Regardless of weight and age, America is heading towards a Diabetes epidemic. Americans must change their lifestyles by moving more, and eating less.
Diabetes does not discriminate based on overall weight. America needs to focus on decreasing belly fat, specifically, eating less processed food and moving more.
Based on the study reported in the Journal of Pediatrics, Diabetes is increasing in our teen population. There was a 14% increase in prediabetes and diabetes in a ten year period. In 1999 – 2000, there was a 9% incidence of prediabetes and diabetes in teenagers between ages 12- 19. In 2007- 2008, there was a 23 % incidence of prediabetes and diabetes. This is more than two fold. However, the study also revealed this was regardless of weight. Across the weight spectrum, all teens had an increase in the incidence of Diabetes. In my mind, this is a Diabetes Epidemic not an obesity epidemic.
Obesity did not increase in our youth during this ten year period from 1999 – to 2008. One study from the NHANES reports an actual decrease in teen obesity, despite an increase in prediabetes and diabetes. Also, half of the participants in the study had at least one risk factor for cardiovascular disease, which means everyone needs intervention.
So what is the intervention? It depends on who you ask but the many agree America must move more, eat less processed food, and practice stress relief. America is eating too much and not moving enough. We are a culture of convenience. People need to eat because they are hungry rather than bored. We need to eliminate highly processed food such as chips and soda. We need to feel full with fiber and drink for hydration. Simple solutions are to replace chips with fiber rich berries and soda with bubbly water like Perrier. Ideally, we need to decrease insulin resistance and belly bulge (aka abdominal obesity).
The study admits to flaws. One of the flaws is the tool BMI – Body Mass Index. This measurement tool uses overall weight and height, not accounting for muscle mass and frame. Football players are considered obese when using BMI. A better tool to assess for obesity, belly fat, insulin resistance and or risk for diabetes would be the waist to height ratio. This tool would not qualify the typical football player as obese.
On Tuesday, I had the opportunity to share some of these thoughts with the HLN audience. Click here to see the clip.
May AL, Kuklina EV, Yoon PW. Prevalence of cardiovascular disease risk factors among US adolescents, 1999−2008. Pediatrics. 2012;peds.2011-1082.
In 2009, I attended a seminar Turning Mindless Eating tm Into Mindless Weight Loss taught by Brian Wansink, PhD Food Psychologist at the Cornell Food and Brand Lab. Here are the tips I learned:
Tips to Avoid Mindless Eating
Repackage snacks into individual sized bags to prevent overconsumption. Larger containers make us more likely to over-indulge.
Store foods in cupboards or the pantry rather than on the counter or other open area. You’ll be less likely to mindless munch on foods if you have to go out of your way to get them.
Eat on smaller dinner plates. Using larger plates leads us to overfill our plate unintentionally and consequently eat more.
Be cautious of food labels claiming “low-fat,” “low-sugar,” or “low-calorie.” These foods can cause people to overeat because they don’t feel as “guilty” about consuming them in comparison to the regular versions.
If you are feeling sad, don’t use food to try to improve your mood. Instead, try going for a walk, watching a movie, or talking to a friend.
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The experience of eating can be more than fulfilling a basic need. Eating is a sensory experience that can be admired and appreciated whether it is touch, taste, sound, smell and or sight. Eating in moderation is more attainable when being mindful of the five sensory experiences. Dining at a 3 star or even one star Michelin rated restaurant is an experience to be slowly savored. The new NYC restaurants rated by Michelin include Daniel and Eleven Madison Park. Rouge Tomate with Chef Natalia Hancock (a registered dietitian) has received one star. Go ahead, practice mindfulness and delight your senses while truly experiencing the art of eating at one of these restaurants. I recently enjoyed my culinary adventures at Marc Forgione, and Gotham Bar and Grill (my husband’s fav).