Sunday, 9 June 2013

Super-Size It

It’s been a long frustrating and exhausting day at work.  It’s around 8 p.m. and I head home.  On the way home I decide I am too tired to cook dinner.  I pull into one of the two McDonald’s on my route home and order a Quarter Pounder with Cheese, French fries, and a Sweet Tea – the drink preference assumes you live in the southern U.S. and ingest it before I get home.

 I don’t take time to think about the 900 calories I just consumed.  The way I feel based on my day at work is that I don’t really care much about calorie intake at that moment.  The recommended intake of calories for the average person is 2,000 per day.  Let’s hope the breakfast, lunch and snacks throughout the day tallied to less than 1,100 calories, because it makes me even more tired just thinking about exercising to burn off anything over 2k calories. 

The Quarter Pounder at McDonald’s made its debut on the national menu in 1973.  It was a super-sized 4 oz. pre-cooked beef patty compared to the 1.2 oz. single hamburger beef patty.  I guess I can take comfort knowing it is not a true quarter pound burger after it is cooked and the grease is drained.   Because it is less than a half or a whole our psyche tends to ignore the relevance of its size. The amount of food became noticeable when a super-sized option began.  McDonald’s ended its super-sized fries and drinks in 2004 in response to a movie that demonstrated a diet of McDonald’s meals was not a healthy choice and larger portions contributed to increased girth.  We become what we eat.

Moving past McDonald’s.  Think about the last time you went to a restaurant.  What did you order?  How big was the plate that your food was on?  Even a salad can be enormous.  Were you able to eat it all?  Did you request a “doggie bag” to go?

Lessons in my early years taught me not to be wasteful, so I belong to the clean plate club.  Based on my observations where people eat, it seems there are less and less people belonging to this club. To belong to this club, you must eat everything on the plate…unless it’s green peas J.  Because I feel I am compelled to eat it all, I do not often eat out because of the portion sizes.  I can’t afford a new wardrobe with a new waist size. 

For most of us, there is the magic age somewhere between 35 and 45, when our metabolism shifts into the lower gears, and the pounds pile on which requires much more effort to trim it off.  I have access to a gym, exercise equipment and exercise DVD’s that can help me keep fit.  Truth is, I am very inconsistent about using any or all of those things.  I used to be able to cut weight quickly to stay in my weight class when I boxed many years ago.  I once could eat what I wanted, as much as I wanted, and not be concerned about packing on the pounds.  These days, nagging back aches and deteriorating painful knee joints are not real motivating factors to push myself to fitness.  And, the diets I embark on might last a week at best.  It’s really hard for me to say no to a couple of donuts when someone else brings them to the office.  My love for donuts goes back to when I was a young lad and ate a baker’s dozen in one sitting after church and this feat was acknowledged in the next Sunday sermon.  You can imagine how embarrassed my folks were.  I strike it up to belonging to the clean plate club J.  Some people concede at some point that it is an impossible task to lessen the load we carry, so the spare tire and love handles become a permanent personal accessory.  I am not quite of that mindset, yet.

I recently attended a conference on obesity.  Medical experts in the field advised that the current generation may be the first generation in our history who will not outlive the prior generation in regard to years lived.  Scary stuff.  The primary reason is due to the current rate of child obesity and the subsequent medical conditions that are associated with obesity. 

Obesity is defined as having a Body Mass Index (BMI) greater than 30. The “normal range” for the average person is 19.5 -24.9 BMI.  Between 25 and 29.9 BMI is considered overweight.  BMI is considered to be a better predictor than what scale says, because it factors in weight and height.  My gauge is the mirror, and it’s not a pretty sight.   

 In 1980, less than the 10% of the adult population were obese.  In 1995, less than 15% of adults were obese.  In 2010, 35.7% of adults are considered obese.

In 1990 the average male weighed 176 and the average female weighed 140.  In 2010, the average male and female were both 20 pounds more than they were in 1990.  A survey was done in both periods asking people whether they saw themselves as being overweight.  The perceptions for both time periods were not significantly different, which indicates we haven’t noticed we are getting bigger over the past 20 years.  I guess if I am bigger today than I was 20 years ago (which I am), and so is everyone else, then in a relative sense nothing has really changed when I compare my body size to someone else.

How did we get here?  For starters, we are taking in, on average, 300 more calories per day than we did in 1985…super-sized portions. Other contributing reasons include:

  1. Lack of sleep allows us to store fat more efficiently. And it is harder to exercise when we are tired.
  2. Stress may cause our bodies to release hormones that store more abdominal fat and slow down our metabolism, as well as create a desire for high-carbohydrate foods due to their effect on increasing serotonin.
  3. Medications.  People being treated with drugs to control depression, mood disorders, seizures, migraines, blood pressure and diabetes, among other medical conditions, have reported weight gain. The same goes for people taking steroids, hormone replacement therapy and oral contraceptives. The effects have been attributed to an increase in appetite, alteration in fat storage and changes in insulin levels, all leading to people eating more.
  4. Medical conditions: People with certain medical conditions such as hypothyroidism or Cushing’s syndrome tend to gain weight with the increase in cortical production. These maladies cause a decrease in metabolism and generalized fatigue, leading to our bodies using fewer calories from the food we eat.  Genetics have a role in the shape of our bodies, but it is the environmental and external factors that have the most impact in molding that shape.
  5. Hormonal issues: Menopause in women and the yet-to-be-officially-recognized andropause in men are blamed for weight problems. We tend to become less active, have a slower metabolism, poorer sleep and increased rates of depression, all of which affect the amount of food we are eating.
  6. When and where we eat: Skipping meals (usually breakfast), having too many snacks, eating out frequently or eating late at night have all been implicated in causing weight gain. Eating while watching TV, sitting at the computer, while reading or in the car can all contribute to weight gain due to how this mindless eating adds so many calories to our bottom line.
  7. Lack of physical activity.  Children are getting less physical activity in school, which carries over to after school.  Addiction to video games and social media contribute to sedentary lifestyles.
  8. Fatty foods, Processed foods and Additives: The easy availability of high-calorie dense processed foods, the excessive use of artificial sweeteners, high-fructose corn syrup, MSG and other food additives have all been related to weight gain.  Most North Americans consume at least 37 percent of their calories from fat (usually the wrong kind of fat such as animal fat and refined vegetable oils). This is way more than our bodies can handle.  If you have a diet that is too high in fat, it puts you at risk for obesity, adult onset diabetes, certain cancers, and arteriosclerosis (hardening and plugging up of the arteries).  One additive we often overlook is synthetic hormonal steroids given to animals that end up on our table and to cattle producing milk.  Synthetic hormones act as toxins in the body and can be difficult to get out of your system. One of the main side effects of synthetic hormones is WEIGHT GAIN, especially around the abdomen, hips and thighs.
  9. Emotional issues: The term “emotional eater” has almost become a cultural phenomenon, seemingly spreading like a virus.
  10. Our metabolism: Do you have a faulty metabolism from repetitive dieting or your yo-yoing weight due to too much fasting and feasting over the years?
The magical formula, so I am told, is to manage the portion size of your meals (downsize), regularly incorporate food into your diet that is close to its natural state (organic, fresh veggies and fruit), limit processed food to a minimum, exercise at least 3x a week for more than an hour each session and reduce high carb and sugar intake.  Sounds easy enough, right? 

The problem with that is many fold.  Poorer people have more of a challenge eating healthy which contributes to managing their weight.  The reality is that it costs more to eat healthy, unless you eat out a lot, and that can be pricy and often not a good choice on several levels.  Added to that, we are creatures of habit.  In general, we seek pleasure over pain, and food tends to bring us so much pleasure.  So many times the least healthy foods (pastries, pizza, ice cream, Quarter Pounders with Cheese, etc.) are those we interact with the most because frankly they just taste the best and satiate our craving(s).  It also is difficult to break away from cultural influences in regard to food.  Many foods in the South are fried…they even fry vegetables – fried okra, fried green tomatoes, etc.  Lard and grease galore, but it sure does taste good when it hits that palate.  And, it goes without saying, outside of Texas, barbeque is all about pork…and too much pork makes up portly. 

Another reality I recently learned is that a large number people who live in rural areas in South Carolina and are at or below the national poverty level do not have a full-service grocery store in their community that provides fresh produce or meat.  Thus, their choice is limited to largely processed foods.  Processed foods are less expensive.  For example, Raman noodles have little nutritional value and are loaded with lots of saturated fat and sodium, but it is simple to prepare, can satisfy hunger and can be gotten at a low price.  A handful of fresh peaches, especially when out of season, are more expensive than the nicely packaged single serving fruit cups that have the diced peaches swimming in high fructose corn syrup.  And, organic products are almost always more expensive than non-organic foods.   

In these same communities, it has been reported that some  individuals who were walking or riding bikes on the side of the road for exercise were struck by vehicles.  They used the roads for their exercise because their town had no sidewalks.  These realities are not an excuse for obesity, but I understand better how a person can get there.

 At the end of the day in order to lose weight you have to expend more calories than you take in.  That requires a commitment to: 1) change eating habits, 2) make better nutritional and smarter food choices, 3) start and sustain a consistent exercise regimen, and 4) say no to that Quarter Pounder and those super-sized portions.

Am I willing to sacrifice my inner desire to eat a couple donuts the next time they arrive in the break room?  Am I willing to reprogram my brain to realize that I don’t need to super-size my hamburger, when a smaller patty will be enough?  Am I willing to ask for a “doggie bag” in the restaurant?  Am I willing to say no to the stuff that tastes so good, but is killing me, literally and figuratively?  Am I willing to make time to exercise regularly?  It comes down to - how bad do I want to lose that weight and those personal physical accessories I have acquired?  I figure, if the folks on the Biggest Loser can do it, so can I.