obesity

Remove obese kids from parents' care?

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I was asked twice yesterday for my penny's worth of reaction to this story, about whether extremely obese children should be put in foster care:

It has happened a few times in the U.S., and the opinion piece in Wednesday's Journal of the American Medical Association says putting children temporarily in foster care is in some cases more ethical than obesity surgery.


Where calories come from

In a blog post about whether potatoes are really as bad as implicated in a study published by the New England Journal of Medicine, food-policy doyenne Marion Nestle shares the six most common sources of calories in the American diet:

“Grain-based” desserts (translation: cakes, pies, cookies, cupcakes, etc)
Breads
Chicken and chicken mixed dishes (translation: fingers)
Sodas, energy, and sports drinks
Pizza
Alcoholic beverages


The evidence just pours in

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Writing in yesterday's Times, Tara Parker-Pope reported on studies done in California and Italy about how rats reacted when given a high-fat drink:

"The body immediately began to release natural marijuanalike chemicals in the gut that kept them craving more. ... The compounds serve a variety of functions, including regulation of mood and stress response, appetite, and movement of food through the intestines. Notably, they were released only when the rats tasted fat, not the sugar or protein."

One key point is that when the body's chemistry is thus activated, we are driven to act in ways we wouldn't freely choose — in this case, to eat past when we've taken on sufficient fuel.

This truth is very important to recognize, for several reasons. For people who tut-tut toward fat people for being morally weak, it's important to know that for some people, there's more at work than just moral fiber.


To know, experiment

I've expressed this idea before; sorry if it's a repeat for you: I'm moved to say it again while reading Anne Katherine's "How To Make Almost Any Diet Work."

Many people scoff when I suggest that flour or processed sugar is akin to heroin or cocaine, because the latter pair are "really addictive," not to mention illegal. "Everybody knows" they have no similarity.


Suicide, by any path

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I'm vacationing for a few days in Glendo, Wyoming, with family, and had a very interesting conversation with my sister-in-law. (How's that for a compelling lead? Just chomping to read more, aren'cha? But to my strong surprise, it was right on topic for this blog.)

Serena is a fascinating woman with more than a few demons who has tried suicide too many times. Worse, she's gotten better at it over the years, progressing from what some people might call "cries for help" to well-thought-out attempts that failed through flukes. It is serious frickin' business, and she comes to mind whenever the phone rings in the night. (Serena's not her real name, I have her permission to tell this story, and I asked her to review it before publishing.)


Stephanie Chiuve: "People’s personal choices aren’t based on all the facts.”

Welcome to the latest round of “10 Words or Less,” in which I ask brief questions and ask for brief answers. This installment is part of a group of interviews in advance of the Boston Museum of Science’s “Let’s Talk About Food” festival this weekend. Today’s subject is a nutritional epidemiologist at Brigham and Women’s Hospital and the Harvard School of Public Health who will participate in the “Let’s Talk About Nutrition” panel, a part of the festival’s Endless Table of discussions. Remember, please: No counting. 10 words is a goal, not a rule, and it’s not that easy!

Name
Stephanie Chiuve (“cue-vee”)
Age 33
Residence West Roxbury
What’s your passion? “My work, identifying healthy diets to promote good health and prevent disease.”
Why did you choose this field? “I’ve always been interested in nutrition and how what we eat makes us what we are.”
What choice is more important: What to eat, or how much? “I would say how much. You can eat healthy food, but if it’s too much, it’s still too many calories.”
Do you think food addiction exists? "Yes."


In gastric banding follow-up, mixed results at best

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I've said before that I don't oppose weight-loss surgery, and understand that it is sometimes the best hope for some obese patients' survival. But my solution wasn't surgical, and my experience tells me that surgery isn't the only remedy available.

Because of its prevalence — in part because it is supported by insurance while the methods that helped me no longer are — I'm often interested in studies on these surgeries.


Obesity and malnutrition?

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A couple times recently, I've come across the notion that obesity is a sign of malnutrition. The first time, it was in an interview, and I decided just to edit that out, 'cause I wanted to save the speaker from himself. I mean, that couldn't be right, right?

Then I saw it again here, and while I'm not buying it yet, I understand the reasoning and see how it might be true. For some. Perhaps.


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