Thursday, January 29, 2015

Obesity: Supporting satisfaction instead of surgery

Hot news from down under - a couple of surgeons who perform bariatric (stomach-stapling) operations would like to perform more of them on us, and would like tax money to fund their work. The media is running their advertisement as if it were a public health statement.

I've battled weight problems for my adult life, and I know there is no magic bullet for maintaining a healthy weight. Neither is there a magic scalpel. Cutting open your body to reduce your stomach capacity and all that could mean for your future is not a tenable general treatment.

Battling obesity en masse

New Zealand is, like most developed countries, guilty of more reporting than acting on the growing obesity problem. While this is always a sensitive subject, a recent longterm study showed that while there are obese healthy people, they are much less likely to remain healthy over the years.

So is it true that "Surgery still remains the most capable strategy for inducing robust and long-term weight loss"? May I see the source please? The (US) National Weight Control Registry research does not mention surgery at all in their summary of how most of their participants lost long-term weight.

But I am even more interested that New Zealand's tax money supports industries that support obesity. Fatty cholesterol-rich foods like beef, pork, chicken, eggs, and dairy. "Added-value" processed foods, which take natural raw foods and package them for the highest profit and shelf life instead of fiber and nutrients. Food technology trumps food quality.

Calorie density

Why does this matter? Jeff Novick, RD, MS explains in this article and this video presentation, but in short, calorie density reigns supreme in how much people eat.

Steak doesn't fill you up like oatmeal. Potato chips won't fill you up like potatoes.

Where the money goes

So if we're going to tweak our economic contribution to solve the obesity epidemic, let's not psych everyone into thinking we have to catch up with the Aussies in dangerous life-altering surgery rates.

Let's at least stop being part of the problem, and remove tax funding from those industries harming our national health. Restrict their advertising which often reports positive health benefits or just plain fun...and often arrives in our schools to advertise to our children.

Help make healthy food cheaper, more available, and more acceptable instead.

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