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The High Cost of Obesity (Part 3)

Friday, April 04, 2008

Individuals aren't the only ones who pay a price for obesity. Societies do, too.

As the population fills out and widens, public accommodations have to keep pace. Newer stadiums have wider seats -- and to seat the same (or more) people, they have to be either wider or taller or both. Wider stadiums sit on more land, so they cost more. Taller ones are also costlier, not only because of more materials but because you need serious equipment to build taller structures. Plus there is more of a danger factor (a potential for more bodily harm due to a fall from an increased height, for the construction workers building the stadium), so insurance costs may be higher as well.

Seats aren't the only things that have to get bigger. Hospitals buy bigger cotton johnnies, and larger examination tables. Plus they have to hire more health aides to move immobile patients.

School districts -- if they can afford it -- are in the market for larger desks. Restaurants buy bigger booths. Public accommodations (parks, courthouses, etc.) have to buy toilets that can take the weight of a 500-lb. person at least.

More weight in vehicles means that gas mileage suffers. Try this thought experiment. Just after filling up, record your current odometer reading and then grab 40 lbs. worth of something unperishable -- lawn chairs, canned goods, umbrellas, kitty litter bags, whatever -- stick it in a box and put it in the trunk of your car. Ride around with it and don't take it out. Whenever you fill up the car next, record the odometer reading and the amount of gasoline purchased. The number of miles, divided by the number of gallons, is your gas mileage. Say, 200 miles and 10 gallons, so your MPG would be 200/10, or 20 MPG. Now that you've done this, take the junk out of your trunk (sound like a familiar phrase?) and do the same. Drive around as always and then at the next fill-up record the odometer reading and the number of gallons. And also pay attention to how long it took to get to the point where you need a fill-up, e. g. six days instead of seven, or whatever. You should see a difference. Keep in mind that traffic conditions, etc. can affect gas mileage, plus you're probably hauling something else around, such as groceries, during these times. This is an illustration, not set in concrete.

But to take it farther -- imagine those 40 lbs. not in umbrellas or compact discs or whatever, but in a piece of you. You can readily see where losing weight can affect something you might not have thought about before.

Automobiles are, of course, not the only conveyance around. More weight on humans means more weight on municipal buses, on trains and on trolley cars, and on airplanes. And more petroleum usage means more pollution, and more scarcity and translates into higher prices at the pump, even if you're buying jet fuel and not economy gas. Not to mention dependency on foreign oil and the geopolitical consequences of that.

Society also pays an actuarial-style price. For all of the people who are obese, some, if not many, will die younger than persons who are not obese. That means orphaned children, families with reduced earning capacity and possibly a rise in suicide rates for folks who've become despondent over loss. And for those who don't die young, it can mean other impairments. Diabetes can lead to foot amputation or blindness, or both. Strokes can lead to speech impairment or the inability to walk, or both. Severe heart disease can also affect personal mobility. Those people may no longer be able to work. They may have to get around using a wheelchair or crutches or a cane. They may need service dogs. They may need more handicapped parking. And they may need more social services, which translates into a need to levy more taxes to pay for such programs.

Of course being obese does not mean that you, personally, or your friends or family or neighbors, are the one to blame for so many societal ills. But there's an old expression: No single raindrop believe itself to be responsible for the flood. The rising tide of obesity is already at flood level. Instead of passing around blame, pass around the rice cakes.

  Member Comments About This Blog Post:

JESPAH 4/5/2008 10:11AM

    Thank you for your kind words. :)

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BEECOMINGME 4/5/2008 9:33AM

    Interesting posts -- thank you so much for sharing!

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The High Cost of Obesity (Part 2)

Thursday, April 03, 2008

It's no great secret that being overweight is not good for your health. But is it the weight itself, or is it the attendant health problems (diabetes, high blood pressure, high cholesterol, etc.) that commonly accommodate it?

And what of people -- such as myself -- who have all of the good numbers (good cholesterol, low blood pressure, no prediabetic indicators) -- but one bad one (weight)? Does the one bad one outweigh -- no pun intended -- all of that other good?

The New York Times ran an article relatively recently, about longevity (while longevity isn't the only measure of health, it's a pretty interesting one). And they addressed these kinds of anomalies/exceptions to the rule in a very interesting manner. Essentially what the Times said was, look at the individual and you don't really see it, but if you look at the overall population, the trend should leap out at you.

Their explanation was like this (which I am modifying and expanding on in this entry): get together everyone who's made it to 50 -- ever -- since Homo Sapiens started. There aren't too many from way, way, way back when, but there are still some from ancient times (Augustus Caesar made it to his 70s, I believe). Now go up in a helicopter over that population and look at the people. How many men are there? How many women? Do they smoke? Drink? Are they married or single? What races are they? Do they have any children? If so, how many? Are they rich or poor? Do they work hard, or do they lead sedentary lives? What levels of stress do they deal with? What kinds of illnesses do they get? What are the causes of the deaths of those who are already gone? What are their diets like? And, what do they weigh, or at least are any of them overweight?

That group of the 50+-year-olds doesn't tell you a heck of a lot. Men are missing more because of violence and wars than anything else. But there are a number of women missing from the population, too, as it used to be that pregnancy was a pretty dangerous thing for a woman to do.

Then cull from the crowd only the people who made it to 60. Out go a lot of the folks from ancient times. The balance starts to inexorably tip in favor of modern times. Ask the same questions. The answers are a little more conclusive, but not much. Now only look at anyone who hit 70 (my parents and my inlaws -- all still alive -- are in this group). Cancer and heart disease start to show up a lot more. A lot of smokers start to drop out of the group. With few exceptions, you don't even see anyone born before about 1400 or so. You still see overweight people in these groups.

Now only look at anyone who hit 80. Smokers drop out almost completely. Chronic alcoholics are gone. Women begin to dominate the group. There's pretty much no one born before about 1800 or so. Alzheimer's disease starts to really infiltrate the population. And weight starts to really play a part. The overly obese just aren't there, for the most part. Oh, and by this time all but one of my grandparents are gone. One dropped out when 60 became the magic number, and the other two drop out for this round. Most of the American Presidents drop out, too.

Now change the magic number to 90. I believe all of the Presidents are gone but Reagan and Ford. Women are something like 75% of the group. Alzheimer's hits the majority of the survivors. Cancer, strokes and heart disease run rampant. My last grandparent is gone. Nearly no one is in this group who was born before about 1870.

Change the magic number to 100. A handful of people are left, mainly women. There may be fewer than 10,000 people left, certainly no more than 100,000. This is since Homo Sapiens came about, about 10,000 or so years ago. Hence there were less than ten people per year of our species' existence who hit this magical age. Virtually everyone is thin although they might not have been for their entire lives. These people tend to have Type B (as opposed to Type A) personalities. That is, they don't experience huge amounts of stress in their lives. Things roll off them like water off a duck's back. I have a great-aunt in this group, and my husband has a grandmother. For them, the greatest life-lengthener, going beyond whatever people from 80 to 90 did (or didn't do), is probably modern medicine. As in antibiotics, dental care, psychiatric care to prevent suicide, vaccinations and improved nutrition. Public health measures also helped them out, everything from eliminating horses (and their waste products) from everyday life to seatbelts. Those measures helped everyone else in the 20th century, too, of course, but for these centenarians these advances helped them for decades.

The point of all of this is that modern medicine, for all of its faults and flaws, has some very good ideas. And when you start to look at trends, there are some major things that can be done to bring you from group to group to group. There are no guarantees that 100 will be hit, or even 80. But when more readily preventable causes of death can be pulled out of the equation, the chances get better, plus quality of life soars, even if it's not as long as we'd like it to be. There are no guarantees that you won't be hit by a bus tomorrow, but simple steps -- not just diet and exercise -- go a long way:

1) Quitting smoking, or never starting
2) Getting regular doctor and dental checkups, including cancer screenings
3) Employing safer sex practices
4) Wearing seatbelts
5) Taking the time to de-stress (this includes exercising)

As for me, I'm working to pull my weight number in line with my cholesterol, etc. numbers. My life expectancy is to about age 81 1/2. Maybe I'll make it. I hope I do, and beyond. And in the meantime, I'd like to spend as much of that time as healthy as possible, without diabetes, without having a heart attack, without having strokes and without cancers or at least without letting cancers become advanced. It can be done. I'm willing to try.

  Member Comments About This Blog Post:

AHHHME 4/4/2008 5:27PM

    Thanks Buddy :)

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JESPAH 4/4/2008 3:32PM

    Oh it was my pleasure (and I have 2 more parts, actually)!

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TINATC26 4/4/2008 8:57AM

    awesome, JESPAH, just awesome...not because we need to lose weight, of course, but because you have committed to writing all the really good reasons there are to get this weight off. I just read parts 1 and 2 together, and I always say my number one reason is to be around to see my son far into his life, and everything you say in Part 2, especially, confirms the importance of it.

Thanks for putting it all together like that, and for sharing it with us!!

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JESPAH 4/4/2008 5:37AM

    My pleasure! I found the article (and of course I can't find it...) to be very eye-opening. I had always had the excuse that the cholesterol, etc. numbers were okay, so I figured I was basically fine and then the overall perspective is what grabbed me, the whole idea of helicoptering over and getting the big picture.

The grandparent who lived the longest was obese her entire adult life. While she lived longer than the others, she was diabetic for as long as I knew her so the quality was not as good as it could have been.

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BLYREHS 4/3/2008 10:41PM

    Thank you for that post. Great reading! Very interesting put in that perspective. My great grandmother lived to 96 yrs old. She used to say, "if I'd known I was going to live this long, I would have taken better care of myself!" Come to think of it, she didn't smoke, she wasn't overweight, in her nineties she still went dancing every Saturday night at the Elks Lodge, and her boyfriend (yes, boyfriend) was 75. Wow, I never put all that together before! So now I have another reason to thank you!

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The High Cost of Obesity

Wednesday, April 02, 2008

I'm not talking about health. I'm talking about bucks. It costs money to be healthy, but it costs more to be obese. Check out this information.

* Clothes - Let's take JC Penney, which is a middle of the road retailer that covers Juniors, Misses and Women's sizes. I looked up a white shirt for each size.
Juniors: $20
Misses: $22.50
Women's (sizes 16 - 26): $25
Women's (size 28 and up; I had to go outside of JC Penney to find it): $30

Now, this isn't exactly apples to apples but not only do the larger sizes step up in price but they also tend to step down in quality and selection. I'm 45 years old. Even if I diet and exercise for the next 20 years, fitting back into Junior sizes is not likely. This is not due to a lack of will, it's more due to the inevitable sagging that goes along with being 45. But even if you pull out the Juniors, the size to price differences are still pretty glaring. The size 28 shirt is 25% more than the Misses shirt, and it's also 20% more than even a size 26!

* Food - Of course, when you're obese, you eat more. But you may also be eating out more. Here's a little scary math.
Most people work about 240 days per year. That's 52 5-day weeks minus 2 weeks (or, 10 days) for vacations and another 10 days for various holidays.

How much does lunch cost in your office? Is it $5? $8? $12? $15? More? It's rarely less unless you bring your own. That $5/day lunch? It's costing $1,080 per year! A $15/day lunch costs a whopping $3,240 over the course of a year.

What about breakfast? Lots of people buy it at work. It might be less expensive but you've still got a big whole in your wallet at the end of the year. Also, what about snacks? Vending machine, anyone? A few dollars here and there and they add up quickly.

If the day's costs total an average of $20 then over the course of a year you are handing over $4,800. This is after-tax money. It is money that is not going to savings, mortgage (or rent), car payments, credit card debt, education or even tickets to sporting events.

Bringing lunch or breakfast or both breaks the cycle. Food isn't free, even if you grow it yourself there's often some sort of cost. But often you can get good breakfasts and lunches for a week for a good $20 - $40. And $40 for a week of homemade/brought in food means you're eating like a superstar. $40/week -- the luxury end of bringing in your own food -- runs to less than $2,000/year. That other $2,800 plus goes to whatever you want.

* Career - here it's a bit trickier. Who's to say whether there is discrimination due to size? It's easy to accuse but hard to prove. However, job applicants who appear to be less well-groomed or less disciplined often aren't hired.

What's the cost of not being hired? Missed opportunities are hard to quantify but we all know the feeling of rejection. And we also know that looking for work, if it takes a certain length of time, tips into the applicant having a harder and harder time finding work. Underemployment, anyone? What's the cost of THAT?

And what about folks who are already employed? What of them? There are also, possibly, missed opportunities. It's the raises that don't come, or the promotions that are delayed and then forgotten. It's the credit that isn't forthcoming. Being obese often means being the largest invisible entity in a room.

What's the bottom line? You guessed it -- it ain't easy being heavy. And it's costly, too.

  Member Comments About This Blog Post:

CANNOTFATHOM 4/3/2008 12:11PM

    Quite an eye opener!


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JESPAH 4/3/2008 6:38AM

    Hear, here! :)

I was inspired to do the lunch calculations thing about 20 years ago when I barely had two nickels to rub together. I brought in peanut butter and sprout sandwiches (yeah, I was more of a vegetarian then) every single day. It was boring but I was able to pay my rent. And that was back when you really could get lunch for about $4 a day if you ate in a caf.

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AHHHME 4/3/2008 12:13AM

    I hear ya Sister! Let's lose some weight and get the big bucks. ;)

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Your Head Needs a Rest

Tuesday, April 01, 2008

It's April Fools' Day. Go nuts!

Well, not too nuts. Not nuts involving extra food. Funny how we sometimes (and, maybe, a lot of the time), think of food first when we think of fun times, celebrations, holidays and other assorted bits of kicking back. And that's, well, that's so ingrained it isn't funny. It's like it's in our DNA strands, just above the part where it says we think Chia pets are funny and just below the part where it says we get assigned two eyes.

When my work assignment was announced as ending, after people expressed sympathy and offered to help, the discussion turned to: what do you want to eat for your farewell lunch? Unfortunately, whatever happens it'll probably be a dieting minefield or something that I don't like. Or both.

There's a fish place, a testing kitchen with a rotating menu and a hugely overpriced, overhyped steak house in the area. I despise the steak house (I don't eat red meat anyway, and pretensions leave me cold) but many of my coworkers love, love, love it plus I suspect that the other person whose contract was termed may like it and my understanding is that it's to be a joint lunch. Personally, I'd prefer the fish place but that's still a minefield as almost everything there is fried. The testing kitchen is more of a mystery.

Hence I'll most likely have to deal with the steak house. I'm sure they have salads and the like and I gotta hope that I can get something without bacon or beef strips or whatever they toss on top of a salad there. Everything is so over the top and garish that it's hard not to see that as a possibility.

I realize I'm overthinking this but I do try to be prepared as that is a strategy that has been working very well for me.

Anyway, as I look for work, take my possessions home and otherwise distance myself from there I also feel myself more and more able to get back on my feet. I just hope there's a job out there for me.

  Member Comments About This Blog Post:

JESPAH 4/2/2008 6:31AM

    Hey, Miss Meliss,

M'last day is 4/11. I definitely know the drill -- this is not the first time I've had a job end. This one is a little different because I'm not laid off. It's just the contractual assignment is ending. Technically, the agency I work for is supposed to be looking for something for me, but they are none too optimistic. And if I don't bring in billings, after a certain amount of time (a week? two weeks? a month? two months? No one knows or is talking), they'll cut me loose for real.

I have some prospects -- it's not totally dismal out there -- but it's not rosy, either.

And I know what you mean about it feeling weird. It certainly does....

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AHHHME 4/2/2008 1:02AM

    I'm sorry you're losing your place there! It has happened to me several times over the years and it never gets easier really. The part I hate the most is the waiting for it to be over. Once I know I'm leaving, I want to go! hahaha! If the lunch is anything like mine was, it will be bittersweet and when you finally have all your stuff and you don't have to go back there - a big weight will lift off your shoulders! You know why - because you're free! You can move on to your next adventure - meet new people and do new/interesting work. You'll find something you like faster than you think. The coolest part is that it will be new, different and more exciting than what you've been doing. I really think it's great that you are planning your food ahead - that should definitely help. You'll be a lot less likely to make bad food choices because you're stressed or whatever. Is your lunch tomorrow? When is your last day? I'm not trying to pry - just want you to know that I'm here if you need to chat. Best wishes, Melissa

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Why you want to move so fast

Monday, March 31, 2008

I've had a good week -- a VERY good week -- 6 lbs. off and the slump or plateau or me feeling sorry for myself or whatever you want to call it is long gone. In its place is the knowledge that I'm over halfway to my intermediate goal (the one on the ticker) and only 1.4 lbs. from my second minigoal. Once I hit that one, I'll be 10% down from my original body weight. Cool. :)

The song actually refers to a method of weighing that I see not only here but also on alli forums. People becoming as, well, to be blunt about it, as nekkid as a jaybird before weighing themselves. And to that I say, "Who are you kidding?"

Now, there are some clothes that have some weight. Anything that you could call outerwear, any type of shoe, denim items, heavy wool items, most leather items, most pants not included in any other category, and heavy sweats, both tops and bottoms. I suppose you could conceivably also wear enough jewelry for it to make a difference.

If you were Mr. T, that is.

Definitely take those off before you weigh yourself. But after that, it's ridiculous. Does anyone honestly -- honestly? -- think that the removal of their underpants would create a readable difference on a scale?

They would have to weigh over an ounce for anything to register on a digital scale. Why? Because there are 16 ounces in a pound. Every ounce is a big 6.25% of a pound. But every mark on a digital scale -- at least on my digital scale -- is in the one-tenth increment. Hence you'd have to be pulling off one and two-thirds ounces in order to, get this, make a difference of one-tenth on a digital scale.

Do all of your clothes that remain (once you've removed the bling, etc.) equal or exceed one and two-thirds of an ounce? Maybe ALL of them together do. Maybe. I mean, what do I wear? A cotton or poly shirt, socks, usually a long underwear bottom (because Winter is apparently The Neverending Story here this year), undergarments, a pony tail holder and my glasses. I'd be shocked if, all together, all of that stuff even hits one big old ounce.

And you know something? I seriously doubt that it matters anyway. So I'd be, what, one-tenth of a pound lighter, maybe two-tenths if I weighed this way. Big fat hairy deal.

So to all of you who feel the need to strip beyond whatever Sally Rand used to do before you get on the scale, get a grip, people. It doesn't matter much, if at all. Plus it's cold.

You don't have to take your clothes all off. You'll still weigh in just fine. Really.

  Member Comments About This Blog Post:

JESPAH 4/1/2008 6:51PM

    Well, I admit I do weigh before eating anything -- first thing in the AM on Monday. Get up, do the usual ablutions and hit the scale. :)

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THEBLUEGIRL 4/1/2008 6:43PM

    I am amused :) However I do have to say I always weigh myself naked, before eating anything. It's partially cause I know how much my weight will fluctuate so I need be consistent about it. But you are right we don't have to take our clothes off !!

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