Weight Loss and body mechanism

WEIGHT DOES MAKE A DIFFERENCE 

It would be a fallacy to say that obesity is ever the one and only cause of a death. But the association between overweight and excessive death rates is unmistakable. Among overweight men, mortality from all causes is 150 percent that for other men; among overweight women, 147 per- cent that for other women. 

As for individual diseases, insurance statistics show that overweight men and overweight women, respectively, have these excesses of mortality as compared with the general population: 142 and 175 percent for heart attacks; 159 and 162 percent for cerebral hemorrhage; 191 and 212 percent for chronic nephritis (kidney disease); 168 and 211 percent for liver and gallbladder cancer; 383 and 372 per- cent for diabetes; 249 and 147 percent for cirrhosis of the liver; 154 and ) percent for hernia and intestinal obstruction; 152 and 188 percent f or non -cancerous gallbladder diseases. Obvert is associated with many diverse types of health hazards. There are breathing difficulties, since the greater the weight in the chest.

wall, the greater the work involved in breathing. With their increased difficulty in breathing, obese people have less tolerance for exercise. They have a higher rate of respiratory infection than do people of normal weight. They may experience two complications related to their breathing problem: lethargy may develop because of accumulation of carbon dioxide in the blood from decreased ventilation; and as the result of reduced levels of oxygen in the blood, the body, trying to compensate, may produce increased amounts of red blood cells. 

The latter condition, called polycythemia, often is responsible for the ruddy complexion of obese people. It may lead to blood-clotting problems. Heart enlargement and congestive heart failure attributable to obesity have been reported. Many studies have established that more hypertension, or high blood pressure, exists among the obese than among the non-obese, that the obese hypertensive experiences a greater risk of coronary heart disease than the non-obese hypertensive, and that mortality rates for obese hypertensive persons are greater than for others with obesity alone or hypertension alone. Obese people often have impaired carbohydrate tolerance that may be sufficient in degree to be classified as diabetes.

Difficulties during anesthesia and surgery have been associated with obesity. In women with significant degrees of obesity, menstrual abnormalities and abnormal hair growth (hairsutism) have been observed with some frequency. For pregnant women, obesity can be a hazard in several ways: it is associated with a greater incidence of toxemia, of complications during delivery, and of stillbirths. Some skin problems are related to obesity. Thus, the extra surface area of the skin in the obese person may lead to excessive perspiration, and the juxtaposition of moist skin areas in adjacent folds may lead to boils, fungal infections, and other inflammatory conditions.

It has been well established that in many health problems, significant benefits often follow loss of weight. Among such conditions are hyper- tension, angina pectoris, congestive heart failure, varicose veins, rupture of intervertebral disks, osteoarthritis, and many other varieties of bone and joint disease. And certainly not to be omitted from even a partial list, many foot aches and backaches may be relieved to a significant extent, sometimes even completely, by weight loss.

WHAT SCIENCE STILL DOES NOT KNOW ABOUT FOODS? SPECIAL DIETS

SPECIAL DIETS 

Special diets can be of value for certain specific health problems. For example, a protein-free diet may be prescribed in some cases of severe kidney damage; a high-protein diet in some cases of hepatitis; a high- residue diet in cases of atonic constipation; a low-fat diet in certain diseases of the liver and gallbladder; a low-purine diet in gout; a low- sodium diet in high blood pressure, congestive heart failure, and toxemia of pregnancy; a bland diet for ulcer, gastritis, and hiatus hernia; a gluten- free diet for celiac disease and cure. 

Special dietary treatment is also an important part of the overall therapy in many cases of diabetes. Whenever a special diet may be of value, it should, of course, be prescribed by a physician on the basis of the patient's individual needs.

WHAT SCIENCE STILL DOES NOT KNOW ABOUT FOODS 

Every physician and scientist concerned with nutrition knows well that despite all that has been learned, much more remains to be. At any time, some fundamental new finding-of a previously unknown vitamin or other essential nutrient-may be made. 

At the risk of being repetitious, we would like to emphasize again that every advance to date has underscored the one fact: except in special instances, the best and healthiest diet is a balanced and generously varied diet. Nature distributes her largesse. We can be most certain of benefitting from it by making use of many rather than limited numbers of foodstuffs. Almost certainly, if we do this, we will be enjoying the values of still-undiscovered vital elements.

WEIGHT CONTROL 

WHILE THERE are nutritional diseases due to deprivation-rickets, scurvy, and others-by far the most common nutritional disease in this country is one that results from abundance. Overweight, affecting one in every five Americans, is a mammoth, chronic, frustrating problem. 

It can be called, justly, the number-one health hazard of our time. It's a remediable problem-but not, unfortunately, the way most of us choose to go about attacking it. To a much lesser extent, underweight constitutes a health problem. And the correction of both is an important function of preventive medicine. 

FADS AND FALLACIES, Vitamins nutrition, fish and celery for body health and prevention of diseases

According to Food and Drug Administration studies involving regular market basket sampling, foods available at ordinary groceries and supermarkets contain ample quantities of vitamins. Many food additives are now in use. Times and distances involved in getting products from farm to consumer are often great, and additives are used by processors to maintain quality. In some cases, they are used to improve quality or add some advantage not found in the natural state. Thus, some foods are fortified with vitamins and minerals.

Flavoring agents may be employed to add taste appeal. Preservatives have to be used for some foods that would otherwise be spoiled by organisms or would undergo undesirable chemical changes before use. Emulsifiers may be added to bakery goods to achieve fineness of grain; and stabilizers and thickeners, such as pectin and vegetable gums, may be used for maintaining texture and body. A federal food additives law requires that additives be tested and proved safe for consumption before they may be used. Much remains to be learned about additives-and much, too, about safe use of pesticides, but on a realistic basis, with a growing population, we need both additives and pesticides and must learn to use them to best advantage.

FADS AND FALLACIES

 Perhaps no other area of human concern is as surrounded with fads and fallacies as nutrition. We have had blacks trap molasses and wheat germ offered as virtual panaceas and, more recently, vinegar and honey. Although no food has any special health virtue all its own, it would be hard to find any that at some time or other has not been touted as such. Do oysters, raw eggs, lean meat, and olives increase a man's potency?

Hardly, they have their nutrient values but confer no special potency benefits. Are fish and celery brain foods? The idea could have arisen because brain and nerve tissue are rich in phosphorus, and fish provides phosphorus-containing materials. But so do meat, poultry, milk, and eggs. And celery, it turns out, has relatively little phosphorus. 

Are white eggs healthier than brown? The fact is that the breed of hen determines eggshell color, and color has nothing to do with nutritive value. Some magical powers once attributed to foods have been explained by scientific research. For example, lemons and limes were once considered panaceas for scurvy; it is their vitamin C content, of course, which did the work. Rice polishing was indeed fine for preventing beriberi, but solely because of their vitamin B1 content. 

Goiter was once treated with sea sponge, and the seeming magic stemmed not from something unique about sponge, but from its content of iodine. Food myths arise, too, from distortions of scientific fact. Thus, carrots considered to be good for the eyes.

They are-in cases of vitamin A deficiency. The yellow pigment of carrots, carotene, is converted by low body into vitamin A, which is needed to produce a pigment for the retina of the eye. Incidentally, carotene is plentiful, too, in green vegetables where the yellow color is masked by chlorophyll. Food fads and fallacies might be amusing were it not for the danger that they can interfere with the selection of a proper diet. 

SENSIBLE CHOLESTEROL RECOMMENDATIONS

 SENSIBLE CHOLESTEROL RECOMMENDATIONS 

An unequivocal answer to whether lowering cholesterol levels will reduce heart attacks will require long-term studies involving large numbers of people. But there is enough evidence at hand to make it seem wise, many authorities agree, to encourage changes in the typical American diet, which tends to include excessive amounts of cholesterol and fats. Desirable changes have been recommended by the American Heart Association.

Where the average daily diet in the United States contains about 600 milligrams of cholesterol, the Heart Association recommends that this be cut to less than 300, also called for: a decrease in intake of saturated fats and an increase in intake of polyunsaturated.

 This, the Association is convinced, will lower abnormal concentrations of cholesterol in most people. The ideal quantity of fat needed in the diet is not known, but an intake of less than 40 percent of calories from fat is considered desirable. And of this total, polyunsaturated fats probably should make up twice the quantity of saturated fats. To follow these recommendations, you may have to change some eating habits but you will not have to give up all your favorite dishes.

 To control cholesterol intake, you will need to eat no more than three egg yolks a week, including eggs used in cooking. You will also need to limit your use of shellfish and organ meats. To control the amounts and types of fats:

1. Use fish, chicken, turkey, and veal in most meals for the week. Limit beef, lamb, pork, and ham to five moderate-sized portions a week.

2. Choose lean cuts of meat; trim any visible fat; and discard any fat that cooks out of meat.

3. Avoid deep-fat frying. Instead, use cooking methods that help to remove fats: baking, broiling, boiling, roasting, and stewing.

4. Restrict use of fatty "luncheon" and "variety" meats such as sausages and salami. 

5. Instead of butter and other cooking fats that are solid or completely hydrogenated, use liquid vegetable oils and margarine that are rich in polyunsaturated fats.

 6. Instead of whole milk and cheeses made from whole milk and cream, use skimmed milk and skimmed milk cheeses.