The Obesity Epidemic

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  1. Quote Originally Posted by Jiigzz View Post
    If supermarkets had little demand for processed foods, they wouldn't stock it (unless suppliers have massive pull). In NZ, we have two major supermarket companies and because of the Duopoly, suppliers have little say in what goes on. Supermarkets here have so much power that they can dictate prices and other things quite easily. I don't know how relevant this is to the US though.

    There are huge political boundaries to taxing junk food/ processed food and often some products blur the distinction between what is considered 'healthy' and 'unhealthy'. Remember that health foods and unhealthy foods are dependent on the knowledge of the buyer (subjective rather than objective). For instance, White Rice vs. Brown Rice or distinction between Cereals.

    NZ debated on whether or not to increase taxes on Sugary drinks but Coke jumped up and down stating that there are no links between sugar and obesity (which is true) and that how could you tax Coke but not Orange Juice which are both comprised of sugar (again true).

    This is why awareness makes a much more valuable and powerful tool than trying to introduce political measures IMO.
    Awareness being the far more powerful tool I am in complete agreement with you. However, what happens when people don't care for awareness? I'm sure you are but are you familiar with Bloomberg's large soda ban?

    http://m.washingtontimes.com/news/20...d-study-obese/

    This was a result of the rising obesity problem. I find it incredibly hard to believe that people are unaware of how to live healthy lifestyles.
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  2. I believe as a society we have to make obesity and how it is viewed similar to cigarettes. Yes heavy taxation has played a roll in the decline of cigarettes and their use, but I believe their is a general belief among society as a whole that smoking cigarettes is socially gross and unacceptable.

    Cigarettes 15-20 years ago were commonplace and not frowned upon. Now when I see someone smoking I can't believe that someone actually still smokes in 2013. No one I know smokes and when we are out and see someone that does we all feel the same way about that person.

    My point being that until as a society we believe obesity to be "wrong" and just not what you do then it will continue.

    I think education, taxation on goods that are unhealthy, and a shift in how we as a society view obesity are all healthy steps to this epidemic.

    Anyways hope that makes sense I've spent 16hrs working today and should be sleeping. Lol
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  3. Quote Originally Posted by Spaniard View Post

    Awareness being the far more powerful tool I am in complete agreement with you. However, what happens when people don't care for awareness? I'm sure you are but are you familiar with Bloomberg's large soda ban?

    http://m.washingtontimes.com/news/20...d-study-obese/

    This was a result of the rising obesity problem. I find it incredibly hard to believe that people are unaware of how to live healthy lifestyles.


    I don't think it's that people are unaware that it's not good for them but no one is there next to them saying "dude you're really going to consume 44oz of Mountain Dew? That's nasty."

    As a society we aren't frowning on people that make those decisions.

  4. Quote Originally Posted by Spaniard View Post
    Awareness being the far more powerful tool I am in complete agreement with you. However, what happens when people don't care for awareness? I'm sure you are but are you familiar with Bloomberg's large soda ban?

    http://m.washingtontimes.com/news/20...d-study-obese/

    This was a result of the rising obesity problem. I find it incredibly hard to believe that people are unaware of how to live healthy lifestyles.
    I like the idea of banning/ discontinuing the use of Supersize sodas; NZ follows the US in many respects but i'm glad they didn't follow suit in this regard.

    Workplaces also have a role to play to combat obesity. There are links between obesity and decreased productivity and increased strain on healthcare and also increases in absenteeism and presenteeism; if you can get people to be more active in the workplace (by way of encouraged physical activity breaks and making things less accessible (moving the printer further away etc.)) then you can help bring down obesity rates by this means alone.

    Such a complex topic lol.
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  5. Quote Originally Posted by OnionKnight View Post
    ^^

    thats because our welfare system is so frikkin stupid. families get upwards of $700/month in food stamps
    My friend gets 1000 in foodstamp a month and tries to sell what she can't use to my other friend.
    If I live every moment believing, then the chaos in my heart will be a beautiful thing.-
    I am in love, but not in love with someone or something, I am in love with my life. And for the first time, in a long time, everything is inspiring.-
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  6. From someone who use to be obese, I hate myself for not having enough sympathy or empathy towards them. Every time I get a little confidence, I get pushed back down and reminded that I once was fat and should remember how it feels. Maybe I don't feel bad for obese people because if I can do it so can they and feeling sorry will only give them an excuse to continue living like that. Some people change because they want to and some change because they're forced to. My friend is getting gastric bypass but never once attempted to work out.
    If I live every moment believing, then the chaos in my heart will be a beautiful thing.-
    I am in love, but not in love with someone or something, I am in love with my life. And for the first time, in a long time, everything is inspiring.-

  7. Quote Originally Posted by puccah8808 View Post
    From someone who use to be obese, I hate myself for not having enough sympathy or empathy towards them. Every time I get a little confidence, I get pushed back down and reminded that I once was fat and should remember how it feels. Maybe I don't feel bad for obese people because if I can do it so can they and feeling sorry will only give them an excuse to continue living like that. Some people change because they want to and some change because they're forced to. My friend is getting gastric bypass but never once attempted to work out.
    I commend anyone who has gone through that struggle and admire the courage that it must have taken to get to where you are now. For a lot of people that I have trained, just getting into a gym or going to a gym can produce massive amounts of anxiety and negative feelings about oneself. Quite a few of them REFUSED to go there without me. So for them to be able to take the first step and continue with it says a lot about a person's character. One thing about what you just said though is if you or anyone else can do it, there is no reason that someone should have an excuse not to.
    The Physique Biochemist
    Biochemistry Major
    Your Physique AND Credentials Should Back Up Your Position

  8. What do you guys think about an incentive based program say from health insurance? Lets say for example blue cross blue shield says if you lose the weight and keep it off and maintain a healthy lifestyle we will send you a "bonus check" every 6 months you pass a physical exam or health exam of some sort.

  9. Quote Originally Posted by hardwork25 View Post
    What do you guys think about an incentive based program say from health insurance? Lets say for example blue cross blue shield says if you lose the weight and keep it off and maintain a healthy lifestyle we will send you a "bonus check" every 6 months you pass a physical exam or health exam of some sort.
    I thought there was going to be something similar. If you're overweight then your insurance goes up and if your a smoker and denies it, they won't cover you (major operation) because you lied on your yearly renewal saying you're healthy. I think it should be like life insurance, not everyone qualifies and if you lose more weight, your premium goes down.
    If I live every moment believing, then the chaos in my heart will be a beautiful thing.-
    I am in love, but not in love with someone or something, I am in love with my life. And for the first time, in a long time, everything is inspiring.-

  10. Just to throw one idea out there. Sorry if it has been said, I didnt read all the posts.

    I once had an idea to combat people making themselves obese through fast food. One of the major problems for many people that ive spoken to is that eating healthy is often very expensive. For example where I live a freshly made chicken sandwhich with lettus, carrot, capsicum, cucumber and light mayo would cost $8-$12. Throw in a drink (water) and its $11-$15. A cheese burger form Mcdonalds is $2

    While im not getting bogged down in details, I believe that in order to encourage people to eat healthier, a levy could be placed on unhealthy fast food chains, making the food more expensive. At the same time the government could use these taxes to subsidize healthy fast food-thus making it more appealing to people.

    Working out how to make it work would be somewhat difficult-it would be hard from the government to reimburse single shops to the point where they could make their food significantly cheaper. Perhaps it would only work with healthy food chains, such as subway, where they would qualify for the grant to subsidize their healthy food range.
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  11. My problem with the "Let them die" approach is that they do care about themselves and want to lose weight. Every single obese person in the world wants to lose weight (except for those with psychological disorders). Much like quitting a drug (i.e. smoking), efforts to lose weight are typically unsustainable and short-lived. Why?

    Because obesity is a disease. Most people who become obese actually have very little excuse...the often cited "slow metabolism" is incredibly rare, and indeed, the #1 reason people get obese is overeating. That's inexcusable and something that needs to be addressed by society. But that's not the topic of this discussion.

    Once you are obese, you do need help. Obesity is co-morbid with other issues at rates of virtually 100%: insulin resistance and leptin resistance. Obesity is often due to a dysfunctional hunger system; that is, the people eat to satisfy the mesolimbic reward system rather than physiological hunger.

    So let's say you try to lose weight. With all your leptin resistance, it's tough for you to "feel full." Now start taking bodyfat out of the equation as you drop a few pounds. You now have leptin resistance (demonstrated to be almost irreversible) coupled with less leptin release. To make matters worse, you start hyper-secreting ghrelin (largely irreversible), with amplitudes hundreds of percent greater than normal people. Your body essentially thinks you are starving physiologically, and you perceive it as such. So now you take a pre-existent dysfunctional reward system (pleasure eating) and add in extremely powerful physiological hunger signaling, and suddenly you realize that it's not so easy to just "put down the fork." When you are this hungry, you can't think about anything else. You need to eat and end this starvation.

    But people have lives! They have jobs, responsibilities, etc. We're not all on "The Biggest Loser" where we can just say "Screw it, I'm just gonna focus on absolutely nothing but weight loss for the next _________ months." Obesity is often seen in poorer neighborhoods, where such an attention to weight loss is definitely out of the question...and access to filling food is minimal.

    Cliffs:

    -Obesity has several physiological, not psychological, factors that "lock you in" for life. The most significant of which is neuroendocrine signaling.
    -Gastric bypass surgeries have an exceptional track record for obesity recovery not because they reduce stomach size, but because they resection almost the entire ghrelin-secreting part of the stomach, reducing perceived hunger.

  12. Darwin would not approve of this post

    Im not sure as to the extent of patient interaction you have but let me assure you, while most patients may say what they want, they hardly mean it.
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  13. What kills me is I don't often see coupons for meat, fruits or veggies rather mostly for pasta, chips, hamburger helper type things, soda, etc... And to add to what coop said in the poorer neighborhoods it is a lack of health knowledge from an early age that I believe sets them up for obesity later in life. How many moms send there kids to school with chips and soda or have a sh** selection of food in the cafeteria?
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  14. Quote Originally Posted by mtinsideout View Post
    What kills me is I don't often see coupons for meat, fruits or veggies rather mostly for pasta, chips, hamburger helper type things, soda, etc... And to add to what coop said in the poorer neighborhoods it is a lack of health knowledge from an early edge that I believe sets them up for obesity later in life. How many moms send there kids to school with chips and soda or have a sh** selection of food in the cafeteria?
    Sucks when you're trying to stretch out your last $20 and you see someone with a cart full of junk food at the beginning of the month. (Not that I'd eat that stuff anyways)
    If I live every moment believing, then the chaos in my heart will be a beautiful thing.-
    I am in love, but not in love with someone or something, I am in love with my life. And for the first time, in a long time, everything is inspiring.-

  15. Quote Originally Posted by JudoJosh View Post
    Darwin would not approve of this post

    Im not sure as to the extent of patient interaction you have but let me assure you, while most patients may say what they want, they hardly mean it.
    Their discipline is obviously lacking (that's how they got here in the first place), but if you take anyone and put them in an obese person's shoes, most will fail to lose weight. The small percent that succeeds are health concious folk like those who populate this forum...and let me assure you, this makes up virtually none of the patients I've seen

  16. I read most of the posts and lots of great ideas and thoughts.

    Ill try to offer another side as well since i didnt see any of the posts hit on this.

    I am in the military, Marine Corps specifically and most who know about the Marine Corps or know of others who have been in, know that we PT a pretty good amount. Ranging from cross fit workouts to running 5+ miles three times a week. We have weight and body composition standards that we must adhere to and physical fitness standards. If we do not adhere to these weight standards we get put on a weight control program.

    Since we have these standards, if they are not complied with, your career can be and will be affected. In my mind you would think this would be enough to ensure Marines would remain in good physical condition. Unfortunately this is not the case as many Marines remain out of shape.

    This seems to go hand in hand with the old saying, "You can lead a horse to water but you cant make him drink the water".

    While i think America does need to take necessary steps to try and work on the issue of obesity and help people lead healthier lives, it also requires leg work on behalf of the person themselves. This is a lot of times, where the problem lies.

    Like others have stated we live in a society where everyone is so used to comfort and lazy. Everyone wants a magic pill or potion that will do the trick. Well this obviously isnt the case. People must put in hard work and effort and they just arent accustomed to that.

    So while i agree with healthcare insurance providers providing incentives and food stamps only being for healthy foods or alternatives it still falls on the individual. Noone can make someone do something they dont want to do. Even if they do want to lose weight its a hard and long road for most and this in itself will deter a lot of people regardless of incentives provided.
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  17. Quote Originally Posted by mr.cooper69 View Post
    Their discipline is obviously lacking (that's how they got here in the first place), but if you take anyone and put them in an obese person's shoes, most will fail to lose weight. The small percent that succeeds are health concious folk like those who populate this forum...and let me assure you, this makes up virtually none of the patients I've seen
    Your outlook is admirable and I imagine that quality is going to make you an outstanding physician. I wise I could be that optimistic and compassionate but I guess 7 years in an emergency room has sucked all the empathy out of me. I am all for teaching and helping but I have absolutely no desire to interact with individuals who dont want to learn or refuse to take action and from my experience this makes up most of the patients I interact with on a daily basis in the ER.
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  18. The world def needs to limit if not out right get rid of all fast food chains. Also limiting the amount of processed foods. Money should be spent elsewhere such as on areas of growing fresh food and healthy living environments for our meat sources. It is possible to get this now but at a higher price. I believe people that dont care to take care of themselves should be made to. Their disregard to their own health most of the time lands them into getting medical and disability payments from our money. People need to be informed how heath is essential for life at younger age. Starting with what they eat in school. In the us many schools are packed with vending machines. The schools are paid from the state per child per for each meal which i believe i read was somewhere around $0.57/ child on average. Most states dont have a nutritional guideline but rather a guideline stating they must have a meat source, a veggie, and a fruit. All of which usually is processed or comes from a can. We pay more to feed convicts and prison than we do for children to eat in school. I dont blame the schools but rater the states you can only do so much with $0.57. I could go on and on but here i have broke down my basic thoughts on changing obesity. Looking forward to reading everyones views on this topic.

  19. For all those that think the state should limit or eliminate "X" from our diet (be it fast food, soda, or whatever) let me remind you what the FDAs position is on protein intake, fat intake and dietary cholesterol intake. This is not the states role nor should it be. The lack the agility to keep current and have too many compounding interest (specifically agriculture industry). Would you want a law that limited steak size? Egg sale? How about banning of butter and only allowing margarine?

    I know it sounds good (ban mcdonalds or limit soda) but these actions dont even compare to the effectiveness of behavioral modification and the key to this is having an educated and scientifically literate society. You want people to make the conscious decision to reach for broccoli over the fritos, not have them reach for broccoli because fritos arent an option.
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  20. Quote Originally Posted by JudoJosh View Post
    I guess 7 years in an emergency room has sucked all the empathy out of me..
    I am sorry this has happened for you Josh and I wish it was not happening especially if for the beginning it was there and now gone...especially too if for you are enthusiastic for helping with much empathy for others with it now all sucked away. It is something one of the very important things as human beings it is to hold to.
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  21. Quote Originally Posted by JudoJosh View Post
    For all those that think the state should limit or eliminate "X" from our diet (be it fast food, soda, or whatever) let me remind you what the FDAs position is on protein intake, fat intake and dietary cholesterol intake. This is not the states role nor should it be. The lack the agility to keep current and have too many compounding interest (specifically agriculture industry). Would you want a law that limited steak size? Egg sale? How about banning of butter and only allowing margarine?
    What would eliminating unnecessary foods and empty calories have to do with restricting portion sizes for good foods? Nothing is wrong with a good burger but like any product if people cant use it responsibly they shouldn't have the option to use it.

  22. I dont think banning mcdonalds or any of the fast food chains is going to help solve this issue. On top of that i will indulge at times at some of these places and dont want that choice taken away.

    Where there is a will there is a way, so even if you ban mcdonalds or any other fast food chain, people will still find ways to push themselves into obesity or sustain it.
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  23. Quote Originally Posted by 3clipseGT View Post
    I dont think banning mcdonalds or any of the fast food chains is going to help solve this issue. On top of that i will indulge at times at some of these places and dont want that choice taken away.

    Where there is a will there is a way, so even if you ban mcdonalds or any other fast food chain, people will still find ways to push themselves into obesity or sustain it.
    I agree, I also like to indulge in some taco bell or white castle from time to time. I was watching a documentary on some guy who was eating healthy stuff but just way to much of it lol. He ate like 6 cans of tuna and 12 apples in one sitting as a regular meal without any issue and I see that as pretty healthful food just not in that quantity.
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  24. The mcdouble is the most bountiful and nutritious food in human history

    http://m.nypost.com/p/news/opinion/o...ZJ50x1KMCyGfTJ

    Are you sure you want others making the decision as to what is or isnt healthy for you?
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  25. Quote Originally Posted by JudoJosh View Post
    The mcdouble is the most bountiful and nutritious food in human history

    http://m.nypost.com/p/news/opinion/o...ZJ50x1KMCyGfTJ

    Are you sure you want others making the decision as to what is or isnt healthy for you?
    Wow! Crazy! I've never had one..
    If I live every moment believing, then the chaos in my heart will be a beautiful thing.-
    I am in love, but not in love with someone or something, I am in love with my life. And for the first time, in a long time, everything is inspiring.-
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