Class blog for Anth 249: Evolution and human disease. We will be responding to class readings and engaging with the wider network of blogs and online content on evolutionary medicine. We might also make up some fun projects along the way.
Thursday, March 14, 2013
First Reader: Evolution vs Social Stigma
Chapter 9 “Menstrual-Suppressing Oral
Contraceptives” presented a large amount of information on MSOCs, but my
overall conclusion and opinion on their usage is still torn. It is difficult for me to comment on
the emotion or physical benefits of avoiding menstruation and its symptoms as I
am not a woman. However, from what
I have witnessed from my girl friends, avoiding the symptoms of menstruation
and PMS might be worth small negative consequences in return. It appears from the chapter, and I
agree, that there don’t seem to be any benefits to avoiding or disrupting
natural menstrual cycles. The
theory that they mimic ancestral gaps in menstruation seemed to be completely
disproven in the chapter. I think
that the physical effects of disrupting the cycle need to be further studied
before they can be considered safe.
I think the effects should be studied more before they are offered to
the general public, who is not always accountable for researching the effects
of their medications fully. I also
think it would be a good idea to study the effects on individuals to decide if
the risks are too great (which is subjective, though). Users can track their bodily reactions
to the medications and aspects of their health can be charted (such as blood
and other tests). Then doctors can
evaluate if the risk is deemed appropriate. Overall, if I was a woman and had to choose, I would choose
to not use the medications. I
would choose so not just because there might be risks involved, but because I
don’t think it’s a good idea to mess with natural body rhythms.
Wednesday, March 13, 2013
Searcher: A New Battle
[Searcher]
While
reading through this week's chapter readings and previous blog posts by
classmates, I became interested into the topic of oral contraceptives, also
known as "the pill". I came across this article titled “BirthControl: Could it be Illegal Again?” by Adam Cohen on Times.com. This article
talked about how the debate of abortion has been going on for decades, but now
a new battle has emerged. This war is over birth control and if insurance
companies or the government should have to pay for it and even if birth control
should be legal. Even though this article doesn’t talk about the health/biological
aspect of oral contraceptives, it talks about the position birth control is in
in today’s society and government/ politics which I believe is important to
know. In today’s society, condoms are
being handed out for free at clinics, and many young women are taking birth
control pills, sometimes not even to prevent pregnancy but to decrease acne and
the frequency of their menstrual cycle. In other words, oral contraceptives are
very accessible these days. It is hard to say who is winning and both sides are
not backing down. Opponents of birth control such as “Representative Steve
King, Republican of Iowa, warned that if birth control is too readily available
it could destroy America. ‘ If we let our birth rate get down below the
replacement rate, we’re a dying civilization’ King said” (Cohen). Opponents are trying to not let the government
fund birth control. One New Hampshire lawmaker said “If you want to have a
party, have a party, but don’t ask me to pay for it” (as cited in Cohen).
What
do you think about this debate? It is very similar to the pro-life and
pro-choice debate, but one might believe in pro-life but also be a supporter of
birth control. Personally, I believe that birth control is being too easily
accessible these days. I believe that the government should not fund birth control,
but rather be a personal duty. If one wants to have sex, they should buy it
with their own money. I also believe that there should be more strict rules and
age restrictions and such. This is just my opinion… if you have any other,
please reply :]
Searcher: Is the Pill Affecting Your Brain?
This week in our readings and class we have discussed hormonal contraception and abortion. We have more or less discussed how hormonal contraceptives such as The Pill affects progesterone levels and some potential side effects such as break through bleeding. So when I combed the internet this week to find an article about The Pill, I tried to focus on some of the side effects that we have yet to discuss in any depth.
In 2010, an article was written on how birth control pills alter brain structure and activity. The article focuses on how The Pill is still a steroid as it supplies a steady stream of estrogen and progesterone to a woman's body. This issue with this is that the brain is a sponge for hormones such as estrogen and testosterone. In men, testosterone causes them to take more risks, promotes aggression, and increases their sex drives. The lack of testosterone in a woman's body causes her to be more kind and gentle. The question becomes what happens to women with artificial doses of hormones?
To answer this question, scientist studied the brains of men, women on the pill, and women not on the pill. What they found was that men and women not on the pill had large areas of grey matter in regions associated with learning and memory. Women on the pill had "larger gray matter volumes in the prefrontal cortex, pre- and postcentral gyri, the parahippocampal and fusiform gyri and temporal regions, when compared to naturally cycling women." While it is still uncertain as to what these grey areas mean, it is agreed that it is a bad idea to play with brain function without further research. The research was unfortunately vague on the types of hormonal contraceptives used and did not measure the levels of circulating hormones, which could have answered more questions. Also different birth control hormone mixtures can either raise or lower hormone concentrations in women and these affects are still unknown.
While I am all for the empowering affects of hormonal contraception for women, it is important that they understand that there are risks involved and that the effects are not fully understood. It is clear that future research needs to be done because altering brain structure is a cause for concern.
In 2010, an article was written on how birth control pills alter brain structure and activity. The article focuses on how The Pill is still a steroid as it supplies a steady stream of estrogen and progesterone to a woman's body. This issue with this is that the brain is a sponge for hormones such as estrogen and testosterone. In men, testosterone causes them to take more risks, promotes aggression, and increases their sex drives. The lack of testosterone in a woman's body causes her to be more kind and gentle. The question becomes what happens to women with artificial doses of hormones?
To answer this question, scientist studied the brains of men, women on the pill, and women not on the pill. What they found was that men and women not on the pill had large areas of grey matter in regions associated with learning and memory. Women on the pill had "larger gray matter volumes in the prefrontal cortex, pre- and postcentral gyri, the parahippocampal and fusiform gyri and temporal regions, when compared to naturally cycling women." While it is still uncertain as to what these grey areas mean, it is agreed that it is a bad idea to play with brain function without further research. The research was unfortunately vague on the types of hormonal contraceptives used and did not measure the levels of circulating hormones, which could have answered more questions. Also different birth control hormone mixtures can either raise or lower hormone concentrations in women and these affects are still unknown.
While I am all for the empowering affects of hormonal contraception for women, it is important that they understand that there are risks involved and that the effects are not fully understood. It is clear that future research needs to be done because altering brain structure is a cause for concern.
[Searcher] All things Progesterone
Progesterone plays an enormous role in woman's health. No wonder it is being studied, investigated and worked with so much. Here is a few medical studies from pubmed related to this week's topic worth checking out:
Progesterone + cervix screening is a promising way of preterm birth prevention.
This method has proven to be effective and relatively heap.
A non-hepatoxic way of female hormone therapy through Progesterone Receptor Modulation
Pill hormones tend to hurt the liver, and progesterone is no exception. This study has proven how modulating a target receptor rather then directly stimulating it is a safer option for hormone therapy.
Women seek for feminity signs when their progesterone levels are high.
During menstruation, woman seem to look for comfort.
Sodium Fluoride decreases female hormones significally
This chemical is a common additive to toothpaste and causes damage to female reproductive organs.
Electrically switchable polypyrrole film for the tunable release of progesterone.
A new advancement in hormone therapy field: progesterone can be dispensed from a polymer, with release being controlled by
All of these are recent and demonstrate great advancements in medicine; let us hope this trend keeps up.
Progesterone + cervix screening is a promising way of preterm birth prevention.
This method has proven to be effective and relatively heap.
A non-hepatoxic way of female hormone therapy through Progesterone Receptor Modulation
Pill hormones tend to hurt the liver, and progesterone is no exception. This study has proven how modulating a target receptor rather then directly stimulating it is a safer option for hormone therapy.
Women seek for feminity signs when their progesterone levels are high.
During menstruation, woman seem to look for comfort.
Sodium Fluoride decreases female hormones significally
This chemical is a common additive to toothpaste and causes damage to female reproductive organs.
Electrically switchable polypyrrole film for the tunable release of progesterone.
A new advancement in hormone therapy field: progesterone can be dispensed from a polymer, with release being controlled by
All of these are recent and demonstrate great advancements in medicine; let us hope this trend keeps up.
Sunday, March 10, 2013
First Reader: Synthetic Estrogen and Progestin
As I was reading chapter 9 about how oral contraceptives work, I started pondering the question on why are we using synthetic hormones to alter ovulation? In the beginning...Adam was created - after a while he was lonely - and GOD created a help mate (Eve). Both Adam and Eve were the first humans on earth, and they began creating and inhabiting the earth. I do not think we as humans are suppose to interfere with a woman's period, due to this is suppose to happen naturally.
As modern technology have evolved we see synthetic oral hormones in the form of a pill, and using it to trick the body into thinking that everything is still on course. What a huge injustice we have caused to women who have a huge role in creating life.Children are a gift from GOD, and we see thousands of women using oral contraceptives to eliminate; cramping, bloating, inconveniences, bleeding, and to prevent the ability to bring forth a new life.
According to doctor Rock on page 188, oral contraceptives are a way of imitating the natural processes of the female reproductive system. I would like to know what is his definition of natural and synthetic. There is nothing natural about taking oral contraceptives to prevent pregnancies, to produce a period that really is just a synthetic (not real) period, and to allow the withdrawal of the hormone in her body by giving her 7 days of a placebo pill. I wish someone would invent a monthly hormonal pill for men in altering the progesterone in their reproductive system. Oh, wait, someone did invent a hormonal pill for men, "Viagra."
I am not male bashing, but women have received a huge dose of "ungratefulness." Oral contraceptives have been associated with a reduction in ovarian and endometrial cancers, but not breast cancer. The number 1 leading causes of cancers in women is breast cancer, and so not only are oral contraceptives used to prevent pregnancies, but it seem to have 2 faces.
As modern technology have evolved we see synthetic oral hormones in the form of a pill, and using it to trick the body into thinking that everything is still on course. What a huge injustice we have caused to women who have a huge role in creating life.Children are a gift from GOD, and we see thousands of women using oral contraceptives to eliminate; cramping, bloating, inconveniences, bleeding, and to prevent the ability to bring forth a new life.
According to doctor Rock on page 188, oral contraceptives are a way of imitating the natural processes of the female reproductive system. I would like to know what is his definition of natural and synthetic. There is nothing natural about taking oral contraceptives to prevent pregnancies, to produce a period that really is just a synthetic (not real) period, and to allow the withdrawal of the hormone in her body by giving her 7 days of a placebo pill. I wish someone would invent a monthly hormonal pill for men in altering the progesterone in their reproductive system. Oh, wait, someone did invent a hormonal pill for men, "Viagra."
I am not male bashing, but women have received a huge dose of "ungratefulness." Oral contraceptives have been associated with a reduction in ovarian and endometrial cancers, but not breast cancer. The number 1 leading causes of cancers in women is breast cancer, and so not only are oral contraceptives used to prevent pregnancies, but it seem to have 2 faces.
First Reader: Women Know Something You Don't
This article discussed the history of abortion and contraception, focusing on the ways in which women shared information with each other and made decisions regarding their pregnancies without the input of men. The article emphasized the fact that this has been going on for thousands of years. Whether the contraceptives or abortifacents were safe or not, women used them to avoid the risks associated with pregnancy. The author also discusses the legal repercussions of outlawing birth control and abortions. She says that outlawing these things would only increase abortion rates and abortion-related health problems. This claim is supported by the fact that women have been using contraceptives and abortifacents for so long, whether they were legal or not. In fact, she mentions that rates of abortion have been shown to be lower when abortion is legal than when it is not.
I absolutely agree with this article, and I think that it brings up excellent points about the history of contraception and abortion. I believe that women should have the freedom to choose what to do with their bodies, but even someone who considers themselves "pro-life" could see reason in this article. The debate over abortion is not between pro-choice and pro-life, but pro-choice and anti-choice. Being pro-choice is not equivalent to being anti-life. On the contrary, allowing women the freedom of choice actually decreases unwanted pregnancies and abortions, increasing the number of lives saved. "Pro-lifers: would actually find that their agendas are carried out more effectively by using the methods of "pro-choicers."
I absolutely agree with this article, and I think that it brings up excellent points about the history of contraception and abortion. I believe that women should have the freedom to choose what to do with their bodies, but even someone who considers themselves "pro-life" could see reason in this article. The debate over abortion is not between pro-choice and pro-life, but pro-choice and anti-choice. Being pro-choice is not equivalent to being anti-life. On the contrary, allowing women the freedom of choice actually decreases unwanted pregnancies and abortions, increasing the number of lives saved. "Pro-lifers: would actually find that their agendas are carried out more effectively by using the methods of "pro-choicers."
Saturday, March 9, 2013
First Reader: Should Women Menstruate?
As a female young adult, this week’s reading is very
interesting as well as useful to me. I have been conditioned not to question
menstruation as, which I’m sure many others can agree with, it is generally assumed
and taught to be one of the body’s natural processes. However, Chapter 9 persuades me otherwise.
Sievert explores two options: menstruation as adaptation and
repeated menstruation as mismatch theory (sedentary lifestyle and greater food
security = more menstrual cycles, p. 182) and does so by studying
menstrual-suppressing oral contraceptives (MSOCs).
“Ancestral females had fewer periods due to more frequent
pregnancies and lactation” and MSOCs cannot mimic the fewer periods
experienced by women in the past, nor can it imitate the benefits of “Stone Age
life histories” (195) but it seems that modern women are not attempting to do
so. Rather, taking MSOCs is a way to increase daily convenience and deter
potential negative health effects associated with menstruation.
At first, the argument of inconvenience made me respond in a “deal
with it” attitude, although I realized this inconvenience often translates into
unnecessary stress that can last half a lifetime until menopause. Additionally,
it can cause pain enough to impair daily functioning without the use of
medication. But Sievert states that “menstruation is physiologically costly”
(185), including risks of endometrial
and ovarian cancer and anemia, more extreme cases. Personally, the experience has
always been concerning as I have thalassemia, a blood disease with ties to
anemia; I have female friends who are anemic that take oral contraceptives
because of it. In this case, MSOCs make the best sense.
Based
on this evidence (along with the fact that MSOCs don’t interfere with adaptive aspects of menstruation), I am more keen to the idea that women should not menstruate. Although
menstruation is one of the primary modes, there are other methods to detecting
pregnancy and fertility, especially with the kind of technology available today
(which, granted, is not available to all women). Given that MSOCs are not
offered to women in their beginning years of menstruation, they should be offered
as a solution – but, agreeing with Sievert, this is not to say they should be
universally enforced.
Tuesday, March 5, 2013
Responder: Food Quantity and Obesity
I am responding to Chris's post about how food quantity is related to obesity. He discusses the fact that other countries tend to eat and buy food in smaller portion sizes than we do, and mentioned studying abroad in South Korea and noticing the frequency with which his host family had to attend the store, since the amounts of food they bought with each trip were so small. I noticed the same thing when I was in Germany with a host family--they went shopping more frequently, and as a result, the food they bought was much fresher when they ate it.
Food is something that is naturally supposed to "expire." As Americans though, we seem obsessed with buying things in bulk and therefore, we need them to last us a long time. This leads to the use of artificial preservatives and increased consumption of processed food. So not only supersizing our portion sizes have an adverse effect, supersizing our shopping lists does as well. I understand the idea of convenience and the fact that we don't really have much time, but is it really worth sacrificing our health?
I also like how Chris mentioned that we could benefit from more frequent shopping trips simply because they would require us to be more active. Even if we drove to the store, walking around a store and carrying shopping bags a bit more often would definitely be a beneficial break from our sedentary lives.
Food is something that is naturally supposed to "expire." As Americans though, we seem obsessed with buying things in bulk and therefore, we need them to last us a long time. This leads to the use of artificial preservatives and increased consumption of processed food. So not only supersizing our portion sizes have an adverse effect, supersizing our shopping lists does as well. I understand the idea of convenience and the fact that we don't really have much time, but is it really worth sacrificing our health?
I also like how Chris mentioned that we could benefit from more frequent shopping trips simply because they would require us to be more active. Even if we drove to the store, walking around a store and carrying shopping bags a bit more often would definitely be a beneficial break from our sedentary lives.
Respondent: Birth Size and Obesity
I am responding to the article written by Raia on obesity and diabetics, and it was centered around insulin secretion and responsiveness. This topic is correlated with the information from chapter 17 and the PAR model (predictive adaptive response).
The PAR model states that babies that are born small in size tend to have lower muscle mass, greater fat mass, and more abdominal obesity. Thus, this model explains that this is due to insulin resistance of the muscles while in their mother's womb. Insulin is increase in the body to compensate for the resistance of a hormone. The hormone releases sugar from the blood quickly, this leads to individuals becoming hungry again after eating a meal. Consequently, this leads to overeating, which leads to obesity.
I found this article was very informative and educational. I did not realize that being born small in size could perhaps lead to obesity. The information given by Raia, could perhaps be of some use to the individuals who are predisposed to being overweight.
The PAR model states that babies that are born small in size tend to have lower muscle mass, greater fat mass, and more abdominal obesity. Thus, this model explains that this is due to insulin resistance of the muscles while in their mother's womb. Insulin is increase in the body to compensate for the resistance of a hormone. The hormone releases sugar from the blood quickly, this leads to individuals becoming hungry again after eating a meal. Consequently, this leads to overeating, which leads to obesity.
I found this article was very informative and educational. I did not realize that being born small in size could perhaps lead to obesity. The information given by Raia, could perhaps be of some use to the individuals who are predisposed to being overweight.
Searcher- Obesity still not for me
Speaking honestly I have no interest in
gaining weight and being classified as overweight in order to live longer.
First of all, that it would be extremely hard given my body type and fast
metabolism. Secondly, I am too active and end up burning a majority of the
calories I take in. Lastly, I would not be able to do the things I enjoy most such as being extremely active.
The article I found
talks about how obese people live longer, but weighs in on the negative side of
obesity and how it is hazardous to health and can lead to joint problems and/or
diabetes. After hearing about the positive effects of obesity in class and that
the article mentions I still would not wish to be obese because I could not
enjoy doing the things I enjoy most of all. I enjoy playing basketball and
being one of if not the quickest guy on the floor. That is a quality I am sure
not most obese people have. Sure obese people may live longer,
but I wonder who lives the better life an obese person compared to a healthier person. Life should be more about quality
not quantity. People should be more focused on how well they are living their
life, rather than how long they live it. Some people who are considered obese
may be satisfied with their health conditions and that is fine; however, I
think most would rather not be in the category of obese.
Searcher: Cure to Obesity, Diabetes and Muscle Loss...Perhaps
This week and
last week in class we have been discussing energy expenditure, obesity and
diabetes in class. While preparing for this week’s blog assignment, I cam
across and interesting post on scienceblog.com titled, “Preventing Muscles Lose, Obesity, and Diabetes.”
The post goes on to describe a research project that is taking place at Nanyang
Technological University (NTU). They are
researching a protein, that if suppressed, it can halt muscle loss in
chronically ill patients, as well as fight obesity, and combat diabetes.
The protein is
called myostatin and it is responsible for the break down of the mitochondria,
which is the cell wall. The Article explains that under normal circumstances
this is a normal procedure. However the article states “when a patient is
suffering from chronic diseases or is bedridden (and muscles are not used
often), this process is disrupted due to high levels of myostatin which results
in increased mitochondrial loss and muscle atrophy.”
I found this to be interesting because it once again shows
harmful results of a sedentary lifestyle. Granted these people are not
sedentary by choice, however it would be interesting to look at people who live
highly sedentary life styles and see if this same event is occurring.
Still this study isn’t just related to muscle loss. It also
states that inhibiting the protein can help increase fat utilization, which
could both help decrease obesity, and can curb the number of people who
contract Type II diabetes.
Other interesting results of the study showed, “People who exercise regularly have been
found to have lower levels of myostatin as compared to those who do not.
Studies have also found that older people have more myostatin and this can
explain why when one ages, muscles become weaker.”
It shall be very interesting to see how the further research
progresses. It would be interesting to see if this could possibly help people
who live much more sedentary lives, whether they are a 9-5 guy who works in a
cubicle for eight hours each day, or for those who are bed-ridden and unable to
maintain any for of exercise.
Searcher: Obesity “Diabesity” Epidemic"
On Friday in class we touched on how to create opportunities for college students to incorporate more exercise throughout their day. On Monday in class we defined obesity in a couple of different ways and discussed the pros and cons in terms of health of being obese. What I'd like to blog about today has to do with what we discussed on Friday and Monday, as well as the readings we had over the weekend.
In non-obese individuals, there's a hormone produced by our body that functions to suppress our appetite. It basically sends a signal saying "Eat less, store less, and metabolize more"! But the amount of leptin that is released is directly proportional to how "full" our adipocytes are. But what about in obese people? They actually have higher levels of leptin! The problem though is that their bodies are insensitive to leptin's effects. They might have something wrong with their leptin receptors or they may just have a fewer number of leptin receptors. Studies show that this issue is a contributing factor to the development of obesity, diabetes, and sterility.
Type 2 diabetes often develops in obese people due to the combined effects of inadequate insulin secretion/responsiveness. Obesity, however, often leads to pre-diabetic symptoms like hyperglycemia or hyperinsulinemia (and then eventually to type 2 diabetes). The scary part is finding treatment before these conditions persist.
So what kind of ways are out there that can ultimately suppress food intake and increase people's energy expenditure, especially of individuals who have issues with leptin? Besides eating a high-fiber diet with lots of fruits and vegetables and resorting to hormone supplements for receptors, one can simply increase their physical activity. I'd like to share an article on TIME that talks about how profound Facebook has been in increasing the number of marathon runners within the last couple of years. Yesterday in class we mentioned how our friends have a high potential of influencing us when it comes to what we end up ordering/eating and transforming our perception of what the body norm is based on our friends' bodies. Facebook has had such a profound effect that since 2008, marathon finishers in the U.S. have increased by 10%. We're more likely to do something when we see a friend of ours doing it and sharing it online! Click here for article
Although the influence of Facebook is great, I believe that more should be done in combating this link between obesity and diabetes because the complications that could result are due to vascular damage and the number of organs that can be affected by this are just way too many to list.
Monday, March 4, 2013
Respondent: Obesity and Diabetes
The two readings we had for the week regarding obesity and
diabetes were particularly interesting to me considering that diabetes as well as obesity runs in my family at an alarming rate. According to the reading, the trends in diabesity are expected to continue
because “contemporary environments are conducive to a surfeit of calories and
fat stores” which can be due to the “hallmarks of global dietary modernization”
such as “...processed energy dense foods, increased quantity and increased
ingestion frequency."(85) All these traits hold true especially in more developed countries
such as the United States where a large percentage of the population are obese
as well as diabetic, and trends increasing with childhood obesity and type 2
diabetes.
I can completely agree with Paige where she states that “in
a modern world, where food variety is common, sedentism is habitual and the
neurological stimulation of physiological hunger is nearly ongoing, the
diabesity statistics makes sense.” As other people in their blogs have
mentioned, if they see that they have more food surrounding them or have enough
money to buy more, people will go buy and consume food despite the fact that
they might not actually be hungry. They’re
just satisfying those pleasurable senses associated with eating certain foods
despite the fact that they’re increasing their risk for weight gain, especially
if there is no physical activity that follows such eating. Sometimes we just
believe that we’re hungry, or we can fit more food than what actually is a
suggested serving size because of that “lack of sensitivity to internal cues of
satiation” and our reliance of what we see in particular.
In contrast to what she believed was most interesting to
her, reading into the specific statistics of diabetes was what truly interested
me. In chapter 3 under “The Scope of the Problem: Diabetes Global Prevalence”,
it was stated that “many small island populations have the highest prevalence estimates
of type 2 diabetes.” (85) After learning about how type 2 diabetes tends to
increase with countries that undergo rapid demographic changes and become
increasingly more industrialized and urban, I figured that the populations with
highest prevalence of diabetes would be in the most developed countries, which
were also indicated (USA, India, China).
I want to think that perhaps it’s due to these regions not being as
populated that perhaps the prevalence percentages would increase. In addition,
these regions appear to be more influenced by tourism, which leads to certain
areas of the region to be more urbanized and have led to a similar trend as
what is going on in the United States with access to processed foods.
I feel that the readings remind us that diabesity is a
growing epidemic that severely needs to be addressed, and despite that it cannot
be cured it will help prevent further increasing rates of prevalence.
Searcher: Supersizing Gone Too Far?
This post is in response to what Chris had to say this week.
When Coca-Cola products were first introduced, the product
was sold in 6.5 ounce bottles. When going to a fast food restaurant, you were
served a 7 ounce cup. Today, the children’s cup at McDonald’s is 12 ounces! As
the years go on, cup sizes continue to grow. You can go into a fast food
restaurant and order a triple cheeseburger, a large order of french fries, and
a 42 ounce drink. This so-called meal contains several servings of food, and
that does not even count the number of calories such a meal would contain (I
would guess this would be well over the standard 2,000 calories per day
suggestion).
Even within a chain of restaurants, there is variation in
the amount of ounces that makes up a small-, medium-, or large-sized drink.
Cup sizes are significantly larger in America compared to
Japan. It does not come as much of a surprise that there is a growing diabetes
and obesity epidemic in America. With real portion sizes being completely lost
under a sea of fast food, Americans tend to overeat. Fast food is seen as a
convenient alternative to a nice home-cooked meal. Personally, I would much
rather prepare my own food and have some control over what goes into my food. If
the same could be said for much of America, then perhaps we would not see so
many people becoming obese, when the amount of food served to a single person at
a restaurant could easily serve three.
I got my information from the following article:
Respondent: Diabesity
In chapter three under the section, “Diabesity and Darwinian
Medicine”, obesity and diabetes is considered to be a current pandemic (World
wide). As learned in this chapter, when individuals are overweight it is a
chief risk factor for Type 2 diabetes. As I read this chapter, I pondered,
“Can skinny people acquire Type 2 diabetes (DM), as well as obese individuals?
And can some visually perceived obese people not acquire Type 2 DM?
I’m not a searcher for this week, but check this out…
I personally agree with Paige when she stated, “Hormonally and neurologically our bodies are
far more influenced by the drive to eat than the subtleties of satiety”.
Just as Lieberman
elucidated, “Hormonal and neurological mechanisms control appetite (i.e.,
Hunger and Satiety); Lieberman continues
to state that there is “ a drive to eat and a low sensitivity to satiety”. This may be due to increase in a high dense
diet with little nutritional value. With
modern conveniences, low energy expenditure our bodies are adapting to this daunting
change.
And even though researchers
have proven that we are genetically programmed to eat like our Paleolithic
ancestors, we are indeed opposite of this. The Paleo diet is considered to be healthy,
but don’t we need to consume carbs for instant energy usage (if there is no
carbs in the Paleo diet)? So why are we
so fluffy if we need carbs for energy? Lieberman stated, “Obesity and diabetes are
referred to as inactivity-mediated disease”.
As we have learned in this weeks reading, as well as last week readings more
energy in and less energy out can lead to storage of excess energy that can
cause a host of medical problems. So carbs are okay, just as long as we as
individuals exert our available and stored energy.
As Paige stated,
“It seems only natural then that we would face this diabesity problem when we
are evolutionarily urged to eat and more is always available”, I completely
agree. I’ve noticed in my personally
life, when I have access to more food (healthy and/or unhealthy), and money, I
tend to overeat. I tested this theory for a week by limiting the amount of
money I spent, and food access. Surprisingly I ate significantly less that
usual, and my appetite was diminished. I realized that when I thought about the
food that I had access to, I started to salivate and feel somewhat hungry
(usually during boredom).
Overall modern
lifestyles of decreased activity levels, and increased consumption of calories
has opened an unfortunate doorway for chronic irreversible, but controllable diseased
like Type 2 DM. In order to combat this pandemic, individuals need to reduce
calorie intake (eat smaller portions), and increase energy expenditure
(exercising, with ADLs), to prevent chronic illnesses to stay healthy.
Sunday, March 3, 2013
First Reader: Diabesity
Diabetes and obesity together have been climbing to
increasingly epidemic proportions throughout the world. Obesity is such a
predictive measure for type-2 diabetes, through metabolic processes
characteristic of the two, a new term, diabesity, has gain recognition among
researchers.
It is easy to understand why these two conditions are
becoming frightfully prevalent in our modern society when our metabolic
relationship with food is considered. Adaptively, our bodies have been
conditioned to deal with fluctuating energy availability under higher energy
demands. Hormonally and neurologically our bodies are far more influenced by
the drive to eat than the subtleties of satiety.
In a modern world, where food variety is common, sedentism
is habitual and the neurological stimulation of physiological hunger is nearly
ongoing, the diabesity statistics make sense. That is not to mention that our
modern ‘fat-rich, fiber-poor’ diet is abruptly opposite of our ancestors’
Paleolithic diet.
While it makes plenty of sense to blame these conditions for
the current crisis, I found it most interesting in the way food is marketed and
available to us. Lieberman explains the how the way food is packaged, marketed
and enhanced may deceive our bodies’ satiety-related mechanisms into eating
more. People often consume a specific amount determined by how much is
available. In many cases, what individuals assume to be normal serving sizes,
greatly exceed USDA portion sizes (88).
In our society, consumers look for and expect more for their
money and this most exceptionally equates to food. Thus ordering a meal in a
restaurant that is three times the appropriate portion size is quite normal. It
is experimentally expected for the individual to consume more of that meal than
what is necessarily appropriate. Lieberman explains that this lack of
sensitivity to satiation may have been evolutionarily advantageous so that
eating continued whenever food was available (89). It seems only natural then that we would face this diabesity problem when we are evolutionarily urged to eat and more is always available.
First Reader: Food Quantity and Obesity
In chapter 3 from the textbook it discussed the effects of
packaging size/portion size on consumption (p. 88-89). I am interested in what
affect the sale of bulk items in the US plays into obesity. Growing up in a
suburban and southern context (I don’t know if the latter effects this – but
obesity is more prevalent there), I have for most of my life grown up around
food being sold in large quantities, so these sizes are what I have grown to
consider to be normative. For instance, a few weeks ago I went to Sam’s Club
for the first time in years and it is impossible to buy many of their products
in small quantities. Even outside of stores that sell products in bulk – I
think the average size of products sold in American supermarkets is larger than
that of many other countries around the world.
This
is not the standard everywhere in the world. I do not have any way, from my own
experience, to compare this with a non-industrialized country. But, I studied
abroad in South Korea last year. My host family would make more frequent visits
to the super market than I or my family do in the US. My guess is that this
stems from food being sold, on average, in smaller sizes as well as storage
space of food being limited.
I
cannot really say if this in any way affected my food consumption or if it does
anyone in these countries. But it seems quite apparent from the studies listed
in the textbook that the sale of food sold in large portions can enable or
encourage overeating.
As
well, in talking about the acquisition of food in the suburban American
context, I think the potential negative health effects of large portion
consumption are compounded by the common practice of driving directly to the
supermarket, instead of more frequent trips using public transport, bicycles,
or just walking.
First Reader: Obesity
As I
was reading this week’s chapters on obesity, I felt like I was familiar with a
lot of information from reading various weight loss and health-related
articles. Being pretty conscious about what I eat and how much I eat, I couldn’t
help but sympathize with those who go on a healthy-eating streak only to come
crashing down a few weeks later. The first time I seriously committed to a
healthy eating plan, I went on a heavily-restricted diet consisting of not much
more than limp salads and extra lean meat. As you would imagine, the plan
backfired and I ended up with immense cravings for fatty, sugary, processed
foods within a few weeks. Since then, I’ve learned that if you strip your diet
of all fat and sugar—some which your body actually needs—then you’re likely to
end up right back at square one. As was mentioned in chapter 3, “when
individuals over restrict, they rebound with over consumption and ‘yo-yo’ between
weight loss and regain” (Trevathan 80).
Another topic that I find particularly interesting is the concept of satiety vs. hunger. There is a huge mental component in hunger, and there is a lot of evidence in our society today that suggests we don’t always eat because we are actually hungry. We may be eating for social reasons, because we are distracted, bored, or in many of my cases, stressed. In fact, studies have shown that it takes about 20 minutes for our bodies to recognize satiety. 20 minutes…it takes me half that time to down a meal. So it’s no wonder overeating has become such a problem, especially with larger portion sizes and abundance of food available everywhere. The point was made by Lieberman that we can no longer rely on internal cues to tell us when we’re full; so how exactly do we judge the point of satiety? It’s almost no surprise that obesity rates are climbing when eating has become an activity that requires so much self-control, but yet is made extremely difficult by all the temptations that surround us.
Another topic that I find particularly interesting is the concept of satiety vs. hunger. There is a huge mental component in hunger, and there is a lot of evidence in our society today that suggests we don’t always eat because we are actually hungry. We may be eating for social reasons, because we are distracted, bored, or in many of my cases, stressed. In fact, studies have shown that it takes about 20 minutes for our bodies to recognize satiety. 20 minutes…it takes me half that time to down a meal. So it’s no wonder overeating has become such a problem, especially with larger portion sizes and abundance of food available everywhere. The point was made by Lieberman that we can no longer rely on internal cues to tell us when we’re full; so how exactly do we judge the point of satiety? It’s almost no surprise that obesity rates are climbing when eating has become an activity that requires so much self-control, but yet is made extremely difficult by all the temptations that surround us.
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