The language alone made me shudder: "adults living with obesity" - what the fluffing fluff does that even mean? Is it now politically incorrect to say 'obese adults'? I know we mustn't 'body-shame' or, the horror, 'fat shame', but now even 'obese' must be veiled in non-hurting language?
As for the programmes themselves: the 'success' is astounding! People seem to lose as much weight per week as having drunk or not drunk a glass of water before weighing. But certainly, the 'providers' of all those programmes will become fat, or rather: their wallets will, thanks to NHS funding.
No wonder the other hand of the NHS is pushing that Zum Zum water: far more successful for shedding unwanted fat.
Oh btw - I'm 'living with old age' - do I get a piece of chocolate as reward or would that be unhealthy?
Take the chocolate Vivian …times are tough for us ‘people living with old age’…. Far better than jam tomorrow…. soon- if not imminently - we may be ‘people existing with old age’ or alternatively if TPTB get their way ‘people formerly existing with old age but no longer statistically relevant as without any heating and eating they no longer exist. Obesity solved. Bring on the chocolate……
You're right - I'll take the chocolate, not least because all this jam tomorrow is already making me feel ill - tomorrow, that is ...!
I'll not give the current PTB the satisfaction of making me no longer exist due to no heating. I've got a few tricks up my sleeves, thanks to the tricks my late Grannies and great aunts taught me. After all, they managed to survive 2 WWs and the years after.
Definitely - after all, there are now three in your marriage ... Me, I'm only 'living with books' and of course 'living with collies', the best recipe for avoiding having to live with obesity or any other 'living experiences' TPTB want to foist upon us.
Since these strategies are based on on Calorie reduction, it is no surprise that the results are so disappointing.
In 2017, I wrote this in my blog:
The big problem with reducing calories is that it is essentially semi-starvation, which is invariably accompanied by hunger. As long ago as 1959, Albert Stunkard and Mavis McLaren-Hume reviewed the available studies (2). At the outset they stated that weight-reduction programmes are based on the assumptions that they are effective and that they are harmless. However they concluded that:
“The results of treatment for obesity are remarkably similar and remarkably poor”
They reported that only 25% of the subjects had lost as much as 8kg on their low calorie diets, while only 5% successfully lost 16kg. This was in line with his Stunkard’s experience as a physician working with 100 obese patients that were prescribed “balanced” diets of 800-1500 calories per day. He found that only 12% lost 8kg and one patient managed to lose 16kg. Even more significantly, two years after the end of the treatment only two patients had maintained their weight loss.
Those experts in the field persist in advocating calorie reduction despite the fact that there is a lack of evidence that the approach is successfully. At the same time the cases of failure continue to pile up. In the “Handbook of Obesity” by three of the leading authorities, George Bray, Claude Bouchard and Philip James it is stated that:
“dietary therapy remains the cornerstone of treatment and the reduction of energy intake continues to be the basis of successful weight reduction programs.”
However they go to accept that the results of such calorie-restricted diets:
Our local town centre is in a greenfield and gradually being extended... so essentially it's a recent design and build. Usual stuff... a 100 shop mall... box-stores... NZ's first Costco, oh yeah, and a new building with four drive-through takeaways downstairs (the drive throughs wrap around each of the Taca Bell, KFC, Carl'sJunior & Starbucks drive throughs) on the downward entrance, and to maintain a healthy community and balance, there are two large 'fitness' centres on the floor above them.
Reminds me of one of my favourite photos of all time... the paradox of 24hr fitness centres...
One challenge of modern government is the existence of silos. Is a winter heating supplement a tax program or a health program? Is dealing with obesity a health program or an educational program? Is it both? What would be effective. On the obesity issue, I would focus on the secondary school system (13-18 years old) and make mammalian biology a required subject for four years. The subject should include questions such as 'is a calorie a calorie?' What is a RCT and is there any evidence that eating two almonds a day will help you live to 100? Strangely, these are all involved in Socrates question, 'How should one live a life? The question was posed 2500 years ago and deserves some modern critical thought.
Xyla Health and Well-Being is part of the Acacium Group.
What do they do? I hear you ask? Oh yes, you did ….pantomime season is coming up. One may speculate it never went away but I digress. What does Acacium do?
‘With over 40 years of experience and a global footprint, Acacium Group delivers market-leading services tailored to clients’ needs across three areas of expertise.’ What are those three areas of expertise? ‘
Firstly; ‘Global health and social care workforce’. What does that mean? ‘We deliver permanent and temporary workforce in acute and community settings across all physical and mental health specialisms. Using cutting-edge technology and predictive analytics, we create more career options for health and social care professionals, enabling our clients to access a broader, more flexible workforce.’
Secondly; ‘Global health and social care managed services’. What does that mean?
‘ Combining technology with data- led insight, clinical governance and our expert workforce, we offer innovative care models that increase capacity and capability across the entire patient pathway. Our flexible services can be delivered digitally, in the community or in acute care settings.’
Thirdly; ‘Global life sciences’. What does that mean? ‘Our partnerships with life sciences organisations enable them to scale their workforce and achieve their growth ambitions. We offer specialist workforce, managed services and regulatory consulting to support them throughout all stages of the drug and medical technology lifecycle, from discovery to manufacturing and commercial build-out.’
Sooo not just a one trick ‘Marjorie you only lost half a pound this week’ pantomime pony…..a global entity ….ooh…..look behind you……beware Global obesity.
They only lost 4lb? Blimey. If you've several stones to shift, you won't even notice that.....There's a substantial chap we've got friendly with at the gym. He's lost 6 stone in 2 years through swimming and cutting back on booze. He can now use the equipment in the gym (he was too heavy before), and although he still has a few stone to go, he's like a different person. He does 200 lengths each session, that's just over 2 miles. I remember from my days as a fitness instructor, most people a) have no idea what to eat b) hate exercise. They would much rather take a pill to make them slim and fit (especially women!).
The language alone made me shudder: "adults living with obesity" - what the fluffing fluff does that even mean? Is it now politically incorrect to say 'obese adults'? I know we mustn't 'body-shame' or, the horror, 'fat shame', but now even 'obese' must be veiled in non-hurting language?
As for the programmes themselves: the 'success' is astounding! People seem to lose as much weight per week as having drunk or not drunk a glass of water before weighing. But certainly, the 'providers' of all those programmes will become fat, or rather: their wallets will, thanks to NHS funding.
No wonder the other hand of the NHS is pushing that Zum Zum water: far more successful for shedding unwanted fat.
Oh btw - I'm 'living with old age' - do I get a piece of chocolate as reward or would that be unhealthy?
Take the chocolate Vivian …times are tough for us ‘people living with old age’…. Far better than jam tomorrow…. soon- if not imminently - we may be ‘people existing with old age’ or alternatively if TPTB get their way ‘people formerly existing with old age but no longer statistically relevant as without any heating and eating they no longer exist. Obesity solved. Bring on the chocolate……
You're right - I'll take the chocolate, not least because all this jam tomorrow is already making me feel ill - tomorrow, that is ...!
I'll not give the current PTB the satisfaction of making me no longer exist due to no heating. I've got a few tricks up my sleeves, thanks to the tricks my late Grannies and great aunts taught me. After all, they managed to survive 2 WWs and the years after.
Apparently I'm "living with autism". Funny, I thought I was living with my husband. ....maybe I should tell him about this extra being? 😂
Definitely - after all, there are now three in your marriage ... Me, I'm only 'living with books' and of course 'living with collies', the best recipe for avoiding having to live with obesity or any other 'living experiences' TPTB want to foist upon us.
I'm just living - does that count? :)
Clearly, 'just living' doesn't qualify you for any NHS or TPTB intervention - you're off their radar: enjoy!
Since these strategies are based on on Calorie reduction, it is no surprise that the results are so disappointing.
In 2017, I wrote this in my blog:
The big problem with reducing calories is that it is essentially semi-starvation, which is invariably accompanied by hunger. As long ago as 1959, Albert Stunkard and Mavis McLaren-Hume reviewed the available studies (2). At the outset they stated that weight-reduction programmes are based on the assumptions that they are effective and that they are harmless. However they concluded that:
“The results of treatment for obesity are remarkably similar and remarkably poor”
They reported that only 25% of the subjects had lost as much as 8kg on their low calorie diets, while only 5% successfully lost 16kg. This was in line with his Stunkard’s experience as a physician working with 100 obese patients that were prescribed “balanced” diets of 800-1500 calories per day. He found that only 12% lost 8kg and one patient managed to lose 16kg. Even more significantly, two years after the end of the treatment only two patients had maintained their weight loss.
Those experts in the field persist in advocating calorie reduction despite the fact that there is a lack of evidence that the approach is successfully. At the same time the cases of failure continue to pile up. In the “Handbook of Obesity” by three of the leading authorities, George Bray, Claude Bouchard and Philip James it is stated that:
“dietary therapy remains the cornerstone of treatment and the reduction of energy intake continues to be the basis of successful weight reduction programs.”
However they go to accept that the results of such calorie-restricted diets:
“are known to be poor and not long-lasting.”(3).
https://vernerwheelock.com/284-obsessed-with-calories/
Our local town centre is in a greenfield and gradually being extended... so essentially it's a recent design and build. Usual stuff... a 100 shop mall... box-stores... NZ's first Costco, oh yeah, and a new building with four drive-through takeaways downstairs (the drive throughs wrap around each of the Taca Bell, KFC, Carl'sJunior & Starbucks drive throughs) on the downward entrance, and to maintain a healthy community and balance, there are two large 'fitness' centres on the floor above them.
Reminds me of one of my favourite photos of all time... the paradox of 24hr fitness centres...
https://miro.medium.com/v2/resize:fit:1400/format:webp/1*b2sASBV_xu8Dd22lzhj7IQ.jpeg
One challenge of modern government is the existence of silos. Is a winter heating supplement a tax program or a health program? Is dealing with obesity a health program or an educational program? Is it both? What would be effective. On the obesity issue, I would focus on the secondary school system (13-18 years old) and make mammalian biology a required subject for four years. The subject should include questions such as 'is a calorie a calorie?' What is a RCT and is there any evidence that eating two almonds a day will help you live to 100? Strangely, these are all involved in Socrates question, 'How should one live a life? The question was posed 2500 years ago and deserves some modern critical thought.
https://xylaservices.com/?utm_source=substack&utm_medium=emai
Xyla Health and Well-Being is part of the Acacium Group.
What do they do? I hear you ask? Oh yes, you did ….pantomime season is coming up. One may speculate it never went away but I digress. What does Acacium do?
‘With over 40 years of experience and a global footprint, Acacium Group delivers market-leading services tailored to clients’ needs across three areas of expertise.’ What are those three areas of expertise? ‘
Firstly; ‘Global health and social care workforce’. What does that mean? ‘We deliver permanent and temporary workforce in acute and community settings across all physical and mental health specialisms. Using cutting-edge technology and predictive analytics, we create more career options for health and social care professionals, enabling our clients to access a broader, more flexible workforce.’
Secondly; ‘Global health and social care managed services’. What does that mean?
‘ Combining technology with data- led insight, clinical governance and our expert workforce, we offer innovative care models that increase capacity and capability across the entire patient pathway. Our flexible services can be delivered digitally, in the community or in acute care settings.’
Thirdly; ‘Global life sciences’. What does that mean? ‘Our partnerships with life sciences organisations enable them to scale their workforce and achieve their growth ambitions. We offer specialist workforce, managed services and regulatory consulting to support them throughout all stages of the drug and medical technology lifecycle, from discovery to manufacturing and commercial build-out.’
Sooo not just a one trick ‘Marjorie you only lost half a pound this week’ pantomime pony…..a global entity ….ooh…..look behind you……beware Global obesity.
They only lost 4lb? Blimey. If you've several stones to shift, you won't even notice that.....There's a substantial chap we've got friendly with at the gym. He's lost 6 stone in 2 years through swimming and cutting back on booze. He can now use the equipment in the gym (he was too heavy before), and although he still has a few stone to go, he's like a different person. He does 200 lengths each session, that's just over 2 miles. I remember from my days as a fitness instructor, most people a) have no idea what to eat b) hate exercise. They would much rather take a pill to make them slim and fit (especially women!).