September 26, 2008

The China Study, Part II, Obesity.

"I scream, you scream, we all scream for ice cream!!!"
Man, isn't that the best yelling-phrase you could use as a kid?
Well, maybe not.

"[Quote] ...Our struggle with weight is hard to miss these days. Open a newspaper or a magazine, or turn on the radio or TV - you know that America has a weight problem. In fact, two out of three adult Americans are overweight, and one-third of the adult population is obese. Not only are these numbers high, but the rate at which they have been rising is ominous (Chart 1.2, page 13).

But what do the terms "overweight" and "obese" mean? The standard expression of body size is the body mass index (BMI). It represents body weight (in kilograms, kg) [in the book's chart] relative to body height (in meters squared, m2). By most official standards, being overweight is having a BMI above twenty-five, and being obese is having a BMI over thirty. The same scale is used for both men and women...

...THE CHILDREN
Perhaps the most depressing element of our supersize mess is the growing number of overweight and obese children. About 15% of America's youth (ages six to nineteen) are overweight. Another 15% are at risk of becoming overweight.

Overweight children face a wide range of psychological and social challenges. As you know, children have a knack for being open and blunt; sometimes the playground can be a merciless place. Overweight children find it more difficult to make friends and are often thought of as lazy and sloppy. They are more likely to have behavioral and learning difficulties, and the low self-esteem likely to be formed during adolescence can last forever.

Young people who are overweight also are highly likely to face a host of medical problems. They often have elevated cholesterol levels, which can be a predictor for any number of deadly diseases. They are more likely to have problems with glucose intolerance, and, consequently, diabetes. Type 2 diabetes, formerly seen only in adults, is skyrocketing among adolescents. (See chapters seven and nine for a more thorough discussion of childhood diabetes.) Elevated blood pressure is nine times more likely to occur among obese kids. Sleep apnea, which can cause neuro-cognitive problems, is found in one in ten obese children. A wide variety of bone problems is more common in obese kids. Most importantly, an obese young person is much more likely to be an obese adult., greatly increasing the likelihood of lifelong health problems.

CONSEQUENCES FOR THE ADULT
If you are obese, you may not be able to do many things that could make your life more enjoyable. You may find that you cannot play vigorously with your grandchildren (or your children), walk long distances, participate in sports, find a comfortable seat in a movie theatre or airplane or have an active sex life. In fact, even sitting still in a chair may be impossible without experiencing back or joint pain. For many, standing is hard on the knees. Carrying around too much weight can dramatically affect physical mobility, work, mental health, self-perception and social life. So you see, this isn't about death; it really is about missing many of the more enjoyable things in life.

Clearly no one desires to be overweight. So why is it that two out of three adult Americans are overweight? Why is one-third of the population obese?

The problem is not lack of money. In 1990, medical care costs relating to obesity alone were estimated to be $70 billion. In 2002, a mere three years later, the American Obesity Association listed these costs at $100 billion. This is not all. Add another $3-040 billion out-of-pocket money that we spend trying to keep off the weight in the first place. Going on special weight-loss diet plans and popping pills to cut our appetites or rearrange our metabolism have become a national pastime.

This is an economic black hole that sucks our money away without offering anything in return. Imagine paying $40 to a service man to fix your leaky kitchen sink, and then two weeks later, the sink pipes explode and flood the kitchen and it costs $500 to repair. I bet you wouldn't ask that guy to fix your sink again! So then why do we endlessly try those weight-loss plans, books, drinks, energy bars and assorted gimmicks when they don't deliver as promised?

I applaud people for trying to achieve a healthy weight. I don't question the worthiness or dignity of overweight people any more than I question cancer victims. My criticism is of a societal system that allows and even encourages this problem. I believe, for example, that we are drowning in an ocean of very bad information, too much of it intended to put money into someone else's pockets. What we really need, then, is a new solution compromised of good information for individual people to use at a price that they can afford.

THE SOLUTION
The solution to losing weight is a whole foods, plant-based diet, coupled with a reasonable amount of exercise... "[End quote]

FYI - I couldn't do a pull- up in high school gym class during my sophomore year and I got worked over by a guy in the same weight class during the wrestling sessions (to be fair, he was the starting point guard on the JV team and already had six-pack abs) - fun times.

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