RE: Rant-St Louis and obesity

[Guest guest]

Would it be safe to consider the incidence of any of these problems environmental, cultural and ethnic? I've always wondered what I'd be like living in a cold climate, since in the winter I don't want to leave the house and I'm in bed literally with the chickens, soon after sundown. I am thinking of the incidence of HTN in the North Carolina. Generalities are never good, but I remember my first visit to that state and how the first thing that struck me were the posters and messages about HTN even as you got off th eplane in the airport. That was, after I could squint through the cloud of smoke and my eyes stopped watering. But, in visiting and working in TX for years, I don't recall seeing the same messages, although the cloud of smoke was about as heavy. Eating in North Carolina was an experience for me, and although the food was delicious, 3 bites and I was done, the satiety was so high. The same thing happens to me in Puerto Rico, although that is my ethnic food, but I just don't cook like that any more. My last visit to St. Louis was so many years ago for an ADA that I just cannot remember people or details like that. This will be an interesting discussion to say the least.

Digna Cassens, MHA, RDhttp://groups.msn.com/RDForum

Rant-St Louis and obesity

Hi All,Hope you don't mind a brief rant. I just returned from a 3 day business trip to St. Louis, MO. I must say, I was appalled by the incidence of obesity I observed. Almost unbelievable.RDs sure have their work cut out for them.I had NO IDEA obesity could be so bad in this country. Now, I only observed people at my hotel, and at a local Chinese restaurant . . . but frankly, there were more obese people at the four tables in front me at breakfast yesterday than the entire valley where I live! I'm serious. I've attended local (Colorado) auctions with 300 some people, and there might be one or two obese persons in attendance. In St. Louis, it seemed like there were more obese people than people of healthy weights around me. Besides the shock, I'm amazed at how different obesity rates are in different areas.Our Medical Advisor/MD (lives in St. Louis) is a marathoner and when we discussed this, he agreed, and noted that usually he was the only person on the local bike/running paths. That 'fitness and exercise' are almost nonexistent activities for most of the locals.Why the great disparity from one state to another?? Any insights, comments?Jan Patenaude, RDDirector, Medical NutritionSignet Diagnostic Corp.www.nowleap.com (toll free)Fax: DineRight4@... or Jan@...Disease Management Programs for Irritable Bowel Syndrome and Migraine caused by Food Sensitivity

[Guest guest]

I have heard Colorado has the lowest obesity rates in the country. You are noticing that 64% of our population is overweight or obese.

Wasn't St. Louis voted one of the nation's most Healthiest cities a few years ago too?

Actually, I'll have to admit I was in the suburb of St. or St s. . . not even sure what one. . . just assumed things would be similar all over the area, for the most part.

And, yes, Colorado does have the lowest obesity levels, it's just that I've spent time recently in Wyoming, South Dakota, Minnesota, Florida, Eastern PA and New Jersey, and I never noted the high rates as I did this past week. I guess that's why it stood out so.

Jan Patenaude, RD

Director, Medical Nutrition

Signet Diagnostic Corp.

www.nowleap.com

(toll free)

Fax:

DineRight4@... or Jan@...

Disease Management Programs for Irritable Bowel Syndrome and Migraine caused by Food Sensitivity

[Guest guest]

Hi,

I grew up in MO, live in NC now, and have lived in Sweden as well as Western New York. Environment and culture are never to be discounted when trying to understand why certain medical problems exist in abundance in any given area. I was told by a dietitian in Sweden that I could never become a good dietitian there because I didn't grow up in the culture and could therefore never understand their eating habits. I disagreed with that comment, and continue to believe that a dietitian who is aware of where their patients come from, how their patient's mothers and grandmothers cooked (those comfort foods), and the culture of the patients will provide the best support and help for diet change.

I love to travel on my sheep trips (shepherd in my non-professional life) and have been all over the eastern half of the country and out through Colorado on a number of trips. The variety of shapes, sizes, eating habits, food items on menus, etc. is tremendous.

I don't recall the source (probably NIH), but there is a state-by-state map of obesity rates in the US. Colorado is one of the states with the lowest obesity rate. Anybody have that link handy?

Ellen Ellen Hansson, MEd, RD, LDNISeeSpots Farm Sheep: Lambs, adults, woolwww.iseespots.com

[Guest guest]

I have heard Colorado has the lowest obesity rates in the country. You are noticing that 64% of our population is overweight or obese.

Wasn't St. Louis voted one of the nation's most Healthiest cities a few years ago too?

Barbara M. , MS, RD, LDClinical Nutrition Manager Fort Walton Beach Medical Center 1000 Mar-Walt Drive For t Walton Beach, FL 32547 phone number: 850.863-7523 Fax: 850.862-9149 Email: Barbara.@...

This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed.

-----Original Message-----From: Dineright4@... Sent: Sunday, May 16, 2004 7:02 PMTo: dietetics-l@...; cda-listserv ; rd-usa Subject: Rant-St Louis and obesityHi All,Hope you don't mind a brief rant. I just returned from a 3 day business trip to St. Louis, MO. I must say, I was appalled by the incidence of obesity I observed. Almost unbelievable.RDs sure have their work cut out for them.I had NO IDEA obesity could be so bad in this country. Now, I only observed people at my hotel, and at a local Chinese restaurant . . . but frankly, there were more obese people at the four tables in front me at breakfast yesterday than the entire valley where I live! I'm serious. I've attended local (Colorado) auctions with 300 some people, and there might be one or two obese persons in attendance. In St. Louis, it seemed like there were more obese people than people of healthy weights around me. Besides the shock, I'm amazed at how different obesity rates are in different areas.Our Medical Advisor/MD (lives in St. Louis) is a marathoner and when we discussed this, he agreed, and noted that usually he was the only person on the local bike/running paths. That 'fitness and exercise' are almost nonexistent activities for most of the locals.Why the great disparity from one state to another?? Any insights, comments?Jan Patenaude, RDDirector, Medical NutritionSignet Diagnostic Corp.www.nowleap.com (toll free)Fax: DineRight4@... or Jan@...Disease Management Programs for Irritable Bowel Syndrome and Migraine caused by Food Sensitivity

[Guest guest]

I once heard/saw a speaker who was showing us and referring to those CDC maps and also pointed out that Colorado had the lowest rate of obesity. She told us that means we should all send cookies to Colorado.

I also notice a difference within the state where I live (Ohio). I actually live closer to the northeastern part of Ohio, but I work in the Southeast (part of Appalachia) and certainly incomes and education levels play a role in food choices which in turn impacts the obesity and diabetes rates I am seeing.

Igleheart, MS, RD, LD Community Dietitian Southeastern Ohio Regional Medical Center 1341 St. Cambridge, OH 43725

-----Original Message-----From: Barbara Sent: Monday, May 17, 2004 8:45 AMTo: 'rd-usa '; dietetics-l@...; cda-listserv Subject: RE: Rant-St Louis and obesity

I have heard Colorado has the lowest obesity rates in the country. You are noticing that 64% of our population is overweight or obese.

Wasn't St. Louis voted one of the nation's most Healthiest cities a few years ago too?

Barbara M. , MS, RD, LDClinical Nutrition Manager Fort Walton Beach Medical Center 1000 Mar-Walt Drive For t Walton Beach, FL 32547 phone number: 850.863-7523 Fax: 850.862-9149 Email: Barbara.@...

This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed.

-----Original Message-----From: Dineright4@... Sent: Sunday, May 16, 2004 7:02 PMTo: dietetics-l@...; cda-listserv ; rd-usa Subject: Rant-St Louis and obesityHi All,Hope you don't mind a brief rant. I just returned from a 3 day business trip to St. Louis, MO. I must say, I was appalled by the incidence of obesity I observed. Almost unbelievable.RDs sure have their work cut out for them.I had NO IDEA obesity could be so bad in this country. Now, I only observed people at my hotel, and at a local Chinese restaurant . . . but frankly, there were more obese people at the four tables in front me at breakfast yesterday than the entire valley where I live! I'm serious. I've attended local (Colorado) auctions with 300 some people, and there might be one or two obese persons in attendance. In St. Louis, it seemed like there were more obese people than people of healthy weights around me. Besides the shock, I'm amazed at how different obesity rates are in different areas.Our Medical Advisor/MD (lives in St. Louis) is a marathoner and when we discussed this, he agreed, and noted that usually he was the only person on the local bike/running paths. That 'fitness and exercise' are almost nonexistent activities for most of the locals.Why the great disparity from one state to another?? Any insights, comments?Jan Patenaude, RDDirector, Medical NutritionSignet Diagnostic Corp.www.nowleap.com (toll free)Fax: DineRight4@... or Jan@...Disease Management Programs for Irritable Bowel Syndrome and Migraine caused by Food Sensitivity

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[Guest guest]

I think it is interesting, reading your comments about "regional" obesity trends. We had a German exchange student several yrs ago, who continues to visit yearly...her comment this last visit, when asked about the biggest difference between Germany and America, was that there are so many "fat" people here. She said that is the first thing she notices on arrival. She went on to say that many of the same foods are available here and overseas, but that American restaurants tend to make those foods higher fat, and in larger quantities...for instance, pizza in Germany has less meat and cheese, and more vegetables. When she was here, she gained 20# over the course of the school year, and now is back at her "before" wt...even with a higher alcohol intake, and a sedentary job.

H. Joyce

Stillwater Medical Center

Nutrition Services

ejoyce@...

"discipline imposed from the outside eventually defeats when it is not matched by desire from within" dawson trotman

IMPORTANT - This e-mail message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you have received this message in error, you are hereby notified that we do not consent to any reading, dissemination, distribution or copying of this e-mail message. If you have received this communication in error, please notify the sender immediately by e-mail and destroy the transmitted information. Violators may be prosecuted.

E-mail transmission cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late, incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission.

www.stillwater-medical.org

Hi,

I grew up in MO, live in NC now, and have lived in Sweden as well as Western New York. Environment and culture are never to be discounted when trying to understand why certain medical problems exist in abundance in any given area. I was told by a dietitian in Sweden that I could never become a good dietitian there because I didn't grow up in the culture and could therefore never understand their eating habits. I disagreed with that comment, and continue to believe that a dietitian who is aware of where their patients come from, how their patient's mothers and grandmothers cooked (those comfort foods), and the culture of the patients will provide the best support and help for diet change.

I love to travel on my sheep trips (shepherd in my non-professional life) and have been all over the eastern half of the country and out through Colorado on a number of trips. The variety of shapes, sizes, eating habits, food items on menus, etc. is tremendous.

I don't recall the source (probably NIH), but there is a state-by-state map of obesity rates in the US. Colorado is one of the states with the lowest obesity rate. Anybody have that link handy?

Ellen Ellen Hansson, MEd, RD, LDNISeeSpots Farm Sheep: Lambs, adults, woolwww.iseespots.com

[Guest guest]

Jan,Have you ever been to St. Louis in the summer? The air is so humid and thick you can cut it with a knife. It would be the most dedicated person who would exercise year-round there.At my recent conference an omega-3 expert talked about the link between the appearance of low fat diets and the increase in asthma. It would make senseto me that the combination would be a special barrier to physical activity in places where the weather is hot and humid.

If you add to that the fact that in hot climates people are more likely to consume caffeine-containing and high fructose-containing beverages in large quantities to rehydrate, it's a recipe for obesity.

If you are not eating well, you do not have the physical capacity to exercise, which means you don't feel like eating well, etc--if you look at history, Houston, New Orleans, and Mississippi have all been at the top of the all-star obesity list.Monika M. Woolsey, MS, RDhttp://www.afterthediet.comAfter the Diet Advanced Counseling Workshop VIIAnaheim, California, September 30-October 1, 2004

Re: Rant-St Louis and obesity

I have heard Colorado has the lowest obesity rates in the country. You are noticing that 64% of our population is overweight or obese.Wasn't St. Louis voted one of the nation's most Healthiest cities a few years ago too?Actually, I'll have to admit I was in the suburb of St. or St s. . . not even sure what one. . . just assumed things would be similar all over the area, for the most part. And, yes, Colorado does have the lowest obesity levels, it's just that I've spent time recently in Wyoming, South Dakota, Minnesota, Florida, Eastern PA and New Jersey, and I never noted the high rates as I did this past week. I guess that's why it stood out so.Jan Patenaude, RDDirector, Medical NutritionSignet Diagnostic Corp.www.nowleap.com (toll free)Fax: DineRight4@... or Jan@...Disease Management Programs for Irritable Bowel Syndrome and Migraine caused by Food Sensitivity

[Guest guest]

Would it be safe to consider the incidence of any of these problems environmental, cultural and ethnic?

I would think so, but again, as much as people travel and move, is that even safe to assume?

I did make a joke about the 'environmental' elements. . . I spent 2 weeks in St. Louis suburb a couple years ago, and found the days miserably hot. . . and when/if it did cool down in the evening, the mosquitos threatened to carry you off. (Mornings were quite pleasant, if you got up early enough.) But, what about spring and falls?

Then, this winter I spent 2 months in Minnesota. . . arrgh. . . even if you cross country ski, it was so cold and miserable outside, my exercise suffered. (I lived there my first 20 years, but have gotten spoiled in the past 20 plus, since moving away.)

Now, the answer to these excuses are --in cold weather-dress warmer-- use bug spray, exercise in the mornings. . . go to the malls or get an exercise bike . .

Jan Patenaude, RD

Director, Medical Nutrition

Signet Diagnostic Corp.

www.nowleap.com

(toll free)

Fax:

DineRight4@... or Jan@...

Disease Management Programs for Irritable Bowel Syndrome and Migraine caused by Food Sensitivity

[Guest guest]

I am only half-way following this, but when the discussion treads into my place of birth - Missouri and goes into a part of heritage - German, I guess I became more interested.

I grew on a farm in Missouri. I am by no means thin. However, the amount of what people to the amount of energy they expend to strikingly different now than when I lived on my Grandfather's farm. Yes, there was far less focus on what we ate and there was even less focus on how much we ate. The main reason was, that living on a farm with planting, tending livestock, and doing all the physical work involved helped you maintain a healthy balance between what a person ate and what a person weighed. Now with less physicial activity and less of a change in how much we eat, obesity has reared it's ugly head.

Part of my family heritage is German, part of it is Irish, and somewhere in there, there is a wee bit of British. One of the main eating differences between Europeans and Amercians is it difference of how much we eat. In Europe, people savior their foods and take much longer to eat. That instinitivily causes people to eat less, because they savior each and every morsel and get satisfied as they do it. Here in America, we gulp, gulp, and gulp. Because of this we seem to have eat more to get satisfied and we don't savor.....

Just my opinion....

Carol

> >Reply-To: rd-usa >To: "'rd-usa '" <rd-usa > >Subject: RE: Rant-St Louis and obesity >Date: Mon, 17 May 2004 07:56:56 -0500 > >I think it is interesting, reading your comments about "regional" obesity >trends. We had a German exchange student several yrs ago, who continues to >visit yearly...her comment this last visit, when asked about the biggest >difference between Germany and America, was that there are so many "fat" >people here. She said that is the first thing she notices on arrival. She >went on to say that many of the same foods are available here and overseas, >but that American restaurants tend to make those foods higher fat, and in >larger quantities...for instance, pizza in Germany has less meat and cheese, >and more vegetables. When she was here, she gained 20# over the course of >the school year, and now is back at her "before" wt...even with a higher >alcohol intake, and a sedentary job. > > > H. Joyce >Stillwater Medical Center >Nutrition Services > > ejoyce@... > >"discipline imposed from the outside eventually defeats when it is not >matched by desire from within" dawson trotman > > >IMPORTANT - This e-mail message is intended only for the use of the >individual or entity to which it is addressed, and may contain information >that is privileged, confidential and exempt from disclosure under applicable >law. If you have received this message in error, you are hereby notified >that we do not consent to any reading, dissemination, distribution or >copying of this e-mail message. If you have received this communication in >error, please notify the sender immediately by e-mail and destroy the >transmitted information. Violators may be prosecuted. > >E-mail transmission cannot be guaranteed to be secure or error-free as >information could be intercepted, corrupted, lost, destroyed, arrive late, >incomplete, or contain viruses. The sender therefore does not accept >liability for any errors or omissions in the contents of this message, which >arise as a result of e-mail transmission. >www.stillwater-medical.org ><< message5.txt >> ><< Notebook.jpg >>

[Guest guest]

Everone in this thread. It's not the weight that concerns me, it's the comorbidities frequently associated with obesity and the mortality rate. A fit person with meat on their bones that is healthy and active is fine, and I know personally many people like that. No matter what your weight is, lack of activity and poor diet, and other vices such as smoking, will eventually result in chronic illnesses and death.

Digna Cassens, MHA, RDhttp://groups.msn.com/RDForum

Re: Rant-St Louis and obesity

I have heard Colorado has the lowest obesity rates in the country. You are noticing that 64% of our population is overweight or obese.Wasn't St. Louis voted one of the nation's most Healthiest cities a few years ago too?Actually, I'll have to admit I was in the suburb of St. or St s. . . not even sure what one. . . just assumed things would be similar all over the area, for the most part. And, yes, Colorado does have the lowest obesity levels, it's just that I've spent time recently in Wyoming, South Dakota, Minnesota, Florida, Eastern PA and New Jersey, and I never noted the high rates as I did this past week. I guess that's why it stood out so.Jan Patenaude, RDDirector, Medical NutritionSignet Diagnostic Corp.www.nowleap.com (toll free)Fax: DineRight4@... or Jan@...Disease Management Programs for Irritable Bowel Syndrome and Migraine caused by Food Sensitivity

[Guest guest]

Jan:

I'm with you to a point regarding the hardships of living in certain geographic locations. However, I live in almost perfect climate Southern CA. I don't take advantage of the almost perfect weather year round, although I know many more people do. I've experienced Winter in MN, although for not more than a week at a time; I would have perished there in spite of layers of clothing as I don't tolerate cold and find snow overwhelming. I also have experienced South Louisiana in the Summer months, and although I've always had a high tolerance for heat (my favorite temperature) and humidity, I almost keeled over 4 years ago when I last visited in August after almost 20 years away. When I worked in West Virginia there was never a perfect time of year to be there, as for me winter was way too cold and scary and summer was suffocating. Whenever I went to Arizona in summer I was amazed at how people coped in 110 degree temp, forgetting that it's common temperature in Palm Springs in the summertime also. I remember one summer soaking in the Platt River, Nebraska, and sweating in Chicago early morning and evening trying to walk, as well as shivering my way through many cities, towns, states during the winter months. Climate is here to stay, and people have to get used to it, not fight it. Air conditioning has made it more difficult for all of us, as we get used to the comfort of a cool house and office. Central heating has not helped much either, as the constancy in the temperature makes us believe it's here to stay, then we step out and wham! a cold wall. It's a matter of acclamating or not to the elements and the temperature.

When I was growing up, and to this day at my house in Puerto Rico, there were no air conditioners, only fans. Windows are open all the time, you swat bugs away and keep on going; and you sweat, and the sweat cools you off as it eventually evaporates. That's the reason we sweat! All the great conveniences and modern inventions have spoiled and softened us, and we've been so grateful for the comfort we've not noticed it. We can chose to continue this way and eventually mutate in order to survive, or we can chose to harden up by being a wee bit unconfortable and exert ourselves somehow, just to be able to survive.

Digna Cassens, MHA, RDhttp://groups.msn.com/RDForum

Re: Rant-St Louis and obesity

Would it be safe to consider the incidence of any of these problems environmental, cultural and ethnic? I would think so, but again, as much as people travel and move, is that even safe to assume? I did make a joke about the 'environmental' elements. . . I spent 2 weeks in St. Louis suburb a couple years ago, and found the days miserably hot. . . and when/if it did cool down in the evening, the mosquitos threatened to carry you off. (Mornings were quite pleasant, if you got up early enough.) But, what about spring and falls? Then, this winter I spent 2 months in Minnesota. . . arrgh. . . even if you cross country ski, it was so cold and miserable outside, my exercise suffered. (I lived there my first 20 years, but have gotten spoiled in the past 20 plus, since moving away.)Now, the answer to these excuses are --in cold weather-dress warmer-- use bug spray, exercise in the mornings. . . go to the malls or get an exercise bike . . Jan Patenaude, RDDirector, Medical NutritionSignet Diagnostic Corp.www.nowleap.com (toll free)Fax: DineRight4@... or Jan@...Disease Management Programs for Irritable Bowel Syndrome and Migraine caused by Food Sensitivity

[Guest guest]

I agree...I too grew up on a farm, and am of German/English heritage. I'm getting older, and I am amazed @ how little food it actually takes to fuel my normal day. BUT, and this is the problem for me and most of the people I treat...knowing when I am physically "full", and when I am "satisfied" is sometimes impossible to differentiate...it depends on my mood. We are in dangerous territory when we counsel obese/overweight/physically inactive adullts...for every overweight person, there is a unique set of circumstances that drives that person....

H. Joyce

Stillwater Medical Center

Nutrition Services

ejoyce@...

"discipline imposed from the outside eventually defeats when it is not matched by desire from within" dawson trotman

IMPORTANT - This e-mail message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you have received this message in error, you are hereby notified that we do not consent to any reading, dissemination, distribution or copying of this e-mail message. If you have received this communication in error, please notify the sender immediately by e-mail and destroy the transmitted information. Violators may be prosecuted.

E-mail transmission cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late, incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission.

www.stillwater-medical.org

I am only half-way following this, but when the discussion treads into my place of birth - Missouri and goes into a part of heritage - German, I guess I became more interested.

I grew on a farm in Missouri. I am by no means thin. However, the amount of what people to the amount of energy they expend to strikingly different now than when I lived on my Grandfather's farm. Yes, there was far less focus on what we ate and there was even less focus on how much we ate. The main reason was, that living on a farm with planting, tending livestock, and doing all the physical work involved helped you maintain a healthy balance between what a person ate and what a person weighed. Now with less physicial activity and less of a change in how much we eat, obesity has reared it's ugly head.

Part of my family heritage is German, part of it is Irish, and somewhere in there, there is a wee bit of British. One of the main eating differences between Europeans and Amercians is it difference of how much we eat. In Europe, people savior their foods and take much longer to eat. That instinitivily causes people to eat less, because they savior each and every morsel and get satisfied as they do it. Here in America, we gulp, gulp, and gulp. Because of this we seem to have eat more to get satisfied and we don't savor.....

Just my opinion....

Carol

> >Reply-To: rd-usa >To: "'rd-usa '" <rd-usa > >Subject: RE: Rant-St Louis and obesity >Date: Mon, 17 May 2004 07:56:56 -0500 > >I think it is interesting, reading your comments about "regional" obesity >trends. We had a German exchange student several yrs ago, who continues to >visit yearly...her comment this last visit, when asked about the biggest >difference between Germany and America, was that there are so many "fat" >people here. She said that is the first thing she notices on arrival. She >went on to say that many of the same foods are available here and overseas, >but that American restaurants tend to make those foods higher fat, and in >larger quantities...for instance, pizza in Germany has less meat and cheese, >and more vegetables. When she was here, she gained 20# over the course of >the school year, and now is back at her "before" wt...even with a higher >alcohol intake, and a sedentary job. > > > H. Joyce >Stillwater Medical Center >Nutrition Services > > ejoyce@... > >"discipline imposed from the outside eventually defeats when it is not >matched by desire from within" dawson trotman > > >IMPORTANT - This e-mail message is intended only for the use of the >individual or entity to which it is addressed, and may contain information >that is privileged, confidential and exempt from disclosure under applicable >law. If you have received this message in error, you are hereby notified >that we do not consent to any reading, dissemination, distribution or >copying of this e-mail message. If you have received this communication in >error, please notify the sender immediately by e-mail and destroy the >transmitted information. Violators may be prosecuted. > >E-mail transmission cannot be guaranteed to be secure or error-free as >information could be intercepted, corrupted, lost, destroyed, arrive late, >incomplete, or contain viruses. The sender therefore does not accept >liability for any errors or omissions in the contents of this message, which >arise as a result of e-mail transmission. >www.stillwater-medical.org ><< message5.txt >> ><< Notebook.jpg >>

[Guest guest]

,

Thanks for speaking up. I was starting to feel a bit uncomfortable with all the judgments we were making about people we don't even know. Those thoughts can often transfer into body language that these clients can read when they do decide to come in and ask for help. If they believe we see them as lazy and failures before they have even tried...no wonder we have such a failure rate as dietitians. We are part of the problem.

These are not just fat people who need to eat less and exercise more, they are people with stories, talents, histories, and emotions. All of that is part of what they bring into the picture, and we need to always respect that.

In the middle of preparing for a workshop I am going to be doing in Memphis, I heard a speaker talk about how on the CDC maps they had to come up with a new color for Mississippi because the rate of obesity has jumped to a new level. I am very excited to be going down there and spending time in the area to learn more about why this may be, there may be clues I gain in my trip that provide insight.

It is my opportunity to help, not to preach to them about what they are doing wrong.

We could all do better to be curious and think like detectives rather than like Pentecostal ministers damning the crowd while hiding our own "faults".

This day and age we especially need to practice more kindness to others. If we do any fixing, it needs to be focused on ourselves and not on fixing what we think is wrong in the lives of others. Unless of course they invite us to do so.

Monika M. Woolsey, MS, RD

http://www.afterthediet.com

[Guest guest]

Monika: I just had to reply: your response was SO well said! I am in total

agreement with you. -Rosemary Mueller, M.P.H., R.D., Mount Prospect, IL

,

Thanks for speaking up. I was starting to feel a bit uncomfortable with all the judgments we were making about people we don't even know. Those thoughts can often transfer into body language that these clients can read when they do decide to come in and ask for help. If they believe we see them as lazy and failures before they have even tried...no wonder we have such a failure rate as dietitians. We are part of the problem.

These are not just fat people who need to eat less and exercise more, they are people with stories, talents, histories, and emotions. All of that is part of what they bring into the picture, and we need to always respect that.

In the middle of preparing for a workshop I am going to be doing in Memphis, I heard a speaker talk about how on the CDC maps they had to come up with a new color for Mississippi because the rate of obesity has jumped to a new level. I am very excited to be going down there and spending time in the area to learn more about why this may be, there may be clues I gain in my trip that provide insight.

It is my opportunity to help, not to preach to them about what they are doing wrong.

We could all do better to be curious and think like detectives rather than like Pentecostal ministers damning the crowd while hiding our own "faults".

This day and age we especially need to practice more kindness to others. If we do any fixing, it needs to be focused on ourselves and not on fixing what we think is wrong in the lives of others. Unless of course they invite us to do so.

Monika M. Woolsey, MS, RD

http://www.afterthediet.com

[Guest guest]

Monika...I am so proud to be part of a group that has you as a member...you have such a (unique to dietetics) REAL way of stating what should be obvious...I love what I do!!

H. Joyce

Stillwater Medical Center

Nutrition Services

ejoyce@...

"discipline imposed from the outside eventually defeats when it is not matched by desire from within" dawson trotman

IMPORTANT - This e-mail message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you have received this message in error, you are hereby notified that we do not consent to any reading, dissemination, distribution or copying of this e-mail message. If you have received this communication in error, please notify the sender immediately by e-mail and destroy the transmitted information. Violators may be prosecuted.

E-mail transmission cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late, incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission.

www.stillwater-medical.org

,

Thanks for speaking up. I was starting to feel a bit uncomfortable with all the judgments we were making about people we don't even know. Those thoughts can often transfer into body language that these clients can read when they do decide to come in and ask for help. If they believe we see them as lazy and failures before they have even tried...no wonder we have such a failure rate as dietitians. We are part of the problem.

These are not just fat people who need to eat less and exercise more, they are people with stories, talents, histories, and emotions. All of that is part of what they bring into the picture, and we need to always respect that.

In the middle of preparing for a workshop I am going to be doing in Memphis, I heard a speaker talk about how on the CDC maps they had to come up with a new color for Mississippi because the rate of obesity has jumped to a new level. I am very excited to be going down there and spending time in the area to learn more about why this may be, there may be clues I gain in my trip that provide insight.

It is my opportunity to help, not to preach to them about what they are doing wrong.

We could all do better to be curious and think like detectives rather than like Pentecostal ministers damning the crowd while hiding our own "faults".

This day and age we especially need to practice more kindness to others. If we do any fixing, it needs to be focused on ourselves and not on fixing what we think is wrong in the lives of others. Unless of course they invite us to do so.

Monika M. Woolsey, MS, RD

http://www.afterthediet.com

[Guest guest]

Hi ya'll I'm an RD near Houston Texas which is usually voted one of

the fatest citiies.

I agree with the " gulp, gulp, gulp " comment. Another think I'll

complain about since I have grade school children is that these days

there are way too many new cool snack foods. My kids go shopping

with me and they usually insist upon the newest, coolest fruit roll

up flavor, the peanut butter that comes in the squeeze package, the

cool new flavor of capri sun and things of this nature. Those damn

commercials are really working!!

We ought to boycott fruit roll ups!

I'm very concerned about the childhood obesity problem. I definitely

see it in my kids school. Then I've heard before my kids tell me

that in PE they watched a video instead of exercised because it was

either too hot or to rainy or too cold to go outside! That used to

burn me up, but things are better the last 2 years.

Is there anyone who has noticed if pediatricians are showing some

concern? We should be getting referrals.

[Guest guest]

I get referrals every day, and just spoke /c a pediatrician this am...they're out there, but until the parents get on board and say no...the food wouldn't be out there if we weren't wanting it and buying it...I'm all FOR boycotts.

H. Joyce

Stillwater Medical Center

Nutrition Services

ejoyce@...

"discipline imposed from the outside eventually defeats when it is not matched by desire from within" dawson trotman

IMPORTANT - This e-mail message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you have received this message in error, you are hereby notified that we do not consent to any reading, dissemination, distribution or copying of this e-mail message. If you have received this communication in error, please notify the sender immediately by e-mail and destroy the transmitted information. Violators may be prosecuted.

E-mail transmission cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late, incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission.

www.stillwater-medical.org

Hi ya'll I'm an RD near Houston Texas which is usually voted one of

the fatest citiies.

I agree with the " gulp, gulp, gulp " comment. Another think I'll

complain about since I have grade school children is that these days

there are way too many new cool snack foods. My kids go shopping

with me and they usually insist upon the newest, coolest fruit roll

up flavor, the peanut butter that comes in the squeeze package, the

cool new flavor of capri sun and things of this nature. Those damn

commercials are really working!!

We ought to boycott fruit roll ups!

I'm very concerned about the childhood obesity problem. I definitely

see it in my kids school. Then I've heard before my kids tell me

that in PE they watched a video instead of exercised because it was

either too hot or to rainy or too cold to go outside! That used to

burn me up, but things are better the last 2 years.

Is there anyone who has noticed if pediatricians are showing some

concern? We should be getting referrals.

[Guest guest]

Monika,

I agree with you and re this message. But, I think it's alarming that weight trends have changed so dramatically upwards. My opinion is based not on beauty according to the smalles size, but on the health risks associated with weights. I believe that healthy people, regardless of weight, are beautiful and attractive. Once health fails, it does not matter how much or how little one weighs. I know hypertensives who are well below DBW levels, and will have impaired kidney function in a few years. The point is that health and fitness apply to every one of us, not weight. I wonder if all of us as dietitians have missed the point by focusing on weight rather than health and fitness. I cannot answer my own question, as I've worked in gerontology and long-term-care for the last 30 years. I need someone else to help me with the answers.

Digna Cassens, MHA, RDhttp://groups.msn.com/RDForum

Re: Rant-St Louis and obesity

,

Thanks for speaking up. I was starting to feel a bit uncomfortable with all the judgments we were making about people we don't even know. Those thoughts can often transfer into body language that these clients can read when they do decide to come in and ask for help. If they believe we see them as lazy and failures before they have even tried...no wonder we have such a failure rate as dietitians. We are part of the problem.

These are not just fat people who need to eat less and exercise more, they are people with stories, talents, histories, and emotions. All of that is part of what they bring into the picture, and we need to always respect that.

In the middle of preparing for a workshop I am going to be doing in Memphis, I heard a speaker talk about how on the CDC maps they had to come up with a new color for Mississippi because the rate of obesity has jumped to a new level. I am very excited to be going down there and spending time in the area to learn more about why this may be, there may be clues I gain in my trip that provide insight.

It is my opportunity to help, not to preach to them about what they are doing wrong.

We could all do better to be curious and think like detectives rather than like Pentecostal ministers damning the crowd while hiding our own "faults".

This day and age we especially need to practice more kindness to others. If we do any fixing, it needs to be focused on ourselves and not on fixing what we think is wrong in the lives of others. Unless of course they invite us to do so.

Monika M. Woolsey, MS, RD

http://www.afterthediet.com

[Guest guest]

Digna,

I appreciate your points. I don't think I was being judgmental at all about my 'observations.' I was only shocked by the disparity of what I observed in St. Louis/St s/ compared to what I'd observed elsewhere's in the country. (I've been in at least 20 different states and 2 countries in the past 6 years.)

As you say, we know obesity is related to health, quality of life, self esteem and longevity issues. Whatever we can do as a profession to reverse this trend is of great value. I just never really appreciated the enormity (NO pun intended) of the obesity crisis.

Jan

Subj: Re: Rant-St Louis and obesity

Date: 5/19/2004 10:48:57 PM Mountain Daylight Time

From: dignac@...

Reply-to: rd-usa

To: rd-usa

Sent from the Internet

Monika,

I agree with you and re this message. But, I think it's alarming that weight trends have changed so dramatically upwards. My opinion is based not on beauty according to the smalles size, but on the health risks associated with weights. I believe that healthy people, regardless of weight, are beautiful and attractive. Once health fails, it does not matter how much or how little one weighs. I know hypertensives who are well below DBW levels, and will have impaired kidney function in a few years. The point is that health and fitness apply to every one of us, not weight. I wonder if all of us as dietitians have missed the point by focusing on weight rather than health and fitness. I cannot answer my own question, as I've worked in gerontology and long-term-care for the last 30 years. I need someone else to help me with the answers.

Digna Cassens, MHA, RD

http://groups.msn.com/RDForum

Re: Rant-St Louis and obesity

,

Thanks for speaking up. I was starting to feel a bit uncomfortable with all the judgments we were making about people we don't even know. Those thoughts can often transfer into body language that these clients can read when they do decide to come in and ask for help. If they believe we see them as lazy and failures before they have even tried...no wonder we have such a failure rate as dietitians. We are part of the problem.

These are not just fat people who need to eat less and exercise more, they are people with stories, talents, histories, and emotions. All of that is part of what they bring into the picture, and we need to always respect that.

In the middle of preparing for a workshop I am going to be doing in Memphis, I heard a speaker talk about how on the CDC maps they had to come up with a new color for Mississippi because the rate of obesity has jumped to a new level. I am very excited to be going down there and spending time in the area to learn more about why this may be, there may be clues I gain in my trip that provide insight.

It is my opportunity to help, not to preach to them about what they are doing wrong.

We could all do better to be curious and think like detectives rather than like Pentecostal ministers damning the crowd while hiding our own "faults".

This day and age we especially need to practice more kindness to others. If we do any fixing, it needs to be focused on ourselves and not on fixing what we think is wrong in the lives of others. Unless of course they invite us to do so.

Monika M. Woolsey, MS, RD

http://www.afterthediet.com

[Guest guest]

Jan, I was not being critical of your comments. Actually, my mother, who comes here once a year, and had a serious weight problem in her youth, well before there were treatment centers etc, comments each time she comes about the number of grossly and morbidly obese people she sees in CA. That is amazing to me, especially since desirable weights as far as attractiveness is concerned,are much higher in Latin countries - I've always been considered uglylly thin in Puerto Rico.

I stopped travelling 3 years ago and took a local job. I did notice marked differences in weights in some areas more than in others, but not as dramatically as what you're stating. I think that the way food is prepared has a lot to do with it, not just the food choices we make. Actually, Jan, you sounded more amazed and curious to me, not judgmental.

Digna Cassens, MHA, RDhttp://groups.msn.com/RDForum

Re: Rant-St Louis and obesity, Thanks for speaking up. I was starting to feel a bit uncomfortable with all the judgments we were making about people we don't even know. Those thoughts can often transfer into body language that these clients can read when they do decide to come in and ask for help. If they believe we see them as lazy and failures before they have even tried...no wonder we have such a failure rate as dietitians. We are part of the problem. These are not just fat people who need to eat less and exercise more, they are people with stories, talents, histories, and emotions. All of that is part of what they bring into the picture, and we need to always respect that. In the middle of preparing for a workshop I am going to be doing in Memphis, I heard a speaker talk about how on the CDC maps they had to come up with a new color for Mississippi because the rate of obesity has jumped to a new level. I am very excited to be going down there and spending time in the area to learn more about why this may be, there may be clues I gain in my trip that provide insight. It is my opportunity to help, not to preach to them about what they are doing wrong. We could all do better to be curious and think like detectives rather than like Pentecostal ministers damning the crowd while hiding our own "faults". This day and age we especially need to practice more kindness to others. If we do any fixing, it needs to be focused on ourselves and not on fixing what we think is wrong in the lives of others. Unless of course they invite us to do so. Monika M. Woolsey, MS, RDhttp://www.afterthediet.com

[Guest guest]

,

I received your registration for the OKC workshop. I am so excited you're coming! I just did the first one in Memphis and it went really well. It has me revved up for all this traveling!

Have a great holiday,

Monika