Showing posts with label Surgery. Show all posts
Showing posts with label Surgery. Show all posts

Wednesday, March 12, 2014

Mass Obesity No Cause for Celebration

Picture of an Obese Teenager (146kg/322lb) wit...
Picture of an Obese Teenager (146kg/322lb) with Central Obesity, side view.Self Made Picture of an Obese Teenager (Myself) (146kg/322lb) with Central Obesity, Front View. Feel Free to use. (Photo credit: Wikipedia)




By Dr. Mercola
America is as obese as it possibly can be, yet the government and media refuse to take responsibility for this tragic problem.  Although obesity rates among American preschoolers declined by 43 percent in the past decade, teenage and adult obesity are deplorable and show no signs of improvement.1
These findings were broadcast on all of the nation's major news stations and in most major newspapers2, 3, 4 with many claiming "victory" in the fight against childhood obesity. While this all sounds like good news, I disagree with such proclamations.
The study, published in JAMA,5 found that obesity rates among two- to five-year olds dropped from 14 percent in 2003 to eight percent in 2012. The researchers suggest that decreased consumption of high-calorie drinks and higher rates of breast feeding might account for the decline.
No reduction in obesity rates was found among any other age group, however. And obesity rates for women over the age of 60 actually rose by about 21 percent. Eventually, nearly all Americans end up obese which contributes to a lifetime of chronic disease.

Americans Have Far from Conquered Obesity

One-third of American children and teens (aged two to 19), and more than two-thirds of adults are still either overweight or obese. One out of eight preschoolers is still in the obese category, along with 18 percent of kids aged six to 11—up from seven percent in 1980.6
From my perspective, we're still FAR from being in a position to jump for joy or pat ourselves on the back. The study authors themselves concluded:
"Overall, there have been no significant changes in obesity prevalence in youth or adults between 2003-2004 and 2011-2012. Obesity prevalence remains high and thus it is important to continue surveillance."
While it may sound promising that overall obesity rates have "stabilized," what that REALLY means is that we have maxed out, we are as fat as we can possibly be as a nation, and show no signs of improvement.
Other statistics clearly show that Americans, including children, are sicker than ever, and it's absolutely obvious that this is a direct result of corrupted federal policies and the junk food industry marketing to kids, getting them addicted to sugar as soon as possible with famous cartoon characters and flashy images.  Don't be fooled by this latest PR stunt to make you think they're finally getting something right.
The anti-obesity campaign is NOT working. And while some reporters have stated that the drop in obesity among toddlers is due to successful physical fitness programs, such as First Lady Michelle Obama's Let's Move! Campaign (which launched in 2010), I fail to see this connection. 

Improved breastfeeding rates are the most likely primary factor contributing to the decline seen in this age group (two- to five-year olds).  This is the one area I can appreciate, after decades of disastrous infant formula marketing to new moms, it appears we are finally acknowledging the critical value of breastfeeding.
According to the CDC,7 the percent of babies breastfeeding at six months increased from 35 percent in 2000 to 49 percent in 2010, and infants still breastfeeding at 12 months increased from 16 percent to 27 percent during that same time period.  While most infant formulas are about 50% carbohydrates, breast milk is naturally around 18%, which is the obvious problem that contributes to infant obesity.
Federal policies have not budged when it comes to issues that matter the most, or could have the greatest impact. Subsidizing the growing of genetically engineered (GE) corn, soy, and sugar beets continues to fuel the production of cheap, processed junk food that fatten us up and cause cascading health problems, courtesy of the insulin resistance such a diet brings. 

Subsidizing the growing of GE soy and corn for hydrogenated vegetable oils is the primary source of clogged arteries leading to countless unnecessary heart attacks.
The combination of junk food manufacturers, pesticide producers' agriculture lobbying, and the willingness of our federal politicians to be lobbied because of their greed for money and power has not changed one bit in the past decade. If anything, it's only gotten more insidious.

New USDA Rule May Stop Soda and Junk Food Advertising in Schools

As a general rule, the beverage industry also still denies or strongly downplays its role in the childhood obesity epidemic, despite the fact that beverage companies spend over $1 billion annually on youth-targeted marketing—especially in school settings—and sodas have been repeatedly shown to massively promote obesity in study after study.
Hopefully, we'll soon see a reduction in junk food advertising in schools at least. First Lady Michelle Obama recently announced a new US Department of Agriculture (USDA) rule that would phase out advertising of sugary drinks and junk food on school grounds.  Historically, the junk food industry always finds a way to buy their way back into schools as a desperately needed source of revenues. As reported by NBC News:8
"US Agriculture Secretary Tom Vilsack said the new rules would eliminate marketing for products that cannot be sold in schools. 'If you can't sell it, you ought not to be able to market it,' Vilsack said. He said companies spend $149 million a year on marketing food and drinks to kids in school...
The Federal Trade Commission says the heaviest marketers are candy and snack food manufacturers, beverage companies, and fast food restaurants, which make use of posters and scoreboards. They also give students coupons, for instance offering pizza as a prize for students who read a certain number of books, and they place advertisements in school television programs and other educational materials. California banned sodas and junk food from public schools in 2005 and Connecticut did in 2006, but most states don't have policies."

True Cost Accounting—Understanding the Real Cost of Cheap Food

I was in the Philippines last month and over there fresh fruits and vegetables are inexpensive and processed junk food is costly. So there are strong economic incentives for them to eat healthy. However, the converse is present in the US. For some families, access to fruits and vegetables is very limited, forcing them to rely on the heavily subsidized processed foods at their local markets. Others realize they can get a value meal at numerous fast-food restaurants for far less money than it takes to purchase foods to cook from scratch. But all this cheap food comes with a hidden price tag.
The featured video discusses a number of principles associated with food, such as the principle of true cost accounting,9 which helps you understand the real cost of the food you buy. When you make purchasing decisions based solely on price, without asking why the food is so inexpensive, you're actually supporting a long list of social and environmental ills that, ultimately, you still end up paying for in one way or another.
While Americans pay less for their weekly grocery bill than people in most other nations, the true cost of all this cheap food is staggering. Declining health and rising health care costs are two of the most obvious considerations. Parents need to wake up and face the reality that processed foods have dramatically changed over the years. The level of processing and chemical additives has increased exponentially, and today's pre-packaged convenience foods have been processed and altered to the point of being virtually unrecognizable, nutritionally, from real food.
Processed food is typically NOT interchangeable with fresh whole food, no matter what it says on the bag. Unfortunately, many still do not know that the "natural" label is completely worthless, as foods bearing the "natural" label can still, legally, be chockfull of chemicals, additives, and genetically engineered ingredients. 

Children Are Highly Susceptible to GMO Side Effects

In the US, parents also have to contend with the fact that a vast majority of this cheap food is genetically engineered and heavily contaminated with the toxic herbicides like glyphosate, the active ingredient in Monsanto's Roundup. Experts like Dr. Don Huber strongly believe that glyphosate is actually more toxic than DDT.
Compelling evidence now suggests that glyphosate residues, found in most commonly consumed foods in the Western diet courtesy of GE sugar, corn, soy, and wheat, enhance the damaging effects of other food-borne chemical residues and toxins in the environment to disrupt normal body functions and induce disease. Glyphosate also severely disrupts your gut flora, thereby further exacerbating metabolic havoc and poor health. Children are clearly at greatest risk here. The sooner their gut flora becomes severely compromised, the sooner their health will begin to fail. If they're fed GE foods from infancy, they may be facing serious health issues by the time they're in their teens!
This is a valid concern, as genetically modified organisms (GMOs) can even be found in infant formulas, and no one really knows what the health risks of such ingredients might be, especially long-term. It's important to remember that pound for pound, infants experience greater exposure to chemicals than adults, and have immature and porous blood-brain barriers, which allow greater chemical exposures to reach their developing brains. Hence, an all-organic diet is really crucial for infants and young children.
Breastfeeding is clearly the best option. Besides lacking the full arsenal of critical nutrients obtained from breast milk, many infant formulas also contain far too much sugar (your baby doesn't need any). But it's not just a matter of vitamins, minerals, proteins, and fats that makes breast milk far superior to formula. Breast milk also contains substances that may significantly enhance your baby's gut and support the healthy development of her entire nervous system.

Teach Your Kids the Basic Tenets of Optimal Health

Do not make the mistake of underestimating the power of your influence as a parent when it comes to laying down potentially lifelong habits. Leading by example is one of the most effective teaching tools there is. Children will simply not know which foods are healthy unless you, as a parent, teach it to them.
Remember, wholesome food is "live" and typically raw food, and the hallmark of live food is the fact that it will wilt and decompose. The fact that fast food burgers, buns, and fries show no signs of decomposing, even after a decade, is a clear indication that it's not real food and serves no beneficial purpose as part of your child's diet.
If you're unsure about how to get your family on the right track, my optimized nutrition plan offers a step-by-step guide to feeding your family right. You can find even more help in the book I wrote on the subject, called Generation XL: Raising Healthy, Intelligent Kids in a High-Tech, Junk-Food World. As a quick overview, here are some of the most important lifestyle strategies you can teach your child that will serve him or her well for the rest of their life:
  1. Proper food choices: For a comprehensive guide, see my free optimized nutrition plan. Generally speaking though, you'll want to focus your diet on whole, ideally organic, unprocessed or minimally processed foods. For the best nutrition and health benefits, you will want to eat a good portion of your food raw.
  2. Avoid processed sugar, and refined fructose in particular. All forms of sugar have toxic effects when consumed in excess, and drive multiple disease processes in your body, not the least of which is insulin resistance, a major cause of chronic disease and accelerated aging. I believe the two primary keys for successful weight management are severely restricting carbohydrates (sugars, fructose, and grains) in your diet, and increasing healthy fat consumption. This will optimize insulin and leptin levels, which is key for maintaining a healthy weight and optimal health. Sources of healthy fats include:
    Olives and olive oilCoconuts and coconut oilButter made from raw grass-fed organic milk
    Raw nuts, particularly macadamiaOrganic pastured egg yolksAvocados
    Grass-fed meatsPalm oilUnheated organic nut oils

  3. Regular exercise: Even if you're eating the healthiest diet in the world, you still need to exercise to reach the highest levels of health, and you need to be exercising effectively, which means including high-intensity activities into your rotation. High-intensity interval-type training boosts human growth hormone (HGH) production, which is essential for optimal health, strength and vigor. HGH also helps boost weight loss.
  4. So along with core-strengthening exercises, strength training, and stretching, I highly recommend that two to three times a week you do Peak Fitness exercises, which raise your heart rate up to your anaerobic threshold for 20 to 30 seconds, followed by a 90-second recovery period.
  5. Stress reduction: Your emotional state plays a role in nearly every physical disease -- from heart disease and depression, to arthritis and cancer. Meditation, prayer, social support, and exercise are all viable options that can help you maintain emotional and mental equilibrium. I also strongly believe in using simple tools such as the Emotional Freedom Technique (EFT) to address deeper, oftentimes hidden, emotional problems.
  6. Drink plenty of clean pure water.
  7. Maintain a healthy gut: About 80 percent of your immune system resides in your gut, and research is stacking up showing that probiotics—beneficial bacteria—affect your health in a myriad of ways; it can even influence your ability to lose weight. A healthy diet is the ideal way to maintain a healthy gut, and regularly consuming traditionally fermented foods is the easiest, most cost effective way to ensure optimal gut flora.
  8. Optimize your vitamin D levels: Research has shown that increasing your vitamin D levels can reduce your risk of death from ALL causes. Sun exposure is the best way to optimize your vitamin D levels as your body has built-in "fail-safe" mechanisms that prevent detrimental side effects from occurring. For more information on how to safely and effectively optimize your vitamin D levels, please see my previous article, "How Vitamin D Performance Testing Can Help You Optimize Your Health."
  9. If you opt for oral vitamin D supplements, make sure you use D3, not prescription D2, as the latter may do more harm than good. Also, if you take supplemental vitamin D, you're creating an increased demand for K2—not K1 that is typically in vegetables as it will not work synergize with vitamin D. Vitamin K2 deficiency is actually what produces the symptoms of vitamin D toxicity, which includes inappropriate calcification that can lead to hardening of your arteries. Together, vitamin D and K2 help strengthen your bones and improve your heart health.
  10. Avoid as many chemicals, toxins, and pollutants as possible: This includes tossing out your toxic household cleaners, soaps, personal hygiene products, air fresheners, bug sprays, lawn pesticides, and insecticides, just to name a few, and replacing them with non-toxic alternatives.
  11. Get plenty of high-quality sleep: Regularly catching only a few hours of sleep can hinder metabolism and hormone production in a way that is similar to the effects of aging and the early stages of diabetes. Chronic sleep loss may speed the onset or increase the severity of age-related conditions such as type 2 diabetes, high blood pressure, obesity, and memory loss.

More Tips for Creating a Healthy Eating Environment for Kids

Ultimately, teaching your child the importance of healthy foods and exercise is the key to maintaining health. With that in mind, here are a few more tips to foster a healthy view of food and self-esteem in your child:
  • Lead by example and seek to maintain optimal body weight for yourself and your spouse
  • Refrain from making jokes about your child's weight, even if no harm is intended
  • Explain the health risks of being overweight to your child, but avoid comparing your overweight child to other children, including thinner siblings
  • Cook healthy meals for your family, and let your child be involved in making dinner, but avoid making your child eat different food than the rest of the family
  • Encourage your child to make healthy food choices and praise them when they do instead of putting your child down about weight or eating habits
  • Instead of using food as a reward or punishment, have healthy snacks available at all times, and explain to your child the benefits they'll get from eating these fresh, whole foods; use non-food items, such as stickers or special outings/activities as rewards instead
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Friday, February 7, 2014

Arthroscopic Knee Surgery No Better Than Sham Surgery

Left knee-joint from behind, showing interior ...
Left knee-joint from behind, showing interior ligaments. (Lateral meniscus and medial meniscus are cartilage.) (Photo credit: Wikipedia)




By Dr. Mercola
Arthroscopic knee surgery is one of the most common unnecessary surgeries performed today—along with back and hip surgeries, pacemakers, cardiac angioplasties, hysterectomies, and Cesarean sections.
Several studies over the past decade have highlighted questions about arthroscopic knee surgery, and now, you can add one more to the pile. The meniscus inside your knee is a thin crescent-shaped disc of cartilage that serves as a cushion between your femur and tibia and helps stabilize your knees.
Over time, your meniscus can develop tears, especially if you have arthritis. The standard orthopedic surgeon's intervention for meniscal tears is performing an arthroscopic partial meniscectomy—trimming the torn meniscus and smoothing the jagged edges of what remains, which assumes the tear is what's causing your pain. However, that may be a faulty assumption.

Knee Surgery No Better Than Sham

This latest study, conducted in Finland, examined 146 patients with degenerative meniscal tears (caused by "wear and tear," not acute injury).1 Researchers divided patients into two groups.
One group received the standard surgery, and the other received a "sham surgery"—in other words, a fake or placebo intervention where no actual surgery takes place. The study excluded people with knee arthritis, because they tend not to benefit as much from meniscus surgery and the researchers wanted to ascertain if the surgery helps under "ideal circumstances."2
The sham surgery involved the physician's making an incision and poking around without any actual cartilage shaving or cutting. Many of the patients were given epidural anesthesia, so they were awake, making it necessary for surgical staff to use their "theatrical talents" to pull off a believable sham surgery.
The outcome? One year later, both groups reported equally favorable responses to the procedure—primarily, reduction in knee pain. In the end, the researchers concluded that the real knee surgeries offered no better outcomes than the sham surgeries.
Arthroscopic surgery on the meniscus is the most common orthopedic procedure in the US, and according to this study, is performed about 700,000 times a year to the tune of $4 billion. Any surgeon who tells you this is the best or only option for your osteoarthritic knee pain will not have a leg to stand on when you show him or her all of the evidence to the contrary.

Arthroscopic Surgeries Have an Embarrassing Track Record

Prior to the Finnish study, there were already three prior studies of note that should have orthopedic surgeons rethinking how they treat their knee patients:
  1. landmark study in Texas set the ball rolling back, over ten years ago, in 2002. The study involved 180 participants randomly assigned to either have the real operation or sham surgery, in which surgeons simply made cuts in their knees. The real surgery turned out to have no benefits over the sham procedure.3 This was a classic multi-center (including Harvard) double blind controlled trial that clearly showed the surgery was a $3 billion waste.
  2. In 2008, a Canadian study compared the benefits of physical and medical therapy to arthroscopic surgery for osteoarthritis of the knee. Researchers concluded that physical and medical therapy provided equal benefit to surgery.4
  3. In 2013, researchers compared the functional outcomes of physical therapy versus arthroscopy for patients with meniscal tears. They found that arthroscopy followed by postoperative physical therapy had no benefit over physical therapy alone.5
See the pattern emerging here? It's hard to miss! Eighty percent of meniscal tears develop from wear and tear over time.6 If you have pain in your knees from ordinary activities or arthritis, you may be better off skipping the surgery and going straight to physical therapy.
Or better yet, get some treatments with an infrared laser that I discussed in detail with Dr. Harrington.
Of course, there are other non-invasive therapies that can be helpful as well. But it's becoming quite clear that a torn meniscus—at least, the wear-and-tear variety—is not going to be helped by a "surgical trim." Surgeries come with all sorts of risks, and there is no point in exposing yourself to these without some clear advantage.
If you have a torn meniscus from an accident or injury, the scenario may be different, but I would still recommend you getting a second or even third opinion before going under the knife.

The Power of Placebo

With TWO studies now highlighting the benefits of placebo knee surgeries, the power of placebo just can't be ignored. Placebos typically have far fewer side effects (if any) than prescription drugs, injections, or actual surgeries—and they often work just as well as the standard of care.

Studies have shown that if you think you're receiving a treatment, and you expect that treatment to work, it often does—even if you know you're receiving a placebo.
This was beautifully demonstrated in the Finnish study—the knee surgery patients knew they might be having a sham surgery, yet they experienced the benefits anyway. But how do placebos work? How can your brain produce healing just because you believe it should be happening?

Although the exact mechanisms of the placebo effect are not well understood, it seems related to changes in your brain in response to different psychosocial stimuli. Areas of your brain associated with expectations, anxiety, and rewards seem to be involved. Scientific American reported:7
"In recent decades reports have confirmed the efficacy of various sham treatments in nearly all areas of medicine. Placebos have helped alleviate pain, depression, anxiety, Parkinson's disease, inflammatory disorders and even cancer.
Placebo effects can arise not only from a conscious belief in a drug but also from subconscious associations between recovery and the experience of being treated—from the pinch of a shot to a doctor's white coat. 

Such subliminal conditioning can control bodily processes of which we are unaware, such as immune responses and the release of hormones… Researchers have decoded some of the biology of placebo responses, demonstrating that they stem from active processes in the brain."
You can tap into your own placebo effect with techniques such as EFT or Emotional Freedom Technique. This is a new way of thinking about healing for most people that can be extremely powerful, especially when combined with a positive outlook and a proactive, disease-preventive lifestyle.

Your Secret Weapon Against Knee Pain: Exercise

Exercise is the real medicine for pain in your joints. Exercise helps prevent and relieve joint pain through a number of mechanisms, including strengthening key supportive muscles, improving flexibility and range of motion, improving bone strength, and helping you optimize your weight. The notion that exercise is detrimental to your joints is a serious misconception; there is no evidence to support this belief. It's simply a myth that you can "wear down" your knees just from average levels of exercise and/or normal activity.
This is not to say that traditional pavement-pounding, like distance running, is going to be of any benefit to your knees—I'm talking about low-impact but effective exercise, such as high-intensity interval training (HIIT), high-intensity cardio, weight training,stretching, and core work. If you find you're in pain for more than an hour after your workout, you should slow down or choose another form of exercise—there really are plenty to choose from.
If you've already developed osteoarthritis in your knees, you'll want to incorporate exercises that strengthen your quadriceps muscle at the front of your thigh. And, rather than running and other high-impact activities, you may be better off with non-weight-bearing exercises like swimming and cycling. Strengthening and stretching the areas around, above, and below your knee is key to reducing most knee pain, which is the goal of the exercises I demonstrate in the video above. Make sure to wear appropriate footwear for all of your daily activities. Spiked heels and very flat soled shoes place unnatural stresses on your knees. Goodposture is important as well.

Tips for Natural Pain Relief and Growing Healthy Cartilage

For joint pain, many physicians commonly recommend anti-inflammatory drugs (non-steroidal anti-inflammatories or NSAIDs) and analgesics (such as Tylenol) to their osteoarthritis patients. I don't recommend the chronic use of these drugs due to significant side effects, which may include kidney and/or liver damage. There are safer and more effective natural options for relieving joint pain. Although popular, I am also not much of a glucosamine and chondroitin fan because studies have failed to demonstrate their effectiveness. However, there are some very effective natural remedies that are truly backed up by science. The following are my favorites:
  • Vitamin D: Cartilage loss in your knees, one of the hallmarks of osteoarthritis, is associated with low levels of vitamin D. So if you're struggling with joint pain due to osteoarthritis, get your vitamin D level tested, then optimize it using appropriate sun exposure or a safe tanning bed. If neither of these options is available, you may want to consider oral vitamin D3 and K2supplements.
  • Sun exposure is your best option, because your skin produces two types of sulfur in response to sun exposure: cholesterol sulfate and vitamin D3 sulfate. Sulfur plays a vital role in the structure and biological activity of both proteins and enzymes. If you don't have sufficient sulfur in your body, this deficiency can create a number of health problems, including negative impacts on your joints and connective tissue. Which brings us to the next item...
  • Sulfur/Epsom salt soaks/MSM: In addition to making sure you're getting ample amounts of sulfur-rich foods in your diet, such as organic and/or grass-fed/pastured beef and poultry, Dr. Stephanie Seneff, a senior scientist at MIT, recommends soaking your body in magnesium sulfate (Epsom salt) baths to counteract sulfur deficiency. She uses about 1/4 cup in a tub of water, twice a week. It's particularly useful if you have joint problems or arthritis.
  • Methylsulfonylmethane (known as MSM) is another alternative you might find helpful. MSM is an organic form of sulfur and a potent antioxidant naturally found in many plants, and is available in supplement form. For more on the benefits of MSM, I recommend listening to this interview.
  • Infrared laser: Infrared laser treatment (also called K-Laser) is a relatively new type of therapy that speeds healing by increasing tissue oxygenation and allowing injured cells to absorb photons of light. This special type of laser has positive affects on muscles, ligaments and even bones, so it can be used to speed the healing of traumatic injuries, as well as chronic problems like arthritis of the knee.
  • Astaxanthin: An antioxidant that affects a wide range of inflammation mediators, but in a gentler, less concentrated manner and without the negative side effects of steroidal and NSAID drugs. Astaxanthin significantly reduces inflammation in many people—in one study, more than 80 percent of arthritis sufferers improved8.
  • Eggshell membrane: The eggshell membrane is the unique protective barrier between the egg white and the mineralized eggshell. The membrane contains elastin, a protein that supports cartilage health, and collagen, a fibrous protein that supports cartilage and connective tissue strength and elasticity.
  • Eggshell membrane also contains transforming growth factor-B, a protein that helps with tissue rejuvenation, in addition to other amino acids and structural components that provide your joints with the building blocks they need to build cartilage.
  • Hyaluronic acid (HA): Hyaluronic acid is a key component of cartilage required for moving nutrients into and waste out of your cells. One of HA's most important biological functions is the retention of water. Unfortunately, as you age, your body produces less and less HA. Oral HA supplementation may improve your joint cushioning in just two to four months.
  • Boswellia: Also known as boswellin or "Indian frankincense," I've found this Indian herb to be particularly useful in treating the pain and inflammation of osteoarthritis. With sustained use, boswellia may improve the blood flow to your joints, which may boost their strength and flexibility.
  • Turmeric/curcuminA study in the Journal of Alternative and Complementary Medicine9 found that taking turmeric extracts each day for six weeks was just as effective as ibuprofen for relieving knee osteoarthritis pain. This is most likely related to the anti-inflammatory effects of curcumin—the pigment that gives turmeric its vibrant yellow color.
  • Animal-based omega-3 fats: Omega-3 fats are excellent for arthritis because they are well known for reducing inflammation. Look for a high-quality, animal-based source such as krill oil.
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