Obesity Today | Why Weight

Archive for the ‘Obesity Today’ Category

Fight Against Childhood Obesity makes progress with Michelle Obama announcing Let’s Move Campaign

Tuesday, February 16th, 2010

P020910SA-0275-2

The Surgical Specialists of Louisiana are thrilled to share with you some exciting news out of Washington. The Obesity Action Coalition (OAC) was one of the few select organizations to attend First Lady, Michelle Obama’s kick-off event for her National Campaign that will take a stand against childhood obesity. The new campaign, Let’s Move will get kids moving and will promote healthy weight loss in obese children. Below is an official Statement from the OAC.

Obesity Action Coalition Attends First Lady Michelle Obama’s Launch of her Childhood Obesity Initiative at the White House

Today was a step in the right direction when it comes to tackling the childhood obesity epidemic, giving it the National attention it needs. And, the OAC is proud to say that we were a part of this important step to help solve this growing problem.

This afternoon, First Lady Michelle Obama officially launched her National initiative to take on childhood obesity, unveiling her nationwide campaign – Let’s Move. The OAC was among the select few organizations to receive a personal invitation to the White House to attend the First Lady’s kick-off event for her National Campaign.

The goal of the Let’s Move Campaign is to solve the challenge of childhood obesity in our country through a partnered effort among communities, organizations, schools, government, parents and children. First Lady Obama mapped out many of the challenges that our country faces with this rising epidemic, along with the complex nature of solving this problem to positively impact the health of our nation’s children.

OAC was Proud to Attend

OAC President/CEO Joe Nadglowski was just rows away from the First Lady as she laid out her approach to help our country’s children. Joe was also accompanied by many high profile participants, including members of the President’s cabinet such as Health and Human Services Secretary Sebelius, Education Secretary Duncan and Surgeon General Regina Benjamin. In addition, the crowd also included members of Congress, Mayors from across the nation and leaders from the media, medical, sports, entertainment and business communities who have an interest in helping the childhood obesity epidemic.

The OAC is happy that our nation’s First Lady is making childhood obesity a priority and that she plans to include a variety of individuals in the discussion to solve this problem. We are honored that we were among the select few invited to witness this important announcement first-hand and plan to be included in future discussions on this issue with the White House.

The OAC encourages you to visit the Let’s Move Campaign Web site at www.letsmove.gov to learn more about this campaign and our nation’s childhood obesity epidemic and how you can start to make a difference.

Conclusion

Childhood obesity most often starts in the home so Louisiana based OAC encourages you, and your loved ones, to instill healthy eating, exercise and diet habits in children at a young age. By helping children develop good habits, you will help to make a difference in America’s childhood obesity epidemic. See what weight loss tools and information you can share with the people you love from the new Let’s Move Campaign today.

Reproduced with permission from Obesity Action Coalition. Please visit www.oac.org

The Surgical Specialists of Louisiana are committed to helping our patients achieve a healthy lifestyle and a healthy weight. Whether you are interested in weight loss surgery or medically supervised weight loss counseling, we can help you take control of your eating and your weight. Join us for a free seminar or take a weight loss quiz to help you get started.

Tags: Childhood Obesity, Obesity, Weight Loss, weight loss program
Posted in Bariatric Support, Medically Supervised Weight Loss Program, Obesity Today, Weight Loss News | Comments Off

Is Obesity the Last Acceptable Form of Discrimination?

Wednesday, February 10th, 2010

weightdiscriminationprevalent

Obesity remains a socially acceptable injustice and often referred to as “the last acceptable form of discrimination.” Overweight individuals are often the subject of jokes in the media which can translate to real life discrimination. In this article, printed with permission of the Obesity Action Coalition, Rebecca Phul, PhD discusses the difference between “stigma” and “discrimination” and what legal ramifications, if any, can take place to protect overweight individuals.

Weight Discrimination: A Socially Acceptable Injustice

By Rebecca Puhl, PhD

Obesity is highly stigmatized in our society. Overweight and obese individuals are vulnerable to negative bias, prejudice and discrimination in many different settings, including the workplace, educational institutions, healthcare facilities and even within interpersonal relationships.

Unfortunately, weight bias remains very socially acceptable in North American culture; it is rarely challenged, and often ignored. As a result, thousands of obese individuals are at risk for unfair treatment, and there are few outlets available to provide support or protection.

What is the difference between “stigma” and “discrimination?”

Weight stigma or bias generally refers to negative weight-related attitudes toward an overweight or obese individual. These attitudes are often manifested by negative stereotypes (e.g., that obese persons are “lazy” or “lacking in willpower”), social rejection and prejudice. Weight stigma includes verbal teasing (e.g., name calling, derogatory remarks, being made fun of, etc.), physical aggression (e.g., hitting, kicking, pushing, shoving, etc.) and relational victimization (e.g., social exclusion, being ignored, avoided, or the target of rumors).

Many obese individuals report being treated with less respect or courtesy than thinner persons and being called names or insults because of their weight. Thus, weight stigma can emerge in subtle forms, or it can be expressed directly.

Discrimination is distinct from stigma and negative attitudes, and specifically refers to unequal, unfair treatment of people because of their weight. For example, an obese person who is qualified for a job but is not hired for the position because of his or her weight may have been the victim of weight discrimination.

Other examples include being denied a job promotion or fired from a job because of one’s weight; being denied certain medical procedures or provided inferior medical care because of one’s weight; or being denied a scholarship, a bank loan or prevented from renting or buying a home because of one’s weight.

In each of these cases, the behaviors directed toward the obese individual depict inequitable treatment with no justifiable cause, and legal recourse may be an appropriate response in these situations.

Obesity Discrimination on the Rise

Despite the increasing prevalence of obesity, it appears that incidences of weight discrimination are only becoming worse.

In our research, we examined trends of weight discrimination throughout a 10 year period from 1995-2005 and found that the prevalence increased by 66 percent during this decade, from 7-12 percent of the general population. This finding was not a result of increasing obesity rates, but rather specifically demonstrates that more people are experiencing weight discrimination.

How common is weight discrimination?

Given the social acceptability of negative attitudes toward obese individuals, it may not be surprising to learn that weight discrimination is common in the United States.

In a recent study, we examined the prevalence of multiple forms of discrimination in a nationally representative sample of 2,290 American adults and found that weight discrimination is common among Americans, with rates relatively close to the prevalence of race and age discrimination. Among women, weight discrimination was even more common than racial discrimination. Among all adults in the study, weight discrimination was more prevalent than discrimination due to ethnicity, sexual orientation and physical disability. Almost 60 percent of participants in our study who reported weight discrimination experienced at least one occurrence of employment-based discrimination, such as not being hired for a job.

On average, a person’s chances of being discriminated against because of weight become higher as their body weight increases. In our study, 10 percent of overweight women reported weight discrimination, 20 percent of obese women reported weight discrimination and 45 percent of very obese women reported weight discrimination.

Rates for men were lower, with 3 percent of overweight, 6 percent of obese and 28 percent of very obese men reporting weight discrimination. This finding also tells us that women begin experiencing weight discrimination at lower levels of body weight than men.

What legal action can be taken for victims of weight discrimination?

Unfortunately, there are few legal options available for individuals who suffer weight discrimination. Currently, there are no federal laws that exist to prohibit discrimination based on weight.

With the exception of one state law (Michigan) and a few local jurisdictions that address discrimination on the basis of weight or appearance (e.g., San Francisco), the vast majority of people who experience weight discrimination in the U.S. must pursue legal recourse through other indirect avenues.

In particular, obese individuals have depended on the Rehabilitation Act of 1973 (RA) and the Americans with Disabilities Act of 1990 (ADA). Most cases filed under these categories pertain to weight-based discrimination in employment settings, and only a few cases have been successful. In addition, whether it is appropriate for obesity to be considered a “disability” under the ADA is questionable and could perpetuate bias further.

Overweight people who are not “morbidly obese,” but who experience weight discrimination cannot file claims under the ADA because they are not considered disabled under this law. It places an unfair burden for individuals to prove that their obesity is debilitating and disabling in order to obtain fair and equitable treatment in the workplace.

These unresolved issues, in addition to public perceptions that place blame on obese people, have led to inconsistent court rulings and often deter obese individuals from taking any legal action.

Clearly, legislation is badly needed to protect individuals from weight discrimination. Massachusetts recently introduced legislation (House Bill 1844) to prohibit weight-based discrimination in employment settings. The hearing was held on March 25th 2008, with no opposition present at the hearing, and all expert testimonies were in favor of the bill. No decision has yet been made, but if this bill passes, it will be an important step in encouraging other states to follow suit.

Reducing weight bias requires major shifts in societal attitudes, and national actions are needed to establish meaningful legislation to ensure that obese persons receive the equitable treatment they deserve.

This article first appeared on www.OAC.org. Reproduced with permission from Obesity Action Coalition. Please visit www.oac.org

About the Author:

Rebecca Puhl, PhD, is the Director of Research and Weight Stigma Initiatives at the Rudd Center for Food Policy and Obesity at Yale University. Dr. Puhl is responsible for coordinating research and policy efforts aimed at reducing weight bias.

References:

Puhl R, Brownell KD. (2001). Bias, discrimination, and obesity. Obesity Research, 9:788-805.

Puhl, R.M., Andreyeva, T., & Brownell, K.D (2008). Perceptions of weight discrimination: prevalence and comparison to race and gender discrimination in America. International Journal of Obesity. doi: 10.1038/ijo.2008.22

Andreyeva, T., Puhl, R.M., & Brownell, K.D (2008). Changes in Perceived Weight Discrimination Among Americans, 1995-1996 through 2004-2006. Obesity. oi:10.1038/oby.2008.35

Brownell, K.D., Puhl, R., Schwartz, M.B., Rudd, L. (Eds.) (2005). Weight Bias: Nature, Consequences, and Remedies. New York: Guilford Publications.

Tags: Obesity, Obesity Discrimination, Plastic Surgery after Weight Loss, Self-esteem
Posted in Bariatric Support, Gastric Sleeve, Lap Band, Medically Supervised Weight Loss Program, Obesity Today | Comments Off

Sugary Beverages and Their Link to Childhood Obesity

Wednesday, February 3rd, 2010

There has been a lot of controversy lately regarding soda, sugary drinks and their link to obesity. Some lawmakers have even proposed extra taxes on these beverages to help curb the problem. In this article, printed with permission of the Obesity Action Coalition, Dr. Rodrick D. McKinlay discusses the role liquid calories play in obesity among children.

Childhood Obesity: The Link to Drinks

sugary_drinks Childhood obesity rates have doubled throughout the past 30 years in the United States for children ages 2-5 and 12-19, and tripled in the age group of 6-11. Obesity for children is defined as a body mass index (BMI) at or above the 95th percentile for similar age and gender youths¹.

Social and Environmental Pressures

Many social and environmental pressures lead to greater obesity in children. Chief among these influences is the wide variety and availability of sugar-sweetened drinks that contain little to no nutritional value. These beverages include:

•   Soft drinks
•   Sports drinks
•   Fruit drinks
•   Flavored teas and coffees
•   Energy drinks

Throughout the past 10-15 years, these drinks have exploded on to the consumer scene, flooding grocery stores, gas stations, convenience stores and vending machines.

Americans have doubled their consumption of soda pop in the last 25 years, a trend that closely follows the obesity epidemic. The average American drinks 1.6 cans of soda pop a day, more than 500 cans a year. Soda drinking is particularly rampant among teenagers. Data indicates that soft drinks account for 13 percent of a teenager’s caloric intake – by far the largest source of calories in his or her diet. For decades, milk was the most common beverage consumed by children, but by the mid-1990’s, boys and girls were drinking twice as much soda pop as milk.

One recent, independent peer-reviewed study from Harvard demonstrated a strong link between consumption of sugar-sweetened beverages and childhood obesity². Although some studies conflict regarding the causality between sugar-sweetened beverages and obesity, a number of research studies confirm the Harvard group’s findings that increased soft drink and sugar-laden beverage consumption is a risk factor for obesity³.
Not only do sugar-sweetened drinks likely lead to obesity, they are also associated with tooth decay and weakening bones.

Energy Drink Emergence

In the past decade, energy drinks have exploded into the marketplace. In 2006 alone, 500 new energy drinks were launched. Energy drinks, which typically contain large amounts of sugar and caffeine, are equally if not more dangerous to children. Although the target market for energy drinks is young adults aged 18-35, teenagers are consuming significant quantities of these beverages.

Caffeine by the Can

The amounts of caffeine found in such drinks as Red Bull or Rock Star are about 10 grams per ounce. With that in mind, take a look at the amount of caffeine found in other beverages:

•   Red Bull (8.3 oz can) = 83 grams
•   Rock Star (16 oz. can) = 160 grams
•   Coca-Cola Classic (12 oz. can) = 34.5 grams
•   Pepsi-Cola (12 oz. can) = 38 grams
•   Coffee (8 oz. cup) = 57 grams

Most experts recommend that children consume well under 100 grams of caffeine per day.

Effects of Caffeine on Children

Pharmacologic effects of caffeine are notable in children, most commonly seen as hyperactivity, sleep disturbances and restlessness. Drinking large amounts of caffeine can also be associated with high blood pressure and frequent headaches.

Researchers have reported that a new practice among college-age students is the simultaneous consumption of energy drinks and alcohol, which allows greater consumption of alcohol since alertness is perpetuated by the energy drink⁴. In addition, the sugar content of energy drinks is comparable or higher than most soft drinks. For example, an 8 oz Red Bull contains 27 grams of sugar and a 16 oz Rock Star has 60 grams of sugar, while the typical non-diet soft drink contains 40-45 grams of sugar.

How to Combat the High-calorie Beverage Craze

So what can be done to limit the amount of nutritionally-poor liquid calories that children and adolescents are consuming? On an individual-basis, the best approach is simply to replace soda and sports drinks with water or low-fat milk in children’s diets. Water is the best hydrator available. Low-fat milk not only hydrates, but delivers calcium, protein and vitamin D.

Children should be monitored at home with their choice of liquids. A glass of 100 percent fruit juice per day is beneficial, but excessive soda, sport drinks or energy drinks is unhealthy. What happens at school may be out of the immediate control of a parent, but parents can petition the school to eliminate vending machines that sell soft drinks and energy drinks in favor of bottled water.

Moderation in guiding children, of course, is appropriate. Children who are constantly deprived of treats are more likely to binge eat or drink. Also, parental modeling is important. Studies suggest that children who are raised by parents who exert excessive dietary restraint may be more likely to become obese⁵.

Children possess the ability to internally regulate their caloric intake. If they see their parents struggle with alternating dis-inhibited eating (abandoning the effort to control food or drink intake) and restrained eating (conscious decision to restrict intake to control weight), they may pattern their own eating and drinking behavior after their parents instead of allowing their internal energy regulation to guide them. This in turn seems to lead to greater obesity in children.

Conclusion

Parents should adopt healthy eating and drinking patterns, limiting consumption of soft drinks and other sugar-sweetened drinks, and to do so without obsession. Helping children develop a love for the refreshing taste of water or a cold glass of milk will pay immediate health rewards for children as well as dividends for their future health and weight control.

This article first appeared in the OAC News Vol.5/ Issue 1 October 2009. Reproduced with permission from Obesity Action Coalition. Please visit www.oac.org

References:

•   Childhood Obesity in the United States: Facts and Figures, Fact Sheet 2004, Institute of Medicine.
•   Ludwig et al, Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet 2001; Feb 17; 357 (9255):505-8.
•   Wolff et al, Medscape J Med 2008; 10(8):189.
•   Malinauskas et al, Nutrition Journal 2007; 6:35.
•   Hood et al, International Journal of Obesity 2000; 10:1319-1325.

Tags: Bariatric Diet, Childhood Obesity, Health risks of obesity, Medically supervised weight loss, Obesity
Posted in Gastric Bypass, Lap Band, Nutrition, Obesity Today, Realize Band | Comments Off

Food Labels – A Primer: Part One

Tuesday, January 19th, 2010

A key to healthy eating is understanding what exactly goes into the food we eat. The Surgical Specialists of Louisiana are pleased to share the first part of a two part feature article by Jacqueline Jacques, ND that explains the importance of food labels and reprinted with the permission of the Obesity Action Coalition. Understanding nutrition labels is an important part of any medically supervised weight loss program. Please visit our Blog next week for part two of this feature article. Part two will discuss what type of information is actually included in the Nutrition Facts Box and how to read it.

If you are trying to eat a healthy diet and make good food choices, you will often get the advice: “become a label reader.” This is said in reference to the Nutrition Label found on virtually all foods sold in grocery stores in the United States.

Food labels are required by the Food and Drug Administration (FDA) so that consumers can make an informed choice about the food they eat. When you know how to read them, you can understand valuable information about the ingredients in a food, its nutritional value as part of your diet and much more.

Nutritional labels on food are required by the FDA under the Food, Drug and Cosmetics Act and are regulated by the Office of Nutritional Products, Labeling and Dietary Supplements. The regulations set forth by this office literally regulate almost everything on a food label such as:

• What specific ingredients are called
• How the information is presented graphically
• What size type needs to be used
• How to use descriptive terms like “low,” “reduced” and “free” for fat, salt and calories

What foods have to be labeled?

These days, most foods sold in your grocery store are required to have some sort of label. The obvious exceptions are fresh fruits and vegetables and fresh cuts of meat or fish. Foods like sandwiches made in the grocer’s deli and those sold in bulk bins are also not required to be labeled. Other foods that are exempt form labeling include:

• Foods sold in restaurants, hospital cafeterias and airplanes or sold by food service vendors (including vending machines)
• Food shipped in bulk – that which may be shipped to a restaurant for food preparation
• Medical foods
• Plain coffee, tea and spices
• Very small business – provided they inform the FDA and meet the criteria for this exemption

What should you look at when you look at a label?

Most people never get past the front of a food label when they are shopping – and that is what most manufacturers hope for. The front of a label is generally a modified ad for the food – maybe a picture that suggests a way to eat the food, catchy information like “low fat” or “part of a healthy diet,” and perhaps a slogan that is familiar to consumers as part of a bigger advertising campaign.

If you are a health-conscious shopper, the front of a label generally tells you very little of what you need to know. There are, however, a few things that are required to be present in this area of the label under FDA guidelines. These things include the name of the food and the quantity of the product in the container (ounces, grams, etc.).

In some cases, the manufacturer also must describe the form of the food – meaning they should tell you if the milk is skim or whole, the cheese is sliced or shredded or the pineapple is sliced or in chunks, etc. Virtually everything else is there by the choice of the manufacturer.

Turn the package over!

If you really want to know about a food, the front of the label doesn’t tell you what you need to know most of the time. The best place to start looking on a food label is the area – usually on the back or side of the package – called the Nutrition Facts Box. (If you are looking at a dietary supplement, this will be called a Supplement Facts Box.)

This article first appeared in the OAC News Vol.2/ Issue 3 April 2007 Reproduced with permission from Obesity Action Coalition. Please visit www.oac.org

The Surgical Specialists of Louisiana are committed to helping our patients achieve a healthy lifestyle and a healthy weight through their MyWeight^tm nutrition and wellness counseling program. Whether you are interested in weight loss surgery or medically supervised weight loss counseling, we can help you take control of your eating and your weight. Join us for a free seminar or take a weight loss quiz to help you get started.

Tags: Medically supervised weight loss, Non-surgical weight loss, Obesity, weight loss program
Posted in Medically Supervised Weight Loss Program, Obesity Today | Comments Off

Love What You Eat: How Mindful Eating Helps Break Your Eat-Repent-Repeat Cycle

Tuesday, December 29th, 2009

happy new year

Happy New Year from the Surgical Specialists of Louisiana! We are pleased to be able to help you start it off right with this week’s feature article about mindful eating by Michelle May, MD, from her book “Eat What You Love, Love What You Eat: How to Break Your Eat-Repent-Repeat Cycle” and reprinted with permission of the Obesity Action Coalition.

Most of us have attempted weight loss numerous times. We counted calories, exchanges and points. We ate pre-packaged food or meal replacements. We followed rigid meal plans that restricted fat or carbohydrates – or solid food altogether.

From an energy balance perspective, any of these tactics should work, and some do – in the short-term. From my perspective, the reason they do not work long-term is that they change what and how much we eat, without changing why and how we eat. Those two issues are critical because people who struggle with their overweight and obesity are often disconnected from their signals of hunger and satiety.

Overeating occurs in response to hundreds of environmental and emotional triggers such as free food, stress or boredom. Overeating also occurs unconsciously. For example, eating quickly or while distracted watching television or driving.

Changing Why and How You Eat

Mindful eating was one of the keys to breaking my eat-repent-repeat cycle. One definition of mindfulness is paying attention, on purpose and without judgment, to the internal and external world in the present moment. I describe it as eating with intention and attention.

Benefits of Mindful Eating

Eating is a natural, healthy and pleasurable activity when you are eating to satisfy hunger and meet your needs for nourishment and enjoyment. Mindfulness helps you identify the difference between physical hunger and head hunger. Further, learning to savor food makes eating more pleasurable, leading to a paradoxical decrease in the quantity of food you need to feel satisfied.

Mindfulness also makes it possible for you to notice the difference between physical satisfaction and the discomfort of fullness, allowing you to self-regulate the quantity of food you eat.

Mindful Eating is Eating with Intention and Attention

Eat with Intention

Be purposeful when you eat:

•   Eat when you are truly hungry.
•   Eat to meet your body’s needs for fuel and nourishment.
•   Eat with the goal of feeling better when you finish.

Eat with Attention

Devote your full attention to eating:

•   Eliminate or minimize distractions.
•   Tune into the ambiance, flavors, smells, temperature and texture of the food.
•   Listen to your body’s cues of hunger and fullness.

Excerpt from “Eat What You Love, Love What You Eat: How to Break Your Eat-Repent-Repeat Cycle” by Michelle May, MD (Greenleaf Book Group, October, 2009).

The Practice of Mindful Eating

Admittedly, if you are used to eating on autopilot, learning to eat mindfully may feel awkward at first; however, like any new skill, it becomes natural with practice. During our Am I Hungry? workshops, we have a Mindful Eating potluck or go out to dinner together; you too can practice the following steps by yourself or with a friend.

Step 1

Before a single bite of food passes your lips, it is important to recognize why you are eating since the reason(s) impacts every other decision downstream. Whenever you feel like eating, first ask yourself, “Am I hungry?” This simple, but powerful, question helps you recognize whether the desire to eat was caused by your body’s need for fuel or some other trigger. It may be helpful to close your eyes and do a mind-body scan, looking for signals of hunger. These may include hunger pangs, growling stomach, low energy, shakiness, headache or other symptoms that indicate that your stomach is empty and your blood glucose is low. Recognize that these are all physical symptoms, not cravings or thoughts, such as “That looks good,” or “I better eat now while I have the chance.”

Step 2

Decide what to eat, honoring your preferences by asking yourself, “What do I want?” and honoring your health by asking, “What do I need?” If you are preparing your own food, view it not as a chore, but an opportunity to become an integral part of the process. Connect with all of your senses as you touch, smell and combine the ingredients.

Step 3

Create a pleasant ambiance. Even when you are preparing food for yourself, make it attractive by setting the table, turning on music and perhaps even lighting candles. Minimize distractions so you can give the food and your body’s signals full attention. If you eat while you are distracted by watching television, driving, working or talking on the telephone, you may end up feeling full, but not satisfied.

Do not eat while standing over the sink, peering into the refrigerator or sitting in bed. Instead, choose one or two places at home and at work for eating.

Step 4

Before serving yourself or ordering, set your intention for how full you want to be at the end of eating. This intention guides you in deciding how much food to purchase, prepare or serve. Once you have the amount of food you think you will need, physically divide it in half on your plate to remind yourself to stop halfway and check in again. This little “speed bump” slows you down and serves as a reminder to reconnect if you lost your focus.

Step 5

Take a few deep breaths to calm and center yourself before you begin eating. Reflect on all that went in to bringing this food to your plate. Express gratitude for the nourishment, the people with whom you are sharing the meal, or simply the fact that you are giving yourself time to sit down and enjoy eating.

It is Time to Eat Mindfully

Make eating a multi-sensory experience. Look at your food and appreciate the colors, textures and arrangement. Decide which food looks the most appetizing and start by eating one or two bites of it while your taste buds are the most sensitive. If you save the best until last, you may want to eat it even if you’re full.

Take small bites since large bites are wasted on the roof of your mouth, teeth and cheeks where you have very few taste buds. In addition, much of what you perceive as taste actually comes from smell. When you slowly chew a small bite of food, the aromas are carried from the back of your throat to your nose, enhancing the flavors.

Put your fork down after each bite. When you are loading your next forkful, you cannot pay attention to the one in your mouth. When you are always paying attention to the next bite you will keep eating until there are no more bites left.

Recognize Fullness

Pause in the middle of eating. When you get to your speed bump, stop eating for a couple of minutes. Estimate how much more food it will take to fill you to comfortable satiety, keeping in mind that there is a delay in the fullness signal reaching the brain.

Notice when your taste buds become less sensitive to the taste of food; that is a sign that your body has had enough. Push your plate forward or get up from the table. The desire to continue eating will pass quickly, so distract yourself for a few minutes if necessary. Keep in mind that your intention was to feel better when you were done and that you will eat again when you are hungry.

Complete the Mindful Eating Process

When you’re finished eating, notice how you feel. If you over-ate, do not judge or punish yourself. Instead, be aware of the physical and/or emotional discomfort caused by being overly full and create a plan to decrease the likelihood that you will overeat next time.

Once you experience the pleasure of eating mindfully, you may be motivated to become more mindful during other activities too. Use intention and attention in your personal relationships and during routine activities like showering or exercising. Living fully in each moment increases your enjoyment and effectiveness in everything you do.

This article first appeared in the OAC News Vol.4/ Issue 3 April 2009. Reproduced with permission from Obesity Action Coalition. Please visit www.oac.org.

Download the first chapter of Dr May’s new book, “Eat What You Love, Love What You Eat: How to Break the Eat-Repent-Repeat Cycle” from www.amihungry.com.

Tags: Medically supervised weight loss, Non-surgical weight loss, Obesity, Weight Loss, weight loss program
Posted in Medically Supervised Weight Loss Program, Obesity Today, Uncategorized, Weight Loss News | Comments Off

Body Image vs. Health Risk: What’s Your Motivation for Weight-Loss Surgery?

Friday, December 18th, 2009

By David Engstrom, PhD, ABPP, FAClinP

Self-Esteem Body image is loosely defined as a person’s perception of their own physical appearance, or the internal sense of how one’s body appears to others. Although it is a complex subject, research suggests:

1. Body image dissatisfaction is greater in women than in men.
2. A person’s body image is often dramatically different from the way their body actually appears to others.

There is no doubt that there is still a great deal of stigmatization and moralizing about obesity and excess weight in this society. Many scientific studies demonstrate this point. They show that people with excess weight, in comparison with their normal-weight counterparts, are often perceived as being:

“Less intelligent”
“Lonelier”
“Having less self-control”
“More lazy”

While these perceptions are often not true, they still persist and can have a marked effect. We have all heard remarks like, “she ought to just push herself away from the table,” or “he should get to the gym.”

To the outside world, the reasons people with morbid obesity seek bariatric surgery may be a mystery. The obvious reason might be to “look better” or to “feel better about their bodies.” The bottom line is that society still too often views this procedure as the “easy way out,” or a “quick fix” for lifelong problems.

Perceptions and Social Stigma

Although body image seems to develop naturally as we mature, there is probably a large part of our body image that is socially derived, from these real or imagined perceptions, judgments and comments of other people. When you add this social stigma to a person’s previous failure at dieting, already low self-esteem and poor body image, it is not difficult to imagine that the idea of significant weight loss through surgery is appealing for a number of reasons.

Despite the fact that a primary goal of bariatric surgery is to prevent, improve or cure medical health problems or co-morbidities, the psychosocial effects of the surgery are just as powerful and important. Several recent studies have reported dramatic positive changes in the body image of patients following weight loss surgery. So what really motivates people to seek this surgery in the first place?

Weight Loss Surgery Motivation

First, a few facts about motivation itself. There are four types, or sources, of motivation.

External motivation is often initiated by outside sources, like friends, family or doctors. “They made me do it.”
Guilt-driven motivation is, as one might expect, a result of trying to escape from negative feelings. “I would feel badly if I didn’t do it.”
Identified motivation is a result of wanting to be like, or identifying with, someone else who is doing the behavior in question.
Internal motivation is when the desire to change arises within the person. “I like doing it…it’s fun.” Studies that examined motivation to exercise or to lose weight have shown that the most enduring source of behavior change is internal motivation. That is, the more a person’s motivation comes from within, as opposed to some outside agent (e.g., doctor, spouse), the more likely it is that behavior change will continue.

It is clear that there are many sources for motivation, and they should be examined carefully, especially when the subject is weight-loss surgery. At our practice, we have examined the motivating factors for a group of 65 of patients who were seeking bariatric surgery. They were each asked about their primary motivating factors, including:

Health concerns, including medical co-morbidities
Improvements in self-esteem, including feelings of self-worth and enhanced body image
Increasing physical functioning, including better mobility and ability to accomplish physical tasks
Business or job advancement
Increased social attractiveness

They were asked to rank-order their reasons for seeking surgery, from 1 (most important) through 5 (least important). The results of this assessment are shown below.

What is your most important reason for seeking bariatric surgery?

Health Concerns 62%
Increase Physical Functioning 11%
Improve Self-Esteem 19%
Business or Job Advancement 5%
Social Attractiveness 3%

One clear finding here is that health concerns far outweigh all other categories of motivation for bariatric surgery. These may represent either current or future concerns about physical health and well-being. When motivation to improve physical functioning is added to health concerns, the total for both represents nearly three quarters of all primary reasons.

Body Image and Self-Esteem

Although “body image” was not a separate category, it is assumed that this issue is incorporated into the categories of “improve self-esteem” and “social attractiveness.” Together, these two areas were primarily endorsed by 22 percent of the respondents.

People obviously choose to have bariatric surgery for many reasons, and these cannot easily be broken down into distinct categories. While our data suggests that health concerns are well in front of other reasons, there were secondary reasons, including body image, which play a part in their decision-making as well. Of equal importance is the person’s source of motivation. Be sure to examine yours, and make certain the decision is an internal one!

This article first appeared in the OAC News Vol.3/ Issue 4 July 2008. Reproduced with permission from Obesity Action Coalition. Please visit www.oac.org

Tags: Body image, Health risks of obesity, Obesity, Self-esteem, Weight Loss, Weight Loss Surgery
Posted in Obesity Today, Uncategorized, Weight Loss News | Comments Off

Walk From Obesity

Wednesday, November 18th, 2009

The 4th Annual Walk From Obesity, sponsored by Southern Surgical Hospital, in conjunction with The Surgical Specialists of Louisiana, took place Saturday, November 14th in Slidell’s Olde Towne Historic District. The Walk From Obesity is the only annual nation-wide event to increase the awareness of the life threatening disease of obesity.

Walkers participated in raising money to help fight the obesity epidemic. An estimated 90 million people in the US are obese and 15 million are morbidly obese, putting them at an increased risk for other life threatening diseases including type II diabetes and heart disease.

With the help of business sponsorships, such as the Surgical Specialists of Louisiana who were “Benefactor Level” sponsors, the Slidell area walk raised $16,500, making it one of the Top National Fundraising Sites in the Country. Thanks to these fundraising efforts, the ASMBS (American Society For Metabolic and Bariatric Surgery) Foundation awarded a $5,000 grant to Slidell Memorial Hospital’s “Fit as a Firefighter” Camp. This is the second year in a row the award has been given to SMH which has brought the money raised back into our local community.

About The Surgical Specialists of LA
The Surgical Specialists of LA is a group of nine board certified laparoscopic bariatric surgeons who have performed over 4,000 minimally invasive weight loss surgeries. With locations in New Orleans, Covington, Lafayette and Slidell, they are able to offer the Gulf South Region the most comprehensive weight loss program in the area. Whether you need to lose 15, 50 or 150 pounds, SSL has a program to meet your needs. MyWeight^TM is the most recent addition to SSl’s offerings. MyWeight^TM is a medically supervised, individualized, multi-level weight loss program that offers a variety of options focusing on the Medical, Nutritional, and Physical components for a healthy lifestyle.

About Southern Surgical Hospital
Southern Surgical Hospital (SSH) is a multi-specialty, 63,538 square-foot short-stay hospital located in Slidell, Louisiana. The hospital houses six operating suites, one pain treatment room, a procedure room; two sleep lab beds, 32 inpatient beds, and five ICU beds. SSH is owned and operated by physicians in partnership with Cirrus Health.

Tags: Medically supervised weight loss, Non-surgical weight loss, Obesity, Weight Loss, weight loss program, Weight Loss Surgery
Posted in Gastric Bypass, Gastric Sleeve, Incisionless Bariatric Surgery, Lap Band, Medically Supervised Weight Loss Program, Obesity Today, Uncategorized, Weight Loss News | Comments Off

Obesity and Society – We Are What We Eat

Wednesday, November 11th, 2009

Sedentary We live in an obesogenic environment. But what does that mean? It’s a concept that’s gathering a lot of attention these days. The word obesogenic comes from combining the word “obese” with the suffix “genic” – to produce or generate something. It attempts to describe the condition of our modern society and how it contributes to the obesity epidemic.

As humans we are very efficient creatures, built to defend our weight. The increase of obesity rates in America can, in part, be explained by the disparity between our sedentary lifestyle and the genes that once helped our ancestors survive famines. You might say that our genes load the gun, but our environment pulls the trigger.

The rapid increase of technology, and the subsequent conveniences it brings, has dramatically shifted the typical environment and lifestyle of most Americans:

• Many of our cities are built for driving rather than walking. Public transportation can be inconvenient.

• People are working in increasingly sedentary jobs and enjoying sedentary leisure activities such as TV, video games, and surfing the web.

• There are safety concerns that lead many to forgo outdoor activities such as cycling or walking, and this affects children and adults alike.

And our environment isn’t the only thing that is changing. Over the past few decades the nature of food itself has changed significantly:

• Food is plentiful year round and inexpensive. Cheaper, less healthy, processed foods are eaten more frequently. In fact, Americans spend far less of their disposable income on food than other any other nation.

• Consumers are inundated with advertising messages hooking us on unhealthy foods and creating bad eating habits. In one year, an average child will watch about 10,000 commercials touting food and beverages.

• Portion sizes are out of control! In 1955 McDonald’s French fries were 210 calories for a 2.4 oz. serving. In 2004, McDonald’s fries were 610 calories for a 7 oz. serving. In 1916, a Coca Cola was served in a 6.5 fluid oz. bottle containing 79 calories. Today, a 16 oz. bottle of Coke has 194 calories.

With both our genes and our environment fighting against us, the outlook may seem bleak. But understanding how these two factors, our genes and our environment, go hand in hand is the first step in the right direction. By acknowledging the environmental factors that may fight against you, you can make healthier decisions and fight back.

This is just as important for those who have already had weight loss surgery, or have committed to a medically supervised weight loss program, as it is for those trying to lose weight on their own. Bariatric surgery and medically supervised diets are excellent, safe and effective tools that go together with new habit formation and positive lifestyle change to produce long-term weight loss.

Tags: Medically supervised weight loss, Obesity, Weight Loss, weight loss program
Posted in Exercise, Medically Supervised Weight Loss Program, Obesity Today, Uncategorized, Weight Loss News | Comments Off

Body Contouring After Bariatric Surgery

Wednesday, October 28th, 2009

venus2

Many patients undergoing bariatric surgery often wonder if they will need plastic surgery to remove excess skin after they’ve lost weight. This is not always the case. Depending on your age and the elasticity of your skin you may see your body return to a somewhat normal state. Others, however, will see an excess of saggy skin around their midsection, thighs, arms or breasts. This can present both physical and emotional concerns. Hanging skin can be uncomfortable and can cause hygiene problems. And patients who worked hard to reach their weight loss goals may find themselves, once again, embarrassed by their physical appearance. Plastic surgery could be the solution.

Body contouring after massive weight loss is on the rise. In fact, according to the American Society of Plastic Surgeons (ASPS) nearly 67,000 body contouring procedures after massive weight loss were performed in 2007. This accounts for roughly one-fourth of all bariatric surgery patients.

The most commonly performed procedures for bariatric surgery patients are panniculectomy, abdominoplasty, breast lift, brachioplasty, and vertical thigh lift.

• Panniculectomy: a procedure that reduces the size of the pannus, or the excess skin that hangs in the abdominal region. This procedure is often covered by insurance companies to improve physical function.

• Abdominoplasty: this procedure, like the panniculectomy, also removes excess abdominal skin but also tightens the muscle.

• Breast lift: also known as a mastopexy, this is the most common plastic surgery procedure for weight loss surgery patients. Because the breast volume may have decreased with weight loss, implants are often used to lift and shape the breast.

• Brachioplasty: this technique, to remove excess hanging skin from the arm, cannot be performed without creating a large scar. Many patients however, find this trade off well worth it.

• Vertical thigh lift: a procedure that removes the excess tissue extending from the groin to the knee. Like the arm lift, it generally leaves a large scar.

If you are considering body contouring after your weight loss procedure, it is best to wait at least one full year after your bariatric surgery or until you have reached a stable weight. Having plastic surgery prematurely may not give you the results you are looking for and may mean revisional surgery later on. It is also advisable to reach a healthy weight. Surgery, cosmetic or otherwise, carries risks. These risks can be minimized as your Body Mass Index (BMI) decreases and any weight-related health conditions begin to resolve themselves.

Many plastic surgeons are now specializing in procedures for weight loss surgery patents. The Surgical Specialists of Louisiana can provide you with a list of recommended plastic surgeons and connect you with patients who have undergone body contouring. Additionally, the ASPS is a great resource for detailed information about these and other procedures. You can reach their site at www.plasticsurgery.org.

Tags: Bariatric Support, Obesity, Plastic Surgery after Weight Loss, Weight Loss, Weight Loss Surgery
Posted in Bariatric Support, Gastric Bypass, Gastric Sleeve, Incisionless Bariatric Surgery, Lap Band, Obesity Today, Realize Band | Comments Off

Bariatric Patient Spotlight: Teen Obesity – Jeremy Poulton

Wednesday, October 21st, 2009

Jeremy Before Adolescent obesity is getting a lot of attention these days. And rightly so! The NHANES surveys show that the prevalence of obesity for those aged 12 to 19 has increased from 5% to 17.6% over the past three years¹.

Jeremy Poulton was one of the 17.6 percent. His weight problems started back when he was only 12 years old. He would frequently fall asleep in his fourth grade class causing his teachers and family much concern. And things only worsened each year. By age 19 he weighed 373 lbs and had several weight-related medical conditions: high cholesterol, sleep apnea and Type-2 diabetes. Jeremy knew he needed to take action.

When he learned about the effectiveness of laparoscopic gastric bypass surgery, sometimes called Roux-en-y gastric bypass surgery, he realized there was hope. Jeremy pushed his mother to call for more information, researched his options and, with the help of The Surgical Specialists of Louisiana, even fought his bariatric insurance denial.

Jeremy After Since the surgery, Poulton has lost over 105 pounds. But his weight isn’t the only thing that’s changed. His confidence has skyrocketed. He’s more outgoing; more willing to talk and socialize. He’s going to the prom. He’s flying comfortably in airplanes. He even made the tennis team only two weeks after weight loss surgery!

But perhaps the biggest change is the positive impact Jeremy’s surgery has had on his family. His mother, who suffered along with him while he struggled with childhood obesity, is thrilled to see her son in a healthier state. And Jeremy is happy his family won’t be worrying about him anymore.

Research shows that obese children and adolescents are more likely to become obese adults. One study found that nearly 80% of children who were overweight at 10 to 15 years of age were obese at 25. Another study showed that obesity is more severe if one becomes obese before the age 8¹.

Not all adolescents will qualify for surgical weight loss. But if you or your child believe there is a medical necessity please visit WhyWeight.com to learn about weight loss options, read more weight loss success stories and sign up for a free seminar.

1. Source: CDC: “Childhood Overweight and Obesity.” Available at http://www.cdc.gov/obesity/childhood. Accessed Oct 16, 2009.

Tags: Bariatric Insurance, Childhood Obesity, Gastric Bypass, Obesity, Weight Loss Surgery
Posted in Bariatric Surgery Cost and Insurance, Gastric Bypass, Obesity Today, Weight Loss Patient Testimonials | Comments Off