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Insight
Into the Fat Fight
by
the Social Diary Health Columnist Ruth S. Jacobowitz
Column #1, January 1st, 2006
Society
has definitely taken a turn to the left where our health is concerned.
We're castigated daily in the news about our obese society,particularly
our obese children. Diet companies rise up as the next low calorie
weight-loss hope, many of them make big bucks, and then go out
of business. As their clients' weight goes back up, their bottom
lines go down.
Is
their some magic bullet lurking somewhere to solve this weighty
problem? I no longer think so. It was at The Mt. Sinai
Medical Center in Cleveland that what ultimately became
Optifast was developed. It started out as help
and hope for diabetics and patients with high blood pressure.
Quietly and scientifically, it was created by two renowned men
of science.Then a patient who shed 321 pounds in 365 days sold
his story to one of the tabloids and the fat was in the fire.
In print, on television and radio throughout the world, the fat
and the not so fat clamored for the product,
which became known as Optifast once it was purchased by Sandoz
Pharmaceuticals.
This liquid protein drink that totally replaced food was an overnight
commercial sensation and although patients lost tons of weight,
the secret for keeping the weight off remained illusive.
In fact, there is a joke in my family that when one person loses
weight, the pounds lost do not disappear into thin air-the pounds
simply stick onto someone else. I wasn't really pondering this
weighty subject, this being a NewYear and all, until I met an
old friend at a party recently. He was slim, trim and handsome.
He had done the same on Optifast about two years ago only to return
to his former avoirdupois---pound for pound and then some. Here
he was again lithe and lean so naturally I complimented him and
asked how he did it.
"Gastric bypass," he said. "I've
already lost 80 pounds and have just 20 more pounds to lose."I
said, "You and Al Roker both look great."
Then I remembered a former Optifast devotee who went on television
showing how many times his belt could encircle his waist. I think
it went three
times around. And then before long he filled out the belt again.
A few years later, he, like my friend
that I saw a few evenings ago, underwent stomach stapling, as
we called it then. He again lost a lot of weight, but soon learned
how to eat around the staples and today is as heavy as he always
was
in between diets and surgical procedures.
My point is, I am not sure we can defeat our genetic disposition
for carrying weight and I'm not sure we should. A new study by
researcher John Phelan, PhD, an evolutionary
biologist at UCLA, that appeared in Ageing
Research Reviews, shows that drastically cutting
calories for rats greatly boosts longevity but probably does not
do the same for people. In a recent news release, Dr Phelan says,
"The same result has been found in fish, spiders, and many
other species. If it works for them, some thought, it
should work for us; I'm here to tell you it doesn't."
What
the researchers are writing about in terms of longevity is not
giving up a chocolate or two or just making your diet leaner.
The rats caloric restriction was so severe that they could no
longer reproduce-maybe that led to longer lives. But according
to the researchers, "To undergo decades of calorie restriction,
suffering chronically reduced fertility and increased hunger for
the sake of a much smaller proportionate increase in longevity
than is seen in rodents seems unappealing and ill-advised."Dr.
Phelan states, "My advice about food is be sensible, and
don't be a fanatic about it..." He notes that "these
findings are not an invitation to throw calorie caution to the
winds, since obesity often brings health risks."
*
Ruth S. Jacobowitz is an award-winning medical writer,
dynamic lecturer, columnist and former vice-president of a teaching
hospital in Cleveland, Ohio. The Estrogen Answer Book,
is her fifth women’s midlife health book. She is also author
of 150 Most-Asked Questions About Menopause; 150 Most-Asked
Questions About Osteoporosis; and 150
Most-Asked Questions About Midlife Sex, Love, and Intimacy.
Her first novel, Final Acts,
a medical/legal thriller was published in September,
2004.
Ruth’s engaging and informative
lectures have taken her all over the world. She educates men and
women about how they age and empowers them to take charge of their
own health. Her books are published in 14 languages. She has been
on 48 Hours, Today, CBS This Morning, Donahue, Leeza,
America’s Talking, Food Television Network, People are Talking
as well as on local television news and talk programs
and in the New York Times, Washington Post, Vanity Fair,
Newsweek, and on National Public Radio.
Visit
Ruth at her website www.ruthjacobowitz.com
.
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