, they at least have TV to watch or video games to play. If there is only one TV and something goes wrong with it, the consequences could be serious, because tempers are short.

Jessica Sparks Lilley, M.D., director of the Pediatric Diabetes and Lipid Program at the Mississippi Center for Advanced Medicine, like so many other medical professionals, acknowledges that kids eat in response to stress and boredom, both of which are in plentiful supply right now. Hopefully, schools can map out directives for at-home physical education and exercise. (Pity the poor neighbors, who have enough of their own problems without children thundering overhead.)

Dr. Veronica Hackethal and others suggest,

Depending on the age of the child, online yoga may also be useful. Even though yoga burns relatively few calories, it incorporates mindfulness training that may be helpful.

Your responses and feedback are welcome!

Source: “Everyone’s Anxious. Therapists Are Slammed. Here’s How Mental Health Care Is Keeping Up,” Medium.com, 04/06/20
Source: “COVID-19 Pandemic Spells Trouble for Children’s Health,” Medscape.com, 04/15/20
Image by W8Loss2Go

Coronavirus Chronicles — Boredom Is #1 Binge Eating Culprit

A while back, Dr. Pretlow wrote in his Conclusions that a study provided “preliminary evidence for the utility of behavioral addiction methods for treatment of obesity, specifically in young people.” But here is the part we are interested in at the moment:

Reported reasons for overeating, in order of prevalence, included: boredom, pleasure seeking, life stresses, conflict to eat or not eat a food, sadness, social pressure, trigger of food in sight, feelings of missing out, familiarity, and repetitive thoughts of food that they could not shake.

The environment that many families find themselves in right now is one of confinement, because of the COVID-19 threat. How many of those reasons for overeating might we suppose the average American is up against every day? If kids are old enough to remember last year, and have formed an expectation that Easter brings treats, this year came as a shock. Dr. Pretlow wrote,

Parents should be educated not to use food to soothe, comfort, or reward their children or as a way to buy love, or as a way to entertain their kids to prevent boredom.

Unfortunately, we happen to be in a situation where kids need a plenty of soothing and comforting, and a lot less boredom. In “Food Addiction in Children,” Dr. Pretlow also wrote:

One researcher has stated, “If a behavior eases pain or boredom for only 30 seconds, the behavior will be repeated.” [Foster, 2006]…

Eating to combat boredom was the most common reason the kids gave for their overeating… Boredom was extremely common among the kids who interacted on the site…

In chatroom transcripts the word “bored” occurs nearly as often as the word “weight.” One child in the chatroom even remarked, “[…] bored is one of the most spokin words in here.”

The Elephant in the ADHD Room, a book by Letitia Sweitzer, is a resource originally created for therapists and parents dealing with kids who have Attention Deficit Hyperactivity Disorder. It could also prove useful for other purposes.The approaches that Sweitzer suggests are specifically tailored for toddlers, children, teenagers, or adults. A reviewer known as Sahar wrote,

She explores the relationship between boredom and the diagnostic criteria of ADHD, inattention, impulsivity, and hyperactivity. In light of this relationship, she presents age-appropriate strategies to help those with ADHD beat boredom so that they can instead engage with tasks to achieve their goals. One of the unexpected benefits of this book is that many of the strategies can be applied by someone who does not have ADHD…

India is very different from the United States. The foods recommended by pediatricians and nutritionists to avoid obesity include rajma, green gram, and sprouts. Dietician VS Lekha says,

A potato can be dropped in sambar instead of being fried. Carrot or beetroot can be mixed with idli or dosa batter. Rotis and chappatis can be stuffed with veggies and served.

Another difference is that India contains much larger multitudes of starving people who live in stark poverty. But there is a privileged class, engaged by the same problems that American families currently face: the need to shelter in place, avoid the outdoors, somehow become educated despite school closures, and get along with very little physical activity. And just like American children, the kids watch too much TV, where they see advertisements that stimulate them to badger their parents for even more snacks and treats.

Something else is the same, as VS Lekha states:

Children don’t go out any more. So if parents don’t bring junk food home, they won’t eat it.

Your responses and feedback are welcome!

Source: “Treatment of Obesity Using Behavioral Addiction Methods: a Pilot Study,” Gale.com, March 2017
Source: “Book Review: ‘The Elephant in the ADHD Room’ by Letitia Sweitzer,” SeattlePI.com, 05/26/14
Source: “Are your kids binge-eating during lockdown?,” NewIndianExpress.com, 04/17/20
Image by Jennifer/CC BY-ND 2.0

Coronavirus Chronicles — Boredom and Distraction

For many people, stress, depression, and boredom are a package deal. The overweight children and teens who communicate with Dr. Pretlow mention boredom constantly, as a huge problem.

Maybe some of that derives from emotional misidentification. Dr. Pretlow once wrote, “Boredom, of course, may be mislabeled anxiety or background stress.” Stress kills the ability to care, which feels identical to boredom. Depression smothers every spark of enthusiasm, destroying the ability to care about anything, and that feeling can plausibly be described as boredom.

Kids feel it too, of course, and people of every age attempt to self-medicate it away by eating. But rather than the desired state of contentment, what they usually achieve is the miserable sensation of being both stuffed to the brim, and ravenously hungry.

For anyone whose go-to stress response is eating, these are particularly bad times. If a stash of food is available, the person trying to dodge boredom will devour it. If food is not available, a person might take foolish chances of exposure to the contagion. In some cases, embarking on a dangerous mission (to secure vital taco chip and root beer supplies) might even assuage the boredom for a while.

A distraction that keeps on giving

Whether eating is a chemical addiction or a behavioral addiction, the end result is the same: overconsumption. Boredom triggers it, and should be avoided, but how? Dr. Pretlow states one of the basic tenets of W8Loss2Go smartphone app:

Distractions are the best way to treat the rogue displacement mechanism of overeating.

Because so many parents and children are stuck indoors, or at least in the confines of their own real estate, many online guides suggest interesting material on the Internet, like virtual museum tours. But this is not a new phenomenon; there has been plenty of content for years. In the age of the Internet, when just a few keystrokes can reveal the whole world, a child who can still manage to be bored may be presumed to be in serious trouble.

In “The Coronavirus Sanity Handbook,” Tirhakah Love suggests digital comics, readable via phone, tablet, or laptop, through a service that offers a library of 500 comics and graphic novels, and another where all of Marvel Comics’ 81 years worth of archives are an open book. We’re talking about 30,000 individual works.

If the enthusiast has a favorite character, the index can find every episode that character appeared in. Love adds details:

It’s by far the widest library you’ll find in a comics service, with thousands of titles from all the major publishers […] by subscribing to series in the app, you’ll automatically get access to the new issues… Tablets are perfect for this […] to zoom in on small details, picking up on subtle artistic touches…

What can parents do?

Parents can endeavor to teach their children how to entertain themselves, rather than expect a constant stream of stimulation to be poured onto them. They can avoid using food as a tool to repair boredom and loneliness, or as a substitute for attention, like the plentiful snacks that tend to be left for latchkey kids.

Dr. Pretlow makes available an audio clip from a mother who describes a scheduled three-hour park playdate, complete with “bikes and scooters and balls and everything”:

But they got bored and wanted to go home, and then they got hungry. I think what happens is that we don’t allow our kids to get bored and solve their problem. We try to solve it for them too quickly, like “Okay, you’re bored, let’s go home. Okay, you’re bored, here’s something to eat.”

When a parent declines to buy into that scenario, she says, the child’s attitude can change from “I can’t experience this boredom” to “I’ll think of something to do.” The quote continues:

And once they finally accepted the fact that “We’re not going home, you guys have to find something to do,” they started to have a really good time, and then when it came time to leave, they didn’t want to go.

Your responses and feedback are welcome!

Source: “The Coronavirus Sanity Handbook: Comic Books,” Medium.com, 03/26/20
Image by NIAID/(CC BY 2.0)

Coronavirus Chronicles — The Blues and the Blahs

Currently, many households do not have two nickels to rub together. In enumerating the many damages inflicted by COVID-19, which she calls “both a pathological ailment and a sociological illness,” child psychiatrist Dr. Afifa Adiba mentions the part that affects children viscerally:

These same low-income families may also experience limited access to nutritious food because of high costs and other factors; food insecurity is linked to behavioral problems, lower educational performance, delay in developmental milestones, childhood obesity and frequent hospitalizations.

The pandemic is a severely traumatizing situation that touches every American in one way or another. Dr. Adiba writes,

There is a saying “it takes a village to raise a child.” When the whole village is in danger, who cares for the children?

As responsible, caring adults, we instinctively want to protect children from the full horror of how precarious everything is. But what can be said to a 16-year-old girl whose father is out of work and can’t pay the rent? Dr. Adiba quotes the patient she is having a video visit with”

I am really scared. Where would we go when they ask us to leave? How will we find a place to live? We don’t even have enough money to buy food. Will I be homeless?

As recent posts show, depression and boredom are the archenemies of weight management. An adult can experience severe depression like that described by a friend of the blog, “All I wished for and what I prayed for, every day, was to care about something. Anything. Growing root vegetables. The opera, the square root of pi. Let me just care enough to file the calluses on my feet. Anything.”

Children can feel the same way, without the ability to articulate it. Their closest approach might be to whine, “I’m bored.” Some parents bend over backwards to alleviate the condition, while others will have none of that nonsense. Much as we hate to admit it, there are parents who say, “I’ll give you something to be bored about” and put a child in a closet.

The inability to care stems from depression. If a person could care, that would be fertile ground for the eventual birth of motivation. Childhood Obesity News has extensively discussed motivation, which is required before a person can decide to make a stand, and try to escape obesity. Motivation is at one end of a spectrum, and the absence of caring is at the other end. The inability to care is also a feature of boredom.

Through the ages, parents have accused their children of not caring about various matters. They issue threats like “I’ll make you care,” but in reality it is impossible to make a human of any age care about anything, ever. Behavior can be controlled. Compliance can be coerced. But caring? It simply can’t be installed in another person like a battery into a cell phone, not even by force.

That has been true in what we are tempted to call “normal” times. Now imagine all this rampant depression, boredom, and stress cooped up in a small space with other people — equally bored, stressed, and depressed — and everyone has to stay there at the risk of catching a potentially deadly illness or of being arrested on the street.

Your responses and feedback are welcome!

Source: “Life in a pandemic: How will we protect our children?,” TheHill.com, 04/14/20
Image by eHealth International

Coronavirus Chronicles — Depression, Boredom and Eatertainment

The previous post sampled the perspectives of several professionals on the topic of boredom. Consistently, boredom and depression are mentioned in the same breath. Here is another instance of their consanguinity. The addiction treatment center Shades of Hope gives its definition of food addiction:

Food addiction is loss of control over food consumption. Food is used as medication to control and suppress negative feelings such as sadness, anger, depression, anxiety, loneliness or boredom.

There they are, depression and boredom, hanging out together again like besties. Dr. Pretlow has expressed a different perspective. In 2014 he wrote,

More and more in our studies it seems that overeating in young people (and probably in adults as well) is due mainly to nervous eating or boredom, rather than comfort eating (depression) or cravings/addiction.

On another occasion he wrote,

Initially, kids overeat because “the food is there” — it simply tastes good. But once their brains realize that pain, stress, and boredom are eased by the pleasure of the food, this comfort eating behavior will be repeated, typically mindlessly.

Elsewhere this pattern has been called “recreational eating.” All our senses can entertain us, but the consequences vary. We entertain our ears with music, and it’s fairly innocuous at worst, and quite health-inducing at best, if paired up with dance or a workout. We entertain our eyes and brains by watching TV or playing digital games, forms of recreation that are less beneficial to the body as a whole.

Eatertainment

And… we can entertain our mouths, as a displacement behavior to ward off depression. The problem is, entertainment partly depends on novelty. But once the novelty value of any particular food wears off, we persist in eating it anyway, because meanwhile, other mechanisms have taken over.

Some obesity experts believe that one of those mechanisms is literal, chemical addiction — to sugar, for instance. But even if sugar is not an actual true physical addictor, it acts enough like one of those to be easily mistaken for it.

In a worst-case scenario, the entertainment value disappears, and constant eating begins to feel like a duty, like a job the person hates but cannot quit. In a strange way, the food becomes almost irrelevant. For a kid with a bag of chips, the hand-to-mouth motion is as soothing as the rocking motion an autistic child might engage in. But there is a major difference, namely, the hundreds of calories introduced into the body of the chip-eater.

Even when experts differ on aspects of the problem, they seem fairly united in recognizing the kinship between boredom and depression. Dr. Pretlow has said the rogue displacement mechanism of overeating can be overcome by distractions.

But distraction only works if the subject is interested in the distractor. We can jangle a bunch of keys in front of a fussy baby, and more than likely, a moment of diversion will result. But from a slightly older child, the key trick might elicit nothing more than blankness tinged with contempt. That kid doesn’t care. Just like a depressed person doesn’t care, just like a bored person doesn’t care. The capacity to be interested is simply not there.

This will be discussed further. Meanwhile, check out “When There Is Nothing to Do but Eat,” a classic Childhood Obesity News post that attracted almost 100 reader comments.

Your responses and feedback are welcome!

Image by eHealth International

Coronavirus Chronicles — The Power of the Invisible

When we think of emotions, often the more dramatic ones come first to mind. We might picture a toddler overcome by a tantrum, writhing on the floor; or two drivers cursing each other through closed windows; or the daughter of a COVID-19 victim sobbing over a coffin. When we think of emotions, we often envision drama. But one of the most destructive emotions is an absence of drama, the absence of anything, really — and that is boredom.

In all the years that Dr. Pretlow has worked with obese children, boredom has been a persistent theme. He quotes what they say about it, like admitting to eating junk whenever they are bored and not even hungry. Often, they pair their mentions of boredom with references to depression. He has mused,

Boredom, as described by these kids, actually may be mislabeled, less socially-acceptable emotions, such as depression.

Like ketchup and French fries, boredom and depression are often found together. Practitioners in various fields have their unique ideas about boredom, like Dr. Rick Sponaugle, who believes that both depression and obesity can be caused by neurotoxicity, particularly when caused by mold in the environment, and it all has to do with what happens in the brain region called the nucleus accumbens. This is how he sees it:

Neurotoxic patients suffer diminished release of dopamine and thus decreased D2 activity. This not only causes symptoms of depression, it causes a lack of “satiety,” so they eat something every hour and a half or so as an attempt to self-medicate. They often say, “I’m eating out of boredom” — boredom and lack of motivation are symptoms derived from an underactive reward-hunger center.

In discussing a number of factors that lead to unnecessary eating, Carolyn Williams names boredom. In her view, our chronically overstimulated lifestyle is to blame:

When we have nothing stimulating to think about or do, our minds start searching for something. If that leftover pizza in the fridge or slice of carrot cake pops in your head while the brain is unconsciously searching for stimulation, the pizza or cake can be almost impossible to forget.

Another writer warns,

Anxiety, loneliness, boredom, anger are emotions we all experience throughout life. Each has its own trigger, and each has its own appeasement. Food won’t fix any of these feelings. It may comfort for the short term, distract from the pain, or even numb you into a food hangover. But food won’t solve the problem.

Dr. Michelle May, who founded a mindful eating program, teaches that figuring out why a person eats may involve a diligent exploration of triggers, “such as physical hunger, challenging situations, or visual cues, which often spring from stress, fatigue, or boredom.” Commenting on a Childhood Obesity News post, a pediatric dietician wrote,

I talk about boredom eating all the time with my clients, it’s probably number one, even before more fruits and vegetables. I’ve had to overcome the boredom eating cycle myself.

John Foreyt, Ph.D., who contributed the Foreword to Dr. Pretlow’s book Overweight: What Kids Say, recently expressed these thoughts in a letter to Dr. Pretlow:

From a behavioral point of view, displacement as a major cause of overeating and the treatment you describe makes good sense. To me, life events associated with stress, tension, anxiety, depression, loneliness, fear, anger, boredom need to be treated in ways such as you describe. Maybe if they are caught and treated effectively in children there would be a lot less obesity in adults.

Your responses and feedback are welcome!

Source: “Mold, Toxins, and Chemicals: What Are They Doing to Us and What Can We Do About Them?,” SuzanneSomers.com, undated
Source: “9 Behaviors That Make You Eat More,” TIME.com, 06/23/15
Source: “10 Principles of Intuitive Eating,” IntuitiveEating.org, undated
Source: “Mindful Eating — Studies Show This Concept Can Help Clients Lose Weight and Better Manage Chronic Disease,” TodaysDietitian.com, March 2013
Image source: Public Domain

Coronavirus Chronicles: Stress and Boredom

“Months of boredom punctuated by moments of terror” is a phrase that described the experience of troops in World War I, though nobody seems to have ever pinned down exactly who said it first. In the COVID-19 shuttering-in, a lot of people share those feelings. Soldiers in the trenches never realized how lucky they were in one respect. If they had had extra food available, they would have emerged from their combat experience weighing twice as much as they did on enlistment day. Stress and boredom are two of the top reasons for gratuitous eating.

Arianna Huffington alerts her readers that the mental health aftereffects of the crisis could “exceed the consequences of the 2019-CoV epidemic itself.” She didn’t make this up — it was in The Lancet. Mental health hotlines are jammed. Huffington writes,

Sarah Lowe, a psychologist and assistant professor at Yale School of Public Health… who studies the effects of disasters, said she worries that some people will be disproportionately affected, particularly medical workers, the sick, those with pre-existing mental illness and anyone facing economic challenges.

Dawn Brown of Helpline reminded Mother Jones that the mentally ill “don’t do well with uncertainty and ambiguity.” The isolation — or the enforced company of even the most beloved family and friends — both can be very upsetting. America is currently full of bereaved people who are grieving alone, without hand-holding or hugs.

Every aspect of the plague is terrifying… The uncertainty over how long this will go on… The fact that the threat is invisible, and may be conveyed by any person or object, or even the air itself. Your ability to judge character is useless, because literally no one can be trusted.

If people already had bad habits (and who doesn’t?) the new rules can bring out the worst in them. Americans are drinking lots of alcohol. Things are more than usually hellish for nicotine addicts, who probably can’t smoke indoors, and who endanger themselves and all their associates by going out to buy and smoke tobacco. Cannabis, while not great for the lungs in its inhaled state, can also be eaten, and has the advantage of preventing boredom. Huffington writes,

Not surprisingly, people are exercising less. They’re also eating more and reaching for comfort foods… Scientists from Columbia University have warned that school closures could exacerbate already epidemic rates of childhood obesity, which in turn can have lifelong effects.

In every realm of society, people have their own unique stressors. Career scientists and grad students are devastated. Matthew Kelly writes:

Clinical trials and preventative healthcare programs worth millions of dollars in research funding have collapsed due to a lack of participation during the COVID-19 pandemic. Programs, such as those targeting childhood obesity or blood pressure in regional areas, are among those that have ground to a halt over the past month.

Or it may be that your wedding, two years in the planning, with friends and relatives scheduled to fly in from all over the world, has been cancelled. The owner of the establishment where the visitors were going to stay loses a huge chunk of income, and that is stressful. The brides’s mother’s best friend, who was going to decorate the cake that would be her masterpiece, is stressed. Anyone who habitually reacts to stress or boredom by eating, and has access to food, is eating their feelings with both hands.

Your responses and feedback are welcome!

Source: “The Pandemic Is Accelerating Our Mental Health Crisis,” ThriveGlobal.com, 04/10/20
Source: “The Mental Health Effects of Coronavirus Are a ‘Slow-Motion Disaster’,” MotherJones.com, 04/02/20
Source: “Pandemic wreaks havoc with clinical trials and healthcare programs,” TheCourier.com, 04/11/20
Image by Nik Anderson/(CC BY 2.0)

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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