Reflection paper - PSYCHOLOGY

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module_32_hunger.pdf

1

Module 32: Hunger

Obesity Trends* Among U.S. Adults BRFSS, 1985

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Obesity Trends* Among U.S. Adults BRFSS, 1995

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. Adults BRFSS, 2005

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. Adults BRFSS, 2010

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

“…This generation of children will be the first to live shorter lives than their parents…”

Schwartz & Brownell (2007). Journal of Law, Medicine, & Ethics;

Olshansky et al. (2005). N Engl J Med.

2

Childhood Obesity

 The proportion of U.S. children who are overweight has more than tripled in recent decades

 Both genetic and environmental factors contribute to this increase

 Nature: Genes do affect our individual susceptibility to gaining weight and the amount of food consumed, but…

 Nurture: Increases in portion sizes and the amount of time children spend in sedentary pursuits, such as playing video games, also contribute to the obesity epidemic

 Overweight children and teens suffer a variety of social problems

Evolution & Food Selection

 At the age of weaning (~4-5), most mammals lose the intestinal enzyme lactase, which is necessary for metabolizing lactose

 Lactose is the sugar found in milk

 Milk consumption after weaning can cause gas and stomach cramps

 Most human adults have enough lactase to consume milk and other dairy products throughout their lifetime

Biology & Culture of Food Preferences

3

Brain Mechanisms When old biology meets new culture…

A combination of learned and unlearned factors contribute to hunger and eating behaviors

Drewnoski & Specter, 2004, Am J Clin Nutr; Brownell, Harvard School of Public Health, March 2008

The Cost of Calories % Increase in Costs from 1985-2000

Putnam et al., 2002, Food Rev

0

25

50

75

100

125

Soft Drinks Sugar &

Sweets

Fruits &

Vegetables

20%

46%

117%

2003: Average soda (20 ounces) = 250

calories

1980s: Average soda (6.5 ounces) = 85

calories

4

Mindless Eating (Your Stomach Can’t Count)

 Refillable soup bowl

 Chicken wing experiment  Wing eaters with bones ate 28% less

than those with no bones in front of them.

 Our lack of accurate food counting can affect our calorie intake & weight gain.

 It takes about 20 minutes for you to start feeling full.

Brian Wansink (Mindless Eating, 2006)

Eating Disorders

 Adolescent girls at greatest risk  Anorexia nervosa

 Weight drops <85% of normal  Worry about being fat,

despite being underweight  Loss of appetite  Extreme dieting  Some display binge-purge-depression cycle

 Bulimia  Binge eating followed by compensatory practices

(often purging through vomiting or laxative use, or else fasting or excessive exercise)

 Unlike anorexia, bulimia is marked by weight fluctuations within or above normal, making the condition easy to hide

Eating Disorders

 Weight-loss is often difficult and specialists rarely agree  Onset of eating disorders often occurs

through intention to “diet normally”

 Successful weight maintenance includes change of lifestyle, increased exercise, and decreased eating  Simply eating less to lose weight will

slow your metabolism  Sleep  Avoid soft drinks  Be active, not just to regulate weight

but to regulate everything!  Anticipate health challenges…

1

Module 32: Hunger

“…This generation of children will be the first to live shorter lives than their parents…”

Schwartz & Brownell (2007). Journal of Law, Medicine, & Ethics;

Olshansky et al. (2005). N Engl J Med.

Childhood Obesity

 The proportion of U.S. children who are overweight has more than tripled in recent decades

 Both genetic and environmental factors contribute to this increase  Nature: Genes do affect

our individual susceptibility to gaining weight and the amount of food consumed, but…

 Nurture: Increases in portion sizes and the amount of time children spend in sedentary pursuits, such as playing video games, also contribute to the obesity epidemic

 Overweight children and teens suffer a variety of social problems

Evolution & Food Selection

 At the age of weaning (~4-5), most mammals lose the intestinal enzyme lactase, which is necessary for metabolizing lactose

 Lactose is the sugar found in milk

 Milk consumption after weaning can cause gas and stomach cramps

 Most human adults have enough lactase to consume milk and other dairy products throughout their lifetime

2

Biology & Culture of Food Preferences

Brain Mechanisms When old biology meets new culture…

A combination of learned and unlearned factors contribute to hunger and eating behaviors

Drewnoski & Specter, 2004, Am J Clin Nutr; Brownell, Harvard School of Public Health, March 2008

The Cost of Calories % Increase in Costs from 1985-2000

Putnam et al., 2002, Food Rev

20%

46%

117%

3

2003: Average soda (20 ounces) = 250 calories

1980s: Average soda (6.5 ounces) = 85 calories

Mindless Eating (Your Stomach Can’t Count)

 Refillable soup bowl

 Chicken wing experiment  Wing eaters with bones ate 28% less

than those with no bones in front of them.

 Our lack of accurate food counting can affect our calorie intake & weight gain.

 It takes about 20 minutes for you to start feeling full.

Brian Wansink (Mindless Eating, 2006)

Eating Disorders

 Adolescent girls at greatest risk  Anorexia nervosa  Weight drops <85% of normal  Worry about being fat,

despite being underweight  Loss of appetite  Extreme dieting  Some display binge-purge-depression cycle

 Bulimia  Binge eating followed by compensatory practices

(often purging through vomiting or laxative use, or else fasting or excessive exercise)

 Unlike anorexia, bulimia is marked by weight fluctuations within or above normal, making the condition easy to hide

Eating Disorders

 Weight-loss is often difficult and specialists rarely agree  Onset of eating disorders often occurs

through intention to “diet normally”

 Successful weight maintenance includes change of lifestyle, increased exercise, and decreased eating  Simply eating less to lose weight will

slow your metabolism  Sleep  Avoid soft drinks  Be active, not just to regulate weight

but to regulate everything!  Anticipate health challenges…

2

Obesity Trends* Among U.S. Adults BRFSS, 1995

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. Adults BRFSS, 2005

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

3

Obesity Trends* Among U.S. Adults BRFSS, 2010

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

“…This generation of children will be the first to live shorter lives than their parents…”

Schwartz & Brownell (2007). Journal of Law, Medicine, & Ethics;

Olshansky et al. (2005). N Engl J Med.

4

Childhood Obesity

 The proportion of U.S. children who are overweight has more than tripled in recent decades

 Both genetic and environmental factors contribute to this increase

 Nature: Genes do affect our individual susceptibility to gaining weight and the amount of food consumed, but…

 Nurture: Increases in portion sizes and the amount of time children spend in sedentary pursuits, such as playing video games, also contribute to the obesity epidemic

 Overweight children and teens suffer a variety of social problems

5

Evolution & Food Selection

 At the age of weaning (~4-5), most mammals lose the intestinal enzyme lactase, which is necessary for metabolizing lactose

 Lactose is the sugar found in milk

 Milk consumption after weaning can cause gas and stomach cramps

 Most human adults have enough lactase to consume milk and other dairy products throughout their lifetime

6

Biology & Culture of Food Preferences

8

Drewnoski & Specter, 2004, Am J Clin Nutr; Brownell, Harvard School of Public Health, March 2008

The Cost of Calories

% Increase in Costs from 1985-2000

Putnam et al., 2002, Food Rev

0

25

50

75

100

125

Soft Drinks Sugar &

Sweets

Fruits &

Vegetables

20%

46%

117%

9

2003: Average soda (20 ounces) = 250

calories

1980s: Average soda (6.5 ounces) = 85

calories

10

Mindless Eating (Your Stomach Can’t Count)

 Refillable soup bowl

 Chicken wing experiment  Wing eaters with bones ate 28% less

than those with no bones in front of them.

 Our lack of accurate food counting can affect our calorie intake & weight gain.

 It takes about 20 minutes for you to start feeling full.

Brian Wansink (Mindless Eating, 2006)

11

Eating Disorders

 Adolescent girls at greatest risk  Anorexia nervosa

 Weight drops <85% of normal  Worry about being fat,

despite being underweight  Loss of appetite  Extreme dieting  Some display binge-purge-depression cycle

 Bulimia  Binge eating followed by compensatory practices

(often purging through vomiting or laxative use, or else fasting or excessive exercise)

 Unlike anorexia, bulimia is marked by weight fluctuations within or above normal, making the condition easy to hide

Eating Disorders

 Weight-loss is often difficult and specialists rarely agree  Onset of eating disorders often occurs

through intention to “diet normally”

 Successful weight maintenance includes change of lifestyle, increased exercise, and decreased eating  Simply eating less to lose weight will

slow your metabolism  Sleep  Avoid soft drinks  Be active, not just to regulate weight

but to regulate everything!  Anticipate health challenges…

1

Module 32: Hunger

“…This generation of children will be the first to live shorter lives than their parents…”

Schwartz & Brownell (2007). Journal of Law, Medicine, & Ethics;

Olshansky et al. (2005). N Engl J Med.

2

Childhood Obesity

 The proportion of U.S. children who are overweight has more than tripled in recent decades

 Both genetic and environmental factors contribute to this increase  Nature: Genes do affect

our individual susceptibility to gaining weight and the amount of food consumed, but…

 Nurture: Increases in portion sizes and the amount of time children spend in sedentary pursuits, such as playing video games, also contribute to the obesity epidemic

 Overweight children and teens suffer a variety of social problems

3

Evolution & Food Selection

 At the age of weaning (~4-5), most mammals lose the intestinal enzyme lactase, which is necessary for metabolizing lactose

 Lactose is the sugar found in milk

 Milk consumption after weaning can cause gas and stomach cramps

 Most human adults have enough lactase to consume milk and other dairy products throughout their lifetime

4

Biology & Culture of Food Preferences

5

Brain Mechanisms

When old biology meets new culture…

A combination of learned and unlearned factors contribute to hunger and eating behaviors

6

Drewnoski & Specter, 2004, Am J Clin Nutr; Brownell, Harvard School of Public Health, March 2008

The Cost of Calories

% Increase in Costs from 1985-2000

Putnam et al., 2002, Food Rev

20%

46%

117%

7

2003: Average soda (20 ounces) = 250 calories

1980s: Average soda (6.5 ounces) = 85 calories

8

Mindless Eating (Your Stomach Can’t Count)

 Refillable soup bowl

 Chicken wing experiment  Wing eaters with bones ate 28% less

than those with no bones in front of them.

 Our lack of accurate food counting can affect our calorie intake & weight gain.

 It takes about 20 minutes for you to start feeling full.

Brian Wansink (Mindless Eating, 2006)

9

Eating Disorders

 Adolescent girls at greatest risk  Anorexia nervosa  Weight drops <85% of normal  Worry about being fat,

despite being underweight  Loss of appetite  Extreme dieting  Some display binge-purge-depression cycle

 Bulimia  Binge eating followed by compensatory practices

(often purging through vomiting or laxative use, or else fasting or excessive exercise)

 Unlike anorexia, bulimia is marked by weight fluctuations within or above normal, making the condition easy to hide

Eating Disorders

 Weight-loss is often difficult and specialists rarely agree  Onset of eating disorders often occurs

through intention to “diet normally”

 Successful weight maintenance includes change of lifestyle, increased exercise, and decreased eating  Simply eating less to lose weight will

slow your metabolism  Sleep  Avoid soft drinks  Be active, not just to regulate weight

but to regulate everything!  Anticipate health challenges…

  • Module 32 Hunger (small) color
  • Module 32 Hunger (small)
  • Module 32 Hunger (large) color
  • Module 32 Hunger (large)