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♦ Psychotherapy for the Whole Person ♦ Training and Supervision for Healers ♦ Local Training: [ PSI Seminar ] [ Eating Problems Training ] [Supervision] Phone: 027 657 2106. 254 Lincoln Road. +64 027 657 2106. Exercise, Obesity and City Planning: Who's Responsible for the Obesity Epidemic? We hear it on the news every day. There is an obesity epidemic. We are obese. We just keep getting fatter and fatter. Who's responsible? We must find someone to blame. Why not blame the fat people? Many people in Western society seem to have opted for introductions, distancing ourselves from the intolerable and projecting it onto �fat� and "fat people". Our society's rage against fat as sin today may be comparable to the Victorian attitude about sex. Our desperation to avoid the stigma of fat is reflected in macbeth essays how we spend our money. In the United States alone, "$33 billion annually (is spent) on weight loss products and good introductions for essays, services. This figure represents consumer dollars spent in the early 1990s on faulkner essay all efforts at weight loss or weight maintenance including low calorie foods, artificially sweetened products such as diet sodas, and memberships to commercial weight loss centers." 1a Colditz After all, we can't control our age, our height, our color, our socioeconomic status at for essays birth, our parentage, our increasingly poisonous environment - we need something to claim control over - right? If we can't control our body weight, there's no hope for us - right? Wrong. In determining normal weight versus overweight or obesity, it is world ib guidelines, problematic that �ideal� body weight is still being based on the weight and height chart developed by the insurance actuaries at Metropolitan Life Insurance Company 1b , based on the lowest mortality rate for men and good, women ages 25-59 in 1983. The scientific and statistical validity of this chart is highly questionable at best, considering that it disregards a wide range of the population (for example, those who don't buy life insurance, are under 25 or over in paris essay, 59), is for essays, purely based on personal statement help correlations (which do not prove cause) and ignores many complex health variables. Varying metabolism, exercise and activity levels and for essays, regularity, and individual health, environmental, and genetic differences are not taken into account. Increasingly, studies are showing weight to be determined by all of world essay ib guidelines, these variables, many of which are not consciously controlled ( 2 Coady, 3 Hebebrand, 4 Heitmann, 5 U.S. Department of Health and good for essays, Human Services, and 6 Verga. The Body Mass Index (BMI), a more modern version of the above standard-bearer for assessment of obesity, is similarly problematic. The BMI, like the Metropolitan Height and Weight charts, makes no distinction between muscle weight and fat weight: "One problem with using BMI as a measurement tool is statement, that very muscular people may fall into the �overweight� category when they are actually healthy and fit. Another problem with using BMI is that people who have lost muscle mass, such as the elderly, may be in the �healthy weight� category � according to introductions their BMI � when they actually have reduced nutritional reserves. BMI, therefore, is useful as a general guideline to monitor trends in the population, but by apps for ipad, itself is not diagnostic of an individual patient�s health status." 7 National Institutes for Health, 2001) And, according to 8 Gallagher: �� misclassification of fatness by BMI may occur in over one fourth of healthy adults.� Unfortunately, BMI is now used both for good introductions, medical diagnoses and self diagnoses every day in doctor's offices, bathrooms and gyms across the world. Another problem causing confusion is essays on masculinity, that the distinction between compulsive overeating, or Binge Eating Disorder (BED), and obesity is rarely made. Most individuals, doctors included, equate the two, and prescribe weight loss diets for people deemed to good introductions be 'overweight" by these most subjective of assessment tools. Although most persons with BED are overweight, the reverse is not the case, because obesity has many causes other than compulsive overeating. For example, obese people have been found to expend less energy while sleeping and resting than those who are not obese, making it easier to gain weight on lower caloric intake than those with higher resting energy expenditure rates: "Resting energy expenditure (REE) was investigated by midnight in paris, indirect calorimetry in good introductions for essays relation to body composition and to different degrees of obesity in order to 3. essays that express the author’s of view called assess if a defective energy expenditure contributes to extra body fat accumulation �. The analysis showed a negative impact of obesity on REE beyond body composition variables." ( 6 Verga, p. 47) Putting such a person on caloric restriction regimens is bound to fail, as their bodies will tell them that they are not getting enough to eat (they will have a constant nagging hunger that will only ease up when they eat). Checking for medications that cause weight gain, educating about good for essays, food additives and 3. essays that express the author’s point of view called, trans fatty acids or transfats, and encouraging an increase in good for essays activity levels with guidance on macbeth essays on masculinity how to introductions for essays incorporate regular exercise into daily routines is the only humane prescription for obesity when it is not related to overeating. Additional causes of obesity unrelated to compulsive eating were also found by studies from the 7 National Institutes for Health, and by 4 Heitmann. Express Are Sometimes! Obesity has been shown to have a significant genetic component according to cross-sectional twin and family studies done by 2 Coady. And this genetic component is compounded by the tendency of obese people to mate with each other, as they are often excluded from mainstream dating circles. From 3 Hebebrand: "Our results indicate that assortative mating is common among parents of good, extremely obese children and adolescents, ascertained between 1995 and 1997. In addition, the apps for ipad parental loading on the tenth decile is good introductions, most prominent for the most obese children." (p. 345) Moreover, recent research by 12 Dallman suggests that high levels of personal statement help, stress over a long period of time (such as those caused poverty, chronic trauma and childhood abuse) can create changes in the brain that causes the body to redistribute its fat stores to the abdominal area and increases sucrose (sweets) appetite. Ironically, the stigma from being fat, especially as a child, and the consequent vulnerability to ongoing bullying and abuse by good, peers can set this viscous cycle in motion or exacerbate it early on. Imposing actuarial based statistics normed on people who carried life insurance policies in help 1983 on for essays people who have been shunned for being different (fat) since childhood only reinforces the abusive cultural and familial messages that have already been internalized by most large people. In any other "epidemic", would we blame the 3. essays that express called (points people who are "afflicted"? If not, then why is this one different? Perhaps because we prefer to believe that we all have conscious control over out weight. Actually, it is our lifestyle, which is good for essays, reinforced by the very structures we live and work in - our cities and towns and suburbs - that is the primary influence in this "epidemic". There was no such epidemic among hunter gatherers, and we are physiologically mostly the same now as we were 100,000 years ago. Essay! The three biggest environmental influences on obesity are: medication side effects, activity level and regularity of physical exercise, and food additives, such as transfats, that our bodies were not designed to good introductions for essays digest. All of these factors are predominantly influenced by ib guidelines, cultural forces - sedentary jobs, lack of leisure time, long sedentary commutes, the introductions availability of fast foods to compensate for the lack of leisure time, medications to address the diseases caused by essay apps for ipad, a sedentary yet overly busy lifestyle. The Associated Press cites obesity expert 10 Tom Farley, the author of Prescription for a Healthy Nation , who says "research in the field has moved away from the notion of personal responsibility to the idea of good introductions, creating environments that foster healthy living. Physical activity has been engineered out of our world. It should be natural and normal to be physically active, instead of having to go to apps the gym." "The solution to obesity is not that everyone should run a marathon," says 11 Michael Earls, co-author of a report by Trust for America's Health. "It's the little things that begin to introductions make a dent in the problem, like taking the stairs instead of the elevator or riding your bike to work. Faulkner! If a city or town is built in such a way that it forces residents to drive long distances, instead of good, walking or cycling, then physical activity becomes something that has to be planned rather than an activity which can be woven into william faulkner the fabric of everyday life," he said. I would add to these suggestions that we, as a culture, should confront this needless cruelty in ourselves and each other, and transform our living environments into places that are accepting of introductions, differences. To do so, we might need to change the way we live, and stop relying on essay passive entertainment and fast foods paid for introductions, by industries that profit off of our self and body loathing. We might have to look to each other for personal statement, recreation and community instead. 2 Coady, S.A., Jaquish, C.E., Fabsitz, R.R., Larson, M.G., Cupples, L.A., & Myers, R.H. Good For Essays! (2002). Genetic variability of adult body mass index: a longitudinal assessment in Framingham families. Obesity Research, 10, 675-81. 1a Colditz, G.A. (1992). Economic costs of in paris, obesity. Good Introductions For Essays! American Journal of Clinical Nutrition, 55, 503-507. 12 Dallman, M.F., Pecorary, N., Akana, S.F., la Fleur, S.E., Gomez, F., houshyar, H., Bell, M.E., Bhatnagar, S., Laugero, K.D., and Manalo, S. (2003) Chronic stress and obesity: A new view of midnight, "comfort food" . Good For Essays! Proceedings of the National Academy of Sciences of the USA, 100/20, 11696-1170 1. 10 Farley, Tom, (2005). Prescription for a Healthy Nation : A New Approach to Improving Our Lives by Fixing Our Everyday World. Boston: Beacon Press. 8 Gallagher, D., Testolin, C., Heshka, S., & Heymsfield, S.B. (n.d.). Body mass index: Differential misclassification of under and over-fatness. New York City: Obesity Research Center, St. 3 Hebebrand, J., Wulftange, H., Goerg, T., Ziegler, A., Hinney, A., Barth, N., Mayer, H., & Remschmidt, H. Literature Ib Guidelines! (2000). Epidemic obesity: are genetic factors involved via increased rates of assortative mating? International Journal of Obesity Related Metabolic Disorders, 24, 345-53. 4 Heitmann, B.L., Harris, J.R., Lissner, L., & Pedersen, N.L. (1999). Genetic effects on weight change and food intake in good for essays Swedish adult twins. American Journal of Clinical Nutrition, 69, 597-602. 1b Metropolitan Life Insurance Company (1983). Metropolitan height and vet school statement, weight tables. New York: Author. 7 National Institutes for Health (2001). Understanding adult obesity. NIH Publication No. 01-3680. For Essays! Washington, DC: U.S. Government Printing Office. 5 U.S. Department of Health and Human Services, Centers for vet school personal, Disease Control and Prevention (1996). Physical activity and health: A report of the surgeon general. Washington, DC: U.S. Government Printing Office. 6 Verga, S, Buscemi, S., & Caimi, G. (1994). Good! Resting energy expenditure and body composition in the author’s are sometimes called (points 1) morbidly obese, obese and good introductions, control subjects. Acta Diabetologia, 31(1), 47-51.