Remove the Halloween Spotlight From Eating

In this season, the goal is to minimize the acquisition, retention, and consumption of candy. Mainly, the first. If acquisition can be minimized, the other two threats become moot. One way might be to set a crude physical limit, by for instance using a smallish plastic pumpkin with a handle, and going home when it’s full.

The goal, leading up to Halloween, is to fill up a chunk of time with creative activities that kids enjoy. With any luck, they will be motivated to invent even more alternative (and minimal-calorie) activities for next year. Theoretically, a savvy parent could plan a whole month’s worth of spare-time activities centered around Halloween without anyone ingesting a single gram of sugar. One answer is to remodel the holiday by switching the emphasis to creativity and participation.

This might be an opportunity for some neighborhood bonding, if you can get other families on board with setting up attractive non-food-related activities. And on the home front, what could be better than spending quality time with little people who value your attention more than sugar? If you want a candy-less Halloween, or anyway one with less candy, and provide enough entertaining activities, that just might be possible.

Exercise

Do you live in a city where haunted houses materialize just before Halloween every year? Visit them on foot, if possible. Weather permitting, kids can paint their faces and ride around on bikes. They could wear any crazy stuff, as long as they can see where they’re going and no trailing scarf gets caught in a wheel. Maybe, the day after Halloween, folks could go out with bags and pointed sticks, or grabber tongs, and pick up trash.

Get in the spirit by making the holiday about giving rather than getting. In some communities, groups of little kids dress up and visit retirement homes and assisted-living facilities. You might promote the idea that showing off costumes and delighting the seniors is reward enough. The grownups arrange ahead, of course, for no sugary treat distribution, and kids have a splendid time parading around, collecting a ton of approval.

The creative arts

Many parents shy away from pumpkin carving because of the mess factor. This is where those cute little miniature pumpkins enter the picture. They too can be carved, etched, drawn on, or studded with fake gems. One low-impact project in the time that precedes the holiday is to write and illustrate an original ghost story comic book. Maybe last year you checked out the post-Halloween sales and got hold of a bunch of blank masks. They can be colored with paint or crayon or marker. Stuff can be glued onto them, including hair-like substances at the top or bottom edges. Odds and ends of frippery can be attached.

Long before October 31, the exchange of ideas can begin about what to wear. A Saturday afternoon spent browsing the racks and shelves at a thrift store can be so exciting, kids might even forget to nag for soda and junk food. Explore the costume possibilities for all family members. Of course, animals can wear them too. Many dogs dress up quite satisfactorily; cats almost never.

At home, as we discussed, a yard is the ultimate bonus playground for Halloween fun. Spider webs are the obvious go-to decoration, and they are moderately priced at stores. And so on. You get the picture. Redesign the Halloween tradition to emphasize creativity and family togetherness, and maybe by the time the actual holiday rolls around, candy will be the last thing on your kids’ minds. It’s worth a try!

Your responses and feedback are welcome!

Image by DaPuglet/CC BY-ND 2.0

Halloween Hacks

Because individuals and families vary greatly, nothing works for everybody, but it is definitely worth trying some ideas to ameliorate the holiday stress. It would be hard to blame a parent for wishing that Halloween simply didn’t exist. Actually in some circumstances, like with an only child, it might be possible to get away with that. Older siblings will definitely blow the whistle, spill the beans, and let the cat out of the bag. But with any luck, grownups can prevent a singleton from finding out about trick-or-treat at a precocious age, and win a grace period of a year or two. Can a parent be forgiven for keeping a child ignorant? In this particular case, yes.

Do not buy early. Or late.

How often do grownups stock up early on trick-or-treat candy, then eat it all, and have to replace it as the scary day approaches? We’ll never tell — but don’t be one of them. And don’t go grocery shopping too soon after the fall sugarfest, either, so you don’t even have to see the bins of leftover orange sugar bombs at tempting bargain prices. The only possible reason for shopping right after Halloween is if your child has agreed to forfeit their trick-or-treat stash for a favorite healthful, or at least less destructive, food.

Go public

COVID-19 has put a dent in traditional spooky celebrations, but not much of a dent as some of us would like. Innovative teachers, parents, and youth leaders have figured out alternative activities that still manage to spread around plenty of high-fructose corn syrup-based items. If parents belong to an organization that hosts some kind of Halloween event, they can bring the matter up in the planning stages and try to influence the group. Find out what the plan is, at preschool, daycare, public school, Sunday school, or wherever else your child spends time offsite — and if it involves sweet treats, try to influence that plan. Be sure to warn relatives and child-care people that you are aiming for a candyless holiday.

Influence trick-or-treat methodology

Conspire with other parents in your neighborhood, building, or social circle to create a sugar-free party on the appropriate night, or to switch over to non-food treats. In certain situations, parents can be forgiven for resorting to bribery. For example: Is there a scary movie they want to see, but that hasn’t turned up on your streaming service? Make a special effort to get hold of it, on condition that trick-or-treat time will be shortened (or maybe even eliminated.)

Reconfigure Halloween

To shorten or eliminate trick-or-treat time, plan an extensive photo session — especially if you and your kids have made your own brilliant, innovative costumes or masks. If you decorated your yard, porch, hallway, or living room, don’t forget to document those accomplishments.

Tell ghost stories. With preparation beforehand, you can use this time to play an elaborate, spooky game like the one immortalized by the writer Ray Bradbury in “The October Game.” Or read that story aloud, or turn off the lights and listen to it, which takes less than 20 minutes, but it’s a bit rough for younger kids (unless they just don’t get it). Of course, any halfway ambitious child will start planning now, to get a group together and actually play the game, next year.

Take a big swing

Try something wildly different, like starting a new tradition. Invest an hour of family time into watching “How the Chocolate Industry Still Profits From Child Labor.” In the countries where cacao is grown, the line between child labor and child slavery is quite tenuous. Many American young people are socially conscious to a surprising degree, and some possess the temperament or the mental sophistication to grapple with a lot of nuance. They might decide to skip the candy, or collect it and sell it to other kids, in order to donate money to some organization that works to end the exploitation of children.

Your responses and feedback are welcome!

Image by Bennilover/CC BY-ND 2.0

Ramping Up to Halloween

When it comes to looking forward to Halloween, parents can open up the possibilities. With imagination and luck, the paradigm can be altered to where candy is the last thing on kids’ minds. Suggest trying something new this year. Parents can be genuine, generous, and spontaneous in planting these notions. Any kind of official family meeting probably feels, to a kid, like a courtroom or at the very least, a board meeting. So try subtlety. What notions might be subtly introduced?

Let’s start with decor. Do you have a front yard? In that case, kids can create a visual environment that will be the envy of the neighborhood. Even if there is only a side yard, backyard, or garage to work with, it is possible to create a spooky environment for your children’s own enjoyment, and to share with invited friends. As an added bonus, a project of this kind makes the holiday more about giving than getting, which is always nice.

The idea here is to create some family traditions that are even more attractive than trick-or-treating. Kids like to make things, and they also very much enjoy spending time with their parents’ attention focused on them in a way that is not critical or judgmental, but benevolent.

R.I.P.

So if you don’t have any large cardboard boxes around, obtain some from the back rooms and alleys of local businesses. Then help your kids design, and color or paint, life-size grave markers, either comical or dead serious (evil chuckle), their choice. Hold the tombstones up with sticks, or fastened to upturned plastic buckets, or just lean them against a fence or wall. Cardboard is also good for making black cats with arched backs, weird little gnome figures, and so forth. Another advantage of cardboard is that it doesn’t need to be stored until next year, but can be recycled.

Woo-hoo-hoo

Did you know that if you take a glass soda bottle and partly fill it with water and blow across the top of it, an eerie sound is produced? You might have a child who would be happier making scary sound effects than trekking around the neighborhood. Is there a front porch? Rather than collect candy with the mob, a theatrically-inclined child might prefer to make the porch their stage, in a sinister costume, stirring a cauldron, cackling wickedly all the while.

If you don’t have that kind of space, is it possible to temporarily spookify one room with an orange light bulb and some silhouettes cut from dark paper tacked to the walls? Or even try miniaturizing. Turn a cardboard box on its side, paint it, and make a diorama or room box. Decorate and furnish it with scraps and bits, and see what kind of spooky lighting effects can be accomplished with a glowstick or two.

Inspiration abounds

Feeding the words “make haunted house” into YouTube will produce pictures of many inspiring do-it-yourself Halloween projects. Haunted house creation can be done on the cheap, and plenty of Americans have become local heroes by creating homemade creepy scenes. Furthermore, it can be done on a very limited budget, plus scrounging.

It can become a year-round project, to check out second-hand stores, garage sales, and other likely venues for used props and wardrobe items. Many cities have Facebook groups or similar online arrangements for matching up donors of free stuff with people who want, for instance, a bushel of plastic pumpkins or several square yards of leftover “cobwebs.”

The whole idea here is to create absorbing activities that a child can take part in, and fill the weeks that lead up to the holiday with these activities. Every minute that a child spends painting props or creating fright wigs, is a minute they are not using to feed their faces. Imagination and ingenuity can be sparked, and maybe even lead to new interests that will influence a child’s educational path or vocational inclination. Some day, when your daughter or son is the most acclaimed makeup artist in the horror movie field, and also not morbidly obese, you might look back on these humble beginnings as the best idea your family ever had.

Your responses and feedback are welcome!

Image by Nezumi66/Public Domain

Obesity Festivals — Same Stuff, Different Day

The sad reality is that most holiday treats are composed of the same ingredients, rendered into different shapes and dyed with holiday-specific colors. Sure, some of the ingredients are actual food — like wheat, soy, milk, eggs, peanuts, and sesame, all of which can cause adverse reactions in some segments of the public. Then there are ingredients that, while strictly speaking, are edible, are not food in any sense of the word. A type of artificial vanilla flavoring extracted from wood comes to mind, along with another that is derived from oil. Apparently, there are growth hormones in chocolate that kids would be much better off without.

The biggest culprit of all, sugar, is of course associated with not only obesity but diabetes. In a lot of candy, the sweetness comes from sugar beets, which are specifically bred to be compatible with the herbicide Roundup, which is right up there on the list of suspected carcinogens. Then, there are corn syrup, hydrogenated palm kernel oil, and soybean oil.

One variety of artificial vanilla flavors is derived from oil. Another kind comes from wood. Also found in sweets is coal tar, a substance whose components have not even been fully identified. The food dye known as Yellow #2 has been linked to malfunctions of the nervous system that resemble Attention Deficit Hyperactivity Disorder and lead to learning disabilities and even violent behavior.

The sinister roll call includes lab-created potions, monoglycerides, TBHQ, PGPR, BHT, and several other alphabetical mystery substances. A preservative called tertiary butylhydroquinone is suspected of causing asthma, allergies, and dermatitis. Holiday candy might contain trace amounts of carcinogens like mercury, lead, and arsenic. An imposing variety of food additives and environmental toxins cause adverse reactions, including cancer, in people’s bodies, and plenty of them are also linked to obesity in complicated ways.

Even “natural flavors” are suspect, as they can include animal secretions, crushed insects, and other natural ingredients (Of course, it could be argued that mercury, lead and arsenic are also natural.)

When the American Dental Association did a Halloween Consumer Study, they learned that nine out of 10 kids would still like Halloween if the candy aspect were muted and the opportunities for other types of fun were increased. Dr. Pretlow’s inquiries have established that the two parts of Halloween that kids dig the most are dressing up, and the trick-or-treat process itself, not even necessarily the candy that accrues from it.

Many alternative thinkers suggest that, rather than trying to pinpoint all the holiday edibles that potentially cause harm, the celebrators of Halloween might prefer to concentrate on little gifties like plastic tarantulas, Halloween pencils, temporary tattoos, stickers, glow-in-the-dark items, pinwheels, rubber balls, and little jars of bubble-blowing soap. As a treat, we have suggested taking a couple of quarters and wrapping them in orange tissue paper tied with black ribbon.

But this gift-wrapping idea, and many of our other suggestions for celebrating the October holiday, are all so time-consuming! On the other hand, what little kids value the most is face time with a parent, whether bundling up quarters for distribution, dressing up the family dog, or whatever else might focus the parent’s attention on doing something with the child. And that’s not nothing.

Here is a fictitious peek at what could happen: “My Halloween, by Curly: a Suggestive Fiction.” Also, for more in-depth coverage, consult our “Halloween Roundup, Continued.”

Your responses and feedback are welcome!

Image by istolethetv/CC BY 2.0

Why Mess With Halloween?

Plenty of Americans feel that Halloween was just fine the way it was, a festival dedicated to harvesting the largest possible amount of low-quality candy and consuming it as quickly as possible. Childhood Obesity News has offered quite a few pieces — some including as many as nine source references in one post — countering that point of view.

This year, we gather many of the best insights and ideas into one monstrous bunch, in summation.

So, what’s wrong with the traditional Halloween paradigm? Well, it never did a thing to help alleviate the childhood obesity epidemic, that’s for sure. Via his Weigh2Rock website, Dr. Pretlow invites overweight kids to express themselves, and one thing they have made clear is that Halloween is a bummer. The anxiety and shame surrounding a holiday whose sole purpose is to amass a pile of high-calorie junk makes it a social and psychological minefield, and one of the most difficult times of the year for them.

For children who are either already overweight or obese, or at risk for those conditions, this holiday can be a special kind of ordeal. In addition, there is the stress laid upon parents who feel they should “do something” but are not quite sure what, and are afraid that anything they say or any action they take might simply make the problem worse.

“Sabotage-oween” kicks off a whole season

Calendar-wise, Halloween kicks off the grim, months-long season of overindulgence and regret that continues with Thanksgiving, then Christmas and various other religious celebrations, then New Year. But that’s not the end of it. Soon, the succession of food-centered holidays trails off into Valentine’s Day and Easter.

Starting at the end of October, it’s as if the entire culture dedicates itself to an orgy of excess enablement. By springtime, for children, it is not unusual to see a gain of seven to 10 pounds over what is expected from normal growth patterns.

But it is possible, with a bit of work and a lot of imagination, to throw a wrench into the gears and slow down the seemingly inevitable march toward universal obesity. If Halloween eating can be minimized, it can delay the weight-gain trend that might otherwise resemble the proverbial snowball rolling down a hill.

Green and teal fight back

For parents interested in doing something really different, a “Green Halloween” movement, easy to find online, is manifesting itself in different ways through various organizations. Also, you might look into the Teal Pumpkin Project, a parent-driven initiative that started out intending to avoid trouble for children with food allergies. It seems to have expanded to embrace the general idea of non-food treats, and it looks like an awful lot is going on there.

For a mother lode of creative ideas, Pinterest points to thousands of ideas for Halloween fun, many of them unconnected with food in any way.

A Sneaky, Underhanded, Manipulative Hint for Parents: (and what better time, than Halloween?)

If your child intends to do the trick-or-treat rounds, promote the idea of a costume or mask that covers the lower half of their face. Of course, if they are out and about, you don’t want their vision impaired. But try to sell the idea of something that impedes access to their mouth. If you want them to wait till they get home to sort their haul sanely, this trick could eliminate the consumption of candy en route.

Your responses and feedback are welcome!

Image by Mario T./CC BY-SA 2.0

Suggestions and Sharing

The world is full of triggers of all kinds. For one person, the very sight of a hospital can set off their post-traumatic stress syndrome, and trouble ensues. For another, a picture of an ice cream cone can bring back the memory of when, as a small child, they dropped their ice cream cone and their mother was embarrassed to go back and ask the nice lady behind the counter to replace it, because she couldn’t afford to buy another one and had to beg for charity. But she did it anyway, out of love, but it ruined her day and certainly ruined her child’s enjoyment of the treat.

So, the innocent ice cream cone got all tangled up in the child’s mind with shame about clumsiness, alarm over having upset his mother, and mortification over their poverty, and about 99 other things. Is it any wonder that, in later years, a picture of a cone will stir up an emotional storm? Or that some crazy wild part of him or her will insist that he or she is now entitled to as much ice cream as they want, whenever they want it?

And what can BrainWeighve do about that?

The app asks you to think carefully and honestly about the circumstances that seem to actually force you into eating the wrong things and too much of them. It’s an opportunity to learn a lot about yourself, and to help yourself claw your way, inch by inch, out of the quicksand. It asks you to make a plan. Next time you are emotionally triggered, how will you handle it? To be prepared with a plan, a whole suggestion list of plans, is important because when you are in the midst of things and feeling messed up, your brain is in a ditch. It can’t function.

Athletes practice a motion over and over to develop “muscle memory,” which might be more like nerve memory or something else entirely. The point is, when the situation is dire, you don’t have to stop and wonder “Which hand do I throw a ball with?” You just know. But we don’t have muscle memory for troublesome life situations, so it helps to have a handy list.

Not everything works for everybody; not everything works every time. But having a list is better than having nothing. Start off with that positive thought. Faced with a situation, write in the plan you will use, or choose from a list of possible ideas on how to proceed. The app will also remember this information, and keep track of what actions succeed or fail.

Anonymous sharing

There are ways to stop the buildup of overflow nervous energy in your brain, to short-circuit the displacement mechanism that causes overeating. That knowledge is in the app for you. It has been, and will continue to be, crowdsourced; and you can be part of this, if you choose. When a tip shared by a stranger enriches your life, that’s spectacular. Equally valuable is the chance to return the favor and lift others out of their swamps of confusion. In difficult times, the app asks if you would like to anonymously share ideas. (Apparently, you can change your mind about it and un-share, too.)

This is purely voluntary, but it might help other teens to know what situations you are having difficulty with and how you are solving this.

One might say that today’s kids are the most sharing generation ever. Day and night, they fling their thoughts and feelings into the everlasting Internet. Aren’t they used to self-revelation? That would all depend. There are people whose online personae reflect their inner selves, and then there are the other kind. Someone might project a spiffy clean image and harbor one horrible secret. Another person, who seems like a hellraiser or a wastrel, might quietly contribute to the good of society in some amazing way. BrainWeighve participants have the opportunity to make important contributions.

Your responses and feedback are welcome!

Image by Jelene Morris/CC BY 2.0

Triggers

In the world of BrainWeighve, triggers are…

[…] things that cause the displacement mechanism in your brain to fire, so you get an urge to eat, even though you’re not really hungry.

In the “trigger” concept area, it is very, very easy for people to fool themselves. Places, occasions, people, traditions, and culture can conspire to make unreasonable habits seem innocuous. To protect ourselves from harm in the world, we have to learn how to recognize triggers and other parts of weapons. We have to know the difference between being landed on by a ladybug or a mosquito. To survive in life, we need a boatload of skills.

Emotional events, like being “accidentally” shoved in the hallway, can cause a reaction right away, or hours later. For many people, emotional damage inspires them to break glass or yell at somebody. In others, it inspires hunger.

Nasty little machine

An emotional trigger works remotely, and with varying amounts of time delay. It seeks out the little land mines we all have buried inside us and detonates them. Everybody carries around a collection of those, even infants. (Why else would they cry so much?)

The sad fact is, some of those emotional stealth bombs were implanted when we were babies. Others snuck into us last week, and they all need to be rooted out and banished. They can be hard to catch because often, emotional stingers don’t sink in for a few hours or days. When they do, they can find caches of fuel that have been buried in us for years. Or not. This app gives us a choice about that.

Some of us like to believe that we are too strong to be influenced by emotions we can’t even identify, and certainly do not want to admit to feeling. Some of us like to believe we are too smart. But the really smart move is to become the world’s greatest detective, and track down those unexploded interior bombs.

The triggers are always going to be out there. We can’t do much about that. There will always be exams, annoying relatives, and golden arches. The good news is, any fireworks the triggers try to set off, can be disarmed.

The fixer

With BrainWeighve, the Rescue button takes you to your stored list of action plans, or to help in making a new action plan, or both. The manual says,

Just identifying your stressful situation should give some stress relief.

That is not an exaggeration, because knowing the true cause of your own distress makes you more aware than a large percentage of adults on the planet. Coming up with an action plan is the next step toward relief. Whether that plan works out well or not, the app will store it, so in a quiet moment, you can go back and ponder on it.

It also reminds you of your victories and refreshes your memory about what has worked successfully in the past. The sad truth is that the self-destructive part of us has all kinds of tricks up its sleeve, one of which is wiping successes and victories from our memories to make us feel hopeless and incompetent. When self-defeating impulses try to pin us to the floor, it can be very helpful to have a record of things that worked before.

Your responses and feedback are welcome!

More Morbidity — Coming Storms

Many medical professionals have spoken up about the urgency of recognizing the increased risk to health and life when obesity combines with other physical ailments. For instance, Dr. Aparna Govil Bhasker:

Obesity must be taken very seriously because it affects almost every organ in the body. Effects of obesity can be divided into metabolic and hormonal issues, bio-mechanical problems and organ-specific diseases.

An extensive Swedish study that we will be talking about more ended up with a dire Conclusion:

This prospective cohort study shows that individuals who had obesity in childhood already have an increased risk of death by early adulthood, compared with a population-based comparison group. Among those who had obesity in childhood, 1 in 4 had obesity recorded as a cause of death. Identifying specific factors that may impact the risk of early mortality in individuals with obesity in childhood is important, to enable preventive actions and to promote long-term health.

Recently we spoke of the very high odds that any case of childhood obesity either co-exists with, or soon will co-exist with, a co-morbidity. Together, they add up to a whole that is more than the sum of its parts. The number of potential co-morbidities is quite large. They can affect the entire body or various parts and systems, and interact with obesity to the patient’s detriment:

  • Brain — reduced executive functioning and working memory, increased impulsiveness, poor cognitive function
  • Cancer — obesity has been linked to at least 13 types of malignancies
  • Cardiovascular — problems including, but not limited to, essential hypertension, coronary artery disease, ventricular hypertrophy, venous varicosities, impaired microvascular function
  • Central nervous system — decreased sympathetic nervous system responses, multiple sclerosis
  • Cutaneous (skin) problems — intertrigo, acanthosis nigricans, hidradenitis suppurativa, hirsutism, increased risk for cellulitis, carbuncles
  • Eyes — myopia, intraocular pressure
  • Gastrointestinal — gall bladder disease, non-alcoholic steatohepatitis, fatty liver infiltration, reflux esophagitis
  • Metabolic syndrome — diabetes, insulin resistance, systemic low-grade inflammation
  • Orthopedic — bone damage, joint damage, defective cartilage, osteoarthritis, slipped capital femoral epiphyses, fractures, chronic lumbago, deformed feet, osteoarthritis
  • Periodontal disease
  • Psychological — anxiety, depression, addiction
  • Reproductive, obstetric, perinatal — potential problems too numerous to mention here
  • Respiratory — obstructive sleep apnea, increased predisposition to respiratory infections, increased incidence of bronchial asthma

Your responses and feedback are welcome!

Source: “Understanding The Health Conditions And Diseases Associated With Obesity,” NDTV.com, 01/17/21
Source: “Association of childhood obesity with risk of early all-cause and cause-specific mortality,” PLOS.org, 03/18/20
Image by Robert Sullivan/Public Domain

Let’s Talk More About Morbidity

“Threat multiplier” is a term that refers to something that needs to be taken into consideration when preparing for defense. A military installation might have a plan in place to protect the buildings, equipment, communications, and personnel. But climate change is a threat multiplier that needs to be also taken into consideration. What if a flash flood occurs? Both the attackers and the defenders had better give some thought to how their operations will be handled in case of an unexpected weather event.

In the same way, in conjunction with any number of disease processes, obesity is a threat multiplier. It works both ways, and while it has become fairly obvious how pre-existing obesity can negatively impact the treatment of many conditions in adulthood, not enough is known about problems in childhood (aside from overeating) that can contribute to obesity in the short term. As one group of researchers described the situation in a paper about the hip disorder, slipped capital femoral epiphysis,

Long-term outcomes of childhood obesity are well described; however, there is poor understanding of short-term outcomes that may cause early childhood disability.

When taken together with already existing obesity, many common conditions will function as threat multipliers. In many cases, the whole becomes more than the sum of its parts. Obesity alone needs A, B, and C in the management plan. Cancer alone needs D, E, and F. But for an obese patient who develops cancer, the treatment and management plans will probably need more than A, B, C, D, E, and F. When the patient’s life is threatened by more than one morbidity, the problems can become exponential.

For instance, there is extensive literature on the subject of anesthesia when an obese patient needs a surgical intervention. In 2012, bioengineering students at Rice University had to invent a device that used suction cups to hold up a patient’s abdominal fat so his lungs could expand and take in oxygen during surgery.

After interviewing heart surgeon and electrophysiologist Mehdi Razavi, journalist Brian Alexander wrote,

Medicine is struggling to make accommodations. Doctors often check blood pressure using cuffs meant for thighs… Surgical tools have to be enlarged in order to reach through layers of fat. Obese patients require higher doses of radiation during imaging tests like CT scans.

Some patients won’t fit into MRI scanners. Surgical tables have been redesigned to handle patients weighing up to 450 pounds. Needles for injections have made been longer so they can penetrate fat layers and reach muscles. Even lab test results have to be interpreted differently.

Dr. Razavi also pointed out that if a patient needs a higher dose of radiation to effectively perform a test, the doctors and other medical personnel are also exposed to higher doses, a risk factor they do not welcome.

Your responses and feedback are welcome!

Source: “Childhood Obesity and Slipped Capital Femoral Epiphysis,” PublicationsAAP.org, October 2018
Source: “Too fat for anesthesia? Suction cups hold up patients’ guts during surgery,” NBCNews.com, 05/10/12
Image by Presidencia de la República Mexicana/CC BY 2.0

Let’s Talk Morbidity

Despite their common Latin root, the words morbidity and mortality have different meanings, and here is a paragraph that illustrates the idea well:

A person with a morbidity may not live as long as someone who is healthy. However, morbidity doesn’t always mean you are in danger of dying right away. However, if an illness gets worse over time, it could raise your risk of mortality.

In fact, seven out of 10 top causes of death in the USA are chronic or long-term conditions; in other words, morbidities. Among them are cancer, stroke, Alzheimer’s disease, chronic lower respiratory disease, diabetes, and kidney disease. Even if it does not immediately or directly kill a person, a morbidity makes life miserable, limited, and expensive.

Fate is not stingy about handing out morbidities, and a person can easily attain more than one. Then, each of those two or more co-existing morbidities is a comorbidity of the others.

Childhood obesity

Childhood obesity is definitely a morbidity that is often accompanied by one or more additional morbidities. Quite a lot of research is devoted to discovering which came first, in any particular case, but authorities are in agreement that no other condition a child might suffer from has ever been improved by obesity, and all children would be better off without it.

Among the things that try to kill us, obesity labors under a slight disadvantage in achieving that goal, because it is more preventable and more fixable than most other morbidities. But on the other hand, obesity holds great advantages as a potential killer for many reasons. For example, the factors that cause it, such as snacking and the consumption of calorie-laden, nutrition-deprived foods, are widely accepted in the culture, and support for those factors is paid for in the billions, by the industries that produce worthless food.

Also, there are mental and emotional obstacles. As Dr. Pretlow wrote to the concerned mother of a teenage girl,

Educating her on the health dangers of weight gain may have no effect. Education on health effects of smoking doesn’t have much effect on kids either. Kids, particularly teenagers, tend to feel invincible.

He made the point that parents cannot force children to accept help, but only persuade them to accept an opportunity that is offered. (Yes, this is a pitch for BrainWeighve, the app developed by Dr. Pretlow and his team, that will be available soon.)

With kids, and humans in general, motivations are more effective than threats. When it comes to inspiration, “If you don’t lose weight, you might get diabetes and respiratory problems, then you’ll really be a mess,” is a non-starter. Concepts such as the ability to wear trendy outfits and become a social media influencer are more powerful than predictions of doom.

Your responses and feedback are welcome!

Source: “Morbidity vs. Mortality: What’s the Difference?,” VeryWellHealth.com, 09/24/22
Image by Alexander Pfeiffenberger/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