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Over the last several posts I have discussed a few aspects of obesity that I think are important in understanding the condition. There is no doubt that obesity is a multi-factorial issue in adults—I’ve always contended that. But I do not feel that way when it comes to kids, because children often do not have the same mental factors, which I believe play such a strong role in chronic obesity (the factor most involved in the I-just-can’t-seem-to-lose-weight-no-matter-what-I try-syndrome). More on this in a future post.

But we already defined obesity—a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health problems—so the question should now be: How has obesity become epidemic? How have so many people gained weight to such degree as to be detrimental to their health? The numbers today are harrowing–in the U.S. no state has a prevalence of obesity less than 20%, with some states having 30% or more of their population obese.

This is a fairly new phenomenon, as the numbers in the U.S. have gone through their most dramatic increase only over the last twenty years. This is one reason I do not buy into the genetic or hormonal-cause theories. Gene pools just don’t change that quickly, especially not with regard to a trait that has neither survival nor reproductive advantages.

One major benefit we are experiencing as a result of the current obesity epidemic is that we have learned quite a bit about human physiology, particularly with regard to changes in autonomic function. What is particularly interesting is to see how the body responds to an extreme change in condition—in this case, excess weight gain. Once again, we see the incredible intelligence inherent in the human body. The body responds to a perceived stress in a very predictable way: It tries to reestablish balance, and it does so through the autonomic nervous system (ANS).

These observations have some in the field excited that they have now found the true underlying cause of obesity. However, ANS changes, and their associated hormonal imbalances, are not the cause of obesity. Neither are emotional or economic stressors the cause of obesity. While these issues are very likely factors in the long-term maintenance of obesity—the reason why “weight stays relatively constant”—they are not, in and of themselves, what causes obesity. Taking in more energy (calories) than we use is the primary cause of obesity. And this phenomenon is predominantly due to one or more of the following factors:
  • Eating more than is needed (we’ve all done this at one time or another, so it shouldn’t be too hard to conceptualize how it could happen repeatedly, over time, leading to a form of conditioning)
  • Eating nutritionally-poor foods (more than occasionally)
  • Chronic inactivity

Yes, hormonal issues like hypothyroidism can cause weight gain, so can medication side-effects, and genetics probably leaves some people more susceptible than others. But these factors are not responsible for the 20-30% obesity rates in the U.S. No way.

So, once again, how has obesity become epidemic in the U.S. and other western societies? As far as I can see obesity is a consequence of prosperity. When food is abundant, when we do not have to grow, hunt, trap or kill our own food sources, when high-energy foods (not in vibrancy, but calories: think pizza) is just a phone call away, 24-7, what do you think is going to happen? Poor nations don’t have obesity epidemics. Oh they may have obese people…but not an epidemic. Think about it. Obesity is mostly a condition of abundance.

Obesity is also a consequence of population growth. The more mouths we have to feed in rich, industrialized nations, the more we have to manufacture foods that will preserve long-term storage, transport and shelf-life. Simple as this: To feed millions of people, foods are tweaked to prevent their perishing, and as a result we get chemically- and preservative-laden foodstuff, as well as the now prevalent yet highly controversial genetically-modified organisms (GMOs). Ingesting these food-like substances, as I like to call them, in large quantities or over long periods can lead to excessive weight gain.

Sorry to the foolish skeptic, but sodas do cause weight gain. It is no surprise to me that obesity has run concurrently with both American power and prosperity in the world, but also with the explosion of the food industry, particularly in the development of processed  foods (and junk food, and fast food, and soda consumption…)

As I’ve hinted in a previous post, I also believe a very strong mental component is involved in the obesity epidemic. No doubt the psychological makeup of society is contributing to this massive inflation. The coddling of the obese—by searching for an it’s-something-outside-of-you cause—is no small factor in making obesity an epidemic. Next post, I will discuss weight loss and what I think is a better approach to decreasing the prevalence of obesity in modern society.


Enigma time: stomach cancer is up in young white adults, while rates in all other adults has declined. In fact, the chances of developing this cancer among 25 to 39 year old whites has climbed by almost 70% in the past 30 years. Although the risks for developing this cancer in young adults is still very low, the racial differences has scientists baffled.

According to a recent study by the National Cancer Institute, which examined new cases of cancer in the lower stomach from 1977 to 2006, the incidence for young white adults rose from .54 per 200,000 to about 1 per 200,000. At the same time, the incidence of lower stomach cancer in young black adults actually declined by about 42%. The rates for other races also declined, but numbers were not specified.

The study focused on lower stomach cancer and not upper stomach cancer, which has been linked with gastric reflux. These two cancers together are the fourth most common type of cancer worldwide. In American men, stomach cancer is among the top 10 most common cancers in blacks, Asian-Americans, Hispanics and American Indians. It’s also among the most common cancers in Asian-American women.

Lower stomach cancer is thought to result from chronic infection with the bacteria, Helicobacter pylori, the same bacteria responsible for many stomach and peptic ulcers. It has also been linked with diets high in salt and salt-preserved foods (cured meats, fish, beef jerky, etc.) and low in fresh fruits and vegetables. The incidence of lower stomach cancer has historically been higher in Asia and other countries where salt-preservation of food is more common.

Stomach cancer rates have been declining around the world, however, due to improved food preservation methods and better hygiene. This makes the increase seen young white adults so much more perplexing. Experts believe that increased salt intake among all young adults has something to do with it, but further investigation is needed.

I think that proving a dietary connection will be difficult, as eating habits among varying races in the U.S. can’t be all that different to account for such a change. I’d like to propose a mental component to this increase in stomach cancer among young white adults. There is no denying that the mind influences the body, and it is a long neglected aspect of health in general. American culture is far too intertwined to account for a non-genetic behavior difference as what we are seeing here. I do believe, though, that psychological patterns can be developed among groups or cohorts. It is an area that we would be wise to investigate in health care–an unexplored frontier, if you will; one I am certain will be the next gateway to understanding.

You are getting sleepy, sleeeeepy….

Ever tried hypnosis? Good stuff I tell you. I’ve done it several times and I got it right away. Hypnosis is the practice of taking the mind through mental and visual processes to help control the physical and material plane. Huh? Let me rephrase that: If you’ve got a physical problem, hypnosis can help guide you mentally to change your physiology. And, if you want to create or change an experience in your life–quit smoking, lose weight, gain confidence, reduce fears–hypnosis can also help there by guiding you through visualizations and help change mental patterns. Think it’s BS? Well check this out:

British researchers have found that hypnosis may help reduce bowel inflammation seen in ulcerative colitis. Ulcerative colitis is a disease that causes chronic inflammation in the lining of the colon and rectum, leading to symptoms such as abdominal pain and diarrhea. Although the standard medical treatment is drugs, a small study suggests that hypnosis may aid in the healing process.

In the study, scientists looked at 25 people with ulcerative colitis. Seventeen were taken through 50-minute session of “gut-focused” hypnotherapy aimed at relaxation and relief of inflammation, while eight simply listened to music of their choice for the same period. What they found was astounding: blood levels of IL-6–a marker of inflammation in the body–fell by 53 percent in the hypnosis group, whereas music listeners showed no substantial change. And they found a decrease in other chemical markers of inflammation as well.

The researchers were not sure why hypnosis eased inflammation but think that it might have direct effects on colon activity or it might affect people’s pain tolerance or perceptions of their symptoms. To me it’s quite simple: you cannot separate the body from the mind. In fact, all physical processes–both health and illness–have their origins in the mind. Trip on that for a minute. And if that’s true, then they must have mental solutions (components) as well. That’s my belief, anybody disagree?

I know two very talented hypnotherapists that I love to send clients to, one in Los Angeles and one in The Valley. Check them out–they work magic.

They say that the Japanese are the healthiest people alive. They live on average 74.5 years in health, and 86 years thereafter. The Japanese diet–high in fish, rice, and seaweed–is said to be the main reason. Cancer rates are low and heart disease is pretty much held in check. Bravo to the Japanese, especially in honor of their 6th Healthy Food Expo held last week in Tokyo. When it comes to diet and nutrition the Japanese are, without a doubt, ahead of the game.

But if any of you have read my latest book, The Six Keys To Optimal Health, you know that diet is just one factor determining a person’s health and longevity. Multiple factors play a role, each having a profound effect on health and life expectancy. One of these factors is a balanced mental and emotional life–that is, one’s mental health.

When it comes to mental health, then, the Japanese may not be so ahead of the game after all. According to a government report released last week, suicides from work-related stress has doubled in the last five years. And the number of people developing work-related mental conditions such as depression has reached a record high of 268 in 2006 (the last year of complete statistics on the subject). Japan has one of the highest suicide rates in the world–32,160 people killed themselves in 2006. People in their 30s and 40s were most prone to stress due to working too many hours or personal relationships at work. Some of the people attempting suicide worked 160 hours of overtime a month. 160 hours overtime! The typical work week in Japan is 40 hours.

Dang! That’s whole lot of workaholism. And you thought Americans were bad. Listen, what difference does it make if you eat well and are nutritionally healthy if you drive yourself into the grave by overworking? Just doesn’t make sense. I get that there are pressures: one-third of these poor people were working between 80-100 hours overtime a month! Put this in perspective: That’s twelve or more hours a day for five straight days every week. That’s damn near chiropractic hours. Sheesh. What family time? What social life? What time for personal hygiene (I know if that was me, I’d probably quit cutting the ol’ toenails to gain a few minutes every week). And throw in a little cultural mind trip–many people don’t discuss their stress in order to not seem weak–and you’ve got a severe mental health issue at hand.

The bottom line is this: If you strive for good health you can’t neglect your mental and emotional wellbeing. Eating well is essential, but so is balancing one’s mental perspective. You ain’t gonna do that by working non-stop for extended periods. You need rest, social time, creative time, family time, and simply time to be alone with your thoughts. Sometimes we forget how important alone time actually is. And even if you do all this stuff regularly, you need a vacation every once in a while, too. Trust me when I say that burning the candle at both ends when it comes to work is the quickest way to burnout, and worse. Just ask the Japanese–it a national tragedy over there.

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