Obesity.... (1)

You know the other thread on fat triathletes got me thinking, what would it take to increase survivorships and decrease the incidence of diseases like HTN or Type II DM. Of course the simple answer is “diet and exercize”, I mean, how often have we heard that, it should be a subconcious mantra in every Americans head, but for some reason it is not…why is that?

http://baltimorechronicle.com/021705Mathilde.html

According to this article, it is multifactorial and deep rooted in our societal behavioiurs. I happen to agree
The American culture of obesity is not just a societal trend. It also has strong cultural and economic roots. Foreign observers to the US are surprised that it seems socially permitted to eat anything, anytime, anywhere here: at work, in the classroom, in the mall, in the car. They are amazed to see US restaurants open almost all day long.

In Europe, in contrast, lunch is served only between 11:30 a.m. and 2:00 p.m., and dinner, between 7:00 and 9:00 p.m. Mealtimes in Europe are priority periods for conviviality and sharing a special social activity. Here, it is striking to see how eating is so often reduced to the satisfaction of a basic need, fulfilled as soon as one feels a need for it, an activity totally disconnected from other purposes than feeding.

The American way of life in fact encourages this practice. The main focus in US society is on work. Other activities, such as eating, are often viewed as a “waste of time," and not considered a social activity. Lunch breaks are quick, and food preparation is viewed as an annoyance. Perhaps that is why what cooking is done in the US is treated like a “sophisticated” middle class activity, while in most European countries it is viewed as a simple and enjoyable activity by all people.

The economic interests that drive US cultural practices are rarely explained in the media, which makes solving the obesity problem especially difficult. US government officials have become aware of the huge health costs related to diabetes and hypertension, first on individuals, then on the society as a whole, through lost work productivity and through the costs associated with expanding healthcare facilities to serve the increasing number of people with diet-related medical problems. Some government agencies are lobbying against the “Mc Do culture," and encouraging people to exercise. Such efforts are muted, however, because nutrition advice in the US is still the responsibility of the Department of Agriculture, whose primary goal is to serve and oversee the needs of the nation’s agriculture industries. In most European countries, nutrition-related programs are the purview of health departments.

Then there is the problem of providers, my peers, and even among them, many are ill equipped to fully tackle the problem…this is a good article here.

http://www.sciencedirect.com/science...374350441c6a0c

Just as a refresher, here’s a map detailing obesity trends throughout the US…

http://www.cdc.gov/nccdphp/dnpa/obesity/trend/maps/

A breakdown of the economic consequences of increased obesity.

http://www.cdc.gov/nccdphp/dnpa/obes...nsequences.htm

And for the lawyer folks, Here is an interesting discussion about the need for new legislation regarding food service and marketing et al.

http://jama.ama-assn.org/cgi/content/full/297/18/1982

This is a terribly complex problem, and is only a symptom of the decay of American society where people thing nothing is possibly their fault, and that someone should be able to “fix” anything immediately. SO what CAN we the cycling community do…

Well, A LOT. Go to your local schools and talk with kids about the fun and joy associated with your sport…those who race can talk about the excitement and drama. We need to reach kids at the grassroots level and talk to them about maintaining a strong and active lifestyle throughout their lives. YMMV…Thoughts?http://forums.roadbikereview.com/images/smilies/frown.gif

Fantastic post.

What can we do?

  1. lead by example
  2. teach the young about food
  3. teach the old (meaning not young) that they are lying to themselves about food and excercise
  4. mentor someone. If each of us mentor 2 people, and they mentor 2 people, and so on… it will lead to a better, more active and fit world.

I started Tris because I was morbidly obsese. I figured it out, broke out of the “matrix” if you will, and started a healthly lifestyle. Most people will simply not have that convergence of life-events and self-motivation and financial means to make that happen.

So help them. If you see the glimmer, the spark, the ember… nuture it. Examples…

  1. I sold my bike to a starting triathlete for about 1/2 what I could get it on ebay. It was all they could afford, and I don’t really need the excess, i’ll be fine
  2. volunteer at a race. STAY TO THE VERY END. Encourage the EOPers (end of Packers) and BOPers.
  3. join a running club/triclub/cycling club. And lead a no-drop ride. Like 9mph on road bikes no drop. Heck, use it as a recovery ride for you and a wonderful experience for them. Teach them not to shift like a tard. all that :smiley:
  4. Reimburse your employees for health club memberships, if they use them
  5. organize group ride/run/walk/swim at work
  6. educate, without passing judgement (or sounding like it). Sometimes… people really just don’t have a clue that the 6pack a day they drink of regular soda is killing them

there’s a lot more…

good resources, great post. What type of practice are you in? I imagine it must be frustrating to not be able to get through to so many (they want the quick fix, and its just not about a pill). It seems that its peoples’ attitude more than anything that defeats them. One way or another, I plan on entering the medical field, and health/diet education looks like the way to do the most good for the most people. Keep at it- if we can all reach just 1 or 2 folks, it will be worth it.

Michael
Food for thought…sorry I could not resist. Seriously great thread.

Ron
You have some good ideas. Sounds like you have given this some thought.

I spend a fair amount of time in Europe as well. (Italia)

Along with meal times being standard and regular, portion sizes in restaurants, and especially at home - are significantly smaller.

A plate of pasta (with any sauce) is the size of a small cereal bowl. Half dinner plate in a restaurant. Meat is usually half the size of a portion here in the States.

Dessert - cake truly fits in the palm of your hand(excluding fingers) . Gelato being the exception. The exception to the exception… Gelato is generally enjoyed in town… While walking.

Great post. Great insight. Great references.

Bike East & West
www.bicitreregioni.com

Dinner 7:00-9:00?..dont think so…vast differences within the continent.

If you go to fine dining in the US - you will find that it usually offers smaller portions.

GOD I LOVE MASTERS SWIMMING!

It amazes me at how quickly those rates increased. In the chart for 1991, it shows the first time that any states appeared in the 15-19% range. Then, in 2006, there are only 2 states that are in the 15-19% and they are the thinnest states in the nation. I did notice something. Draw a vertical axis along Lake Michigan and the obesity spreads out from that axis usually with Missouri and Michigan leading the way.