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Obesity on the Rise in the U.S.

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The F as in Fat Study came out today and to nobody's surprise it says obesity is rising in the United States.

It is at this point in my blog post that you might expect me to get just a little bit snarky but I'm not doing it. It's hard but I'm taking this very seriously and if you read to the end, you'll find out why.

Let's look at some of the facts and figures from the study. Really look at them. Try reading them out loud. In front of your kids. Or your parents. Or how about the guy standing next to you in the elevator. I'm not kidding.

* Adult obesity rates increased in 23 states and did not decrease in a single state in the past year.

* the percentage of obese or overweight children is at or above 30 percent in 30 states.

* Adult obesity rates now exceed 25 percent in 31 states and exceed 20 percent in 49 states and Washington, D.C.

* Two-thirds of American adults are either obese or overweight.

* In 1991, no state had an obesity rate above 20 percent.

* In 1980, the national average for adult obesity was 15 percent.

* Sixteen states experienced an increase for the second year in a row, and 11 states experienced an increase for the third straight year.

Those are serious facts and figures. So serious that President Obama addressed the obesity epidemic during a health-care reform discussion at town hall meeting.

If we can help somebody control obesity, they are less likely to get diabetes. And if they are less likely to get diabetes, that means that we are going to be saving a whole lot of money in hospital costs.

Looks like maybe Obama was reading the F as in Fat report this morning, too. From the study...

A recent analysis commissioned by TFAH found that the Baby Boomer generation has a higher rate of obesity compared with previous generations. As the Baby Boomer generation ages, obesity-related costs to Medicare and Medicaid are likely to grow significantly because of the large number of people in this population and its high rate of obesity. And, as Baby Boomers become Medicare-eligible, the percentage of obese adults age 65 and older could increase significantly. Estimates of the increase in percentage of obese adults range from 5.2 percent in New York to 16.3 percent in Alabama.

During his town hall, he was very kind to a woman named Debby and called her exhibit a. Yes, I'm being a wee bit snarky. I am sure Debby appreciated his concern and offers to help but the calling her exhibit a bugged me.

But what the heck, if you can't beat 'em... let me give you an exhibit b.

I've blogged a bit about TW's mom coming to live with us and what it's like stepping into the caregiving role. I've mentioned that TW's mom is obese, she has diabetes, she has heart disease. She's been dealing with all of those things for many, many years. The diabetes and the heart disease and a bunch of other issues are all directly related to her weight. If she could lose weight, a lot of her health risks and health problems would be more easily managed and... she'd feel a whole lot better.

But it's not as easy as just saying, "Oh, we're going to help her lose weight." We've said that and you know what, we can't do it.

She eats a good, balanced diet most of the time. Her blood sugar is being managed really well, thanks to TW. But no, she isn't losing any weight. She isn't losing any weight because she has so many health problems that she usually can't get out of bed more than to walk three steps to a portable toilet. Or, if we're lucky, she can walk three steps to get into a wheelchair and inch herself the 10 feet to the bathroom to use the real toilet and get a shower.

Because she can't get out of bed, or when she does her energy level is incredibly low and her pain level is so high, she isn't burning any significant amount of calories.

She's stuck using a lot of medications to manage her symptoms and her health issues - almost all of which are related to... obesity.

TW's mom is our exhibit b. She is a 73 year old woman who is on medicare. She lives with me and TW and some of our kids.

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Wilma Ham 5 pts

Changing habits and lifestyles into healthy and good ones can be incredibly hard to do, obviously. If it was that easy, we would all be size 'nothing' and run up flight of stairs without wheezing and eat raw food. 
What works for me is when my context is extremely supportive. That is not to blame it when it isn't but to acknowledge when there is a context that IS supportive. 

That means that the people in the context I am living in have time and real attention for me and that there is support for all of us.
For the person who needs care to the people who give the care.
When you have to do it alone or when one small family unit have to carry the load alone, it is impossible.

Also when for example the whole school and all the parents are behind healthy eating, guess what . . . peer pressure will go into the right direction. 
I personally cannot make changes by myself, no way, but if there is a larger supportive context then I might have a chance.

Denise, for what it is worth I feel that you and TW are actually grossly underresourced  and dealing with a lot and so are most people who care. I wish I could come and help, but other than supportive words that is all I can do for now, but please acknowledge that you have a lot on your plate.  

Wilma Ham

www.wilmasblog.com ( http://www.wilmasblog.com/ )

Denise 9 pts moderator

Your story is a fantastic one and I am thrilled that you have been able to live this type of healthy lifestyle. I'm personally in awe of you.

I'm not overweight. I've never dieted in my life. I don't expect to ever be overweight or diet. But I do not eat healthy foods because while it's easy for you - it isn't for me. At the end of an 18 hour workday, the last thing I want to do is cook anything... so out to a restaurant we go. Weekends, same thing - we'd much rather let someone else do the work so we don't have to either cook or clean (much less shop!)

So while this story is about TW's mom, it's also about a lot of Americans I know. We eat out, we grab quick and easy prepared food because most of us don't have the time or energy it takes to plan, shop, prepare and clean up. Or if we have the time, we simply choose not to use it for healthier eating. It's the American Lifestyle, exhibit C that Lisa mentioned.

Then, there's also the fact that women TW's mom's age came out of the depression and smack dab into the industrial age where TV Dinners in front of the TV were awesome and trendy and boxed foods were SMART purchases. They carried that along with them their whole lives and it trickled down to their children (me!)

As a kid, I rarely ate out - VERY rarely. But my kids grew up going through the drive thru because it was cool and new and trendy and convenient. American Lifestyle, exhibit C.

We should all make the kind of lifestyle choices that you're making. I know that. I agree completely. But... I don't.

~Denise
BlogHer Community Manager

Flamingo House Happenings ( http://www.flamingohouse.net/ )

Denise 9 pts moderator

I was interested in the fact that the PT, OT, and ST came to her room every day while she was in hospital and worked with her. There was some discussion about her not only continuing the exercises at home, with our help, but also having someone come in to the house to see her regularly.

She didn't like that idea - or the idea that she was going to have to continue those PT exercises and OT exercises at home.

Part of it IS the healthcare system but part of it is also people who don't want to take responsibility for their own health and recovery. (Yes we're making her do her exercises as much as you can make any grown woman do anything.)

~Denise
BlogHer Community Manager

Flamingo House Happenings ( http://www.flamingohouse.net/ )

Leighbra 5 pts

As a nurse I struggle with the current trend we see in health care. We treat the symptoms but not the underlying problem.

Oh, you're blood pressures high! We'll give you something for that. Not-Let's get you someone to help make some simple life style changes. This practice keeps patients dependent on the system, instead of their own healthy life style choices.

Something I read about TEN YEARS AGO, and am still not seeing as they hoped and predicted is the increased referral rates of elderly and overweight patients to physical therapy.

If you can not walk, how can you exercise on your own? With increased physical therapy we can decrease falls and weight-related illnesses, prolong people's autonomy...Why aren't we getting EVERY patient that needs it into PT?

It's a shame that you had such a negative experience in the hospital with your MIL. I would suggest calling the nursing supervisor and passing on your concerns. We can all make and are responsible for health care reform. Call the hospital and ask the RN supervisor why they 1-are unable, under staffed, and undertrained to work with obese patients, and 2-why they don't spend 20 minutes and train their nurses about insulin pumps. You could even suggest that a med rep pay them a (free!) visit to orient them. But I know that takes time out of your day. :(

Obesity is EVERYONE'S problem. As more and more Medicare/aid resources are spent on obesity related problems, there is less and less left for the basics.

SkinnyCleanFreak 5 pts

One thing that has gotten passed over is how everyone things that eating healthy is so hard, and I don't understand it. I'm a single working mom and I put fresh dinners on the table every night. It takes 20 - 30 minutes.

It seems to me that this is the whole problem in a nut shell.

I nagged my best friend for years and years. She has had so many health problems. She adopted a foster child, and had horrible behavior problems. It wasn't long before the child was as big as she was. When the girl was almost grown and ready to move on, my friend adopted a baby. It wasn't long before she started having horrible behavior problems with this child too. She finally was at her wits end and willing to try anything, even if it meant eating healthy.

The behavior problems have all but disappeared and Katie is now a joy to be around, she is so vivacious and full of energy, and my friend is losing weight and her health problems are getting better.

A little over a year ago, her sister in law died of a stroke at age 47. I think that was an additional wake up call. They wore the same size.

I guess all you can do is keep talking to them about it, but not accusingly - and I always fed them healthy food when they were here so they could see that it wasn't nasty or hard. You just keep hoping that eventually the message will get through. I'm working on my sister too. I even wrote an ebook on the subject - I feel so strongly about it. I've hammered it into my daughter's head. At age 17 she appreciates healthy eating.

I'll be 53 next week. I wear a size 2. I've never been in the hospital except for child birth, and I take no meds.

It's not that hard. If I can help you - let me know.

Carole

CommonSenseLiving.com

Denise 9 pts moderator

People can argue anything because you can always find an example of someone (or a study about a dozen someones) who fits your argument.

I can give you people and studies that show people who are underweight are unhealthy.

I can give you people and studies that show people who are obese are healthy.

I can give you studies and people that show smokers are not at higher risk of anything.

I can give you studies and people that show smokers are at risk of everything.

We argue to justify our choices to those who would judge us or to help justify our choices to ourselves.

~Denise
BlogHer Community Manager

Flamingo House Happenings ( http://www.flamingohouse.net/ )

Vered 5 pts

I'm just as conflicted as you are. But it's summer break now, and I take my kids to the pool and to the playground, and I see so many overweight kids - definitely more than I saw ten years ago when we first arrived at the States, and my heart breaks for them.

I don't want them to be in an environment that sees them as inferior, but I also don't want them to be in an environment that tells them being overweight is fine, because being overweight is unhealthy.

BTW, I always thought that was a given, and am very surprised that people are arguing that being overweight does not contribute to health issues. Anecdotally speaking, people CAN be overweight and healthy (my dad is), but as a general rule, excess weight is unhealthy. How can anyone argue it's not?

----

Need to hire a blogger ( http://momgrind.com/ )? I’m a mommy blogger and a blogger for hire ( http://momgrind.com/hire-me/ ).

Denise 9 pts moderator

Many people have asked in email or private message so I'll give a wee update here, a longer one will come in a full follow up post because what has happened is part of my overall conflict with obesity.

TW's mother had an angiogram. Her doctor was expecting serious blockages and the need for angioplasty or stents. What they found during the angiogram was... no blockages and a heart that is shockingly strong and healthy for a woman "of her age" and what we think he didn't say... "a woman of her size".

So that little test did nothing to help us get a handle on what she's dealing with now but went a long way toward increasing our conflict about health issues related to obesity.

~Denise
BlogHer Community Manager

Flamingo House Happenings ( http://www.flamingohouse.net/ )

Denise 9 pts moderator

I have seen your blog but for some reason I didn't realize you'd lost that much weight. That is a LOT of weight and I am in awe of what it must have taken for you to get to where you are now... and maintain that. The maintenance part is even more difficult than the loss, I suspect. (And I'm about to click over to your blog and dig deeper into the archives since I've obviously missed a lot!)

~Denise
BlogHer Community Manager

Flamingo House Happenings ( http://www.flamingohouse.net/ )

Denise 9 pts moderator

And here again is where I'm torn... we're all free to live our lives as we wish and that means we're free to abuse our bodies or neglect our bodies. If we say fat acceptance is a mistake then aren't we throwing in some judgement that we don't have the right to throw around? And with judgement comes all sorts of discrimination, doesn't it?

I'm not saying you're wrong, I'm just saying I'm conflicted.

:-)

~Denise
BlogHer Community Manager

Flamingo House Happenings ( http://www.flamingohouse.net/ )

Denise 9 pts moderator

There are at least a dozen people I know who claim Deb Roby is one of their idols, and for good reason. But every time they do, Deb comes in and worries over this. I understand that worry.

How do you live up to that? And WILL people be looking at you at the conference and will they make judgements? (I don't think so, but I understand the self-consciousness that comes with idolatry.) How do you handle that and how do you keep it from negatively effecting you?

~Denise
BlogHer Community Manager

Flamingo House Happenings ( http://www.flamingohouse.net/ )

fittothefinish 5 pts

This study hit home with me because this was me. Fortunately, through diet and exercise, I lost 150 lbs. 12 years ago, and am no longer struggling with obesity. But, for the millions of people who struggle with obesity now, I feel extreme empathy. And for people like yourself, who have to help other people deal with with consequences of their own obesity, I am sad.

I fear for the children who are obese, and what health problems they will inevitably face as they age. I try to model good behavior to my children now, and think the future lies with the children. Like many other movements that change the world, it's got to start from the ground up. Government can't dictate what we eat, only we as individuals can make the choices that are healthy for us. and for our families.

I'm sorry for your struggles. She is lucky to have caring people in her life that are helping her through these health challenges.

Diane

lost 150 pounds and talks about it at:

www.fittothefinish.com/blog ( http://www.fittothefinish.com/blog )

Vered 5 pts

It is such a sensitive topic.  

----

Need to hire a blogger ( http://momgrind.com/ )? I’m a mommy blogger and a blogger for hire ( http://momgrind.com/hire-me/ ).

Debra Roby 5 pts

Lisa,

It is truly an honor that you consider me a lifestyle idol. Really. I have just chosen to do what I can to insure that I am healthy and kicking as long as I possibly can.

But would you all please stop it -just weeks before BlogHer? I have this fear that people will be watching what I eat and drink. And conference food is rarely all that healthy. Plus I plan on drinking at the parties.

Denise, I hear your challenge. And my heart aches for what you and TW have to deal with.

The real challenge comes with the young. Are there enough grass-roots opportunities to teach children to move more? To teach young mothers how to prepare healthy foods? To teach everyone how to make foods-and bring them to work or save them at home - so that most of a person's meals are healthy?

If not, is there some way that we can begin this? I remember hearing Mabel Yee, the founder of Engage Her, talk last fall. She believes that you teach the mother how to change -you engage her and empower her- and her entire family is destined to change, too. Mothers changing families, families changing neighborhoods.. and spreading across the country.

It took decades for us to come to a place where fast food meals are consider every day instead of the occasional treat. It will take a generation at least to change this perception.

But we've got to start. Somehow. Someday. Somewhere...

deb
(those last 3 words would make a great line for a song, wouldn't they?)

Debra
A Stitch In Time ( http://astitchintime.blogspot.com )
Weight for Deb ( http://weightfordeb.wordpress.com )

Lisa Stone 6 pts

Okay, perfect timing: Jory interviewed BlogHer Contributing Editor Deb Roby on the juice. In the past couple of years, I've watched Deb transform her personal fitness and health via both an iron will and really smart mental mojo. Deb has great advice about eating better here:

Lisa Stone
BlogHer Co-founder ( http://www.blogher.com/member/lisa-stone )
Surfette ( http://surfette.typepad.com/ )

BlogHer is non-partisan but our bloggers aren't! Follow our coverage of Politics & News ( http://www.blogher.com/topic/politics-news ).

Megan Smith 5 pts

Thanks Denise,  I appreciate that.

I thought about our conversation as well.  Maybe next time I'll just keep my mouth shut.  :-)

Megan
BlogHer Contributing Editor, TV/Online Video ( http://www.blogher.com/blog/megan-smith )

Megan's Minute ( http://www.megansminute.com/

Lisa Stone 6 pts

...about your health?"

This is the struggle. Beautifully said Vered!

Lisa Stone
BlogHer Co-founder ( http://www.blogher.com/member/lisa-stone )
Surfette ( http://surfette.typepad.com )

BlogHer is non-partisan but our bloggers aren't! Follow our coverage of Politics & News ( http://www.blogher.com/topic/politics-news ).

Vered 5 pts

I'm sorry about everything you've been going through.

I am torn too. I think discriminating against overweight people is terrible and very wrong. "Fat" must never be equated with "ugly" or "lazy." But I also think "fat acceptance" is a mistake. We need to fight the obesity trend, not accept it.

----

Need to hire a blogger ( http://momgrind.com/ )? I’m a mommy blogger and a blogger for hire ( http://momgrind.com/hire-me/ ).

Denise 9 pts moderator

Exhibit C indeed!

I spent some time during the writing of this post, thinking back to my childhood and trying to remember who was obese way back in the 70's and 80's.

I know I'm looking back through my child eye so my vision is skewed but really - there were a few overweight kids and a few overweight adults in Charleston SC but not anything near the number I see all around me every day. And I only remember one adult who was obese and I remember it scared the heck out of me back then. Now, it barely phases my kids to see someone that large.

~Denise
BlogHer Community Manager

Flamingo House Happenings ( http://www.flamingohouse.net/ )

Denise 9 pts moderator

When I saw your mom had been in the ER, I flashed back to our talk about our moms and their health and I felt a little panicky! So glad your mom got some treatment and I hope she is back to feeling good again.

~Denise
BlogHer Community Manager

Flamingo House Happenings ( http://www.flamingohouse.net/ )

Denise 9 pts moderator

Yep, you nailed it.

Looking at the numbers grow and looking at how our lifestyles have changed, it's all about time and convenience.

The baby boomers who are obese in record numbers are the ones whose lives significantly changed from eating fresh, homemade meals to eating pre-packaged, highly processed, high fat/high salt foods.

And looking at the overweight and obese children of the baby boomers... it's just getting worse.

Last night, when we left the hospital, we drove through Portillos. I got a grilled chicken sandwich that weighs in at 490 calories & 6 grams of fat and TW ordered a burger, at I have no idea since Portillo's refuses to give nutritional info on its website (another little problem in this country.)

~Denise
BlogHer Community Manager

Flamingo House Happenings ( http://www.flamingohouse.net/ )

Denise 9 pts moderator

What's difficult for me, personally, is I'm a fat acceptance sort of person.

Fat isn't bad. It doesn't mean ugly or lazy or anything else.

But, even while I stand up for the fat acceptance movement and I try hard to point out that not all fat people are unhealthy... I look at these numbers and look at the people I know who are obese and their health issues... how do I, personally, swing between both sides.

Know what I mean?

Exercise is really the answer. Exercise while we're able and keep exercising forever. (I hate exercise, just pointing that out.)

~Denise
BlogHer Community Manager

Flamingo House Happenings ( http://www.flamingohouse.net/ )

Lisa Stone 6 pts

Denise, my heart breaks when I think of how hard you and TW are working on this. You all are a very loving family to take such good care of TW's mom.

What scares me is the rapid acceleration in obesity. These data blow my mind:

* Two-thirds of American adults are either obese or overweight.

* In 1991, no state had an obesity rate above 20 percent.

* In 1980, the national average for adult obesity was 15 percent.

It's shocking, but I feel like I've seen it happening. Especially with children. In the past year, two kids in my son's 13-year-old class each dropped about 40 pounds. And they needed to -- these are kids who were really smart, fun, well-adjusted kids but they spent, frankly, way too much time at home in front of screens (computer, television, videogames), snarfing down high-carb snacks. Their parents worked really hard with them and I respect them so much for changing their children's lives at this young age. Because these boys now have a fighting chance at not being "exhibit b."

Lisa Stone
BlogHer Co-founder ( http://www.blogher.com/member/lisa-stone )
Surfette ( http://surfette.typepad.com )

BlogHer is non-partisan but our bloggers aren't! Follow our coverage of Politics & News ( http://www.blogher.com/topic/politics-news ).

Megan Smith 5 pts

Hi Denise,

I'm sorry you're going through such a stressful time.  But on the bright side your story has reinforced my decision to get back on the healthy eating wagon again.

Part of the issue, as Wilma says, is that quick, cheap and easy mechanisms to support healthy eating in our daily lives often aren't there. 

It sure ain't easy. 

Megan
BlogHer Contributing Editor, TV/Online Video ( http://www.blogher.com/blog/megan-smith )

Megan's Minute ( http://www.megansminute.com/

Wilma Ham 5 pts

Now I eat out of our garden I have noticed real food takes time. I have to pick it - in the rain - then wash it and cut it and then cook it. It also had creepy crawlies in it and unfortunately they don't taste nice, other wise I would not care to eat a slug or two. 

When I was still working full time, eating good food was an effort I often could do without. School lunches you could buy at school offered pies and bad food, so when you didn't have time for their school lunches that was the alternative.

What I do find is eating fresh veggies makes my cravings less, I am less hungry because the food obviously nurtures me more. 

I consider food a lifestyle issue and as everything else that is like that very hard to change, even if the consequences are so obvious.

For example my daughter works in corporate, most of the time she only has 15 minutes for lunch, that means starving of bad food. Guess what it is.
She is still tiny but she can already see weight gain after 6 months.

Blaming or complaining like those nurses do, is not doing anybody any good. 
However are they overworked and have no time either to give a patient care they need??
You and TW, all caregivers and cooks and caregivers and mothers and corporate workers need support AND the time to change lifestyle habits.

Now, who is giving them time????????

Denise, In am sorry you all had such a horrendous experience.
Our cat recently got a much nicer medical treatment, how bizarre is that?

Wilma Ham

www.wilmasblog.com ( http://www.wilmasblog.com/ )

Ungirdled Passion 5 pts

http://ungirdledpassion.blogspot.com/

Wow, Denise!  Great post - really eye-opening!  So sorry to hear about all your family is going through with your mother-in-law's health issues.  It's scary how fat America has become!  I think I'll go exercise now...