Skip to main content

Home/ Long Game/ Group items tagged weight-loss

Rss Feed Group items tagged

anonymous

David Berreby - The obesity era - 0 views

  • And so the authorities tell us, ever more loudly, that we are fat — disgustingly, world-threateningly fat. We must take ourselves in hand and address our weakness. After all, it’s obvious who is to blame for this frightening global blanket of lipids: it’s us, choosing over and over again, billions of times a day, to eat too much and exercise too little. What else could it be? If you’re overweight, it must be because you are not saying no to sweets and fast food and fried potatoes. It’s because you take elevators and cars and golf carts where your forebears nobly strained their thighs and calves. How could you do this to yourself, and to society?
  • Hand-in-glove with the authorities that promote self-scrutiny are the businesses that sell it, in the form of weight-loss foods, medicines, services, surgeries and new technologies.
  • And so we appear to have a public consensus that excess body weight (defined as a Body Mass Index of 25 or above) and obesity (BMI of 30 or above) are consequences of individual choice.
  • ...42 more annotations...
  • Higher levels of female obesity correlated with higher levels of gender inequality in each nation Of course, that’s not the impression you will get from the admonishments of public-health agencies and wellness businesses.
  • Yet the scientists who study the biochemistry of fat and the epidemiologists who track weight trends are not nearly as unanimous as Bloomberg makes out. In fact, many researchers believe that personal gluttony and laziness cannot be the entire explanation for humanity’s global weight gain.
  • As Richard L Atkinson, Emeritus Professor of Medicine and Nutritional Sciences at the University of Wisconsin and editor of the International Journal of Obesity, put it in 2005: ‘The previous belief of many lay people and health professionals that obesity is simply the result of a lack of willpower and an inability to discipline eating habits is no longer defensible.’
  • Consider, for example, this troublesome fact, reported in 2010 by the biostatistician David B Allison and his co-authors at the University of Alabama in Birmingham: over the past 20 years or more, as the American people were getting fatter, so were America’s marmosets.
  • As were laboratory macaques, chimpanzees, vervet monkeys and mice, as well as domestic dogs, domestic cats, and domestic and feral rats from both rural and urban areas.
  • In fact, the researchers examined records on those eight species and found that average weight for every one had increased.
  • ‘Virtually in every population of animals we looked at, that met our criteria, there was the same upward trend,’ he told me.
  • It isn’t hard to imagine that people who are eating more themselves are giving more to their spoiled pets, or leaving sweeter, fattier garbage for street cats and rodents. But such results don’t explain why the weight gain is also occurring in species that human beings don’t pamper, such as animals in labs, whose diets are strictly controlled. In fact, lab animals’ lives are so precisely watched and measured that the researchers can rule out accidental human influence
  • On the contrary, the trend suggests some widely shared cause, beyond the control of individuals, which is contributing to obesity across many species.
  • In rich nations, obesity is more prevalent in people with less money, education and status. Even in some poor countries, according to a survey published last year in the International Journal of Obesity, increases in weight over time have been concentrated among the least well-off. And the extra weight is unevenly distributed among the sexes, too.
  • To make sense of all this, the purely thermodynamic model must appeal to complicated indirect effects.
  • The story might go like this: being poor is stressful, and stress makes you eat, and the cheapest food available is the stuff with a lot of ‘empty calories’, therefore poorer people are fatter than the better-off. These wheels-within-wheels are required because the mantra of the thermodynamic model is that ‘a calorie is a calorie is a calorie’: who you are and what you eat are irrelevant to whether you will add fat to your frame. The badness of a ‘bad’ food such as a Cheeto is that it makes calorie intake easier than it would be with broccoli or an apple.
  • Yet a number of researchers have come to believe, as Wells himself wrote earlier this year in the European Journal of Clinical Nutrition, that ‘all calories are not equal’.
  • The problem with diets that are heavy in meat, fat or sugar is not solely that they pack a lot of calories into food; it is that they alter the biochemistry of fat storage and fat expenditure, tilting the body’s system in favour of fat storage.
    • anonymous
       
      RELEVANT.
  • if the problem isn’t the number of calories but rather biochemical influences on the body’s fat-making and fat-storage processes, then sheer quantity of food or drink are not the all-controlling determinants of weight gain. If candy’s chemistry tilts you toward fat, then the fact that you eat it at all may be as important as the amount of it you consume.
  • More importantly, ‘things that alter the body’s fat metabolism’ is a much wider category than food. Sleeplessness and stress, for instance, have been linked to disturbances in the effects of leptin, the hormone that tells the brain that the body has had enough to eat.
  • If some or all of these factors are indeed contributing to the worldwide fattening trend, then the thermodynamic model is wrong.
  • According to Frederick vom Saal, professor of biological sciences at the University of Missouri, an organic compound called bisphenol-A (or BPA) that is used in many household plastics has the property of altering fat regulation in lab animals.
  • BPA has been used so widely — in everything from children’s sippy cups to the aluminium in fizzy drink cans — that almost all residents of developed nations have traces of it in their pee. This is not to say that BPA is unique.
  • Contrary to its popular image of serene imperturbability, a developing foetus is in fact acutely sensitive to the environment into which it will be born, and a key source of information about that environment is the nutrition it gets via the umbilical cord.
  • The 40,000 babies gestated during Holland’s ‘Hunger Winter’ of 1944-1945 grew up to have more obesity, more diabetes and more heart trouble than their compatriots who developed without the influence of war-induced starvation.
  • It’s possible that widespread electrification is promoting obesity by making humans eat at night, when our ancestors were asleep
  • consider the increased control civilisation gives people over the temperature of their surroundings.
  • Temperatures above and below the neutral zone have been shown to cause both humans and animals to burn fat, and hotter conditions also have an indirect effect: they make people eat less.
  • A study by Laura Fonken and colleagues at the Ohio State University in Columbus, published in 2010 in the Proceedings of the National Academy of Sciences, reported that mice exposed to extra light (experiencing either no dark at all or a sort of semidarkness instead of total night) put on nearly 50 per cent more weight than mice fed the same diet who lived on a normal night-day cycle of alternating light and dark.
  • A virus called Ad-36, known for causing eye and respiratory infections in people, also has the curious property of causing weight gain in chickens, rats, mice and monkeys.
  • xperiments by Lee Kaplan and colleagues at Massachusetts General Hospital in Boston earlier this year found that bacteria from mice that have lost weight will, when placed in other mice, apparently cause those mice to lose weight, too.
  • These theories are important for a different reason. Their very existence — the fact that they are plausible, with some supporting evidence and suggestions for further research — gives the lie to the notion that obesity is a closed question, on which science has pronounced its final word.
  • It might be that every one of the ‘roads less travelled’ contributes to global obesity; it might be that some do in some places and not in others. The openness of the issue makes it clear that obesity isn’t a simple school physics experiment.
  • obesity is like poverty, or financial booms and busts, or war — a large-scale development that no one deliberately intends, but which emerges out of the millions of separate acts that together make human history.
  • In Wells’s theory, the claim that individual choice drives worldwide weight gain is an illusion — like the illusion that individuals can captain their fates independent of history. In reality, Tolstoy wrote at the end of War and Peace (1869), we are moved by social forces we do not perceive, just as the Earth moves through space, driven by physical forces we do not feel. Such is the tenor of Wells’s explanation for modern obesity. Its root cause, he proposed last year in the American Journal of Human Biology, is nothing less than the history of capitalism.
  • In a capitalistic quest for new markets and cheap materials and labour, Europeans take control of the economy in the late 18th or early 19th century. With taxes, fees and sometimes violent repression, their new system strongly ‘encourages’ the farmer and his neighbours to stop growing their own food and start cultivating some more marketable commodity instead – coffee for export, perhaps. Now that they aren’t growing food, the farmers must buy it. But since everyone is out to maximise profit, those who purchase the coffee crop strive to pay as little as possible, and so the farmers go hungry. Years later, when the farmer’s children go to work in factories, they confront the same logic: they too are paid as little as possible for their labour. By changing the farming system, capitalism first removes traditional protections against starvation, and then pushes many previously self-sufficient people into an economic niche where they aren't paid enough to eat well.
  • Eighty years later, the farmer’s descendants have risen out of the ranks of the poor and joined the fast-growing ranks of the world’s 21st-century middle-class consumers, thanks to globalisation and outsourcing. Capitalism welcomes them: these descendants are now prime targets to live the obesogenic life (the chemicals, the stress, the air conditioning, the elevators-instead-of-stairs) and to buy the kinds of foods and beverages that are ‘metabolic disturbers’.
  • a past of undernutrition, combined with a present of overnutrition, is an obesity trap.
  • Wells memorably calls this double-bind the ‘metabolic ghetto’, and you can’t escape it just by turning poor people into middle-class consumers: that turn to prosperity is precisely what triggers the trap.
  • ‘Obesity,’ he writes, ‘like undernutrition, is thus fundamentally a state of malnutrition, in each case promoted by powerful profit-led manipulations of the global supply and quality of food.’
  • The ‘unifying logic of capitalism’, Wells continues, requires that food companies seek immediate profit and long-term success, and their optimal strategy for that involves encouraging people to choose foods that are most profitable to produce and sell — ‘both at the behavioural level, through advertising, price manipulations and restriction of choice, and at the physiological level through the enhancement of addictive properties of foods’ (by which he means those sugars and fats that make ‘metabolic disturber’ foods so habit-forming).
  • In short, Wells told me via email, ‘We need to understand that we have not yet grasped how to address this situation, but we are increasingly understanding that attributing obesity to personal responsibility is very simplistic.’ Rather than harping on personal responsibility so much, Wells believes, we should be looking at the global economic system, seeking to reform it so that it promotes access to nutritious food for everyone.
  • One possible response, of course, is to decide that no obesity policy is possible, because ‘science is undecided’. But this is a moron’s answer: science is never completely decided; it is always in a state of change and self-questioning, and it offers no final answers. There is never a moment in science when all doubts are gone and all questions settled,
  • which is why ‘wait for settled science’ is an argument advanced by industries that want no interference with their status quo.
  • Faced with signs of a massive public-health crisis in the making, governments are right to seek to do something, using the best information that science can render, in the full knowledge that science will have different information to offer in 10 or 20 years.
  • Today’s priests of obesity prevention proclaim with confidence and authority that they have the answer. So did Bruno Bettelheim in the 1950s, when he blamed autism on mothers with cold personalities. So, for that matter, did the clerics of 18th-century Lisbon, who blamed earthquakes on people’s sinful ways. History is not kind to authorities whose mistaken dogmas cause unnecessary suffering and pointless effort, while ignoring the real causes of trouble. And the history of the obesity era has yet to be written.
  •  
    "For the first time in human history, overweight people outnumber the underfed, and obesity is widespread in wealthy and poor nations alike. The diseases that obesity makes more likely - diabetes, heart ailments, strokes, kidney failure - are rising fast across the world, and the World Health Organisation predicts that they will be the leading causes of death in all countries, even the poorest, within a couple of years. What's more, the long-term illnesses of the overweight are far more expensive to treat than the infections and accidents for which modern health systems were designed. Obesity threatens individuals with long twilight years of sickness, and health-care systems with bankruptcy."
anonymous

Taking care of your back at home - 1 views

  •  
    A common myth about back pain is that you need to rest and avoid activity for a long time. In fact, bed rest is NOT recommended. If you have no sign of a serious cause for your back pain (such as loss of bowel or bladder control, weakness, weight loss, or fever), then you should stay as active as possible. Here are some tips for how to handle back pain and activity early on:
anonymous

When a Calorie Is Not a Calorie - 0 views

  • In a wide-ranging discussion of how food is digested in everything from humans to rats to pythons, the panel reviewed a new spate of studies showing that foods are processed differently as they move from our gullet to our guts and beyond. They agreed that net caloric counts for many foods are flawed because they don’t take into account the energy used to digest food; the bite that oral and gut bacteria take out of various foods; or the properties of different foods themselves that speed up or slow down their journey through the intestines, such as whether they are cooked or resistant to digestion.
  • The process used to estimate calories for food was developed at the turn of the 19th to 20th century by Wilbur Atwater. It was a simple system of calculating four calories for each gram of protein, nine calories for each gram of fat, and four calories for each gram of carbohydrate (modified later by others to add two calories for a gram of fiber). Although it has been useful for approximating the energetic costs of metabolizing many foods, its shortcomings have been known for decades—and some nations, such as Australia, have dropped the system because it is “inaccurate and impractical,” said panelist Geoffrey Livesey, a nutritional biochemist and director of Independent Nutrition Logic Ltd. in Wymondham, U.K..
  • One key area where the system is inaccurate, Wrangham reported, is in estimating the calories for cooked food.
  • ...3 more annotations...
  • The way foods are processed can also make them easier to digest.
  • New studies also are finding that bacteria in the gut respond differently to processed foods and cooked foods. Carmody reported that she and Peter Turnbaugh of Harvard University are finding “key differences in the type of bacterial communities” in the guts of mice, depending on whether they were fed chow or cooked meat.
  • Why does all of this matter? Because we’re in the midst of an obesity epidemic and counting calories has been misleading, said David Ludwig, a pediatric endocrinologist at Children’s Hospital Boston and Harvard Medical School.
  •  
    "When it comes to weight loss, a calorie is a calorie is a calorie. That's been the mantra of nutritionists, dietitians, and food regulators in the United States and Europe for more than a century. But when it comes to comparing raw food with cooked food, or beans with breakfast cereals, that thinking may be incorrect. That was the consensus of a panel of researchers who listed the many ways that the math doesn't always add up correctly on food labels"
anonymous

4 Bad Justifications For Detoxing - 0 views

  • For the sake of this article, I’ll use the terms “cleanse” and “detox” interchangeably as any dietary strategy that employs strict rules on eating or drinking – usually involving the elimination of many foods/drinks/substances and/or involves fasting or the addition of special supplements for a period of time.
  • 1.  want to rid my body of toxins:
  • The word “toxin” itself is largely misunderstood and misrepresented by peddlers of cleansing plans.  They keep things intentionally obscurantist when it comes to the precisely what they mean by “toxins” for good reason.   Making specific claims ie. “Our sooper-dooper clenz™ removes polycyclic aromatic hydrocarbons”, would place a specific burden of proof on the manufacturer.
  • ...9 more annotations...
  • 2. I just need a weight loss “boost”:
  • Will subsisting on ridiculously low amounts of calories for days on end “boost” weight loss?  Very likely, yes.  Your likelihood of keeping it off, however… almost zero.  Prolonged periods of sizeable caloric deficits will force your body to slow down and conserve energy. 
  • I don’t care what supplements/herbs/juices you are taking, there is no substitute for getting adequate calories from good old-fashioned food.
  • 3.  I’ve been eating like crap/boozing too much:
  • Along with our aforementioned “instant/quick fix” mentality, we as a westernized culture are poster children for all-or-nothing thinking.  We think we can atone for dietary sins by going on strict plans.  The problem is that it simply doesn’t work.
  • 4. It makes me feel WONDERFUL!
  • these feelings are both short-lived and deceptive.  I would first contend that people who feel “energized” and “happy” are falling victim to the power of suggestion and the placebo effect.
  • Psychology aside, there may be some short-lived physiological effects of cleansing.  If we think about how most people eat on a day-to-day basis (read: highly processed, empty calorie), ANY half-way drastic eating changes could trigger warm-and-fuzzy, high energy feelings.  The reality, however is that consuming very low calories and/or protein for any extended period will sooner or later bring your energy levels to a grinding halt.
  • How to “detox” without really “detoxing”. 
  •  
    "One of the most nonsensical (not to mention irritating) trends in health is "cleansing" or "detox" programs.  They exist in abundance in health circles and can be found everywhere - usually touted as a panacea for any given health problem.  From bookshelves to yoga studios to multi-level marketing campaigns, "cleanses" remain the most prominent socially accepted eating disorder of today."
anonymous

Are You Really Gluten-Intolerant? Maybe Not. - 0 views

  • Many of the people who pursue a gluten-free diet out of choice believe themselves to be gluten-sensitive, a far less serious condition in which limited symptoms of celiac's manifest without any damage to the small intestine.
  • According to the National Foundation for Celiac Awareness, as many as 18 million Americans may have non-celiac gluten sensitivity (NCGS). Since the condition has only been recently described and is poorly understood, it's currently diagnosed via a process of exclusion. If a patient's test for celiac disease comes back negative, but symptoms improve on a gluten-free diet, then he or she is diagnosed with NCGS.
  • Instead of receiving a proper diagnosis, however, many people are self-diagnosing as gluten-sensitive and eating gluten-free by choice. Noticing this trend, Jessica Biesiekierski, a gastroenterologist at Monash University and a leading researcher into the effects of gluten, sought adults who believed they had NCGS to participate in a survey and a clinical trial.
  • ...5 more annotations...
  • First, the survey results: The average age of the respondents was 43.5 years and 130 (88%) were women. These numbers are likely a result of sampling bias, but could reflect the demographics of those who engage in a gluten-free diet by choice.
  • For 63% of respondents, the gluten-free diet was either self-initiated or started at the recommendation of an alternative health professional. Inadequate investigation of celiac disease was common (62%), particularly by individuals who self-diagnosed their sensitivity or sought guidance from an alternative health professional.
  • Moreover, 24% of respondents had uncontrolled symptoms despite restricting their gluten intake, and 27% weren't even following a gluten-free diet.
  • "Indeed, patients who believe they have NCGS are likely to benefit from lowering their dietary intake of FODMAPs," Biesiekierski says. While the underlying causes for non-celiac gluten sensitivity aren't yet understood, it is well known why FODMAPs produce adverse gastrointestinal symptoms. They are not easily digested and absorbed in the small intestine, but bacteria in the large intestine are more than happy to ferment them, producing gas, which results in bloating and flatulence.
  • There are three big takeaways from Biesiekierski's research: 1. If you think you're sensitive to gluten, get tested for celiac disease -- it's a serious condition that's almost certainly underdiagnosed. For each diagnosed celiac patient, at least seven more are undiagnosed. 2. If you don't have celiac's but are still experiencing its symptoms after eating gluten-containing foods, your problems may result from FODMAPs, not gluten sensitivity. Gluten-free diets can be deficient in fiber and a host of other vitamins and minerals, while simply reducing FODMAP intake can be much healthier and less restrictive. 3. Non-Celiac Gluten Sensitivity (a.k.a. gluten intolerance) may not actually exist. More on that next week.
  •  
    "Celiac disease is an autoimmune disorder that affects less than 1% of the population of the United States (PDF). The ingestion of gluten, a protein found in grains like wheat, rye, and barley, gives rise to antibodies that attack the small intestine. At first, the symptoms are annoying: stomachaches, gas, and diarrhea. Over time, they can grow to be debilitating. The autoimmune assault corrodes the small intestine's ability to absorb nutrients, which can prompt anemia, chronic fatigue, and weight loss. There is one treatment for celiac's: strict, lifelong adherence to a diet that's devoid of gluten."
anonymous

HowStuffWorks "How Fat Cells Work" - 0 views

  • BMI is a calculation that takes into consideration both a person's body weight and height to determine whether they are underweight, overweight or at a healthy weight.
  • Fat, or adipose tissue, is found in several places in your body. Generally, fat is found underneath your skin (subcutaneous fat). There's also some on top of each of your kidneys. In addition to fat tissue, some fat is stored in the liver, and an even smaller amount in muscle.
  • The difference in fat location comes from the sex hormones estrogen and testosterone. Fat cells are formed in the developing fetus during the third trimester of pregnancy, and later at the onset of puberty, when the sex hormones "kick in."
  • ...2 more annotations...
  • It is during puberty that the differences in fat distribution between men and women begin to take form.
  • fat cells generally do not generate after puberty -- as your body stores more fat, the number of fat cells remains the same. Each fat cell simply gets bigger!
  •  
    "A little more than half of the adults in the United States are overweight. Statistics show that an incredible 65.2 percent of the U.S. population is considered to be "overweight" or "obese." According to the Centers for Disease Control and Prevention (CDC), obesity and overweight status is determined in adults by finding a person's "Body Mass Index" or BMI."
anonymous

Paula Deen has Diabetes and takes Victoza. So What? - 0 views

  •  
    Celebrity TV chef with obesity who makes repulsively, insanely, calorificly obscene foods (like the bacon, fried egg, doughnut burger of hers pictured up above) develops type II diabetes, doesn't tell anyone for 3 years, and then not only has a big reveal, but signs a deal to endorse an injectable hypoglycemic medication. So what?
anonymous

Observations: Saturated fat is not the major issue - 0 views

  • Aseem Malhotra, interventional cardiology specialist registrar at Croydon University Hospital in London, says scientific evidence shows that advice to reduce saturated fat intake “has paradoxically increased our cardiovascular risks.”
  • Saturated fat has been demonised since the 1970s when a landmark study concluded that there was a correlation between incidence of coronary heart disease and total cholesterol, which then correlated with the percentage of calories provided by saturated fat, explains Malhotra. “But correlation is not causation,” he says. Nevertheless, we were advised to “reduce fat intake to 30% of total energy and a fall in saturated fat intake to 10%.”
  • One of the earliest obesity experiments, published in the Lancet in 1956, compared groups consuming diets of 90% fat versus 90% protein versus 90% carbohydrate and revealed that the greatest weight loss was in the fat consuming group.
  • ...4 more annotations...
  • Malhotra also points to the United States, where percentage calorie consumption from fat has declined from 40% to 30% in the past 30 years (although absolute fat consumption has remained the same), yet obesity has rocketed. One reason, he says, is that the food industry “compensated by replacing saturated fat with added sugar.”
  • And despite the fact that in the UK, 8 million people take statins regularly, he asks why has there been no demonstrable effect on heart disease trends during this period? Adopting a Mediterranean diet after a heart attack is almost three times as powerful in reducing mortality as taking a statin, writes Malhotra. “Doctors need to embrace prevention as well as treatment.”
  • Commenting on the article, Professor David Haslam, Chair of Britain's National Obesity Forum said: "It's extremely naive of the public and the medical profession to imagine that a calorie of bread, a calorie of meat and a calorie of alcohol are all dealt in the same way by the amazingly complex systems of the body. The assumption has been made that increased fat in the bloodstream is caused by increased saturated fat in the diet, whereas modern scientific evidence is proving that refined carbohydrates and sugar in particular are actually the culprits."
  • Professor Robert Lustig, Paediatric Endocrinologist, University of San Francisco added: "Food should confer wellness, not illness. And real food does just that, including saturated fat. But when saturated fat got mixed up with the high sugar added to processed food in the second half of the 20th century, it got a bad name. Which is worse, the saturated fat or the added sugar? The American Heart Association has weighed in - the sugar many times over. Plus added sugar causes all of the diseases associated with metabolic syndrome. Instead of lowering serum cholesterol with statins, which is dubious at best, how about serving up some real food?”
  •  
    "Professor Robert Lustig, Paediatric Endocrinologist, University of San Francisco added: 'Food should confer wellness, not illness. And real food does just that, including saturated fat. But when saturated fat got mixed up with the high sugar added to processed food in the second half of the 20th century, it got a bad name. Which is worse, the saturated fat or the added sugar? The American Heart Association has weighed in - the sugar many times over. Plus added sugar causes all of the diseases associated with metabolic syndrome. Instead of lowering serum cholesterol with statins, which is dubious at best, how about serving up some real food?'"
anonymous

The Global Crisis of Legitimacy - 0 views

  • Political crises — as opposed to normal financial panics — emerge when the reckless appear to be the beneficiaries of the crisis they have caused, while the rest of society bears the burdens of their recklessness.
  • think of nations as consisting of three basic systems: political, economic and military. Each of these systems has elites that manage it. The three systems are constantly interacting — and in a healthy polity, balancing each other, compensating for failures in one as well as taking advantage of success. Every nation has a different configuration within and between these systems. The relative weight of each system differs, as does the importance of its elites. But each nation contains these systems, and no system exists without the other two.
    • anonymous
       
      This is a useful observation. It'd be interesting to contrast other nations' manifestation of each.
  • The corporation is built around the idea of limited liability for investors, the notion that if you buy part or all of a company, you yourself are not liable for its debts or the harm that it might do; your risk is limited to your investment.
  • ...17 more annotations...
  • It is also a political invention and not an economic one. The decision to create corporations that limit liability flows from political decisions implemented through the legal subsystem of politics.
  • In a more natural organization of the marketplace, the owners are entirely responsible for the debts and liabilities of the entity they own. That, of course, would create excessive risk, suppressing economic activity.
  • contrary to the idea that there is a tension between the political and economic systems, the modern economic system is unthinkable except for the eccentric but indispensible political-legal contrivance of the limited liability corporation.
    • anonymous
       
      Statements like these are a reason why the accusations about StratFor being a Neocon front don't stick very well. This passage could have been lifted from the most pinko-leftist propaganda. :)
  • this is why classical economists never spoke of “economics” but always of “political economy.”
    • anonymous
       
      This cuts to the myth of some idyllic "free market" in some earlier time. There may have been simpler economic creations, but there has not *been* a time when the political didn't mingle with the economic. Randians take note.
  • Emerging out of this complexity — and justifying it — is a moral regime. Protection from liability comes with a burden: Poor decisions will be penalized by losses, while wise decisions are rewarded by greater wealth.
  • Systemic risk emerges when it appears that the political and legal protections given to economic actors, and particularly to members of the economic elite, have been used to subvert the intent of the system.
  • the crisis occurs when it appears that the financial elite used the politico-legal structure to enrich themselves through systematically imprudent behavior while those engaged in prudent behavior were harmed, with the political elite apparently taking no action to protect the victims.
  • We now have a political, not an economic, crisis for two reasons. First, the crisis qualitatively has moved beyond the boundaries of a cyclical event. Second, the crisis is rooted in the political-legal definitions of the distribution of corporate risk and the legally defined relations between management and shareholder.
  • problem lies not with the market but with the political system that invented and presides over the limited liability corporation.
    • anonymous
       
      This is why the right-wing calls to stop persecuting the "wealth creators" are so hollow. On one level, they're right - those people aren't responsible. They're just gaming a system that's probably broken. This is why some kind of political alteration to corporations needs to occur.
  • The crisis was rooted in the appearance that it was triggered by the behavior not of small town banks or third world countries, but of the global financial elite
    • anonymous
       
      "Appearance" is an operative word, too. No matter the cause, there's a perception problem that must be addressed.
  • The political elite is responsible for the corporate elite in a unique fashion: The corporation was a political invention, so by definition, its behavior depends on the political system.
  • part of this analysis is designed to explain why the Obama administration must go after Goldman Sachs, Lehman Brothers and others.
  • The goal is not so much to achieve something as to create the impression that it is achieving something, in other words, to demonstrate that the political system is prepared to control the entities it created.
    • anonymous
       
      More of that "perception" stuff.
  • Europe thus has a double crisis. As in the United States, there is a crisis between the financial and political systems. This crisis is not as intense as in the United States because of a deeper tradition of integration between the two systems in Europe. But the tension between masses and elites is every bit as intense. The second part of the crisis is the crisis of the European Union and growing sense that the European Union is the problem and not the solution. As in the United States, there is a growing movement to distrust not only national arrangements but also multinational arrangements.
  • the important thing is to understand that both Europe and the United States are facing fundamental challenges to the legitimacy of, if not the regime, then at least the manner in which the regime has handled itself.
  • This is not simply a crisis within national elites, but within the multinational elite that created the European Union. If this leads to the de-legitimization of the EU, then we are really in uncharted territory.
  • The politically contrived corporation, and particularly the financial corporations, stands accused of undermining the wealth of nations. As Adam Smith understood, markets are not natural entities but the result of political decisions, as is the political system that creates the allocation of risk that allows markets to function.
    • anonymous
       
      Politics is everything, it seems.
  •  
    By George Friedman (StratFor) on May 4, 2010.
anonymous

Salt: More confirmation bias for your preferred narrative - 0 views

  • When it comes to health, it’s the hard outcomes we care about. We pay attention to measures like high blood pressure (hypertension) because of the relationship between hypertension and events like heart attacks and strokes. The higher the blood pressure, the greater the risk of these events. The relationship between the two is well established. So when it comes to preventive health, we want to lower blood pressure to reduce the risk of subsequent effects. Weight loss, diet, and exercise are usually prescribed (though often insufficient) to reduce blood pressure. For many, drug treatment is still required.
  • There is reasonable population-level data linking higher levels of salt consumption with higher blood pressure.
  • From a population perspective, interventions that dramatically lower salt intake result in lower blood pressure.
  • ...12 more annotations...
  • the causality between salt consumption, and all of these negative effects, is less clear.
  • So does reducing dietary salt reduce cardiovascular events? That’s the key question.
  • When it comes to clinical practice guidelines, low salt diets are the mainstays of pretty much every set of guidelines on the management of high blood pressure.
  • The evidence supporting the relationship with hard outcomes is robust, but not rock-solid. We don’t have causal data, but we do have considerable epidemiologic evidence to suggest that reducing dietary salt consumption is likely to offer net benefits in the management of hypertension.
  • The vast majority of the salt we eat (75%) is from processed foods. Restaurants are a large source, too.
  • Few foods in their original state are naturally high in salt, and in general, we don’t add that much at the table.
  • Seven studies made up this meta-analysis, including 6,489 patients in total. Three studies looked at those with normal blood pressure, two included patients with high blood pressure, and one was a mixed population, including patients with heart failure. The overall effect? Interventions had small effects on sodium consumption, which led to small effects on blood pressure. There was insufficient information to analyze the effects on cardiovascular disease endpoints.
  • The authors go on to make the following point, which was ignored in the media coverage: Our findings are consistent with the belief that salt reduction is beneficial in normotensive and hypertensive people. However, the methods of achieving salt reduction in the trials included in our review, and other systematic reviews, were relatively modest in their impact on sodium excretion and on blood pressure levels, generally required considerable efforts to implement and would not be expected to have major impacts on the burden of CVD.
  • The authors did not conclude that reducing salt consumption is ineffective.
  • Despite the modest and equivocal results, the authors seem to have lost the narrative on their own research findings: Professor Rod Taylor, the lead researcher of the review, is ‘completely dismayed’ at the headlines that distort the message of his research published today. Having spoken to BBC Scotland, and to CASH, he clarified that the review looked at studies where people were advised to reduce salt intake compared to those who were not and found no differences, this is not because reduced salt doesn’t have an effect but because it’s hard to reduce salt intake for a long time. He stated that people should continue to strive to reduce their salt intake to reduce their blood pressure, but that dietary advice alone is not enough, calling for further government and industry action.
  • The true finding from the Cochrane review is that dietary interventions to reduce salt intake are largely ineffective at reducing salt consumption.
  • Until the data are more clear, you can find the data to support whatever narrative you believe. If you want to demonize salt and ignore other factors that contribute to poor cardiovascular outcomes, you can do that. And if you believe that interventions to reduce salt consumption are misguided and unwarranted, and symptomatic of an overreaching nanny state, then you can find data to support that position, too.
  •  
    "Judging by the recent press reports, the latest Cochrane review reveals that everything we've been told about eating salt, and cardiovascular disease, is wrong."
1 - 10 of 10
Showing 20 items per page