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Posts tagged as “diet and fitness”

Obesity Explains Why Alarming Numbers of Young Americans Are Dying from the Coronavirus

I wrote a piece March 10 in which I argued that “obesity is a much more dangerous public health problem than the coronavirus.”

Four days later, I apologized for that piece because it wrongly “downplayed the risk of the coronavirus and criticized the resultant ‘public panic (or at least [the] media panic)” over COVID-19. 

”I was not entirely wrong,” I wrote. “For the vast majority of us, obesity is a much more dangerous public health problem than the coronavirus.”

Well, as it turns out, instead of looking at obesity and the coronavirus as two separate and distinct problems or causes of death, we should consider them as complementary partners in crime—as joint and interrelated causes of mortality: because, as the Washington Examiner’s Tina Lowe points out:

“New data seems to indicate that obesity is itself a risk factor” for dying from the coronavirus. “In France,” she notes,

more than 4 in 5 coronavirus patients in intensive care are overweight; and in Shenzhen, China, researchers found that obesity “significantly increases the risk of developing severe pneumonia” for coronavirus patients…

We also know that preexisting conditions—including hypertension, diabetes, and heart disease—contribute. Being overweight or obese are risk factors for all of those conditions…

This helps to explain why, relatively speaking, many more young Americans are dying from the coronavirus than are young people in other countries. As Lowe reports:

Stanford University researchers found that whereas those under 65 comprised 5% to 9% of all coronavirus deaths in eight major European epicenters, those younger than 65 have accounted for a staggering 30% of all coronavirus deaths in major U.S. hotbeds.

For those in New York City, the absolute risk for people under 65 of dying from the coronavirus has been nearly three times greater than those in Italy, seven times greater than those in Belgium, and 46 times greater than those in Germany…

It should come as no surprise, [then], that younger populations in the United States are being hit so hard. More than 1 in 3 Americans is obese compared to roughly 1 in 5 Italians, Belgians, and Germans.

It’s no big mystery. We’re just fat, and right now it’s a big problem.

Indeed, according to the Centers for Disease Control and Prevention (CDC), roughly 2.8 million Americans die annually; and, as Medscape reports:

Overweight and obesity were associated with nearly 1 in 5 deaths (18.2%) among adults in the United States from 1986 through 2006, according to a study published in the American Journal of Public Health. Previous research has likely underestimated obesity’s impact on US mortality.

Mathematically, this means that roughly 500,000 Americans die every year because of obesity (2.8 million x 18 percent = 504,000).

By contrast, the worst projections for the coronavirus initially said it would lead to as many as 200,000 American deaths, or less than half the number of deaths caused by obesity. 

National Public Radio, moreover, reports that, according to Dr. Anthony Fauci, the head of the National Institute of Allergy and Infectious Diseases, “the final toll currently ‘looks more like 60,000 than the 100,000 to 200,000’ that U.S. officials previously estimated.”

But again, my point here is not to minimize the coronavirus, which is far more insidious, sudden, and unpredictable than obesity. Instead, it is to point out that the prevalence of obesity in the United States makes the coronavirus a much more dangerous and potentially fatal problem, especially for young people.

The bottom line: while you’re at home sheltering in place under stay-at-home orders mandated by the government, be sure to limit your trips to the fridge and kitchen pantry, and be sure to get in a good home workout.

That way, if you do contract the coronavirus, you’ll have a much better chance of weathering the storm and coming out alive on the other side.

Feature photo credit: Daily Times.

Obesity Is a Much More Dangerous Public Health Problem Than the Coronavirus

The coronavirus is dominating the headlines. This is understandable, given that it is a new and potentially fatal virus that we don’t well understand, and for which there is not yet a vaccine.

Still, as Anthony S. Fauci, M.D, acknowledges, the risks of serious ailments from the coronavirus are “overwhelmingly weighted toward people with underlying [medical] conditions and the elderly.” Fauci is Director of the National Institute of Allergy and Infectious Diseases.

Relative Risk. So, if you’re not a senior citizen and you don’t have an underlying medical condition, then it is exceedingly unlikely that you will die or suffer a serious problem if you contract the coronavirus.

Yet, a far more dangerous and deadly public health problem, which affects many more Americans, young and old, gets relatively little media and political attention. I refer, of course, to obesity.

“Some 42.4 percent of U.S. adults,” reports the Washington Post’s Linda Searing

now qualify as obese, according to a new report from the Centers for Disease Control and Prevention [CDC], with no real difference in prevalence between men and women…

Both obesity and severe obesity are most common among middle-aged adults (those ages 40 to 59), according to the CDC.

Data show that since the start of the 21st century, obesity has become increasingly common, rising from about 30 percent to more than 40 percent of adults, while the prevalence of severe obesity has increased from about 5 percent to just over 9 percent in that time…

Obesity also has been linked to an increased risk for numerous diseases and medical issues, including diabetes, heart disease and some cancers, as well as depression, asthma, obstructive sleep apnea, osteoarthritis and back pain.

Health experts say that losing just 5 to 10 percent of body weight can help obese people rein in their health risks.

Adds the New York Times’ Jane E. Brody:

A prestigious team of medical scientists has projected that by 2030, nearly one in two adults will be obese, and nearly one in four will be severely obese…

In as many as 29 states, the prevalence of obesity will exceed 50 percent, with no state having less than 35 percent of residents who are obese, they predicted…

Given the role obesity plays in fostering many chronic, disabling and often fatal diseases, these are dire predictions indeed. Yet… the powers that be in this country are doing very little to head off the potentially disastrous results of expanding obesity, obesity specialists say…

Americans weren’t always this fat; since 1990, the prevalence of obesity in this country has doubled.

People who choose to blame genetics are fooling no one but themselves… Our genetics haven’t changed in the last 30 years. Rather, what has changed is the environment in which our genes now function.

As we’ve observed here at ResCon1, the obesity epidemic is a national disgrace, and it is largely preventable.

Simply put, we Americans eat too much bad food too often, with little or no regard for necessary limits on our daily caloric intake and the need for proper proportions of macro nutrients—i.e., fat, protein, and carbohydrates.

The problem starts early in life, during childhood and adolescence, as some 18.5 percent of the youth population in America is obese, according to the CDC.

Public Policy. The politicians and the media could do more to focus attention on this problem and educate the public. There also are concrete public policy actions that could be taken.

For example, federal nutritional guidelines that recommend we consume an inordinate and unhealthy amounts of carbohydrates should be revised, and the demonization of fat needs to be reconsidered in light of the best and most recent scientific research.

This may be less alluring than obsessing over a new virus that has induced a public panic (or at least a media panic), but it would be far more effective and desirable from a public health perspective.

Feature photo credit: CDC via Stat News (map of obesity rates by state).

Critics Rely on Bad and Dated Nutritional Science to Lambaste Trump’s School Meals Reform

Self-anointed nutritionists and “children’s health advocates” have lambasted the Trump administration for giving local schools greater latitude and flexibility in the choice of food that they offer students.

In a separate post, I explain why these critics have it wrong. They adhere to bad and dated nutritional science that says fat and sodium are bad, but fruit and whole-grains are an unalloyed good.

In this post, I report in greater detail what the best and most recent science actually says about fat, carbohydrates, sodium, fruits, and vegetables. In truth, much of what we think we know about nutrition simply ain’t so.

Fat. Take, for instance, the longstanding proscription on fatty foods. Fat, we are told, is bad. However, there is absolutely no scientific evidence for this proscription. To the contrary: fat is highly beneficial and a much-needed macronutrient.

Fat is “a major source of energy,” notes the Harvard Medical School:

It helps you absorb some vitamins and minerals. Fat is needed to build cell membranes, the vital exterior of each cell, and the sheaths surrounding nerves. It is essential for blood clotting, muscle movement, and inflammation.

It is true that not all fats are created equal. Monounsaturated and polyunsaturated fats are found naturally in nuts, cheese, olive oil, eggs, and fish. These are the healthiest types of fats.

Artificial fats, otherwise known as industrial-made trans fats, are found in sugar-laden snacks and processed foods and are unhealthy. Saturated fats, meanwhile, are found in meat and cheese and “fall somewhere in the middle” of the health continuum, notes Harvard.

Fat consumed, moreover, does not ipso facto become fat on our body. That is not at all how human biochemistry works. Excess calories consumed become fat. And, for most people, excess calories come not from consuming too much fat, but from consuming too many carbohydrates.

“The reality is that fat doesn’t make you fat or diabetic. Scientific investigations going back to the 1950s suggest that actually, carbs do,” writes Nina Teicholz, author of The Big Fast Surprise: Why Butter, Meat and Cheese Belong in a Healthy Diet.

Carbohydrates. Unfortunately, it is all too easy to consume too many carbohydrates. They dominate our food choices and need to be strictly limited. Yet, critics complain that Trump’s regulatory rollback will allow schools to offer more pizza, burgers and other fatty foods.

But pizza and burgers are high in protein and fat, which are not the cause of poor healthy and obesity. Just about all of us, in fact—our children included—would benefit from more protein, more fat and fewer carbs.

These same critics also complain that, because schools have greater flexibility in choosing food, students will consume less whole-grain bread and cereal, and starchy foods like potatoes [will] replace green vegetables.” But as Teicholz points out,

according to the best science to date, people put themselves at higher risk for these conditions [Type 2 diabetes and heart disease] no matter what kind of carbohydrates they eat.

Yes, even unrefined carbs. Too much whole-grain oatmeal for breakfast and whole-grain pasta for dinner, with fruit snacks in between, add up to a less healthy diet than one of eggs and bacon, followed by fish.

Sodium. Likewise with sodium: The critics complain that greater flexibility will result in more more high-sodium foods, even as the Trump administration rolls back regulatory limits on the amount of sodium allowed in school meals.

But it is far from clear that sodium is a real problem, especially for our youth. (High blood becomes more prevalent as people age and is less common in children.) “Dietary guidelines often change, but ‘restrict your salt intake’ has resisted the advances of science,” write Drs. Michael H. Alderman and David A. McCarron. “Adequate sodium,” they note,

is crucial for biological processes including nerve conduction, muscle contraction, and sustaining the fluid balance necessary to assure blood flow and deliver nutrients and oxygen to every cell in the body.

As recently reviewed in the New England Journal of Medicine, human physiology has evolved a complex process, mediated by the brain, to maintain sodium balance precisely.

If we consume too little sodium, our kidneys will go to extremes to conserve it. If we consume too much, it is eliminated through our skin, intestines, and kidneys.

You’re far likelier to die from failure to maintain this precise control than from the modest impact salt may have on your blood pressure.

Fruits and Vegetables. What about fruits and vegetables? The critics say that, because of the Trump regulatory rollback, students will consume fewer fruits and vegetables, which are a great source of vitamins, minerals, and antioxidants. Again: untrue.

While the benefits of fruits and vegetables are undeniable, they are not an unalloyed good, and too much of anything can be a bad thing.

The problem with fruit is that has lots of sugar (fructose), “which causes the liver to generate triglycerides and other lipids in the blood that are altogether bad news,” Teicholz writes.

Vegetables don’t have any such complicating factor. They absolutely are nutritious and should be an integral part of every person’s diet. Still, they are incapable of satiating a person’s appetite and cannot fulfill our natural, innate need for fat, protein, and basic food variety.

In truth, by giving local schools greater latitude and flexibility in the choice of food that they offer students, the Trump administration is acting upon the basis of the best and most recent science.

The administration’s critics, by contrast, are relying on antiquated and discredited ideas that serious nutritionists and health experts increasingly reject, and for good reason.

Trump Administration’s School Meals Reform Will Help Reduce Childhood Obesity

The Trump administration announced Friday that it is rolling back Obama-era regulations that govern nutritional requirements for school meals and giving local schools greater latitude and flexibility in the choice of food that they offer students.

The media have depicted these changes as a sop to the food industry and a disservice to children nationwide—especially disadvantaged children from lower-income families, since they depend more on school meals. These youngsters supposedly now will be consuming less nutritious and unhealthy food as a result.

I hate to be the bearer of good news, but this is simply untrue. And the reason it is untrue is that much of what we think we know about nutrition simply ain’t so.

The longstanding proscription on fatty food is the most commonly held misconception. In a separate post, I report why this misperception and other conventional ideas about health and nutrition are wrong.

For the purpose of this post, suffice it to say that bad and dated nutritional science helps to explain why school administrators and cafeteria workers welcome the Trump administration’s move to make the school meals program less rigid and more accommodating of ground truth, so to speak.

It is not, obviously, that they are indifferent to children’s health, nor that they are shills for the food industry. Instead, their concerns are very practical. Students, they observe, are too often rejecting the food that is being offered to them.

The U.S. Department of Agriculture (USDA) conducted a “School Nutrition and Meal Cost Study” that found “children are throwing 25 percent of nutrients straight into the trash can. This is not serving children well,” says the USDA.

Science Says. Why are students rejecting the food that is being served them? Because school meal plans too often are based on bad and dated nutritional science that says fat and sodium are bad, but fruit and whole-grains are an unalloyed good.

“Completely eliminating or limiting fat from your diet can actually make you gain weight, often because it leaves you feeling so deprived,” reports CNN. “Conversely, some studies have found that fatty foods can aid in weight loss.”

“The problem with most diets,” writes Mark Hyman, MD, author of the Eat Fat, Get Thin Cookbook, “is that they lack the key ingredient, [fat], that makes food taste good and cuts your hunger.”

It is not hard, then, to discern why students have rejected the ostensibly healthy meals foisted upon them by Michelle Obama and her coterie of self-anointed “children’s health advocates”:

First, these meals are not as healthy as advertised—mainly because they seek to radically reduce fat and sodium in a student’s diet; and second, because of their inflated reliance on carb-laden whole-grains, fruits and vegetables, these meals leave students hungry and longing for greater sustenance.

Local schools and school cafeteria workers know this, which is why they have pushed for greater latitude and flexibility in the choice of food that they offer students.

The Trump administration has wisely responded to their request, with regulations that retain legitimate nutritional standards (i.e., vegetables are still part of every student’s meal), while simultaneously ensuring that these standards are not so rigid and inflexible as to be counterproductive and self-defeating (because students discard the food given to them and procure unhealthy snacks elsewhere.)

Childhood Obesity. To be sure, Michelle Obama identified a real problem. Childhood obesity in America has become an epidemic—so much so that “roughly 31% of American youths [are] disqualified [from military service] because they are overweight.”

This is a national disgrace and a bona fide public health problem, which we ought to address and remedy as a nation. And, to the extent, that we are eliminating empty calories and excess carbohydrates from school meals, this is an indisputably good thing.

Indeed, soda and sugar water have no discernible health benefits whatsoever; they are genuinely harmful. Soda and sugar water induce obesity by replacing, crowding out, or superseding calories with real and requisite health benefits.

But trying to reduce or eliminate fat in a student’s diet is a big and health-debilitating mistake. Ditto the attempt to reduce or eliminate high-sodium food. And fruits and whole-grains are no panacea either because they are laden with sugar and carbohydrates, which are the real culprit in the obesity epidemic.

Even were it otherwise, students, like the rest of us, crave variety in their diet and food that is satisfying, satiating, and savory.

While well-intended, Michelle Obama’s school meal regs lost sight of this reality and were based on bad and dated nutritional science. Consequently, they were rejected by the very students they were designed to help.

The Trump administration, to its credit, recognizes that we can and must do better. Its reform of the school meals program is a promising start.