Fat news: awesome and not-awesome edition.

The awesome

Fucking artificial pancreas, my friends. This is the natural evolution of the insulin pump. I am wondering if eventually they’ll be creating an artifical pancreas that also secretes glucagon. I used to have these conversations with people at work, because do you know how many people we saw suffering from diabetes? And not just the high blood sugar, no no no, but more often, the low blood sugar. Which can kill you right away, at worst, or just make your life fucking miserable at best. Which the artifical pancreas seems to have reduced by half.

The not-awesome

Let’s define more Canadian kids as fat! Based on WHO standards that are not always appropriate for North Americans. And not at all in response to recent stats showing that the “obesity epidemic” among children has probably leveled off, thus causing people with a major financial stake in treating childhood obesity to probably shit themselves during their tortured night sweats. Nope, not at all.

Let’s use surgery to combat social stigma! Because reducing stigma itself wouldn’t actually, you know, make money for anyone. Because that would involve making physical objects more universally accessible and teaching people not to be so fucking cruel to people who don’t look like them. Instead, kids who’ve already survived brain tumours should probably just suck it up and have some more surgery.

Let’s pretend that sugary drinks cause pancreatic cancer! Except the researchers go on to say that the association only existed among people who drank soda pop, and likely because people who drink that amount of soda pop probably have other, not-so-great health things going on. People who drank other sugary drinks (i.e. fruit juice) didn’t have the same risk. Also? The study didn’t control for smoking. In case you hadn’t heard, smoking probably causes cancer. Lots of types of cancer. One of which is pancreatic cancer.

That sound you just heard was me smacking myself in the face and falling off my chair.

Do you think, perhaps, drinking soda pop could be associated with smoking? I don’t know. What I do know is, if I were researching the link between pancreatic cancer and sugary drinks, I’d probably fucking look into it.

Posted in News, children | Tagged , , | 13 Comments

The great divorce of body and mind.

I have a philosophy that goes something like this: you were born a complete, integrated whole of a being. Your mind, your thoughts, your body, your feelings, and your behaviours all converged in a single indivisible unit of you-ness.

When you needed food, you felt hunger, thought of food, and cried or reached out for it in one motion. There was no ambivalence, no questioning your own motives, no shame. You needed something — end of story. And if you were lucky enough, you got it.

I look back on the time I was dieting as a period of falling-out with my body. We fell out of synchronicity, and out of favour, with one another. We were no longer on speaking terms. And though the diet was a dramatic physical manifestation of the rift that had formed between my mind and my body, I believe the fault that led to the rift started much earlier.

The fault began to form when I started to feel the gaze around the age of 10 — when I began viewing myself from an external viewpoint, filtered through the preferences of my culture, and learned to continually measure myself against that standard.

The fault deepened when I first encountered food rules. Whether they came from the USDA or my parents or the school lunch program, the message was the same: there is predefined, normative standard for what and how much to eat. Any deviance from that standard leaves you vulnerable to criticism, ridicule, forceful re-education — possibly even social ostracization and loss of love.

In short, there is a right way to eat. Anything that doesn’t exactly fit that standard is, by definition, wrong.

Right is good; wrong is bad. And so, by extension, are you.

Ellyn Satter is probably most famous for her theory of The Division of Responsibility. It applies to feeding relationships between parents and children, and it states that while parents are in charge of deciding where, when, and what food to provide, children alone must be in charge of deciding how much and whether they will eat from what’s provided.

As the American Dietetic Association says:

Perhaps the best advice regarding child-feeding practices continues to be the division of responsibility between adult and child advocated by Satter (64). According to this division, the role of parents and other caregivers in feeding is to provide positive structure, age-appropriate support, and healthful food and beverage choices. Children are responsible for whether and how much to eat from what adults provide.

It’s a profound concept — one that successfully negotiates the gray area between guidance and control, autonomy and anarchy. And, as it turns out, it can be applied to any relationship where there is some kind of power differential.

The thing is, when you step all over someone’s autonomy — someone’s right to choose how much and whether — you have breached their boundaries, and you have done them violence. They may react to this by rebelling or, as in many cases of abuse, by taking on the role of doing that violence to themselves.

One thing is for certain, though, whatever the response: trust is lost.

A rift is established. Your mind and your conscious will, those parts of you that are indoctrinated into society, separate themselves from the rest of you — the body with its physical needs, the unconscious will and motives. The mind reins in the body to secure safe passage through society, and to synchronize its efforts with the larger body of humanity. The body is dressed, trimmed, made presentable, and its needs are secreted away in the private pockets of life.

Rules that attempt to tell us how much and whether (FIVE A DAY!!!) violate our boundaries. We, in turn, rebel in a desperate attempt to regain autonomy, while simultaneously learning to flagellate ourselves, to take on the role of the abuser in our own minds, and to view our behaviours from an external vantage point — the gaze that continually judges what we eat against our culture’s ideal of the mythical, perfect diet.

The mind has overstepped its boundaries, aided and abetted by cultural pressures. You begin to monitor your eating in ways that go beyond providing pleasurable food and adequate nutrition for yourself, beyond choosing and then respecting mealtimes. You count calories, or assign points. You deny pleasure, and embrace nutritionism.

You hush your body’s cries of hunger and fullness and desire until, eventually, you may find yourselves no longer on speaking terms.

Posted in eating | Tagged , , | 54 Comments

She would paint on anything.


Kelsey Veldman was an artist.


She died on June 20, 2009 of complications from bulimia.

Your artwork is incredible. Your Aunt Audrey arranged it, so it’s well displayed. Ironic that you get your own little exhibit. It tears me to pieces that this will be your only one.

[...] planning your funeral meant going back through old pictures and skimming your books and music, and it made me reconnect a bit to the Kelsey who was my daughter. I had, if I am being really honest, lost sight of that person. I saw Kelsey the Disease mostly this last year. But, I remembered who you really were over the last few days.

I remembered how you mentored a learning challenged child in your elementary class without anyone asking it of you. I remembered you getting tossed out of a friend’s house for cleaning his room (of course, I never forgot that one because I was upset with his mother). I remembered how when you were 9 or 10 we had to get gym shoes for you and you announced to me that you would not consider Nikes because they used child labor.

I remembered, painfully, I might add, how you held my head when I had morning sickness when I was pregnant with your sister. You gave me the biggest, warmest hug right before I went to the hospital to have her.

I saw all these pictures of you with your cousins. You loved them, it was so obvious. That is who you really were.

~Kelsey’s mom


In two weeks, Kelsey’s artwork will be sold.

“You’re Beautiful”
Silent Auction

Austin Foundation for Eating Disorders

Saturday, February 20, 2010
7:00pm – 9:00pm

Space 12
3121 E 12th Ave
Austin, TX

So that people like her sister will live.

I told her how she taught me so much about words and literature and the beauty of the written language…how she, almost single-handedly, made me want to be a writer.

I thanked her for always inspiring me, for teaching me all that she has, for sharing her knowledge and wisdom with me so that now I can go out in the world and be wonderful.

I told her I’m going to write a book about her some day…a book about sisters, about MY sister.

~Marissa, Kelsey’s sister


Click to donate $1 to the AFED



Donations go through my account, but every penny will be forwarded to AFED, along with verification.

Posted in Eating Disorders | Tagged , , | 3 Comments

Iron-rich clam linguine – a.k.a. “what I cook when I’m lazy.”

So, after having a brief conversation about iron-rich foods on Twitter (as you do), and sharing the amazing revelation that canned clams are richer in iron, ounce per ounce, than the reigning King of Iron Richness — beef liver — I agreed to post my favourite recipe involving canned clams.

We eat this roughly once a week. It’s cheap, it’s easy and fast, and it tastes really good (in my humble opinion.) It’s a classic “shelf supper,” meaning all the ingredients can sit on the shelf for a while, so that you can keep it on hand for when things get a little too busy.

I originally got it from a lovely and wonderful Canadian cookbook called Pantry Raid. Which is entirely about shelf suppers (and desserts.) Which is, I’m sure you’ll agree, totally genius.

The original recipe says it serves four, but it also makes a nice all-in-one dinner for two hungry adults.

Here goes:

12 oz (375 g) dry linguine
1 can (19 oz, 540 mL) of Italian-style stewed tomatoes
1 can (14 oz, 398 mL) of baby clams
1 tsp. balsamic vinegar
1/4 tsp. each of salt and pepper
2 tbsp. finely chopped fresh basil (optional – or you can use a tsp. or so of dried basil, but the fresh basil tastes waaaay better)
1/4 cup grated parmesan cheese

Boil water for pasta. Meanwhile, bring tomatoes to a boil in a skillet over medium-high heat. Stir for 3-5 minutes, breaking the tomatoes up a little with your spoon.

Cook the pasta until al dente (usually right around 9 minutes for us.) While it cooks, drain the clams and stir into the tomatoes. Add the balsamic vinegar to the sauce, and let the sauce return to a boil. Then add the basil, salt and pepper.

When the pasta is done, drain and mix together with the sauce, cover with parmesan cheese and EAT.

According to the USDA nutrient database, the clams in this recipe alone should give you well over the RDA of iron. (And writing sentences like that is, without a doubt, the most boring part of my job.)

Posted in Food and Recipes | Tagged , , | 23 Comments

Some lines on reading a Weight Watchers study.

So, the other night, I started reading this 2008 study, which looked at how well Weight Watchers Lifetime Members do at maintaining their weight loss for up to five years.

The first part of the paper, as usual, describes the set-up of the study, and the demographic details of the people who participated. This is a part of studies I always like a lot, because, if it’s an intervention study with both a treatment and control group, I like to see the wondrous effects of good randomization on the average profile of both groups. Because I am a nerd.

In this case, it’s not a treatment group vs. control group comparison, but a profile of your average Weight Watchers Lifetime Member, based on a nationwide sample. And here’s what we get:

(The red markings are mine.)

So, based on this sample, the average Weight Watchers Lifetime Member is a married female, 45 years or older, who started WW weighing 165 lbs. with a BMI of 27.6 (in the overweight range.) She has an income of at least $50,000 a year.

You probably already know that people with BMIs in the overweight range have the lowest relative risk of death:

Overweight was associated with a slight reduction in mortality … relative to the normal weight category.

…and that women tend to live longer than men:

Today, males have greater mortality than females throughout the world. The very few exceptions are in southern Asia where it has been demonstrated that females receive less food and health care than males. With relatively equal treatment, males universally experience greater mortality than females.

…and that people with more money tend to have better health:

The relationship between socioeconomic status and health outcomes is one of the most persistent themes in the epidemiological literature. The strong and growing evidence that higher social and economic status … are associated with better health has led most researchers to conclude that these factors are fundamental determinants of health.

…and that the average income of Weight Watchers Lifetime Members ($50,000 and up) is roughly at or above the median household income for the United States in 2008:

Median income (dollars) 52,175

…and that a higher BMI actually has a protective effect on mortality as people get older.

Which forces me to conclude that the people who become “successful” Lifetime Members of Weight Watchers? Not only are they not very fat to begin with, but also have few of the risk factors that contribute, systemically, to poor health and premature death.

So, for the purposes of this study, at least, we can dispense with the notion that people join Weight Watchers not to diet (since the word “diet” is now outré in diet advertising) — heavens no, but for the good of their health, darling.

Posted in Diets | Tagged , , | 43 Comments

Food isn’t poison.

One thing I dislike about nutrition is how often we discuss eating as though it’s something incredibly dangerous that people must do just right or risk INSTANT DEATH.

When society has become so risk-averse that we can’t even enjoy food, you know something is terribly out of whack.

Barring allergies, intolerances*, non-functioning organs, and foodborne illnesses, food isn’t going to hurt you.

Because food? Isn’t poison.

Even in those exceptional cases, it’s the microorganisms in the food, the immune response of the body, or the lack of some vital function that is to blame. Not the food itself.

The worst food-related thing that can happen to most people is not having enough of it. Or not being able to digest select types of it. Or somehow losing (through various bodily fluids I won’t itemize for you) what nutrients they do manage to take in.

That’s when people get very, very sick, because not only can not getting enough of a particular nutrient cause a deficiency, it can also cause you to get too much of another nutrient, since that’s the only one you’ve got handy.

Not having enough variety can make you sick. Not having clean, safe food can you make you sick.

In fact, plenty of non-foodborne diseases kill you by taking nutrients away from you. Cancer is one. Diabetes is another. Then there’s cholera and typhoid fever and all kinds of lovely things.

But food itself? Not inherently sick-making.

What else isn’t food? It isn’t medicine.

Eating certain types of it, or taking certain isolated nutrients, probably isn’t going to cure anything except an underlying deficiency.

But when does food masquerade as medicine? When you selectively take some of it away.

Taking food away is inherently risky, because your safest bet, mathematically, is to always get enough food with as much variety as possible. Selectively reducing that variety can cause nutrient deficiencies and excesses.

Whether you do it because you don’t have enough money, or because you’re just a picky eater who only eats the same six foods over and over again, or because of ethical or religious reasons, or because your doctor told you to, or because you’re trying to lose weight — selectively reducing variety carries an inherent risk.**

Fucking around with restricting your food intake, despite being treated by many people as a casual pastime, is not a totally benign endeavour.

It’s treating food like medicine, and medicine generally comes with side-effects.

Despite what the media and some healthcare professionals and the culture at large seems to think, humans actually have a finite capacity for consuming food.

Which is why it’s pretty rare that harm ever comes directly from eating too much food — harm usually comes from eating a particular food in such quantities that, by physical necessity, it displaces other foods that you need.

Not because that food is poison, or because you broke the universal law of How Much Should Be Eaten. But because you missed out on something else.

One of the riskiest things a dietitian can ever do to a patient is to take food away. It starts at a minimally risky, generally tolerable level with a mild therapeutic diet, and goes all the way up into the red at intravenous nutrition.

You only use intravenous nutrition when shit is seriously fucked up, and the patient can’t eat and absorb nutrients from the gut anyway. Why? Because it’s dangerous.

And why is it dangerous?

Because the patient is getting no food, which comes neatly packaged with enough inherent variety to naturally balance things out. Which means a dietitian had better do her math correctly, and better run labs on that patient constantly, to make sure nothing goes terribly wrong.

Can you get too much of a particular vitamin or mineral? Yes. But that’s not the same thing as eating too much food. If you have access to a decent variety of foods in adequate quantities, and your internal organs are more-or-less functional, it’s pretty fucking hard to eat enough actual food to give you a nutrient overload.

That’s why food, in most circumstances, is safer than taking supplements. Because there are built-in safeguards (distribution of nutrients in the food; nutrient density of the food; capacity of your own stomach) to keep you from fucking it up too badly.

If your body wasn’t adequate at regulating your food intake, and if foodstuffs hadn’t evolved that were good for humans to eat, we wouldn’t be sitting here in front of our computers in the year 2010.

We wouldn’t be alive to be as neurotic about food as we are. If food were poison, humans wouldn’t exist.

And I, for one, wouldn’t want to.

So, if food isn’t poison, and if it isn’t medicine, what is it? It’s food. It’s sunlight and air and soil and water and love, in edible form. It’s every creature that’s gone before you, and the thing you’ll be to those who come after.

It tells us we belong here — that we deserve to live, that we’re still here when we die.***

In short, it’s good. Food is everything that’s good.

*Which are very real, and very important, and you shouldn’t go around questioning people’s health conditions because it’s fucking rude.

**Which is not to say you can’t or shouldn’t ever do it, but that you take the risk into account and compensate for it somehow.

***How’s that for using the first law of thermodynamics?

As usual, the garden party will be held in comments. BYOB.

Posted in eating | Tagged , , | 95 Comments

From the Shit I Could Have Told You files – Bullying is bad for you.

A study just published in the Australian and New Zealand Journal of Psychiatry found that adults who were bullied as children were more likely than others to suffer from depression and anxiety, as well as a host of physical ills, including fatigue, pain and a greater susceptibility to colds.

…scientists suspect that the daily stress of being bullied can translate into long-term damage to your body.

Parents also need to remember to help repair the damage that bullying does to a child’s self-esteem, says Pollack. “You need to tell the child that this isn’t happening because there’s something wrong with him.”

In short, if your kid is getting bullied for being fat, putting him on a diet probably isn’t the best way to handle it.

I don’t know about you all, but I’ve often picked up on this kind of cultural attitude that says, “Well, I was bullied at school, and it sucked, but that’s just the way it is and you have to learn to deal with it.” And that bothers me.

Why? Well, not discounting the fact that sometimes people can turn horrid experiences into valuable lessons for themselves later in life, I don’t think bullying accomplishes anything. I don’t think anyone needs to be bullied in order to grow into a productive adult.

And it’s hell to go through.

So, to me, the idea that because kids have always been bullied, they should therefore continue to be bullied and just put up with it, is bullshittery of the highest order.

Just…no.

Kids benefit from being with other kids, yes. And, yes, using the public school system is a necessity for most families.

But putting kids together in great enough numbers that they can’t be properly supervised? That’s asking for all sorts of Lord of the Flies shit to go down in the margins.

And not because kids are naturally evil, but because kids aren’t born civil and socialized. Just like puppies aren’t born knowing not to eat your couch, or not to pee in your shoes. It takes years and years of learning.

If you want kids to grow up to be well-socialized, to be good citizens and adults, then they need to have enough contact with well-socialized good citizens and adults. Meaning, I believe there needs to be a higher ratio of adults to children than there currently is in places where kids are cared for, whether it’s school or daycare or maybe even home.

Posted in children | Tagged , , | 24 Comments
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