Red Alert

Posts Tagged ‘Obesity’

Addicted to Food

Posted by Iain Lees-Galloway on December 30th, 2011

Perhaps it’s just because Christmas overeating is still heavy on my mind (and other body parts) but I’ve noticed there seems to have been a lot of discussion about causes of and suggested solutions to obesity over the last few days.

Waikato University scientist, Dr Pawel Olszewski suggests sugar and fat may produce changes in the brain which resemble the effects of addictive drugs. This may have a profound impact on the way governments, health practitioners and communities plan to combat the impact of the growing incidence of obesity.

We must be careful, though, not to directly equate sugar and fat, which our bodies need, to nicotine, alcohol, THC, amphetamines etc which we can quite happily do without:

Dr Olszewski says that while the brain responds to tasty foods in ways that have a lot in common with its reaction to drugs, he stresses there is a clear distinction between the complex mix of substances found in foods and a single compound such as morphine or nicotine. For this reason he describes over-eating patterns as “addictive-like”.

“We don’t want to send the message that if you’re eating a sandwich, that you’re consuming a drug. However palatable, high-sugar foods very often increase activity of the same brain circuits that are involved in the creation of the addictive state.

“So we believe this addictive-like behaviour stems from the effect that nutrients, in particular sugar and to some extent fat, have on the same set of brain areas that drive addiction.”

Tony Falkenstein, chief executive of Just Water International, made the connection and took it to a seemingly logical conclusion by suggesting a sugar tax. (Which, of course, would benefit his company).
This drew a thoughtful rebuttal from Dr Jim McVeagh at MacDoctor:

Immediately one can see the absolute pointlessness of a sugar tax. Potatoes, white bread, rice and pasta become sugar in the body as fast as pure cane sugar and nearly as fast as glucose powder. Taxing sugar is like sticking your finger in the dyke when the tsunami alarm has just gone off. And taxing carbohydrates in general is just adding a tax to nearly all food.

I’m inclined to agree that taxing sugar is pointless and taxing fat just becomes ridiculously complex as you attempt to define ‘good’ and ‘bad’ fats.
As Jim McVeah says,

all that causes obesity is taking in more calories than you burn up.

So if an excise-type tax were to be used in an attempt to curb obesity, the only logical approach I can think of is for it to be based on calorie density. Extremely calorie dense foods tend to be those that we ought only to eat occasionally although I expect there will be exceptions. A similar  effect could be achieved by taking GST off  low-calorie density foods. Both approaches have flow-on consequences that would have to be thought through before suggesting that either is worth implementing.

Add to the mix research released from Ohio State University this week that shows the attachment between mothers and toddlers is linked with incidence of obesity and you quickly get the picture that obesity is not straight forward and solutions will be neither singular nor simple.

Obesity is a significant driver of the increasing cost of healthcare and therefore cannot be ignored. Developing prevention and treatment strategies is the responsibility of governments as much as it is the responsibility of parents, communities and individuals.


Health System on its Head

Posted by Iain Lees-Galloway on February 8th, 2010

Last month when Rahui Katene suggested more public money be put into providing stomach stapling operations as an answer to obesity-related health complications I knew in my gut that it was the wrong message and needed to be challenged.

But I also know a couple of people for whom this type of operation has been extremely beneficial and has extended their life expectancy immensely. As a final option – when all other avenues have been explored – it should be considered.

Today, however, the completely arse-about-face approach to healthcare the National / Act / Maori Party government take has taken a step into the ludicrous.

Reports this morning bemoaning the additional costs to ACC of dancing-related accidents typify the thinking:

Prevention = Bad, Cure = Good
                             or
 Long term plans = Bad, Short-term stats in time for the election = Good

Should we discourage kids from playing sport because they might get injured? Should we not go to the gym because we might pull a muscle? Should we all sit on the couch and watch TV or play Playstation rather than go for a walk as a family?

And having lived that type of lifestyle, will the Government then pick the tab on surgery to make it all OK?

There is no sense whatsoever in taking away the services that teach people to take responsibility for their own health and assist people to make early interventions and then putting more ambulances at the bottom of the cliff.


A nation of couch potatoes?

Posted by Chris Hipkins on July 17th, 2009

Worrying new data released by the OECD this week shows one in four New Zealanders are overweight. All of us pay for the health-related costs of that. Obesity is one of the major health risks facing New Zealanders, but National has taken a knife to initiatives to combat this growing problem.

So far the Government has cut funding to the Obesity Action Coalition, is threatening to remove Fruit in Schools, has dumped reducing obesity as a health target and has cut nearly $5 million from the diabetes ‘Lets get Checked’ budget. They’ve pulled the plug on healthy food in schools, cut budgets for Mission On and Push Play, and no doubt there is more to come.

Without appropriate intervention it has been estimated there could be up to 180,000 New Zealanders living with Type 2 Diabetes by 2011. One dollar spent on preventing obesity is repaid many times over in the long-run. So what is the appropriate role for the state? Should we focus on preventative measures or simply wait until people become dependent on the ‘nanny state’ for their healthcare?