Problems at the Clean Plate Club

I don't know about any of you, but I was raised in the Midwest and had "clean your plate" drilled into my head from a young age. Ever since World War II, when Harry S Truman introduced a campaign in schools to "clean your plate" because resources were scarce, that notion of a clean plate has stuck with us. With portions in restaurants rising at alarming rates, and the idea that one can very easily "super size" a meal, we have an impending obesity crisis on our hands- one that is already surfacing. According to the latest statistics from the Center For Disease Control, more than 66 percent of Americans are overweight or obese. These are INCREDIBLY troubling numbers- and the real question is, how do we change this culture?

As I've written before, we're seeing more and more eating disorders surfacing from all sorts of different areas. The other "eating disorder" is the one we, across America, face every day- the fast food nation. With portions becoming out of control and people hurrying to eat and finish meals, we've seen a large increase in obesity across the nation. The Food and Drug Administration is even trying to crack down on portion sizes in restaurants.According to the FDA report, the annual healthcare cost for obesity is right around $93 billion. This is (sorry about the pun) a HUGE problem.

An interesting solution was proposed by various pundits- perhaps a "fat tax" would create some change? According to a study released in July of this year by the Urban Institute and the University of Virginia, unless diet and consumption changes drastically, in 2015 a whopping FORTY PERCENT of Americans will be considered obese. Additionally, the study brings up the option of a "fat tax," or a tax on unhealthy foods like chips and soda, and here are the stats. A 10% excise or sales tax on fattening foods could raise $522 billion over the next 10 years. A 20% tax could raise $937 billion. These are impressive numbers, to say the least. Nearly a trillion dollars because Americans can't stop eating unhealthy food? What's the deal?

Are we dealing with an addiction to fats, salts and sugars? Dr. David Kessler, author of "The End of Overeating" seems to think so. According to research for his book, Dr. Kessler found the dopamine receptors in our brains are stimulated by unhealthy foods, so, much the same as a drug addict starts to crave the rush of an illicit substance, we start to crave unhealthy food. And, according to both his book and the billions of dollars in ad campaigns every year, the market has adapted to our cravings. With fast food on every corner and unhealthy options at every restaurants, we have to diligently fight to eat intelligently and healthfully. A battle on many fronts, to say the least.

So here's a call for drastic change- shop local, organic food, and eat smaller portions. Learn to recognize what "full" means and don't eat past the threshold. Ignore those pesky McDonalds signs- at least most of the time. Without some clear thinking, we truly will have an epidemic on our hands. I'm not advocating for complete and total change- but you CAN change yourself. Start there, and others will follow.

Here's a link to a video from Katie Couric on CBS News talking about the obesity epidemic.

Here's a video from Thomas Frieden, the Commissioner of New York City Department of Health, talking about combating obesity:



We got a great shout-out from the Sober Living Blog about Addiction Tomorrow! Thanks guys!

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When eating disorders strike in mid-life

Eating disorders, especially anorexia and bulimia, are generally classified as a young woman's disease. Now, according to a recent New York Times article, more and more women in their 30s and 40s are developing eating disorders.

“I think the degree of despair we are seeing among adult women about their bodies is unrivaled,” said Margo Maine, co-author of “The Body Myth: Adult Women and the Pressure to Be Perfect” (Wiley, 2005). “Eating disorders creep up during periods of developmental transitions, so the peak had been 13 to 15 and 17 to 19 — moving into adolescence and moving into college. Now, we are seeing them again during or after pregnancy and as women hit other life phases, such as empty nesting.”

“A problem is that friends, and even doctors, get used to seeing someone in their overly skinny state and may not recognize their habits and physique as dangerously unhealthy,” said Dr. David Herzog, the director of the Harris Center for Education and Advocacy in Eating Disorders at Massachusetts General Hospital. He is also the endowed professor in the field of eating disorders at Harvard Medical School.

WebMD even has a specific section of their website geared towards older women and eating disorders. This is an awareness that is growing among addictions- that these kind of things can strike anyone, anywhere, whether it's drug addiction, eating disorders or other compulsive behaviors. Money, success, fame (see Michael Jackson) or any other factor can't completely shield someone from these terrible diseases. The best we can ask for is awareness and the ability to get help.

What Dr. Herzog said above, about doctors not being able to recognize the behavior, is one of the biggest problems in America. Doctors receive little education around recognizing and treating eating disorders and addiction unless they really ask for it or specialize in it. This leaves an entire generation of doctors on their own, trying to help people in a general practice where these things may go unnoticed for long periods of time. Once again- educate, educate, educate and raise awareness! If you think there's a problem- if you're asking yourself if you drink too much, smoke too much pot, or aren't eating enough, ask for help! There is no shame in getting better. I think that's the biggest stigma in our culture- that somehow living with a huge problem and not getting help, attempting to pull oneself up by the bootstraps if you will, is a better option than asking for help with a major problem. This is something each individual can change for themselves. If you need help, you won't get it if you don't ask.

Miss America Kristen Haglund is involved in eating disorder awareness:



And here's a video on older women and eating disorders from CBS:


Watch CBS Videos Online

Here's something funny.

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Eating Disorder Books

A post in the New York Times yesterday in the Books section touched on new stories coming out regarding girls and eating disorders. The title, "The Troubling Allure of Eating Disorder Books," says it all. There are a number of pro-anorexia websites all over the web, and this disturbing trend is pushed by things like Amazon book lists posted by individuals who encourage anorexia. One of the quotes by this particular reviewer was innately disturbing: "I couldn’t put this book down. The main character Kessa had one of the most extreme cases of anorexia. I admired her strength in never giving into food no matter how strong her carnal desires were (and she was severely emaciated so they were very strong)." The thinking here is obviously pretty sick.

What's difficult about eating disorders compared to other disorders is that you can't abstain. Unlike drugs and alcohol or even gambling, one can't quit and then work through personal issues. An individual struggling with anorexia or bulimia needs all the help they can get. There's a number of programs around the country available for help. An individual or family who is being affected can go through the International Association of Eating Disorder Providers to find a therapist or outpatient program in their area. Programs like Rosewood Ranch in Wickenburg, AZ and The Victorian in Newport Beach offer residential care for clients that need the help. A number of these individuals also have a history of significant trauma in their lives, and finding a way to work through that with new coping mechanisms can be a challenging process.

And of course, what we REALLY need is additional awareness. As with all compulsive disorders, a stigma created by society exists. Celebrities in the media almost flaunt their skinniness and potential anorexia, providing poor role models for young girls. One can open any US Weekly or click on Perez Hilton to see women pushed by the pressures of society to be too thin. The National Eating Disorders Association is working to destroy this image by providing education to parents, families, and educational institutions. The best combatant we have against this deadly disease is information and action. We can always hope for the best, but providing help for a friend or family member in need is the easiest way to make a difference.

Here's the Eating Disorder Awareness video:



Here's another video on eating disorders.

Here's something funny.

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