Displacement Is a Multifactorial Thing

Not surprisingly, this whole topic started with Sigmund Freud and his talk of a displacement mechanism, back in 1913. Childhood Obesity News will look at several of the other works that helped form thoughts and opinions, in the minds of both professionals and the general public, about these ideas.

As we have seen, early displacement theorist Dr. Juan D. Delius opined that, as yet, there have been no defining rules for the condition. In looking back to some previous writers on the subject, perhaps it will become evident why he thought that. With all due respect, the conclusion that the subject had such fuzzy boundaries is reminiscent of Judge Potter Stewart’s pronouncement about hardcore pornography: “I know it when I see it.” This is the sort of distinction that separates the hard sciences from the soft sciences.

Dr. Pretlow once had occasion to remind a colleague that “contributions to the literature largely ceased in the 1970s.” They were talking about displacement, and a perhaps inadequate amount of discussion of it. This happens in life, sometimes. Promising leads are dropped because of — well, many reasons. Funding resources shift, and that is often due to a change in the priorities of a fickle public. In any field it is important, for many reasons, to check back on the efforts of earlier experts. Every conscientious researcher is part historian.

In 1959, the British Journal of Psychology published Dr. Dalbir Bindra’s interpretation of the “displacement phenomenon.” It was recognized that, in certain scenarios involving conflict and frustration, animals would do things that seemed illogical to scientists. It was assumed that the purpose was to “displace the ‘energy’ or ‘drive’ from one reaction system to another.” The displacement phenomena possibilities fell into two categories:

[A]nimals obstructed in the execution of a particular ongoing or customary activity tend either to direct the same activity toward another object or to engage in a completely different activity.

Dr. Bindra called these interpretations “vague and ad hoc,” at best providing “only a redundant description of the observed phenomena.” His idea was that so-called displacements activities are “a special case of the general question of the factors determining the occurrence of any activity that exists in an animal’s repertoire. ”

It was generally believed that displacement activities arose from three scenarios, which Delius enumerated: “motivational conflict, frustration of consummatory acts and physical thwarting of performance.”

As we have seen, those interested in this topic have tended to say there are two possible outcomes when an animal is thwarted or threatened; two possible meanings of “displacement.” The first is the same (or “same general class”) activity directed toward a different object. The second occurs if the animal “shows some other, “irrelevant,” but fairly specific, activity.” It was fair of Bindra to place “irrelevant” in quotation marks, because the question has been raised whether humans are qualified to judge relevance in a realm so unknown to them.

So, each of the three scenarios has two ways it could go at the next stage. That unfolds to six possibilities. Additionally, Bindra wrote,

In particular, it is suggested that all instances of displacement phenomena can be adequately accounted for in terms of the operation of three factors: (a) an increase in the level of arousal of the animal brought about by the obstructing event, (b) the relative habit strengths of the various activities in the repertoire of the animal, and (c) the nature of the sensory cues provided by the altered stimulus situation.

So each of the six possible activities also includes those three possible branches, making a total of 18 plausible definitions of displacement behavior.

Your responses and feedback are welcome!

Source: “An interpretation of the “displacement phenomenon,” Baillement.com, 1959

Images by aeneastudio, Enrico, and poppet with a camera/CC BY 2.0

Displacement As a Concept

Before looking at earlier writings about displacement, there are some interesting points in a relatively recent (1967) assessment of the situation from psychologist/zoologist Juan D. Delius. At the time, it was taken for granted that animal displacement activities arose from three scenarios: “motivational conflict, frustration of consummatory acts and physical thwarting of performance.”

Dr. Delius wrote that “no binding rules exist by which displacement behavior can be recognized.” In general, displacement comes into discussion of “behavior patterns which appear to be out of context with the behavior which closely precedes or follows them…”

Precedes or follows — that covers a lot of ground!

If an enemy threatens, and a bird flies away, it is reasonable to conclude that there is a connection. It is seen as cause and effect, “in context” with the previous event, the perception of a threat. Whether the bird continues to fly for a while, or immediately lands on a branch — wouldn’t either one of those choices be equally in context with what came before — i.e., the flying off?

If an enemy threatens, and a bird starts to preen itself, this is seen by humans as displacement behavior, a way of discharging nervous energy through arbitrary activity, because for some reason flight is not an option, and neither is fighting or other possible actions that might actually be useful in averting the threat.

This may be where unjustified anthropomorphism comes into the picture. Human judgment might cloud the understanding of another, as-yet-unrealized truth. One point is, preening is not the same for birds as for humans. The bird isn’t just checking its teeth for lipstick smears, or tossing a lock of hair aside. Preening is essential maintenance, a combination of cleaning, pest removal, waterproofing, and other necessary chores. If the feathers are not in good order, flying might be impossible — a serious consequence.

Okay, says the human, so it’s not just fiddling, it’s important survival-oriented behavior. But the timing is inappropriate. An enemy is poised to pounce. This failure to defend oneself, or to at least remove oneself from the scene, is looked upon by humans as aberrant.

An open question?

But with what rationale? Maybe the animal has good and sufficient reasons to try out this tactic. Maybe it hears some inner voice: “Pick your battles. Try distraction. Try waiting out the clock. Try hoping that the enemy is so dim, it will forget it was even looking at you.” Many creatures have been getting along for millennia without human opinions, operating on criteria that humans would perhaps condemn as poor judgment. Maybe we don’t know everything about why animals do the things they do.

Dr. Delius said another thing that seems to deserve more attention than perhaps has been granted:

None of the theories on displacement activities gives cogent reasons why particular behavior patterns should be more common than others as displacement activities, apart from stating that the causal agents which usually elicit them in non-displacement situations can also be presumed to be present, if only weakly, in the displacement context, or remarking that these patterns are prepotent in the repertoire of the animal.

The phrase, “the causal agents which usually elicit them in non-displacement situations” seems meaningful, and connected to the idea that preening, for instance, is not just a silly distraction, but an activity that is quite ordinary and vital to the bird’s existence. Just possibly, it is not for humans to judge whether he is doing it at the right time, or not. Possibly, this is what the author meant by saying that “no binding rules exist by which displacement behavior can be recognized.”

Your responses and feedback are welcome!

Source: “Displacement Activities and Arousal,” Nature.com, 06/17/67
Image by Emmy Silvius/CC BY-ND 2.0

Addiction and Displacement

The previous post included a quotation from the informational pages of the Food Addiction Institute, describing the organization’s view that certain foods cause a biochemical reaction similar to alcohol or drugs, and that food addicts need to identify and abstain from those foods. Dr. Pretlow notes, “It’s not been shown that so-called addictive foods cause a biochemical reaction in the brain. Otherwise, addicts would shoot up on IV glucose and saline.”

In the view of Dr. Pretlow and many others, foodstuffs do not contain enough potentially addictive chemicals to cause classical addiction, as the word is associated with such substances as alcohol, nicotine, opiates, etc. Food chemicals are insufficient, or not the right kind, or don’t hit the brain in the same way. He writes,

We acknowledge that the reward mechanism is a central component underlying addictive eating behavior, but we posit that rewards (e.g., pleasurable food sensations and celebrations) rather act as cues to trigger the displacement mechanism, leading an individual to lose control over eating, once started.

It’s not the food that is addictive, it’s the eating. As Dr. Pretlow says, “It’s not the cues (taste, texture, temperature), it’s the displacement (biting, chewing, licking, sucking, crunching, swallowing). Displacement is the brain’s goal. Nevertheless, cues (stimuli) are essential to trigger the displacement mechanism.”

Which offers hope that the displacement mechanism “may be a useful basis for treatment of eating addiction and obesity.” Eating addiction is conceptualized as “having sensory (e.g., taste, texture) and motor (e.g., crunchy, chewy) components,” and it is suggested that there may be a specific treatment for each component. At any rate, success might be more likely through this approach, than by relying on such a feeble defense as willpower.

Manage that stress

It all goes back to stress management, to “assisting the person in forming strategies to either avoid or effectively resolve these problems/stressors.” In this regard, looking at the displacement mechanism component could be very useful. One clue here is that “displacement behavior bears a striking resemblance to addictive behavior,” in that it is irrepressible or “out of control.” Another characteristic shared by addictive behavior and displacement behavior is that they are out of context, “not an appropriate response in the various sets of conditions in which it occurs.”

Along with “fight or flight,” feeding is indeed one of the responses observed in nature when an animal perceives a threat. The bottom line here is, grooming, or rolling up in a ball and playing dead will not really help an animal escape a life-endangering situation, and neither will feeding. This is equally true of humans. If a person is accosted by a mugger who jumps out of an alleyway, eating a quarter-pounder is not going to save the day. Whether it is an armed criminal or an upcoming exam, the subconscious reads all threats as existential. Nevertheless, consuming a bag of chips will not help pass the exam.

Even if no foods are addictive in the sense of causing a biochemical reaction in the brain, there is certainly at the same time some powerful force that compels people to eat too much of foods characterized by varying degrees of “wrongness.” That is what some of the most prestigious institutions and most innovative brains on the planet are trying to figure out and fix.

Your responses and feedback are welcome!

Source: “Food Addiction Institute,” FoodAddictionInstitute.org, undated
Image by Bas Wallet/CC BY 2.0

Unraveling the Mysteries of Addiction

The big difference between overeating and the overuse of heroin, or even caffeine, is that a person can live without heroin and caffeine, but not without food. This is one of the main stumbling blocks in many discussions of the whole concept of food addiction, or FA, as some fondly call it. Dr. Pretlow has said,

A central barrier to the success of treatment for obesity that is distinct from drug addiction is the fact that food consumption is essential for survival; thus, abstinence is not a feasible or appropriate treatment goal.

Zoe Harcombe is a polymath with a Ph.D. in public health nutrition and a very substantial reputation. When she reviewed Dr. Pretlow’s book, Overweight — What Kids Say, the piece included these words:

We need to start treating food addiction for what it is — a serious addiction with serious consequences. People cannot be addicts in moderation.

And yet, they must — if they are food addicts. Because abstinence is not an option, moderation appears to be the only road out of the swamp. This paradox is quite a problem, making it obvious that what moderation means, in terms of food addiction, needs more exploration.

According to the Food Addiction Institute, 87 million Americans are afflicted by obesity, and perhaps half that number are actually addicted. Their take on FA is that it is “a physical and emotional reaction to certain food substances, similar to drug and alcohol addiction.” In food addiction, certain foods trigger cravings that dieting and willpower can’t touch.

In the same way that alcoholics and drug addicts must abstain from their addictive behaviors and substances, food addicts need to discover and abstain from the foods that cause a biochemical reaction in their brains.

Here is a viewpoint from Dr. Martin Lerner of SelfGrowth.com, who teaches that FA “always involves a need to identify and abstain from offending food substances much like an alcoholic must abstain from alcohol and related substances” which act as biological triggers. He wrote,

[T]rying to teach someone with food addiction to eat their trigger foods moderately is almost always unsuccessful. Moderation is not the appropriate treatment for food addiction. When moderation is prescribed to the food addict, it can cause harm and needless suffering.

As if matters were not complicated enough already, he also issues a warning about something important to acknowledge: that eating disorders and FA can both exist in the same person, at the same time.

Your responses and feedback are welcome!

Source: “Overweight — What kids say — by Robert Pretlow,” ZoeHarcombe.com, 01/14/11
Source: “Food Addiction Institute,” FoodAddictionInstitute.org, undated
Source: “Food Addiction and Eating Disorders,” SelfGrowth.com, undated
Image modified from ZoeHarcombe.com, 01/14/11

Ingestive Behavior Gone Awry

Dr. Pretlow says, “Leaders in addiction science concur that addiction and obesity both reflect the consequences of ingestive behavior gone awry.” In this context, gone awry almost invariably means “too much.”

In most cases, this boils down to meaning too much of the wrong stuff. Back when people had purer diets and more active lifestyles, it actually took some effort to become obese. Getting fat was an accomplishment, reflected by the fact that aristocrats were proud of their own portly figures, and a “trophy wife” was a plump wife, living proof that her successful husband could afford to feed her well.

Now, things are different. All day, every day, we are assailed by the wrong stuff. For a normal, unsuspecting person, it is quite easy to unthinkingly consume horrible junk on a daily basis without even trying very hard. Still, in the case of both addictive substances and mundane ones, the operative principle is that “too much” is where the trouble starts.

Dr. Pretlow speaks extensively of the core similarities between addiction and obesity, which will be covered in due time. But first, let us give some consideration to the major difference between the excessive ingestion of an addictive substance and the excessive ingestion of food.

Can’t say no

Nobody has to smoke crack. Everybody has to eat. You can, in the famous words of Nancy Reagan, “just say no” to alcohol, but you can’t not eat.

Okay, maybe for a while. Maybe there are fancy European clinics where a customer can pay a fortune to be put in a coma and fed intravenously for three months, while the weight just melts away. But eventually, even they have to eat again. We can’t stop eating, we can only stop eating too much. Ms. Reagan notwithstanding, there is no “no.” There is only “no more, right now, at this moment.” That line is a tough one to draw, over and over again, every day for the rest of your life.

No means no

A truth heard from many alcoholics is that the smallest sip of alcohol can send them out of control. In an interview, comedian Jayson Thibault admitted that after a restaurant dinner with friends he would lurk over the table and polish off any partially-filled glasses of wine they might have left. “I’ll throw up and keep drinking. There’s no shut-off valve.”

There are people who will eat in the same way. The difference might be that they carry a heavy psychological burden. Maybe they grew up in grinding poverty and with the constant fear of never having enough to eat. Maybe they work a 12-hour shift, seven days a week, and will clean up any scraps their children leave on plates, because the personal price to afford that food is so high.

This is where it gets complicated for those whose problem is food. A person who “can’t say no” to alcohol is labeled an addict. With unrelenting and vigilant determination, they actually can say no to alcohol, and prevent letting the addiction take over. For a substance addict to recover, strict abstinence is the only answer that works. In their world, moderation isn’t even a “thing.”

A person who can’t say no to eating may be an addict, but at least they stay alive, because to say no to eating means death. Saying yes to eating might also lead to death, but probably not for a while. Dr. Pretlow says,

A central barrier to the success of treatment for obesity that is distinct from drug addiction is the fact that food consumption is essential for survival; thus, abstinence is not a feasible or appropriate treatment goal.

We will be talking about that more.

Your responses and feedback are welcome!

Source: “#189: Catastrophic Alcoholic (@TheTeeb),” Shaffir1.libsyn.com, 10/20/14
Image by PlusLexia.com/CC BY 2.0

Coronavirus Chronicles — Yes, Kids Get COVID-19

It is interesting that three branches of a denialist belief system are in vogue at any given time, with varying intensity, in different parts of the world, and even within one society. “Kids don’t get COVID-19.” “They don’t get it very bad.” “They don’t spread it around.” Simultaneously, things constantly happen to prove otherwise. Let’s bring up to date our journey through the history of thought regarding the relationship between children and the coronavirus. Or, at least some of the highlights.

Last December, Maryland, Virginia, and Washington, D.C., were in dire straits. The CDC was estimating Omicron’s market share at 59 percent. But in Connecticut, the frightening variant accounted for 80% of new cases, and in New York, for 90%.

Hospital admission rates are contested because, among adults and children alike, record-keeping protocols are always subject to a degree of arbitrary decision-making. People (including children) who test positive for COVID are admitted to hospitals for other reasons, and if their virus is asymptomatic, they may not be included in the COVID-patient statistics. Then again, Andrew Jacobs wrote in The New York Times,

Alarming hospitalization figures can be misleading because they sometimes include all children who have tested positive for the coronavirus upon admission. Some hospitals around the country have reported positivity rates as high as 20 percent among children.

And a lot of grownups do not see this as a problem, or even admit it. Many professionals are cautious, like Boston Children’s Hospital pediatrician Dr. Rick Malley, who says, “It’s premature to predict what’s going to happen with Omicron, because this virus has repeatedly surprised us.” Prominent New York pediatrician Dr. James Schneider reacted to the rapid increase in children struggling in the intensive care unit, and said, “[V]accination is the single most important thing you can do to protect your kid from getting sick with this virus.”

By the first month of 2022…

The situation has gone from “kids don’t get it” to “kids absolutely get it in all kinds of ways.” In Minnesota, Hannah Lichtsinn, M.D., told the press that her state’s children were “severely ill with COVID at rates like we’ve never seen.”

It had become obvious that Omicron was easier than the previous brands for children to catch., and there was suspicion of a shorter reinfection interval. Also, the new BA.2 strain showed a proclivity and a talent for reinfecting children in particular. Even when child vaccination is permitted, nobody can really keep accurate statistics on how many haven’t been reached. Still, in January it was suggested that only 15% of eligible children had received anti-COVID shots.

In the spring, journalist Adrianna Rodriguez explained to the public some of the home truths about heart-lung machines. Also known as ECMO, or extracorporeal membrane oxygenation machine, this is the next step after intubation, and making that decision is very serious. Someone researched the records of 55 patients who, during a set time period, were recommended for ECMO treatment that turned out to be unavailable. Almost 90% of them “died in the hospital despite being young with few other health issues.”

Your responses and feedback are welcome!

Source: “Omicron Is Not More Severe for Children, Despite Rising Hospitalizations,” NYTimes.com, 12/28/21
Source: “Nearly 90% of COVID patients who didn’t get critical care therapy they needed died despite being young and healthy, study says,” USAToday.com, 03/01/22
Image by Official U.S. Navy Page/CC BY 2.0

Coronavirus — Denial and Delusions

Last fall, after a discouraging summer, the COVID-19 situation in many parts of the globe began to look even worse, especially for children. It had become a standard thought pattern to blame the unvaccinated — whether they were unwilling or simply unable — for the spread of the virus, but the evidence was mounting to show that this was not the entire case.

In the United Kingdom, for instance, it was becoming very clear that vaccinated people could also serve as reservoirs for the Delta variant. This of course added fuel to the anti-vax fire, being cited as “proof” that vaccines don’t work anyway, so why force people to undergo this incursion on their freedom? Meanwhile, Delta gained a reputation for making children more severely ill than previous versions.

The virus cranks it up a notch

In the U.S., older kids were being affected in life-changing ways, even if they avoided catching the actual disease. According to the findings of two surveys, about 20% of high school juniors and seniors said that the virus had impacted their college plans “a great deal.” (Most of the rest admitted to having been influenced a bit.) Rather than leaving for distant four-year institutions, the educationally ambitious were aiming, at least temporarily, for two-year solutions like local community colleges. Scott Jaschik wrote,

Some young people (7 percent) report that they no longer plan to attend college, and 16 percent say they plan to attend college later. Sixty-nine percent of disrupted graduates still believe that additional education would help them get a good job and 63 percent believe they would be successful, but only 45 percent believe the benefits of education would exceed the costs.

As in 2020, the approach of the traditional autumn school year opening was contentious, and meanwhile, the coronavirus introduced its new worst version. Dr. Peter Hotez wrote,

In South Africa, we have seen large numbers of young children become very sick from Omicron. If that happens here, we could see the nightmare scenario: Hospitals having their pediatric beds, adult beds and intensive care units overwhelmed with COVID patients even as the fully vaccinated healthcare staff calls out sick because of Omicron breakthrough infections.

At the same time in the U.S., New York Times reporter Andrew Jacobs wrote that Omicron was producing “a worrisome spike in hospitalizations among children”:

Several states have reported increases of about 50 percent in pediatric admissions for Covid-19 in December. New York City has experienced the most dramatic rise, with 68 children hospitalized last week, a fourfold jump from two weeks earlier. Roughly one in 10 American children has tested positive for the virus since the beginning of the pandemic.

[A]cross the country last week, an average of 1,200 children each day have been hospitalized with the coronavirus. [N]early all the children hospitalized with Covid had one thing in common: They were unvaccinated or undervaccinated.

Still, Jacobs wrote, experts were not too worried because actually, even though more children caught Omicron, it was not making them any sicker than the previous variants had done. That optimistic assessment totally ignored the mounting evidence that long COVID is a very real threat to children. Oh, and have we mentioned that the links between COVID and obesity are very ominous too?

Your responses and feedback are welcome!

Source: “High School Students Are Changing College Plans,” InsideHigherEd.com, 06/23/21
Source: “Op-Ed: How can we prevent a second winter of despair with Omicron?,” LATimes.com, 12/17/21
Source: “Omicron Is Not More Severe for Children, Despite Rising Hospitalizations,” NYTimes.com, 02/28/21
Image by Mike Finn/CC BY 2.0

Coronavirus Chronicles — Kids and COVID Last Summer

The rules around COVID prevention have been literally and figuratively “all over the map.” In many areas of the globe, groups have used their power to do what they believe is right — to protect the population from mass death, or to protect it from economic collapse, to name only two possible motives. Point being, the responses to the still very-much-alive pandemic vary wildly, and usually in ways that some other faction can reasonably challenge.

Prior to COVID, it was a lot easier to coast along on the sentimental and comforting belief that if something monstrous happened — if the Earth were to be invaded by creatures from outer space, or threatened by the approach of an asteroid — our differences would be set aside, and all of humankind would work together in harmony to prevent the disaster.

Things fall apart

Childhood Obesity News mentioned an article that appeared last year in The Lancet, presenting five major arguments against the relaxing of anti-COVID policies. At the time, the World Health Organization was saying that everybody, even the vaccinated, should be masked indoors. Other respected international organizations urged increased attention to ventilation and air filtration indoors, strict border quarantines, and some widely-neglected practices like testing and tracing.

Last July, Great Britain’s Fifth Wave moved The Guardian‘s science editor Ian Sample to warn that hundreds of thousands of younger people might be left with long COVID. He quoted Imperial College immunology professor Danny Altmann about a significant study:

From every version of Covid we’ve ever seen on the planet, we’ve got a rule of thumb that any case of Covid, whether it’s asymptomatic, mild, severe, or hospitalised, incurs a 10 to 20% risk of developing long Covid, and we haven’t seen any exceptions to that.

Back in the USA, more than 20% of new COVID-19 cases were pediatric. The California public health authorities ruled that K-12 students must be masked inside their buildings or be barred from the premises. In San Francisco (known for its high vaccination rate), although 76% of the residents age 12 and over were fully vaxxed, a goodly number of people were still masking in stores. Nevertheless, daily new cases multiplied by a factor of four. In Los Angeles, UCLA announced a vaccination requirement for students who wanted to return for fall classes or use campus facilities.

Last July, 20% of U.S. COVID patients were concentrated in Florida. In late summer, Missouri hospitals were full of unvaccinated people in their 20s through 40s, a lot of whom died. In Louisiana, the school-age child demographic accounted for the third-largest number of new infections. Texas Children’s Hospital reported increasing numbers of kids, some in ICUs and even on ventilators. In Tennessee, where children’s hospitals were almost full, a political “leader” threatened to sue officials who dared to require masks in schools. In St. Louis, doctors observed an increase in COVID-19 among pediatric cancer patients.

By autumn, there was talk internationally of a quite credible “monster variant” that would be able to effortlessly mow down younger adults, teens, and children. Through social media, caring and cautious people shared stories of their own experiences, and what was going on in their areas. So did people with less clear motives, like this anonymous contributor:

In Colorado, you draft a letter to the school board telling them you object to vaccination on philosophical or religious grounds, and your unvaxxed children can go to school. In Kansas, it has to be a religious objection.

At any rate, the belief that young and/or fit people were safe was a myth long overdue for busting.

Your responses and feedback are welcome!

Source: “Mass infection is not an option: we must do more to protect our young,” TheLancet.com, 07/07/21
Source: “Delta surge ‘could leave hundreds of thousands with long Covid’,” TheGuardian.com, 07/13/21
Image by Philippe Put/CC BY-SA 2.0

Kids, COVID, and Numbers

For the longest time, a lot of people got away with saying that children don’t catch COVID-19, or if they do catch it, they don’t get very sick or don’t stay sick for very long. In some minds, those inaccuracies are still held as truths.

A year ago in the USA and the world, conditions were sporadically and randomly loosening up. At the same time when more deadly new virus variants appeared in Montana, the state’s governor rescinded all mask mandates. In America at the time, there had been at least 600,000 COVID fatalities, but only 113 of them had been children younger than five years.

Meanwhile in Brazil, the new strains were killing babies and young children at an unprecedented rate. In June two doctors voiced their concerns to The New York Times. They are Dr. Peter J. Hotez, professor of pediatrics and molecular virology and microbiology, and Dr. Albert I. Ko, whose area of expertise is the epidemiology of microbial diseases. They pointed out that in Brazil, more than 2,200 children younger than 10 had died of COVID, and that total included more than 900 kids under five.

At the same time, word came from Israel that most of their recent cases were the new and greatly feared Delta variant — and half of those fresh victims were children:

Israel’s Health Ministry recommended […] that the country vaccinate 12 to 15-year-olds, following the outbreaks of the Delta variant of coronavirus in the country. However, only about four percent of children in this age group have been vaccinated against the virus.

In late summer, Great Britain experienced a “third wave” of COVID and paradoxically decided to loosen preventive restrictions to the point of almost abandoning them altogether. The Lancet reported on five big objections to that policy:

First, unmitigated transmission will disproportionately affect unvaccinated children and young people who have already suffered greatly.

Second, high rates of transmission in schools and in children will lead to significant educational disruption…

Third, […] the government’s strategy provides fertile ground for the emergence of vaccine-resistant variants.

Fourth, […] significant impact on health services and exhausted health-care staff.

Fifth, […] these policies will continue to disproportionately affect the most vulnerable and marginalised, deepening inequalities.

These are all strong arguments that seemingly should stand up anywhere. Childhood Obesity News will continue to look at the tug-of-war between COVID-19 restriction loosening and restriction tightening as it has continued to play out over the past months.

Your responses and feedback are welcome!

Source: “Brazil, India COVID-19 variants reported in Montana,” DailyMontanan.com, 05/08/21
Source: “Why Are So Many Children in Brazil Dying From Covid-19?,” NYTimes.com, June 4, 2021
Source: “PM Bennett: Israel Facing ‘New Coronavirus Outbreak’,” Haaretz.com, 06/22/21
Source: “Mass infection is not an option: we must do more to protect our young,” TheLancet.com, 07/07/21
Image by Jernej Furman/CC BY 2.0

Shady Doings at the DGA

The Dietary Guidelines for Americans, reissued on a five-yearly basis, have caused unrest before, mainly among professionals whose job it is to comment on nutrition-related government actions. The most recent iteration of the guidelines stirred mild interest by including babies and toddlers. But a Harvard Health Publishing article also brought up another matter:

Criticisms revolve around the authors’ reported financial ties to the food industry and the discrepancies between the published guidelines and the recommendations submitted to the authors by the scientific advisory committee.

Now, why on earth would the authors neglect to utilize the information compiled specifically, and at the taxpayers’ expense, for that report? HHP went on to explain,

This potential conflict of interest can lead health care professionals to doubt how tightly the recommendations adhere to scientific literature and wonder how to provide evidence-based information to patients.

Foreshadowing accurately predicted that someone — in this case, the journal Public Health Nutrition at Cambridge University Press — would take up the line of questioning about what it characterized as some “stunning” conflicts of interest (COI). The paper was in fact specifically written to scrutinize the advisory committee’s perhaps too-cozy relationship with the food and pharmaceutical industries, and to examine the mechanisms that had been in place to (supposedly) disclose and manage conflicts of interest.

The terminology itself is a bit misleading. There is no conflict of interest between the members of a governmental committee who speak up on behalf of various products and services, and the companies that reward them for making recommendations advantageous to those companies. The desires and goals of those parties are quite neatly aligned.

No, the conflict lies in the fact their alliance is against the interests of the public, in our roles as taxpayers and as guinea pigs for the products and services they advocate, and as patients who wind up sick and financially depleted by dishonest reportage of the science. In fact, that is what the 20 researchers set out to prove:

We hypothesed that these committee members, who oversee the science for the most influential dietary policy in the U.S, might have significant COI that would be relevant to their decision making.

The report includes some very gnarly-looking charts tracing the relationships between the specialists who are paid by giant corporations to influence policy, and the academicians entrusted with the mission of telling the government what policies it should make and enforce. The report concludes,

Our analysis found that 95% of the committee members had COI with the food, and/or pharmaceutical industries and that particular actors, including Kellogg, Abbott, Kraft, Mead Johnson, General Mills, Dannon, and the International Life Sciences had connections with multiple members.

A PDF file of the document is available to anyone who wishes to download it. Keep an eye out for such key phrases as…

– bias
– influence
– transparent
– trustworthy
– direct interest
– corporate interests
– measures to disclose
– current ethics process
– prolonged relationship
– contrary to the standard
– self-reported disclosures
– public trust and confidence
– not made available to the public
– contrary to the recommendation

Your responses and feedback are welcome!

Source: “New dietary guidelines: Any changes for infants, children, and teens?,” Harvard.edu, 01/26/21
Source: “Conflicts of interest for members of the U.S. 2020 Dietary Guidelines Advisory Committee,” Cambridge.org, 03/21/22
Image by David Goehring/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