Why do people gain weight? Why is it difficult to maintain weight loss over time? What are the factors (big and small) that impact energy balance? Continue reading
Many children with obesity do not present with cardiometabolic risk factors, such as high blood pressure, high cholesterol, and insulin resistance. Continue reading
Over recent years, there’s been growing interest in taxing sugar-sweetened beverages (SSBs) as a means to improve public health. Continue reading
At our team’s case conference last week, a couple clinicians recalled instances when referring MDs had told our families that their children would just ‘grow out’ of their obesity. Anecdotally, we know this happens infrequently, but is there evidence to support this belief?
After reviewing a few papers on this topic, a couple key take-aways:
1. Only ~15% of children who are ‘overweight or obese’ ever return to a healthy weight (spontaneously).
2. A ‘return to a healthy weight’ happens much more often in:
– overweight (vs obese children)
– younger (vs older children)
– Caucasian (vs non-Caucasian children)
Overall, among the kids we see clinically (>90% in the obese category), a ‘return to a healthy weight’ does not happen very often. And in some sub-groups, like those listed above, it’s unlikely to happen at all.
Of course, this is just the weight-related story — and we all know there’s much more to health than just weight. But if you hear your colleagues or families make this claim in the future, you know that research tells a different story.
The traditional approach in nutrition research and dietary counseling has been reductionist….vitamins, minerals, nutrients. However, it can be challenging to translate new knowledge generated from a reductionist paradigm in the real-world in which we eat snacks, meals….FOOD! This reality is demonstrated clearly in how, at different periods in time, dietary fat and sugar have been either heralded or demonized.
If you’re the First Lady of the United States, the answer might be ‘Yes!’