Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

Relationships and weight gain: Valentine’s Day musings

My friends in the Revolution Weight Management Center asked me to blog about weight and relationships… at first I wondered if they were trying to stage an intervention or something: have I gained that much weight since I started working here? Ha ha. No, I haven’t… but maybe that’s because I have such a skinny husband?

As it turns out, research suggests that married couples are influenced by one another’s dietary habits. If you marry a person with poor eating habits, you are much more likely to adopt them yourself. Also, they say that marriage leads to more regular (read frequent), larger meals and increased financial pressures, stress levels and decreased exercise frequency.

Well, I guess choosing the right spouse has never been more important for weight control? Marriage doesn’t automatically lead to weight gain, but you should eye your boyfriend/girlfriend/fiancé(e) with suspicion at the dinner table. When I was dating my husband I noticed that he ate small portions, never finished his plate, and didn’t like dessert. He liked to run, had good sleeping habits, drank in moderation, and wouldn’t notice a super model if she fell in his lap. Sound too good to be true? I still ask myself that every day. They don’t make too many like Steve, I’ll tell you!

Anyway, I must confess that before our wedding I was in the best shape of my life, running about 20-25 miles a week, shunning all products containing high fructose corn syrup, and taking good care of my health. Now I exercise irregularly, sneak in rich dining experiences, and skip meals. I weigh about the same, but have (I’m sure) exchanged fat for muscle.

What do I make of this? Well, I need to force myself to go running again with my husband (he patiently runs at my pace as I lumber along next to his gazelle-like frame) and be more mindful of my eating habits. This is a never-ending battle for me, but it is made so much easier by having a supportive spouse who never deviates from good health practices.

So as Valentine’s Day approaches, observe your loved one’s eating and exercise habits with a critical eye. You are likely to be influenced by them more than you know. And for those of you who have a “Steve” in your life, thank your lucky stars, put down the box of chocolates, and show him how much he’s appreciated!

P.S. Steve would like to tell you that he (thanks to me) now enjoys dessert and craves ice cream from time to time. I guess my influence on him hasn’t been as positive.

This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.

Chewing gum drug could help curb obesity?

I came across a news headline: “Chewing gum drug could help curb obesity.”  I couldn’t help but be intrigued, so I decided to dig a little deeper.  The news release, as it turns out, is based upon the work of professor Steven R. Blum, a British researcher who is a consultant for many major pharmaceutical companies (Merck, GSK, Roche, Novartis, Pfizer, Astra-Zeneca, J&J and others).  In addition to owning stock in Thiakis, a new biopharmaceutical company created in 2004, the professor has just received 19 million dollars in VC money (and a 5 million dollar grant from the Wellcome Trust) to further investigate the use of pancreatic polypeptide – an appetite suppressing hormone – for the treatment of obesity.

The amount of money flowing into Blum’s research tells me one thing for sure – Big Pharma is placing a bet on gut hormones as the next big breakthrough in obesity management.  Whether this is money well spent, I’m not sure.  Leptin (an appetite suppressant hormone produced by fat cells) proved to be a big disappointment to researchers, as obese individuals proved to be resistant to leptin.  Pancreatic polypeptide also has a flaw that may prove to limit its use: it is rapidly broken down in the blood stream by enzymes, causing its appetite suppressing effects to be quite transitory.

Evidence to date is limited in humans (as far as I can tell previous studies have mostly focused on mice – I’ll let my GI colleagues correct me here) and Bloom cites a study in which 17 obese adults ate ~15 -25% less at a buffet after being injected with pancreatic polypeptide (compared to 18 others who were injected with saline).

I’d like to believe that gut hormones will lead to an appetite suppressing pill that will reverse or slow our obesity epidemic.  But I remain skeptical at this point.  What do other people think about this?


This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.

Does milk block the positive effects of tea?

Some evidence suggests that tea promotes relaxation (dilation) of arteries, thus improving blood circulation. This effect is believed to be mediated by a type of compound found in tea, called catechins. (I also think it might be related to caffeine). Researchers found that those who drank tea with 10% volume of hot milk mixed in did not have the same increase in arterial diameter that was observed in subjects drinking plain tea. They speculate that milk proteins mop up catechins, thus reducing (or eliminating) their relaxing effect on blood vessels.

I wonder if sugar has a similar effect? I guess that’s another study for another time.

This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

Read more »

Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

Read more »

“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

Read more »

Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

Read more »

See all book reviews »