Too fat to be president?
Pro and ConJoin LibraryThing to post. 1timspaldingIs NJ governor Chris Christie "too fat to be president?" Politically? A question of character? A question of discrimination? NYT Op Ed by Frank Bruni, "The Round and the Oval" http://www.nytimes.com/2011/10/02/opinion/sunday/bruni-chris-christies-weight-an... Michael Kinsey http://www.bloomberg.com/news/2011-09-30/requiem-for-a-governor-before-he-s-in-t... "Look, I’m sorry, but New Jersey Governor Chris Christie cannot be president: He is just too fat. ... (W)e shouldn’t overlook it -- unless he goes on a diet and shows he can stick to it. Eugene Robinson on Morning Joe http://www.mofopolitics.com/2011/09/30/eugene-robinson-to-chris-christie-eat-a-s... "Eat a salad and take a walk" 4Arctic-StrangerMore than 300 pounds. They had to put a new bath tub in the White House to fit him. 5timspaldingYeah, I think Christie's in that league. Taft stands out because people didn't used to weigh that much very often. 6Arctic-StrangerAt his largest, during his presidency, he weighed 340 pounds, but he was able to drop to 244. Which is harder, to become a Black president or fat president? 9mkboylanOuch! So how does being fat effect his presidential qualifications? Other than the fact that people won't vote for a large person? 10mkboylan4 I'm GUESSING fat is harder but jet guessing. What do you think? In one research project men were asked who they would date if given a choice only between a fat woman or a crack addict, they said they would choose the addict. Course who wouldwant todate those guys ? 11steve.clason9> "So how does being fat effect his presidential qualifications?" Obesity is seen as a character failing, a symptom of a lack of self-discipline or a propensity for self-indulgence. Gluttony is, after all, one of the Cardinal Sins, and obesity is commonly read, rightly or wrongly, as a sign of gluttony. So, I'd say it affects his presidential qualifications enormously. 12Arctic-Strangeryeah, but I think we have turned all of the seven deadly sins into virtues, with the exception of sloth. (Which is really acedia, and have made medical condition of that.) 13faceinbookThere is a distinct difference between heavy and obese....Christie crosses the line easily. He is a cost to us all , if he doesn't deal with his weight....the health issues of the obese are a burden on our health care system which we all pay for. This may be a talking point for some ? Hate to admitt this but I do tend to cringe when I think of him meeting officials from other countries. He would be representing the newest trend in American consumerism. We are after all a nation with a continuing rise in obesity. Most assuredly there were would be a lot of jokes poked at the whole of this country...not just him. 14Arctic-StrangerI lived in Germany when Helmut Kohl was chancellor. His nickname was "The Pear," and Germans disparaged of thinking about him meeting dignitaries. But he kept getting elected. Granted their system is very different from ours. 15margdSearch for obesity in google-scholar, and you will be astonished at what is being learned about the causes of the condition. As knowledge increases, though, so, paradoxically, does blame and even discrimination. BTW, the Canadian healthcare system would pay for someone of Mr. Christie's weight (or smaller with tendencies to type II diabetes) to have gastric surgery. And the Canadian healthcare system only pays for proven, cost-effective remedies / preventive strategies. 16faceinbook>14 I believe that Germany has a "fat tax" now. Due to the cost incurred by being over weight. >15 Christie was asked about his weight.....he said that the reason he was obese was because he "ate too much". Was "rather simple" was how he put it. What would be his incentive to change that fact ? As a politician he is privy to the cadillac of health care plans. The health care system makes a lot of money off of the Christie's in this country..... there is no reason for any faction of the system to see to it that he take care of himself when it is so profitable to take care of him themselves. Is such a self defeating system......Christie is a perfect example. 17Mr.DurickThe mayor of Gerald Samper's little Italian town was obese. He had run on the slogan, "A big man for a big job." Robert 18krolik~14 I remember some Franco-German summit where the photos of Mitterand (who was a bit like a bald elf) standing next to Santa Kohl were pretty hilarious. 19Booksloth#12 " I think we have turned all of the seven deadly sins into virtues, with the exception of sloth . . . " Ahem . . . . 20K.J.16> "I believe that Germany has a "fat tax" now. Due to the cost incurred by being over weight." This would come as a surprise to me. Where did you find this information? 21faceinbookhttp://www.huffingtonpost.com/2010/07/23/germany-proposes-a-fat-ta_n_657570.html http://www.aolnews.com/2010/07/23/germany-weighs-tax-on-the-obese/ Heard this from an individual on a small online group who lives in Germany....not sure it passed.....and haven't heard from him for a while...will check this out. 22faceinbookhttp://www.spiegel.de/international/europe/0,1518,783862,00.html http://abcnews.go.com/International/europe-fighting-outlaw-obesity-fat-tax/story... Read over post #16.....wasn't really too clear.....S/B by considering the number of people who are over weight in the population....Germany was instituting a "fat tax" Which I see no problem with by the way.......I don't care if they tax candy, soda, fatty foods, snacks.....but then, I worked for many years in the health care system....have no quarrel with taxing booze or cigarettes either. Not that I don't eat candy, snacks or have an occasional soda/alcoholic beverage but not enough of it to worry about an extra tax on any of it. The cost of abuse of any of these things is huge ! It sounds like government overreach but again, what is the incentive to stay healthy when most of our food is NOT and our system is geared to profit off of the unhealthy ? 23bnielsenDenmark has recently passed a tax on fat too. http://eatocracy.cnn.com/2011/10/03/weigh-in-on-denmarks-fat-tax/ ![]() 24timspaldingThere should be a tax on posting delicious-looking pictures on LibraryThing when I haven't had breakfast. 25JaneAustenNutGee, now the fat police will soon be out to search our cabinets for what type of food we eat! What about presidents who talk too much without accomplishments? 26faceinbook>25 The fat police aren't going to care what is in your cabinets. The scanners at the super market are going to take care of that. One will be free to put whatever they want in their cabinets, they will however, be making a down payment on any health issues that will come up if their cabinets are stuffed with junk food. What does the President have to do with this ?? Doubt that the fat police will find much of an issue with our current President...or anyone in his family for that matter. 27theoriaThe "anyone-but-Romney" chorus is reaching a crescendo. Christie may not be too fat, but he is certainly too liberal for the political tastes of the Republican Party's base. 28JaneAustenNutThis subject is entirely appropriate for our current president! What our current president has is an oversized talking system and no accomplishments! Its about being able to lead our nation, who cares if they are fat! We just need someone who can effectively lead us out of these treacherous economic times! The current president's policies have failed. 29timspaldingIt sounds like it's moot. He's having a press conference at 1pm. Sources say he's going to say he isn't running, and anyway you wouldn't schedule a press conference to announce you're running for president. You do that outside, in front of the State of Liberty, or something. 30faceinbookThe policies of the past 30 or 40 yrs have failed.....after the past decade of unprecidented spending and lack of accountability...they have failed spectacularly. Going to take more than ONE man to fix this mess. Also going to take more than a decade to start seeing any significant change. Why is it we can't lead ourselves out of these treacherous times ? I find it amuzing that the same people who hate big government, now want the government to fix 4 decades of greed, overspending and short sightedness. Mind boggling ! Obama can not make those who made millions or billions in the past several years hire the unemployed.....how do you suggest he do that ? Apparently he can't tax these individuals either. What is it you want him to do ?? Obama is not a king.....he has to work with individuals who are not willing to work with him. Think of how well that would work in any given situation ! Our entire government is broken.....it is run by money and it matters not whether the leader is fat or skinny.....Left or Right... and I beg to differ with you Obama has had accomplishments......they just haven't gotten much attention from our main stream media who is too busy chattering about our current cricis to acknowledge any of the positives. 31faceinbook>29 forgot who said it but someone was discussing the idea of Christie running....was a Republican commentator and the gist of the statement was that he didn't think that Christie had the ambition to be President. That he didn't have the desire to put in the effort. Makes sense......really....who the heck wants the job now ? Seriously have to consider the mental stability of ANYONE who wants the job at this point in time. 32mkboylanAlthough obesity is a very complicated issue, its a simple matter to look at the research. Gastric bypass is the ONLY method that results in longterm weight loss of more than 10 percent of your body weight. Even weight watchers which may be the best program out there has a 95 percent failure rate for those with more than that 10 percent to lose. I find this very interesting. The brain chemistry is fascinating. 33mkboylanWell what the hell - at least we've progressed ? To talking about a mans body instead of a woman's! 34theoriaIt was only a matter of time before the focus would shift from hair (Edwards, Romney, Perry) to physique (Christie, Daniels). 35faceinbook>33 One can only imagine what would be discussed if/when a woman actually wins the primaries and runs for President. Don't suppose much will be off limits. Hillary got a taste of that as an outspoken First Lady....ruthless ! Palin, for the most part, got a pass cause she is good looking.....won't happen for a "plain Jane".... Christie may be getting some flack but I don't think it can compare to what would be said about a woman of his size. Imagine what that would be like ? 37faceinbook>32 Is the research being done by Gastric By-Pass surgeons ? Or anybody in our current healthcare system ? Would be very careful about "research" in our current system. Was a time when all women had to have hysterectomies.....was the only way to deal with midlife change (and I can assure you that brain chemistry is invovled in this "special" process)....also women had to take estrogen when they hit 40. All of the research proved that estrogen kept your bones from losing mass and your heart healthier....now the story is changing.......drug companies made TONS of money on the baby boomer women for a while. ......only to find 20 yrs later that estrogen in many cases causes breast cancer. Just take special care to research where the "research" is coming from. 38fuzziToo fat to be President? The answer is probably 'no' for Christie supporters, and 'yes' for those who oppose him. The qualifications of a Presidential candidate to do the JOB should be most important, not what type of underwear (if any) a candidate wears (Clinton), or if he has a legal vice such as smoking (Obama), junk food (Reagan), or drinking liquor. I doubt any of us would qualify to be a candidate based upon what the media and others demand of those they oppose. :D 39margd> 32 Just take special care to research where the "research" is coming from. There's a pretty good body--so to speak--of research on the benefits of gastric bypass surgery*. Interesting that surgical bypass reverses Type II diabetes, but banding does not--although both result in weight loss. * C.W. Chia et al. Exogenous glucose-dependent insulinotropic polypeptide worsens post-prandial hyperglycemia in type 2 diabetes. Diabetes, Vol. 58, 2009, p. 1342. P.Y Crémieux et al. A study on the economic effects of bariatric surgery. American Journal of Managed Care, Vol. 14, 2008, p. 589. H. Buchwald et al. Bariatric surgery: A systematic review and meta-analysis. Journal of the American Medical Association, Vol. 292, October 13, 2004, p. 1724. Go to G.M. Campos et al. Better weight loss, resolution of diabetes, and quality of life for laparoscopic gastric bypass vs banding results of a 2-cohort pair-matched study. Archives of Surgery, Vol. 146, February, 2011, p. 149. J.L. Chan et al. Peptide YY levels are elevated after gastric bypass surgery. Obesity, Vol. 14, 2006, p. 194. Y. Gunay et al. Roux-en-Y gastric bypass (RYGB) achieves substantial resolution of migraine headaches in the severely obese. Abstract # PL-111, American Society for Metabolic and Bariatric Surgery, June 2011, Orlando. A. Keidar. Bariatric surgery for type 2 diabetes reversal: The risks. Diabetes Care, Vol. 34, May 2011. Supplement 2 S361-S266. doi: 10.2337/dc11-s254 J. Korner et al. Exaggerated GLP-1 and blunted GIP secretion are associated with roux-en-y gastric bypass but not adjustable gastric banding. Surgery for Obesity Related Diseases, Vol. 3, 2007, p. 597. B. Laferrère et al. Differential metabolic impact of gastric bypass surgery versus dietary intervention in obese diabetic subjects despite identical weight loss. Science Translational Medicine, Vol. 3, April 27, 2011, p. 80re2. DOI: 10.1126/scitranslmed.3002043 B. Laferrère et al. Rise of oxyntomodulin in response to oral glucose after gastric bypass surgery in patients with type 2 diabetes. Journal of Clinical Endocrinology and Metabolism Vol. 95, August 1, 2010, p. 4072. G. Mingrone and L.G. Castagneto-Gissey. Mechanisms of early improvement/resolution of type 2 diabetes after bariatric surgery. Diabetes and Metabolism, Vol. 35, December, 2009, p. 518. R. Morinigo et al. Glucagon-like peptide-1, peptide YY, hunger, and satiety after gastric bypass surgery in morbidly obese subjects. Journal of Clinical Endocrinology and Metabolism, Vol. 91, May 2006, p. 1735. M.P. Ostlund et al. The risk of alcohol dependence is increased after gastric bypass surgery. Abstract # 266. Digestive Disease Week, May, 2011, Chicago. J.D. Scott et al. Bariatric surgery reduces risk of major adverse cardiovascular events in morbidly obese adults. Abstract # PL-105, American Society for Metabolic and Bariatric Surgery, June 2011, Orlando. L. Sjöström et al. Effects of bariatric surgery on mortality in Swedish obese subjects. New England Journal of Medicine, Vol. 357, August 23, 2007, p. 741. 40laweconInteresting, isn't it, that being fat is a despised social defect, but being ignorant and loudly proclaiming ignorant "opinions" is a social virtue. 42fuzzi(40) Yep. And those who approve of that type of social virtue are probably the same ones who feed the masses so much banal tripe that they (the masses) cannot help but be ignorant. 43mkboylan37 - I hear you about the research! and, I was looking at it about 5 years ago. The point I was wanting to make is I TRY not to be too quick to judge and make obesity a moral issue. We know better than that with addiction now, among many other things. and speaking of books :) I think The End of Overeating is one of the better things I've seen on this issue. Author: David A. Kessler I think the interesting thing to look at is, why would anyone keep eating when they knew it was killing them. That's some powerful behavior, going against an instinct to live? Similar to addiction in many ways seems to be. 44mkboylan39 - Thanks for posting that research. I retired a year or so ago from teaching university, where I of course had to walk into the classroom able to back up everything I said, be able to answer the usual questions - who did the research, who funded it, etc. Now that I'm retired one of my favorite things is I no longer have to do that. I can say what I probably should have said to my students - "What your mom said when you asked her how to spell something - go look it up yourself!" 45faceinbook>39 did you notice that many of the studies are done by those who would be self promoting ? Don't get me wrong there is nothing wrong with gastric by pass surgery....but there is something wrong with a "for profit" system that tends to see the "fix" for what ails us as a potential profit. No different than the drug companies doing research and then advertising their products....or doctors extolling the benefits of this procedure or that medication when they are given hefty bonus's for how much money they are able to generate. We need healthcare.....but we also need to be responsible for our choices. Overeating is a choice. Perhaps a choice, much like drinking too much or smoking, that can get "out of control" but relying on a system, that has out priced most of it's customers, to fix the damage incurred due to poor choices, is a set up for failure....for everyone involved. Have to give Chrisie due credit......many individuals who reach a certain degree of obesity are unable to work and hence they apply for disability benefits. Christie is working. Perhaps you are correct....it would be cheaper to give them a gastric by-pass than to support them on disability. However, it is costing everyone, even those who choose a healthy life style.... I would say that an incentive to make better choices in the first place would be the best solution.....even if it means a "fat tax". 47mkboylan45 - I'm with you on the "relying on a system" part. The system is a nightmare in many ways and then I'm back to that old problem of following my way without the support of a system e.g. Need the gas to make the long drive to buy the healthy food. Spend the money for better out of system healthcare vs use lousy care my insurance pays for. Have to focus on the longterm results vs short term expense. Altho mt town is getting a co-op with healthier food choices and as I traveled around this summer I noticed more co-ops of natural health care providers. Denver seems to be doing especially well in that area. Fighting the system can be difficult. My kids had no sugar which was very difficult in the days before groceries had health food depts. When the oldest started school she received sugary food at school and ame home with it also. Frankly i gave up at that point. Today I just try to point my time and resources toward things like the co-op as I can. Which probably explains my latest dreamy reading, Sointula: Island Utopia by Paula Wild where self-sufficiency is the goal and making your own system. Fun little read about the attempt at utopia on Malcolm Island off the coast oc Vancouver Island off British Columbia. 48margd> 45 Overeating is a choice. Yes, but perhaps not entirely a FREE choice. It's also genetics--e.g., 80% of adult Indians on Manitoulin Is are diabetic!--and intrauterine conditions and what your mum fed you in early years and what SHE ate as a girl even and what your friends do and what's cheap and available and the disappearance of omega fatty acids & other traditional foods from western diets and kids' demonstrated preference for extra sweet food and not walking to school anymore and moms working so no-one cooking anymore and amount of sleep and type of bacteria in your gastrointestinal tract and the way food is marketed and the hormones produced in adipose tissue, stomach, small intestine, brain, etc. as a result of all that. So, until we understand obesity levers much better, I think it is premature, to say nothing of cruel, to impose sin tax and otherwise discriminate against the obese--some 33% of Americans now, few of whom can lose the weight for any length of time--that has to tell us something! Anyway, I suspect neither of us will change our minds...and my little dog is begging for her walk. Ta! ETA: http://www.nytimes.com/2011/10/27/health/biological-changes-thwart-weight-loss-e... 49faceinbook>47 I don't think that sugar is going to cause any great harm....what does cause harm is a sustained habit of drinking a six pack of soda per day, eating foods high in sugar content and then topping it off with a couple of candy bars. Hard to make one's own system within a system that is continuously promoting things that are, in the long term, self defeating. We need a system.....what we need to do is to learn not to "abuse" the system. Any system in place is there for a reason....most often a pretty valid reason....the problems come into play when the system is abused by so many individuals that it becomes a burden to the majority. It would also be a benefit if we as a country would acknowledge that abuse occurs by those on top of society as well as on the bottom and that it is not specific to Right or Left... abuse is pretty all inclusive and equally harmful no matter who the abuser may be ! 50BruceCoulsonAbuse of the system is generally more serious when done at the top, because the amount of damage those people can do is greater, and punishment to deter such abuse is either insufficient or completely lacking. 51mkboylan50 that's why I think the unions even if corrupt at the top do less damage than wall street. They're lower on the ladder. Do you think that's true? I taught at Calif State University for five years with no health coverage until our teachers union got it in our contract. 52BruceCoulsonWell, let's look at some examples. Mandatory drug testing. Who can do more long-term damage to society; the trucker hauling hazardous material, or the legislator or senior bureaucrat in the State House? Financial Fraud. Who costs more money; the scam artist who forges signatures on private accounts, or the banker who loans money based on non-existent assests? I could go on, but I think you see the point. In the short term, for the people immediately involved, the consequences of criminal activity are pretty bad. But those short-term losses, unless they become prevalent, don't affect the larger system. In the cases where people who are a major part of the system choose to abuse their position, the long-term damage is far greater, and longer-lasting to society (although not necessarily to the individuals directly affected). Although a union can (and some of them have) caused problems, even the largest union's bankroll is far smaller than the corporate treasuries. So, although malfeasance by a union certainly is serious, any given union's ability to threaten the system with long-term damage is minimal. (Now, if many unions start causing problems, then it's a different story...) 53mkboylan52 - Thanks for the response. Nice simple examples for my little pea brain. Now, let's hope many unions continue to get involved in Occupy Wallstreet. 54JohnGNelsonWe elected GW Bush twice and he was too stupid to be president. We elected Ronald Reagan and he couldn't remember what he had for breakfast. The bar is set low. 55mkboylanOh John that's great! Excellent points, although I don't know if we actually elected Bush. Although whenever I say that my husband says well we shouldn't have let it get close enough to get stolen and i guess he has a point also. 56BruceCoulsonModern marketing (the real reason unqualified people can be elected) has a lot to answer for. 57margdWhoa! Here's the latest discovery on weight control: Cilia control eating signal Little hairlike appendages in brain cells control weight by sequestering an appetite hormone By Tina Hesman Saey Thursday, December 8th, 2011 http://www.sciencenews.org/view/generic/id/336815/title/Cilia_control_eating_sig... ...In people and mice that lack primary cilia, the appetite stimulant works overtime, leading to overeating and obesity, Berbari said... N. F. Berbari et al. Primary Cilia in Appetite and Satiety. American Society for Cell Biology meeting, Denver, December 6, 2011. 58faceinbook>57 So, what we need to figure out is why an increasing number of American children and adults are having "Cilia" issues ?? ....the excuse for many years was hypothyroid problems, which once detected are then treated with a hormone. However, given the number of individuals who happily kept schlepping their way throught the buffett line at the the local "all you can eat" establishment and then claiming to be overweight due to "thyroid" issues, one would think the hormone pill was useless. I have no thyroid....none.....not over weight none the less. Guessing that when one is addicted to ANYTHING, the brain function changes when the person is engaged in feeding that addiction. Probably why it is called "addiction" ! Pretty simple really, people who are obese, eat a lot of food. People who are alcoholics drink a lot of booze. People who "over spend" money they don't have to achieve a high, spend too much money. Only one way to fix all that ! But then.. Suppose that the pharmacutical companies will come up with a drug....a drug we will all have to pay for if we have to take any perscription drug what so ever. 59margdInteresting overview on causes of obesity: PARKER-POPE, TARA. 2011. The Fat Trap. New York Times. December 28, 2011 http://www.nytimes.com/2012/01/01/magazine/tara-parker-pope-fat-trap.html?_r=1&a... 60lawecon~58 "Guessing that when one is addicted to ANYTHING, the brain function changes when the person is engaged in feeding that addiction. Probably why it is called "addiction" ! Pretty simple really, people who are obese, eat a lot of food. People who are alcoholics drink a lot of booze. People who "over spend" money they don't have to achieve a high, spend too much money. Only one way to fix all that" I would be fascinated, what does your common sense tell you that that "one way" is? (And could I buy a participation interest in the multiple hundreds of millions of dollars you are about to make through this important discovery?) 61faceinbook>60 Changing one's habits through self awareness. Individuals do overcome drug addiction, lose weight and change poor spending habits. It is not impossible to do. Actually, I believe there are individuals who have been able to change attitudes as well. For whatever reason, they have determined that being impatient and/or snarky hasn't won them many friends nor has it served to influence many people, so through a concentrated effort these individuals have modified their behaviors to include patience and tolerance. As far as I know, it has not yet brought the world to an end ! 62mkboylanI find it to be an interesting topic. It's been interesting to me to talk with professors in a dietitians program. I have found that the Longer ago their training is, the ore likely they still buy into the calories counting ideas, whereasnthe more recently educated ones have a much deeper understanding and knowledge of more current research. People who take in and exercise off the same number of calories can have very different weights. The question I find most interesting, and I ask it of you faceinbook, is this. Given the misery of obesity, both physically and psychologically, what would it take to drive you to overeat? Also, if you have no thyroid, aren't you on medication to take care of that? My daughter is on thyroid meds and it is so difficult to keep the dosage on target. Her doc told her she will actually have it easier when her thyroid completely burns out as there won't be that adjustment issue. 63faceinbook>62 Not sure what you are asking......I had thyroid cancer and had a total thyroidectomy in 1992, take medication daily. The point I was trying to make about the thyroid and weight gain was that once a person knows that they have a thyroid problem, they are usually being monitored and are on a medication. Using thyroid as an excuse to be obese is pretty much an excuse. At one point I gained quite a bit of weight as I had to take no medication before having a scan, once I was adjusted again, I was able to lose the weight. Yes, adjusting thyroid medication can be a pain....been down that road. Without going into a lot of detail, I will say that the thyroid affects one's auto immune system, when the thyroid is gone for a long time...stuff happens. Arthritis is an auto immune disease....my knees are shot. Was told by my doctor that every extra pound on the belly adds three pounds of pressure on the knees. Don't think there is much that could induce me to overeat. I don't feel good when I over eat.....would venture to guess most people don't. In fact, I bet that food ceases to be a pleasure and becomes a burden. IMO, I believe people over eat for many reason's most often they are emotional reasons. Being obese adds more emotional distress. But, much like an alcoholic, the only person who can make the change in the bad habit is the person who is actively drinking. The body and brain may be addicted but the only way to break the addiction is mind over matter. It is possible and it is probably the only way to really "fix" the problem. If not dealt with properly chances are the person will replace one addiction with another. "People who take in and exercise off the same number of calories can have very different weights." there is a big difference between being heavy set from being obese. Don't think we were all meant to be shaped the same. Some people are just heavier individuals. 64mkboylanWell one thing I was saying was since you are on meds for your thyroid AND at the point where your meds should be fairly stable, no, thyroid would not be an "excuse" for you, but others may not be at that part of the process yet. They may be prodromal right? Not progressed enough to be diagnosed by their gp and referred To an endocrinologist.it can be a nightmare process getting to diagnosis for many, if not most. Kaiser (believe it or not!) has partnered for some rare long term research that has found that children who have experienced child abuse, 50 YEARS LATER! have disproportionate rates of obesity and COPD. There is some speculation that that may somehow be related to the fact that people in that group have adrenal glands that are just about shot due to chronic stress. Also of course there is the fact that docs used to say obesity causes sleep apnea, and mow they are saying that it turns out that it is the apnea that causes the obesity. So darn complicated! So many contributing factors it makes my head spin! And you answered my question, thank you. My neighbor, a newly licensed pediatrician, was expressing worry about her obese father, and frustration because "he just won't do what I tell him to do.". And I said the same to her that I was asking you to answer. THAT very fact is what we need to be researching. What could possibly drive a human being to behavior that is so harmful. The more we learn about behavioral genetics, effects of brain chemistry on behavior, etc. The more fascinating I find it. Makes me wish I wasn't too lazy to go back to school and start a whole new course of study . But sheesh let's don't get into different energy levels.....well, unless you want to go read that new interesting book about bipolar issues and how that can lead to great and brilliant leaders who can't seem to keep their pants on! That's a fascinating and well documented read! Thanks for your response. By the way, did you know that Weight Watchers one of the best programs out there, has a 95% failure rate? Specifically for people who need to lose more than 10% of their body weight. ETA: above mentioned book is A First-rate Madness by Nassir Ghaemi 65CharlesBoyd#54 John, yes the bar is set low, but Obama still failed to get over it. A slick-talking, pretty man, an empty suit with an empty brain. Yeah. That's progress. 66madpoetIsn't Chris Christie more representative of the average American than Pres. Obama or Rick Perry (in a purely physical sense)? If people vote for leaders who are like themselves, then being overweight should be a plus. If, however, the average voter wants a leader who represents what they can be, rather than what they are (an aspirational figure), then a slim candidate would have an advantage. Or maybe Americans would be embarrassed to have their president standing with other world leaders-- at a G20 meeting for example-- and being the fattest person on the stage. 67laweconChanging one's habits through self awareness. Individuals do overcome drug addiction, lose weight and change poor spending habits. It is not impossible to do. ======================== I did not ask whether it was "impossible to do." I asked how to do it. I guess you want to keep it a secret. Certainly "self awareness" that one is a substance abuser or too fat or a spendthrift doesn't change those behaviors. 68margdA recovering heroin addict once told me that although he kicked his heroin habit, his tobacco addiction was too much for him. I kicked a 10-year, heavy tobacco addiction, but keeping weight off for any length of time has proven much more challenging. Because food is so closely related to survival and was limited for virtually all of our species' history, I suspect that any mutation that allowed our ancestors to be more efficient in our use of it would have been selected for. No wonder maintaining a healthy weight in this age of plenty can be a challenge for so many of us! Nevertheless, it's almost a New Year and time to take another whack at it... 69Jesse_wiedinmyerWeren't our ideas about what constituted a healthy weight and appearance quite different a hundred or two hundred years ago? 70laweconNot really. Being fat was thought to be a sign that one had sufficient wealth to buy plentiful food and take considerable leisure. Physical toil was mainly done by those who were not gentlemen and ladies. "Healthy" probably didn't come into it, except in the sense that people who are fat are usually not starving. 71mkboylanBack to 61 - faceinbook I may have to vote with you on self-awareness as one solution. Sometimes I think it is the answer to freakin everything! However, i do like to look at research, Altho I know it is also easily manipulated, not to mention paid for. Then I remember oh yeah, Jon Kabat-Zinn has actually done that research on self-awareness if framed as mindfulness, at UMass. There is lots of work to show it's effectiveness for many many areas, as well as it's changes in the brain, as now seen on MRIs. Mindfulness has been used to treat stress, overeating and other addictions, etc. Etc. I'm retired from teaching and psychotherapy, but if I ever work again in those fields, that would be the focus of my work and I'd get more training in mindfulness, which leads to self-awareness. 72lawecon"I may have to vote with you on self-awareness as one solution. Sometimes I think it is the answer to freakin everything!" ============== So, this is some sort of variant of the Protestant myths of will power and righteousness for the Elect? If one merely "truly recognizes" one's sinful ways and one is a member of the Elect, then one will automatically repent and do no wrong going forward? Really? How fascinating. So, to use a standard example, if Hitler "really, truly" recognized that killing Jews was a bad habit, he would have stopped, apologized and paid recompense to the relatives of those already killed? No other considerations? Like many simplistic, unicausal and largely vacuous "solutions" to common ills, this one seems to be dead wrong. Doesn't it. 73faceinbook>67 People are generally not helpless....they are most often capable of making changes if they need to or want to. Unless, they are continuously given an excuse to engage in bad behaviors, many will do what they need to do. We tend to give abusers in this country a lot of rope....second chances or third chances or "they had a miserable childhood" chances.......they are "helpless" over their addiction.....no, not so much as they are they only one's who are NOT helpless over their addiction. Friends, family, loved one's are helpless over an addicts addiction, the addict is not. As with anything, people are all different, some can make a decision to change course and do it on their own, others need help in the form of therapy or the company of like minded individuals. AA works because it's members understand how difficult the right choice can be......sponsors are there for a reason. I would think this would be rather self evident but I guess not.......I don't have many secrets.....those I do would not have anything to do with this topic. 74faceinbook>72 Waht ???? Obviously there are some people who don't give a rip about their behaviors and see no need to change anything. However, to see them as helpless is a mistake, careless maybe, or even clueless but not helpless. 75lawecon~74 Please read more carefully. Your response has nothing to do with what I just said. What I said has to do with a person fully realizing the bad consequences of his actions who does not, for that reason alone, completely repent and change his behavior. Surely you recognize that such frequently happens and that it has nothing per se to do with a lack of full recognition of consequences or "insufficient will power"? There are other things in the world other than intellectual conclusions and will power, at least if you're not Nietzsche or Adolph Hitler. The latter is, in fact a very good example. If you had asked Hitler whether he recognize that wars were won by superior force and superior force had to do mostly with available weaponry and its utilization, he would have agreed with those propositions. We know that, because he said as much on several occasions. However, Hitler still blamed the German people for loosing the Second World War on the basis solely of their "lack of will power." Sounds to me like you would have agreed with that sort of analysis. 76faceinbook>75 Hitler ???? I suspect you are adding meaning to the question or topic at hand. You are also changing what it is you are addressing. No worries......subjects change.....I am more than guilty of that. Not sure what Hitler and his acusations have to do with changing addictive behavior. Other than Hilter was addicted to power and didn't give a rip about the consquences of his addiction. He, at some point in time came to the conclusion that, to his way of thinking, the German people did not share that addiction as whole heartedly as he did or they simply could not have lost the war. Hitler was very self destructive and as is typical, he took a whole lot of people down with him. It is important to note that people engaged in harmful addictions seldom take the true blame for their actions. Once they do, they have to admit that they are the only one's who can deal with it. Which brings me to the point I was making about over eating and/or obesity. It wasn't concerning whether a person changes behaviors or not, the point I was trying to make was that the only person who has the power to alter poor behavors is the person who engages in them. Whether this means seeking the proper help or modifing personal habits...what ever, no body can do it for them. Most addicts surround themselves with two types of people, those who will insist that nothing is wrong or that their problems are somehow not their own fault and those who will darn near kill themselves trying to change the addict. This is very convienient for them.... People don't change for many reasons..... they can be fearful of change, egocentric, lazy, inclined to blame others (learned helplessness) or dispite all evidence to the contrary, they feel that they are in the right. (as I'm sure Hitler did). IMO this means everything from over eating to staging ill advised wars. One must have a strong desire to change, the will to do what it takes. Lip service doesn't work....not very empowering. 77laweconI'm sorry you didn't follow the argument. Perhaps if you read it over several times and thought about it. 80faceinbook>79 English is good....I have a firm grasp of the English language...what I don't possess is a talent for mind reading and how one's mind equates "over coming an addiction" "will power" and "Hitler". Looks like we all have our secrets..... 81laweconO.K., so since you seem to be really interested, let me try again. I am trying to illustrate to you that this doctrine that "one can do anything if one is not simply lacking in will power" is a very questionable doctrine. The main advocates of that doctrine in recent time were Nietzsche and Hitler. Hitler was often consistent in the doctrine, as in when he blamed the weak will of the German People for the defeat of Germany in WWII. (After all, he could hardly blame the 'stab in the back' by the Jews - his explanation for the German defeat in WWI - since he had by that time murdered most of the Jews in Europe.) But even Hitler (when he was not being completely delusional) seemed to realize that will power without armaments and skill in using those armaments would not result in victory in war. I think you should take some lesson from that. Yes, fatness may be connected with a "lack of will power" - as may persistent ignorance and a number of undesirable traits of some people. But there may be other more material reasons as well for each of those undesirable traits. It may be, for instance, that one is fat because one has never learned other ways of relieving the tensions one faces or that one is ignorant because someone taught one at an early age that the arduous work connected with learning details about a field of knowledge were unnecessary if one merely exercised "common sense". 82faceinbook>81 " I am trying to illustrate to you that this doctrine that "one can do anything if one is not simply lacking in will power" is a very questionable doctrine." THAT is in no way what I said. The point I was trying to make was that in order to over come an addiction, one needs to exert one's "will power". NO where did I say that "one can do anything if one is not simply lacking in will power" >"But there may be other more material reasons as well for each of those undesirable traits. It may be, for instance, that one is fat because one has never learned other ways of relieving the tensions one faces" In this case, one has to admit that they are not capable of dealing with the problem and seek help......both actions are exclusively under the power of one person and one person only, which is my point. Is there some argument to be made against this ? No smoke and mirrors....pretty simple. Was the ONLY point I was making....nothing to do with Hitler, Nietzsche, Germany, WWII, Jews, Europe or accomplishing "anything" one wants to accomplish What is your point ? or is your point simply to get to this conclusion : >"that one is ignorant because someone taught one at an early age that the arduous work connected with learning details about a field of knowledge were unnecessary if one merely exercised "common sense". which I suspect is what all the blather is about....... 83laweconActually, I never thought of that comparison until you went on and on and on about how you weren't getting what I was saying. I thought it would have been intuitively clear and a matter of common sense, but apparently not. 84faceinbook>83 Say what you will.....the jury is out on this one ! You can fool some of the people....... 85IrishHolgerI guess Churchill can count himself lucky he wasn't up for election in the 21st century. Fat, a drinker and a smoker! Shock, gasp, what a glutton. ;-) 86faceinbook>85 A point scored ! However, we do know a bit more today about the affect and cost to the whole of society of over eating, over drinking and smoking, than we did during Churchill's day. 87laweconYes and the morning and noon exercises. Don't forget those. Got to keep the troop/citizenry in shape. 89laweconOf course not. Never is. You mean only good things that make sense and all right thinking people would agree with. I just persistently take what you say "to an extreme" - which is to say, a logical conclusion. Totally contrary to common sense. 90faceinbookThey are changing a portion of the healthcare clinic I go to......I need yearly care....have since the early 90s. No way out of it. Not a lot of care but my choices are either go or die. The changes are being made to include a Bariatric department. Bariatric care is medical care for the obese. The reason they are making these changes is due to demand. There is an increasing amount disgruntled patients who do not "fit" using current equipment. These changes include, a new heavy duty elevator, a fleet of extra wide wheelchairs, a special lift with which to move heavy patients during tests, wider screening tables for CT, MRI's and other scans...new scales and construction to widen doorways. It is pretty safe to say that many of these patients are on disability pay and Medicaid or some state funded insurance. How is this NOT going to affect what it costs me to see my doctor ? We do not live on this planet alone and what we do affects others....in some fashion. One can only hope that we try to do things that affect others positively. Unfortunately this isn't always the case. 91margdDavid Suzuki's The Nature of Things (TV program): Programmed to be Fat? Thursday, January 12, 2012 8:00 PM on CBC-TV Thursday January 19 at 10 pm ET/PT on CBC News Network (Later, program may be made available at http://www.cbc.ca/natureofthings/episode/programmed-to-be-fat.html.) "Are we fat because of man-made chemicals? New science links environmental chemicals to the global obesity epidemic"... ****************************************** (There's a newspaper article on the TV program at http://www.theglobeandmail.com/life/health/new-health/conditions/obesity/are-che.... ) 92margdExercise-produced hormone irisin may convert visceral white fat to brown, fighting obesity and diabetes. "The mice injected with irisin lost little weight. On the other hand, Dr. Spiegelman notes, they resisted weight gain, even on a high-fat diet, and their blood sugar levels remained stable. So it would seem that exercise, through the actions of irisin, can render you healthy, if not svelte." http://well.blogs.nytimes.com/2012/01/11/exercise-hormone-helps-keep-us-healthy/... In the study, human subjects jogged. I wonder if weight-training such as that prescribed in Miriam Nelson's Strong Women Stay Young also produces irisin? 93faceinbookWhen my friend complained to her doctor about her inability to lose weight he told her to stop putting so much food in her mouth. (also suggested that she watch what kind of food she was putting in her mouth) Guess he was an old fashioned doctor ? 94laweconYept, that is the sort of advise one can expect from someone who went through 6 years of medical school and 2 years of internship. "Doctor, it hurts when I do this." "Well, then quit doing that....." Common sense. "Mechanic, my car stopped running." "Well then, don't expect to be driving it any where." Common sense. "Here's a problem in mathematics." "Yes, I think you're right." Common sense. 97Amtep#95: So... was the doctor the first person to give her this advice? If not, what stopped her from following it before? What changed? 99faceinbook>97 "So... was the doctor the first person to give her this advice?" Probably not. " If not, what stopped her from following it before? What changed?" I imagine what stopped her before was the fact that she loves to eat. What changed ? She wanted to feel better, enough so that, she took full responsibility for her weight issues and changed some harmful habits. Known her for almost 30 years....this wasn't a simple fix but it worked. 101laweconIndeed, particularly when you see an Italian opining on those who eat too much spaghetti, as in #96.. 103margd..."Almost everyone of normal weight or below shows this brown fat if they are chilled, although individuals vary greatly in how much they have. But this brown fat almost never shows up in obese people. Is that one reason they are obese, or is their extra body fat keeping them so warm that there is no reason to turn on their brown fat? "... http://www.nytimes.com/2012/01/25/health/brown-fat-burns-ordinary-fat-study-find... 104CharlesBoydThe way it's going in this country, in 50 years there might be a thread asking if this person is "too skinny" to be president. 105prosfilaesOf course someone can be too skinny to be president. I have a hard time imagining anyone unhealthily skinny having much chance at the presidency. 106krolik>105 A much different era, of course, but supposedly James Madison weighed about 100 pounds. No big bruiser he. 107margdNormal mice respond to exercise with increased autophagy, which apparently makes them resistant to rodent version of diabetes when consuming poor diet: "...It’s long been known that cells accumulate flotsam from the wear and tear of everyday living. Broken or misshapen proteins, shreds of cellular membranes, invasive viruses or bacteria, and worn-out, broken-down cellular components, like aged mitochondria, the tiny organelles within cells that produce energy, form a kind of trash heap inside the cell." "In most instances, cells diligently sweep away this debris. They even recycle it for fuel. Through a process with the expressive name of autophagy, or “self-eating,” cells create specialized membranes that engulf junk in the cell’s cytoplasm and carry it to a part of the cell known as the lysosome, where the trash is broken apart and then burned by the cell for energy." "...when Dr. Levine stuffed both groups of animals with high-fat kibble for several weeks until they developed a rodent version of diabetes, the normal mice subsequently reversed the condition by running, even as they continued on the fatty diet. The autophagy-resistant animals did not. After weeks of running, they remained diabetic. Their cells could not absorb blood sugar normally. They also had higher levels of cholesterol in their blood than the other mice. Exercise had not made them healthier. ..." "...It’s possible that people who don’t respond as robustly to aerobic exercise as their training partners may have sputtering or inadequate autophagy systems, although that idea is speculative. “It’s very difficult to study autophagy in humans,” Dr. Levine says. Still, it’s possible that at some point, autophagy-prompting drugs or specialized exercise programs might help everyone to fully benefit from exercise. ..." http://well.blogs.nytimes.com/2012/02/01/exercise-as-housecleaning-for-the-body/... (Time to walk the dog! {:>) 108margdLimiting antibiotic use and using probiotics--to achieve best balance of gut microbes--might help prevent or reverse obesity? "Alterations in gut microbes may increase the susceptibility to obesity and fatty liver disease and also make it possible to spread these diseases, at least in mice." http://www.huffingtonpost.com/2012/02/03/obesity-infectious_n_1252853.html http://www.nature.com/nature/journal/vaop/ncurrent/full/nature10809.html 109theoriaOn "New Jersey Fat-Guy authenticity" http://www.slate.com/articles/news_and_politics/the_spectator/2012/02/chris_chri... 110margdTaste of fructose revs up metabolism Pancreas can pump more insulin in response to the sugar "Scientists have a greater appreciation of fructose’s full flavor. The sugar, which is found predominantly in fruit, honey and more recently high-fructose corn syrup, tickles taste cells found on the pancreas (that’s right, the pancreas) (SN: 3/27/10, p. 22). The interaction can crank up the body’s secretion of insulin, which may be a concern for people prone to diabetes, researchers report online February 6 in the Proceedings of the National Academy of Sciences." ... "Fructose has recently taken some heat for whacking metabolism out of balance. An issue is where the sweet stuff enters the metabolic assembly line: Most sugars join the process at a point where a supervisory enzyme can control the flow of goods. But fructose comes in farther down, where it can lead to an overproduction of fat. And because fructose on its own doesn’t stimulate the same insulin response that glucose does, the hormone isn’t doing the other regulatory things it usually does, like moderating appetite. The sugar content of high-fructose corn syrup is typically 55 percent fructose; the rest is glucose. Molecules of sucrose, or table sugar, consist of a fructose linked to a glucose..." Citations & References : G.A. Kyriazis, M.M. Soundarapandian and B. Tyrberg. Sweet taste receptor signaling in beta cells mediates fructose-induced potentiation of glucose-stimulated insulin secretion. Proceedings of the National Academy of Sciences. Published online Feb. 6, 2012. doi:10.1073/pnas.1115183109. http://www.sciencenews.org/view/generic/id/338193/title/Taste_of_fructose_revs_u... ************************************************* Addicts and siblings share brain features Finding suggests genetic component for diminished self-control, other behaviors "Brain abnormalities commonly seen in drug addicts are also found in the addicts’ sober siblings. The discovery, reported in the Feb. 3 Science,suggests that there are inherited but conquerable risk factors involved in drug dependency. What’s more, looking at how non-using siblings compensate for their inherited brain irregularities may eventually uncover clues to treating drug addiction..." "The brain scans revealed abnormalities among both the addicts and their siblings in the prefrontal cortex, an area of the brain that’s responsible for self-control. Also, the putamen, a structure involved in forming habits, tended to be larger in drug users and their siblings, while structures in the brain that manage responses to cravings tended to be smaller." "Drug users and their sibling groups were also found to have a weaker ability to exert self-control, based on behavior tests conducted as part of the study." Citations & References : K.D. Ersche et al. Abnormal Brain Structure Implicated in Stimulant Drug Addiction. Science. February 2, 2012, p. 601. doi: 10.1126/science.1214463 http://www.sciencenews.org/view/generic/id/338139/title/Addicts_and_siblings_sha... 111faceinbookIntersting stuff....some new but most of it is pretty common knowledge amoungst those who work with addicts. However, the key issue is this, the ONLY person who has control over addiction be it food or drugs or behavior issues, is the addict. If the addiction is physical as in the case of drugs or food, medical assistance may be needed to accomplish this without physical damage. Addicts, for all there lack of self control are very wily individuals, and no matter what drugs one gives them, how many surgeries they have or how much therapy is available, it they do not take responsibility for their own actions, will not over come the addiction. They are often experts at maniupalting everyone around them into believing that none of their situation is of their own making. Even those who say something like "I know....I know, it is my own fault" Just hang on and wait for the BUT....it always comes after such a statement. Fix me ! A plea heard often in AA circles. NOPE, can't do it. This is why drug counselors, doctors who deal with over weight issues and behavior therapists seem to have a high "burn out" rate when it comes to their jobs. First step to any addiction cure must be made by the addict. 112margdBPA fosters diabetes-promoting changes: Low doses alter insulin secretion "An ingredient in plastics and food-can linings coaxes cells from the pancreas to inappropriately secrete the hormone insulin, a finding that bolsters earlier links between type 2 diabetes and low-dose exposure to the chemical." "Bisphenol-A, or BPA, can mimic the effects of estrogen, a hormone that is involved in regulating insulin production in the body. Although controversy persists over BPA’s potency as an estrogen mimic, the new study, published online February 8 in PLoS ONE, finds that the pollutant is every bit as potent as the body’s natural estrogen in terms of triggering insulin release..." Citations & References : Pancreatic insulin content regulation by the estrogen receptor ERα. PLoS ONE, Vol. 3, April 30, 2008, p. e2069. doi:10.1371/journal.pone.0002069. http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0002069 S. Soriano et al. Rapid insulinotropic action of low doses of bisphenol-A on mouse and human islets of Langerhans: Role of estrogen receptor ß. PLoS ONE, Vol. 7, February 8, 2012, p. e31109. doi: 10.1371/journal.pone.0031109 K.A. Thayer et al. Role of Environmental Chemicals in Diabetes and Obesity: A National Toxicology Program workshop report. Environmental Health Perspectives. doi: 10.1289/ehp.1104597 http://www.sciencenews.org/view/generic/id/338202/title/BPA_fosters_diabetes-pro... 113margdFatty diet leads to fat-loving brain cells In mice, high-fat chow spurs birth of neurons that encourage weight gain By Laura Sanders Sunday, March 25th, 2012 http://www.sciencenews.org/view/generic/id/339458/title/Fatty_diet_leads_to_fat-... "Cheeseburgers pack on the pounds, but in mice a high-fat diet also packs on new nerve cells in the brain. More brain cells may seem like a good thing, but these newly sprouted cells appear to trigger weight gain in the animals, a new study finds." "The results offer insight into how the brain controls weight. If the same thing happens in humans, these nerve cells may be a target for anti-obesity treatments..." "In the study, mice that ate the rodent version of a steady stream of Big Macs gained weight. This unhealthy diet also kicked nerve cell production into high gear, the scientists found. After eating a fatty diet for several weeks, adult mice pumped out about four times as many new nerve cells in the median eminence as mice that ate regular chow." "To see whether these newborn nerve cells were up to no good, Blackshaw and his team shut down production with a carefully targeted laser. Even while continuing to gorge on a high-fat diet, these mice started moving around more and didn’t gain as much weight as mice on a high-fat diet that could still make the new nerve cells. Take away the steady stream of new nerve cells, and the pounds didn’t pile on as fast..." D. Lee et al. Tanycytes of the hypothalamic median eminence form a diet-responsive neurogenic niche. Nature Neuroscience. Published online March 25, 2012. doi:10.1038/nn.3079. http://www.nature.com/neuro/journal/vaop/ncurrent/abs/nn.3079.html 114margdExtreme eaters show abnormal brain activity Pictures of food revs up reward circuits in the obese, slows them down in severely underweight By Laura Sanders http://www.sciencenews.org/view/generic/id/339711/title/Extreme_eaters_show_abno... 'CHICAGO — Certain brain areas are sluggish in people who eat too little and hyperactive in people who eat too much, a new study finds." "The results, presented April 3 at the annual meeting of the Cognitive Neuroscience Society, are based on brain activity in people who ranged from dangerously thin to morbidly obese. The findings help clarify the complicated relationship between the brain and food, and may even offer ways to treat conditions such as anorexia and obesity, said study coauthor Laura Holsen of Harvard Medical School and Brigham and Women’s Hospital." ... "One of five groups studied by the researchers consisted of people with anorexia, defined as being 85 percent or less of a healthy weight. ... At the far end of the scale and making up the final group were those with a disorder called Prader-Willi syndrome*. A mutation on chromosome 15 leaves these people with developmental delays, mental deficits and an insatiable appetite. People with the syndrome often don’t feel full, leaving them vulnerable to extreme obesity. Some people with Prader-Willi have suffered stomach ruptures from extreme bouts of overeating, Holsen said. “They will eat as much as you will feed them and still not feel full.”" "Holsen and her colleagues had participants come into the lab hungry and undergo fMRI brain scans while viewing pictures of high-calorie food. After eating a meal, the volunteers underwent another scan." "While hungry, volunteers with anorexia had lower than normal activity in brain areas associated with the rewarding feelings that food usually elicit: The hypothalamus, amygdala and hippocampus all showed lackluster responses to pictures of enticing food. At the other end of the spectrum, people with Prader-Willi had higher-than-normal activity in those brain regions. Volunteers in the middle three groups (i.e., recovered anorexics, normal weight, obese) showed a similar trend, though less extreme." "After the meal, the pattern of activity in these reward areas didn’t change much, but the pattern in another brain area — a part of the outer layer of the brain called the dorsolateral prefrontal cortex — did. Brain activity there kicked on in most of the participants, except for those with Prader-Willi syndrome. This area might sense when the body is sated and curb further eating, Holsen said."... Citations & References : L. Holsen et al. Food motivation circuitry dysfunction during hunger and satiety: from anorexia nervosa to extreme obesity. Annual meeting of the Cognitive Neuroscience Society. April 3, 2012. * I know a family with a Prader-Willi child. The developmental issues are really tough, but at one point at least, I understand that they needed to lock up food. 115JGL53In Gov. Christie's case I think the question is "Is he too fat to live much longer?" He'll have to be alive in 2016 to run for POTUS. He is not merely fat - there is a regular fat guy inside of him trying to eat his way to the surface and failing. We have interventions for uncontrolled alcoholics - why not for people who consider 4,000 calories just a good between-meal-snack? No LOL here. I'm serious. 116mkboylan115 - As a family therapist, I have colleagues who have done interventions with people with other issues e.g. diabetes, who don't take care of their health, on the same model that is used with alcohol and other drugs. The person with diabetes is surrounded by their family and friends who each tell the diabetic how they are effected by the diabetic's behavior e.g. how it is for them to keep making trips to the ER, etc. The family refuses to remain with the diabetic person if that person doesn't maintain medical compliance. That is, the marriage is ended or at least there is a separation, and other family and friends no longer see the person until they begin following medical advice. I have seen it be helpful, but i wonder what happens when the new research comes out that says the old treatment was invalid. Guess you just have to go with the current knowledge. Interesting anyway. Not making a statement of support or not, just saying there are those who use that method. 117prosfilaes#115: I don't know what he weights; apparently political figures are not required to release their weights to the press. (Clearly an oversight.) But let's say he's south of 360, which at 5'11 puts his BMI at less than 50. Judging from this article in the New England Journal of Medicine people in the 50-59 range who don't smoke and are in the 40-49.9 BMI range have a 1.08% change to die each year. (Table 1, Annual deaths per 1000). According to the Social Security Administration, men who are 72 (John McCain in 2008) or 73 (Ronald Reagan) are already above 3%, and that would have (or did) climb to 4% by the ends of their terms. We have interventions for uncontrolled alcoholics - why not for people who consider 4,000 calories just a good between-meal-snack? Interventions are for things that are controlling your life. This doesn't control his life. If getting his weight lower meant quitting his job as governor to go to a boot camp, I sure as heck wouldn't do it. You make your choices in life, and your health is not always top priority. 118faceinbook>117 "This doesn't control his life. If getting his weight lower meant quitting his job as governor to go to a boot camp, I sure as heck wouldn't do it. You make your choices in life, and your health is not always top priority." http://www.huffingtonpost.com/2012/04/06/obesity-costs-health-smoking_n_1408301.... If it doesn't control his life now, it will soon enough. Given the health care crisis in this country, maybe one's health should be top priority. Not really fair to indulge to the point of illness and then expect that a system "fix" you. O.K. for Mr. Christie as he has insurance (although I suspect it is government funded which is paid for by tax dollars) but what about the uninsured who are obese ? or the Medicaid paitents, the people who simply don't pay their medical bills ? You do understand that if you are paying into the medical system at all, you are paying for other peoples bad habits ? So in a way, Mr. Christie's obesity may not be controlling his life yet but it is controlling the lives of others however distanced they may feel they are from his eating habits. 119margdNeighborhood linked to obesity Children lacking nearby parks, supermarkets at higher risk "Neighborhood amenities such as green space and a nearby grocery store may offer residents more than just curb appeal. Children who live in such neighborhoods are roughly half as likely to be obese as kids living in areas lacking these features, researchers report in two studies in the May American Journal of Preventive Medicine..." "“This is a very promising area of research that will inform the way we think about cities and how to design neighborhoods,” says Jennifer Black, a nutritionist at the University of British Columbia who wasn’t involved in these studies. “We have a pretty strong sense that if it’s easier for people to safely and comfortably walk to the kinds of amenities they want, they will be more likely to be physically active and spend less time driving.”" "Many older neighborhoods assessed in the study scored higher than those built more recently. Newer strip mall developments on arterial roads, (Lawrence Frank, an urban planner and public health researcher at the University of British Columbia in Vancouver) says, often have plenty of parking in front but a wall behind that seals them off from nearby residents. “We’ve engineered out of our communities the ability to travel on foot to things nearby,” he says. “If we want to reverse the obesity epidemic, we need to reverse the way we’re building our communities.” " Citations & References : L.D. Frank et al. Objective assessment of obesogenic environments in youth: geographic information system methods and spatial findings from the Neighborhood Impact on Kids study. American Journal of Preventive Medicine, Vol. 42, May 2012, e47. doi: 10.1016/j.amepre.2012.02.006. http://www.ajpmonline.org/article/S0749-3797%2812%2900128-6/abstract B.E. Saelens et al. Obesogenic neighborhood environments, child and parent obesity: The Neighborhood Impact on Kids study. American Journal of Preventive Medicine, Vol. 42, May 2012, e57. doi: 10.1016/j.amepre.2012.02.008. http://www.ajpmonline.org/article/S0749-3797%2812%2900130-4/abstract http://www.sciencenews.org/view/generic/id/340084/title/Neighborhood_linked_to_o... 120caitemaireI hope that America does think he is too fat to be President..or vice president...because we here in NJ DO NOT want to share him. He has brought a voice of truth and reason, with that special Jersey edge, to a state that was on the edge of collapse after our last two govs...the cheating Proud Gay American and the cheating What Yours is Actually Mine. Go find your own great guy. 121faceinbook>120 We wouldn't want to share a "good thing" ! Even if it has that special "Jersey edge". "Go find your own great guy." Some of us think we have ! 125faceinbook>124 The point I was trying to make was that many of us feel we have "found our guy" . Those who support Gingrich are sure they have "found their guy"......granted he doesn't have that Jersey "edge" but he has that good old political "snark" . I don't think Obama has done the job we had hoped, but then, he hasn't been afforded the respect of office enjoyed by prior Presidents, nor has he been given any lee way with which to accomplish much of anything without a nasty battle. As for "found my guy" That wouldn't be the way I would necessarly frame it.....more like willing to give him the benefit of the doubt against all odds. There is an unreasonable amount of hatred towards the guy that is not confined to public opinion but is interferring with the governmental process. The sentiment started on Nov 5th 2008 and hasn't done anything but increased, as many tend to blame him for not accomplishing anything despite the fact that half the government is blocking everthing he has tried to do. Sound reasonable to you ? I don't hold much hope that a good percentage of the people in this country are going to grow up and get over themselves any time soon, this includes those who are paid to represent a sad sorry majority who are watching them play games at our expense. 126CharlesBoyd125> "...despite the fact that half the government is blocking everything he has tried to do." That's pretty much par for the course when one is president, at least in the last several decades. And, playing devil's advocate for a moment, if everything, or nearly everything a president is trying to do is wrong, is bad for the country, wouldn't it be proper for those who believe that's the case to try to block those things? Could even be considered one's duty to country to block? 127prosfilaes#126: And, playing devil's advocate for a moment, if everything, or nearly everything a president is trying to do is wrong, is bad for the country, wouldn't it be proper for those who believe that's the case to try to block those things? Could even be considered one's duty to country to block? Of course. But then it would be nice if they admitted that, instead of trying to blame everything on the president. The majority party in Congress holds probably more power then the president in controlling the future of our country, but come time to reelect him, everything that's happened is suddenly his fault. 128
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