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markfrankel18

Does This Ad Make Me Fat? - NYTimes.com - 0 views

  • A team of researchers walked every street in 228 census tracts around Los Angeles and New Orleans and recorded every outdoor ad they saw. Another group surveyed 2,881 residents of the same census tracts by telephone, paying them to report their height, weight and other information. After analyzing this hard-won data, the authors conclude: “For every 10 percent increase in food advertisements, the odds of being obese increased by 5 percent.” That is, areas with more outdoor food ads have a higher proportion of obese people than ones with fewer ads.
  • The problem is that their policy recommendations rest on a crucial but unjustified assumption: that any link between obesity and advertising occurs because more advertising causes higher rates of obesity. But the study at hand showed only an association: people living in areas with more food ads were more likely to be obese than people living in areas with fewer food ads. To be fair, the researchers correctly note that additional steps would be needed to prove that food ads cause obesity. But until those steps are taken, talk of restricting ads is premature. In fact, it is easy to imagine how the causation could run the opposite way (something the article did not mention): If food vendors believe obese people are more likely than non-obese people to buy their products, they will place more ads in areas where obese people already live. Suppose we counted ads for fitness-oriented products like bicycles and bottled water, and found more of those ads in places with less obesity. Would it then be wise anti-obesity policy to subsidize such ads? Or would the smarter conclusion be that the fitness companies suspect that the obese are less likely than the fit to buy their products?
  • When we seek to base policy on evidence, we must remember that not all “evidence” is created equal. Taken at face value, the study on ads and obesity provides some indication that the two are linked, but no evidence that food ads cause obesity. The fact that the causal conclusion may coincide with a moral belief — that it is wrong to tempt people who overeat by showing them ads for food — does not make it valid.
Javier E

Obesity: Another thing it's too late to prevent | The Economist - 0 views

  • It's not that it's impossible for governments to hold down obesity; France, which had rapidly rising childhood obesity early this century, instituted an aggressive set of public-health interventions including school-based food and exercise shifts, nurse assessments of overweight kids, visits to families where overweight kids were identified, and so forth. Their childhood obesity rates stabilised at a fraction of America's.
  • The problem isn't that it's not possible; rather, it's that America is incapable of doing it.
  • America's national governing ideology is based almost entirely on the assertion of negative rights, with a few exceptions for positive rights and public goods such as universal elementary education, national defence and highways. But it's become increasingly clear over the past decade that the country simply doesn't have the political vocabulary that would allow it to institute effective national programmes to improve eating and exercise habits or culture. A country that can't think of a vision of public life beyond freedom of individual choice, including the individual choice to watch TV and eat a Big Mac, is not going to be able to craft public policies that encourage people to exercise and eat right. We're the fattest country on earth because that's what our political philosophy leads to. We ought to incorporate that into the way we see ourselves; it's certainly the way other countries see us.
Javier E

Learning About Food Consumption from the French - NYTimes.com - 0 views

  • The Lancet, projecting that three-fourths of adults in the United States will be overweight or obese by 2020.
  • Colorado, the least fat state in 2011, would be the heaviest had they reported their current rate of obesity 20 years ago. That’s how much we’ve slipped.
  • Annual medical costs for an obese adult are as much as $6,500 more, on average, than for healthy-weight adults.
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  • A study of how the French appear to have curbed childhood obesity shows the issue is not complex. Junk food vending machines were banned in schools. The young were encouraged to exercise more. And school lunches were made healthier.
Javier E

The Startling Link Between Sugar and Alzheimer's - The Atlantic - 0 views

  • A longitudinal study, published Thursday in the journal Diabetologia, followed 5,189 people over 10 years and found that people with high blood sugar had a faster rate of cognitive decline than those with normal blood sugar
  • In other words, the higher the blood sugar, the faster the cognitive decline.
  • “Currently, dementia is not curable, which makes it very important to study risk factors.”
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  • People who have type 2 diabetes are about twice as likely to get Alzheimer’s, and people who have diabetes and are treated with insulin are also more likely to get Alzheimer’s, suggesting elevated insulin plays a role in Alzheimer’s. In fact, many studies have found that elevated insulin, or “hyperinsulinemia,” significantly increases your risk of Alzheimer’s. On the other hand, people with type 1 diabetes, who don’t make insulin at all, are also thought to have a higher risk of Alzheimer’s. How could these both be true?
  • Schilling posits this happens because of the insulin-degrading enzyme, a product of insulin that breaks down both insulin and amyloid proteins in the brain—the same proteins that clump up and lead to Alzheimer’s disease. People who don’t have enough insulin, like those whose bodies’ ability to produce insulin has been tapped out by diabetes, aren’t going to make enough of this enzyme to break up those brain clumps. Meanwhile, in people who use insulin to treat their diabetes and end up with a surplus of insulin, most of this enzyme gets used up breaking that insulin down, leaving not enough enzyme to address those amyloid brain clumps.
  • this can happen even in people who don’t have diabetes yet—who are in a state known as “prediabetes.” It simply means your blood sugar is higher than normal, and it’s something that affects roughly 86 million Americans.
  • In a 2012 study, Roberts broke nearly 1,000 people down into four groups based on how much of their diet came from carbohydrates. The group that ate the most carbs had an 80 percent higher chance of developing mild cognitive impairment—a pit stop on the way to dementia—than those who ate the smallest amount of carbs.
  • “It’s hard to be sure at this stage, what an ‘ideal’ diet would look like,” she said. “There’s a suggestion that a Mediterranean diet, for example, may be good for brain health.”
  • there are several theories out there to explain the connection between high blood sugar and dementia. Diabetes can also weaken the blood vessels, which increases the likelihood that you’ll have ministrokes in the brain, causing various forms of dementia. A high intake of simple sugars can make cells, including those in the brain, insulin resistant, which could cause the brain cells to die. Meanwhile, eating too much in general can cause obesity. The extra fat in obese people releases cytokines, or inflammatory proteins that can also contribute to cognitive deterioration, Roberts said. In one study by Gottesman, obesity doubled a person’s risk of having elevated amyloid proteins in their brains later in life.
  • even people who don’t have any kind of diabetes should watch their sugar intake, she said.
  • as these and other researchers point out, decisions we make about food are one risk factor we can control. And it’s starting to look like decisions we make while we’re still relatively young can affect our future cognitive health.
  • “Alzheimer’s is like a slow-burning fire that you don’t see when it starts,” Schilling said. It takes time for clumps to form and for cognition to begin to deteriorate. “By the time you see the signs, it’s way too late to put out the fire.”
ilanaprincilus06

The FDA Has Approved An Obesity Drug That Helped Some People Drop Weight By 15% : NPR - 0 views

  • Regulators on Friday said a new version of a popular diabetes medicine could be sold as a weight-loss drug in the U.S.
  • In company-funded studies, participants taking Wegovy had average weight loss of 15%, about 34 pounds (15.3 kilograms). Participants lost weight steadily for 16 months before plateauing.
  • "With existing drugs, you're going to get maybe 5% to 10% weight reduction, sometimes not even that,"
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  • In the U.S., more than 100 million adults — about 1 in 3 — are obese.
  • Dropping even 5% of one's weight can bring health benefits, such as improved energy, blood pressure, blood sugar and cholesterol levels, but that amount often doesn't satisfy patients who are focused on weight loss
  • The drug carries a potential risk for a type of thyroid tumor, so it shouldn't be taken by people with a personal or family history of certain thyroid and endocrine tumors. Wegovy also has a risk of depression and pancreas inflammation.
  • Like other weight-loss drugs, it's to be used along with exercise, a healthy diet and other steps like keeping a food diary.
  • Wegovy builds on a trend in which makers of relatively new diabetes drugs test them to treat other conditions common in diabetics.
sissij

How Social Isolation Is Killing Us - The New York Times - 0 views

  • About one-third of Americans older than 65 now live alone, and half of those over 85 do. People in poorer health — especially those with mood disorders like anxiety and depression — are more likely to feel lonely. Those without a college education are the least likely to have someone they can talk to about important personal matters.
  • Loneliness can accelerate cognitive decline in older adults, and isolated individuals are twice as likely to die prematurely as those with more robust social interactions. These effects start early: Socially isolated children have significantly poorer health 20 years later, even after controlling for other factors. All told, loneliness is as important a risk factor for early death as obesity and smoking.
  • The loneliness of older adults has different roots — often resulting from family members moving away and close friends passing away. As one senior put it, “Your world dies before you do.”
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  • “In America, you almost need an excuse for knocking on a neighbor’s door,” Dr. Tang told me. “We want to break down those barriers.”
  • “You don’t need a playmate every day,” Dr. Tang said. “But knowing you’re valued and a contributing member of society is incredibly reaffirming.” Advertisement Continue reading the main story
  • A great paradox of our hyper-connected digital age is that we seem to be drifting apart. Increasingly, however, research confirms our deepest intuition: Human connection lies at the heart of human well-being. It’s up to all of us — doctors, patients, neighborhoods and communities — to maintain bonds where they’re fading, and create ones where they haven’t existed.
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    We are always finding reasons to do something good for others. However, these barriers are just invented. We don't need reason to be kind and friendly. The digital age gives us access to more people, but it also limits attention and effort to form a friendship. Our brain is limited so there is attention blindness showing that we cannot handle too much information. What we should do is focus our attention on people in our community and actually make effort to form relationships and connections. Usually, people that's most realistic and close to us are not online. --Sissi (12/23/2016)
Javier E

Americans Are Finally Eating Less - The New York Times - 0 views

  • Outside of beverages, there are few clear trends. Experts who have examined the data say the reductions do not mean that Americans are flocking to farmer’s markets and abandoning fast food. Consumption of fruits and vegetables remains low; consumption of desserts remains high. Instead, people appear to be eating a little less of everything. Although consumption in nearly every category has been “cut some,” said Mr. Popkin, “the food part of our diet is horrendous and remains horrendous.”
  • The calorie reductions are seen across nearly every demographic group, but not equally. White families have reduced their calorie consumption more than black and Hispanic families. Most starkly, families with children have cut back more than households with adults living alone, further evidence, experts say, that the public health emphasis on childhood obesity is driving the changes.
  • Perhaps the biggest caveat to the trend is that it does not appear to extend to the very heaviest Americans. Among the most overweight people, weight and waist circumference have all continued rising in recent years.
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  • The recent calorie reductions appear to be good news, but they, alone, will not be enough to reverse the obesity epidemic. A paper by Kevin Hall, a researcher at the National Institutes of Health, estimated that for Americans to return to the body weights of 1978 by 2020, an average adult would need to reduce calorie consumption by 220 calories a day. The recent reductions represent just a fraction of that change.
Javier E

The Government's Bad Diet Advice - NYTimes.com - 0 views

  • How did experts get it so wrong?
  • the primary problem is that nutrition policy has long relied on a very weak kind of science: epidemiological, or “observational,” studies in which researchers follow large groups of people over many years. But even the most rigorous epidemiological studies suffer from a fundamental limitation. At best they can show only association, not causation.
  • Instead of accepting that this evidence was inadequate to give sound advice, strong-willed scientists overstated the significance of their studies.
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  • Much of the epidemiological data underpinning the government’s dietary advice comes from studies run by Harvard’s school of public health. In 2011, directors of the National Institute of Statistical Sciences analyzed many of Harvard’s most important findings and found that they could not be reproduced in clinical trials.
  • In 2013, government advice to reduce salt intake (which remains in the current report) was contradicted by an authoritative Institute of Medicine study. And several recent meta-analyses have cast serious doubt on whether saturated fats are linked to heart disease, as the dietary guidelines continue to assert.
  • In clearing our plates of meat, eggs and cheese (fat and protein), we ate more grains, pasta and starchy vegetables (carbohydrates). Over the past 50 years, we cut fat intake by 25 percent and increased carbohydrates by more than 30 percent, according to a new analysis of government data. Yet recent science has increasingly shown that a high-carb diet rich in sugar and refined grains increases the risk of obesity, diabetes and heart disease — much more so than a diet high in fat and cholesterol.
  • Today, we are poised to make the same mistakes. The committee’s new report also advised eliminating “lean meat” from the list of recommended healthy foods, as well as cutting back on red and processed meats. Fewer protein choices will likely encourage Americans to eat even more carbs. It will also have policy implications: Meat could be limited in school lunches and other federal food programs.
  • It’s possible that a mostly meatless diet could be healthy for all Americans — but then again, it might not be. We simply do not know. There are no rigorous clinical trials on such a diet, and although epidemiological data exists for adult vegetarians, there is none for children.
  • We have to start looking more skeptically at epidemiological studies and rethinking nutrition policy from the ground up.
  • Until then, we would be wise to return to what worked better for previous generations: a diet that included fewer grains, less sugar and more animal foods like meat, full-fat dairy and eggs
Javier E

Vitamins Hide the Low Quality of Our Food - NYTimes.com - 0 views

  • we fail to notice that food marketers use synthetic vitamins to sell unhealthful products. Not only have we become dependent on these synthetic vitamins to keep ourselves safe from deficiencies, but the eating habits they encourage are having disastrous consequences on our health.
  • vitamins spread from the labs of scientists to the offices of food marketers, and began to take on a life of their own.
  • Nutritionists are correct when they tell us that most of us don’t need to be taking multivitamins. But that’s only because multiple vitamins have already been added to our food.
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  • Given the poor quality of the typical American diet, this fortification is far from superfluous. In fact, for products like milk and flour, where fortification and enrichment have occurred for so long that they’ve become invisible, it would be almost irresponsible not to add synthetic vitamins.
  • synthetic vitamins are as essential to food companies as they are to us. To be successful in today’s market, food manufacturers must create products that can be easily transported over long distances and stored for extended periods.
  • They also need to be sure that their products offer some nutritional value so that customers don’t have to go elsewhere to meet their vitamin needs. But the very processing that’s necessary to create long shelf lives destroys vitamins, among other important nutrients. It’s nearly impossible to create foods that can sit for months in a supermarket that are also naturally vitamin-rich.
  • Today, it would be easy to blame food marketers for using vitamins to deceive us into buying their products. But our blindness is largely our own fault.
  • we’ve entered into a complicit agreement with them: They depend on us to buy their products, and we depend on the synthetic vitamins they add to those products to support eating habits that might otherwise leave us deficient
  • extra vitamins do not protect us from the long-term “diseases of civilization” that are currently ravaging our country, including obesity, heart disease and Type 2 diabetes — many of which are strongly associated with diet.
  • natural foods contain potentially protective substances such as phytochemicals and polyunsaturated fat that also are affected by processing, but that are not usually replaced. If these turn out to be as important as many researchers suspect, then our exclusive focus on vitamins could mean we’re protecting ourselves against the wrong dangers. It’s as if we’re taking out earthquake insurance policies in an area more at risk for floods.
  • And adding back vitamins after the fact ignores the issue of synergy: how nutrients work naturally as opposed to when they are isolated. A 2011 study on broccoli, for example, found that giving subjects fresh broccoli florets led them to absorb and metabolize seven times more of the anticancer compounds known as glucosinolates, present in broccoli and other cruciferous vegetables
  • And yet we refuse to change our eating habits in the ways that would actually protect us, which would require refocusing our diets on minimally processed foods that are naturally nutrient-rich.
  • The popularity of dietary supplements and vitamin-enhanced processed “health” foods means that even those of us who try to do right by our health are often getting it wrong.
  • we mustn’t let it distract us from an even more fundamental question: how we’ve allowed the word “vitamin” to become synonymous with “health.”
Javier E

What Cookies and Meth Have in Common - The New York Times - 0 views

  • Why would anyone continue to use recreational drugs despite the medical consequences and social condemnation? What makes someone eat more and more in the face of poor health?
  • modern humans have designed the perfect environment to create both of these addictions.
  • Drug exposure also contributes to a loss of self-control. Dr. Volkow found that low D2 was linked with lower activity in the prefrontal cortex, which would impair one’s ability to think critically and exercise restraint
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  • Now we have a body of research that makes the connection between stress and addiction definitive. More surprising, it shows that we can change the path to addiction by changing our environment.
  • Neuroscientists have found that food and recreational drugs have a common target in the “reward circuit” of the brain, and that the brains of humans and other animals who are stressed undergo biological changes that can make them more susceptible to addiction.
  • In a 2010 study, Diana Martinez and colleagues at Columbia scanned the brains of a group of healthy controls and found that lower social status and a lower degree of perceived social support — both presumed to be proxies for stress — were correlated with fewer dopamine receptors, called D2s, in the brain’s reward circuit
  • The reward circuit evolved to help us survive by driving us to locate food or sex in our environment
  • Today, the more D2 receptors you have, the higher your natural level of stimulation and pleasure — and the less likely you are to seek out recreational drugs or comfort food to compensate
  • people addicted to cocaine, heroin, alcohol and methamphetamines experience a significant reduction in their D2 receptor levels that persists long after drug use has stopped. These people are far less sensitive to rewards, are less motivated and may find the world dull, once again making them prone to seek a chemical means to enhance their everyday life.
  • the myth has persisted that addiction is either a moral failure or a hard-wired behavior — that addicts are either completely in command or literally out of their minds
  • The processed food industry has transformed our food into a quasi-drug, while the drug industry has synthesized ever more powerful drugs that have been diverted for recreational use.
  • At this point you may be wondering: What controls the reward circuit in the first place? Some of it is genetic. We know that certain gene variations elevate the risk of addiction to various drugs. But studies of monkeys suggest that our environment can trump genetics and rewire the brain.
  • simply by changing the environment, you can increase or decrease the likelihood of an animal becoming a drug addict.
  • The same appears true for humans. Even people who are not hard-wired for addiction can be made dependent on drugs if they are stressed
  • Is it any wonder, then, that the economically frightening situation that so many Americans experience could make them into addicts? You will literally have a different brain depending on your ZIP code, social circumstances and stress level.
  • In 1990, no state in our country had an adult obesity rate above 15 percent; by 2015, 44 states had obesity rates of 25 percent or higher. What changed?
  • What happened is that cheap, calorie-dense foods that are highly rewarding to your brain are now ubiquitous.
  • Nothing in our evolution has prepared us for the double whammy of caloric modern food and potent recreational drugs. Their power to activate our reward circuit, rewire our brain and nudge us in the direction of compulsive consumption is unprecedented.
  • Food, like drugs, stimulates the brain’s reward circuit. Chronic exposure to high-fat and sugary foods is similarly linked with lower D2 levels, and people with lower D2 levels are also more likely to crave such foods. It’s a vicious cycle in which more exposure begets more craving.
  • Fortunately, our brains are remarkably plastic and sensitive to experience. Although it’s far easier said than done, just limiting exposure to high-calorie foods and recreational drugs would naturally reset our brains to find pleasure in healthier foods and life without drugs.
blythewallick

School Start Times and Teens' Sleep Needs | Psychology Today - 0 views

  • In 2014, the American Academy of Pediatrics recommended that middle and high school start no earlier than 8:30 a.m. And just this week, California was the first state to pass into law school start times of no earlier than 8 a.m. for middle schools and 8:30 a.m.
  • The research is clear that sleep is critical for healthy functioning and development at all points across the lifespan. Sleep disturbances have been linked to a host of outcomes including more difficulty concentrating and learning new material, lower academic performance, higher rates of obesity, increased inflammation, higher mortality, and compromised psychological health.
  • As a result of the mismatch between biological changes and earlier school start times, teenagers are often unable to sleep the recommended 8-10 hours per night that is recommended for this age. In fact, national studies show that teenagers are one of the most sleep-deprived groups in the country with only 15 percent getting the recommended hours of sleep.
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  • We know that adolescents undergo significant biological changes that impact their circadian rhythm—as a result, their biological clocks shift so that their bodies naturally want to go to sleep later. However, in many communities, these biological shifts are at odds with school schedules which often have younger, elementary school age youth beginning school later, and older, high-school teens beginning school earlier.
  • researchers found that students slept an average of 34 minutes more after the start time delay. Moreover, the increase in sleep duration was explained by students waking up later (that is, students were still going to bed around the same time). In addition, delaying school start times was also associated with higher grades, lower levels of daytime sleepiness, and fewer first-period tardies and absences. 
  • With California schools leading the way in implementing a delay at the state level, in the next three years, it is my hope that we will have more information and data about all the ways in which school start times impact all levels of a school system (e.g., bus drivers, teachers, students, parents, families, administrators) and for all students.  
Javier E

Andrew Sullivan: Nature, Nurture, and Weight Loss - 0 views

  • In his brilliant encyclopedia of “critical studies,” James Lindsay explains the core argument: “Like disability studies, fat studies draws on the work of Michel Foucault and queer theory to argue that negative attitudes to obesity are socially constructed and the result of systemic power that marginalizes and oppresses fat people (and fat perspectives) and of unjust medicalized narratives in order to justify prejudice against obese people.
  • Fatness — like race or gender — is not grounded in physical or biological reality. It is a function of systemic power. The task of fat studies is to “interrogate” this oppressive power and then dismantle it.
  • take the polar opposite position: Fatness is an unhealthy lifestyle that can be stopped by people just eating less and better. We haven’t always been this fat, and we should take responsibility for it, and the physical and psychological damage it brings. Some level of stigma is thereby inevitable, and arguably useful. Humans are not healthy when they are badly overweight; and the explosion in obesity in America has become a serious public-health issue.
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  • “When did it become taboo in this country to talk about getting healthy?” my friend Bill Maher asked in a recent monologue. “Fat shaming doesn’t need to end; it needs to make a comeback. Some amount of shame is good. We shamed people out of smoking and into wearing seat belts. We shamed them out of littering and most of them out of racism.”
  • On one side are helpless victims, who react to any debate with cries of oppression, and take no responsibility for their own physical destiny; on the other are brutal realists, with a callous touch, often refusing to see the genetic, social, and psychological complexity of fatness, or that serious health issues are not universal among heavier types
  • This is our reality. We are neither angels nor beasts, but we partake of both. We can rarely make the ugly beautiful, and if we do, it’s a moral achievement. However much we try, we will never correct the core natural inequalities and differences of our mammalian existence. But we can hazard a moral middle, seeing beauty in many ways, acknowledging the humanity of all shapes and sizes, while managing our health and weight in ways that are not totally subject to the gaze of others.
  • is to grapple with complexity in a way that can be rigorously empirical and yet also humane.
  • We are all driven by instinctive attraction, but men are particularly subject to fixed and crude notions of hotness. Beauty will thereby always be the source of extraordinary and extraordinarily unfair advantage, even if it captures only a tiny slice of what being human is about.
  • the two stances reflect our two ideological poles — not so much left and right anymore as nurture and nature. One pole argues nature doesn’t independently exist and everything is social; and one blithely asserts that nature determines everything. Both are ruinous attempts to bludgeon uncomfortable reality into satisfying ideology.
  • What we needed, in some ways, for our collective mental health, was a catalyst for greater physical socialization, more human contact, and more meaningful community. What we’re getting, I fear, is the opposite
sissij

The Economics of Obesity: Why Are Poor People Fat? - 0 views

  • This is what poverty looked like in the Great Depression…
  • This is what poverty looks like today…
  • For most of recorded history, fat was revered as a sign of health and prosperity. Plumpness was a status symbol. It showed that you did not have to engage in manual labor for your sustenance. And it meant that you could afford plentiful quantities of food.
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  • The constant struggle to hunt and harvest ensured that we stayed active. And for those with little money, the supply of calories was meager. This ensured that most of the working class stayed slim.
  • Rich people were fat. Poor people were thin.
  • What he found is that he could buy well over 1,000 calories of cookies or potato chips. But his dollar would only buy 250 calories of carrots. He could buy almost 900 calories of soda… but only 170 calories of orange juice.
  • The primary reason that lower-income people are more overweight is because the unhealthiest and most fattening foods are the cheapest.
  • Within the current system, the best we can hope for is a situation where public funds are diverted from the corporate Agri-Giants (which is nothing more than welfare for the wealthy) to family farms and fruit and vegetable growers. Currently, almost 70% of farmers receive no subsidies at all, while the biggest and strongest take the bulk of public funds.
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    This article shows a very interesting stereotyping that rich people ought to be fat and poor people ought to be thin. It reminded me of I video I have just seen, in which a poor but fat woman is trying to explain why now people in poverty is more likely to be fat. She shows us some comments from people when they hear that she is very poor. The vehement reaction and bad language they used showed that this stereotyping is very deep in our society. However, time is very different now. Food is not as expensive as we think, what is expensive is actually healthy food, that's why poor people tends to be fat. My grandpa once told me that when he was young, he was confused why poor people in Honking movie are eating chicken legs. This is the result of the transformation of society.--Sissi (2/8/2017)
Javier E

Don't Ask Your Doctor About 'Low T' - NYTimes.com - 0 views

  • A FUNNY thing has happened in the United States over the last few decades. Men’s average testosterone levels have been dropping by at least 1 percent a year
  • Testosterone appears to decline naturally with aging, but internal belly fat depresses the hormone further, especially in obese men. Drugs like steroids and opiates also lower testosterone, and it’s suspected that chemicals like bisphenol A (or BPA, commonly found in plastic food containers) and diseases like Type 2 diabetes play a role as well.
  • Clinical testosterone deficiency, which is variously defined as lower than 220 to 350 nanograms of testosterone per deciliter of blood serum, can cause men to lose sex drive and fertility. Their bone density often declines, and they may feel tired and experience hot flashes and sweats.
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  • prescription testosterone doesn’t just give your T level a boost: it may also increase your risk of heart attack. It can add huge numbers of red blood cells to your bloodstream and shrink your testes. In some men, it increases aggression and irritability.
  • In addition to the cardiac risks, prescription T can mean a permanent shut-off in men’s own, albeit diminished, testosterone production. In other words, once you start, you may well be hooked for life.
  • Used clinically since 1937 and approved by the F.D.A. since 1953, testosterone is now administered in at least five forms, including patches, gels and injections
  • a large study published in the journal PLoS ONE found that, within three months, taking the hormone doubled the rate of heart attacks in men 65 and older, as well as in younger men who had heart disease. The Food and Drug Administration has begun an investigation.
  • men should address the leading cause of the problem. Losing weight is a tried and true way to naturally boost testosterone levels. According to findings presented at the annual meeting of the Endocrine Society in 2012, obese men who lost an average of 17 pounds saw their testosterone levels increase by 15 percent. In general, a man’s waist should be half his height.
  • At the end of the day, eating more of the right foods and fewer junk foods improves mood and energy — which may be the only fix many men need.
Javier E

Pepperoni Turns Partisan - NYTimes.com - 0 views

  • If you want to know what a political party really stands for, follow the money
  • Major donors, however, generally have a very good idea of what they are buying, so tracking their spending tells you a lot.
  • what do contributions in the last election cycle say? The Democrats are, not too surprisingly, the party of Big Labor (or what’s left of it) and Big Law: unions and lawyers are the most pro-Democratic major interest groups.
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  • Republicans are the party of Big Energy and Big Food: they dominate contributions from extractive industries and agribusiness. And they are, in particular, the party of Big Pizza.
  • pizza partisanship tells you a lot about what is happening to American politics as a whole.
  • Why should pizza, of all things, be a divisive issue
  • The immediate answer is that it has been caught up in the nutrition wars
  • the pizza sector has chosen instead to take a stand for the right to add extra cheese.
  • The rhetoric of this fight is familiar. The pizza lobby portrays itself as the defender of personal choice and personal responsibility. It’s up to the consumer, so the argument goes, to decide what he or she wants to eat, and we don’t need a nanny state telling us what to do.
  • it doesn’t hold up too well once you look at what’s actually at stake in the pizza disputes.
  • Nobody is proposing a ban on pizza, or indeed any limitation on what informed adults should be allowed to eat. Instead, the fights involve things like labeling requirements — giving consumers the information to make informed choices — and the nutritional content of school lunches, that is, food decisions that aren’t made by responsible adults but are instead made on behalf of children.
  • Nutrition, where increased choice can be a bad thing, because it all too often leads to bad choices despite the best of intentions, is one of those areas — like smoking — where there’s a lot to be said for a nanny state.
  • diet isn’t purely a personal choice, either; obesity imposes large costs on the economy as a whole.
  • But you shouldn’t expect such arguments to gain much traction
  • For one thing, free-market fundamentalists don’t want to hear about qualifications to their doctrine
  • Also, with big corporations involved, the Upton Sinclair principle applies: It’s difficult to get a man to understand something when his salary depends on his not understanding it
  • nutritional partisanship taps into deeper cultural issues.
  • At one level, there is a clear correlation between lifestyles and partisan orientation: heavier states tend to vote Republican, and the G.O.P. lean is especially pronounced in what the Centers for Disease Control and Prevention call the “diabetes belt” of counties, mostly in the South, that suffer most from that particular health problem
  • At a still deeper level, health experts may say that we need to change how we eat, pointing to scientific evidence, but the Republican base doesn’t much like experts, science, or evidence. Debates about nutrition policy bring out a kind of venomous anger — much of it now directed at Michelle Obama, who has been championing school lunch reforms — that is all too familiar if you’ve been following the debate over climate change.
  • It is, instead, a case study in the toxic mix of big money, blind ideology, and popular prejudices that is making America ever less governable.
Javier E

Narcissism Is Increasing. So You're Not So Special. - The New York Times - 1 views

  • A 2010 study in the journal Social Psychological and Personality Science found that the percentage of college students exhibiting narcissistic personality traits, based on their scores on the Narcissistic Personality Inventory, a widely used diagnostic test, has increased by more than half since the early 1980s, to 30 percent. In their book “Narcissism Epidemic,” the psychology professors Jean M. Twenge and W. Keith Campbell show that narcissism has increased as quickly as obesity has since the 1980s. Even our egos are getting fat.
  • This is a costly problem. While full-blown narcissists often report high levels of personal satisfaction, they create havoc and misery around them. There is overwhelming evidence linking narcissism with lower honesty and raised aggression.
  • narcissism isn’t an either-or characteristic. It’s more of a set of progressive symptoms (like alcoholism) than an identifiable state (like diabetes). Millions of Americans exhibit symptoms, but still have a conscience and a hunger for moral improvement. At the very least, they really don’t want to be terrible people.
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  • Rousseau wrote about “amour-propre,” a kind of self-love based on the opinions of others. He considered it unnatural and unhealthy, and believed that arbitrary social comparison led to people wasting their lives trying to look and sound attractive to others.
  • Narcissus falls in love not with himself, but with his reflection. In the modern version, Narcissus would fall in love with his own Instagram feed, and starve himself to death while compulsively counting his followers.
  • If our egos are obese with amour-propre, social media can indeed serve up the empty emotional carbs we crave. Instagram and the like doesn’t create a narcissist, but studies suggest it acts as an accelerant — a near ideal platform to facilitate what psychologists call “grandiose exhibitionism.”
  • No doubt you have seen this in others, and maybe even a little of it in yourself as you posted a flattering selfie — and then checked back 20 times for “likes.”
  • A healthy self-love that leads to true happiness is what Rousseau called “amour de soi.” It builds up one’s intrinsic well-being, as opposed to feeding shallow cravings to be admired.
  • First, take the Narcissistic Personality Inventory test.
  • Here is an individual self-improvement strategy that combines a healthy self-love (for Valentine’s Day) with a small sacrifice (possibly for Lent).
  • Cultivating amour de soi requires being fully alive at this moment, as opposed to being virtually alive while wondering what others think. The soulful connection with another person, the enjoyment of a beautiful hike alone (not shared on Facebook) or a prayer of thanks over your sleeping child (absent a #blessed tweet) could be considered expressions of amour de soi.
  • Second, get rid of the emotional junk food that is feeding any unhealthy self-obsession. Make a list of opinions to disregard — especially those of flatterers and critics — and review the list each day. Resolve not to waste a moment trying to impress others,
  • Third, go on a social media fast. Post to communicate, praise and learn — never to self-promote.
  • As for clinically significant narcissism—along with greed, invidious prejudice, and habitual lying—it is simply another one of our anti-social behaviors that mutated from our basic genetic drives…in this case the drive to survive. The opposite of narcissism is empathy, a brain-wiring that evolved much later and in parallel with our increased reliance on social interaction as a means to improve the chances of sending our genes down the line (the drive to reproduce). There is thus a certain irony in the fact that the misnamed “social” media are encouraging a decline in empathy. Your thoughts?
  • Sure you're not confusing narcissism with vanity? If you've ever had the misfortune of having someone with narcissistic personality disorder in your life, you would know it's about more than selfies and seeking constant approval. They are truly sick individuals that destroy the lives of those they claim to love.I would say people's addictions to social media "likes" and posting selfies is vanity
  • Perhaps we need to distinguish between Narcissistic Personality Disorder (NPD) and the adjective "narcissistic." We all know lots of people with way too much self-regard. NPD on the other hand ruins lives and certainly families. People who have NPD are way beyond self centered. They see the world as black and white and all people they interact with become reflections. People with NPD go to extreme lengths to control those around them and will lie, cheat and steal to do that. They are never wrong the other person is always wrong. I have worked for Narcissists and lived with one. Let's not throw around this term without defining it, please.
katherineharron

Move over, 'sit still'! Why kids need to move in school - CNN - 0 views

  • A few years ago, when my girls were in the second and third grades, they raved about the dance breaks they would occasionally have during the school day.
  • My kids' teachers were certainly not alone. More teachers are incorporating some form of movement into the school day, especially as the research is pretty clear: Physical activity in school leads to better cognitive performance and fewer behavioral issues, not to mention cutting down on stress and anxiety.
  • It all seems like a no-brainer, especially as research shows that childhood obesity seems to be getting worse. As former first lady Michelle Obama advocated, let's get our kids to move.The challenge, though, is persuading school administrations to consistently make time for physical activity when they are pressed to meet stringent academic requirements and find the money to pay for some of the training.
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  • "When you exercise, you turn on the attention systems, so that means you're (paying) better attention, you're able to deal with more frustration, you're able to stay with it longer," he said. "You're able to manipulate information by turning ... on the front part of our brain to make it work better, and that's really key and important in terms of taking in information as well as performing with it."
proudsa

Why Future MDs Need More ZZZs | Arianna Yanes - 0 views

  • In an environment where it is expected -- and sometimes even seems trendy -- to not get enough sleep, it has been hard to remain steadfast with my habits.
  • The National Heart, Lung, and Blood Institute recommends 7-8 hours of sleep per night for adults, with some variation from person to person. Insufficient sleep is associated with numerous chronic conditions including diabetes, cardiovascular disease, obesity, and depression.
  • getting sufficient sleep is not a luxury -- it is a necessity -- and should be thought of as a 'vital sign' of good health."
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  • Sleep deprivation has consequences for cognitive function, namely for attention and memory, two of the most crucial functions for any medical student.
  • If drinking alcohol before an exam is ludicrous, shouldn't an all-nighter be too?
  • The Institute of Medicine estimates that 50 to 70 million U.S. adults have a sleep or wakefulness disorder
  • If we do not find ways to make time for sleep now, we will face greater difficulty in finding balance when the hours become more demanding in our clinical years, in residency, and beyond.
  • "our ability to address and solve the problems we're facing as individuals and as a society.
  • "If sleep does not serve an absolutely vital function, then it is the biggest mistake the evolutionary process ever made."
sissij

Depression is as bad for your heart as high cholesterol | Fox News - 0 views

  • When you think of heart attacks, you might assume the most common causes are smoking, high cholesterol, or obesity. Mental health issues probably don't spring to mind.
  • Depression—which for this study, was determined by a checklist of mood symptoms, including anxiety and fatigue
  • “depressed mood and exhaustion holds a solid middle position within the concert of major cardiovascular risk factors.”
  •  
    I think it is really interesting that even mental health issues has a positive relationship with cardiovascular disease. Our mind can affect how our body works. As we learn in the sense and perception unit, we know that brain will give us a shot of certain chemical that makes us feel good when we make certain decision. I think how we feel can reflect how our body feels. We all know that we feel pain because it is a warning that the injured part of our body send to our brain. So I think probably the feeling of depressed can be a warning sent by some part of our body. The scientific method mentioned in this article is a population research which is a typical biology scientific method. --Sissi (1/29/2017)
Javier E

Do Your Friends Actually Like You? - The New York Times - 1 views

  • Recent research indicates that only about half of perceived friendships are mutual. That is, someone you think is your friend might not be so keen on you. Or, vice versa, as when someone you feel you hardly know claims you as a bestie.
  • “The notion of doing nothing but spending time in each other’s company has, in a way, become a lost art,” replaced by volleys of texts and tweets, Mr. Sharp said. “People are so eager to maximize efficiency of relationships that they have lost touch with what it is to be a friend.”
  • It’s a concern because the authenticity of one’s relationships has an enormous impact on one’s health and well-being.
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  • The study analyzed friendship ties among 84 subjects (ages 23 to 38) in a business management class by asking them to rank one another on a five-point continuum of closeness from “I don’t know this person” to “One of my best friends.” The feelings were mutual 53 percent of the time while the expectation of reciprocity was pegged at 94 percent. This is consistent with data from several other friendship studies conducted over the past decade, encompassing more than 92,000 subjects, in which the reciprocity rates ranged from 34 percent to 53 percent.
  • “Friendship is difficult to describe,” said Alexander Nehamas, a professor of philosophy at Princeton, who in his latest book, “On Friendship,” spends almost 300 pages trying to do just that. “It’s easier to say what friendship is not and, foremost, it is not instrumental.”
  • It is not a means to obtain higher status, wangle an invitation to someone’s vacation home or simply escape your own boredom. Rather, Mr. Nehamas said, friendship is more like beauty or art, which kindles something deep within us and is “appreciated for its own sake.
  • “Treating friends like investments or commodities is anathema to the whole idea of friendship,” said Ronald Sharp, a professor of English at Vassar College, who teaches a course on the literature of friendship. “It’s not about what someone can do for you, it’s who and what the two of you become in each other’s presence.”
  • Some blame human beings’ basic optimism, if not egocentrism, for the disconnect between perceived and actual friendships. Others point to a misunderstanding of the very notion of friendship in an age when “friend” is used as a verb, and social inclusion and exclusion are as easy as a swipe or a tap on a smartphone screen.
  • By his definition, friends are people you take the time to understand and allow to understand you.
  • Because time is limited, so, too, is the number of friends you can have, according to the work of the British evolutionary psychologist Robin I.M. Dunbar. He describes layers of friendship, where the topmost layer consists of only one or two people, say a spouse and best friend with whom you are most intimate and interact daily. The next layer can accommodate at most four people for whom you have great affinity, affection and concern and who require weekly attention to maintain. Out from there, the tiers contain more casual friends with whom you invest less time and tend to have a less profound and more tenuous connection. Without consistent contact, they easily fall into the realm of acquaintance. You may be friendly with them but they aren’t friends.
  • “There is a limited amount of time and emotional capital we can distribute, so we only have five slots for the most intense type of relationship,” Mr. Dunbar said. “People may say they have more than five but you can be pretty sure they are not high-quality friendships.
  • Such boasting implies they have soul mates to spare in a culture where we are taught that leaning on someone is a sign of weakness and power is not letting others affect you. But friendship requires the vulnerability of caring as well as revealing things about yourself that don’t match the polished image in your Facebook profile or Instagram feed, said Mr. Nehamas at Princeton. Trusting that your bond will continue, and might even be strengthened, despite your shortcomings and inevitable misfortunes, he said, is a risk many aren’t willing to take.
  • According to medical experts, playing it safe by engaging in shallow, unfulfilling or nonreciprocal relationships has physical repercussions. Not only do the resulting feelings of loneliness and isolation increase the risk of death as much as smoking, alcoholism and obesity; you may also lose tone, or function, in the so-called smart vagus nerve, which brain researchers think allows us to be in intimate, supportive and reciprocal relationships in the first place.
  • In the presence of a true friend, Dr. Banks said, the smart or modulating aspect of the vagus nerve is what makes us feel at ease rather than on guard as when we are with a stranger or someone judgmental. It’s what enables us to feel O.K. about exposing the soft underbelly of our psyche and helps us stay engaged and present in times of conflict. Lacking authentic friendships, the smart vagus nerve is not exercised. It loses tone and one’s anxiety remains high, making abiding, deep connections difficult.
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