Decline in smoking stalls in US

Despite the high priority for tobacco control new CDC data show the decline in smoking has stalled (see story). As we have note previously, smoking is the leading cause of cancer. It causes more than 30% of all cancers in the United States and an increasing cause on developing countries as smoking rates rise throughout Asia and South America.  

While media draws attention to possible new environmental causes of cancer (see NYT story), we can all be distracted from the enormous burden of smoking on society.  In addition to the burden among those who smoke (half die due to their smoking), CDC notes that in the US 88 million non smokers are exposed to second hand tobacco smoke, have measureable toxins, and thus are at risk of numerous health effects of tobacco smoke. Smoking is a major cause of heart disease, stroke, and many other chronic health considerations. These cost society huge amounts in health insurance, taxes to support health care, and lost productivity.

Many highly effective strategies to counter the health effects of smoking are thoroughly documented in the literature and regularly summarized in reports form the Surgeon General. Moving from knowledge to action often stalls, however, in State House and local government settings where industry is highly effectively lobbying against regulations that may lower the rates of smoking. Proven effective strategies include increasing access to smoking cessation services, policy (clean indoor air, limiting advertising, and increasing taxation on cigarette sales), and workplace wellness programs. These all play a role in our response to counter the addictive habit of smoking and the ensuing huge health consequences.

Pizza, Cookies, and the Importance of Being a Mindful Eater

There is a fascinating little study out this week in the journal Appetite, which was also highlighted in a piece in The Economist.  What the study found was that dieters, when they felt they were given a larger piece of pizza than other people were for lunch (pieces were actually the same),  were more likely to eat more cookies afterward than the others were.  While it's hard to pin a motivation on exactly why this was, one explanation is that the dieters felt the perceived larger piece of pizza pushed them off their dieting program, which then opened the "might as well" flood gates when it came to eating cookies afterward.

There are a number of possible conclusions to draw from this study when it comes to battling the current obesity epidemic -- all of which would be little more than conjecture.  But, it does highlight the very complex problem we're dealing with it comes to weight gain and weight loss and the important role that external influences can have on our internal cues to eat.

With the food industry spending millions to get us to eat more and more food (most of which is unhealthy), it's important to do what we can to listen to our bodies and understand when we're truly hungry and when we've eaten enough to feel satisfied but not bursting.  It seems like a simple thing but this small study and the growing numbers of people who are overweight and obese tell us its not.

Try these simple steps to get in touch with your internal cues and keep your weight in check:

  • Exercise, exercise, exercise.  Being active is one of the best ways of controlling weight.
  • Go Mediterranean.  A diet rich in fruits, vegetables, whole grains, and healthy oils (like olive oil) can make you feel full,  help regulate your appetite, and actually taste really good
  • Choose smaller portions and eat more slowly.  Slow down and give your body a chance to feel full before you move on to seconds.
  • Be a mindful eater.  Food is big business, and their main goal is to get you to eat.  Try to listen to what  your body is telling you, not what the food business wants you to hear.  

Do competitions help you get healthy?

This week marks one of my favorite times of the year - the US Open. The New York Times had a couple of articles this week that got me thinking about how competition can fuel (or harm) health. The first was a great photojournalism article in the Sunday Magazine about how much harder the women are hitting than in years past. I love seeing a discussion about how increasing strength is pushing women to do more. Strength training has lots of benefits and we're seeing more and more discussion of them (the Times also covered the role of strength training in aging-related muscle loss). The need to keep or get a competitive edge is pushing women to start strength training at younger ages -- I remember this being a really novel part of our pre-season soccer training when I played in high school (aka, the old days). However, we didn't get any instruction on proper form or how to progress safety and not injure our growing bodies. It is nice to see so many programs now for youth addressing these issues.

The other article is about a "friendly" wager (of $10,000!) between Andy Roddick and Justin Gimelstob as to whether Gimelstob can complete the New York City Marathon this November. Gimelstob's motivation isn't health - it is competition with Roddick - who isn't even running! Lots of sites that offer tips for getting healthy and starting (or maintaining) exercise programs suggest friendly competitions or reward systems to keep you motivated. Gimelstob and Roddick have pushed it a bit beyond this, with friends and family worrying that Gimelstob has progressed to a significant risk of injuring himself. It got me thinking about whether friendly wagers and competitions can help or do they push us past where we should go in our pursuit of health?

What do you think? Do you use rewards or competition to motivate yourself to get active?