Tuesday, May 27, 2008

"Bad Food on Campus"


So my series on Ottawa Hospital Food sure has sparked some talk.

Happily I received many a call from dietitians and doctors at the Heart Institute who strongly supported my contention that Heart Institutes' shouldn't be serving unhealthy foods.

I also received a bunch of emails and for today's post, I'm going to include one in it's entirety (with the author's permission). It's about food in Canadian Universities and I think it does a great job highlighting shortcomings therein and in the end those in our atrocious Food Guide.

Oh, and that picture up above. That's from the cafeteria at the University of Guelph (click it to get a better view of all the healthy goodness).

Here's the letter,

"Hello,

I think you are doing great work by exposing the poor nutrition in hospital food. You may also want to expose the poor nutrition offered on University campuses.

The thing about hospital food is that when you leave the hospital, you can go home and cook nutritious meals for yourself. Thousands of Canadian university students do not have this option. This past school year, I lived in a university residence for the first time. I cannot describe adequately how shocked I was about the poor quality of food offered. We had pizza at least three times per week, mashed potatoes that were stretched with a paste of flour and water and most meats were processed deep fried cutlets. The food had so much sodium that it burned my tongue. Although there was a salad bar, most of the contents were mayonnaise salads and leftovers. Fresh vegetables were scarce and often wilted.

Although I am considered obese with a BMI of 38, I have always been conscientious of consuming healthy food. Never before was I in a position where I had no choice but to eat deep fried, high sodium, high calorie food every day. As you would expect, I quickly gained 25 lbs within 3 months of living in residence. Thankfully, I have lost those 25 lbs since returning home.

Not everyone is prone to weight gain as I am. Many of the students were able to maintain their weight or only gain a few pounds extra, but their health was deteriorating. Others had BMIs of over 40. I met many young students who were suffering from high cholesterol and high blood pressure. People in their early 20s should not be suffering from high blood pressure and high cholesterol and I am positive that their health problems are associated with the type of food they are forced to eat while living on campus. I must insist the proper word to use is ‘forced’ because there are rarely kitchens available for student use and depending upon the university, a zero vacancy rate off campus.

Perhaps the most striking thing about my experience with campus food is how these cafeterias proudly conform to the Canada Food Guide. When the cafeteria worker dishes out a dinner platter that consists of a cup of white rice, a cup of white pasta, a cup of mashed potatoes, 2 oz of deep-fried, breaded meat, a scoop of frozen peas and carrots, a bowl of something called pizza soup, and a bowl of ice cream all while pointing to the Canada Food Guide for justification—then something is very wrong
."
Are you a University student or have similar campus stories? Do you want to send me some pics of the "healthy" food at your cafeteria? Feel free!

[Thanks very much to the reader who sent me such a thoughtful and interesting letter]

Monday, May 26, 2008

World's Least Healthy Beverage?


Seen by me first on Marion Nestle's What to Eat I bring you Baskin-Robbin's Heath Shake.

Here's the unholy breakdown:

  • 1,560mg sodium (more than a day's worth of Blood Pressure Canada's recommendations)
  • 266g of sugar (66.5 teaspoons - 1.5 CUPS OF SUGAR!)
  • 2,310 Calories (that's the equivalent number of calories in either 15 Twinkies, 8 1/4 Snickers bars, 4.3 Big Mac's, or over 1/2 gallon of Ben and Jerry's ice cream)


  • And yet people (McDonald's CEO Jim Skinner) still make arguments against putting calories on menu boards.

    Saturday, May 24, 2008

    Blogger's Choice Awards

    A rare Saturday post.

    Just wanted to let you folks know that Weighty Matters has been nominated for Best Health Blog in the Blogger's Choice Awards!

    My site was nominated for Best Health Blog!

    If you'd like to vote for me, click here (you've got to create an account with Blogger's Choice first and then go back to actually vote but hey, it's the weekend, you've got time)!

    Thanks Tiana for the nomination.

    Have a great weekend!
    Yoni

    Friday, May 23, 2008

    Welcome Ottawa Citizen, National Post and Chicago Tribune Readers


    I want to welcome the folks arriving from the article in the Ottawa Citizen, the one in the National Post and from the online Chicago Tribune feature and the brief feature on the A Channel (viewable below).

    I'm a Canadian family doctor with a focus in obesity medicine and my blog Weighty Matters tries to look at obesity, the media and nutrition from what I feel to be a common sense, realistic and hopefully at least sometimes, a humourous manner.

    The commotion today has to do with my series on Ottawa's Hospital Food and how woefully unhealthy many of the choices sold by our hospitals to captive patients and staff are.

    Enjoy yourselves, poke around and hope to see you again soon.

    Best regards,
    Yoni



    If Facebook were Real

    I haven't got into Facebook.

    The first time I logged on I found out that from my entire high school graduating class only 6 were on Facebook so I deleted my account.

    My wife on the other hand loves to "Facebook" (apparently it can be used as a verb).

    Well, what if Facebook were real?

    Today apparently is Facebookers' (now it's a collective noun) Funny Friday.

    Have a great weekend!



    [Hat tip to fitness director Rob who I'm sure loves being poked]

    Thursday, May 22, 2008

    Food at the Ottawa Civic Hospital


    Continuing with my Ottawa Hospital Food Series, today I bring you The Greenery, otherwise known as the Ottawa Civic's cafteria.

    Not surprisingly, much of it was junk.

    Poutine.

    Bacon Cheeseburgers.

    Chicken fingers.

    Chicken wings.

    Pizza.

    Sugared soda.

    Giant muffins.

    Potato chips.


    And that's just the obviously unhealthy stuff.

    While I was recording my brief video some folks alerted the cafeteria manager who cut my taping rather short.

    She was extremely pleasant and helpful and clearly was very sincere in her desire to provide a good dining experience for the cafeteria's patrons.

    She was excited to tell me that the cafeteria offered smaller poutine/french fry portions in 4oz containers - but was unable to tell me why it was important for a hospital of all places to serve poutine.

    [conservatively 4oz of poutine (for my international readers poutine is french fries, smothered in gravy, smothered in cheese curds) would have a minimum of 1,000mg of sodium and likely a fair amount of trans fats.]

    She was also excited to tell me that they've recently posted nutritional information on their soups. While I don't have a picture, the information was located on a laminated card that was actually not visible as it was tucked between items and was on its side.

    I took a look at the nutritional breakdown when I got home and my jaw still hurts from hitting my counter. Here's a smattering (or you can click here to see them all):

    Cheddar Cheese and Bacon Soup - 170 calories (that's fine), 10grams of fat (45% of it saturated and 30% (3g) of it trans) and 1,150mg of sodium.

    Hearty Chili Style Mix with Beef - 230 calories, 1,540mg of sodium, 2 teaspoons of sugar.

    or how about one that sounds like you couldn't go wrong:

    Garden Vegetable Soup with 70 calories but 970mg of sodium!

    Breaking out my calculator I found that the average amount of sodium in a soup choice at the Ottawa Civic cafteria is a brain swelling 957mg. That's 42% of your total daily Health Canada recommended daily maximum and 64% of your total daily Blood Pressure Canada recommended daily maximum in a tiny bowl of soup that you just bought at a hospital of all places and in many cases it came with an artery clogging amount of trans fats for added bad measure!

    Is there really a good reason why a hospital would serve soups with 3 grams of trans fats and a day's worth of sodium?

    Boy oh boy, after seeing the nutritional breakdown for soups I'd sure hate to see the breakdown for the burgers, fries, pizzas, liver steaks with onions, giant gobs of mashed potatoes and other cafeteria fare - good news I suppose that I'm told they don't have those numbers.

    Ignorance surely is bliss.

    Oh, and of course there's a Second Cup at the Civic serving gigantic as-many-calories-as-a-Big-Mac muffins and other wonderful sugar laden foods.

    I've got to ask again, why are our hospitals serving such unhealthy foods?

    I can only think of two arguments. The first is the, "we need them to make money" argument.

    I have a tough time with that argument. Frankly folks in hospitals are fairly captive. There simply isn't anywhere within walking distance (aside from the chip truck that parks by the Heart Institute) to buy food and therefore if the hospital decided to eliminate unhealthy foods from its premises, people would still need to eat and with some effort, thought and creativity I'm quite confident that the cafeteria could manage to serve up exclusively nutritious fare.

    The second argument is the, "patients and their families need comfort foods".

    I don't buy that argument either. Really the hospital is divided into 4 categories of folks:

    1. The non-urgent emergency room folks who certainly don't need comfort because their problems aren't urgent.
    2. The urgent emergency folks whose problems are too overwhelming to worry about food at the moment.
    3. Admitted inpatient folks - who may well need comforting but their families and friends can certainly bring in any foods from the outside that they want including comforting junk.
    4. Allied health professionals and hospital staff where again, comfort's not an issue.
    At the end of the day it's pretty simply math for me.
    A hospital should not be serving foods its doctors and dietitans wouldn't recommend to their patients.
    Or at the very least they should post nutritional information such as calories, trans fats and sodium smack dab on the menu boards so that patients have a fighting chance of navigating through the far less than ideal options.

    Sure is a shame you've got to fight to eat healthy in a hospital.



    Wednesday, May 21, 2008

    Congratulations to the Try-a-Tri'ers!


    This past Saturday was the 4th annual Somersault Events' Dr. Freedhoff Try-a-Tri challenge.

    Terry from Somersault changed the name after hearing about the "challenge".

    The challenge was pretty simple - if my office inspires more than "x" people a year to try a triathlon then I have to run one too.

    Every year we raise the number of people in the challenge and believe it or not, this year the number for me to run was 60!

    I wanted to post my sincere congratulations to everyone who came out and competed. Seeing folks who never thought they'd ever run triathlons finish is yet another reason why I've got one of the best jobs ever.

    For proof that I was there and ran, here's a video of me finishing. I'm posting it more for the reaction of the videographer (our fitness director Rob) who quite clearly demonstrates the appropriate response to hearing the adjective "famous" used to describe me.



    Tuesday, May 20, 2008

    The Food at the Ottawa Heart Institute

    My regular readers will remember a ways back I blogged about the QEII hospital in Halifax where a cardiology resident wrote an opinion piece about the state of the cafeteria's food there.

    Well, I've decided to take a tour of our local hospitals and last week I took advantage of being at the Ottawa Heart Institute (OHI) giving a talk and I brought my new toy - it's a Flip video camera that's roughly the size of a cell phone that dead easy to use and at least a little bit inconspicuous.

    My goal was to record the dietary fare at the OHI. The picture of the frying bacon on the grill above in the Heart Institute's Cafeteria (named Tickers) sums things up fairly well, but I'll run it down for you a bit further.

    One of the first things you see when you walk through the Heart Institute's main doors is a Tim Horton's replete with its many varieties of deep fried donuts. More interesting are their non-donut options - here's a smattering along with some of their nutritional information:

    Sausage, Egg and Cheese Breakfast Sandwich - 500 calories, 34grams of fat and 920mg of sodium.

    Turkey Bacon Club - 440 calories, only 8 grams of fat and a blood pressure bursting 1730mg of sodium (that's more than Blood Pressure Canada recommends in an entire day for a healthy individual let alone a patient at the Heart Institute)

    Hearty Vegetable Soup - 70 calories, 0.4 grams of fat and, wait for it, 1,060mg of sodium

    In fact if you were a patient or a visitor at the OHI and you didn't particularly like the cafeteria or the hospital's food and instead decided to eat at Tim Horton's for breakfast, lunch and dinner and you chose the options with the lowest amount of sodium, you'd still almost certainly consume over 3,000mg of sodium. If you weren't being careful it'd be no trouble at all to clear 4,000mg.

    Ok, so maybe an argument could be made that Tim Horton's is just there for snacking rather than meals and that instead OHI's Tickers has the healthy fare.

    If only that were true.

    Eat at Tickers too often and heaven help your tickers. While there may be a healthy option here or there, the bulk of the food served at Tickers is junk food. Burgers, fries, pop, ice cream, pastries etc., and I could not find a nutritional breakdown anywhere. That's really a shame given that many of the folks eating at Tickers will be patients and their relatives, all of whom clearly have risk factors for heart disease and therefore don't need to incur any additional dietary peril - I wonder if they'd appreciate a means with which to evaluate their choices?

    Hey Heart Institute MDs - isn't sodium something you recommend we reduce?

    Certainly the hour long lecture entitled "Salt and Hypertension" available on your website suggests you do.

    Funny, I didn't see a slide that suggesting folks reduce their dietary salt intake by avoiding the food sold at the Heart Institute!

    Below's a choppy video tape I took at the OHI. Hopefully I'll get more skilled with the equipment as this series progresses.

    (Future editions of this series will cover the Ottawa Civic, the Ottawa General, the Queensway Carleton, the Royal Ottawa and the Children's Hospital of Eastern Ontario.)



    Monday, May 19, 2008

    Please Don't Buy this for your Child


    Just what every child needs - a scooter after all, walking's for suckers.

    Buy this for your kid and you can feel confident that you're setting them up for needing one of these as an adult.

    [Via Gizmodo]

    Friday, May 16, 2008

    Coolest Thing you'll see Today

    It's not exactly funny for Funny Friday but it's just too cool to not blog about.

    It's a time lapse movie of graffiti drawn by an Italian graffiti artist (and I mean artist) named Muto.

    Have a great weekend!



    Thursday, May 15, 2008

    Obesity Allows Artist to Hit the Jackpot


    Today I'll be quoted in the National Post talking about obesity rates and likely some relationship will be drawn to the incredible indirect and direct health care expenditures attached to it.

    Well today I've got a more positive spin on how obesity helped one man hit an incredible payday.

    Tuesday night Christie's auction house sold a painting by Lucien Freud entitled, "Benefits Supervisor Sleeping".

    According to CNN, The painting was painted over a period of 9 months back in 1995 and it's of Ms. Sue Tilley, a British governmental benefits manager.

    With the sale Freud gained the honour of his painting selling for the highest dollar value of any painting ever painted by a living artist.

    His obese payday?

    $33.6 million dollars.

    That's $3.73 million a month or $124,000 per day for the 9 months he spent painting it.

    Unfortunately Ms. Tilley didn't get paid quite as well - she took home a comparatively anorexic $51/day.

    [Hat tip goes out to my mom]

    UPDATE: I received a phone call today from someone who felt this post was offensive to folks with weight to lose.

    Frankly I don't see it.

    I definitely don't understand art, that I'll readily admit and I can't fathom how any painting of anything is worth 33.6 million dollars.

    I think it's a great painting and wonderful that the model wasn't self-conscious about her weight as frankly body image need not be tied into weight, but the post was really meant to highlight the tremendous value that society has placed on weight as evidenced by the incredible dollars spent on a portrait of an obese woman lounging on a sofa.

    Anyhow, if anyone else was upset by this post feel free to let me know in the comments.

    Wednesday, May 14, 2008

    Surprise! Protein's more filling!

    Ok, maybe it's not a surprise, but today at least, it's sure going to be news (and perhaps I'll be the first to break the embargo at 12:01AM - thanks Blogger for allowing scheduled posts!).

    It's going to be on radio, print and television - the results of the first prong of the DiOGenes study. DiOGenes is a multi-pronged study spearheaded over in Europe and today's spear has to do with trying to answer the question, "What's the best diet to help maintain weight loss?".

    This study was an enormous undertaking as it looked at whole families, in 8 different European countries for between 6 and 12 months and randomized their dietary intakes to compare weight gain with diets high or normal in protein and high or low in glycaemic index carbohydrates.

    In total, the study aimed

    "to recruit a total of around 850 obese/overweight parents (BMI>28) from the 8 participating centres, corresponding to 450 families with an estimated 450-1050 children, where at least one child in each family is overweight."
    Mandatory too was an 8 week run-in weight loss phase where adult family members were required to lose 8% of their body weight before their family was admitted into the study.

    The results weren't particularly surprising. Dietary protein helped maintain weight loss while GI index did not.

    I think the most important part of the whole paper was a quote in the introduction that does a great job explaining why the world's getting so big so fast,
    "Given our genetic background, it is essentially infeasible for humans to self-regulate food intake under current environmental circumstances."
    What this basically states is that in 2008, the default is weight gain, and I can't agree more. People haven't changed in the past 100 years, but our environment sure has and the reason we're gaining weight so quickly now is that since weight gain is the default, that means by definition maintenance of a healthy body weight in our current environment has actually become a skill. And just like other skills (martial arts for instance), just because your minds' eye might know what it looks like to do a jumping, spinning hook kick, it doesn't mean you can simply jump up and do one.

    To extrapolate a martial arts analogy to healthy weight think of it this way: Just because your minds' eye might know what a healthy lifestyle looks like, to expect yourself, without instruction, to be able to simply jump up and happily live with one is often too much to ask (people do it unhappily all the time - that's called dieting).

    Not surprisingly this study was funded by Big Food and here's one time where I think it's a great partnership. Here's an opportunity for Big Food to help by using their study to help pave the way to the creation of new food products that may be useful in preventing weight gain/regain.

    Hurray for Big Food!

    (there's something I don't say very often)

    [BTW, I'll likely have a 5-10 second sound bite on CTV's National News tonight in Avis Favaro's story on this study should any of my Canadian readers want to watch]

    Tuesday, May 13, 2008

    Dairy Still Doesn't Help with Weight Loss


    Not a magazine goes by it seems without a dairy ad extolling milk's (or another dairy product's) role in weight loss - this of course despite the fact that Big Milk in the US admitted that there was insufficient evidence to suggest or refute that milk has any weight-related benefits after being confronted by the FTC.

    Well guess what? A new meta-analysis came to a different conclusion - it came to the conclusion that dairy products do not help with weight,

    "Of 49 randomized trials assessing the effect of dairy products or calcium supplementation on body weight, 41 showed no effect, two demonstrated weight gain, one showed a lower rate of gain, and five showed weight loss. Four of 24 trials report differential fat loss. Consequently, the majority of the current evidence from clinical trials does not support the hypothesis that calcium or dairy consumption aids in weight or fat loss."
    So back to the FTC - if Big Dairy admits there's not enough evidence, and if the evidence suggests in fact there's enough evidence to prove dairy is not a magic food covered in pixie dust that disobeys the laws of thermodynamics without affecting dietary consumption, why then are there still so many ads from Big Milk tied to weight?

    Big Milk's new slogan by the way?
    "Milk your Diet"
    It's part of their,
    "Campaign for Healthy Weight"
    I've got to ask again, did Big Milk lie to the FTC?

    Monday, May 12, 2008

    500th Post!

    Today marks two occasions.

    Today's post is the 500th post of Weighty Matters and consequently I'd like to take the time to thank the folks out there who are taking the time to read it - it's only fun to write because of you.

    Today is also my wedding Anniversary and consequently I'd like to take the time to thank my wonderful wife as without her, there'd certainly be no blog, I'd likely not be doing what I'm doing, I wouldn't have my two wonderful girls and my life would definitely not be as happy.

    Thanks honey, I love you.

    Yoni

    (Back to my regularly scheduled ranting tomorrow)

    Friday, May 09, 2008

    Who Knew? Kermit's Post Muppet Show Despair.

    Poor Kermie.

    Life without the Muppets has clearly been hard on him.

    For today's Funny Friday, here's Kermit's rendition of Elliot Smith's Needle in the Hay.

    (for fans of the movie the Royal Tenenbaums, this is a must see video)



    Thursday, May 08, 2008

    The Heart and Stroke Foundation Needs Remedial Math!


    You know, the fact that I think the Health Check program is nutritionally bereft and a national disgrace is debatable for some and indeed there are folks out there who disagree with me and think Health Check's great.

    I think they're wrong of course (and so too does nutritional evidence) and certainly I've posted plenty on why Health Check stinks in the past.

    Of course even the folks who disagree with me the most aren't going to be able to squirm their way out of acknowledging that math is certainly not Health Check's strong point.

    Today I'd like to look at a page I've scanned in from Health Check's recent publication, "A Woman's Guide to Healthy Eating and Active Living" that my wonderful wife picked up for me at Sobey's.

    Click the page for a larger view (the red highlighted areas are my added emphases)


    So here the fantabulous dietitians of the Heart and Stroke Foundation are once again endorsing the consumption of beef. According to them,

    "Choosing leaner beef is part of healthy eating"
    "Beef, Goodness in Every Bite"
    and,
    "Eating well is easy by adding lean beef to your busy mealtimes"
    Now let's put aside the fact that eating beef is certainly NOT a part of healthy eating (for more information click on the Beef tag at the end of this post to see my various concerns regarding beef). Instead I want to focus on lean ground beef.

    I've gone through this math before on my blog, but for the sake of the Heart and Stroke Foundation (clearly they need some help), let's go through it again:

    Following the Food Guide and eating Health Check'ed-dietitian-approved lean ground beef women are allowed 150 grams a day and men, 225 grams a day.

    Lean ground beef in Canada by definition is 17% fat (extra lean is 10%).

    17% of a woman's 150 gram allotment = 25.5 grams of fat.

    17% of a man's 225 grams = 38.25 grams of fat.

    There are 9 calories per gram of fat.

    25.5 grams of fat = 229.5 calories.

    38.25 grams of fat = 344.25 calories.

    Health Canada, as evidenced by our food labels, believes the average adult needs 2,000 calories daily (though that's likely too much for the average woman and too little for the average man).

    If only 30% of our daily calories are supposed to come from fat, 30% of 2,000 calories would mean that Health Canada recommends that we get no more than 600 calories from fat daily.

    However, 229.5 calories divided by the recommended 600 total daily fat calories = 38% of the recommended daily intake of fat, while 344.25 calories divided by the recommended 600 total daily fat calories = 57% of recommended daily intake of fat!

    So in case you didn't follow all of that the end result is that if you choose the Health Check'ed lean ground beef that Heart and Stroke Dietitians say, "is part of healthy eating" and you even actually restrict your portion to those recommended by the Food Guide (and let me tell you, that's not a ton of meat), then in that single serving if you're a woman you'll be consuming 38% of your total daily recommended intake of fat and if you're a man 57%.

    That sure sounds like a lot.

    Apparently that's even a lot for the Heart and Stroke Foundation given that highlighted on the left hand side of the page is there admonishment not to consume foods containing more than 10% of your total daily recommended value of fat.

    So here we have the left hand telling us no more than 10% and the right hand telling us 38%-57% is just dandy.

    Brilliant work Health Check!

    (Oh, and of course I'd be remiss if I didn't point out the admonishment not to consume more than 10% also applies to sodium, yet doing the math on sodium, Health Check allows single items to contain between 21% and 57% of current daily recommended maximums and between 32% and 87% of those the Heart and Stroke Foundation themselves endorsed in signing the National Sodium Policy Statement)

    Any of my readers grade school math teachers that want to do a good deed? Maybe you can give the HSF a call and offer your help.

    Wednesday, May 07, 2008

    Walking Clear Across Canada (Virtually)


    Canada's a big place.

    Walking across it might take some time.

    I don't have much in the way of time.

    Doesn't mean I can't do it.

    Thanks to the Trans Canada Trail new website feature, by entering my steps daily, I can do it from the comfort of my own province and still walk the roughly 18,000km of trail (11,184 miles).

    Want to walk across Canada too?

    Simply sign up for a free account here and log your steps daily.

    Last one to the East coast's a rotten egg.

    [Hat tip to our fitness director Rob]

    Tuesday, May 06, 2008

    The World Gets Sweeter

    I had meant to blog about this ages ago but it got lost in bookmark limbo.

    It has to do with a book, McCance and Widdowson's The Composition of Foods that has been collecting information in Britain about just that, the composition of foods (ingredients).

    Not sure who it was that noticed it first, but low and behold, food's getting sweeter (and likely as a consequence higher in calories).

    Keep in mind, the graphic above refers to British cereal (compositions vary the world over) however I would be shocked to learn that the same weren't true in North America.

    And of course, it's not just mass produced items - can anyone out there remember fruit and berries that taste as sweet as today's do?

    Strange world and only getting stranger.

    [Via The Daily Mail]

    Monday, May 05, 2008

    Dietitians of Canada Officially, Formally and Happily Sell Out

    According to their vision statement, the Dietitians of Canada purports itself to be,

    "the voice of the profession"
    I think they forgot to mention they're also quite comfortable being the mouthpiece of Big Food.

    While I recognize that physician groups aren't immune from conflict of interest (primarily stemming from Big Pharma), I know as a physician I'd be fairly uncomfortable to land on the Canadian Medical Association's website and find advertising there from drug companies.

    Imagine my surprise when learning that the "Members only" section of the Dietitians of Canada (DoC) website does in fact have Big Food advertisements as evidenced in the screen captures below (click them to open them in a large window) where the first shills for President's Choice Blue Menu products and the second for eggs:



    Apparently if you keep refreshing the page, new ads pop up.

    But let's put internet advertising aside, we can chalk that up to poor judgment, (UPDATE - Poor judgment shared by the Canadian Medical Association where I also found some internet drug ads) I mean after all, it's not like it's a clinical practice guideline or a resource manual for the profession.

    Ummmm, about the DoC professional resource manuals....

    After a bit more sniffing on their website I came across this link to the Dietitians of Canada 2001 National Nutrition Month Resource Manual for Dietitians (I realize it's 2008, but this is still featured prominently on the DoC website and is one of many Fact Sheets explicitly endorsed and implicitly steered by Big Food).

    Read through it and you'll find it was sponsored (paid for) by the Canadian Sugar Institute, the Canadian Egg Marketing Agency, the Dairy Bureau of Canada and Kraft. Ominously the Canadian Sugar Institute was referred to as an "internal sponsor" while eggs, dairy and Kraft were merely, "official sponsors".

    Think the sponsors were just silent spectators?

    Then how come there's giant pictures of dairy products throughout; 3 pages on encouraging Canadians to drink more milk (replete with a section on getting the lactose intolerants to drink milk too); and two pages devoted to encouraging Canadians to eat more eggs?

    There's also messaging that sugar is a carbohydrate just like fruit and this great quobesity,
    "With the exception of dental caries, there is no evidence to show that sugar causes health problems. There is no specific limit or recommendation to reduce the amount of sugar we are currently eating."
    Did the Dietitians of Canada really just steer their members as the "voice of their profession" to educate the public that sugar doesn't contribute to health problems and that you can eat as much of it as you want and not worry?

    Looking at the 2008 Nutrition Month page that details some information about sponsors, DoC spells out who'll they'll happily take money from:
    "Food products and Manufacturers", "Food Retailers".
    No real limitations there either - basically if you makes or sell a food that can conceivably fit in Canada's Food Guide, you're welcome to play.

    Marion Nestle, world-renowned nutrition expert (don't believe me, click here and check out her rather ridiculous C.V.) on her wonderful blog What to Eat details the equivalent practice within the American Dietetic Association (ADA). Here's a recent excerpt with her call to action for her fellow ADA members (feel free to mentally swap DoC for ADA),
    "Respected ADA colleagues: as long as your organization partners with makers of food and beverage products, its opinions about diet and health will never be believed independent (translation: based on science not politics) and neither will yours. Consider the ADA’s Nutrition Fact Sheets, for example, each with its very own corporate sponsor (scroll down to the lower right hand corner of the second page to see who paid for the Facts). Is the goal of ADA really the same as the goal of the sponsors–to sell the sponsor’s food products? Is this a good way to get important scientific messages to the public? ADA members: how about doing something about this!"
    Now I know that I have many Canadian readers who are registered dietitians. What do you think about the involvement of the food industry with DoC?

    [Hat tip to a concerned dietitian who threw the screen caps my way]

    Friday, May 02, 2008

    The Urban Legend ER

    Ever wonder what the emerg would look like if urban legends were true?

    Well today on Funny Friday you need not wonder any longer.

    (Fair-warning - occasional random profanity)

    Have a great weekend!



    Thursday, May 01, 2008

    World's Greatest Star Wars Product

    I know, I know, TV's bad and contributes to obesity and so do video games.

    I don't care.

    I want one of these!

    (Yes, I'm a nerd)

    Any remarkably generous multi-millionaire readers out there who want to donate one?

    Only $2,9995.



    Health Check's Latest Atrocious Product Endorsement

    Yup, Health Check, the nationally disgraced Heart and Stroke Foundation front of package labeling program, is at it again.

    Today's inappropriately labeled-as-healthy product is Chapman's Dark Chocolate Rapture YogurtPlus.

    Per half cup you'll be getting 3 teaspoons of sugar, 3 grams of fat, 85mg of sodium and 150 calories.

    I'm sure a great many consumers will be thrilled to have a "healthy", Heart and Stroke Foundation endorsed alternative to ice cream.

    Well, they shouldn't get too excited.

    Comparing the Chapman's frozen yogurt to another Chapman's product, Chapman's Original Dutch Chocolate ice cream you'll find that the Chapman's Health Check'ed frozen yogurt contains an identical amount of sugar, 2 grams less fat, an identical amount of sodium and 25% MORE calories than an equivalent portion of ice-cream.

    Comparing it to Chapman's Premium Vanilla Fudge Chunk ice cream described on Chapman's website as,

    "the essence of indulgence"
    you'll still find that the Health Check'ed yogurt has an identical amount of sugar, more sodium and more calories.

    Gee thanks Heart and Stroke Foundation.

    UPDATE July 23rd, 2009: Health Check's finally realized that dessert probably shouldn't get a Health Check and have removed the category that included this ridiculous product from their program!

    Wednesday, April 30, 2008

    An Employment Lawyer's Take on the McDonald's "Human Rights Violation"


    Last week I blogged about the "human rights" case involving a worker at McDonald's who was awarded $50,000 because McDonald's, a restaurant, had the audacity of not creating a job for the worker that did not involve handwashing - this despite the fact that in a McDonald's restaurant no such job exists.

    In the comments section of my blog there were a few folks who were quite upset with my take on the situation.

    They felt that I misunderstood the ruling.

    I felt they misunderstood the ruling.

    Apparently, the Financial Post sides with my take on the issue as today they weighed in on this "human rights violation".

    It was Howard Levitt's Workplace Law column that took on the story.

    He too felt that the ruling to "cease the discriminatory conduct or similar conduct and refrain from committing such conduct in the future." meant that McDonald's could no longer insist that their workers wash their hands and commented,

    "One might think consumer safety should supercede the right of an employee with unclean hands!"
    He also took issue with the notion that McDonald's should have created a job for this worker noting that the tribunal (Ms. Parrack) was well aware that there were no jobs that did not require handwashing,
    "This is despite Ms. Parrack's acknowledging all jobs at Mc-Donald's require hand washing and, depending on how busy a section is, any position might quickly take over for another."
    and that the Ms. Parrack also agreed that it may not be possible to create such a position.

    Not surprisingly, Mr. Levitt has also called for a reigning in of these ridiculous tribunals.

    Think Mr. Levitt is wrong?

    Well feel free to take it up with him - you can write him at hlevitt(at)langmichener.ca

    Before you do so however you should know that Howard Levitt probably knows a bit more than you about workplace law as he is an employment lawyer who practises in seven Canadian provinces, is recognized by the 6th Edition of The World's Leading Labour and Employment Lawyers published by Euromoney, is listed in all editions of The Canadian Legal Lexpert Directory as a leader in Employment & Labour Law, and is the author of Canada's leading dismissal text book, The Law of Dismissal in Canada and the recently published The Law of Dismissal for Human Resources Professionals.

    Japan Penalizes Employers for Obese Workers


    Who says governments can't get involved in the obesity fight?

    Not Japan.

    This month all Japanese employees over the age of 40 will undergo a mandatory "flab check" to ascertain their risk of developing metabolic syndrome - the constellation of high blood pressure, high triglycerides, low HDL (good cholesterol) and insulin resistance.

    The cut off for men will be 85cm or 33.5 inches (I couldn't find the cut off for women).

    If you're found to be wider than the cut off you'll be given an exercise and diet plan and in some cases you might be referred to a doctor.

    Japanese firms will be required to cut the number of overweight workers and their dependants by 10% by 2012 and those firms who fail to do so will face surcharges of up to 10% on contributions to a welfare fund for the elderly.

    My take?

    While I'm all for government involvement in obesity treatment and prevention, I don't think this is really the way to go. Penalties are not something I would ever want to see imposed and while one might argue they're penalizing the corporations not the individuals, I'll be curious to see what Japan's unemployment numbers do in 2012 when a bunch of obese folks get layed off before their corporations get penalized.

    What do you think?

    [Hat tip to my sister Michal and her colleague Josh]

    Tuesday, April 29, 2008

    New Scary Statistics


    According to an article in Diabetes Care the number of pregnant women with pre-existing diabetes has doubled in just 6 years.

    This was no small study either. The study looked at 175,249 women ages 13-58 years with 209,287 deliveries of 20 weeks gestation from 1999 through 2005.

    Back in 1999 only 10% of children born to diabetic mothers were born to moms with pre-existing diabetes (90% were in moms who developed gestational, or during pregnancy, diabetes). By 2005, that number climbed to 21%.

    Even more alarming?

    The number of diabetic teenagers giving birth rose more than 5 fold.

    Yup, diabetic teenagers.

    We sure can't call it "adult-onset" any longer. Perhaps we should call it "nutritional" or "weight-related" diabetes?

    Monday, April 28, 2008

    Kids Agree Ontario's Trans-fat "Ban" is Useless

    Some of my longer term readers may remember my take on Ontario's trans-fat "ban".

    The word ban is in quotes because it's not actually a ban, it's just the removal of trans-fats from schools whereas a ban would involve removing it from the Province.

    I called it shameless political hay and pointed out that banning it solely in schools will do nothing to decrease its consumption since you can buy it elsewhere and that it will have zero impact on the rates of childhood obesity since the currency of weight is calories and not trans-fats.

    Interestingly, on the CTV blog who picked up my take on the story, I took some flak in their comments section. Readers were aghast that I was unable to see the good in the plan.

    Well, today I'd like to share some comments with them. These comments come from a Durham region online news source's story on the trans-fat "ban". For the story the reporter interviewed some students about their take on the "ban". The kids were asked,

    "How will the upcoming trans-fat ban affect you?"
    You can see their responses in the articles sidebar, but I'm going to include them all here,
    "I think it'll suck because I eat food there every day, I eat chips, chocolate bars, chickenburgers and cheeseburgers. I'll have to go to Pizza Nova or make my lunch and bring it in"

    "it won't really affect me because I only eat large fries once a week, a cheeseburger once in a while, and Miss Vickie's jalapeno chips. I'll just eat that stuff when I get home."

    "It won't affect me at all because I don't eat in the cafeteria very much. I eat a chickenburger or some chips once in a while. I think it'll be a good thing, though"

    "I don't think it'll affect me because I don't buy lunch in the cafeteria.""
    Yeah, that "ban"'s sure going to do a lot.

    [Hat tip to our fitness director Rob]

    Friday, April 25, 2008

    "A New and Better Holiday"

    Before you click the video be forewarned - if you don't like profanity or Earth Day satire, please don't click the video below.

    While I don't necessarily share the sentiments expressed in the video, in honour of this week's Earth Day (during which Starbucks kindly filled up my thermos for free), for today's Funny Friday I thought I'd post a contrarian's view.

    Have a great weekend!



    Thursday, April 24, 2008

    Another Reason Not to Eat Beef

    Assuming of course you care about the environment and are worried about global warming. If you don't and you're not, this post doesn't apply to you.

    There's a new word being bandied about to go alongside words like carnivore or vegetarian and that word is locavore and it refers to individuals who strive to eat locally with their predominant rationale being that it'll help the planet to not truck tomatoes in from Mexico or garlic in from Chile.

    Strict locavores may limit their dietary choices to foods that come from within a 50 mile radius of where they live. The word (and presumably the practice) has become so trendy as to have been voted the 2007 word of the year by the New Oxford American Dictionary.

    Well a study in the journal Environmental Science and Technology says that while indeed eating local does reduce greenhouse emissions, if you're a local carnivore who likes beef, you're probably not helping much.

    The researchers estimated that shifting to an entirely local diet would reduce greenhouse gas emissions by the equivalent of driving a hypothetical 1,600km (1,000 miles) less per year.

    They also estimated that switching one day's beef meal to anything other than beef would likely have the same impact.

    Why?

    Because transportation of food apparently only contributes 4% to total food supply greenhouse gas emissions, while production of food contributes 83%.

    And what food contributes the most?

    Beef. Delicious, bad for you, cancer-inducing, beef. On average beef production contributes 2.5 times more greenhouse gas emissions than those from emitted during the production of chicken or fish.

    What's the second worst?

    Dairy.

    Really want to help the environment?

    Become a vegetarian - the study authors estimate that doing so would be the equivalent of reducing greenhouse gas emissions by a hypothetical 12,800 transport kilometres (8,000 miles) per year and this is even if you're not a locavore.

    Food for thought?

    [Hat tip to loyal blog reader and eagle-eyed Rob]

    Wednesday, April 23, 2008

    More Canadian Health Hypocrisy

    Four days ago, Tony Clement, Canada's Minister of Health announced that the Government of Canada was calling on an immediate ban on the sale of bisphenol-A containing bottles in Canada.

    Why?

    Well there have been some studies that suggest that there may be some risk to bisphenol-A, especially with newborns.

    But I think the real reason why is because politically it's easy to do.

    Certainly the science isn't there yet, and of course the government knows that too. Here's a quote from their own press release,

    "The scientists concluded in this assessment that bisphenol A exposure to newborns and infants is below levels that may pose a risk"
    But they want to be prudent. Here's Tony Clement on the matter,
    "We have immediately taken action on bisphenol A, because we believe it is our responsibility to ensure families, Canadians and our environment are not exposed to a potentially harmful chemical."
    So where's the hypocrisy?

    Let's look at what Tony Clement and our government had to say about trans-fats - an absolutely proven to be harmful substance,
    "We are giving industry two years to reduce trans fats to the lowest levels possible as recommended by the Trans Fat Task Force."
    Our government needs to stop making policy on the basis of politics and instead make policy on the basis of evidence.

    I guess the baby bottle industry lobby isn't as powerful as Big Food's.

    [And before anyone gets themselves in knots regarding my personal stance on bisphenol-A (which I don't note above), you should know that my 15 month old now drinks from glass baby bottles. If there's no need to take a chance, why would I?

    It's not that I'm suggesting the risk associated with BPA is or isn't a certainty, just that the evidence isn't in yet. The same cannot be said for trans-fats where the evidence is quite overwhelming, yet here's our government acting immediately on BPA and sitting on its trans-fat filled hands.]

    Tuesday, April 22, 2008

    From the Journal of Duh?

    A headline from one of my media trawls caught my eye yesterday, "Fruit and vegetables may help weight loss" and so I clicked the link and found myself face to face with an article discussing a recent paper published in Nutrition Research.

    The paper, High intake of fruits and vegetable predicts weight loss in Brazilian overweight adults details the story of 80 overweight Brazilians who attended a nutritional counseling program. Comparing their weight and food frequency questionairre answers from both before and after the 6 month program they found.....

    [Drumroll]

    People who ate more fruits and vegetables lost more weight.

    Why isn't this exciting?

    A few reasons.

    Firstly because of the study's design. In its analysis it only controlled for age, sex, changes in walking time and total energy intake. No mention of meals out, exercise outside of walking, macronutrient dietary changes, frequency of meals and snacks and many other variables that certainly have a role in weight loss differences.

    Secondly because it's not news. Barbara Rolls has dedicated her life's work to the concept of energy density which can be summarized simply in saying eat more foods with lower energy densities (calories per gram) like vegetables and fruits and you'll lose weight.

    Thirdly because in the study the weight loss we're talking about in this study is barely weightloss - 3.08lbs over 6 months.

    I've seen constipation weigh more than 3.08lbs.

    Bottom line?

    Eating fruits and vegetables can certainly help with you with weight loss if they are replacing higher calorie options and certainly irregardless of their effect on your weight, they're good for you. But as far as this study goes all it taught me was that I won't be recommending the weight loss program in Brazil that over 6 months only managed to help patients lose a grand total 3lbs and eat a whole 3.5 ounces more fruits and vegetables a day.

    Monday, April 21, 2008

    How to Use a Scale

    A while ago I posted about scale addiction and how often you should weigh yourself. It was my opinion that while losing once a week, stark naked, before breakfast, after pee on Wednesdays was my preference, and that while maintaining, daily was a good idea.

    Today I'm going to take it further and explain how to deal with the number you see staring back at you.

    Firstly if you're trying to lose weight it's important before you step onto the scale, to ask yourself how you're doing. After all, what does the scale know? How you're doing depends on how you're living, and the scale frankly knows nothing about that. If you're happy with how you've been living and feel that you're making the healthiest choices you can enjoy, even if the scale goes up, it shouldn't take away your pride in your accomplishments.

    So once you've decided how you're doing, next you step onto the scale.

    Looking at the number, you've got to remember a bunch of stuff. You've got to remember that scales measure a lot of extra stuff. Clothing (if you're wearing any), constipation (can weigh up to two pounds), water retention (time of the month, after a salty meal, from sore muscles) and it doesn't know if there have been great reasons to have Calories - celebratory and comfort reasons that definitely call for indulgences.

    Ok, now you're looking at the number. If you're happy with it step down and you're done.

    If you're unhappy with it, you've got to ask yourself two questions:

    1. Am I doing something about it?
    2. Do I know what I'm doing?

    If the answers to those questions are "Yes", then there's nothing to worry about, even if the number's not doing what you want. Remember there is the law of averages at play too meaning that some weeks you'll lose far more than you'd expect and some weeks far less and that at the end of the day, doing the best you enjoy, not the best you can tolerate, is truly the best you can do sustainably.

    Going back to that question number 2. What does knowing what you're doing mean? Well to me it means knowing how many Calories you're eating, otherwise it'd be like getting upset at your Visa bill despite having gone shopping without looking at price tags.

    Bottom line, you may not love the number you see staring back at you, it may be distressing to you, but at the end of the day, if you're doing something about it, and you know what you're doing, you're doing great.

    Friday, April 18, 2008

    Matzah!

    Oy.

    It's that time of the year again where for the next 8 days Jewish colons around the globe strain to handle huge volumes of matzah - the dry unleavened bread of Passover.

    Today's two part Funny Friday includes this musical tribute to one of my least favourite foods.

    Have a great weekend, and if appropriate, Chag Sameach!



    Conan O'Brien's Writer gets his Computer Serviced

    Living in North America outsourcing computer help desk jobs has become pretty much the norm.

    Apparently NBC's computers' help desk is located in India.

    How do I know?

    I watched this video on youtube.

    For this special two-part Funny Friday, you should too (bear with it to the 2 minute mark - it really picks up after that).

    Have a great weekend!



    [Hat tip goes out to Rob our fitness director]

    Thursday, April 17, 2008

    Your Human Right NOT to Wash your Hands Working at McDonald's?


    In Canada right now there is a great deal of scrutiny being cast on our country's various human rights tribunals.

    The tribunals were established to help ensure that complainants who felt they were being discriminated against due to their race or sex could settle their disputes. Unfortunately it seems that over time these tribunals have extended their reach and now try to arbitrate many matters that you might have thought would have been beyond their purvey.

    In the case of Ezra Levant, former publisher of the Western Standard, they are trying to quash his freedom of speech. He is being investigated by the Alberta Human Rights Commission for his magazines publication of the Danish cartoons of Muhammad that led to riots in many Muslim countries. He's explicitly detailed his dealings with the courts and regardless of your political bent, it makes for fascinating and frightening reading. I'd start with this post of his and then work your way up from it (January 11th, 2008) in his archives.

    So after that long tangent it brings me to Ezra's post from yesterday detailing the B.C. Human Rights Tribunal ruling that awarded a McDonald's employee almost $50,000 for apparently violating her "human right" to not wash her hands while she worked there. Here's a brief clip from Ezra's blog,

    "Datt wouldn't wash her hands. She just wouldn't -- she said she couldn't. So her employment was terminated. The B.C. Human Rights Tribunal ordered that McDonald's pay her not only $23,000 for "lost income", but an additional $25,000 for her "dignity and self-respect". You see, in B.C. a food preparation worker's self-respect trumps a company's commitment to cleanliness. They violated her "human rights".

    The $50,000+ penalty -- plus several years of legal fees and medical and rehab experts -- isn't the worst of it. Inventing a "human right" for a worker to go to the bathroom and then to handle meat without washing her hands in between, as an excuse for that $50,000 shakedown isn't the worst of it either.

    The worst of it is that the BCHRT has ordered that McDonald's, in paragraph 298 of the decision, to "cease the discriminatory conduct or any similar conduct and refrain from committing the same or similar contravention.
    "
    While I'm not trying to diminish the medical condition of the complainant, I would think that certainly a restaurant has the right to fire someone who is unable to wash their hands especially given that it's actually the law as Ezra points out,
    "In B.C., McDonald's hygiene policy isn't just a matter of corporate pride. It's a matter of the law -- both the Health Act and the Food Premises Regulations. And then there's B.C.'s Food Protection Guidelines issued by the B.C. Centre for Disease Control."
    We live in a strange, strange world.

    Bottom line on the matter?

    Maybe it'd be best to avoid the McDonald's located on South West Marine Drive in Vancouver.

    For a brief overview of this whole issue (human rights tribunals, not the McDonald's case), here's national treasure Rick Mercer's rant on the matter:



    Wednesday, April 16, 2008

    The "You Look Soooo Great" Speech


    4 years of exclusively working in obesity medicine later, I've learned a few things that certainly aren't taught by society, medical school or weight loss books.

    One of those things was the, "You should stop losing weight phenomenon" which I blogged about in the past.

    Today I'm going to share another.

    It's the "You look soooo great" great speech and why you shouldn't deliver it.

    Now I realize that on the surface going on about someone looking great doesn't sound insulting, but let me give you a different way to hear it.

    Let's say that over the course of the past year you've lost a significant amount of weight - enough weight let's say that it makes folks you haven't seen in a long time's heads' turn and eyes bug out.

    Let's say that they're then so inclined to come over to you and deliver an oration on how great you look now, how much better you must feel now, how wonderful it is you've finally done this, how much happier you must be now, and so on and so forth.

    You might thing, "So what's wrong with that? Those are all compliments, no?"

    Sure they are. But of course their effusive enthusiasm about how great you look now translates into you hearing how terrible you looked before.

    My advice?

    If someone's lost a great deal of weight and you're so inclined to say something, three simple words, "You look great" is much better received than a full-on speech.

    Think I'm nuts?

    Let's ask my readers. Can you relate to what I'm reporting here or are the folks who have mentioned this phenomenon to me overly sensitive?

    Tuesday, April 15, 2008

    Now This is Going Too Far


    You know I'm all about healthy living, but this is really going too far.

    It's a house in Long Island, NY and it was specifically designed to be, get this, as uncomfortable to live in as possible.

    The house even has a name, it's called the Bioscleave House and it's also known as the Lifespan Extending Villa.

    So why would it be a good idea for the home to be uncomfortable?

    Well according to an article from the New York Times, the designers feel,

    "Its architecture makes people use their bodies in unexpected ways to maintain equilibrium, and that, she said, will stimulate their immune systems."
    So what's uncomfortable? Well as you can see from the picture above, the floor is an undulating, uneven mass with poles for stability and if you click on the slideshow on the New York Times' website, you'll also see that power outlets and light switches are placed at seemingly random and hard to reach locations.

    Other than perhaps Dr. James Levine, I'm not sure who else would want this house. That might explain why not surprisingly, the house is unoccupied - but if you've got $2 million to spare, its wonders can be yours.

    A word of advice to the would be buyers - if you go out for a bender, instead of getting a taxi home, rent a room.

    Monday, April 14, 2008

    Subway's Jared Celebrates 10 Years of Weight Maintenance!

    Congratulations go out to Subway's Jared for doing what the vast majority of those that lose weight don't do - keep it off.

    According to an article in the Washington Post, Jared's Subway eureka moment came back when he weighed 425lbs and his college roommate at Indiana University made a tape recording of the sounds he made while sleeping (severe sleep apnea can sound quite dramatic and frightening). He reports trying a few other efforts before finally settling in on his now famous Subway diet which arose with him reading a nutrition facts panel while standing in line for a sub. The rest of course, is marketing history.

    Jared's Subway diet amounted to roughly 1,500 Calories a day, low for the majority of men, combined with lots of walking.

    Subway took notice after Jared was featured on multiple local media outlets and he has remained a spokesman for them every since.

    He no longer formally counts Calories but certainly practices Calorie awareness and knows what portions work best in his own personal foodscape.

    Jared's not alone in his weight maintenance success. The National Weight Control Registry (NWCR) now numbers well into the thousands and to be a registrant you've had to have lost over 30lbs and kept it off for over 1 year. The last time I saw Dr. Rena Wing (one of the registry's founders) speak, the average registrant had lost 66lbs and kept it off for 5.5 years.

    So how do the registrants do it? The NWCR has a great facts page and here are some highlights,

  • Duration of successful weight loss has ranged from 1 year to 66 years!

  • Some have lost the weight rapidly, while others have lost weight very slowly--over as many as 14 years.

  • 45% of registry participants lost the weight on their own and the other 55% lost weight with the help of some type of program.

  • 98% of Registry participants report that they modified their food intake in some way to lose weight.

  • 94% increased their physical activity, with the most frequently reported form of activity being walking.

  • 78% eat breakfast every day.

  • 62% watch less than 10 hours of TV per week.

  • 90% exercise, on average, about 1 hour per day.
  • One thing's absolutely certain and during a working day you'll hear me say it at least 5 times a day,
    "The more weight you'd like to permanently lose, the more of your lifestyle you'll need to permanently change"
    which of course then leads me to the,
    "Therefore if you don't like the life you're living while you're losing, you're much more likely to gain it back"
    Jared has kept his weight off because he likes his new lifestyle.

    Do you like yours?

    Congratulations again Jared.

    Friday, April 11, 2008

    The 3 Minute Parent

    Given that my wife's on call this weekend and I've got the kids alone I wonder if I can just loop this video and stay in bed?

    Today's Funny Friday - the 3 minute parent.

    Have a great weekend!



    [Hat tip to my friend and colleague Dr. Barry Dworkin from the nationally syndicated radio program Sunday House Call]

    Thursday, April 10, 2008

    "A Perfect Portion"

    My wonderful wife picked these up for me from the cafeteria at the Children's Hospital of Eastern Ontario.

    Notice two things - the words, "A Perfect Portion" and the 75g size of the bag.

    I imagine most folks when buying the People's Pantry line of "Perfect Portions" (they sell lots of different "Perfect Portions" - other nuts, jelly beans etc.) would assume that they were appropriately sized portions.

    Now let's take a look at the back (click it if you can't see):

    2 obvious questions here:

    If it is a "Perfect Portion" why is it that the nutritional information is per 40g of the 75g serving?

    How it it possible that the salt-as-a-second-ingredient, visibly-covered-in-it nuts only contain 1mg of sodium per serving?

    The lesson here of course is that you've always, always got to read labels to actually know what you're eating.

    In this case the "Perfect Portion" of nuts, if consumed wholly, would provide you with a perhaps not so perfect 460 Calories (more than a quarter-pounder at McDonald's) and who knows how much sodium.

    [Given the sale of this product in a hospital, where some patients may well medically be ill-advised to consume too much sodium, I've taken the liberty of writing to the Canadian Food Inspection Agency who I hope might also take issue with the wording, "A Perfect Portion" on the front.]

    Wednesday, April 09, 2008

    Welcome Livin' La Vida Low-Carb'ers


    I want to welcome the folks arriving from the Jimmy Moore's Livin' La Vida Low Carb blog!

    While not a true low-carb'er, I'm a Canadian family doctor with a focus in obesity medicine and my blog Weighty Matters tries to look at obesity, the media and nutrition from what I feel to be a common sense, realistic and hopefully (at least sometimes) humourous manner.

    Enjoy yourselves, poke around and hope to see you again soon.

    Best regards,
    Yoni

    Treat High Cholesterol with Chocolate?

    What? You didn't know you could do that?

    Get with it.

    Dove Chocolate, an arm of the Mars company, has created two new chocolate bars: Dove Vitalize and Dove Beautiful.

    According to the press release Dove Vitalize,

    "contains rich dark chocolate, plus energy-releasing B vitamins, the natural goodness of cocoa flavanols to help support circulatory health and plant sterols to help maintain a healthy cholesterol level"
    While Dove Beautiful,
    "contains smooth milk chocolate, plus skin nourishing vitamins C & E, biotin, zinc, and cocoa flavanols that help hydrate from within to support beautiful-looking skin"
    Uh huh. Who needs Lipitor when you can simply eat chocolate?

    Yeah, that's gonna help.

    I think they ought to be named Dove Dummify and Dove Sucker.

    For more, here's a video press release from Mars (designed to look like real news).



    [Hat tip to Julie from It Must have Been Something I Ate and Dinner with Julie]

    Tuesday, April 08, 2008

    Children's Junk Food Ad Ban in Ontario?


    We're one step closer.

    Yesterday Ontario New Democrat Rosario Marchese introduced a private members bill that if passed would ban advertising of food and drinks to children under 13.

    Proponents of the bill (myself included) recognize that banning advertising to children is a good idea in and of itself given that studies have proven that children (especially children under the age of 6), are unable to discern the difference between truth and advertising, and that there's simply no need to enable Big Food to hoodwink our kids into thinking junk food is healthy.

    So who would be against this bill? Well Big Food and marketers.

    Guess what?

    In the media today you're going to see quotes from two organizations, a group shadily entitled, "The Concerned Children's Advertisers" which is an industry organization representing the interests of 16 Big Food corporations including General Mills, Kraft, Coca Cola and Pepsi and another group entitled the, "Media-Awareness Network" representing the interests of founding member Bell and supporter CTVGlobemedia.

    What will they be saying about the proposed ad ban?

    They'll be saying that:

  • There's no proof it'll help

  • In our day and age with the internet and satellite television even if we ban it in Ontario, it'll still trickle in

  • That Big Food has already voluntarily reduced targeted children's advertising

  • My take on those arguments?

    1. There's no proof it'll help because it hasn't been done (except in Quebec where albeit minimally, they have the lowest rate of childhood obesity in the country) and frankly given the inability of young children to see the difference between truth and advertising, it doesn't matter. We shouldn't allow folks to prey on our children's innocence. Furthermore, the argument's longer version is the, "obesity it too complex to blame on one thing" argument which then effectively paralyzes action. As I've mentioned before, "no single raindrop thinks it's responsible for the flood". Junk food ads are certainly one fat raindrop.

    2. Yes, there are still satellite televisions and the internet - so what? There's a heck of a lot of hard core pornography on the internet too, doesn't mean I want my kids watching commercials for it. Furthermore, as we're seeing with calls to ban trans-fats and post calories on menus, these types of things have a tendency to build on themselves.

    3. Big Food's voluntary reduction? Read my post on their fantabulous initiative by clicking here.

    Perhaps MPP Marchese said it best in a quote from an article in the Toronto Star,
    "Some children's advertisers claim that you can't put a fence around the ocean to protect children. We're not trying to put a fence around the ocean, we're simply putting lifeguards on the beach where our children are just learning to swim."
    What can you do?

    Well if you live in Ontario you can contact your MPP and let them know that in fact your support Mr. Marchese's bill. If our MPPs feel there's enough public support, maybe, just maybe, the Trix rabbit will die.

    (For a list of Ontario MPPs click here. If you don't know your electoral district you can click here. Unfortunately the government's postal code MPP search is down)

    Monday, April 07, 2008

    Must See TV


    Not so much about weight, more about life.

    A celebration of life actually, delivered by someone where illness will almost certainly cut life short.

    Over 6 million folks have watched it online already and this coming Wednesday April 9th, ABC and Diane Sawyer will be covering it in their presentation "The Last Lecture: A Love Story For Your Life" at 10pm/9 CST.

    "The Last Lecture" the title refers to was actually entitled Really Achieving your Childhood Dreams and it was delivered by Dr. Randy Pausch a Professor of Computer Science at Carnegie Mellon who in the summer of 2006 was diagnosed with pancreatic cancer. By August 2007 the cancer was found to have spread and he was given the prognosis of 3-6 months to live.

    In September of 2007 Dr. Pausch delivered a lecture at Carnegie Mellon University. It was part of a series entitled, "The Last Lecture Series" where academics are asked to present a hypothetical last lecture presenting it as if it were their last lecture; their last chance to impart whatever wisdom they felt was most important for them to share.

    Clearly in Dr. Pausch's case, his last lecture wasn't necessarily just a theoretical exercise.

    On Wednesday ABC will be covering Dr. Pausch's amazingly inspirational and surprisingly uplifting story. Here's their trailer:





    If you'd rather, you can watch his entire "Last Lecture" online (amazing speech), but make sure you've got some time - it's nearly 2 hours long.





    And lastly, if you're so inclined, you can watch the lecture Dr. Pausch himself is most proud of delivering and that's his lecture on time management. It's roughly an hour long where Dr. Pausch notes that the first 8 minutes are, "introductions I don't deserve"





    Dr. Pausch is still fighting - for his own postings on his fight, feel free to head over to his update site.

    Keep on slugging Dr. Pausch, and thank you.

    Friday, April 04, 2008

    Do you Love your Job?

    How many of you love your jobs?

    I adore mine.

    Some folks however, they're happier than me.

    Today for Funny Friday my instruction is, "Keep your eyes on the drummer"

    Have a great weekend!

    (P.S. Video starts at around the 15 second mark, drummer's happiness grows throughout)



    Thursday, April 03, 2008

    World's Best Nasal Product?

    So let me be very upfront - this post really isn't about a "Weighty Matter".

    Today I'm blogging about a product I started using a week ago and the results have been so astounding, I feel compelled to write about it.

    It's called Neilmed's Sinus Rinse and basically it's a squeeze bottle that you fill with warm water, some salt and some baking soda and then squirt it up your nose.

    I know, it sounds rather vile.

    It's phenomenal.

    I've suffered for years with chronic nasal congestion. Going to bed every night I would sniffle and blow and try to get enough stuff out of my nostrils to be less disturbing to my wonderful wife. I would rarely succeed.

    So, desperate I turned to the internet and read about sinus rinsing and found a lot of rave reviews for sinus rinses and neti pots.

    Now my readers here certainly know, I'm a natural born skeptic, but given how cheap the thing is and that I had nothing to lose, I picked one up from my local pharmacy.

    Within one day of use my nose was markedly clearer. A week later I'm down to using it only once a day and my nose is clearer than I can literally ever remember it being with our without medication.

    Frankly I'm gob-smacked.

    Now I won't suggest it's a pleasant experience to use, but at the same time, it's certainly not painful.

    If you've got nasal congestion or allergies, I'd recommend one in a heartbeat. Worst case scenario, you'll be out the $10.49 it sells for on Amazon.com.

    Want one?

    Click here.

    (In Canada - they sell them in Shoppers Drug Mart for I believe $16)