I opened a fortune cookie the other day, expecting it to say something relatively nonsensical or meaningless, only to have it read:
“Money is not everything. You can buy a doctor but not heath.”
This fortune tells the story of more people than most of us can count, including ourselves at times. All too often we fall into trap of thinking that the more we spend on health the healthier we will become. Not true. In fact, good health is a state of mind and need not cost more than time for exercise, time to give ourselves the R&R we need to nurture our souls, the price of food to eat for proper weight and overall good health, and the occasional co-pay for our primary care physician and needed prescriptions.
We can toss money at vitamins, pricey health clubs, personal trainers, diets, alternative health treatments, doctors, second opinions, medications, prescription and nonprescription, as many people do, but those things can’t get us healthy. More times than not, they only produce the facade of good health. Read more »
*This blog post was originally published at Dr Gwenn Is In*
The city of New York is at it again…they were the first to ban trans fat and lead the fight for restaurant labeling of calories on menus. Now they have an ad campaign that is grossing some people out. Read more »
I was hanging out with my friend and fellow blogger, Dr. Ted Eytan this evening. We were talking about the problem of overweight and obesity in America and he showed me this iPhone image of a small and large ice-cream cone that he and his friend bought at McDonald’s recently. He asked me to try to figure out which was which.
Finally, a study that many women can like. The British Medical Journal published a study out of Denmark that looked at the association between thigh circumference and the incident of cardiovascular disease and mortality. Why anyone would even think of thigh circumference being of importance is beyond me, but the Danes seem to think it was important. They found people with thin thighs had more risk of developing heart disease or premature death.
The study looked at 1436 men and 1380 women and examined them for height, weight, hip, thigh and waist circumference. The results showed that small thigh circumference (below 60cm or 23 inches) was associated with more cardiovascular disease and mortality. They did not find the same association with waist size and the findings were independent of percentage body fat mass or obesity. Small thighs were a disadvantage to health and survival for both sexes.
Twenty three inches is not a very small thigh, and in fact, more than half of the men and women aged 35-65 have thigh circumferences below that size. Maybe it has to do with muscle mass (less exercise, less mass). I can’t imagine any other reason this strange finding should occur.
I think this study will probably not hold up to analysis and further investigation. There are just too many variables and I don’t think people with large thighs should feel they are immune to heart disease.
But the idea that, for once…the skinny models and actresses don’t have the advantage is kind of heart warming.
At a time when two thirds of Americans are either overweight or obese, health officials are correctly warning that most of us need to lose weight. But we may be setting ourselves up for a surge in eating disorders.
The two main types of eating disorders are food restricting (commonly referred to as “anorexia”) and binge eating and purging (commonly referred to as “bulimia”). The disorders typically begin in adolescence and affect women much more commonly than men.
Statistics are tough to come by – partly because of under-diagnosis and incomplete reporting – but a recent review estimated that 500,000 women in the U.S. have anorexia and 1-2 million women have bulimia.
A key feature of an eating disorder is the disparity between perception and reality. Over the past thirty years, obesity (BMI >= 95th percentile) in teenagers increased from 5.0 percent to 17.6 percent. While that rate has skyrocketed, it’s still much lower than the perceived rate of obesity among students.
Among children in grades nine through 12, 10 percent of females were obese and 15.5 percent were “at risk” for becoming obese (BMI >=85 percentile but <95th percentile). Yet 38.1 percent of students described themselves as overweight and 61.7 percent were trying to lose weight.
Put another way, more than half the women trying to lose weight were not overweight.
Why do people who are not overweight think they need to lose weight? There’s no simple explanation. Experts believe that genetic, environmental, psychological, and social factors can all play a role in eating disorders. Studies suggest that movies, magazines, and television contribute to eating disorders by idealizing overly thin women and exacerbating body dissatisfaction, especially in people with low self-esteem. Fashion magazines often feature models with obvious signs of anorexia. The theme is clear: less is more.
My intuition tells me we’re at a tricky point in the national discussion of weight. Since research suggests that the wrong public message can be especially dangerous for patients at risk of an eating disorder, we need to be very careful as we develop strategies against obesity. As they create their plans, agencies such as the Centers for Disease Control (CDC) should include experts in eating disorders.
For this week’s CBS Doc Dot Com, I talk to Leslie Lipton and her father, Roger, about how Leslie has successfully battled anorexia. Click below to watch the video:
I also interviewed Dr. B. Timothy Walsh, a renowned expert on eating disorders and Professor of Psychiatry at Columbia University Medical Center and author of the book, “If Your Adolescent Has an Eating Disorder.” Click below to watch the video:
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