Categories
Blog

Processed food, Inflammation and Depression

Recently I’ve written a couple of articles about obesity and metabolic syndrome and their adverse health consequences.  With just 12% of Americans being metabolically healthy, the statistics don’t paint a pretty picture (1). I see a future with many people developing ‘diseases of modern living which, sadly,  are largely preventable.  I’m also apprehensive about our children in the US, one out of six children is obese, and one out of three children is overweight or obese.  In 2012 the WHO called childhood obesity “one of the most serious public health challenges of the 21st century,” mainly because when young people are overweight, they have an increased chance of being overweight or obese into adulthood, increasing their risk of disease and disability later in life.

As anyone who has looked at this topic for longer than an Instagram Reel knows, many factors go into people becoming overweight. But on the individual scale, how well do we understand weight gain, and how well do we know ourselves?

Recently someone told me that people who are overweight know they are overweight and don’t need to be reminded about it. That’s true, but I’ve also noticed that many people don’t understand why they are overweight and don’t know what to do about it.

I will share with you some interesting angles to the problem that not many people are talking about. To put them in context, let’s talk about food and evolution. Our brains are wired to seek out salt and sugar. That’s because we need salt for many metabolic processes and calories for all our bodily functions. In nature, foods that are sweeter tend to have more calories.  This drive for salt, sugar, and to some extent, fat is a hard-wired biological fact, and it’s how we are built. 

Modern food companies know this.

They make things taste good by adding large amounts of sugar and salt.  Check the back of a can of Coca-Cola; you’ll be surprised to see salt in there!  This abundance of high calories and high-salt food messes with our brains (and bodies) because we have never been exposed to so much food in our evolutionary history. We have evolved to live with limited food supplies to survive times of hardship by storing extra calories as fat and when times are good.  According to our physiology, we are now in a constant time of plenty, and if we eat more calories than we need, we keep putting down ‘reserves’. So that when the party finishes, we’ll have a little extra around the belly to keep us going…but the party never ends. 

Governments and tabloids tell us to make better food choices, but we don’t…why changing what we eat is difficult to do?

In my last piece, I talked about that a little; besides cultural, social, and familial pressure, one possible explanation could be inflammation. In 2019, researchers presented this idea when they analyzed how inflammation could affect decision-making (4). We know that modern diets, which contain a lot of ultra-processed foods, raise inflammation, which, the researchers showed, can affect our decision-making. 

However, the relationship goes both ways, meaning that many unhealthy decisions (smoking, drinking too much, poor food choices, decisions that cause stress and hardship) also cause inflammation, making it harder to make healthy decisions. The good news is that if we set ourselves up for success (finding an accountability partner, getting the whole family on board, switching things at work, or hiring a coach/trainer), it is possible to reverse inflammation. Or vice versa, changing the food, which then changes your impulses.

Following that study, this recent article explores the connection between eating a highly processed diet and adverse mental health symptoms like depression and anxiety, which many say is part of why they eat…comfort eating (5). The researchers noticed a dose-response relationship, meaning the more junk food a person ate, the more their mental health was affected. Conversely, the same happens in the opposite direction, with the more whole food a person eats is better for their mental health.

Although the study doesn’t discuss children, I feel this is a massive problem for them.
About 2.5% of children are on Ritalin for ADHD when really they might just be disconnected from a whole-food diet. The same is true for the 10% of schoolchildren diagnosed with anxiety. I see it in my own family, and I see it in my children’s friends. Years ago, my osteopathic clinic back in Canada used to run summer camps. I always found it interesting to see what the kids brought to eat for lunch and then their subsequent behavior in the afternoon. Sure, it’s only my observation, but the kids who appeared to have the most compassion for other kids and engaged in the activities weren’t eating white bread, peanut butter, and jam sandwiches!  Instead, they had whole food, carrots, broccoli, eggs, and small portions of fish or meat.  I remember one kid used to bring sushi to camp every day; amazing!

Highly processed foods leading to poor impulse control and depression are only a small component of why we overeat, but they are ones that many people aren’t aware of.  The apparent factors of sleep, stress management, exercise, food quantity, and timing are more noticeable. Still, when coaching someone for weight loss, I take a lifestyle approach that considers all of the above…remember Your Lifestyle Is Your Medicine. 

  1. https://www.liebertpub.com/doi/10.1089/met.2018.0105
  2. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. JAMA. 2012;307:483-90.
  3. World Health Organization. Global strategy on diet, physical activity, and health: childhood overweight and obesity. Accessed March 9, 2012.
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426921/?_kx=t4If0nOfpNdZ-HC1xYBPDO82IcYl_wFMhDzAApaDTNA%3D.HKMsXE
  5. https://www.cambridge.org/core/journals/public-health-nutrition/article/crosssectional-examination-of-ultraprocessed-food-consumption-and-adverse-mental-health-symptoms/CD2C496A199CAB4A9056C00DB5F8AFDE 
Categories
Podcasts

Episode 13: Rebellious wellness over 50 with Gregory Anne Cox

Welcome to “Your Lifestyle Is Your Medicine”

This is the podcast that explores how a person’s lifestyle can be the key to their health and happiness.

Can we create health after 50?

My guest this week, Gregory Anne Cox, talks about the importance of mindset in our question about health and wellness. She addresses the importance of finding what works for each individual and doesn’t let the values and beliefs of others determine your actions and how you feel about yourself.

Greg is a Certified Life Coach, Weight Loss Coach and has a Certificate in Nutrition. She shares with us how she specializes in women, particularly between 50 and 70, who are potentially on a downward projection in their health. And then reverses that to put them at an upward point into their healthy lifespan; they can add those quality years to their life.

She takes a rebellious approach to aging by staying well, looking and feeling great, and avoiding prescription-pad medicine.

Join us to “Get the healthy habits in and the other ones out, and you’re off to the races.”

Follow Gregory Anne Cox
Website – https://rebelliouswellnessover50.com/
Podcast – https://rebelliouswellnessover50.com/rwo50-podcast/
Facebook and Instagram – @rebelwell50

Connect with me

email: ed@edpaget.com
Linktree: https://linktr.ee/ed.paget

Thanks for listening! Send me a DM on Facebook or Instagram

Categories
Blog

Obesity, can we blame it on hormones?

I put a post out last week where I highlighted the connection between neck pain and abdominal obesity. This made me think more about the topic as I see the expanding waistlines of many of my friends and most of my family.

This trend scares me….literally…I recently had a friend come and stay with me who I hadn’t seen for 15 years. Part of the reason we spent time with each other after so long was that he wanted to address his weight gain. We ended up playing a game of pickleball, like miniature tennis, and he struggled with his fitness, and I genuinely thought he could have a heart attack.

Images of me calling his wife flashed through my head, and I felt stupid for pushing him during the game. Luckily my fears weren’t realized, but this problem will only worsen.

In the US, the number of obese people is expected to rise to just under 50% by 2030 (1). This public and personal health crisis must be addressed on an individual and, where possible, at a general level.

There are different types of obesity, and the one I mentioned above, central obesity, is more serious regarding related increases in many health problems and early death. (2)

Some forms of obesity can come from hormonal changes, but the percentage of cases of hypothyroidism, Cushing, and Hypogonadism don’t explain the rapid increase in patients over the last 30 years.

However, we are learning now through research that excess body fat changes hormones which can make it hard to lose weight, but these hormonal changes are a consequence, not a cause, as they tend to normalize with weight loss (4).

Doctors aren’t equipped or trained well in advising patients on how to lose weight, and most tend to ignore it, pushing the problem, increased risk of diabetes, heart attacks, strokes, and some cancers further down the line.

Some people might think it’s easy for me to talk about obesity because I’m slim and have some sort of genetic ability to stay thin. Well, genetics play a small role in obesity but as everyone who has ever spent time with me says…” You don’t eat enough .” My usual reply is that I eat the right amount, considering I’m about the same weight I was 20 years ago.

Yet, when I spend time in Canada or the UK on holiday, I put on weight, usually about 5-10lbs in a month. That’s mainly because I’m eating out or people are cooking for me, and I’m not in complete control of what I’m eating as I am at home. If I stayed a year with no change in those eating habits, I might just put on 30 lbs, and that’s what I see with my peer group once skinny athletic men are now walking around with their rotund waistlines as a source of pride, maybe even status.

The question for me is how do I bring up the topic of weight gain or loss without being accused of fat shaming?
When patients come to me for advice, it’s easy I use a lifestyle medicine approach which allows me to help patients and clients see the connection between things that are not commonly discussed as causes of obesity, namely,
Disrupted sleep pattern (5)
Timing of food eaten (6)
Stress levels and how to manage them (7)
Environment (3)

But when it’s my friends, do I stand by and ignore the fact that some support and encouragement may be the key to preventing stroke, heart attack, and some cancers?

You see, the environment is a particular concern of mine. As mentioned, I’ve seen how obesity can spread through social networks. I’ve seen certain groups of people collectively become obese over the years. The study quoted here highlights this very well,
“The study found that when an individual becomes obese, the chances that a friend of theirs will become obese increase by 57 percent. Their siblings have a 40 percent increased risk of obesity, and their spouse a 37 percent increased risk”.

Obesity is a multifactorial problem that needs to be addressed in a multifactorial way.
Hormones play a small role in the current epidemic. Still, solid support from healthcare practitioners can help people tackle this problem and save lives, unnecessary suffering, and money.

Sources:

(1) https://www.nejm.org/doi/full/10.1056/NEJMsa1909301?query=featured_home

(2) https://www.hsph.harvard.edu/obesity-prevention-source/obesity-causes/

(3) https://www.endocrine.org/patient-engagement/endocrine-library/obesity

(4) https://www.ncbi.nlm.nih.gov/books/NBK279053/

https://www.endocrine.org/patient-engagement/endocrine-library/obesity

(5) https://www.hsph.harvard.edu/nutritionsource/sleep/

(6) https://www.hsph.harvard.edu/nutritionsource/healthy-weight/diet-reviews/intermittent-fasting/

(7) https://www.amymyersmd.com/article/cortisol-and-weight-gain/

(8) https://hms.harvard.edu/news/obesity-spreads-through-social-networks