Home | Childhood Obesity News

A Candy Revolution?

Pat Hartman April 9, 2024 1 Comment

A few years back, an ultimatum was issued to former high school valedictorian Ryan Trahan. The Texas A&M student and star athlete was told that he must either give up running and promoting his water bottle business or quit school.

But the youth was not enthralled with the idea of earning a degree only to score a corporate job, anyway. He left, to follow his own dream of creating something from nothing and building a meaningful life from the ground up.

Now 26 years old, although technically labeled with the dreaded stigma of college dropout, Trahan has founded a few businesses and become a legendary “influencer.” Unlike some noxious specimens who use social media only to aggrandize themselves and make a fast buck, he has turned his oversized personality, abundant charisma, and fertile imagination in a different direction.

This outstanding humanitarian has already piled up more philanthropic good deeds than a typical person will in a lifetime. They include almost singlehandedly fundraising $400,000 for the nonprofit Water.org and $1.38 million for the nonprofit Feeding America — all of which he accomplished simply by doing weird stuff in front of everybody.

A twist of fate

Even leaving college under duress turned out to be an altruistic, if involuntary, move. His case led to reform of the rules that had previously pushed students into choices that were not in their long-term best interest. Of the improved atmosphere Trahan says,

You’re seeing potential NFL players stay in college for their senior year because they’re able to make some money and support their family, even in college. I think it’s just amazing.

Somewhere along the way though, as occasionally happens to us all, he experienced a period of stagnation described as, “I was just failing to innovate and failing to believe in myself.” He embraced a deceptively laid-back philosophy that merely aims for a 1% improvement every day. Having learned that it is almost too easy to create a product that people will buy, he focused on creating products that people not only will buy but that will positively impact their lives.

Although Trahan resides in one of the hippest places on earth (Austin, Texas) some of his most famous works begin or end in one of the other hippest places (Venice Beach, California). Both achievement and entrepreneurial originality are itches that he needs to scratch, but fun and challenge are much more important than profit. His feeling is, “I’m OK with leaving money on the table nowadays if it means working with the right people.” He admits to being…

[…] constantly in pursuit of passionately achieving all my dreams and bringing as many people as possible to the top with me.

Impressive numbers

Through his various YouTube channels, Trahan garnered 15 million subscribers. And get this — he is also credited with creating that platform’s most wholesome community. His total YouTube oeuvre has accumulated close to a jaw-dropping three billion-with-a-B views. He is also huge on TikTok and Instagram.

The new “My last video” (a.k.a. The Last Man on Earth video) blew everybody away and inspired almost 40,000 YouTube comments. There used to be a jokey expression about how something or other “broke the Internet,” but with response numbers like that, it seems all too possible. What happened was that Trahan joined up with an established company, Joyride Sweets, as both co-owner and Chief Creative Officer. The duties of a Chief Creative Officer include inventing such dynamic slogans as…

It has a reasonable amount of sugar.

Yes, the people who reap attention nowadays are totally capable of mocking not only themselves but their entire industry. Aside from that, the product includes no artificial coloring agents. Other pitches include, “Let’s change the way the world eats candy” and “We don’t use fake anything.” Within YouTube and TikTok, a whole sub-genre has arisen, of videos in which people review and rate the four varieties of Joyride Sour Strips.

It’s kind of fun to imagine… What if someone did manage to convert 15 million kids to low-sugar organic sweets? What else could happen? In this tired old world, what other revolutions might be possible?

Your responses and feedback are welcome!

Source: “Ryan Trahan’s Journey From College Dropout to 6.8 Million YouTube Subscribers,” Shopify.com, 03/23/22
Source: “Penny Series — 2022,” YouTube.com, 2022
Source: “My last video,” YouTube.com, March 2024
Image: Ryan Trahan on YouTube

Even the Most Fortunate Must Struggle

Pat Hartman April 4, 2024 No Comments

In the past, Childhood Obesity News published a series of posts around the theme of “wider education,” a corny pun on the well-known phrase “higher education” which means going to college. That qualification alone can include different life situations. One kid stays with the family, or at least in the hometown, and commutes to school. Another travels to the opposite end of the country and takes up residence in a totally different environment, among mainly strangers.

Generally, we tend to think of young adults as a pretty hardy species, which is borne out by their tendency to subject themselves to extreme environmental conditions, like clubbing for several hours a night.

Yet, many people of that age are adversely sensitive to overstimulation by noise and light, and tend to find it difficult to adjust to the unremittingly boisterous atmosphere that might be encountered in, for instance, a university dormitory. For this reason (among countless others) they might feel enough stress to self-medicate with the wrong kinds of food, and too much of it.

Noise is apparently an appetite stimulant, just when one is least needed:

Researcher Dipayan Biswas conducted a study of noise in restaurants and concluded, “If ambient music played in a restaurant is louder, the customers are more susceptible to choose unhealthful foods… When the music was louder… 20 percent more customers ordered something that was not good for them, compared to those who dined during the lower-volume times.

There are, of course, other factors. With young folks in a new situation, among their own kind, and out from under parental supervision, it is likely that drinking plays a much larger part in weight gain than eating does. Alcohol is able to sabotage weight goals in five different ways.

It not only contains calories but stimulates the appetite and is a disruptor of the body’s fat-processing routines. It impedes judgment (making healthy choices less likely) and interferes with the hormones. There are few sadder sights than a 19-year-old with a beer belly.

The environment

For someone raised in more spacious climes, the residential density either on or off campus could be a problem, with its general inescapable background noise and light pollution and consequent sleep disruption. Some engage in overeating as a cure. Of course, other kids thrive on the stimulation of tumult, confusion, and constant novelty.

A factor that seems to grow exponentially every year is screen use. A 2020 report said,

New research reveals that media use before bedtime translates to less sleep for children who generally struggle to self-regulate their behavior. Children who scored high on measures of effortful control, however, were able to enjoy a restful night, regardless of their pre-sleep media use.

At the same time, however, it has been difficult for researchers to put their finger on exactly why a link exists between television and overweight kids.

Academic scrutiny

A 2008 electronic survey of 131 respondents found that only 5% of the freshmen had gained 15 pounds or more, which pretty well invalidated the old saying. For the entire sample, the average gain was just under three pounds. The male students tended to gain more than the females. Anyway, nobody got too excited because, among other reasons, a study of 18-to 24-year-olds at around the same time found that non-students gained more than students.

With students, it is quite possible that thinking hard makes them burn calories rather than conserve them. We are far from knowing everything there is to know about the connection between brain usage and energy expenditure. The whole relationship between age and the body’s fuel requirements is variable and subject to change.

Look at very young kids, like five-year-olds, whose “brains use almost half of their bodies’ energy.” According to a Northwestern University study,

[V]ariation in the energy needs of brain development across kids — in terms of the timing, intensity and duration of energy use — could influence patterns of energy expenditure and weight gain.

[W]e have no idea how much the brain’s energy expenditure varies between kids. This is a huge hole in our understanding of energy expenditure.

Your responses and feedback are welcome!

Source: “Loud music at restaurants could be leading you to order burgers over salads, study says,” WashingtonPost.com, 05/29/18
Source: “Think of it as turning off fat burning’: 5 ways drinking alcohol sabotages weight loss goals,” BusinessInsider.com, 07/29/22
Source: “Does Bedtime Media Use Harm Children’s Sleep? Only if They Struggle to Self-Regulate Behavior,” PsychologicalScience.org, 06/23/20
Source: “The Freshman 15: Is it Real?,” NIH.gov, 2008
Source: “The brain consumes half of a child’s energy — and that could matter for weight gain,” ScienceDaily.com, 06/17/19
Image by Mihnea Maftei/CC BY 2.0 DEED

Childhood Obesity Linked to Increased Risk of Multiple Sclerosis, Swedish Study Finds

Tatyana Meshcheryakova April 3, 2024 No Comments

A groundbreaking study conducted by researchers at the Karolinska Institute in Stockholm, Sweden, has unveiled a concerning link between childhood obesity and the heightened risk of developing multiple sclerosis (MS) later in life. The findings, slated to be presented at the European Congress on Obesity in May in Venice, Italy, indicate that obese children may face more than double the risk of developing MS compared to their non-obese counterparts.

Briefly on MS

MS is a chronic condition that affects the central nervous system, including the brain and spinal cord. Its symptoms vary widely and can include vision problems and difficulties with movement, sensation and balance. While the exact cause of MS remains unclear, researchers have long sought to understand the various factors contributing to its development.

How the study was conducted

The study’s foundation lies in the analysis of data from the Swedish Childhood Obesity Treatment Register, which contains extensive information on children undergoing treatment for obesity. Researchers examined records spanning from 1995 to 2020, comparing data from over 21,600 children with obesity to that of more than 100,000 children without obesity.

The study’s results

The results were striking. While the overall likelihood of any one child developing MS remains low, the study revealed that children who were obese faced more than double the odds of developing MS later in life compared to their non-obese peers. Specifically, the rate of newly diagnosed MS cases among obese individuals reached 0.13%, compared to 0.06% among non-obese children.

Professor Claude Marcus, who led the study, commented:

There are several studies showing that MS has increased over several decades and obesity is believed to be one major driver for this increase… Thanks to our prospective study design, we can confirm this theory.

The study also highlighted a gender discrepancy in MS incidence, with two-thirds of cases occurring in females, aligning with the general observation of a higher prevalence of MS among women compared to men. Interestingly, regardless of weight history, MS was diagnosed at a similar average age of around 23 years old.

The potential cause

Emilia Hagman, an associate professor, and Dr. Marcus pointed to chronic inflammation associated with obesity as a potential mechanism driving this heightened risk. Obesity triggers a state of low-grade inflammation in the body, which, over time, can contribute to the development of various diseases, including MS.

The research team wrote,

Paediatric obesity is associated with several autoimmune diseases and the leading hypothesis is that the persistent low-grade inflammatory state, typically observed in obesity, is mediating the association.

The bottom line

Despite the alarming findings, Marcus and his team emphasized that the absolute risk of any one child with obesity developing MS remains relatively low. Still, while acknowledging the study’s limitations, including its observational nature and relatively short follow-up period, the researchers underscored the importance of recognizing the long-term health implications of childhood obesity.

Your responses and feedback are welcome!

Source: “Obese children twice as likely to develop multiple sclerosis, study suggests,” The Guardian, 3/28/24
Source: “Childhood obesity linked to higher risk for multiple sclerosis later,” Yahoo News, 3/29/24
Image by Nathan Dumlao on Unsplash

In With the New: Waist-to-Height Ratio

Pat Hartman April 2, 2024 No Comments

For over a decade, there has been a growing conviction that using BMI as the obesity measurement standard is unrealistic, especially where females are concerned. And people with a lot of lean body mass. And in field settings where accurate scales are not available. And among some ethnic groups. One study found that as many as one-quarter of the kids with excess body fat were not being identified in a timely and appropriate manner.

So, for quite a while now, it has become increasingly apparent that waist-to-height ratio is the way to go. Recently, there has been a resurgence of this sentiment. For instance, in recommending a promising program to keep grade-school children from putting on fat, an official did not even mention BMI, but announced,“Our study shows that this can lead to a recognizable improvement in their waist-to-height ratio.”

As childhood obesity just grows and grows, the need for a precise obesity metric is more crucial than ever. Pushing the issue along, of course, there are also more recent studies to cite. Andrew Agbaje, a medical researcher with a startling number of degrees and titles, has caused a stir with a publication titled “Waist-circumference-to-height-ratio had better longitudinal agreement with DEXA-measured fat mass than BMI in 7237 children.”

In a less formal setting, for Easo.org, he explains various aspects of this work. For quite some time, research has shown that body mass index or BMI “misidentifies and misclassifies children and adolescents as overweight or having obesity even when their weight is largely driven by muscle mass.”

One of the main factors in the change in thought has been the availability of much more accurate methods of measuring body composition. Still, convincing the establishment was not easy, and his research was rejected several times over a two-year period because it did not agree with what was already “known.”

Limitations of BMI

The old measurement standard does not distinguish between fat mass and muscle mass. BMI varies significantly with age and sex, and is unreliable. Important to understand is that adequate muscle mass should be encouraged in childhood, for the protection of the cardiovascular system. And,

Emerging studies in children and adolescents report that the waist-to-height ratio predicts cardiometabolic risks such as dyslipidemia, blood pressure, metabolic syndrome, and insulin resistance far better than BMI.

The new work has derived its legitimacy from the highly-regarded Avon Longitudinal Study of Parents and Children. Dr. Agbaje says,

The project has cost millions, but has produced a remarkable body composition database that will correct the anomalies of BMI… An extraordinary dataset is required for a paradigm shift, and we are extremely grateful to the children of the 90’s and their parents for their continued participation in this project over the past three decades.

This research has resulted in the discovery of “an inexpensive tool that could replace BMI, and overcome the limitations of misclassification and overdiagnosis of obesity in children and adolescents.” In this field of study, certain things must be kept in mind. For instance, four essential words are “within a normal range”:

[N]ature has endowed females with more fat mass than males, which is perfectly normal. We must also remember that not all fat is bad for health but excess adiposity is. We need a certain amount of fat mass for the normal physiological function of cells and organs. So we should not aim to drain our body completely of fat…

At the end of the interview, complete instructions are given to parents, who are encouraged to try measuring the waist-to-height ratio at home. Increasing numbers of health professionals agree. For instance, at NursinginPractice.com, Helen Quinn writes,

The new measurement can make it easier for parents and caregivers to assess childhood weight quickly and easily, enabling timely interventions for obese children.

Your responses and feedback are welcome!

Source: “One Way to Reduce Child Obesity: Get Kids Moving More in Class,” USNews.com, 02/27/24
Source: “Changing the way we measure childhood obesity: in conversation with Andrew Agbaje,” Easo.org, 03/09/24
Source: “Waist-to-height ratio better obesity measure in children and adolescents,” NursinginPractice.com, 03/07/24
Image by idalingi/CC BY 2.0 DEED

How Be Pro-Active and Protective

Pat Hartman March 28, 2024 No Comments

This is an interesting topic because when parents think about protecting their children, they have a certain gallery of pictures in their minds, concerning the events and people that children need to be protected from. They tend to visualize a car accident, a fire, a kidnapper, or a rogue grizzly bear escaped from the zoo. But kids in a room, peacefully watching television? Not so much.

And yet, an astonishing number of those parents absorbed monumental amounts of television advertising, and look where it brought them. In many cases, they are as big as two or three healthy-weight people. TV junk food ads got right into their heads, and they grew up thinking it was normal to add food to every social occasion, and to carry a sugary beverage with them at all times.

Of course, food abuse has occurred throughout history. There was always the occasional King Henry VIII who could afford to eat as much as he wanted, and who, it just so happened, wanted a lot. And they didn’t even have the alchemical miracle of processed food back then. It was all natural and organic, and sure, people got fat on that, simply from eating too much of it — just as they are so easily able to do today.

Dangerous change

But eventually, along came the food business revolution that involved laboratories and molecular-level tinkering, and all kinds of sinister changes transpired. You pick up a package of something and you don’t know what’s in there anymore. We finally got mandatory informational labels, which turned out to be a joke because even college graduates can’t decipher them. All this happened concurrently with the Age of Advertising, when we learned that anybody can be talked into anything.

Today we still have television, and several other kinds of screens as well. They are blessings and curses. They are why a caring parent can peruse collections of hints, tips, and inspirations from several sources, about ways to shape a child’s path and avoid the fate of food addiction, or indeed, any addiction. What makes this so hard sometimes is that different kids react differently to things in the world. Studying martial arts might be the thing that saves one child, while playing the piano saves another.

Childhood is the time to spread out before a young human the smorgasbord of possibilities, consisting not of food items but of experience items. Kids are born with curiosity, imagination, ingenuity, and a raft of other splendid qualities. We can help them discover the things — other than edible commodities — that life offers. We can spread out the banquet of healthy displacement activities, and let them discover alternatives to “turning to food.”

Another way

As previously mentioned, this is why Dr. Pretlow has developed BrainWeighve, “based on the displacement mechanism, adaptable for any addiction.” As Childhood Obesity News has previously indicated, the object is to get out in front of cravings. In an extreme example, the legendary hero Odysseus directed his crew members to tie him to the ship’s mast. This was to render him incapable of responding to cravings, in the form of beautiful women playing enticing music, that called out to tempt him.

Now, we do not need to resort to such a primitive measure. We help people become figuratively, and metaphorically, “tied” to constructive and healthy displacements that are so satisfying, the siren songs of destructive habits do not even have a chance.

Your responses and feedback are welcome!

Image by Dennis Jarvis/CC BY-SA 2.0 DEED

Oprah on Weight Stigma and Displacement Intervention

Tatyana Meshcheryakova March 27, 2024 No Comments

For decades, Oprah Winfrey has been an icon of empowerment and resilience, but behind her public persona lay a battle with weight stigma that was both personal and deeply pervasive. In a March 18 ABC special titled “An Oprah Special: Shame, Blame and the Weight Loss Revolution,” Oprah opened up about the relentless scrutiny she faced regarding her weight over the years and delivered a poignant message of self-acceptance and compassion for others, also underscoring the importance of displacement intervention.

Decades-long body shaming took its toll

Reflecting on the relentless criticism she endured, Oprah recounted instances where her appearance was dissected and ridiculed by the media. From disparaging headlines to hurtful comments, she bore the brunt of a societal obsession with body image that often equates worth with weight.

“I have to say that I took on the shame that the world gave to me. For 25 years, making fun of my weight was national sport,” Oprah candidly expressed during the special.

She vividly recalled the hurtful labels thrown her way, including being described as “bumpy, lumpy and downright dumpy” on the cover of TV Guide in 1990. These experiences were not just personal slights but emblematic of a broader culture that perpetuates harmful stereotypes and unrealistic beauty standards.

Let’s end the weight stigma, Oprah said

But Oprah’s message wasn’t just about her own struggles; it was a call to action against the pervasive culture of body shaming. She urged an end to the stigma and judgment surrounding weight, emphasizing the need for compassion and understanding in discussions about health and wellness.

Oprah said:

In an effort to combat all the shame, I starved myself for nearly five months and then wheeled out that wagon of fat that the internet will never let me forget. And after losing 67 pounds on a liquid diet, the next day, y’all, the very next day I started to gain it back.

A holistic approach beyond the meds

Winfrey’s journey toward self-acceptance didn’t end with mere acknowledgment of the problem; she actively sought solutions and found solace in weight-loss medication, alongside a balanced approach to fitness and nutrition. By sharing her experiences with GLP-1 prescription medications like Ozempic, Mounjaro, Victoza, and Wegovy, she aimed to destigmatize their use and provide hope to those struggling with weight management.

Oprah’s decision to combine medication with healthy lifestyle choices, including hiking, exercise, and mindful eating, underscores the complexity of addressing weight-related issues. It’s a holistic approach that acknowledges the multifaceted nature of health and well-being, rejecting simplistic narratives that prioritize appearance over overall wellness.

Throughout the special, Winfrey emphasized that obesity is not a character flaw but a complex medical condition deserving of empathy and support. Oprah said: “The number one thing I hope people come away with is knowing that [obesity] is a disease, and it’s in the brain.” What is the disease in the brain? Hijacking of the reward system? Displacement mechanism going rogue? All good questions.

Dr. Pretlow weighed in:

Displacement intervention (problem solving, rechanneling excess brain energy), with medications as an assist, may be the best approach for obesity. Also, displacement intervention may be a way to get off the medications, which otherwise would need to be taken for life.

“Evidence-based interventions”

Oprah seems to agree. Joined by medical experts, she challenged misconceptions about weight loss and highlighted the importance of evidence-based interventions in tackling obesity. Personally, she uses the medication in combination with “hiking 3 to 5 miles a day,” running, weight resistance training, and eating a “healthy diet.”

Dr. W. Scott Butsch and Dr. Amanda Velazquez, medical professionals specializing in obesity medicine, lent their expertise to the conversation, debunking myths and advocating for a more nuanced understanding of weight-related issues. They emphasized that obesity is not simply a matter of willpower but a complex interplay of genetic, environmental, and behavioral factors.

In a world where body image is often weaponized against individuals, Oprah’s courage in confronting her own demons and advocating for change is both empowering and inspiring. Her journey also throws light on how displacement activities can work in tandem (or not) with weight loss medications to bring positive outcomes.

There’s a study for that!

The ability to rechannel displacement into less harmless activities rather than succumbing to urges is behind the behavior modification app, BrainWeighve, currently ramping up for a trial through the University of California Los Angeles (UCLA). The trial focuses on weight loss for obese teens using “a self-directed, physician-supervised program withdrawing from one problem food at a time.”

Your responses and feedback are welcome!

Source: “Oprah Winfrey says she has released the shame of being ‘ridiculed’ for her weight for 25 years,” ABC News, March 19, 2024
Source: “Oprah Winfrey reveals she starved herself ‘for nearly five months’ in ABC weight loss special,” USA TODAY, March 18, 2024
Image by Nik on Unsplash

Life Hacks for Parents

Pat Hartman March 26, 2024 No Comments

We have computer professionals to thank for the term “hack.” It’s a quick and probably inelegant solution whose chief virtue is that it works. From there, the word grew to signify any strategy that gets the chores done fast. In more respectable language, it’s a time management technique; an efficiency aid fulfilling the criterion of “Work smart, not hard.” It used to go by a more genteel name, like “helpful hint,” but by now, most people are familiar with the term “life hack.”

A life hack is a useful shortcut or fix, the sort of everyday remedy our parents might have passed on to us, if we had not been so busy fending off their concerns and rejecting their efforts to teach us something. We probably all went through a stage of not wanting to be told a darn thing, and in some cases that became a prolonged stage. Anyway, we’re all grown up now with kids of our own, and have entered the stage of shouting into the abyss, “Help! Help!”

And then, along comes an expert who can solve all our problems and with no pain or friction, lead those young’uns onto the right track! Well, not quite, because very few techniques ever work in every case. That’s just the multifactorial nature of life, which can become ornery. Still, it never hurts to choose one of the reliable, time-tested tricks of the trade, and give it a whirl.

For instance, there is the old standby, the fake choice. As a blogger Adriadne Brill described it,

Let’s say your child is doing something completely unacceptable. Provide her with two alternatives that are safe, respectful and acceptable, and let her choose what she will do from there. By receiving two choices, the child can keep some control over her decisions while still learning about boundaries.

So, the kid scoops a handful of crunchy nuggets out of the dog’s dish. The parent can offer, instead, the choice of a graham cracker or a handful of dry cereal. Often a parent can be surprised by how easy it is to divert a naive child’s attention and preserve the peace.

Childhood Obesity News has previously offered “hacks” for particular situations, like Halloween and the pandemic.

In fact, they might be worth looking at again, because of the adaptability factor. And never underestimate the power of a deepfake. If your very young and innocent child is in love with a certain brand of cereal because of the character depicted on the box, it might be possible to buy a more nourishing and/or economical brand instead, and just keep pouring it into the same box for about six months. Who knows? A motivated parent could get away with this ruse until the child starts kindergarten.

Some might call this deception; others might affirm that it is perfectly okay to go with a gentler, more forgiving expression, and “pull the wool over a child’s eyes” for the child’s own good.

Schedule = excellent idea

For a straightforward and totally frank household rule, the standard of consistent meal times is a good one to set, and important for more than one reason. First, a meal schedule implies the absence of snacking, whose banishment is always desirable. If a child is consistently hungry before mealtime, some research needs to be done into the possible reasons.

Together, the parent and the child could look up the facts on what kind of food is likely to promote that feeling of satiety the longest. A parent could keep track of the results, or it could be a mutual science project, with its own clipboard. When that child gets older, she or he could help a sibling do the why-am-I-still-hungry? research.

Who knows? Thirty years from now, you might look back and marvel that this DIY project led to your child winning a world-class science award. Try to look at every parenting annoyance as a challenge, and every challenge as an opportunity, and see what happens.

Your responses and feedback are welcome!

Source: “12 alternatives to spanking and timeout,” AttachmentParenting.org, 10/02/14
Image by Marco Verch/CC BY 2.0 DEED

Parents, Proactive and Protective, Continued

Pat Hartman March 21, 2024 No Comments

Although the corporate magnates exert pressure on us to eat worthless pseudo-food, parents do not have to surrender to that pressure. The easiest time to push back is in the first few years of a child’s life, when there are fewer influences at work, and those that do exist are easier for parents to control.

“Give me a child until age 7 and I will have him for a lifetime.” Throughout history, leaders and organizations have proclaimed variations of that idea, and for a very good reason — because it is valid. The lessons that are taught to a child, and even more importantly, the behavior that is modeled to a child in the earliest years, will stick.

Whether we like it or not, this is how human beings function. The psyche is formed early, and often indelibly. First impressions sink in the deepest, and are very difficult (if not impossible) to uproot in later years.

Before saying “I do…”

The most difficult influences to resist are family members, and this is something to think about before hooking up with the intention of raising children together. One problem here is our erroneous concept of compatibility. When pondering on whether or not to meld our life with another person’s, we tend to take the wrong factors into consideration. Do we enjoy the same movies? Do we agree on vacation destinations? Do we vote for the same political candidates?

The thing is, once you are married, you might refinish a floor together, or set up the backyard for straw-bale gardening. Collaborating on real-world projects takes a whole different skill set. It may turn out that you and the prospective partner will view very few cinematic masterpieces in each other’s company. There are plenty of happy, successful marriages in which the two people never watch a movie together.

When people really love each other, they figure it out. They vacation in the mountains one year, and at the beach the next year. And regardless of which candidate wins the election, this couple, just like everyone else, will still live in a world full of challenges and injustices that need to be met one at a time.

Get right down to the real nitty-gritty

If you contemplate co-parenting with someone, it is a lot more important to discuss your thoughts about what your children should eat. Are you both convinced of the importance of breastfeeding? Do you both understand the amount of cooperation and selflessness required to make that program a success? Do you share the same thoughts about when solid food should be introduced? Are you on the same page about the importance of teaching by example?

Even when parents are in strong agreement, as time goes on it becomes more difficult to stand by their beliefs. Have you talked about how to handle the suggestions and the actions of each other’s relatives, and your own? Are you ready to tell your babysitting sister not to give your kid any candy? Practice the sentence, “We agreed, no ice cream until age 5, and that’s how it’s going to be.” Can you stand up to your own mother and say it?

A parent can, to a certain extent, limit exposure to relatives who encourage inappropriate eating habits. There are surely books about how to do that, and no doubt videos too. And there is live help, through phone and online counseling services that a person can sign up for to address one particular issue.

This is not spending years on a couch talking to a bearded man about your nightmares. This is hiring a professional for a limited amount of time to address a specific problem: “How do we deal with relatives who want to feed junk to our kids?” It is a suggestion worth considering.

Your responses and feedback are welcome!

Image by Scott Raymond/CC BY 2.0 DEED

Shame, Blame, and Oprah’s Special

Tatyana Meshcheryakova March 20, 2024 No Comments

In the ongoing battle against obesity, a new front has emerged in the form of GLP-1 weight-loss drugs like Ozempic, Wegovy and Zepbound. These medications, heralded for their potential to revolutionize weight management, have garnered immense popularity, with projections suggesting that by 2030, roughly 10% of the U.S. population will be relying on them, driving the category’s sales to surpass a staggering $100 billion.

The recent endorsement from Oprah Winfrey during an ABC special titled “Shame, Blame and the Weight Loss Revolution” has provided another significant cultural boost to these drugs. In the groundbreaking special aired on March 18, Oprah shared her personal journey with one of these weight-loss medications, reframing obesity as a disease rather than a personal choice. “For 25 years, making fun of my weight was national sport,” Oprah said in the special’s introduction. She recalled a TV Guide cover that referred to her as “lumpy, bumpy, and downright dumpy…”

She candidly revealed her previous misconception that individuals who never struggled with weight were simply exerting superior willpower — a belief shattered upon experiencing the transformative effects of medication.

Oprah said:

All these years, I thought all of the people who never had to diet were just using their willpower, and they were for some reason stronger than me…

She also said:

In an effort to combat all the shame, I starved myself for nearly five months and then wheeled out that wagon of fat that the internet will never let me forget… And after losing 67 pounds on a liquid diet, the next day, y’all, the very next day I started to gain it back.

Central to Oprah’s narrative was the spotlight on GLP-1 agonists, a class of drugs mimicking a hormone that suppresses appetite and regulates blood sugar levels. These medications, including Ozempic, Mounjaro, Wegovy, and Zepbound, have demonstrated remarkable efficacy, aiding some patients in shedding approximately 20% of their body weight. Despite being initially approved to treat Type 2 diabetes, certain drugs like Ozempic and Mounjaro have found off-label use for weight loss, while others like Wegovy and Zepbound are explicitly sanctioned as anti-obesity medications.

Winfrey’s special served as a platform to showcase the success stories of those who achieved significant weight loss with GLP-1 drugs, while also featuring insights from executives and medical experts associated with the pharmaceutical companies manufacturing these medications. Notably, Oprah’s commitment to transparency led her to sever ties with WeightWatchers’ board, redirecting her stock to the National Museum of African American History and Culture to eliminate any perceived conflict of interest, given the company’s endorsement of anti-obesity medications.

However, amidst the burgeoning popularity of drugs like Wegovy and Zepbound, skepticism persists, particularly regarding their widespread adoption among those seeking to shed a few pounds without weight-related health concerns. A Pew poll conducted in February revealed that 62% of respondents view these medications as unsuitable for people without weight-related health issues, echoing concerns voiced by some physicians who question the necessity of medical intervention for weight loss in certain cases.

As it’s been established, the use of GLP-1 drugs can cause side effects ranging from gastrointestinal discomfort to more severe complications like pancreatitis and obstructions in the digestive system. Heightened scrutiny also surrounds potential long-term risks, including an elevated susceptibility to thyroid cancer.

In defense of these medications, Dr. Amanda Velazquez, a weight-loss specialist and consultant for pharmaceutical companies, downplayed the significance of side effects, categorizing them as “mild to moderate” based on research findings. Nonetheless, empirical evidence suggests that adverse reactions may prompt a significant proportion of patients to discontinue medication, leading to weight regain — a reality acknowledged by Velazquez during the special.

At the special’s end, Oprah emphasized that weight-loss drugs may not be for everyone and that some people may choose not to lose weight or to do so with diet and exercise. But “for the people who think that this could be the relief and support and freedom […] that you’ve been looking for your whole life,” she said, “bless you.”

Your responses and feedback are welcome!

Source: “Ozempic Gets the Oprah Treatment in a New TV Special,” TIME, 3/18, 24
Source: “The Biggest Takeaways From Oprah’s Ozempic Special,” The Cut, 3/19/24
Image by Love Quotes on Flickr

Parents, Proactive and Protective

Pat Hartman March 19, 2024 No Comments

This post continues to meditate on a piece by Julia Olech, who is trying to scare us. Listen to this:

Some parents begin exposing their children to junk food when they’re as young as five months. According to a UNICEF study, almost two in three children between six months and three years of age don’t get appropriate nutrition due to overconsumption of junk food. This can heavily stunt their development and lead to poor brain growth, slow learning, low immunity, risks of increased infections, and, in some cases, death.

But that is not all. Even if these individuals do attain average or near-average lifespans, the odds are greater than 50/50 that they will always be overweight or obese. When obesity gains a foothold in the early years, the prognosis does not inspire joy.

In a world where so many dangers lurk, and in which parents are often unable to effect real change, the good news is that they can actually do quite a lot. Take, for instance, the attitude of resistance to junk food. Yes, the global marketing machine is powerful, but parents do not have to hopelessly surrender to it.

Construct a shield

The lives of most children begin with a limited period of time during which their caregiving adults can exert the utmost control over what these brand-new humans see, hear, taste, and generally experience. It helps to be conscious of this grace period and make the best of the all-too-brief opportunity to flex our omnipotence.

Every 24 hours, it becomes more difficult to block out the world at large, so it’s a good idea to start really young and take advantage of each day in which children are unable to consume either meals or media based on their own fallible choices. With even the youngest of babies, a parent can begin to show healthy intent. Start with an action seemingly small, but always meaningful. Maybe just choose to mute the TV during ads, limiting exposure to the obnoxious, hectoring, yet somehow nearly irresistible siren song.

Do not hesitate to seek help

More than anything, a parent should endeavor to set a good example, which is harder than a person might think. One thing we need to face is that it may not be easy. We might have to “shop around,” seek additional advice, and try a couple of different approaches. We have to work within existing reality, like the tendency of some teenagers to remain inert, no matter what. Olech writes,

Be a role model: Children often mimic adults, so show them you also choose healthy options. When you make good food choices and limit your junk food intake, they’re more likely to do the same.

Yes, 1,000%. Kids often resist instruction and they always detest hypocrisy. If the grownups are playing “Do as I say, not as I do,” the effort will not go well. Role modeling is susceptible to many hazards. Some kids admire and willingly imitate their parents’ best habits, attitudes, and principles. But (and this is supported by copious evidence) there are ways of setting an example that can cause a child to bitterly resolve never to become anything like that parent.

If one sincerely desires to inspire and not repel the young, various types of counseling are available. There are support groups and other social arrangements to help people learn the skills. There are how-to books, and recordings of very competent teachers saying extraordinarily helpful things.

Some find this hard to believe, but in random instances even the government has been found to offer some pretty awesome resources. In seeking a better way to proceed, a person will learn useful skills and interesting facts, like how incredibly clever a reference librarian can be at finding information.

An appallingly negative example gives hope

History teaches us that it is all too possible for parents whose evil purpose is spreading hate, to indoctrinate their children into, for instance, a Ku Klux Klan mindset. To pick a less drastic example, an entire family will probably be united in glorifying a given sports team (and despising another one).

Surely they could as easily be convinced to participate in communal hatred for the corporate overlords who hope to sell us poison disguised as nourishment. A lot of kids arrive on the planet with a strong innate need to rebel against the status quo. Maybe you don’t want them rebelling against school, church, or family. The discreet introduction of Big Food as the designated enemy could be a real game-changer!

Your responses and feedback are welcome!

Source: “Junk Food Marketing Study: What Are Kids Being Fed?,” CyberGhostVPN.com, 02/13/24
Image by Mike Lowe/CC BY 2.0 DEED

A Candy Revolution?

A twist of fate

Impressive numbers

Even the Most Fortunate Must Struggle

The environment

Academic scrutiny

Childhood Obesity Linked to Increased Risk of Multiple Sclerosis, Swedish Study Finds

Briefly on MS

How the study was conducted

The study’s results

The potential cause

The bottom line

In With the New: Waist-to-Height Ratio

Limitations of BMI

How Be Pro-Active and Protective

Dangerous change

Another way

Oprah on Weight Stigma and Displacement Intervention

Decades-long body shaming took its toll

Let’s end the weight stigma, Oprah said

A holistic approach beyond the meds

“Evidence-based interventions”

There’s a study for that!

Life Hacks for Parents

Schedule = excellent idea

Parents, Proactive and Protective, Continued

Before saying “I do…”

Get right down to the real nitty-gritty

Shame, Blame, and Oprah’s Special

Parents, Proactive and Protective

Construct a shield

Do not hesitate to seek help

An appallingly negative example gives hope

Profiles: Kids Struggling with Weight

The Book

About Dr. Robert A. Pretlow

Presentations

Food & Health Resources