A Winter Holidays Encyclopedia — 9

A previous Childhood Obesity News post made passing mention of a piece by Clinical Mental Health Counselor Jessica Maharaj that deserves a closer look. For starters, Maharaj has a lot to say about the importance of managing expectations, which we have mentioned also.

There is a condition that used to be called Seasonal Affective Disorder, or SAD. This nomenclature was later changed to Major Depressive Disorder with a Seasonal Pattern. To avoid the problem, the recommended lifestyle fixes include adequate hydration, which is crucial for good brain function. Exercise is endorsed, to get the endorphins flowing, along with other forms of self-care like a warm bath or a massage. Stay from unhealthful foods, or too much of any food. Adults: go easy on the alcohol, and everyone: skip the sugar-sweetened beverages. And for goodness sake, get enough sleep.

“Yeah, yeah, yeah,” one may say. “Heard it all before.” But guess what? This might be the year to finally try some of those tips we’ve heard a thousand times.

Self-care for the brain

This is a good place to add some new hints suggested by Nicole Pajer from, of all places, the American Association of Retired Persons website. These are things that parents and grandparents need to know. First, only a fool perpetuates a grudge, and a study found that resentment and negativity are consistent with cognitive decline. The author quotes the advice of psychologist Patty Johnson:

Make a list of five specific things that you are grateful for and focus on those.

Take some deep belly breaths, try a new task or change your focus to something in your environment.

When a negative thought pops up, greet it with “Hello,” then tell it “Goodbye.”

Also highly recommended is a sense of purpose, so now let us focus on the specific subject of holiday gatherings and their deleterious effect on everyone’s efforts to avoid obesity. Whether host or guest, do not let a sense of purpose overwhelm you. The purpose ought not to be staging the most impressive blowout in history. Let the purpose be ensuring that everyone is comfortable, and unthreatened by any aspect of the festivities.

While a sense of responsibility can be a lovely thing, an obsession rarely is. The whole holiday entertaining concept needs to be taken just seriously enough. Participants depend on an event’s organizer to plan well, and of course, the organizer also needs to depend on others for a lot. It should always be a two-way street and if it isn’t, try to spend the rest of the year catching up in order to be ready for next year’s winter holiday emotional extravaganza.

Your responses and feedback are welcome!

Source: “Avoiding Holiday Stressors: Tips for a Stress-Free Season,” NAMI.org, 12/03/18
Source: “The 9 Worst Habits for Your Brain,” AARP.org, 12/06/22
Image by jilblacktown/Flickr

A Winter Holidays Encyclopedia — 8

House lit up with holiday lights

These comments are elaborations on some past Childhood Obesity News posts. In this problematic season, there is no such thing as too much advice. Just one of the suggestions we have gathered over the years could have an amazing effect on a person’s mental health. What does that have to do with obesity? Everything. Both adults and children tend to overeat in response to stress and let’s face it, the winter holidays are fraught with opportunities to experience stress of all kinds and degrees.

One fact about holiday excess is very clear. If adults have modeled and enforced sane, healthful eating patterns consistently, the holiday challenge will be much easier to meet. In the very optimal best-case scenario, the habits instilled throughout the year will hold steady, and the damage will be minimal. Hopefully, temporary overeating will end when the winter holidays are over. Even at worst, family members will revert back to their normal good habits when the new year commences, and any atypical weight gain will be easy to shed.

Useful notes

A lot of advice about these matters revolves around a very important life skill, expectation management. To cherish expectations is to set oneself up for disappointment. An expectation is a resentment waiting to happen. When we give a gift, we need to do ourselves the favor of not forming a mental picture of how the recipient will react. In a conversation, we need to avoid writing scripts in our heads where other people say the lines we hope to hear. Because if they deviate from the dialogue we have created for them, we will feel bad. So, why ask for trouble?

A very useful resolution for not only for the new year, but for this holiday season we are in right now, is to clear our subconscious minds of expectations, and instead listen to others with an open heart and a willing ear.

Specifics

The previously mentioned post and the next one in line both offer some specific suggestions to handle the various situations that can arise. Sometimes it is possible to game out a few scenarios in our heads and figure out possible non-harmful reactions. (Note: This is not the same as harboring potentially hurtful expectations.)

In general, it begins to look as though the most meaningful contribution any individual can make to the group is forgiveness, in all its varieties. Forbearance, amnesty, clemency, absolution, reprieve, mercy — there are a lot of terms for the idea of cutting the other person some slack. Never mind whether they deserve it; that judgment call is not ours to make. Sincere forgiveness is something a person does not for others, but for our own sake. To cherish a grudge is like carrying around a pocket full of mud that we want to sling at the offender. We’re still the ones with the pocket full of mud.

Your responses and feedback are welcome!

Image by denisbin/CC BY-ND 2.0

A Winter Holidays Encyclopedia — 7

As the title hints, this is part of a series dedicated to the review of some life-enhancing and maybe even life-saving notions from previous years, along with new and additional perspectives.

In any society, there are social occasions that can be both joyful and traumatic. The vast majority of feast days derive from the calendars of various faiths, and they have a lot in common. For one thing, family dynamics don’t vary much from place to place. Some are toxic, some are smothering, some are ice-cold, and so on, ad infinitum.

One of the subheadings from this post repeats an eternal question: “What do you call yourself doing?” At least, it should be eternal, something we ask ourselves frequently. We probably all recognize that there are moments when it would be smart to stop and self-interrogate: What, exactly, do I call myself doing right now? As the old saying goes, “Don’t knock it ’til you’ve tried it.” Honesty with oneself is one of the most difficult life skills to master, and there is no time like the present, to practice.

Something about this season brings the serious problem of childhood obesity into special awareness. But is this a public relations failure anyway? With even the most alarming childhood obesity stories, isn’t it possible that any potential impact on public awareness is lost in the wilderness of news?

Still, conscientious family members worry. They can’t help it. Unfortunately, the last thing a struggling child needs is to feel scrutinized by the eyes of numerous relatives. They are doing the math in their heads — “If Junior keeps gaining at this rate, he will hit the scale at 500 pounds before the first hair sprouts from his chest.”

This is not the life we want for our kids or ourselves. But is more legislation the answer? What about taxes on sugary beverages? Can the ad industry be trusted to police itself?

In our compassionate society, much is made of the sadness of someone alone for the holidays. But the thing about people is, being with others can be just as much of a problem. Even psychologists, trained therapists, and members of the clergy find get-togethers to be problematic. Not coincidentally, the same can be said of the human tendency to eat based on feelings, rather than rationality. Nobody, however smart or educated, is immune.

If someone with virtually infinite resources, like Oprah Winfrey for instance, is unable to permanently shed body fat, what hope is there for any of us? This encourages a number of other questions, too.

Your responses and feedback are welcome!

Image by Isaac Bowen/CC BY-ND 2.0

A Winter Holidays Encyclopedia — 6

Yes, there are several previous posts with cogent reminders about the importance of mental health during the winter holidays, especially if a person is dealing with issues — and who isn’t? Check out this one:

Moderation Is or Is Not the Answer

Some pertinent thoughts inspired by it: The one huge, inescapable fact about food is that food is inescapable. We’re talking about substance addiction here, and why food is in a class almost by itself (the other members being water and air). A person can live without nicotine. A person can live without alcohol or cocaine. Yes, withdrawal from some substances can be fatal, but a person has to work pretty hard to reach that point. Other factors being equal, food is not a thing that a person can live without.

It might seem as if the distinction between food addiction and eating addiction is a minor one. After all, the only thing there is to do with food is eat it. Sure, you could puree it and inject it, or get it into the body some other way, but the purpose of using nutrients to create energy will not be served. Likewise, the only thing there is to eat, is food. Of course, it is possible to eat other things. But they won’t provide calories for the body to convert to energy.

People find it very difficult to part with their substances. Established addiction recovery programs are far from foolproof, and they mainly deal with substances that almost no addicts needed to be messing with in the first place. Imagine how much harder it is to deal with a thing that a person literally cannot live without, namely food. Or eating. Whatever you call it, this is a super-charged addiction with the potential to reach every single human being on the planet.

Obesity, the Holidays, and Fitting In

One of the most uncomfortable aspects of the holiday gathering, especially if family members are involved, is the perceived need to be on guard every moment. It may feel as if the room is full of nothing but critical eyes, and mouths just waiting for you to move out of earshot so they can say mean things.

Obesity and Psychology at Christmas

What if we told you there just might be ways to make it through the holiday season without having a nervous breakdown? When it comes to saving your body from destructive forces, the most powerful tool at your disposal is your mind.

Your brain can, for instance, remind you that “Just this once” or “It’s only for one day” or some similar formulation is just a big, fat copout. Because it’s so easy to go from there to, “I’ll get back on track come Monday.” And from there to, “Might as well just leave things as they are until the New Year. Then I’ll really buckle down and get serious about limiting my food intake.” Your very smart brain can — if you let it — put a stop to this nonsense.

Your responses and feedback are welcome!

Image by Hamed Saber/CC BY 2.0

A Winter Holidays Encyclopedia — 5

These are new remarks on subjects covered by previous seasonal posts. If the reader can glean even one useful idea from this collection, the expenditure of attention will be totally worthwhile! Because there is no use in pretending. Sometimes, so-called celebrations are looked forward to with dread, and looked back upon as… well… dreadful.

Manage Holiday Stress and Eat Less!

The post referenced here discusses some ideas put forth by the venerable Mayo Clinic, in an effort to help people emerge from the winter holiday season with mental health intact. It includes a reminder that even the most enthusiastic hosts and the most highly anticipated guests will sometimes not quite meet behavioral expectations. People are still human, even during holidays. Especially during holidays.

What can anyone do about that? We can each take a look at ourselves, for starters, and decide whether any of our standards and expectations could be a bit less rigid. The holidays really shine most for kids and elders, and all of us who fall in the vast middle ground between the need to just shoulder the burden of making sure that those two demographics have a good time. Nobody said it was fair.

Merry Christmas and/or Any Additional Holiday/s of Your Choice

Many past Childhood Obesity News posts talk about the need to change certain mindsets, and one of those is the “I Give Up” mode from which so many Americans seem to operate. Here’s how it works, with probable variations within other traditions, but the same basic blueprint. At the edge of winter, there is the sucrose festival known as Halloween. Pretty soon, along comes Thanksgiving, a feast characterized by excessive consumption, and what do a lot of people secretly think?

“Okay, we’ve come this far without gaining too many pounds. So now, we’ll just give it a rest and eat frugally for a while, because Christmas is coming up.” A noble ambition, but somehow the time between Thanksgiving and Christmas dissolves in an unconscious blurry mist, and the next thing we know, it’s three days until Christmas and our good clothes don’t fit anymore.

Is it over? No.

As if this were not bad enough, there is only a week between Christmas and New Year, and it would be mind-blowing to know the actual number of otherwise responsible adults who simply abandon all hope of reasonable behavior, and give themselves a pass for that whole time period. With, of course, the most staunch avowals of determination to get back on the good path immediately, the very moment that calendar page is flipped over. And then somehow, who knows why? it just doesn’t happen. Everything goes sliding into the next year in worse shape than before. In the worst shape it has been in, actually, since the previous year’s holiday season.

Your responses and feedback are welcome!

Image by Christian Collins/CC BY-SA 2.0

A Winter Holidays Encyclopedia — 4

Please check out the Childhood Obesity News archives for helpful hints. The following remarks are not excerpts, but elaborations and explications meant to lure visitors to the original posts.

Jingle Bell Blues

We love to give and receive gifts, and to see relatives who travel from afar. We love our family members, and we love getting together, so why do holiday gatherings so often turn out to be grim ordeals? One of the things we look forward to at holiday time is the reviving of fond memories, through photos and videos and personal stories.

But underlying everything are layers of ancestral memory accumulated over decades, or even through hundreds of years. Are there customs or habits that should be abandoned? How much are we obliged to cling to the past? Is it possible to do things just a little bit differently, and achieve a more pleasant outcome?

Keeping Our Cool Over Winter Holidays

How many people greet the winter holidays with a sense of dread? The answer is many. We have to live up to so many expectations: hospitality; financial responsibility; thoughtful and appropriate gift-giving; travel arrangements for guests; providing delicious meals and seasonal delicacies while not poisoning anyone… It’s a lot.

The psychological burdens are many. Demanding folks have to be shown the respect and deference to which they feel entitled. Amateur comedians need to be reassured that they haven’t lost their touch. To preserve privacy, certain things that we have been told in confidence must be tactfully kept from certain people. Anyone who thinks about it for a minute can provide at least several more mental health crises they have experienced between October and February.

But wait, it gets worse… or better…

Add to that the monumental challenges faced by individuals who struggle against substance use disorders, whether the substance be tobacco, alcohol, food, or other. For people who are trying to reset their bodily systems, an ordinary Tuesday can be an epic battle that uses up every ounce of determination. Once the holidays roll around, the normal trauma level is amped up by several orders of magnitude.

We need to take special care of ourselves, and of the people whose footing on sobriety or reasonable eating, or whatever, is unsteady. In fact, it never hurts to just go ahead and be especially considerate to everybody, because who knows what inner sorrow or fear or downfall they might be dealing with? Just because they don’t talk about it does not mean it isn’t there, lurking in the background. And guess what — everybody has some kind of Achilles Heel. For far too many of us, that vulnerable spot is our relationship with food.

If you find even one idea that can change the compulsive eating dynamic which seems to rule the holiday season, that’s a plus. If you find several, that’s a bonanza!

Your responses and feedback are welcome!

Image by Wendy Harman/CC BY 2.0

A Winter Holidays Encyclopedia — 3

Do we want mental and physical health for 2023? Yes, please! Here is a review of hints for fitness and sanity over the winter holidays.

Get Ready for the Christmas Calorie Blitz

Eliminate the mindset that says, “So what if I go a little nuts over the holidays? January 1, I’m back in the gym. No, that’s a Sunday. Okay, January 2, the gym, for sure.” Then along comes January 3 or 4, and somehow you haven’t made it yet. So you decide to make a clean start the following week — on Monday the 9. See how this works? Or rather, doesn’t work? It’s almost as if today is the only day we ever really have.

How do we show children we love them without ruining their health? How do parents withstand the pressures to abandon all caution and splurge out on treats? How do we restrain kids from accepting every offer of a free cookie or candy cane without coming across like ogres?

Holiday Eating Trauma — A Field Ripe for Harvest

It isn’t only that there is food. There is a lot of it, magically appearing everywhere, even at unexpected places like the bank. At work, people bring in goodies to share. Fancy stuff arrives in the mail. At home and wherever you visit, chances are the edible offerings are more calorie-laden than usual. Depending on what school the kids attend, it is possible that they are being plied with treats.

Some family norms break down, as parents simply surrender to the atmosphere of indulgence. The estimable Dr. Billi Gordon, an expert on obesity and compulsive eating, described this time of year as “a recurring nightmare.”

Holidays and Childhood Obesity

Obese children face ferocious hazards during the holidays. Relatives who are rarely encountered will seldom refrain from remarking on how much bigger a child has grown since last time. Guess what, grownups? Even positive comments are not welcome. Just zip it. Better yet, have another piece of pie. Go ahead, put on a few pounds, and see how it feels to have people making your size a topic of conversation. Just leave the kid alone.

In Search of Holiday Sanity

For some reason, many grownups feel free to bust loose on holidays and break all the rules. If they were the only persons who suffered the consequences of this abandon, that would be bad enough. But the kids are watching. They are observing and absorbing, and tucking away the excuses they hear for future reference.

What exactly do we want them to see and hear? Could we, as mature, responsible holiday celebrants, maybe do better? Must we really overdo it in every possible dimension, or can we act a little more responsibly for the sake of our families? And, incidentally, for our own sake?

Your responses and feedback are welcome!

Image by Whitney/CC BY 2.0

A Winter Holidays Encyclopedia — 2

In a Glasbergen cartoon, someone says, “I’m already in the holiday mood… stressed, broke and exhausted!” Ouch. Sadly that is all too often the case. A lot of uncomfortable travel may be involved. Money is tight. Kids are out of control, and adults might be kind of ornery too. Family members are not always the presidents of one another’s fan clubs. And anyone who normally meets life’s challenges by eating is now officially at risk of getting even worse.

Here are more short hints about our holiday-related posts.

Coke Legacies

In the old days, it was very easy for parents to keep young children away from unhealthful influences. Kids had no way of knowing what dangers they were protected from, simply by not being taken to certain places. It’s more difficult now to keep them out of harm’s way, but we can still draw the line when it comes to transporting them to events that glorify values we don’t want to endorse. We might, for instance, choose not to take them to a giant decorated truck for free samples of sugar water.

By the way, did you know that Santa’s red and white color palette was chosen by, and culturally enforced by, the Coca-Cola Company?

Escaping Winter Holiday Hell

The late Dr. Billi Gordon knew more than most people about the mental and emotional stress imposed by holidays, and all from traumatic personal experience. Once he had to pass up a critically needed MRI because there were 150 pounds too much of him to fit into the machine. Yes, this is grim stuff. If people come from dysfunctional home environments — and, around the holidays, a lot of us seem to — no amount of tinsel can cover up the distress, so it might as well be faced.

Fitting Into the Winter Food Festivals

We can pretend that family time is all love and bliss, but what is the point, really? Is there enough armor in the world to protect us from our relatives? Dr. Billi Gordon casts a neuroscientist’s eye on the trauma that comes with the holidays and causes our rational systems and self-preservative instincts to shut down.

Is there any hope for binge eaters, compulsive overeaters, or even moderate eaters who are conditioned by a lifetime of thinking of the holidays as a permission slip for imprudence? Can we possibly separate the cycles of destruction from the positive and desirable parts of the holiday experience?

Get Out in Front of Holiday Stress

There is a lot of recreational food around. The atmosphere is often stressful. We feel obliged to set a good example for our own children, and all the rest of them, too. Over the holidays, a person can gain enough pounds to keep them chubby all year. Demands and obligations are at an all-time high.

Look for the silver lining. Maybe the hand-knit scarf you love, from the crafts website, will be marked down in January. Or if you are a scarf-knitter, maybe people who get checks for Christmas will buy a few in January.

Your responses and feedback are welcome!

Image by Rudolf Ammann/CC BY 2.0

A Winter Holidays Encyclopedia — 1

A popular social media message reminds us that from November through mid-January, the combined total of holidays observed by several major religions reaches almost 30. That’s a lot of celebration. Here is a collection of Childhood Obesity News posts on a sometimes difficult subject.

A Holiday Reminder

Holiday stress comes in so many dismal varieties — financial, interpersonal, and intergenerational. There may be harsh weather to cope with, and even in good conditions, the aggravations of travel can unravel a family’s equanimity. But relatives have to be visited or hosted, and there may be religious duties.

Most of all, there are “refreshments.” From the most basic primeval instinct to share resources and preserve all members of the group, to the most cynical entrepreneurial ambitions of a glitzy gift-basket delivery service, everyone has reasons to ply their fellow humans with food and drink. Advertising goes into hysterical overdrive, urging us to eat-eat-eat, and eat some more.

All Hail the Lord of Misrule

In days of old, life was tough and boring, winter was dark, long, and cold, and any excuse was seized upon to fling mundane routine aside and boogie all night long. The tedium was relieved by raucous trick-or-treat type behavior, which later transmogrified into gentler customs, like the singing of Christmas carols beneath the neighbors’ windows.

But we still eat and drink enormous amounts, and maybe that set of behavioral expectations needs a makeover, too. This post mentions some of the psychological difficulties that trouble people in modern times.

Be the Change You Want to See

If there is ever a time for adults to put on their role-model hats, the holiday season is that time. Everything about it holds a potential for trauma. If there are things we don’t love about our family or affinity group holidays, it’s up to us to change those toxic patterns.

Did your uncle drink too much and pitch face-first into his mashed potatoes? Did your parents hurt your feelings by making everything revolve around the visitors, and relegate you to the ranks of an assistant housekeeper? Or did they just need you as an audience to bizarre behavior, as they sidled up to one relative and created opportunities to put another firmly in their inferior place? Here is a mantra: “The only one who can change things is me, and the best time to do it is now.”

Clean Up After Thanksgiving

What is a food coma, and how do we avoid experiencing one? Without getting all extreme and signing up for a retreat, can the average person achieve a bit of detoxing? Are there other seasonal health hazards to watch for?

Here is a hot tip: Find extra things to look forward to, once the worst part is over. Like after-Christmas sales. This is the time to find wrapping paper and everything else at discount prices, and stash it away for next year. Just avoid the chocolate-covered cherries. And, no. Candy canes are not low-calorie just because they are hard instead of gooshy. Whatever gave you that idea?

Your responses and feedback are welcome!

Image by Annie Spratt/Unsplash

Everything You Know About Thrifty Genes Is Wrong — 6

Very recently (October 2022) a paper was published with the daunting title, “The PPARGC1A Is the Gene Responsible for Thrifty Metabolism Related Metabolic Diseases: A Scoping Review.” It contains intriguing information for those who are interested in this sort of thing.

To verify its credentials, a thrifty gene can contribute to the regulation of energy balance, or it can work with metabolism or other physiological functions. A meta-study revealed that despite some inconsistent results, it appears that PPARGC1A Gly482Ser is the gene responsible for thrifty metabolism in the earth’s Pacific population. The paper states,

Positive selection of gene alleles associated with specific traits, such as obesity as a predisposing factor for non-communicable diseases, supports the thrifty gene theory hypothesis in terms of genetic susceptibility.

Differences in the prevalence of metabolic diseases in the population resulted from the frequency of polymorphisms and different risk alleles between populations.

The paper’s introduction provides several provocative statements:

The thrifty gene hypothesis can be understood in two forms: thrifty early and thrifty late. The thrifty early form corresponds more closely to Neel’s perspective, whereas the thrifty late form is the more common view among geneticists.

Genetic variations in genes related to metabolic diseases, especially diabetes mellitus, are considered to be candidates for thrifty genes in the population.

The brain runs on glucose, and in this worldview, the brain’s survival is a top priority. To get its fix, the brain has to make the body eat, and hold onto stored energy. In the past, a purpose was served. But nowadays, all that bogus energy, generated from ingredients with varying degrees of toxicity, is widely available and widely consumed. The authors say, “[I]ncreasing adiposity can induce a state of persistent low-grade inflammation and hence activate the insulin resistance pathways.” There’s more:

Diabetes as a multifactorial disease is thought to be a description of the failure of adaptation of gene alleles to current environmental conditions compared to previous conditions, thus, a wide variety of metabolic syndrome manifestations are associated with the response to these changes.

Adaptability is an awesome trait, but it can be either beneficial or detrimental. An adaptation that sticks around too long might find itself superseded and outmoded. An adaptation that benefits one organ or system at the expense of others is not the best answer. When too much glucose comes in and hangs around for too long, it would seem that further adaptation is called for. Part of the brain needs to tell the other part to slow its roll.

Your responses and feedback are welcome!

Source: “The PPARGC1A Is the Gene Responsible for Thrifty Metabolism Related Metabolic Diseases: A Scoping Review,” NIH.gov, 10/13/22
Image by Aloizio Mercadante Oliva/CC BY-SA 2.0

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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