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This post is about weight loss.  It’s about basic physiology, and personal responsibility (ooh, dirty words).  I recently tweeted a bunch on a subject I wrote about three years ago.  The number of responses I received was incredible.  The subject was on giving the cholesterol lowering medication, statins, to children.  In 2008, the American Academy of Pediatrics, recommended screening children as young as two-years-old for high cholesterol.  If a child is found to have high cholesterol, the Academy recommended putting him or her on statins to prevent future cardiovascular disease.  My response today is the same as it was three years ago–it’s a freakin’ crime!

I know too much about physiology and human health to accept this as a treatment option for children, let alone the first line of defense.  Statins have side-effects, and they are also based on a faulty premise–that low density lipoproteins (LDLs) are the most important factors in cardiovascular health.  While definite contributors, LDLs are simply not as important as high density lipoproteins (HDLs) when it comes to cardiovascular risk.  To consider giving drugs that most people take for a lifetime to children as a preventative is purely irresponsible.

But, really, the criticisms I encountered weren’t about points I made on statin use in children.  They were mostly directed at a particular line, an idea,

“Childhood obesity? Excuse my language, but…that’s effin’ child neglect and abuse by lazy, undisciplined, ignorant parents.”

Now many people said, “Bravo! Thank you for telling it like it is.”  Many others, however, felt it was callous, off-base and out-of-sync with the real causes of obesity.  Some tweeters informed me that my understanding of basic physiology was prehistoric, and that my solution to the obesity problem (I didn’t know I had actually given one) was short-sighted and erroneous.  So in the next few posts I will attempt to clarify my thoughts on weight loss/weight gain, the obesity epidemic and parental responsibility as it relates to the weight–and health–of a child.

I am actually going to start with my thoughts on parental responsibility.  I contend that if you as a parent are not responsible for your child and his or her health, then who is?  This question is only obvious to those parents who share this philosophy, and won’t be to those believing (either consciously or subconsciously) that health is the responsibility, and byproduct, of something outside themselves.

Every parent will say that they take full responsibility for their child, but far too many act otherwise.  What you do your children will do, period.  They eat what you eat, they think like you think, and they care for themselves in the same way you care for yourself.  How is your child’s weight, then, independent of you?  Oh, you didn’t shove the cookies down his or her throat…but did you buy them?  Maybe you thought it was harmless to feed your child cookies as a baby…I hope you know better now (Plenty of tweeter critics claimed to not feed their children junk food…listen, your obese child is eating junk food–WAKE UP!)

Parents of heavy children have lots of support for their innocence.  The concept that “your illness is not your fault” is preached by many doctors, psychologists, talk show hosts, media celebrities and support groups; and while it’s true that illness is not a fault, it certainly isn’t true that we have no hand in how our health plays out.  More importantly, though, everyone has the potential to achieve and maintain great health, no matter what the current circumstances.

When health issues arise, the most important thing to do is determine where changes need to be made.  Whether talking about major lifestyle modifications–like quitting smoking, or changing food habits, or exercising–or simply getting checked by a professional, change is an absolute necessity in correcting any health problem.  How soon you make that decision can mean the difference between life and death.  Symptoms are your body’s way of telling you something needs attention.  Ignoring them is the worst possible approach you can take toward your health.

Obesity, as a morphological symptom, is a major change–and it just doesn’t happen overnight.  Once parents see it unfolding, they have a responsibility to act (neither children nor teens can make this decision on their own) and create change.  For parents of chubby or obese children, this also means how you decide to change.  A child isn’t going to change independently from his or her parents.  Are you going to change your diet to a more healthful one?  Are you going to eat less, and decrease your intake of junk foods, fast foods and sodas?  Are you going to work out, play sports with your kids or take fitness classes together?  Your child isn’t going to change without you–you’ve got to change as well.  And simply dishing them off to Little League will not do either, as building their confidence before they compete in groups will be paramount to their psychological health and well-being.  The bottom line is that parents must get actively involved in the obese child’s life, if they are to stand a chance of losing weight.

For new parents, it simply begins with creating good habits from the very start–the foods you expose your children to, the activities you share, how much television you watch, and so on.  You control the environment, and your choices contribute to your children’s bodies, and their health.

Obesity is reversible, that’s a fact.  How you see things, and how you approach the world determines your chances of overcoming (or your child overcoming) obesity.  Too many people lose weight for it to simply be a ‘hopeless situation’.  Blaming obesity on genetics, hormones, depression, lack of health insurance or anything else will not change the fact that everybody is capable of being either obese or anorexic, as well as everything else in-between; it just comes down to one’s habits in determining where one will weigh-in on the scale.  You have the power to change anything with regard to your health, or that of your child’s.  Understanding this, and fully embracing it, is the only way to create lasting changes.  Denying it will only get you the same, which is definitely your prerogative, but don’t act as if you have no hand in the matter.

I love it when medical science finally catches up to the rest of the world regarding health practices. The medical community is finally starting to realize the mega-importance of supplementing with fish oil…well, sort of. Check out the latest study published in the medical journal, The Lancet. It showed that when it comes to fighting chronic heart failure, fish oil supplements may work slightly better than a popular cholesterol-reducing drug.

The Italian study looked at 7,000 heart failure patients, half taking a daily omega-3 fatty acid supplement, and the other taking a placebo. The patients were followed for four years. They did the same study with the popular statin, Crestor. As it turns out, less people died in the omega-3 group than in the statin group. Although the difference between the two was small, the benefits of supplementing with fish oil is obvious–it’s natural and it has few, if any, side effects. The same cannot be said for statins.

Statins work by lowering “bad cholesterol” or LDLs, while omega-3 fatty acids work by increasing “good cholesterol” or HDLs. As I’ve pointed out in earlier posts, when it comes to heart health, good cholesterol reigns supreme. Furthermore, omega-3s are much cheaper than “the best selling drugs of all time” that are the statins, so supplementing with them makes good financial sense too.

So there you have it: Fish oil supplements are better for your heart than stains. According to Dr. Douglas Weaver, president of the American College of Cardiology, “This study changes the certainty of the evidence we have about fish oils.” Thank you doctor. Glad you’ve finally come around. Now let’s see how it affects statin sales. Anybody want to guess?

OK, this is it; my final fitness update. It couldn’t come at a more opportune time as I have just turned 40 today. Woohoo! As my brother told me, I have officially entered an age where each year will seem to pass in six month increments. Woosh

I made my proclamation to become Fit in 90 Days on September 5th, so officially, my run should have ended December 5th. I was vacationing in Palm Beach at that time, so I actually needed another 14 days; which is probably the amount of time throughout the whole endeavor that I did nothing. No worries, 90 days, 100 days, it’s all the same.

As I’ve been reporting, I tried to exercise (gym) three times a week. I did several private yoga sessions with an instructor, and fined tuned my practice, which I carried out faithfully every day (OK, nearly every day). That was huge. I resolved some fairly irritating muscular imbalances that were causing low back discomfort, and I also did quite a bit of work on my shoulders. My new yoga routine improved my posture. I feel the difference.

I kept a regular chiropractic regimen–very important with all the moving and stretching and lifting and hiking. A combination of yoga and chiropractic is powerful, indeed.

I followed a pretty solid nutritional program–ate more fresh fruits and vegetables, drank lots of water, and took my daily vitamins. As usual, I was diligent about taking my essential fatty acids and alpha lipoic acid, the powerful anti-oxidant.

I think the most profound health habit I adopted through all of this, though, was seriously minimizing my consumption of refined sugar (started November 8th). As I described in an earlier post, I had a brief roller coaster ride with regard to my energy levels, but that evened out. Once I got over that withdrawal stage, my energy skyrocketed. And I lost weight as a result. Before “no sugar,” I lost four pounds (to 163 lbs.); afterward, eight pounds (to 155 lbs.). Nice. So in total, I’ve lost twelve pounds. Twelve pounds in twelve weeks. Very healthy.

Let’s review my goals: I wanted to lower my weight by seven pounds–I beat that. I wanted to lower my body fat. Oops, forgot to check it for this update. Sorry. I wanted to do unassisted handstands–didn’t do it (remember what the Yogi said?) Wanted to run Runyon Canyon. Nope, didn’t do that either.

So, you might wonder, what did I accomplish then? In my mind, I just made my routine a regular habit; I really am happy with that. It’s not a cop out. What I want from a health regimen is improved or maintained health. What I really want is optimal health. Without a doubt, I’ve accomplished that. I know with complete certainty that by putting this kind of consistent and careful attention into my body, there is no other possible outcome to be had. But as serendipity has it, I happened to take a blood test as a part of a life insurance policy I was pursuing, and they were kind enough to send me the results. I normally don’t put too much stock into these tests, because, as I’ve said, I know that if I do the right things, I’ll have a good functioning and healthy body. But hey, I was happy to check it out; I mean, it is my physiology. Here are the results:

  • Cholesterol–217 mg/dl. Between 200-239 is considered borderline high.
  • Triglycerides–58 mg/dl. Anything under 150 is normal. Hmmm.
  • HDLs–68 mg/dl. Anything above 40 is desirable, above 60, very good.
  • LDLs–137 mg/dl. Should be under 160 if have only zero or one risk factors.
  • Chol/HDL ratio–3.20. A desirable ratio is under 5; optimum under 3.5. Booyah.

Remember, the amount of cholesterol is not nearly as important as the amount of HDLs in your blood, and even less important than the cholesterol/HDL ratio (read the post, here). So, as to not bore you, all the other test were good to optimal too. Yes, I love tests, especially when they work in my favor.

So what did I accomplish? I motivated myself to exercise, eat well, get regular bodywork, sleep, and focus on my health in a proactive manner. I feel better, have more energy, feel more rested, look better, and have less physical discomfort all around. And, hopefully, I’ve shown you that with a little planning, and a large commitment, you can create a better place for yourself physically. You can achieve optimal health if you want it.

One of the first things doctors learn in rudimentary physiology class is that, when it comes to preventing heart disease, high HDL or “good” cholesterol is more important than low LDL or “bad” cholesterol. In fact, HDL levels are four times greater than LDL levels in their ability to predict the development of coronary atherosclerosis. Basic, basic, basic physiology.

But an interesting thing happens between doctor school and practicing–it’s called influence from the outside world. In the case of doctors, that influence often comes from pharmaceutical industry. C’mon Campos, not another evil pharmaceutical industry story (hey, I haven’t written one yet, please). No, no–it’s more like another example of how we’ve come to worship outside factors when it comes to our health. Check this one out.

Recent research published in the New England Journal of Medicine shows that no matter how much bad cholesterol is lowered in the blood, it’s the amount of good cholesterol that still reigns supreme. Yes, the concentration of your HDLs (high density lipoproteins) plays a vital part in preventing cardiovascular diseases, like heart attacks and strokes.

Yeah, so? Well if you haven’t heard yet, those hyper-pedastalized miracle drugs known as statins are some of the most prescribed drugs of our day. Statins work by lowering LDL (low density lipoproteins) levels in the blood, and this, it has been promised, will lower our risk of heart disease. Great! Prescribe them like crazy. People don’t work out. People don’t eat right. Who cares? Give ’em statins. You’ve got boderline high cholesterol. Statins. You’re almost diabetic? Statins. You’ve seen the cholesterol commercial and you’re concerned? Statins.

Statins. Statins. Statins.

Well I’ve got news for you. You want to lower your risk of cardiovasular disease? You’ve got to watch what you eat and work out, period. Oh yeah…it’ll help if you quit smoking too, but how about just starting with exercise? You see, I’ve got a real problem with the idea of looking for magic bullets. They are illusions, people–ILLUSIONS! They give false security and false hopes. Nothing in life is free. You’ve got to work for everything. Exercise. Diet. That’s the real answer. Not statins.

OK, I’ll be fair. For people who have dangerously high levels of LDLs–if I was their MD–I’d give them statins for a very brief period, and I’d absolutely prescribe heavy doses of lifestyle management (read: nutrition and exercise). But I wouldn’t perscribe statins for people with boderline normal cholesterol levels as some Dr. Idiots are recommending (also read this–effin’ scary).

According to Dr. Philip Barter of the Heart Research Institute in Sydney, one of the lead authors of the study, “Even when LDL is taken down to very low levels, the kind of levels people say should be the aggressive targets, having a low HDL is still associated with a substantial increase in risk. (emphasis mine)” So, basically, you’ve got to work to bring your HDL levels up to par. And here’s the beauty: It’s the ratio of total cholesterol to HDL that really matters (see this brilliant explanation here), where total cholesterol = HDL+LDL. Therefore, HDL+LDL/HDL. So, if you bring up your HDL levels, you don’t need statins. Duh.

OK, here’s how you can raise your HDL levels–exercise regularly, eat wholesome foods, take essential fatty acids, and moderate your smoking and drinking habits. And you can naturally decrease your LDL levels by decreasing saturated fat intake, maintaining good body composition, increasing dietary fiber, and increasing aerobic exercise. Booyah!

But wait…fugdat. Ain’t there a drug I can take, Homey?

Sure Pfizer is working on one. It’s called torcetrapib. Oh wait. It killed people in a large drug trial. Oh well–I guess you’ve gotta work out. Says Barter again: The alternative is to “become lean and become very active. That’s probably as effective as anything we have at the moment. But most people who try don’t succeed,” Barter said. “The biggest frustration is that we don’t have the magic bullet like we do for the LDL.”

Ah yes, the ‘ol magic bullet. Well, keep looking–it’s your time, your money, and your health. If you want to believe, then be my guest. But I’ll just be over here dancing with the Tooth Fairy.

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