antimeria

a complete impediment to understanding

Tag: health

Lost in the supermarket.

Guest-posting for Yglesias, Jamelle Bouie points out that obesity isn’t an easy a problem to solve:

It’s not that healthier ingredients are absent or too expensive — even lower-priced supermarkets have plenty of fresh produce available — it’s that preparing those meals requires more time and energy than is available to most lower-income people. Cooking takes time, and after a long day of hard work in low-wage employment, parents want to relax, and the incredible ease of fast and processed food is a powerful lure. Indeed, if there’s any advantage to lower-income grocery stores Kroger or Wal-Mart, it’s that calorie dense foods — cookies, frozen pizza, Easy Mac — are cheap and readily available.

That said, if there’s anything I’ve learned from watching my friends attempt to navigate the kitchen, it’s that cooking isn’t obvious. Unless you’re familiar with the basics of preparation and cooking, the act of taking a few ingredients — some cornmeal, a bushel of greens, an egg — and making a meal is mystifying. Poor people are simply less likely to have access to that kind of knowledge. Moreover, eating habits are generational, and if you grew up in a home where food was prepared from fresh ingredients you’re far more likely to know what to do in a kitchen. By contrast, if you grew up eating processed and prepackaged food, then those are the first things you’ll reach for when you’re on your own.

I don’t think it’s really that difficult to learn to cook, but habits are hard to break, especially since people are horrible at judging their calorie intakes1, and nutrition information can be wildly inaccurate. Also, I don’t mind an hour or two in the kitchen, but I don’t have a physically strenuous job, kids or a dog that need attention when I get home.

However, this seems a problem tailor-made for home economics classes–or at least, the way Judd Apatow and I envision home ec, since it was gone by the time I made it to junior high and high school.

Tangentially, it seems like there’s some sort of official “blogger vacation week” happening now. I’m entirely fine with it, though, since several of my normal reads were guest bloggers somewhere or other.

  1. Can’t find the study now; here’s an old post, instead.

Unintended consequences.

In response to Ambinder’s obesity piece, Yglesias has some thoughts on contributing factors:

SMOKING: One reason for America’s expanding waistline has to be our extraordinary success in getting fewer people to smoke. Certainly I gained about 25 pounds in the three years after I quit smoking, a process I’m currently making progress on reversing by drawing on the kind of resources that, as Ambinder observes, working class and poor Americans generally don’t have access to. Smoking is an appetite suppressant. It’s also a substitute for snacking just in terms of having something to do. I found looking into it that nearly any realistic combination of mealtime options would be consistent with me losing at least some weight, but that the problem was snacking between meals (which would be easier to avoid if I just smoked a cigarette every time I thought I wanted to mucn) and then our second factor. Public health professionals don’t like to emphasize this point because they want to encourage people to quit smoking. But to an extent making progress on one public health problem has contributed to a second, albeit less serious, one.

He also mentions the declining relative costs of alcohol as a possible factor, though a commenter points out alcohol consumption in the country hasn’t changed much. I can’t remember where I read it, but a while back I read that the caloric content of fast food had spiked significantly in the last few decades–if anyone remembers that article, send it my way.

Quick smoking tangent: there are plenty of kids alive in the US o’ A today who will never get to enjoy a cigarette with their midnight diner coffee, at a concert (in practice, this still obviously happens a lot), or while knocking a few back at a corner bar. Of course, this also means they get to do that on burn-free seats and come home without smelling like an ashtray, something I appreciate much more now. Nostalgia is only worth so much.

Weighing in.

Marc Ambinder has a great piece on obesity in the Atlantic, which you should read. I want to highlight one bit, which Caroline and I were talking about just a minute ago:

“[I]f you go with the flow in America today, you will end up overweight or obese,” Thomas Frieden, the director of the Centers for Disease Control and Prevention

I was just back in Iowa for a few days last week, and really noticed that aspect of Midwestern/middle American life for the first time. In Cedar Rapids, a town of approximately 125,000, virtually all the restaurants I could think of that had many semi-healthy options were not-American: Japanese, [indeterminate Middle Eastern place whose name I have forgotten], Thai, Mexican–and there weren’t that many of them around. Meanwhile, the places I remember from my adolescence (most of which are still around) involved generous use of the deep-fryer and ranch dressing.

As such, I fully acknowledge that losing weight is hard to do, and I sympathize, since my weight hasn’t been consistently below 200lbs. for at least four years, and I’ve been as big as 215 (I’m currently right around two bills and attempting to drop some more). Also, as Ambinder points out, there are a lot of environmental factors that make it hard to do so. That said, it does seem like the immediate success of lap-band surgery (for Ambinder and New York Jets coach Rex Ryan, among others) means that for many, the solution is…eating less1. You could claim that this is just anti-fat sentiment manifesting itself, and it may not be as simple for lower-income people living in food deserts, but for those with the “resources to conquer obesity … with major surgery,” I see a clear path from less food (or less unhealthy food) to less weight. If you think I’m being unfair, or I’m missing something, let me hear it.

Standard “I have lots of black friends!” disclaimer: although I don’t have anything against fat people specifically, I don’t like being stuck behind people who move slowly, dislike physical contact with strangers (especially in crowded spaces, which makes airplanes and the Metro at rush hour incredibly unpleasant for me), and would rather not hear other people’s bodily functions (I’m thinking specifically of loud breathing here, although my girlfriend chews gum with her mouth open, which makes me want to go back in time to brutally murder William Wrigley). So, there’s some overlap.

Update: Ambinder has some thoughts on his blog.

  1. One of the nice surprises of this last visit: finding out my 63-year-old father has lost eleven pounds recently, mostly thanks to snacking less.

Five for Friday, March 26.

As part of the whole diet thing, I’m avoiding red meat and deep-fried food. As a result, five things I’m missing right now:

  1. A medium-rare cheeseburger and fries. Maybe with bacon.
  2. Grilled rack of lamb.
  3. Ribs.
  4. Sausage. I did not really consider the fact that I was giving up chorizo.
  5. Samosas and falafel. Baked just isn’t the same.

On the plus side, it has made me realize what a large number of things are fried, which is definitely good to remember going forward.

Yo, Joe!

Health care reform flotsam and jetsam: