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Wednesday, May 9, 2018

Obesity Epidemic by Madison Guillory



            It is just another dreaded doctor’s visit. The time is slowly passing as you wait for the test results stating you have too much of this, too little of that, or not enough. The doctor returns and you are relieved that your time in the hospital has almost come to an end, but little do you known it was just prolonged. He exclaims that you have crossed the line of obesity, you can soon be hospitalized or make some serious life style changes. How did you get here? This is a scenario that about 40% of Americans in this decade have faced. That percentage continues to rise as obese children become adults and develop fatal diseases that are hereditary. It’s absurd how few people are educated on this detrimental matter. Obesity is not diagnosed off of cosmetic features but is determined by the Body Mass Index (BMI) of a person with a BMI of 30 or higher (Obesity 1). If more people were educated on how to maintain a healthy lifestyle, then this disease would not be classified as an epidemic today.

History
With time, technology has progressed drastically in the last 100 years. Beginning with the industrial revolution machine replaced hands-on work performed by humans, automobiles were produced for faster transportation, and many abandoned their farms for a new life in the city. As a result in this move, the government had to find a way to mass produce foods, distribute them, and develop ways to preserve foods for a long period of time leading to the development of processed foods, genetically modified produced, and instant meals. 100 years forward and we’ve grown accustomed to this life of convenience in America. Obesity has always been an awareness in society but in the 21st century this disorder is prevalent.  “In 1990, obese adults made up less than 15 percent of the population in most U.S. states” (An Epidemic of Obesity 1). “By 2010, 36 states had obesity rates of 25 percent or higher, and 12 of those had obesity rates of 30 percent or higher” (1). In only 20 years, the numbers have dramatically increased and are still rising. “Today, nationwide, roughly two out of three U.S. adults are overweight or obese (69 percent) and one out of three is obese (36 percent)” (An Epidemic of Obesity 1). 
Cause

Your lifestyle and surroundings play a part in the well-being of your health. Have you heard the saying, “you are what you eat?” Health Services Research “found that the number of fast-food and full-service restaurants, food consumed at home, and prices of cigarettes and alcohol were related to obesity” (Yen 1). Fast food is packed with hundreds of calories of grease, fat, preservatives, artificial sugars, and binders. All of these are nonessential nutrients that the human body is not made to digest. So what happens to the McDonalds you ate for lunch? It was broken down and stored in your body as fat. Side effects of fast food lead to fatigue, heaviness, and an overall loss of energy that can build
over a short period of time. The most addictive artificial sugar that is in fast foods is high fructose corn syrup. The Mayo Clinic states that, “as fructose corn syrup has increased, so have levels of obesity and related health problems” (Obesity 1). Because high fructose corn syrup is an artificial sugar, it is cheaper therefore, manufactures have found a way to make their food more appetizing. When fructose corn syrup products are consumed, it doesn’t alert your body that you are full instead it sends a message to your brain that you’re hungry so you continue to crave that product.
 Alcohol and cigarettes, another addictive mass produced product, changes your hormones therefore changes the way your brain works and the way your body processes food and sugars. They also affect your kidneys which filter your blood and dispose the waste into your urine and your liver. The liver is an important organ in digestion and determines your metabolism. Retention of alcohol causes people to develop “beer bellies” which is the buildup of fat around the abdomen making it difficult to participate in physical activities. Failure of these organs is a definite death because the toxins are not being disposed from the body.
Social Effects
The cause of obesity can come from a number of physical and psychological issues; it simply occurs when more calories are consumed than the body can burn. Let’s look at this epidemic on both micro and macro sociological levels.
 Obesity has no social boundaries or racial profiling even though Non-Hispanic black, Hispanic, and Mexican American adults have higher rates of obesity than non-Hispanic white adults” (An Epidemic of Obesity 1). This can be tied back to the economic and social issues we face in America today. If you have not noticed, low-income areas don’t have local a Kroger, fitness center, Wholefoods, or Starbucks; instead they are surrounded by fast food chains on the corner of every street or small food marts with rarely any fresh foods. This is convenient for residents in this area because they work tirelessly day by day and rarely have the energy to make a home cooked meal so ten tacos for $5 from Jack in the Box sounds like a deal. But as stated earlier, fast foods are packed with useless nutrients.  This is the main reason excessive weight and obesity are living in these areas where dietary options are limited, but wealthy areas are the complete opposite.  They have the choice of which lifestyle to live, maybe too many choices and the technology that is available to them, keeps them occupied from physical activity whether it’s a video game or work. So, their luxury of having three wholesome meals everyday can grow out of hand.

In this nation, the tabloids, Hollywood, and social media haven created a body image stigma that is also tied to obesity. “This stigma contributes to behaviors such as binge eating, social isolation, avoidance of health care services, decreased physical activity, and increased weight gain, which worsen obesity and create additional barriers to healthy behavior change” (Pont 1). It can be seen widely in pre-teens and young adults. This is the time period where your body is evolving and 24/7 their surrounded by judgement and standards: at school, on television, and on their mobile devices. Speaking from experience, when you don’t feel like you meet the criteria of society, it seems like you don’t have any friends like the popular kids, you don’t look like them, and you don’t participate in the same activities as them. These emotions result in stress which eventually turn into an eating disorder because food is seen as a comfort. These victims of stress from this social stigma usually experience teasing and bullying by the same people that they wish they were. But, what we don’t see, past the stigma, is that they’re just being themselves, and we have to learn to find yourselves without stressing about others.
On one hand, society dictates our lifestyles, and, on the other, genetics are an addition to the equation. The effects of obesity can also be passed down from adults to their children, which is a worldwide issue. The AACAP stated that, “If one parent is obese, there is a 50 percent chance that his or her child will also be obese” (Aacap 1). “However, when both parents are obese, their children have an 80 percent chance of being obese” (1). .Just by these statistics, parents should be cautious of their well-being for their children because dieses and fatal health conditions are inherited from adults that are obese or overweight.  Some risks include: heart disease, blood clots, kidney and liver failure, diabetes, high blood pressure, high cholesterol, cancer, and depression. As parents your children look to you as role models; do you want to be the parent that promotes a confident, energetic, and long life or one that demonstrates laziness, bad habits, and poor health?
Examples
            We hear about this epidemic and see it in public, but some haven’t experienced it first hand or don’t realize they are in the mist of obesity.
The media found a way to spread awareness of obesity by producing a reality TV show called My 600 Pound Life. This show exploits the lives of people who have met the limits of obesity and are holding on to life by a thread unless they are willing to do something about their health. In this series, people have turned their lives around for the better, refused treatment, and have even died. Christiana is an individual who was facing death and found the strength to follow a different path.  She describes,
When I was 700 lbs., I felt worthless, and like I didn’t deserve anything better than the life I had. And now my fear of gaining weight has crippled me. But I have to move past that fear if I want to live my life (Mazziota 1).    
 Even after her weight loss of almost 500 lbs., the obese her left some lasting effects such as feet pain, gull  bladder removal, extra skin, and overall low self-esteem (Mazziota 1). Christina’s story is one that has the power to change the lives of many.
The effects of obesity go far past just the victim, it has an effect on family members and loved ones as well. My great aunt, a joyous women she was, battled with weight gain that turned into obesity. I never got to know her as an active person. I only knew her as the woman that sat in the corner or the church or any family gathering and would only move for food. When she was mobile, it wasn’t independently but with a cane in hand. I could see in her children’s eyes that her lifestyle wasn’t healthy and they dreaded, at her age, that they had to leave their lives to care for her or make sure she had a place to sit whenever she got tired which was quite often. Unfortunately, her death her death came unexpectedly but not by surprise. It began with the weight being too much on her feet so she was bed written causing blood clots around her body. Then her digestive system was so backed up and filled with toxins that her intestines inflamed and exploded releasing the toxins killing her internally. I hate that I didn’t have a chance to know her better but her death showed the family that we needed to lead healthy, happy, long lives.
Solutions
Putting on weight is easy but it is even harder to lose the weight gained and develop the discipline to maintain a lower BMI. Obesity is a point where weight gain is mentally and physically problematic. Stanford Children’s Health exclaimed that treatment “includes the involvement of a nutritionist, qualified mental health professionals, and an exercise specialist” (Default). Those on this journey need to be reminded that their goal of a heather lifestyle is not going to happen overnight. Results take time; you just need the right resources to get you there. 
On this road to recovery, there are two solutions offered: Change your lifestyle or have the fat surgically removed. The lifestyle change solution to this epidemic, being the preferred direction to take, is equivalent to reverse psychology. If unhealthy food, stress, and inactiveness, was the cause of obesity then the right amounts of healthy food, peace of mind, and physical activity can revert your body back. The second solution is offered but is a risky route to take. The ACOG exclaims, “a multidisciplinary team, including an experienced bariatric surgeon, dietitian, and psychologist or psychiatrist, should be used to select appropriate candidates for surgical intervention and provide postoperative support” (Women's Health Care Physicians). Candidates must be mature and mentally prepared; just because the body changed doesn’t mean habits where changed as well. Otherwise they can at any time relapse to being obese.
The state of obesity is based off one’s choices and it is ones personal responsibility to take control of their situation. Goals should be realistic. Those loosing that much weight will not look like a bikini model because of how much the skin has stretched to store fat.  Lifestyle solutions to obesity vary depending on the patient and the severity do their condition. Stafford Children’s health also provides a list of ways obesity can be managed:
·         Gradually work to change family eating habits and activity levels rather than focusing on a child's weight.
·         Be a role model. Parents who eat healthy foods and participate in physical activity set an example so that a child is more likely to do the same.
·         Encourage physical activity. Children should have 60 minutes of moderate physical activity most days of the week. More than 60 minutes of activity may promote weight loss and subsequent maintenance.
·         Reduce "screen" time in front of the television and computer to less than two hours daily.
·         Encourage children to drink water rather than beverages with added sugar, such as soft drinks, sports drinks, and fruit juice drinks.
·         Get 6-8 hours of sleep a night to keep hormones balanced.  (Default)
Their list is directed toward children but the same thing applies to adults as well in order to live an abundant life. In addition, New England Fat loss explains what should not be done when trying to lose weight: don’t starve yourself, don’t get discouraged, and don’t drink alcohol (Weight Loss Dos and Don'ts). Overall all changes require positive motivation and being surrounded by role models.
The government needs to take action to regulate what the community is consuming, what is processed in our food, how it is marketed, and the portions that are given. This would help adults especially parents to make better choices for themselves and their children so they won’t have to worry about the effects of obesity.
Camus and Absurdity
Obesity inhabits one to be fully engaged in everyday life; often leaving them with time on their hands to question the meaning of life in the state they are in. Thus, on this topic Camus would argue the meaning of life. In his inquiry “Man Provides Life’s Meaning,” he explains his belief of “living is keeping the absurd alive” and ways to restore majesty to life (Albert). 
When explaining “living is keep the absurd alive,” he states, “at a minimum, we avoid wishful thinking and taking a convenient attitude” (Albert). Victims of obesity are but in this absurd position. They stop hoping they will be accepted by society, trying to be something they are not, or dream to be who they once were. Their wishful thinking is thrown out the window because it comes with pain and disappointment. So the convenient attitude is to do nothing this way to not be hurt but forgetting to acknowledge those who have to watch obesity parish their loved ones.
What does restore majesty to life? Camus answers that with, “the nobility of revolting against the Absurd is acting in the face of meaningless” (Albert). “When I, alone, impose meaning on what I do, I live authentically” (Albert). In order to restore majesty, absurd thinking must be put to action to make hopes and dreams a reality. By demanding that personal opinions matter, the standards and stigma of society are meaningless making one’s life valued once more to continue living.
Conclusion
            It is vital for our nation’s future to take the obesity epidemic more seriously.  In the direction America is heading, we will be spending more and more tax payer dollars on the most preventative branch in healthcare. Let’s stop bullying. Let’s stop social stigma. Let’s stop allowing corporations to make our health a commodity. Let’s set out and educate ourselves on living healthier lifestyles.


Works Cited
Albert Camus, "The Myth of Sisyphus" in Walter Kaufman, ed., Existentialism From Dostoevsky to Sartre, New York: Meridian, 1988.
“An Epidemic of Obesity: U.S. Obesity Trends.” The Nutrition Source, 12 Apr. 2016, www.hsph.harvard.edu/nutritionsource/an-epidemic-of-obesity/.
“Default - Stanford Children's Health.” Stanford Children's Health - Lucile Packard Children's Hospital Stanford, www.stanfordchildrens.org/en/topic/default?id=obesity-in-adolescents-90-P01627.
Mazziotta, Julie. “Woman Who Lost Over 500 Lbs. Stops Eating for Days at the Slightest Gain: 'I Tend to Freak Out'.” PEOPLE.com, 6 Apr. 2016, people.com/bodies/woman-who-lost-over-500-lbs-stops-eating-for-days-if-she-sees-her-weight-go-up/.
“Obesity.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 10 June 2015,
Pont, Stephen J., et al. “Stigma Experienced by Children and Adolescents With Obesity.”Pediatrics, American Academy of Pediatrics, 20 Nov. 2017, pediatrics.aappublications.org/content/early/2017/11/16/peds.2017-3034.
“Weight Loss Dos and Don'ts - Weight Loss Tips.” Newengland-Fatloss, 9 Aug. 2017, www.newenglandfatloss.com/dos-donts-weight-loss/.
“Women's Health Care Physicians.” Obesity in Adolescents - ACOG, Sept. 2017, www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Adolescent-Health-Care/Obesity-in-Adolescents.
 Yen, Steven T, et al. “Lifestyles, Demographics, Dietary Behavior, and Obesity: A Switching Regression Analysis.” Health Services Research, Blackwell Science Inc, Aug. 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2739032/.





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