Archive for November, 2022

Brands That Keep Obesity Separate and Unequal

November 20, 2022 — Fed up. That’s where we are with stories about how people taking semaglutide for obesity are keeping people with diabetes from getting an adequate supply of the drug they need. Fed up, because it’s a stealthy way of expressing implicit bias against people living with obesity. The subtext is that those people don’t really need […]

Systemic Challenges for Care in Healthcare

November 19, 2022 — Is healthcare indeed a place where a person can expect to receive genuine care? Or is the care in healthcare more of an abstract concept than something a patient might experience? A recent paper in Health Expectations tells us that most patients define a caring professional quite simply. They listen attentively. That was the response […]

Metabolic Health in a Holiday Environment

November 18, 2022 — It is already starting. Here in North America, the weather is becoming crisp and winter holiday preparations are underway. The traditional feast of Thanksgiving is coming upon us next week. So a recent analysis of copious continuous glucose monitoring data from a small group of diabetes patients offers relevant insight into the challenge of metabolic […]

Bariatric Surgery to Cut the Risk of a Heart Attack

November 17, 2022 — Can bariatric surgery cut the risk of a heart attack in half? The answer, of course, depends upon the population of patients and their risk profile. And we must remember that risk is a tricky thing to measure. But a recent study in JAMA Network Open found half the risk of a wide range of […]

Sensational Headlines, Trivializing Obesity

November 16, 2022 — It’s a fact. Media needs your attention. Thus, journalistic standards live in in tension with the temptation for sensational headlines that trivialize a subject like obesity. We’ve seen it before. Yet the current crop of sensational headlines offering a twisted understanding of serious new obesity treatments is especially disappointing. Here’s an example from the supposedly […]

Bariatric Surgery in Youth: Start of a Great Shift

November 15, 2022 — It is indeed happening. A great shift has begun in pediatric obesity care and a new study in Pediatrics measures the beginning of it with an increase in bariatric surgery for youth. Between 2010 and 2017, the rate of bariatric surgeries for pediatric patients doubled, according to this study. But let’s be clear. This is […]

Can Deep Brain Stimulation Stop Binge Eating?

November 14, 2022 — Two patients. This fits our definition of a small pilot study and Nature Medicine published it recently. In this study, Rajat Shivacharan and colleagues treated binge eating disorder and severe obesity in two patients, using responsive deep brain stimulation. It involves the placement of tiny electrodes in the brain, connected to a pulse generator implanted […]

False Comparisons of Smoking and Obesity

November 13, 2022 — Analogies are a powerful tool to build a story and persuade people to adopt a preferred course of action. When it comes to policies to reduce obesity, one of the most frequent analogies employed is tobacco policy. Earlier this year, Sarah Hill and colleagues made the case for health policy to align the regulation of […]

Food Environment: Consumption Occasions

November 12, 2022 — It’s interesting to trace the slow evolution of thinking about the food environment and efforts to understand why it seems to be triggering ever more obesity. Food policy advocates have shifted from worrying about too much fat, to a focus on sugar, and now toward thinking that the problem must be ultra-processed foods with too […]

Body Image and Health in College Sports

November 11, 2022 — Are college sports having an issue with body image and health? Mental health of elite athletes received a great deal of attention during the Tokyo Olympics. Simone Biles captured public attention as she struggled with the subject. New reporting, though, points to more specific problems with body image and health in college sports, especially among […]