Fat and Sassy

my views on being larger than life.

Science roundup wed February 17, 2010


Found some interesting articles…none really need much commentary, so ill do a blurb and a link today:

Diabetes and impluse control.

http://www.sciencedaily.com/releases/2010/02/100210194404.htm – Apparently people with type 2 diabetes have poor impulse control.  I have a few issues with it…..first there ws only about 37 folks studied, hardly a “diverse” or representative group….secondly, the study, being done in Japan, had a very narrow (Asian) test group.  I disagree with the methodology in this study (testing whether I push a button or not has very little to do with when i will eat a cupcake) But it is an interesting point, and the article seems careful to not called people lazy or stupid or lacking willpower.   Choice quote: “This suggests the possibility that the neuropsychological deficits in response inhibition may contribute to the behavioral problems leading to chronic lifestyle-related diseases, such as type 2 diabetes” 

PCOS and fatty tissue

http://www.sciencedaily.com/releases/2010/02/100202101253.htm  the headline reads “Fat Behaves Differently in Patients With Polycistic Ovary Syndrome”…and what they find is “Fat tissue in women with polycystic ovary syndrome produces an inadequate amount of the hormone that regulates how fats and glucose are processed, promoting increased insulin resistance and inflammation, glucose intolerance, and greater risk of diabetes and heart disease, according to a study conducted at the Center for Androgen-Related Research and Discovery at Cedars-Sinai Medical Center.”    In other words, PCOS patients don’t produce enough of the stuff that reduces inflammation (according to MEME Roth one of the “causes” of overfatness) AND the same hormone regulates insulin.   Insulin, you will remember regulates sugar processing.   researchers DID find that the fat tissue acted the same for fat and skinny PCOS patients, so for once this is NOT getting blamed on fatty fatty 2×4.

(Weight loss) drugs are bad…..mmmkaaaay?

http://news.yahoo.com/s/nm/20100212/hl_nm/us_hydroxycut_liver  We all remember hydroxcut….pretty fat model gets to be hot/crazy/but SKINNY model.  It was pulled from the market a while ago amid liver damage allegations.   “Looking at factors like patients’ risk factors for liver disease and the timing of their Hydroxycut use, the researchers found that for eight of the liver-damage cases, there was a greater than 95 percent likelihood that the weight-loss aid was to blame.”   and this is out of 18 NEW cases that thee FDA never heard about.    Personally I don’t belive in weight loss drugs…they are either outright fakes, bad speed, or huge dose of diuretics or laxatives….most if not all are untested on humans or can’t stand up to the trials of the FDA approval process.  IF a weight loss pill worked, do you really think BIg Pharma and the medical industry in general would REALLY not make a buck off it?   they would slap millions in front of the inventor and suck up that patent lickety split.

 

 

Bariatric surgery revision statisitics -quick hit February 16, 2010


From the feb Archives of Surgery, in an article about the higher complication rate for revisionist (when they have to go back and correct things, or doing it again because the first procedure “failed”) :

 “Surgical treatment is currently the only effective approach for long-term weight loss in the severely obese, according to background information in the article. “During the last decade, there has been a marked increase in the number of bariatric operations performed annually, which coincides with the increased acceptance and demand of these procedures worldwide,” the authors write. “The evolution of bariatric surgery has also led to a rapidly increasing demand for revisional bariatric procedures following the discontinuation of surgical techniques favored in the past that had unsuccessful weight loss results or other complications in the long term.” Rates of second bariatric operations are reported to be anywhere from 5 percent to 56 percent.”

Think about that for a second….up to 56% of WLS doesn’t work…..and if you get a second one, its worse for your body and doesn’t work as well.   In the study there were 56 patients.   “The patients had three primary reasons for undergoing revisions: 39 had unsatisfactory weight loss after their initial procedure, 15 had severe nutritional complications such as protein malnutrition and two had intolerable adverse effects, including blocking or narrowing of the digestive tract.”    After getting their second procedure done, they were followed for 102 months (finally a study that follows people for long enough to actually see long-term effects.)   Of those, they reported that none died (what do you want a freaking cookie for no one dying after a surgery?)  “but 19 patients (33.9 percent) had serious complications within 30 to 90 days, including internal leakage from the surgical site, acute kidney failure and pneumonia. Late complications (after more than 90 days) were experienced by 13 patients (23.2 percent) and included development of a hernia at the incision site, narrowing of the passageway between the stomach and intestine and low levels of albumin in the blood.”   OK lets add that up people…..there were 56 folks in the study.   19 had critical issues with the surgery within 90 days…thats slightly more than 1/3 getting kidney failure and pneumonia. Late complications (after 90 days)  in 13 patients makes about 1/4 with late complications.   How exactly can you call a surgery a success when well over half experienced sever complications such as hernia,  blood issues, health issues, and kidney failure.  32 out of 56…thats 57.1%….but yea it helped them lose weight so it’s a “success” …..mind you these poor folks had ALREADY gone through one WLS.   Already had weight gain….or health issues…..or bandage slipping… /headdesk.    Big success.

from http://www.sciencedaily.com/releases/2010/02/100215174123.htm

 

Childhood Obesity: its not the TV its the junk food commericals. February 9, 2010


http://www.sciencedaily.com/releases/2010/02/100209095753.htm

Found a great article about childhood obesity rates and their exposure to not just tv but junk food commercials.

 The association between television viewing and childhood obesity is directly related to children’s exposure to commercials that advertise unhealthy foods, according to a new UCLA School of Public Health study published in the American Journal of Public Health.

The study, conducted by Frederick J. Zimmerman and Janice F. Bell, is the first to break down the types of television children watch to better determine whether different kinds of content may exert different effects on obesity.

The researchers gathered data from primary caregivers of 3,563 children, ranging from infants to 12-year-olds, in 1997. Through time-use diaries, study respondents reported their children’s activities, including television viewing, throughout the course of an entire weekday and an entire weekend day.

The analysis controlled for the amount of physical activity and the children’s gender, age, race/ethnicity, mother’s body mass index (BMI), education and sleep time.

Among all children, commercial viewing was significantly associated with higher BMI, although the effect was stronger for children younger than 7 than for those older than 7, the study found.

“The persistence of these results, even when the child’s baseline weight status was controlled, suggests that the association between commercial television viewing and obesity does not arise solely or even primarily because heavier children prefer commercial television,” said Zimmerman, professor and chair of health services at the School of Public Health and the lead author of the study.

Non-commercial viewing, including watching DVDs or educational television programming, had no significant association with obesity.

According to the authors, the findings strongly suggest that steering children away from commercial television may be effective in reducing childhood obesity, given that food is the most commonly advertised product on children’s television and the fact that almost 90 percent of children begin watching television regularly before the age of 2.

By the time they are 5 years old, children have seen an average of more than 4,000 television commercials for food annually. During Saturday morning cartoons, children see an average of one food ad every five minutes. The vast majority of these ads — up to 95 percent — are for foods with poor nutritional value, the researchers say.

“Commercial television pushes children to eat a large quantity of those foods they should consume least: sugary cereals, snacks, fast food and soda pop,” Zimmerman said.

Why does it take a study to point out what to me is common sence?   Part of growing up in our society today is to learn to be a consumer…..the first 20 years they sell sugar…and the rest of your life they feed you diet food to NEGATE the sugar you were sold for the first 20 years.   I know…lets all get tivo and computers and forget this whole commercial thing…then the only brands we would hear about would incorporate themselves into the tv itself.  Scary thing is, the companies are getting hip and worming their way into tv itself.    Project runway has l’oreal and overstock.com , Extreme makeover:home edition is Sears,  American Idol is a coke commercial (every week they drink a different coke product..theres a coke red room for chrissake).   Whats next for kids when they realize the consumer shift away from tv, away form the commercials that make kids go MOMMY I WANT FROSTED FLAKES?  are we gonna have Sponge Bob work at McDonald’s?   IS Hannah Montana going to eat only Kelloggs?

 

That’s gotta be a victory February 5, 2010


Heidi over at Hortus Deliciarum  wrote a great post called Intuitive eating vs. “calorie restriction” or dieting .  As i was posting, i realized my reply  had outgrown the “comments” realm and was morphing into its own blog post.   please check her post out as it is obviously thought provoking.

“Sometimes I need to swim back to my safety-log of overeating to make it through a day, because I’m not yet ready to swim all the way to the shore of recovery, but I never, ever calorie restrict. That way lies madness.”   

so very powerful and true.   It amazing….now that I honestly DONT CARE what I  eat…I end up bringing home food from resturants……hell I even order less because I didn’t starve myself all day…like today…at panera bread (it will always be St.Louis Bread Co to me) I USED to order a take 2 with a breadbowl, making myself eat their yummy salads….but yesterday all I craved was veggies,  and today all I wanted was bread and meat….so I had french onion soup in a bread bowl and it was ALL I wanted…..it was PERFECT and I was satisfied until 9p, when I ate with my man when he got off work on our date night.   I am eating LESS when I am not forcing myself to eat “right”  because what I crave is “right” for my body.  

…and I don’t feel like I have to “force” myself to eat in the mornings anymore (I have asthma and use birth control… so I get REALLY sick to my stomach in the morning.)  I always felt like I had to choke down breakfast, and then if I couldn’t I wouldn’t let myself eat till like 2 as “punishment” for not follow the right diet to “amp” my metabolism.     But now that I have given up on that notion and eat when my body says I tend to eat 2 meals with a light snack later….and no starving, no hiding food and scarfing it.   I enjoy it more….hell I cant even eat fast food anymore, it turns my stomach and I don’t crave it (i turned down fries tonight in favor of horseradish cole slaw) ….but boy has my wok enjoyed itself since i got it for christmas! 

Hell this whole happy movement thing too is amazing….my body LOVES me now!  My back needs the yoga daily to feel better….and I feel stronger without feeling so sore I cant walk up a stair.   I don’t shake now when I do downward-facing dog or warrior poses!   And I can hold them for longer!   and I havent given up or gotten bored (gogo ADHD).   It feels like all the baby steps with my relationships with food, exercise and self-esteem are starting to right themselves.

In fact I passed something of a “test” for myself personally.  My first trigger for bulimia…the big one that started it all… was homemade lemon bars…..I made (and then ate) a whole pan…and freaked out. (cue a binge/purge cycle that lasted, oh the rest of my life)  Well, I made some with my kids…and there are still 3 left, and its been 2 days…in fact I think I have to throw them away, because they are stale….WFT!   I let sweets…CAKES for crissake!…go STALE!  I dont care if I am losing weight, or gaining….I DO care that my relationship with food, for the first time since I was 10, is starting to feel normal, and right.   I dont have to count everything to be able to eat it.   I AM trying to eat veggies, not because I HAVE to but because I CRAVE them. 

That’s gotta be a victory.