Showing posts with label Quobesity. Show all posts
Showing posts with label Quobesity. Show all posts

Thursday, October 09, 2014

From the "Not the Onion" and "How Can This Not Be a Joke" File

The Aberdeen Health Foundation in Nova Scotia is celebrating the $4,925 they raised by hosting a McHappy Day at McDonald's (a multi-year fundraising tradition) and this year is using that money to help fund the purchase of a specialized bariatric chair for use in the Aberdeen Hospital.

Here's hoping that next year they don't sell cigarettes to help fund a new respirator.

(For newer readers, here's a piece I wrote on why we need to put an end to this sort of fundraising, and if anyone is interested in non-junk food fundraising, here are some recommendations from CSPI, which while specific to schools, are in many ways applicable to hospitals and health foundations (and certainly are so when we're talking about raising a grand total of $4,925)

Wednesday, June 11, 2014

No, Low-Fat Doughnuts Aren't Going to Cure Obesity

Sigh.

I had many people send me a piece from the Ottawa Citizen entitled, "People line up for Almonte inventor's lower-fat doughnuts" that included their inventor Ed Atwell's unopposed comment,
"I believe this is a technology that is going to curb if not eliminate the obesity epidemic"
I guess he's never read any of Brian Wansink's work that suggests the doughnuts' "low-fat" label will likely contribute to obesity's rise, rather than help it's fall. Why? Because the label and the story provide a health-halo that the evidence would suggest will lead people to consume more calories from these purportedly "healthy" or at the very least, "healthier" doughnuts than if they just hit the full strength versions (something to which the store's out the door lineup to buy speaks directly).

My favourite part of the story though has to be the nutritional information disclosure.

Apparently Ed's average obesity-fighting miracle doughnut contains 190 calories.

Want to know how many calories are in Tim Horton's classic chocolate dip?

190.

Blargh!



Wednesday, March 26, 2014

Canadian Breast Cancer Foundation Fundraising with Healthwashed Junk Food

Sigh.

Junk food fundraising is so common place nowadays that virtually no one blinks an eye when they see it. Worse still, in many cases the dollars received in lieu of healthwashing are minimal.

Take for instance the new partnership between the Canadian Breast Cancer Foundation (CBCF) and the so-called Canadian Healthy Vending company. In return for the use of the CBCF logo on their Max! Healthy Vending Machines the CBCF will receive $48,000.

In discussing the partnership Holly Henderson, the Canadian Breast Cancer Foundation’s Senior Director of Corporate Programs, explains why she feels the fit is good,
"The Foundation is particularly excited about this program as it allows us to extend our message about the importance of healthy lifestyles and reducing breast cancer risk. It’s never too early or too late to take steps to help reduce risk by making healthy choices and learning more about breast health."
So what healthy choices are sold in the pink and healthwashed Max! Healthy Vending Machines? Pretty much the same crap that's in any vending machine only this machine calls its contents healthy. There's sugared soda like Natural Brew Cream Soda (9.5 teaspoons of sugar) and Blue Sky Organic Soda New Century Cola (sweetened with 10 teaspoons organic cane sugar). There are cookies like Enjoy Life's Chocolate Chip and Snickerdoodles (each with the same calories and sugar of Oreos) and chocolate bars like Green & Black's Milk Chocolate (nutritionally nearly identical to the iconic Hershey's Milk Chocolate bar). And of course there are potato chips like Old Dutch Baked Ketchup Chips (which according to the nutritional information on the Old Dutch website chip per chip actually contain more calories and more sodium than their non-baked Old Dutch Ketchup Chip brothers).

These are not what I would describe as healthy snacks. In fact I've argued before that these sorts of snacks are worse than their non-healthwashed counterparts given the likelihood of their overconsumption or more frequent purchase consequent to their healthwashing. No doubt too, regularly consuming these sorts of products might in fact lead a person to gain weight. As far as weight and breast cancer goes, the links, though correlative, still give cause for concern. According to the National Cancer Institute, obesity increases the relative risk of developing post menopausal breast cancer by 50%. They also report that maintaining a body mass index of 25 could prevent 11,000 to 18,000 deaths per year from breast cancer in U.S. women over age 50, that breast cancer is more likely to be detected at a later stage in women with obesity, and that weight gain during adulthood has been found to be the most consistent and strongest predictor of breast cancer risk in studies in which it has been examined.

Shameful.

UPDATE: Crazy that it ever happened in the first place, but the good news is that the CBCF's contract with Canadian Healthy Vending has recently expired and they've no plans to renew!

Tuesday, August 27, 2013

Understanding Nutrition Is About More Than Simply Knowing How To Eat

A few weeks ago National Post columnist Jonathan Kay wrote a 1661 word polemic extolling the wonderful foods available at McDonald's.

Apparently, Kay, inspired by David Freedman's Atlantic piece on how junk food will beat obesity, downloaded an app that provided him with the calorie counts of McDonald's menu items, and armed with the app he headed out to McDonald's and interviewed McDonald's Director of Menu Management - Anne Parks.

Besides suggesting that anyone who thinks we eat fast and processed foods too frequently are, "food elitists" and "culinary snobs", Kay's thesis apparently is that with careful tweaking and rejigging of ordered items via the app, something that may lead you to be, according to him, "one of those “When Harry Met Sally" types who hold up the line with instructions and substitutions", you too can shave calories and fat off of your order.

Having been at a McDonald's myself 2 weeks ago in New York (they've got that great free wifi, and admittedly, I'm a sucker for their Egg McMuffins), the line at each of the 6 cashes was over 8 people deep. People were in a rush and clearly it's not called fast food for nothing. I'd argue with Mr. Kay that it would only be a "food elitist" who would think that the folks in that line should, could or would use an app to fine tune their orders to non-standard specifications as special orders take much longer to receive. I guess what I'm saying is that just because something is theoretically possible does not necessarily make it theoretically plausible.

Moreover, it would appear from the text of Kay's piece that even those in the possession of this wondrous app aren't able to use the information they're being given to evaluate their choices or understand purchasing behaviour.

Kay first talks of the existence of salads on McDonald's menu as evidence of how McDonald's "walks the nutritional walk". Of those salads, while some indeed are low in calories and sodium, others, when combined with dressing, have more calories than a Big Mac and nearly a full day's 1,500mg recommendation of sodium. Of course suggesting restaurants are healthy simply consequent to the availability of salads forgets the question of whether or not people actually order them. The answer would be not so much as McDonald's recently reported that salads make up just 2% of sales, and go figure, here again we're talking about a fast food restaurant. I can likely down a Big Mac in under 90 seconds and can do so on the run, but a salad's going to take a great deal longer, and require me to sit down and pull up a chair.

Next Kay waxes nostalgic about McDonald's fruit smoothies which according to him,
"taste remarkably similar to the ones I make at home from scratch."
He goes further and states,
"The McCafĂ©’s Blueberry Pomegranate variety is particularly impressive, because it contains no sweetener beyond fruit juice."
That statement demonstrates Kay really isn't clear on this whole nutrition thing, or that his app isn't helping him as much as he thinks. Looking at the Blueberry Pomegranate's ingredients reveals quite a lot of sugar (I've bolded each added sugar addition for ease of reading), both in the smoothie base and in the low fat yogurt added to it
Blueberry Pomegranate Smoothie Fruit Base: Blueberry puree, water, clarified demineralized pineapple juice concentrate, raspberry puree, apple juice concentrate, pomegranate juice concentrate, natural (botanical) and artificial flavours, cellulose powder, peach juice concentrate, pear juice concentrate, citric acid, lemon juice concentrate, xanthan gum, pectin, dimethylpolysiloxane, natural colour (fruit and vegetable juice).

Low fat yogurt for Smoothies: Partly skimmed milk, sugar, milk protein concentrate, modified corn starch, bacterial
cultures.
If Kay were more familiar with nutrition I imagine he would know that when you boil off all the liquid of fruit juice and concentrate it, you're left with plain old sugar. A lot of sugar in fact in the case of these smoothies, with sugar accounting for 88% of their calories. How much sugar? Even if you forgo the yogurt in your smoothie, a so-called "snack" size Blueberry Pomegranate smoothie contains 7.25 teaspoons of sugar, a small - 11.75tsp, a medium - 14.75tsp, and a large - 18.25tsp. For comparison, a Mars bar contains as much sugar as the "snack" sized Blueberry Pomegranate smoothie, while the large has sugar just shy of that which you'd find in 750mL of Coca-Cola (or that of nearly 3 Mars bars).

Mr. Kay, while I realize a correction is never going to happen I beg you, before doing another nutrition piece, maybe also run it by someone with a background in nutrition who doesn't in fact have a massive conflict of interest regarding the topic at hand?

(For my take on Freedman's thesis of fast food saving the world and why I think health-halos might get in the way, you can read my piece on US News and World Report's Eat and Run site)

Thursday, August 22, 2013

GoodLife Fitness Says Partnership with Dare Cookies Won't Help Dare Sell Cookies

Seriously, you can't make this stuff up.

So after I blogged about the contradictory message of Canada's largest national fitness club promoting the purchase of Dare cookies by bundling a 14d free membership with them, Dr. Tim Moran, a medical resident here in Ottawa, decided to write to them,
"Dear Goodlife,

I recently read Goodlife is partnering with Dare Cookies. As a physician I am quite troubled by this strange relationship with Dare cookies given Goodlife espouses to promotes a healthy lifestyle. I am in fact so troubled by this campaign that I am seriously contemplating cancelling my membership, Moreover, I could not in good conscience recommend Goodlife given this corporate partnership with Dare. I look forward to your reply in this matter.

Regards, Timothy Moran MD PhD
"
They were kind enough to write him back. In their reply they pointed out that the partnership's intention isn't in fact meant to sell cookies, but rather to help those people who eat cookies as apparently GoodLife Fitness thinks that people who eat Dare cookies could probably stand to join a gym,
"Dear Dr. Moran,

Thank you for your email message and your concern in the partnership with Dare Cookies. I can understand your concern upon reading such information. There is a partnership in place but not in the aspect you might assume. The partnership is not to promote the cookies but the importance of physical fitness directed towards those who might consume the cookies. On certain types of cookies there will be an offer for a 14 day trial membership to encourage those to attend a facility.

I hope this explanation will help ease your mind in Goodlife's intentions.

Should you have any additional questions or concerns please feel free to contact us.

Yours In Fitness,

Shelly
Member Experience Department
"
So I set out yesterday to find a co-branded package of cookies and when I came up short (couldn't find any in our local supermarket), I tried a Google search.

While I haven't yet found the package, I did find the graphic up above. It was posted on GoodLife Fitness' official blog and, I kid you not, it was part of a blog post from August 6th which's headline read,
"Looking to beat the summer heat? Why not try this cool, wholesome summer treat!"
And what's the, "wholesome", summer treat being promoted by Goodlife Fitness?

A Dare cookie frozen yogurt sandwich, and, according to GoodLife Fitness, while it formally requires 2 Dare cookies to make it may also require,
"a few extras for tasting"
Oh, and GoodLife Fitness also provides this helpful advice,
"Looking to try other Simple Pleasures cookie flavours? There are 8 in total, all baked with 10 (or less!) simple and familiar ingredients. Choices include Oatmeal, Oatmeal Dark Chocolate, Social Tea, Chocolate Thins, Spice Snaps, Cinnamon Snaps, and Almond flavour.

At GoodLife Fitness, we encourage Canadians to live fit and healthy lives which includes a balanced approach to nutrition. This might include having a cookie after playing with your kids. Through our cross promotion with Dare, we are partnered with their Digestive Cookies.
"
And lastly - I must point out that the blog tags included on this post were, "Healthy Living", and "Nutrition".

Does this all ease all of your minds about GoodLife's intentions not to sell cookies?

[Thanks for sharing Tim! Good luck with the rest of your residency.]

Monday, May 27, 2013

Discount GoodLife Gym Chain Fit 4 Less Offers Free Workout and What?

Pizza.

Thanks to Tosha Rhodenizer, YMCA vice-president of health, fitness and recreation for sending this craziness my way.

Wondering if it's a local one-of or a chain wide inanity?

Either way, someone out there seems a bit confused, no?

Wednesday, May 15, 2013

State of Ohio Partners up with McDonald's and Coca-Cola to Promote Tourism.

Thanks to fellow physician Dr. Tony Almazan from Dayton, Ohio for letting me know about how Tourism Ohio has partnered up with McDonald's and Coca-Cola to help promote visiting one of America's heaviest States.

And what a partnership it is! Not only does the partnership steer people to visit McDonald's, but it also steers them explicitly to a large beverage from Coca-Cola whereby consumers who buy a large Coke (not small or medium Cokes) at McDonald's can trade the cup it came in for discounts at various Ohio tourist destinations.

Brilliant!

And clearly a salient example of just how important obesity is to the Coca-Cola corporation who now promote themselves as being partners in trying to create a healthier America. Maybe they'll also give them all soccer balls?

[For those who like numbers, a large Coca-Cola from McDonalds? At 30oz it's just 1/4 of a cup shy of a litre and it packs 280 calories coming from its 19 teaspoons (76g) of sugar.]

Tuesday, June 12, 2012

Coca-Cola's Chief Scientific Officer's Staggering Cognitive Dissonance



That's the nice way to look at it.

How else could you explain her defense of a product (sugar sweetened beverages) that accounts for a full 7% of total consumed calories and is itself devoid of any nutritional benefit?

Rhona S. Applebaum, vice president and chief scientific and regulatory officer at The Coca-Cola Co., in an article first published in the Sacramento Bee (since removed from their site it seems so I've linked to a web cache), states that,

"If we are really honest with ourselves, we know that no one group or sector can solve this problem alone and searching for a silver bullet that miraculously stops obesity is just not realistic. Targeting scapegoats or pointing fingers is simply a waste of energy."
Hmmmm, let's see.....while it's true that no single raindrop thinks it's responsible for the flood, and while one sandbag alone's not going to do the trick, what if there were one sandbag that could target 36% of the floodwater (will get to that number momentarily)? That'd be one helluva sandbag, no?

So what does Dr. Applebaum recommend? That,
"Instead, we should apply our energy to solutions that have been shown to work."
I'm sorry Dr. Applebaum - I'm not familiar with any interventions that to date have been shown to work, especially not those you allude to including more physically active jobs and of course, just moving more.

It's curious that moving is what Dr. Applebaum points her finger at all the while talking about solutions that have been "shown to work" given that there has never been any real world studies demonstrating a dramatic impact of exercise on weight loss. Nor am I aware of any public health interventions that have ever sustained increases in population based exercise levels. As far as real world studies go some suggest that even exercising an hour a day for 20 years won't protect against weight gain, and with kids, that a 10 fold difference in activity won't matter a whit.

Recently one of my favourite bloggers Stephan Guyenet posted a graph that might interest Dr. Applebaum. It's a graph superimposing America's weight gain with caloric intake over time.



So since 1970 or so we've seen caloric intake rise by roughly 550 calories per day.

If we take the beverage industry's own data at face value, that for the average American sugared beverages account for a staggering 7% of their total daily calories, that would account for 196 of the 550 calories we're now over consuming as a nation, or to put that another way, 36% of the 550 calorie a day flood. Now to be fair, we were drinking sugar sweetened beverages back in 1970 - but rates of consumption since then have tripled. Subtracting 1970 consumption from today still leaves Dr. Applebaum's baby accounting for a full 24% of the flood.

Sure seems like one hell of a juicy raindrop/giant sandbag to target to me, and frankly anyone who thinks differently I'd argue is either mired in some cogency crippling cognitive dissonance, or is on someone's corporate payroll.

Or both.

Tuesday, February 28, 2012

More Breathtaking Hypocrisy from Canada's Health Minister Leona Aglukkaq

Or are they outright lies?

The subject this time? Childhood obesity.

Yesterday Leona Aglukkaq, Canada's Minister of Health, launched a national "Summit on Healthy Weights" geared to discuss childhood obesity.

Her opening statement includes these remarks,
"We're here because this public health challenge requires our collective commitment and action."

"Today's Summit on Healthy Weights is another milestone that will move us forward in creating lasting change for children and their families. It represents a "first" in bringing together such a broad cross section of partners to address this issue."
So what's my problem? Those sure sound like important things, a call to action and a cross sectional representation of experts to help guide said action sound necessary.

Sure, except that we've said and done those things before, just 5 short years ago, and at taxpayers' expense.

Back in 2006 the House's Standing Committee on Health, over the course of eight months, heard hours and hours worth of testimony (including mine) which in turned helped to shape their March 2007 report Healthy Weights Healthy Kids.

How much expert testimony and consideration? By my count, over eight months the Committee heard 111 different experts representing 65 different public and private institutions which they then summarized in a formal 60 page report with 42 explicit recommendations.

Does anyone think that the science has change dramatically over the course of the past 5 years? Was 111 different experts too few? Why are we duplicating a 5 year old effort, and why are we paying for that effort's duplication?

At this point we desperately, desperately need action and sure maybe we need a Summit once we've gone ahead and implemented those first 42 recommendations (because there's no doubt, we're still going to be in a world of hurt even once/if we implement them all), but until then, do we really need to still be discussing where to start?

In terms of recommendations from Healthy Weights Healthy Kids, they were split over 13 subheadings and included:

- More research into childhood obesity
- More funding for advertising campaigns designed to educate about childhood obesity
- A call to implement the findings of the trans-fat task force
- Research on the special needs of first nations Canadians in the battle on obesity
- Improvement of nutrition labeling
- Better data collection for research
- The sharing of data with health professionals
- The identification of what will become the "lead agency" on childhood obesity in Canada
- The finding of means to reduce the costs of "nutritious" foods to the more remote parts of Canada
- The tracking of children's' involvements in sports
- Improvement of school health and fitness curricula
- New funding for improved infrastructure in schools for healthy fitness and food choices
- The evaluation of the efficacy of the ban against advertising to children in Quebec.

Of which to the best of my knowledge Health Canada has implemented a grand total of none.

So for those keeping score, it's breathtakingly hypocritical to talk of a need for a commitment to action when to date your office has been dedicated to explicit and deliberate inaction, and it's an outright lie to suggest that this summit is a first at bringing a broad spectrum of experts together to discuss childhood obesity.

Ultimately this is just more of the same from Aglukkaq and Health Canada - politicized inaction, hypocrisy and lies.

Anyone out there willing to wager that if recommendations actually come from the Summit, that they're not either rejected out of hand or simply brushed under the rug of time, cause I'm guessing that just like everything else that's come across her desk that might actually benefit the health of Canadians, Leona Aglukkaq's going to find some way to either avoid or ignore them.

Wednesday, June 15, 2011

Which Canadian health authority wants you to eat poutine, Velveeta and nachos?


For my non-Canadian readers that photo up above is known as poutine, and it's French fries, smothered in cheese curds, smothered in gravy, and it's a bone of contention for Registered Dietitian Natasha McLaughlin-Chaisson.

Looking through Osteoporosis Canada's website she came across their list of foods that were good sources of calcium.

Included in their listing?

Well poutine of course, and also Velveeta, and nachos with cheese. Kraft Dinner, pizza, and ice-cream make it onto the list too, albeit as lesser sources of calcium.

Now one way to read this, is that all Osteoporosis Canada is doing, is providing the calcium information of what they refer to as, "Common Foods" - foods we're eating anyhow.

Of course another way to read this is the way Natasha did, whereby she wonders whether or not their inclusion as high sources of calcium might represent an endorsement from Osteoporosis Canada, who in turn are nutritionally whitewashing the consumption of poutine, Velveeta, nachos and ice cream in the name of calcium.

Natasha's right, and I'll tell you why.

Natasha contacted Osteoporosis Canada with her concerns. After much run around she was told that the inclusion of the nachos and poutine will be looked at by a committee when they got a chance, but that one of their dietitians had approved their inclusions.

So? No slam dunk there, that doesn't mean their list is meant to encourage consumption or steer people to specific choices, it just means they've got a rather eccentric dietitian working for them.

Not quite. In fact the list is there to help Canadians navigate specific calcium sources as was evidenced by the fact that according to Natasha, they also told her that taking ice-cream off the list wasn't an option because,

"it is a good source of calcium especially with children who dislike milk"
Therefore it's indeed Osteoporosis Canada's list of "good" sources of calcium, as if it were just a list meant to serve to inform folks about the calcium content of common foods, that argument wouldn't have been put forth.

And what does the evidence say about dairy, children and bone mass?

Well a recent 2005 meta-analysis published in Pediatrics didn't think dairy was worthwhile, though critics will leap at the fact that it was authored by Neil Barnard, a known anti-dairy crusader. Of course there was also a 2006 BMJ meta-analysis that concluded pediatric calcium supplementation was also not helpful.

Personally, I can't imagine any proponents of dietary calcium (other than apparently Osteoporosis Canada) who would suggest calcium's so important that parents of non-milk drinking children feed it to them via ice-cream, or that adults should aim to get theirs from poutine, nachos and Velveeta.

And as far as adults go, ample evidence exists to suggest that increased dietary intake of calcium, doesn't seem to have any clinical impact on reducing the risk of osteoporotic fractures (see citations below).

The kindest thing I can say is that perhaps by including these foods Osteoporosis Canada is hoping that the increased weight of a person who eats them regularly will in turn serve to naturally increase their weight bearing activity - something that unlike dietary calcium, will most assuredly reduce their risk of osteoporotic fracture.

Calcium, Dairy Products, and Bone Health in Children and Young Adults: A Reevaluation of the Evidence, PEDIATRICS Vol. 115 No. 3 March 1, 2005 pp. 736 -74

Effects of calcium supplementation on bone density in healthy children: meta-analysis of randomised controlled trials, BMJ. 2006 October 14; 333(7572):775-780

Dairy foods and bone health: examination of the evidence, American Journal of Clinical Nutrition, Vol. 72, No. 3, 681-689, September 2000

Calcium, vitamin D, milk consumption, and hip fractures: a prospective study among postmenopausal women, Am J Clin Nutr February 2003 vol. 77 no. 2 504-511

Milk, dietary calcium, and bone fractures in women: a 12-year prospective study. American Journal of Public Health, Vol. 87, Issue 6 992-997


Monday, April 26, 2010

The food-pocalypse is nigh.


Now I'm not a theologian, but I'm pretty sure this is an official sign of the apocalypse.

It's the Bob Evans automated gravy dispenser.

According to the advertisement, buy one gravy dispenser for the low, low price of $595 and receive 4 FREE cases of gravy!

So my question to the readers out there, and no it's not the obvious who in their right minds would want to eat this, my question is what's up with the vomity gravy? I mean that's the food stylist's shot. If that's the best it can look, can you imagine what actually comes out of one of those machines?

Best line ever?

"Gross profit from free gravy"
Gross profit indeed.



Tuesday, November 10, 2009

Big Milk farms out PhDs to do their dirty work.

Big Milk's onslaught of advertisements designed to look like newspaper articles continued last week with this full page feature in Canwest papers.

I'm sure the Dairy Farmers of Canada were thrilled with Dr. Brian Roy, director of the Centre for Muscle Metabolism and Biophysics at Brock University, who happily perpetuated a dairy myth - that it magically helps with weight loss. Dr. Roy was quoted as saying,

"While it may seem surprising, milk can even help people lose weight. Studies report calcium rich diets can prove effective as a weight loss regime. Those studies have also shown diets rich in milk and milk products provide an extra boost to weight reduction."
Oh really Brian?

Even the meta-analysis penned by Dr. Susan Barr, milk industry stalwart, who according to comments in my blog recently told the UBC medical school class that lactose intolerance was exaggerated and that everyone should drink a glass of milk a day, in a dairy sponsored and paid for symposium concluded,
"the data available from randomized trials of dairy product or calcium supplementation provide little support for an effect in reducing body weight or fat mass."
Want to know who else doesn't think the data on dairy and weight loss are impressive? America's answer to the Dairy Farmers of Canada, the National Dairy Council (the heavyweights responsible for the milk moustache and Got Milk? ad campaigns), who withdrew their assertion that drinking milk would help with weight loss when the Federal Trade Commission threatened them. Under the FTC's glare the Council stated they'd refrain from the ads,
"until further research provides stronger, more conclusive evidence of an association between dairy consumption and weight loss"
That was in May 2007. Looking at Medline since May 2007 there has only been one study published that specifically looked at the effects of dairy consumption patterns on weight loss. That study's conclusion?
"Our results do not support the hypothesis that a higher dairy consumption protects against weight gain and development of metabolic disturbances in a Dutch elderly population."
So to summarize. Big Milk itself admitted to the Federal Trade Commission that to date the suggestion that dairy contributes to weight loss is preliminary at best - a point agreed upon by Dr. Susan Barr, and a point the vast majority of studies on dairy consumption and weight conclude is in fact false as they demonstrate no benefit, yet here we have an advertisement published in the Canadian Press that includes a statement by a misinformed professor that the industry itself knows isn't even remotely conclusively true.

I guess if pressed they could state that, "he said it, not us".

Like I said before, if you're a physician or a researcher and Big Milk comes a'knockin' don't answer the call and if you see an "article" about the benefits of Dairy that calls itself a "joint venture", remember it's just an advertisement and given Big Milk's track record in advertising, it should be read with tremendous skepticism.

(Brian if you're reading this I know you're partial to Zemel's research as you cite it a great deal in your review on chocolate milk as a recovery drink. To learn more about Zemel have a gander as the Centre for Science in the Public Interest's report on him and his patented, yes patented, research)

Barr SI (2003). Increased dairy product or calcium intake: is body weight or composition affected in humans? The Journal of nutrition, 133 (1) PMID: 12514301

Snijder, M., van Dam, R., Stehouwer, C., Hiddink, G., Heine, R., & Dekker, J. (2008). A Prospective Study of Dairy Consumption in Relation to Changes in Metabolic Risk Factors: The Hoorn Study Obesity, 16 (3), 706-709 DOI: 10.1038/oby.2007.93


Wednesday, October 21, 2009

Conflicts of interest in professional dietetics


According to my friends over at Fooducate, at this week's American Dietetic Association (ADA) conference there was a talk regarding whether or not we can trust industry sponsored nutrition research. The reason that's in question is because sadly right now there are no guidelines in place to help expose conflict of interest in dietetics. It was the absence of such guidelines which led Marion Nestle in 2001 to write a fascinating journal article about how food company sponsorship impacts on the profession's credibility. Ultimately it led Marion to resign her ADA membership. According to Fooducate,the lecture was not a popular one at the ADA conference and was very poorly attended.

Of course it's not just research articles that demonstrate conflicts and bias, we can see non-evidence based industry bias in a far more dangerous place - the mainstream media.

Case in point?

Yesterday there was a CBC report about an Ipsos-Reid survey which according to the CBC was, "conducted on behalf of Dietitians of Canada" (DC). What the CBC article later reported was that the survey was cosponsored by the Dairy Farmers of Canada. The DC and Dairy Farmers of Canada joint press release on the survey drew these 4 conclusions (highlighting is mine, not theirs):

"1. Consumption of all four food groups is far below recommended levels;

2. A significant number of Canadian adults had not consumed any milk and alternatives or any vegetables and fruit on the day prior to the survey.

3. Many Canadian adults report they have barriers to healthy eating.

4. A majority of Canadian adults are not aware of the many health benefits of milk and alternatives and vegetables and fruit including their role in reducing the risk of some cancers, hypertension and other chronic diseases.

5. When made aware of these important health benefits, Canadians report they are motivated to increase their intake of foods from these food groups."
Well last week we covered how milk doesn't appear to actually have a benefit on hypertension and that calcium supplementation alone impacted on cancer risk while dairy might in fact up the risk of prostate cancer and given milk's failure in preventing osteoporotic fracture and in weight loss, I'm not sure what magic milk is meant to do.

Looking at the actual survey the bias is obvious. The only specific questions regarding choices and healthfulness have to do with either "dairy and alternatives" or "fruits and vegetables" and of the 5 conclusions of the press release, 3 directly relate back to dairy (2, 4 & 5). Absent was information regarding the health benefits of whole grains, nuts, legumes or fish.

The thing is I get it. I fully understand why the Dairy Farmers crafted the survey - it was designed to report that Canadians don't drink enough milk; that there are umpteen-million magical "benefits" to milk consumption; that milk's as healthy and important as fruit and vegetables; and that if we just teach people more about unbelievably healthy milk they'll drink more of it, but the question I've got is why do you think the Dietitians of Canada decided to lend their name and credibility to a survey that ignored multiple food groups and is basically a milk advertisement?

Unfortunately the media certainly treated it like more than simply a milk ad and they ran with it prominently featuring DC's involvement. Had the poll simply been one from the Dairy Farmers of Canada I imagine the coverage of the report, if any, would likely have been very different. As well in this case, the media also oiled the slippery slope of corporate dietetic collaboration by failing to identify quoting dietitian Kathy Furgala's corporate allegiances referring to her instead as a "Toronto-based dietitian". Frankly it was in fact Kathy's quote from the CBC story that got me riled up enough to write this post and explore the survey in the first place. She was quoted as saying,
"For people who say, 'I don't want to worry about the food groups,' just look at your plate, and see if you can't throw in one veggie or some cheese"
Yup, the two most important things you could ever add to your plate if you don't want to "worry about the food groups" - a single vegetable or of course, some cheese.

I'm not sure what's worse. DC signing off on a milk ad disguised as a national eating survey, a dietitian who would give the advice that all your plate needs for your meal to be healthy is one lonely vegetable or a hunk of cheese, or a reporter who chooses to identify that dietitian as a "Toronto area dietitian" while omitting the fact that she's in fact a nutrition educator for the Dairy Farmers of Canada in an article whose focus is on increasing dairy based on the results of a survey paid for by the Dairy Farmers of Canada.

[Oh, and in case you noticed - the survey found that "consumption of all 4 food groups is far below recommended levels". Strange in a country where over 65% are already overweight or obese. Could it be that the recommended levels recommend too much? Tune in tomorrow for more discussion.]

Nestle, M. (2007). Food company sponsorship of nutrition research and professional activities: a conflict of interest? Public Health Nutrition, 4 (05) DOI: 10.1079/PHN2001253

Wednesday, September 02, 2009

World's Stupidest Childhood Obesity Tie-in?


At the very least it's in the top three.

You see childhood obesity intervention sells. It sells magazines, newspapers and apparently it helped sell the concept of a $10 million seal exhibit at an aquarium.

Say what?

Yup - the New Balance Foundation Marine Mammal Center recently unveiled its $10 million dollar seal habitat and Move It! program. The program basically involves people, presumably including children, watching seals with the hope that watching seals while the children themselves are either stationary or seated will translate into improved childhood fitness and a reduction in childhood obesity.

I kid you not.

Apparently not only will children be able to stand still and watch seals playing actively, they'll also be able to stand still and look at panels around the aquarium that show seal "moves" like stretching, jumping and swimming which encouraging the kids to, "Try it!"

Here's what Paul Boyle, vice president of the Association of Zoos and Aquariums had to say about this mind-numbing initiative,

"You can almost see a child in front of the exhibit, gyrating, trying to mimic the seal and saying, 'Well this is pretty cool,'" he said. "Then they go home and they may roll around in the backyard and then they may start to, you know ... run"
Better not take your kids to a bird sanctuary Paul - they might climb up on the roof and try to fly.

[Hat tip to my friend and colleague Dr. Sara Kirk]

Monday, August 17, 2009

Nintendo puts out another useless "exergame"


I've blogged about the Wii before and how while it may be fun, it's far from exercise.

Today I bring you Treasure Hunt a new game for the Nintendo DS that at least one reviewer bills as,

"not only another blow in the fight against obesity, it's also a nice illustration of what our sister site likes to call the OFF=ON trend, whereby the online and offline worlds are increasingly overlapping"
To be clear, I think getting kids outside and playing is a great idea and certainly if you're going to have your kids play video games, by all means have them playing games that actually get them moving.

That said, the promotion of such games as tools in the fight against childhood obesity is ludicrous. Casually walking around in parks has about as much of a shot at landing a punch on childhood obesity as I do landing one on Mike Tyson.

[Hat tip to BMI's Director of Operations Lorne]

Monday, June 29, 2009

UK anti-obesity advocate pays student volunteers with junk food!?

Meet Ms. Annette Brook.

She's the British Liberal Democrat MP for Mid Dorset and North Poole. She's also a staunch crusader in the fight against childhood obesity.

She's quite outspoken.

Here's a smattering of quotes from her website:

"We welcome the removal of vending machines selling chocolate, fizzy drinks and crisps to encourage young people to seek alternative snack options."

"We have allowed food marketing companies to influence our diets and the television media to further develop our already sedentary lifestyles. We need to empower our citizens to lead a healthy lifestyle and action now is imperative."

"For every £1 spent promoting healthy eating £500 is spent marketing unhealthy food, so the market has clearly failed. Advertising promotions determine our children's food choices and propel them down a single route. The producer is king. I agree that if we limit the advertising of unhealthy food for children, many parents will be under less pressure to give in to their requests for fast food."

"Let us ponder on "You are what you eat". If we keep that at the back of our minds, we will be able to get totally on message."
So how "totally" on message is Ms. Brooke?

Ummm.

You see a story came out in the UK Telegraph yesterday detailing the fact that Ms. Brooke in her submitted annual expenses billed UK taxpayers for all those things she wants to see gone - fizzy drinks, chocolate and cakes.

So wait a second here, aren't I the guy that says life includes chocolate? Yup. So why am I blogging about this? Isn't it Ms. Brooke's right to choose what she wants to eat?

Sure it is, and while it certainly wouldn't look great for Ms. Brookes to regularly be munching on vending machine fare, that's not what makes this story blogworthy. What makes it blogworthy is that Ms. Brookes spokesperson, in defending the expenses explained that the junk wasn't for Ms. Brookes but rather it was for the students who were working in her office without pay.

Yup. Ms. Brookes, crusader against Big Food marketing to kids and junk food in schools pays her own student volunteers with, yup, junk food.

Oy.

Tuesday, June 16, 2009

You're a bad parent if you don't feed your kids chocolate


That's my take on Kinder's new, "Have you played today" campaign".

The gist of the campaign?

Treats are an important part of parenting and so to be better parents you've got to make sure you give them treats, more specifically - Kinder chocolates.

Now it's true the chocolates are smaller than regular Kinder chocolates, but that's not really the point. The point is here's a campaign with an incredibly unique marketing pitch. Forget probiotics, omega-3 and fibre. Here we've got chocolate being pitched as a parenting tool; a pitch that suggests that you're a bad parent if you don't give them Kinder eggs.

How does it do that?

By recruiting experts to push their message.

Experts? What expert in their right mind would agree to pitch chocolate to children under the banner of good parenting?

Two in fact. Registered Dietitian Mary Bamford and child Psychologist Dr. Anthony Volk.

So what did they have to say?

When I read Mary's piece entitled, "Treating with Food: What's Okay", I learned that Mary advocates giving children 10-15% of their total daily calories in treat form and that doing so would, get this, teach them about portion control,

"For younger children, allowing around 100 calories per day as a treat allows you to teach the importance of portion control. Older children and female teens are allowed 150 to 200 calories per day and 200 to 400 calories per day for active teen boys."
More strikingly I learned that Mary doesn't seem to be aware of treats other than food as not once does she suggest that such treats exist. She also advises parents not to stress about giving their children chocolate every day because,
"The Kinder Survey reveals that 91% of dietitians agree that parents should feel comfortable including chocolate in their children’s diets on a periodic basis."
I suppose "daily" is technically "periodic". Gee thanks Mary for the sage advice of parents' own hands providing 10% of their children's daily calories as treats and backing that up with a spun-by-you statistic that clearly did not apply to the daily provision of the caloric equivalent of 1 can of Coca Cola for toddlers and small children, 2 cans of Coca Cola to teen girls and 4 cans of Coca Cola daily to teen boys

(I use Coca Cola as an example because Mary has also worked for them suggesting that sugared soda availability helps teach about choice and that it's fine for 10% of your child's daily caloric intake to come from sugar lest they become apparently sugar-crazy teenagers,
"If parents don't expose kids to things in our culture, they're going to go crazy in their teens and so really teaching them reasonable choices is a good way to go so getting 10 per cent of your calories from added sugars is quite reasonable")
And the child psychologist, what about him? He had a lot to say - 4 pieces in total. In his article, "Why Treat" he explains that giving your kids Kinder chocolate every day will:
  1. Encourage sharing between children, promoting patience, fairness, and social skills.

  2. Teach patience and perseverance.

  3. Reward positive behaviour.

  4. Encourage play.

  5. Help build positive parent-child relationships.
To his credit, unlike Mary Bamford he does suggest and support the provision of varied treats but overall hammers home this message,
"Did you know that treats of all kinds – from a special shared experience to a simple chocolate bar – can be used to help build those positive parent-child relationships? In fact, when used as part of overall positive parenting practices, treats can:

  • Show children that their parent is concerned about making them happy, and willing to do things that make them happy.
  • Set a positive mood to make a child more receptive to what a parent has to say.
  • Foster positive interactions between parents and children.
Giving and receiving treats – shared moments of joy – can help to build strong parent-child relationships.
"

To be clear, it's not as if my wife and I never use food treats with our own children - we surely do but certainly not every day. More importantly our food treats are never given as rewards like Kinder's purchased experts suggest. Why not? Because it's thought that rewarding with food treats (called instrumental feeding) encourages and teaches children to eat for a myriad of cues and may further their risk of eating more than they need, which is probably why in guidelines on the treatment and prevention of childhood obesity rewarding with food is explicitly cautioned against.

So when do we use food treats? Pretty much on a just because/sometimes food basis and we certainly don't link them with the completion of any activity or eating behaviour. We do however treat regularly. Treats may be "special time" with mom or dad, telling them how proud we are of them, how much we love them, warm hugs, favourite activities, etc.

Now I can only hold out hope that Dr. Volk and Mary simply didn't think their involvement with Kinder through, and certainly from Dr. Volk's quote in Sarah Schmidt's article published yesterday in the Vancouver Sun, I wonder whether or not he really understands how Big Food works its magic,
"I think we live in a consumer society, and it’s very refreshing to see companies taking interest in the welfare of children that they’re marketing to. You have to buy things for children, so for a company who wants to sell to children, I think it’s very responsible that they actually try to get experts on board"
Dr. Volk, Kinder's job is to sell chocolate. They used you to do that. Nothing refreshing about it.

[I had seen the campaign months ago but didn't look carefully enough at it. Thanks to Sarah Schmidt from Canwest for forcing me to take a closer look.]

Tuesday, March 10, 2009

From the "What were they thinking?" file



Because there isn't enough temptation in your children's lives to eat cookies and chocolate here are more stupid kid games (like the ones I blogged about back here).

I wonder who awarded the chocolate game the "Best Games Award 2008"?

Hershey's?

Oy.

Thursday, February 12, 2009

Bulging Brides trainer Nadeen Boman claims her show "encourages a guilt free attitude"


Readers of my blog may remember my post detailing the press release where the headline sounded alarm bells about Canadian women battling with body image and then proceeded to call on the Canadian women reading the press release to explore their own, "problem areas" and specifically look for,

"muffin tops to thunder thighs, from junk in the trunk to flabby arms"
I also referred to Nadeen Boman, she's the trainer quoted in the press release and the trainer on the Slice TV shows, "Bulging Brides" and, "The Last 10lbs Bootcamp".

Nadeen read my piece and left a thoughtful comment (scroll down through the linked post (it'll open in a new window) to get to the comment).

Now I've got nothing against Nadeen and she's certainly entitled to her opinion and her approach.

Me, I think Bulging Brides and The Last 10lbs Bootcamp encapsulate everything that's wrong about society and its approach to weight management, nutrition and healthy living.

I also think Nadeen's got a serious case of cognitive dissonance if she can in the same sentence no less, describe the existence of the show's "Aisle of Shame" as part of a process that "encourages a guilt-free attitude".

So now you know what Nadeen and I think - what do you think? Have you watched the show? Do you think it fosters a healthy attitude towards health and life in general? Leave us your comments, I'm sure we'll both be reading.

Wednesday, February 11, 2009

World's Stupidest Childhood Obesity Intervention Plan


Wow.

Anyone here familiar with the Greek myth of Milo? So the story goes,

"Milo of Croton was born in the sixth century B.C. in southern Italy, won the boys' wrestling Olympic Games in 540 B.C., and went on to victory in five consecutive Olympics.

Some modern athletic coaches consider Milo the father of resistance training, the process of lifting heavier and heavier weights to build strength. This stems from another legend: As a youth, Milo carried a newborn ox on his shoulders. As Milo grew, the ox grew; the load got heavier and Milo's muscles became stronger.
"
My guess is that the folks who work for Palos Sports a Chicago based sporting good distributor might have taken that myth literally.

Why?

Well last week they issued a press release detailing their,
"Operation Pull Your Own Weight"
Their premise?

I'll let their website do the talking (caplocks are theirs),
"1. Kids who can do pull-ups, ARE NEVER OBESE.

2. Using a Height Adjustable Pull Up Bar and Leg Assisted Pull Ups, (pulling and jumping at the same time) ALMOST ALL KIDS can develop the ability to do conventional pull-ups.

3. Which is to say, ALMOST ALL KIDS can naturally immunize themselves against obesity for a lifetime, without pills, shots, or fancy diets, by simply developing, and maintaining the ability to do pull ups.
"
Ummm, I think someone needs to help these folks with the principles of cause and effect.

Oh, and logic too.

Here's some comparably brilliant "logic" sure to blow Operation Pull your Own Weight guys' minds:

1. All astronauts are mammals.
2. Monkeys are mammals.
3. All astronauts are monkeys.

Ooooooooo, scary.

I'm guessing they call NASA the instant they read this.

By dumbing down obesity into an argument that includes a truism with misappropriated causality the individuals behind this effort do more harm than good.

Now normally I wouldn't bother posting about something like this. It's just so unbelievably stupid it almost isn't worth mention. Yet somehow this organization has managed to actually make noise with a piece having appeared in the Chicago Tribune...a positive piece no less. (if you want an entertaining read, head over to the piece and read the comments)

Oh, and if you're wondering what might be motivating these folks? They sell sporting goods equipment to schools and schoolyards for doing pull-ups.

[Hat tip to Travis from Obesity Panacea]