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Then The Dog Rescued Him","publishDate":1457634027,"format":"video","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Eric O'Grey knew he was in trouble. His weight had ballooned to 320 pounds, and he was spending more than $1,000 a month on medications for high blood pressure, Type 2 diabetes and high cholesterol.\u003c/p>\n\u003cp>In 2010, a physician told him to buy a funeral plot, because he would need it in five years. He was 51 years old.\u003c/p>\n\u003cp>So he went to talk with a naturopathic doctor about losing weight. She said: Get a shelter dog.\u003c/p>\n\u003cp>O'Grey was surprised, but he took that advice, heading to the Humane Society Silicon Valley near his home in San Jose. He told the shelter, \"I want an obese middle-aged dog, like me.\" That's how he met Peety.\u003c/p>\n\u003cp>Peety needed to be walked, so Eric and Peety walked, for at least a half-hour a day. O'Grey, who was working as an area sales manager for GE appliances, shifted to a \u003ca href=\"http://www.worldofvegan.com/inspiring-vegan-weight-loss-story/\" target=\"_blank\">plant-based diet\u003c/a>. Over the course of a year, he lost 140 pounds. Peety lost 25. O'Grey got off the meds.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It wasn't just the walks with Peety that transformed O'Grey's life. The dog helped keep him from backsliding into his old, unhealthful ways. \"He looked at me like I was the best person on the planet, and I wanted to become the person he thought I was.\"\u003c/p>\n\u003cp>Their story might have ended there. But Carol Novello, president of the Humane Society Silicon Valley, had been trying to make the point that helping animals improves the lives of humans, too. She was finding that a tough sell, so she started looking for stories that made the case. \"A while ago, Eric O'Grey submitted his story, and I just loved it.\"\u003c/p>\n\u003cp>Novello, a former tech executive, asked David Whitman, executive producer of the Tech Awards of Silicon Valley, what they could do with Eric and Peety's story. He came up with the idea of the \u003ca href=\"http://www.hssv.org/betterfuture/mutual-rescue/faq.html?referrer=https://www.google.com/\" target=\"_blank\">Mutual Rescue\u003c/a> initiative, which includes a \u003ca href=\"http://hssv.convio.net/site/Survey?ACTION_REQUIRED=URI_ACTION_USER_REQUESTS&SURVEY_ID=16063&_ga=1.201837714.286648895.1457468764#intro\" target=\"_blank\">contest\u003c/a> where people can share stories of how a shelter animal changed their lives. The winning tale gets a video made about their rescue story. Donors to the HSSV funded the production of the \u003ca href=\"https://www.youtube.com/watch?v=Rm0qYRWQpZI\" target=\"_blank\">Eric and Peety video\u003c/a> as an example.\u003c/p>\n\u003cp>\"It's really about the transformation and the impact that animals can have on our lives,\" Novello says.\u003c/p>\n\u003cp>Since the contest opened in February, the HSSV has received hundreds of stories, many of which focus on health. \"We may do a Mutual Rescue weight-loss series,\" Novello says. \"There are a lot of them.\"\u003c/p>\n\u003cp>Sure, stories are nice, but do \u003ca href=\"http://www.cdc.gov/healthypets/health-benefits/\" target=\"_blank\">pets really improve human health\u003c/a>? No less an authority than the Centers for Disease Control and Prevention says yes. Having a pet can help decrease blood pressure, cholesterol, triglycerides and feelings of loneliness, the CDC says, while increasing opportunities for exercise and socializing with other humans. And there's \u003ca href=\"https://petpartners.org/about-us/who-we-are/\" target=\"_blank\">increasing evidence\u003c/a> that interaction with pets helps people cope with challenges, including PTSD, Alzheimer's and the end of life.\u003c/p>\n\u003cp>I know our shelter kitties make my family happier, even though they haven't helped me lose weight. And watching the Eric and Peety video has to be good for my heart, though it makes me reach for the tissues every time.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"He transformed me into a completely different person,\" O'Grey says in the video. \"I think about it now: Who rescued whom? Did I rescue him, or did he rescue me?\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=He+Rescued+A+Dog.+Then+The+Dog+Rescued+Him+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n","blocks":[],"excerpt":"Eric O'Grey was 51, obese and suffering from diabetes and high cholesterol when he took home an overweight shelter dog. It changed his life.","status":"publish","parent":0,"modified":1457660663,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":586},"headData":{"title":"He Rescued A Dog. Then The Dog Rescued Him | KQED","description":"Eric O'Grey was 51, obese and suffering from diabetes and high cholesterol when he took home an overweight shelter dog. 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Then The Dog Rescued Him","videoEmbed":"https://www.youtube.com/watch?v=Rm0qYRWQpZI","nprByline":"Nancy Shute\u003cbr /> NPR","nprImageAgency":"via Mutual Rescue/YouTube","nprStoryId":"469785736","nprApiLink":"http://api.npr.org/query?id=469785736&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2016/03/10/469785736/he-rescued-a-dog-then-the-dog-rescued-him?ft=nprml&f=469785736","nprRetrievedStory":"1","nprPubDate":"Thu, 10 Mar 2016 12:16:00 -0500","nprStoryDate":"Thu, 10 Mar 2016 10:49:00 -0500","nprLastModifiedDate":"Thu, 10 Mar 2016 12:16:31 -0500","path":"/stateofhealth/158331/he-rescued-a-dog-then-the-dog-rescued-him","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Eric O'Grey knew he was in trouble. His weight had ballooned to 320 pounds, and he was spending more than $1,000 a month on medications for high blood pressure, Type 2 diabetes and high cholesterol.\u003c/p>\n\u003cp>In 2010, a physician told him to buy a funeral plot, because he would need it in five years. He was 51 years old.\u003c/p>\n\u003cp>So he went to talk with a naturopathic doctor about losing weight. She said: Get a shelter dog.\u003c/p>\n\u003cp>O'Grey was surprised, but he took that advice, heading to the Humane Society Silicon Valley near his home in San Jose. He told the shelter, \"I want an obese middle-aged dog, like me.\" That's how he met Peety.\u003c/p>\n\u003cp>Peety needed to be walked, so Eric and Peety walked, for at least a half-hour a day. O'Grey, who was working as an area sales manager for GE appliances, shifted to a \u003ca href=\"http://www.worldofvegan.com/inspiring-vegan-weight-loss-story/\" target=\"_blank\">plant-based diet\u003c/a>. Over the course of a year, he lost 140 pounds. Peety lost 25. O'Grey got off the meds.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It wasn't just the walks with Peety that transformed O'Grey's life. The dog helped keep him from backsliding into his old, unhealthful ways. \"He looked at me like I was the best person on the planet, and I wanted to become the person he thought I was.\"\u003c/p>\n\u003cp>Their story might have ended there. But Carol Novello, president of the Humane Society Silicon Valley, had been trying to make the point that helping animals improves the lives of humans, too. She was finding that a tough sell, so she started looking for stories that made the case. \"A while ago, Eric O'Grey submitted his story, and I just loved it.\"\u003c/p>\n\u003cp>Novello, a former tech executive, asked David Whitman, executive producer of the Tech Awards of Silicon Valley, what they could do with Eric and Peety's story. He came up with the idea of the \u003ca href=\"http://www.hssv.org/betterfuture/mutual-rescue/faq.html?referrer=https://www.google.com/\" target=\"_blank\">Mutual Rescue\u003c/a> initiative, which includes a \u003ca href=\"http://hssv.convio.net/site/Survey?ACTION_REQUIRED=URI_ACTION_USER_REQUESTS&SURVEY_ID=16063&_ga=1.201837714.286648895.1457468764#intro\" target=\"_blank\">contest\u003c/a> where people can share stories of how a shelter animal changed their lives. The winning tale gets a video made about their rescue story. Donors to the HSSV funded the production of the \u003ca href=\"https://www.youtube.com/watch?v=Rm0qYRWQpZI\" target=\"_blank\">Eric and Peety video\u003c/a> as an example.\u003c/p>\n\u003cp>\"It's really about the transformation and the impact that animals can have on our lives,\" Novello says.\u003c/p>\n\u003cp>Since the contest opened in February, the HSSV has received hundreds of stories, many of which focus on health. \"We may do a Mutual Rescue weight-loss series,\" Novello says. \"There are a lot of them.\"\u003c/p>\n\u003cp>Sure, stories are nice, but do \u003ca href=\"http://www.cdc.gov/healthypets/health-benefits/\" target=\"_blank\">pets really improve human health\u003c/a>? No less an authority than the Centers for Disease Control and Prevention says yes. Having a pet can help decrease blood pressure, cholesterol, triglycerides and feelings of loneliness, the CDC says, while increasing opportunities for exercise and socializing with other humans. And there's \u003ca href=\"https://petpartners.org/about-us/who-we-are/\" target=\"_blank\">increasing evidence\u003c/a> that interaction with pets helps people cope with challenges, including PTSD, Alzheimer's and the end of life.\u003c/p>\n\u003cp>I know our shelter kitties make my family happier, even though they haven't helped me lose weight. And watching the Eric and Peety video has to be good for my heart, though it makes me reach for the tissues every time.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"He transformed me into a completely different person,\" O'Grey says in the video. \"I think about it now: Who rescued whom? Did I rescue him, or did he rescue me?\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=He+Rescued+A+Dog.+Then+The+Dog+Rescued+Him+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/158331/he-rescued-a-dog-then-the-dog-rescued-him","authors":["byline_stateofhealth_158331"],"categories":["stateofhealth_12"],"tags":["stateofhealth_118","stateofhealth_2519","stateofhealth_117"],"featImg":"stateofhealth_158347","label":"stateofhealth"},"stateofhealth_64117":{"type":"posts","id":"stateofhealth_64117","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"64117","score":null,"sort":[1440012815000]},"guestAuthors":[],"slug":"californians-better-insured-but-more-obese-and-diabetic-says-survey","title":"Californians Better Insured, But More Obese and Diabetic, Says Survey","publishDate":1440012815,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>The Affordable Care Act, aka Obamacare, has had a significant impact on\u003cbr>\ndecreasing the number of adults without health insurance, according to new \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/Medi-Cal-factsheet-aug2015.pdf\" target=\"_blank\">data\u003c/a> from the California Health Interview Survey, released Tuesday by the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>The two-year survey queried 23,160 Californians in 2013 and 24,845 in 2014.\u003c/p>\n\u003cp>The center said that as a result of Obamacare's 2014 expansion of Medi-Cal to those households just above the federal poverty level, the rate of uninsured Californians ages 19-64 fell from 20.6 percent to 17.4 percent.\u003c/p>\n\u003cp>Among all nonelderly Californians, \"the uninsured rate declined to a new low of 13.6%,\" the center said.\u003c/p>\n\u003cp>On the negative side, two troubling statistics:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>About 27 percent of Californians were considered obese in 2014, compared to 19 percent in 2001. That's a whopping 42 percent increase.\u003c/p>\n\u003cp>And nearly 9 percent of respondents reported having been diagnosed with diabetes. The trendline on that is not encouraging, either, surging from 6.6 percent in 20013 to 8.9 percent in 2014.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\">\u003cimg class=\"aligncenter size-full wp-image-64147\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\" alt=\"diabetes\" width=\"640\" height=\"396\">\u003c/a>\u003c/p>\n\u003cp>More findings highlighted by the center in its press release:\u003c/p>\n\u003cblockquote>\n\u003cul>\n\u003cli>Children and sedentary time. On a typical weekday, nearly half (46.5 percent) of children ages 2 to 11 spend 2 or more hours a day watching TV, playing computer games or talking with friends, and that increases on the weekend to more than 7 in 10 children (71.7 percent).\u003c/li>\n\u003cli>Teens and smoking. Roughly 1 in 10 teens reported “vaping,” smoking e-cigarettes.\u003c/li>\n\u003cli>High school students and community. Nearly 90 percent of adolescents feel they can make a difference in their community, a positive attitude that spanned disparate incomes and races/ethnicities.\u003c/li>\n\u003cli>Women and family planning. Birth control pills still reign as the most popular method of family planning among women. Of nearly 2 million women ages 18 to 44 who received birth control from a doctor, 56.6 percent were on the pill. Nearly 34 percent used IUDs, implants and other hormonal methods.\u003c/li>\n\u003cli>Adults and smoking. Nearly 12 percent of adults 18 and older are current smokers, but 7 in 10 of those smokers have thought about quitting in the next 6 months.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>If you want to find more stats related to the survey, you can register at the \u003ca href=\"http://ask.chis.ucla.edu/ask/SitePages/AskChisLogin.aspx?ReturnUrl=%2fAskCHIS%2ftools%2f_layouts%2fAuthenticate.aspx%3fSource%3d%252FAskCHIS%252Ftools%252F%255Flayouts%252FAskChisTool%252Fhome%252Easpx&Source=%2FAskCHIS%2Ftools%2F_layouts%2FAskChisTool%2Fhome%2Easpx\" target=\"_blank\">AskCHIS website\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"Findings from the California Health Interview Survey, which queried 48,000 residents in 2013-14.","status":"publish","parent":0,"modified":1440012987,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":384},"headData":{"title":"Californians Better Insured, But More Obese and Diabetic, Says Survey | KQED","description":"Findings from the California Health Interview Survey, which queried 48,000 residents in 2013-14.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"64117 http://ww2.kqed.org/stateofhealth/?p=64117","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/08/19/californians-better-insured-but-more-obese-and-diabetic-says-survey/","disqusTitle":"Californians Better Insured, But More Obese and Diabetic, Says Survey","path":"/stateofhealth/64117/californians-better-insured-but-more-obese-and-diabetic-says-survey","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Affordable Care Act, aka Obamacare, has had a significant impact on\u003cbr>\ndecreasing the number of adults without health insurance, according to new \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/Medi-Cal-factsheet-aug2015.pdf\" target=\"_blank\">data\u003c/a> from the California Health Interview Survey, released Tuesday by the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>The two-year survey queried 23,160 Californians in 2013 and 24,845 in 2014.\u003c/p>\n\u003cp>The center said that as a result of Obamacare's 2014 expansion of Medi-Cal to those households just above the federal poverty level, the rate of uninsured Californians ages 19-64 fell from 20.6 percent to 17.4 percent.\u003c/p>\n\u003cp>Among all nonelderly Californians, \"the uninsured rate declined to a new low of 13.6%,\" the center said.\u003c/p>\n\u003cp>On the negative side, two troubling statistics:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>About 27 percent of Californians were considered obese in 2014, compared to 19 percent in 2001. That's a whopping 42 percent increase.\u003c/p>\n\u003cp>And nearly 9 percent of respondents reported having been diagnosed with diabetes. The trendline on that is not encouraging, either, surging from 6.6 percent in 20013 to 8.9 percent in 2014.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\">\u003cimg class=\"aligncenter size-full wp-image-64147\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\" alt=\"diabetes\" width=\"640\" height=\"396\">\u003c/a>\u003c/p>\n\u003cp>More findings highlighted by the center in its press release:\u003c/p>\n\u003cblockquote>\n\u003cul>\n\u003cli>Children and sedentary time. On a typical weekday, nearly half (46.5 percent) of children ages 2 to 11 spend 2 or more hours a day watching TV, playing computer games or talking with friends, and that increases on the weekend to more than 7 in 10 children (71.7 percent).\u003c/li>\n\u003cli>Teens and smoking. Roughly 1 in 10 teens reported “vaping,” smoking e-cigarettes.\u003c/li>\n\u003cli>High school students and community. Nearly 90 percent of adolescents feel they can make a difference in their community, a positive attitude that spanned disparate incomes and races/ethnicities.\u003c/li>\n\u003cli>Women and family planning. Birth control pills still reign as the most popular method of family planning among women. Of nearly 2 million women ages 18 to 44 who received birth control from a doctor, 56.6 percent were on the pill. Nearly 34 percent used IUDs, implants and other hormonal methods.\u003c/li>\n\u003cli>Adults and smoking. Nearly 12 percent of adults 18 and older are current smokers, but 7 in 10 of those smokers have thought about quitting in the next 6 months.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>If you want to find more stats related to the survey, you can register at the \u003ca href=\"http://ask.chis.ucla.edu/ask/SitePages/AskChisLogin.aspx?ReturnUrl=%2fAskCHIS%2ftools%2f_layouts%2fAuthenticate.aspx%3fSource%3d%252FAskCHIS%252Ftools%252F%255Flayouts%252FAskChisTool%252Fhome%252Easpx&Source=%2FAskCHIS%2Ftools%2F_layouts%2FAskChisTool%2Fhome%2Easpx\" target=\"_blank\">AskCHIS website\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/64117/californians-better-insured-but-more-obese-and-diabetic-says-survey","authors":["80"],"categories":["stateofhealth_11","stateofhealth_12","stateofhealth_15"],"tags":["stateofhealth_38","stateofhealth_118","stateofhealth_99","stateofhealth_365","stateofhealth_117"],"featImg":"stateofhealth_17893","label":"stateofhealth"},"stateofhealth_22786":{"type":"posts","id":"stateofhealth_22786","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"22786","score":null,"sort":[1417630890000]},"guestAuthors":[],"slug":"how-obesity-spills-over-into-our-sex-lives","title":"How Obesity Spills Over Into Our Sex Lives ","publishDate":1417630890,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_22796\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000050853770_Large-e1417630663656.jpg\">\u003cimg class=\"size-large wp-image-22796\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000050853770_Large-640x555.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"555\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Irene Noguchi\u003c/strong>\u003c/p>\n\u003cp>Journalist Sarah Varney’s book might make you think twice the next time you step on a scale.\u003c/p>\n\u003cp>Over two-thirds of Americans are \u003ca title=\"http://jama.jamanetwork.com/article.aspx?articleid=1104933; http://www.cdc.gov/obesity/data/\" href=\"http://jama.jamanetwork.com/article.aspx?articleid=1104933;%20http://www.cdc.gov/obesity/data/\" target=\"_blank\">overweight or obese\u003c/a>, and that extra weight increases the risk of all kinds of physical health problems.\u003c/p>\n\u003cp>But Varney looked at an under-reported area -- how being significantly overweight contributes to sexual problems, both emotional and physical -- in her new book \"\u003ca title=\"http://www.amazon.com/XL-Love-Obesity-Complicating-Americas/dp/1609614836\" href=\"http://www.amazon.com/XL-Love-Obesity-Complicating-Americas/dp/1609614836\" target=\"_blank\">XL Love: How the Obesity Crisis is Complicating America's Love Life\u003c/a>.\"\u003c/p>\n\u003cp>For starters being overweight or obese leads to riskier sexual behavior for girls and women and erectile dysfunction for men, she described recently on \u003ca title=\"http://www.kqed.org/a/forum/R201411121000\" href=\"http://www.kqed.org/a/forum/R201411121000\" target=\"_blank\">KQED's Forum\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/176622145&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>The risks start young. Girls are entering puberty earlier, and that leads to \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/11/04/study-girls-entering-puberty-younger-obesity-appears-major-factor-kaiser-san-francisco/\" href=\"http://ww2.kqed.org/stateofhealth/2013/11/04/study-girls-entering-puberty-younger-obesity-appears-major-factor-kaiser-san-francisco/\" target=\"_blank\">lower self-esteem and higher risk of depression\u003c/a>. One in four African-American girls \u003ca title=\"http://pediatrics.aappublications.org/content/early/2013/10/30/peds.2012-3773.abstract\" href=\"http://pediatrics.aappublications.org/content/early/2013/10/30/peds.2012-3773.abstract\" target=\"_blank\">will start developing breasts \u003c/a>by the age of 7. The same happens for about 15 percent of Latinos and about 10 percent of whites, with lower percentages for Asian-Americans.\u003c/p>\n\u003cp>Overweight and obese girls are having sex earlier, and that worries parents and adolescent psychologists. Varney, who is a senior correspondent with Kaiser Health News, added that studies show girls who start puberty earlier were at higher risk for sexual touching and sexual abuse\u003c/p>\n\u003cp>When obese girls had sex, they took more risks. They were more likely to have sex before the age of 13, more likely to have three or more partners by the time they finished high school, and less likely to use condoms.\u003c/p>\n\u003cp>\u003cstrong>Erectile Dysfunction in Men\u003c/strong>\u003cbr>\nOverweight and obese men were reporting problems with their libido and erectile dysfunction. “Men tend to store fat in their bellies, which has an enzyme that converts testosterone into estrogen,” Varney says. So overweight men tend to have lower levels of testosterone, which affects their performance in bed. “It is not surprising to see a huge rise in Cialis and testosterone treatments, at the same time we’re seeing an increase in obesity in the U.S.,” Varney noted.\u003c/p>\n\u003cp>\u003cstrong>Emotional Effects\u003c/strong>\u003cbr>\nVarney says doctors often get squeamish talking about obesity and sex. “It’s one of their least favorite subjects,\" she said. But the fear goes both ways -- patients say they don’t feel they can confide in doctors about their problems. Varney said people told her they had a hard enough time talking to anyone in their family about their weight. They told her that they had to \"put on this front that I'm doing okay,\" Varney says.\u003c/p>\n\u003cp>One of her interviewees, Dana, a petite overweight woman, called herself “The Monster.” In Varney’s book, Dana talked about feeling invisible to the outside world.\u003c/p>\n\u003cp>“She talks about reaching for something on the top shelf [in a store], and nobody would help her. Nobody would open the door for her when she was walking in places,” says Varney.\u003c/p>\n\u003cp>“Not only are you dealing with how the world is treating you, but you’re also dealing with all the physical disabilities of being that heavy: the severe knee pain, the terrible sleep apnea,\" Varney said. Dana also worried she would lose her job and worried about how she would pay her mortgage and health insurance premiums.\u003c/p>\n\u003cp>“When you talk to people who are obese and get beyond the platitudes, there are a lot of serious concerns they have about mobility, ability to keep their jobs, provide for their families,\" Varney said. \"These are serious concerns, it’s not just [about] body image or self esteem.”\u003c/p>\n\u003cp>Dana eventually had bariatric weight loss surgery and a tummy tuck. But when she sat her new, slim self opposite her husband (“a loving man who has always been very supportive of her,” Varney says), Dana didn’t get the response she was hoping for.\u003c/p>\n\u003cp>“She’s looking at him and wondering, ‘When is he going to put the moves on me again?’ And he says, ‘It’s been so long that our relationship has been in the cooler, I just stopped thinking about you that way.’”\u003c/p>\n\u003cp>Varney says many of the people she met while researching this book surprised her. They talked about how obesity affected them on deep physical and emotional levels that went beyond basic stereotypes. And losing weight wasn’t necessarily the solution to their problems.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Carlos Romero was 28 and weighed over 400 pounds. Doctors diagnosed him with muscular dystrophy, which inspired him to lose more than half his weight. He changed his diet, started exercising, and successfully dating. But Varney says, “When he looks in the mirror, he still sees this 400-pound man and everything that’s wrong with him, as opposed to all the progress that he’s made.”\u003c/p>\n\n","blocks":[],"excerpt":"Extra weight drives everything from earlier puberty in girls to erectile dysfunction in men. ","status":"publish","parent":0,"modified":1417632022,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":819},"headData":{"title":"How Obesity Spills Over Into Our Sex Lives | KQED","description":"Extra weight drives everything from earlier puberty in girls to erectile dysfunction in men. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"22786 http://blogs.kqed.org/stateofhealth/?p=22786","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/12/03/how-obesity-spills-over-into-our-sex-lives/","disqusTitle":"How Obesity Spills Over Into Our Sex Lives ","path":"/stateofhealth/22786/how-obesity-spills-over-into-our-sex-lives","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22796\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000050853770_Large-e1417630663656.jpg\">\u003cimg class=\"size-large wp-image-22796\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000050853770_Large-640x555.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"555\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Irene Noguchi\u003c/strong>\u003c/p>\n\u003cp>Journalist Sarah Varney’s book might make you think twice the next time you step on a scale.\u003c/p>\n\u003cp>Over two-thirds of Americans are \u003ca title=\"http://jama.jamanetwork.com/article.aspx?articleid=1104933; http://www.cdc.gov/obesity/data/\" href=\"http://jama.jamanetwork.com/article.aspx?articleid=1104933;%20http://www.cdc.gov/obesity/data/\" target=\"_blank\">overweight or obese\u003c/a>, and that extra weight increases the risk of all kinds of physical health problems.\u003c/p>\n\u003cp>But Varney looked at an under-reported area -- how being significantly overweight contributes to sexual problems, both emotional and physical -- in her new book \"\u003ca title=\"http://www.amazon.com/XL-Love-Obesity-Complicating-Americas/dp/1609614836\" href=\"http://www.amazon.com/XL-Love-Obesity-Complicating-Americas/dp/1609614836\" target=\"_blank\">XL Love: How the Obesity Crisis is Complicating America's Love Life\u003c/a>.\"\u003c/p>\n\u003cp>For starters being overweight or obese leads to riskier sexual behavior for girls and women and erectile dysfunction for men, she described recently on \u003ca title=\"http://www.kqed.org/a/forum/R201411121000\" href=\"http://www.kqed.org/a/forum/R201411121000\" target=\"_blank\">KQED's Forum\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/176622145&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>The risks start young. Girls are entering puberty earlier, and that leads to \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/11/04/study-girls-entering-puberty-younger-obesity-appears-major-factor-kaiser-san-francisco/\" href=\"http://ww2.kqed.org/stateofhealth/2013/11/04/study-girls-entering-puberty-younger-obesity-appears-major-factor-kaiser-san-francisco/\" target=\"_blank\">lower self-esteem and higher risk of depression\u003c/a>. One in four African-American girls \u003ca title=\"http://pediatrics.aappublications.org/content/early/2013/10/30/peds.2012-3773.abstract\" href=\"http://pediatrics.aappublications.org/content/early/2013/10/30/peds.2012-3773.abstract\" target=\"_blank\">will start developing breasts \u003c/a>by the age of 7. The same happens for about 15 percent of Latinos and about 10 percent of whites, with lower percentages for Asian-Americans.\u003c/p>\n\u003cp>Overweight and obese girls are having sex earlier, and that worries parents and adolescent psychologists. Varney, who is a senior correspondent with Kaiser Health News, added that studies show girls who start puberty earlier were at higher risk for sexual touching and sexual abuse\u003c/p>\n\u003cp>When obese girls had sex, they took more risks. They were more likely to have sex before the age of 13, more likely to have three or more partners by the time they finished high school, and less likely to use condoms.\u003c/p>\n\u003cp>\u003cstrong>Erectile Dysfunction in Men\u003c/strong>\u003cbr>\nOverweight and obese men were reporting problems with their libido and erectile dysfunction. “Men tend to store fat in their bellies, which has an enzyme that converts testosterone into estrogen,” Varney says. So overweight men tend to have lower levels of testosterone, which affects their performance in bed. “It is not surprising to see a huge rise in Cialis and testosterone treatments, at the same time we’re seeing an increase in obesity in the U.S.,” Varney noted.\u003c/p>\n\u003cp>\u003cstrong>Emotional Effects\u003c/strong>\u003cbr>\nVarney says doctors often get squeamish talking about obesity and sex. “It’s one of their least favorite subjects,\" she said. But the fear goes both ways -- patients say they don’t feel they can confide in doctors about their problems. Varney said people told her they had a hard enough time talking to anyone in their family about their weight. They told her that they had to \"put on this front that I'm doing okay,\" Varney says.\u003c/p>\n\u003cp>One of her interviewees, Dana, a petite overweight woman, called herself “The Monster.” In Varney’s book, Dana talked about feeling invisible to the outside world.\u003c/p>\n\u003cp>“She talks about reaching for something on the top shelf [in a store], and nobody would help her. Nobody would open the door for her when she was walking in places,” says Varney.\u003c/p>\n\u003cp>“Not only are you dealing with how the world is treating you, but you’re also dealing with all the physical disabilities of being that heavy: the severe knee pain, the terrible sleep apnea,\" Varney said. Dana also worried she would lose her job and worried about how she would pay her mortgage and health insurance premiums.\u003c/p>\n\u003cp>“When you talk to people who are obese and get beyond the platitudes, there are a lot of serious concerns they have about mobility, ability to keep their jobs, provide for their families,\" Varney said. \"These are serious concerns, it’s not just [about] body image or self esteem.”\u003c/p>\n\u003cp>Dana eventually had bariatric weight loss surgery and a tummy tuck. But when she sat her new, slim self opposite her husband (“a loving man who has always been very supportive of her,” Varney says), Dana didn’t get the response she was hoping for.\u003c/p>\n\u003cp>“She’s looking at him and wondering, ‘When is he going to put the moves on me again?’ And he says, ‘It’s been so long that our relationship has been in the cooler, I just stopped thinking about you that way.’”\u003c/p>\n\u003cp>Varney says many of the people she met while researching this book surprised her. They talked about how obesity affected them on deep physical and emotional levels that went beyond basic stereotypes. And losing weight wasn’t necessarily the solution to their problems.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Carlos Romero was 28 and weighed over 400 pounds. Doctors diagnosed him with muscular dystrophy, which inspired him to lose more than half his weight. He changed his diet, started exercising, and successfully dating. But Varney says, “When he looks in the mirror, he still sees this 400-pound man and everything that’s wrong with him, as opposed to all the progress that he’s made.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/22786/how-obesity-spills-over-into-our-sex-lives","authors":["8344"],"categories":["stateofhealth_12"],"tags":["stateofhealth_117"],"featImg":"stateofhealth_22796","label":"stateofhealth"},"stateofhealth_21979":{"type":"posts","id":"stateofhealth_21979","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"21979","score":null,"sort":[1412787123000]},"guestAuthors":[],"slug":"even-after-weight-is-lost-stigma-sticks-for-formerly-obese","title":"Even After Weight is Lost, Stigma Sticks for Formerly Obese","publishDate":1412787123,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_21982\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/iStock_000011843152_Large.jpg\">\u003cimg class=\"size-large wp-image-21982\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/iStock_000011843152_Large-640x489.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"489\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Sarah Varney,\u003c/strong> \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2014/October/08/Obesity-Stigma-Remains-After-Weight-Loss.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2014/October/08/Obesity-Stigma-Remains-After-Weight-Loss.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>Carlos Romero’s apartment is marked with remnants from his former life: a giant television from his days playing World of Warcraft and a pair of jeans the width of an easy chair. The remnants of that time -- when he weighed 437 pounds -- mark his body too: loose, hanging skin and stretch marks.\u003c/p>\n\u003cp>“I lift weights and work out and work hard, but there’s lasting damage,” said Romero, who lives in Seattle.\u003c/p>\n\u003cp>Yet for all the troubles he had dating when he was obese—all those unanswered requests on dating web sites—shedding weight left him uneasy about how much to reveal. “If you were to say to someone on the first date, ‘I lost 220 pounds,’ you’re indicating that you had a very serious issue at one point and that you may still have that issue,” he said. “So it’s not something I put on a dating profile because I don’t want people to judge me for it.”\u003c!--more-->\u003c/p>\n\u003cp>Indeed, the stigma of obesity is so strong that it can remain even after the weight is lost. Holly Fee, a sociologist at Bowling Green State University, has conducted some of the only research on dating attitudes toward the formerly obese. In 2012, Fee published her findings in the journal Sociological Inquiry.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>She found that potential suitors said they would hesitate to form a romantic relationship with someone who used to be heavy. “The big dragging factor in why they had this hesitation in forming this romantic relationship was that they believed these formerly obese individuals would regain their weight,” Fee said.\u003c/p>\n\u003cp>The prevailing belief is that people who have never been obese can control their weight, and those who’ve been heavy have less will power, said David Sarwer, a psychology professor and the director of clinical services at the Center for Weight and Eating Disorders at the Perelman School Medicine at the University of Pennsylvania. He said the physicians and the general public tend to think that obesity is “a moral failing, and that they can’t push away from the table.”\u003c/p>\n\u003cp>For men and women who have lost a significant amount of weight, fears about excess, hanging skin can hold them back from dating and being intimate. Health insurance almost never pays for costly plastic surgery to correct the problem which can be uncomfortable and embarrassing.\u003c/p>\n\u003cp>“I think they can be particularly self-conscious about this issue and be worried about the first time the partner sees them undressed,” Sarwer said. “How are they going to respond? Are they going to be grossed out? Are they not going to want to have sexual intimacy with them a second time?”\u003c/p>\n\u003cp>But it wasn’t sex or romance that sparked the big change in Carlos Romero two years ago. That’s when, at age 28, he was diagnosed with muscular dystrophy. Romero knew if he didn’t lose weight, his condition could worsen quickly. He stopped eating pizza, Ramen noodles and Dr. Pepper and began exercising. Then, a year ago, after he dropped a number of jean sizes, he tried Internet dating again. Romero updated his old profiles and pictures and started sending out messages.\u003c/p>\n\u003cp>“It was amazing at the time,” he said. “The girls that I was like, ‘I’ll never hear back from this girl. And then I’d hear back from them, and I was like, ‘Holy crap! This is so different.’ It felt like a whole other world had opened up.”\u003c/p>\n\u003cp>Now, Romero spends many nights on dates with his new girlfriend, Kate Rowe. They met on OkCupid.com after he sent her a message. “I saw, ‘Carlos a new message,’” Rowe recalled. “And he’s into climbing and I read his profile and I was like, ‘Why not? I have nothing to lose.’” It didn’t hurt that he looked “smoldering and broody” in his picture, she says.\u003c/p>\n\u003cp>Their third date happened to be Romero’s 30th birthday party, and he decided to tell Rowe about his massive weight loss, which he thought could be “a potential deal breaker.” “I don’t want to like this girl any more than I already do without having her know,” he remembers thinking. “I said, ‘I have to tell you this thing. Please don’t judge me.’”\u003c/p>\n\u003cp>Romero knew the risk he was taking. He thought, “What if she doesn’t want to be anywhere near me?” Instead of being repulsed, though, Rowe said she was inspired by his hard work and commitment to good health.\u003c/p>\n\u003cp>If she had seen Romero’s old profile, back when he was bigger, she probably would not have responded, she says. But now, he was in to rock climbing and being active, and they have things in common.\u003c/p>\n\u003cp>For Carlos, there are still physical and psychological hurdles to being in love. It’s difficult for him to be intimate. He says shyly, “She’s seen everything.” And when he looks in the mirror, he still sees a 400 pound man. His mind hasn’t quite caught up to his body.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem style=\"color: #000000\">This story is drawn from reporter \u003c/em>\u003ca style=\"color: #2262cc\" href=\"http://www.kaiserhealthnews.org/Reporters/VarneyS.aspx\">\u003cem>Sarah Varney’s\u003c/em>\u003c/a>\u003cem style=\"color: #000000\"> new book “\u003c/em>\u003cem>\u003ca style=\"color: #2262cc\" href=\"http://www.amazon.com/XL-Love-Obesity-Complicating-Americas/dp/1609614836/?tag=wburorg-20\" target=\"_blank\">XL Love: How Obesity is Complicating America’s Love Life.\u003c/a>\"\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"It's because many people view obesity as a moral failing. ","status":"publish","parent":0,"modified":1412876503,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":956},"headData":{"title":"Even After Weight is Lost, Stigma Sticks for Formerly Obese | KQED","description":"It's because many people view obesity as a moral failing. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"21979 http://blogs.kqed.org/stateofhealth/?p=21979","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/10/08/even-after-weight-is-lost-stigma-sticks-for-formerly-obese/","disqusTitle":"Even After Weight is Lost, Stigma Sticks for Formerly Obese","path":"/stateofhealth/21979/even-after-weight-is-lost-stigma-sticks-for-formerly-obese","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_21982\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/iStock_000011843152_Large.jpg\">\u003cimg class=\"size-large wp-image-21982\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/iStock_000011843152_Large-640x489.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"489\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Sarah Varney,\u003c/strong> \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2014/October/08/Obesity-Stigma-Remains-After-Weight-Loss.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2014/October/08/Obesity-Stigma-Remains-After-Weight-Loss.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>Carlos Romero’s apartment is marked with remnants from his former life: a giant television from his days playing World of Warcraft and a pair of jeans the width of an easy chair. The remnants of that time -- when he weighed 437 pounds -- mark his body too: loose, hanging skin and stretch marks.\u003c/p>\n\u003cp>“I lift weights and work out and work hard, but there’s lasting damage,” said Romero, who lives in Seattle.\u003c/p>\n\u003cp>Yet for all the troubles he had dating when he was obese—all those unanswered requests on dating web sites—shedding weight left him uneasy about how much to reveal. “If you were to say to someone on the first date, ‘I lost 220 pounds,’ you’re indicating that you had a very serious issue at one point and that you may still have that issue,” he said. “So it’s not something I put on a dating profile because I don’t want people to judge me for it.”\u003c!--more-->\u003c/p>\n\u003cp>Indeed, the stigma of obesity is so strong that it can remain even after the weight is lost. Holly Fee, a sociologist at Bowling Green State University, has conducted some of the only research on dating attitudes toward the formerly obese. In 2012, Fee published her findings in the journal Sociological Inquiry.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She found that potential suitors said they would hesitate to form a romantic relationship with someone who used to be heavy. “The big dragging factor in why they had this hesitation in forming this romantic relationship was that they believed these formerly obese individuals would regain their weight,” Fee said.\u003c/p>\n\u003cp>The prevailing belief is that people who have never been obese can control their weight, and those who’ve been heavy have less will power, said David Sarwer, a psychology professor and the director of clinical services at the Center for Weight and Eating Disorders at the Perelman School Medicine at the University of Pennsylvania. He said the physicians and the general public tend to think that obesity is “a moral failing, and that they can’t push away from the table.”\u003c/p>\n\u003cp>For men and women who have lost a significant amount of weight, fears about excess, hanging skin can hold them back from dating and being intimate. Health insurance almost never pays for costly plastic surgery to correct the problem which can be uncomfortable and embarrassing.\u003c/p>\n\u003cp>“I think they can be particularly self-conscious about this issue and be worried about the first time the partner sees them undressed,” Sarwer said. “How are they going to respond? Are they going to be grossed out? Are they not going to want to have sexual intimacy with them a second time?”\u003c/p>\n\u003cp>But it wasn’t sex or romance that sparked the big change in Carlos Romero two years ago. That’s when, at age 28, he was diagnosed with muscular dystrophy. Romero knew if he didn’t lose weight, his condition could worsen quickly. He stopped eating pizza, Ramen noodles and Dr. Pepper and began exercising. Then, a year ago, after he dropped a number of jean sizes, he tried Internet dating again. Romero updated his old profiles and pictures and started sending out messages.\u003c/p>\n\u003cp>“It was amazing at the time,” he said. “The girls that I was like, ‘I’ll never hear back from this girl. And then I’d hear back from them, and I was like, ‘Holy crap! This is so different.’ It felt like a whole other world had opened up.”\u003c/p>\n\u003cp>Now, Romero spends many nights on dates with his new girlfriend, Kate Rowe. They met on OkCupid.com after he sent her a message. “I saw, ‘Carlos a new message,’” Rowe recalled. “And he’s into climbing and I read his profile and I was like, ‘Why not? I have nothing to lose.’” It didn’t hurt that he looked “smoldering and broody” in his picture, she says.\u003c/p>\n\u003cp>Their third date happened to be Romero’s 30th birthday party, and he decided to tell Rowe about his massive weight loss, which he thought could be “a potential deal breaker.” “I don’t want to like this girl any more than I already do without having her know,” he remembers thinking. “I said, ‘I have to tell you this thing. Please don’t judge me.’”\u003c/p>\n\u003cp>Romero knew the risk he was taking. He thought, “What if she doesn’t want to be anywhere near me?” Instead of being repulsed, though, Rowe said she was inspired by his hard work and commitment to good health.\u003c/p>\n\u003cp>If she had seen Romero’s old profile, back when he was bigger, she probably would not have responded, she says. But now, he was in to rock climbing and being active, and they have things in common.\u003c/p>\n\u003cp>For Carlos, there are still physical and psychological hurdles to being in love. It’s difficult for him to be intimate. He says shyly, “She’s seen everything.” And when he looks in the mirror, he still sees a 400 pound man. His mind hasn’t quite caught up to his body.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem style=\"color: #000000\">This story is drawn from reporter \u003c/em>\u003ca style=\"color: #2262cc\" href=\"http://www.kaiserhealthnews.org/Reporters/VarneyS.aspx\">\u003cem>Sarah Varney’s\u003c/em>\u003c/a>\u003cem style=\"color: #000000\"> new book “\u003c/em>\u003cem>\u003ca style=\"color: #2262cc\" href=\"http://www.amazon.com/XL-Love-Obesity-Complicating-Americas/dp/1609614836/?tag=wburorg-20\" target=\"_blank\">XL Love: How Obesity is Complicating America’s Love Life.\u003c/a>\"\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/21979/even-after-weight-is-lost-stigma-sticks-for-formerly-obese","authors":["8344"],"categories":["stateofhealth_12"],"tags":["stateofhealth_117"],"featImg":"stateofhealth_21982","label":"stateofhealth"},"stateofhealth_21714":{"type":"posts","id":"stateofhealth_21714","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"21714","score":null,"sort":[1411499228000]},"guestAuthors":[],"slug":"at-native-american-health-center-the-prescription-is-vegetables","title":"At Native American Health Center, the Prescription Is Vegetables","publishDate":1411499228,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_21725\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/VeggieRx1.jpg\">\u003cimg class=\"size-large wp-image-21725\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/VeggieRx1-640x426.jpg\" alt=\"Fresh Approach staffers chop a variety of fruits and vegetables for today’s summer salad. “We tried to choose one of every color,” says Laura deTar, Nutrition Program Manager for Fresh Approach. “We want to expose people to things they may not have had.” (Brittany Patterson, KQED)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fresh Approach staffers chop a variety of fruits and vegetables for today’s summer salad. “We tried to choose one of every color,” says Laura deTar, Nutrition Program Manager for Fresh Approach. “We want to expose people to things they may not have had.” (Brittany Patterson, KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Brittany Patterson\u003c/strong>\u003c/p>\n\u003cp>In Oakland's Fruitvale neighborhood, 20 people sit inside a colorful classroom at the Native American Health Center. They listen attentively as Leah Ricci gives a lecture on the merits of fiber and where to get it. As far as lectures on fiber are concerned, this one is pretty rousing.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“I didn’t like vegetables and fruit, but now we’re all eating more of them.”\u003c/aside>\n\u003cp>“Can anyone name some foods that are high in fiber?” she asks.\u003c/p>\n\u003cp>Immediately the participants begin to throw out suggestions.\u003c/p>\n\u003cp>“Beans. Apples. Greens. Seeds.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“What do all of these foods have in common?” Ricci asks.\u003c/p>\n\u003cp>“They all come from plants,” shouts out Paula Marie Parker.\u003c/p>\n\u003cp>Parker and the others are all students in a program at the Native American Health Center called \u003ca title=\"VeggieRx\" href=\"http://www.nativehealth.org/content/veggierx\" target=\"_blank\">VeggieRx\u003c/a>, which teaches participants about nutrition and the merits of incorporating more fruits and vegetables and physical activity in their lives and the lives of their families.\u003c!--more-->\u003c/p>\n\u003cp>The 14-week program is exclusively for people who are overweight, obese or at risk for diabetes. They get hands-on nutrition lessons and learn to cook healthy meals while tracking their physical activity and weight loss. The program has been going for several years and is run by the nonprofit \u003ca title=\"http://freshapproach.org\" href=\"http://freshapproach.org\" target=\"_blank\">Fresh Approach\u003c/a> which provides vouchers for to buy fresh fruits and vegetables.\u003c/p>\n\u003cp>Melissa Cannon, a dietitian at the Native American Health Center, reached out to Fresh Approach and asked them to bring VeggieRx to her clinic this year.\u003c/p>\n\u003cp>VeggieRx is by far the most popular nutrition class her clinic runs, Cannon says. A big driver, she says: “They get free food.”\u003c/p>\n\u003cp>The hope of these nutrition programs, Cannon says, is to break down some of the barriers to educating about health and nutrition which can be especially tough for low-income and multi-ethnic families. What’s surprised her the most about offering VeggieRx has not only been the turnout — they have about 22 participants who consistently attend — but also the way that many of the participants have formed a healthy eating camaraderie with one another.\u003c/p>\n\u003cp>“We have a lot of people who did our six-week Food as Medicine course who are now coming to this class,” she says. “They’ve gotten to know each other, and that’s really neat.”\u003c/p>\n\u003cp>One of those people is Robert Davila, 60, of Oakland, who said the hands-on nature of VeggieRx has made a real difference in his life. Cannon is his dietitian and encouraged him to sign up. As a diabetic, he said learning about food labels has proved to be an eye-opener. He said he’s made little changes in his diet since starting the program, including switching out most of his processed foods for whole grains.\u003c/p>\n\u003cp>“I’ve really been surprised,” he says. “I was hesitant at first, but it’s really been worth it to me. I didn’t really realize how important something like a food label could be to my health.”\u003c/p>\n\u003cp>\u003cstrong>\"Social Component Is Really Important\"\u003c/strong>\u003c/p>\n\u003cp>Dr. Jennifer Falbe, a fellow at the UC Berkeley School of Public Health has studied community health programs in depth. She described multiple barriers to teaching health and nutrition to multi-ethnic, low income groups including language barriers, limited access to the internet or transportation, and some families just needing one-on-one support to navigate signing up for a program or service.\u003c/p>\n\u003cp>One key factor in keeping people involved in health programs, she says, is a shared social connection.\u003c/p>\n\u003cp>“Having a social component is really important to keep people coming,” she said. “That’s probably a big part of the effectiveness of Weight Watchers.”\u003c/p>\n\u003cp>That social connection is one big reason Mindy Woolbert, 62, from Oakland, enjoys the program. She comes with her sister and her sister-in-law. Together, she said, they try to keep each other accountable.\u003c/p>\n\u003cp>“No matter how many times you hear how you’re supposed to eat healthy, you can always hear it once more,” she said. “I didn’t like vegetables and fruit, but now we’re all eating more of them.”\u003c/p>\n\u003cp>Falbe adds that because minority communities experience a much higher prevalence of obesity and chronic disease associated with being overweight, it’s important to provide greater attention. In an ongoing study that links low-income overweight or obese children and families with physical activity programs in San Francisco, Falbe’s team is finding that having someone in the clinic work closely with families and individuals as they sign up, as well as providing one-on-one support in languages other than English, can often be effective in connecting families with community programs and convincing them to continue to attend.\u003c/p>\n\u003cp>Cannon also says many people she sees are reluctant to shop at farmers markets, a specific barrier that VeggieRx addresses. Her clients tend to see farmers markets as expensive places to shop – and geared to white people.\u003c/p>\n\u003cp>“There’s a real stigma attached,” she said. “Most of our population here is multi-ethnic, and that’s a barrier in it of itself.”\u003c/p>\n\u003cp>Fresh Approach provides $7 per person per week in vouchers to be used at farmers markets, and participants are drawn to the extra benefits.\u003c/p>\n\u003cp>“We want to provide enough to allow them to make healthy changes in their household,” said. Laura deTar, nutrition program manager for Fresh Approach\u003c/p>\n\u003cp>Fresh Approach’s dataset is limited but shows effectiveness. In a follow up earlier this year with 13 families who participated in the program in 2012, they found that nearly 70 percent of the families said they were eating more fruits and veggies and were more physically active. Eighty-four percent reported that they had maintained or reduced their body mass Index.\u003c/p>\n\u003cp>Back in the classroom, the Fresh Approach team is bringing in bowls of colorful fruits and vegetables they chopped just minutes before. All the produce, which includes things like beets, Armenian cucumbers, Asian pears and heirloom tomatoes, was purchased earlier that day at the uptown Oakland farmers market.\u003c/p>\n\u003cp>DeTar demonstrates creating a balsamic dressing from scratch while instructor Ricci begins reading the ingredients off the back of a store-bought bottle of salad dressing.\u003c/p>\n\u003cp>“How much sugar does that have?” asks one participant.\u003c/p>\n\u003cp>“Let’s see … 27 grams per serving,” answers Ricci. That's almost seven teaspoons of sugar.\u003c/p>\n\u003cp>As the list goes on, more and more of the crowd begin to shake their heads.\u003c/p>\n\u003cp>Later, after chowing down on their salads -- with healthier home made salad dressing -- Paula Marie Parker talked about why she loved the class.\u003c/p>\n\u003cp>“Knowledge is power and most of us here didn’t study nutrition and were raised by parents who didn’t either. Here it’s free and the staff is caring.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Then chuckling she adds, ”About my health, I’m serious as a heart attack.”\u003c/p>\n\n","blocks":[],"excerpt":"The program -- for people who are overweight, obese or at risk for diabetes -- teaches people how to cook a healthier diet.","status":"publish","parent":0,"modified":1411671491,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":37,"wordCount":1261},"headData":{"title":"At Native American Health Center, the Prescription Is Vegetables | KQED","description":"The program -- for people who are overweight, obese or at risk for diabetes -- teaches people how to cook a healthier diet.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"21714 http://blogs.kqed.org/stateofhealth/?p=21714","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/09/23/at-native-american-health-center-the-prescription-is-vegetables/","disqusTitle":"At Native American Health Center, the Prescription Is Vegetables","path":"/stateofhealth/21714/at-native-american-health-center-the-prescription-is-vegetables","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_21725\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/VeggieRx1.jpg\">\u003cimg class=\"size-large wp-image-21725\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/VeggieRx1-640x426.jpg\" alt=\"Fresh Approach staffers chop a variety of fruits and vegetables for today’s summer salad. “We tried to choose one of every color,” says Laura deTar, Nutrition Program Manager for Fresh Approach. “We want to expose people to things they may not have had.” (Brittany Patterson, KQED)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fresh Approach staffers chop a variety of fruits and vegetables for today’s summer salad. “We tried to choose one of every color,” says Laura deTar, Nutrition Program Manager for Fresh Approach. “We want to expose people to things they may not have had.” (Brittany Patterson, KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Brittany Patterson\u003c/strong>\u003c/p>\n\u003cp>In Oakland's Fruitvale neighborhood, 20 people sit inside a colorful classroom at the Native American Health Center. They listen attentively as Leah Ricci gives a lecture on the merits of fiber and where to get it. As far as lectures on fiber are concerned, this one is pretty rousing.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“I didn’t like vegetables and fruit, but now we’re all eating more of them.”\u003c/aside>\n\u003cp>“Can anyone name some foods that are high in fiber?” she asks.\u003c/p>\n\u003cp>Immediately the participants begin to throw out suggestions.\u003c/p>\n\u003cp>“Beans. Apples. Greens. Seeds.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“What do all of these foods have in common?” Ricci asks.\u003c/p>\n\u003cp>“They all come from plants,” shouts out Paula Marie Parker.\u003c/p>\n\u003cp>Parker and the others are all students in a program at the Native American Health Center called \u003ca title=\"VeggieRx\" href=\"http://www.nativehealth.org/content/veggierx\" target=\"_blank\">VeggieRx\u003c/a>, which teaches participants about nutrition and the merits of incorporating more fruits and vegetables and physical activity in their lives and the lives of their families.\u003c!--more-->\u003c/p>\n\u003cp>The 14-week program is exclusively for people who are overweight, obese or at risk for diabetes. They get hands-on nutrition lessons and learn to cook healthy meals while tracking their physical activity and weight loss. The program has been going for several years and is run by the nonprofit \u003ca title=\"http://freshapproach.org\" href=\"http://freshapproach.org\" target=\"_blank\">Fresh Approach\u003c/a> which provides vouchers for to buy fresh fruits and vegetables.\u003c/p>\n\u003cp>Melissa Cannon, a dietitian at the Native American Health Center, reached out to Fresh Approach and asked them to bring VeggieRx to her clinic this year.\u003c/p>\n\u003cp>VeggieRx is by far the most popular nutrition class her clinic runs, Cannon says. A big driver, she says: “They get free food.”\u003c/p>\n\u003cp>The hope of these nutrition programs, Cannon says, is to break down some of the barriers to educating about health and nutrition which can be especially tough for low-income and multi-ethnic families. What’s surprised her the most about offering VeggieRx has not only been the turnout — they have about 22 participants who consistently attend — but also the way that many of the participants have formed a healthy eating camaraderie with one another.\u003c/p>\n\u003cp>“We have a lot of people who did our six-week Food as Medicine course who are now coming to this class,” she says. “They’ve gotten to know each other, and that’s really neat.”\u003c/p>\n\u003cp>One of those people is Robert Davila, 60, of Oakland, who said the hands-on nature of VeggieRx has made a real difference in his life. Cannon is his dietitian and encouraged him to sign up. As a diabetic, he said learning about food labels has proved to be an eye-opener. He said he’s made little changes in his diet since starting the program, including switching out most of his processed foods for whole grains.\u003c/p>\n\u003cp>“I’ve really been surprised,” he says. “I was hesitant at first, but it’s really been worth it to me. I didn’t really realize how important something like a food label could be to my health.”\u003c/p>\n\u003cp>\u003cstrong>\"Social Component Is Really Important\"\u003c/strong>\u003c/p>\n\u003cp>Dr. Jennifer Falbe, a fellow at the UC Berkeley School of Public Health has studied community health programs in depth. She described multiple barriers to teaching health and nutrition to multi-ethnic, low income groups including language barriers, limited access to the internet or transportation, and some families just needing one-on-one support to navigate signing up for a program or service.\u003c/p>\n\u003cp>One key factor in keeping people involved in health programs, she says, is a shared social connection.\u003c/p>\n\u003cp>“Having a social component is really important to keep people coming,” she said. “That’s probably a big part of the effectiveness of Weight Watchers.”\u003c/p>\n\u003cp>That social connection is one big reason Mindy Woolbert, 62, from Oakland, enjoys the program. She comes with her sister and her sister-in-law. Together, she said, they try to keep each other accountable.\u003c/p>\n\u003cp>“No matter how many times you hear how you’re supposed to eat healthy, you can always hear it once more,” she said. “I didn’t like vegetables and fruit, but now we’re all eating more of them.”\u003c/p>\n\u003cp>Falbe adds that because minority communities experience a much higher prevalence of obesity and chronic disease associated with being overweight, it’s important to provide greater attention. In an ongoing study that links low-income overweight or obese children and families with physical activity programs in San Francisco, Falbe’s team is finding that having someone in the clinic work closely with families and individuals as they sign up, as well as providing one-on-one support in languages other than English, can often be effective in connecting families with community programs and convincing them to continue to attend.\u003c/p>\n\u003cp>Cannon also says many people she sees are reluctant to shop at farmers markets, a specific barrier that VeggieRx addresses. Her clients tend to see farmers markets as expensive places to shop – and geared to white people.\u003c/p>\n\u003cp>“There’s a real stigma attached,” she said. “Most of our population here is multi-ethnic, and that’s a barrier in it of itself.”\u003c/p>\n\u003cp>Fresh Approach provides $7 per person per week in vouchers to be used at farmers markets, and participants are drawn to the extra benefits.\u003c/p>\n\u003cp>“We want to provide enough to allow them to make healthy changes in their household,” said. Laura deTar, nutrition program manager for Fresh Approach\u003c/p>\n\u003cp>Fresh Approach’s dataset is limited but shows effectiveness. In a follow up earlier this year with 13 families who participated in the program in 2012, they found that nearly 70 percent of the families said they were eating more fruits and veggies and were more physically active. Eighty-four percent reported that they had maintained or reduced their body mass Index.\u003c/p>\n\u003cp>Back in the classroom, the Fresh Approach team is bringing in bowls of colorful fruits and vegetables they chopped just minutes before. All the produce, which includes things like beets, Armenian cucumbers, Asian pears and heirloom tomatoes, was purchased earlier that day at the uptown Oakland farmers market.\u003c/p>\n\u003cp>DeTar demonstrates creating a balsamic dressing from scratch while instructor Ricci begins reading the ingredients off the back of a store-bought bottle of salad dressing.\u003c/p>\n\u003cp>“How much sugar does that have?” asks one participant.\u003c/p>\n\u003cp>“Let’s see … 27 grams per serving,” answers Ricci. That's almost seven teaspoons of sugar.\u003c/p>\n\u003cp>As the list goes on, more and more of the crowd begin to shake their heads.\u003c/p>\n\u003cp>Later, after chowing down on their salads -- with healthier home made salad dressing -- Paula Marie Parker talked about why she loved the class.\u003c/p>\n\u003cp>“Knowledge is power and most of us here didn’t study nutrition and were raised by parents who didn’t either. Here it’s free and the staff is caring.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Then chuckling she adds, ”About my health, I’m serious as a heart attack.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/21714/at-native-american-health-center-the-prescription-is-vegetables","authors":["8344"],"categories":["stateofhealth_11","stateofhealth_12"],"tags":["stateofhealth_118","stateofhealth_298","stateofhealth_117"],"featImg":"stateofhealth_21725","label":"stateofhealth"},"stateofhealth_20066":{"type":"posts","id":"stateofhealth_20066","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"20066","score":null,"sort":[1404782221000]},"guestAuthors":[],"slug":"stanford-study-inactivity-more-than-diet-linked-to-obesity-increase","title":"Stanford Study: Inactivity, More Than Diet, Linked to Obesity Increase","publishDate":1404782221,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_20071\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/153764421.jpg\">\u003cimg class=\"size-large wp-image-20071\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/153764421-640x425.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>New research from Stanford shows that physical activity -- or lack thereof -- may be a bigger driver of the obesity epidemic than diet is.\u003c/p>\n\u003caside class=\"pullquote alignleft\">The rate of Americans reporting inactivity has skyrocketed.\u003c/aside>\n\u003cp>The researchers looked at national survey results of people's health habits -- including diet and exercise -- from 1988 to 2010. The stunner was the increase in people who reported no leisure-time physical activity.\u003c/p>\n\u003cp>In 1988, 19 percent of women were inactive. By 2010, that number had jumped to 52 percent.\u003c!--more-->\u003c/p>\n\u003cp>For men, the rate nearly quadrupled, going from 11 to 43 percent in the same time period.\u003c/p>\n\u003cp>But what didn't change was the number of calories people consumed. In other words, people were eating about the same but exercising significantly less.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dr. Uri Ladabaum, a gastroenterologist at Stanford University Medical Center, led the study. He said that the research can only suggest an association between inactivity and increasing obesity, but that people should not decide diet is irrelevant to obesity.\u003c/p>\n\u003cp>\"We would not want to suggest in any way that caloric intake is not important,\" Ladabaum said. \"But it raises the question of how much of the change in obesity prevalence might be related to physical activity.\"\u003c/p>\n\u003cp>The researchers analyzed results from the\u003ca href=\"http://www.cdc.gov/nchs/nhanes.htm\" target=\"_blank\"> National Health and Nutrition Examination Survey\u003c/a>, conducted by the Centers for Disease Control. Participants reported their activity over the last month and their diet over the last 24 hours. Ladabaum said the team did not find a difference in total caloric count or breakdown by protein, carbohydrate and fat, over the 22-year study period.\u003c/p>\n\u003cp>The prevalence of obesity increased from 1988-2010, from 25 to 35 percent of women and from 20 to 35 percent of men.\u003c/p>\n\u003cp>The data included survey results from more than 17,000 participants between 1988-1994 and about 5,000 people each year from 1995 through 2010.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The study was published in the \u003ca href=\"http://www.amjmed.com/article/S0002-9343(14)00191-0/abstract\" target=\"_blank\">American Journal of Medicine\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"In a national survey, 52% of women and 43% of men said they got no exercise in the prior month.","status":"publish","parent":0,"modified":1404934719,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":324},"headData":{"title":"Stanford Study: Inactivity, More Than Diet, Linked to Obesity Increase | KQED","description":"In a national survey, 52% of women and 43% of men said they got no exercise in the prior month.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"20066 http://blogs.kqed.org/stateofhealth/?p=20066","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/07/07/stanford-study-inactivity-more-than-diet-linked-to-obesity-increase/","disqusTitle":"Stanford Study: Inactivity, More Than Diet, Linked to Obesity Increase","path":"/stateofhealth/20066/stanford-study-inactivity-more-than-diet-linked-to-obesity-increase","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20071\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/153764421.jpg\">\u003cimg class=\"size-large wp-image-20071\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/153764421-640x425.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>New research from Stanford shows that physical activity -- or lack thereof -- may be a bigger driver of the obesity epidemic than diet is.\u003c/p>\n\u003caside class=\"pullquote alignleft\">The rate of Americans reporting inactivity has skyrocketed.\u003c/aside>\n\u003cp>The researchers looked at national survey results of people's health habits -- including diet and exercise -- from 1988 to 2010. The stunner was the increase in people who reported no leisure-time physical activity.\u003c/p>\n\u003cp>In 1988, 19 percent of women were inactive. By 2010, that number had jumped to 52 percent.\u003c!--more-->\u003c/p>\n\u003cp>For men, the rate nearly quadrupled, going from 11 to 43 percent in the same time period.\u003c/p>\n\u003cp>But what didn't change was the number of calories people consumed. In other words, people were eating about the same but exercising significantly less.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dr. Uri Ladabaum, a gastroenterologist at Stanford University Medical Center, led the study. He said that the research can only suggest an association between inactivity and increasing obesity, but that people should not decide diet is irrelevant to obesity.\u003c/p>\n\u003cp>\"We would not want to suggest in any way that caloric intake is not important,\" Ladabaum said. \"But it raises the question of how much of the change in obesity prevalence might be related to physical activity.\"\u003c/p>\n\u003cp>The researchers analyzed results from the\u003ca href=\"http://www.cdc.gov/nchs/nhanes.htm\" target=\"_blank\"> National Health and Nutrition Examination Survey\u003c/a>, conducted by the Centers for Disease Control. Participants reported their activity over the last month and their diet over the last 24 hours. Ladabaum said the team did not find a difference in total caloric count or breakdown by protein, carbohydrate and fat, over the 22-year study period.\u003c/p>\n\u003cp>The prevalence of obesity increased from 1988-2010, from 25 to 35 percent of women and from 20 to 35 percent of men.\u003c/p>\n\u003cp>The data included survey results from more than 17,000 participants between 1988-1994 and about 5,000 people each year from 1995 through 2010.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The study was published in the \u003ca href=\"http://www.amjmed.com/article/S0002-9343(14)00191-0/abstract\" target=\"_blank\">American Journal of Medicine\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/20066/stanford-study-inactivity-more-than-diet-linked-to-obesity-increase","authors":["240"],"categories":["stateofhealth_12"],"tags":["stateofhealth_117","stateofhealth_461"],"featImg":"stateofhealth_20071","label":"stateofhealth"},"stateofhealth_19324":{"type":"posts","id":"stateofhealth_19324","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"19324","score":null,"sort":[1401755149000]},"guestAuthors":[],"slug":"stanford-study-should-there-be-a-ban-on-food-stamps-to-buy-soda","title":"Should There Be a Ban on Using Food Stamps to Buy Soda?","publishDate":1401755149,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_17715\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS7242_136799870-1-hpf.jpg\">\u003cimg class=\"size-full wp-image-17715\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS7242_136799870-1-hpf.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"400\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS7242_136799870-1-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS7242_136799870-1-hpf-400x250.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS7242_136799870-1-hpf-320x200.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Banning the use of food stamps to purchase sodas and other sugary drinks could reduce both obesity and Type 2 diabetes rates, according to new research from the Stanford University School of Medicine.\u003c/p>\n\u003caside class=\"pullquote alignleft\">'Shift in policy could prevent 400,000 cases of obesity.' \u003c/aside>\n\u003cp>About one in seven Americans — more than 46 million people — currently receive food stamps, now called the Supplemental Nutrition Assistance Program, or SNAP.\u003ca href=\"http://www.cdc.gov/nchs/nhanes/nhanes.htm\" target=\"_blank\"> Government surveys\u003c/a> show that the average SNAP recipient drinks the equivalent of a little more than a can of soda a day.\u003c/p>\n\u003cp>Stanford researchers used two data sets, one on diet and another on price data for food, and then used simulations to estimate the effect of a ban on using SNAP funds to buy sugary beverages, including sodas and sports drinks, but excluding 100 percent fruit juices.\u003c!--more-->\u003c/p>\n\u003cp>Over a 10-year period, the simulation indicated that such a ban would amount to a 2.4 percent drop in obesity prevalence and a 1.7 percent decline in Type 2 diabetes among SNAP recipients.\u003c/p>\n\u003cp>While those percentage changes sound small, lead author Dr. Sanjay Basu, a professor of medicine at Stanford, says the real impact across a population would be impressive.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"This shift in policy would be preventing around 400,000 cases of obesity in the next decade and nearly 250,000 cases of Type 2 diabetes,\" Basu said.\u003c/p>\n\u003cp>The study was published in the journal \u003ca href=\"http://content.healthaffairs.org/content/33/6/1032.abstract\" target=\"_blank\">Health Affairs\u003c/a>.\u003c/p>\n\u003cp>[contextly_sidebar id=\"79b7f787c8ba45e85d9e5bfa25bc392d\"]\u003c/p>\n\u003cp>The American Beverage Association criticized the idea of a ban. In a statement, the group said a ban would be an \"expensive and unnecessary restriction that (has) negligible benefits.\" The association called instead for heath education and healthy incentives.\u003c/p>\n\u003cp>But Harold Goldstein, executive director of the California Center for Public Health Advocacy, was intrigued by the analysis. \"I look at these federal dollars as a subsidy to Coke and Pepsi,\" he said. \"Here's a strategy that could have a significant impact on low-income folks who have among the highest diabetes rates in the country.\" Goldstein was not involved in the research.\u003c/p>\n\u003cp>Another federal program, Women, Infants and Children, already does not allow the purchase of sugar-sweetened beverages.\u003c/p>\n\u003cp>The researchers also looked at the impact of giving 30 cents back to SNAP participants for each dollar they might spend on fruits and vegetables. While such a reward doubled the number of people eating the recommended requirements of fruits and vegetables, obesity and diabetes indicators \"did not improve considerably,\" Basu said.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/152651570&color=ff5500&auto_play=false&hide_related=false&show_artwork=true&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>Last June, a bipartisan group of mayors \u003ca href=\"http://s3.documentcloud.org/documents/716748/mayors-request-house-limit-snap-access-to-soda.pdf\" target=\"_blank\">sent a letter\u003c/a> to House Speaker John Boehner and House Minority Leader Nancy Pelosi advocating improvements to the SNAP program, saying it was time to consider limiting subsidies for sugar-sweetened beverages.\u003c/p>\n\u003cp>Monday's study comes against a backdrop of renewed calls in California cities for a soda tax — and just days after the California Senate \u003ca href=\"http://www.californiahealthline.org/capitol-desk/2014/5/senate-approves-soda-warning-bill\" target=\"_blank\">passed a bill \u003c/a>that would require a health warning label on sodas and other sugary beverages.\u003c/p>\n\u003cp>Doctors and other public health professionals are growing increasingly concerned about the health impact of sugary beverages, or what Goldstein referred to as \"liquid sugar.\"\u003c/p>\n\u003cp>\"We know that there is overwhelming science that the liquid sugar in these beverages is a unique driver in today's skyrocketing obesity epidemic,\" he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated to clarify the American Beverage Association's opposition to a policy on banning food stamps for purchase of sugar-sweetened beverages.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Banning food stamps for sugary drinks could reduce obesity, Type 2 diabetes rates, says Stanford study. ","status":"publish","parent":0,"modified":1401899555,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":575},"headData":{"title":"Should There Be a Ban on Using Food Stamps to Buy Soda? | KQED","description":"Banning food stamps for sugary drinks could reduce obesity, Type 2 diabetes rates, says Stanford study. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"19324 http://blogs.kqed.org/stateofhealth/?p=19324","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/06/02/stanford-study-should-there-be-a-ban-on-food-stamps-to-buy-soda/","disqusTitle":"Should There Be a Ban on Using Food Stamps to Buy Soda?","path":"/stateofhealth/19324/stanford-study-should-there-be-a-ban-on-food-stamps-to-buy-soda","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17715\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS7242_136799870-1-hpf.jpg\">\u003cimg class=\"size-full wp-image-17715\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS7242_136799870-1-hpf.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"400\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS7242_136799870-1-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS7242_136799870-1-hpf-400x250.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS7242_136799870-1-hpf-320x200.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Banning the use of food stamps to purchase sodas and other sugary drinks could reduce both obesity and Type 2 diabetes rates, according to new research from the Stanford University School of Medicine.\u003c/p>\n\u003caside class=\"pullquote alignleft\">'Shift in policy could prevent 400,000 cases of obesity.' \u003c/aside>\n\u003cp>About one in seven Americans — more than 46 million people — currently receive food stamps, now called the Supplemental Nutrition Assistance Program, or SNAP.\u003ca href=\"http://www.cdc.gov/nchs/nhanes/nhanes.htm\" target=\"_blank\"> Government surveys\u003c/a> show that the average SNAP recipient drinks the equivalent of a little more than a can of soda a day.\u003c/p>\n\u003cp>Stanford researchers used two data sets, one on diet and another on price data for food, and then used simulations to estimate the effect of a ban on using SNAP funds to buy sugary beverages, including sodas and sports drinks, but excluding 100 percent fruit juices.\u003c!--more-->\u003c/p>\n\u003cp>Over a 10-year period, the simulation indicated that such a ban would amount to a 2.4 percent drop in obesity prevalence and a 1.7 percent decline in Type 2 diabetes among SNAP recipients.\u003c/p>\n\u003cp>While those percentage changes sound small, lead author Dr. Sanjay Basu, a professor of medicine at Stanford, says the real impact across a population would be impressive.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"This shift in policy would be preventing around 400,000 cases of obesity in the next decade and nearly 250,000 cases of Type 2 diabetes,\" Basu said.\u003c/p>\n\u003cp>The study was published in the journal \u003ca href=\"http://content.healthaffairs.org/content/33/6/1032.abstract\" target=\"_blank\">Health Affairs\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The American Beverage Association criticized the idea of a ban. In a statement, the group said a ban would be an \"expensive and unnecessary restriction that (has) negligible benefits.\" The association called instead for heath education and healthy incentives.\u003c/p>\n\u003cp>But Harold Goldstein, executive director of the California Center for Public Health Advocacy, was intrigued by the analysis. \"I look at these federal dollars as a subsidy to Coke and Pepsi,\" he said. \"Here's a strategy that could have a significant impact on low-income folks who have among the highest diabetes rates in the country.\" Goldstein was not involved in the research.\u003c/p>\n\u003cp>Another federal program, Women, Infants and Children, already does not allow the purchase of sugar-sweetened beverages.\u003c/p>\n\u003cp>The researchers also looked at the impact of giving 30 cents back to SNAP participants for each dollar they might spend on fruits and vegetables. While such a reward doubled the number of people eating the recommended requirements of fruits and vegetables, obesity and diabetes indicators \"did not improve considerably,\" Basu said.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/152651570&color=ff5500&auto_play=false&hide_related=false&show_artwork=true&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>Last June, a bipartisan group of mayors \u003ca href=\"http://s3.documentcloud.org/documents/716748/mayors-request-house-limit-snap-access-to-soda.pdf\" target=\"_blank\">sent a letter\u003c/a> to House Speaker John Boehner and House Minority Leader Nancy Pelosi advocating improvements to the SNAP program, saying it was time to consider limiting subsidies for sugar-sweetened beverages.\u003c/p>\n\u003cp>Monday's study comes against a backdrop of renewed calls in California cities for a soda tax — and just days after the California Senate \u003ca href=\"http://www.californiahealthline.org/capitol-desk/2014/5/senate-approves-soda-warning-bill\" target=\"_blank\">passed a bill \u003c/a>that would require a health warning label on sodas and other sugary beverages.\u003c/p>\n\u003cp>Doctors and other public health professionals are growing increasingly concerned about the health impact of sugary beverages, or what Goldstein referred to as \"liquid sugar.\"\u003c/p>\n\u003cp>\"We know that there is overwhelming science that the liquid sugar in these beverages is a unique driver in today's skyrocketing obesity epidemic,\" he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated to clarify the American Beverage Association's opposition to a policy on banning food stamps for purchase of sugar-sweetened beverages.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/19324/stanford-study-should-there-be-a-ban-on-food-stamps-to-buy-soda","authors":["240"],"categories":["stateofhealth_14"],"tags":["stateofhealth_118","stateofhealth_117","stateofhealth_461","stateofhealth_728"],"featImg":"stateofhealth_17715","label":"stateofhealth"},"stateofhealth_16444":{"type":"posts","id":"stateofhealth_16444","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"16444","score":null,"sort":[1385582339000]},"guestAuthors":[],"slug":"can-air-pollution-make-children-fat","title":"Can Air Pollution Make Children Fat?","publishDate":1385582339,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_16466\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/181753809-e1385582095189.jpg\">\u003cimg class=\"size-large wp-image-16466\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/181753809-640x433.jpg\" alt=\"(Jeff Swenson/Getty Images)\" width=\"640\" height=\"433\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jeff Swenson/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Chris Richard\u003c/strong>\u003c/p>\n\u003cp>Studies have linked air pollution exposure, especially exposure to pollution from congested roadways, with serious health conditions ranging from asthma, to heart disease, to cancer, to low birth weight.\u003c/p>\n\u003cp>Now a research team at the University of Southern California’s Keck School of Medicine has received funding to investigate whether children living near busy roadways are more prone to obesity.\u003c/p>\n\u003cp>The National Institute of Environmental Health Sciences and the federal Environmental Protection Agency recently awarded $7.8 million to the medical school’s \u003ca href=\"http://hydra.usc.edu/cehc/\">Southern California Children’s Environmental Health Center\u003c/a> to fund research by over the next five years.\u003c/p>\n\u003cp>Scientists will conduct new studies and analyze existing data on whether and how roadway pollution may make children obese. They’ll also study metabolic abnormalities linked to air pollution from roads that might increase the risk of Type 2 diabetes.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Rob McConnell, professor of preventive medicine at Keck, will oversee the new investigations. He said the research proposal grew out of an earlier study on how the\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/01/31/if-we-build-it-will-people-be-more-healthy/\" target=\"_blank\"> built environment\u003c/a> might induce obesity.\u003c/p>\n\u003cp>For the past decade or so, scientists have looked into correlations between recreation and exercise opportunities and comparative leanness or heaviness.\u003c/p>\n\u003cp>Children who attend schools with recreation programs or live in a neighborhood with a sidewalk, where it’s easy to walk around, do tend to be a little more lean, McConnell said.\u003c/p>\n\u003cp>“The common wisdom is that we’ve got an epidemic of obesity and diabetes because we eat a lot of unhealthy foods and we don’t get any exercise. I think that’s certainly a big part of the explanation, but I think it’s more complicated that what we’ve thought,” he said.\u003c/p>\n\u003cp>Some three years ago, McConnell participated in a study that found a correlation between heavier children and higher traffic density around their homes. Not only were the children who were exposed to a lot of traffic fatter, but the more traffic they had in their neighborhoods, the more quickly they packed on pounds.\u003c/p>\n\u003cp>Researchers surmised that parents might be reluctant to send their children out to play in a neighborhood where going outside was unpleasant and possibly dangerous. So McConnell and his colleagues expected to find the kids who got the least exercise gained the most weight.\u003c/p>\n\u003cp>However, the data didn’t match that hypothesis. There wasn’t the strong correlation between fat and a sedentary life that researchers had expected to see. The exercise records were spotty, but still, it was puzzling.\u003c/p>\n\u003cp>Around the same time as McConnell's study, researchers at Ohio State University published research in which they had fed mice a high-fat diet and made them breathe polluted air. The mice developed a resistance to insulin and gained abdominal fat quickly, both reactions that match animal models for diabetes.\u003c/p>\n\u003cp>McConnell said he remained intrigued by the mismatch between weight and exercise in his study, and he thought the Ohio State research held the key to an explanation.\u003c/p>\n\u003cp>Later, other researchers found a correlation between prenatal exposure to urban pollution and higher obesity rates among children, and the Ohio State team’s follow-up investigations on their mouse study reinforced the link between fat and a polluted atmosphere.\u003c/p>\n\u003cp>So it does appear true that where the overweight kids live has a big influence on whether or not they grow fat. But there’s probably more to the story than exercise opportunity. There are increasing indications that the air the children breathe plays a significant role too, McConnell said.\u003c/p>\n\u003cp>His team will examine the records for 12,000 children who have been followed from elementary school through high school graduation as part of the USC Children’s Health Study, checking their exposure to air pollution against obesity. Researchers will give 200 obese children MRI exams, checking to see whether their body fat has concentrated around their abdominal organs, as it did with the mice in the Ohio study. Such fat buildups are increasingly believed to be a key risk factor for diabetes, McConnell said. He said the team also will test blood and fat samples for signs of inflammatory and pre-diabetic characteristics found in the mouse studies. Finally, an animal study will try exposing the test subjects to air pollution at different points in their lives – for example, before and after birth. The goal there will be to identify a point where exposure has the greatest impact, McConnell said.\u003c/p>\n\u003cp>“Over the next five years, I think we have a great opportunity to nail down what’s going on by looking at it from a variety of different levels,” he said.\u003c/p>\n\u003cp>McConnell also has been a leader in research showing how roadway air pollution \u003ca href=\"http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=4&cad=rja&ved=0CEIQtwIwAw&url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3D15Qj_JsCdpM&ei=oViGUu-KAYTtiwLbu4HACw&usg=AFQjCNFv9chhlmQNZwP7DIgFHKG21elg2A&bvm=bv.56643336,d.cGE\">may cause asthma\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We don’t need a lot of additional reasons to control air pollution, but I think understanding the true burdens associated with it probably helps policy makers decide what to do,” McConnell said.\u003c/p>\n\n","blocks":[],"excerpt":"Studies have linked air pollution exposure, especially exposure to pollution from congested roadways, with serious health conditions ranging from asthma, to heart disease, to cancer, to low birth weight.\r\n\r\nNow a research team at the University of Southern California’s Keck School of Medicine has received funding to investigate whether children living near busy roadways are more prone to obesity.","status":"publish","parent":0,"modified":1385743410,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":845},"headData":{"title":"Can Air Pollution Make Children Fat? | KQED","description":"Studies have linked air pollution exposure, especially exposure to pollution from congested roadways, with serious health conditions ranging from asthma, to heart disease, to cancer, to low birth weight.\r\n\r\nNow a research team at the University of Southern California’s Keck School of Medicine has received funding to investigate whether children living near busy roadways are more prone to obesity.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"16444 http://blogs.kqed.org/stateofhealth/?p=16444","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/11/27/can-air-pollution-make-children-fat/","disqusTitle":"Can Air Pollution Make Children Fat?","path":"/stateofhealth/16444/can-air-pollution-make-children-fat","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16466\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/181753809-e1385582095189.jpg\">\u003cimg class=\"size-large wp-image-16466\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/181753809-640x433.jpg\" alt=\"(Jeff Swenson/Getty Images)\" width=\"640\" height=\"433\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jeff Swenson/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Chris Richard\u003c/strong>\u003c/p>\n\u003cp>Studies have linked air pollution exposure, especially exposure to pollution from congested roadways, with serious health conditions ranging from asthma, to heart disease, to cancer, to low birth weight.\u003c/p>\n\u003cp>Now a research team at the University of Southern California’s Keck School of Medicine has received funding to investigate whether children living near busy roadways are more prone to obesity.\u003c/p>\n\u003cp>The National Institute of Environmental Health Sciences and the federal Environmental Protection Agency recently awarded $7.8 million to the medical school’s \u003ca href=\"http://hydra.usc.edu/cehc/\">Southern California Children’s Environmental Health Center\u003c/a> to fund research by over the next five years.\u003c/p>\n\u003cp>Scientists will conduct new studies and analyze existing data on whether and how roadway pollution may make children obese. They’ll also study metabolic abnormalities linked to air pollution from roads that might increase the risk of Type 2 diabetes.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Rob McConnell, professor of preventive medicine at Keck, will oversee the new investigations. He said the research proposal grew out of an earlier study on how the\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/01/31/if-we-build-it-will-people-be-more-healthy/\" target=\"_blank\"> built environment\u003c/a> might induce obesity.\u003c/p>\n\u003cp>For the past decade or so, scientists have looked into correlations between recreation and exercise opportunities and comparative leanness or heaviness.\u003c/p>\n\u003cp>Children who attend schools with recreation programs or live in a neighborhood with a sidewalk, where it’s easy to walk around, do tend to be a little more lean, McConnell said.\u003c/p>\n\u003cp>“The common wisdom is that we’ve got an epidemic of obesity and diabetes because we eat a lot of unhealthy foods and we don’t get any exercise. I think that’s certainly a big part of the explanation, but I think it’s more complicated that what we’ve thought,” he said.\u003c/p>\n\u003cp>Some three years ago, McConnell participated in a study that found a correlation between heavier children and higher traffic density around their homes. Not only were the children who were exposed to a lot of traffic fatter, but the more traffic they had in their neighborhoods, the more quickly they packed on pounds.\u003c/p>\n\u003cp>Researchers surmised that parents might be reluctant to send their children out to play in a neighborhood where going outside was unpleasant and possibly dangerous. So McConnell and his colleagues expected to find the kids who got the least exercise gained the most weight.\u003c/p>\n\u003cp>However, the data didn’t match that hypothesis. There wasn’t the strong correlation between fat and a sedentary life that researchers had expected to see. The exercise records were spotty, but still, it was puzzling.\u003c/p>\n\u003cp>Around the same time as McConnell's study, researchers at Ohio State University published research in which they had fed mice a high-fat diet and made them breathe polluted air. The mice developed a resistance to insulin and gained abdominal fat quickly, both reactions that match animal models for diabetes.\u003c/p>\n\u003cp>McConnell said he remained intrigued by the mismatch between weight and exercise in his study, and he thought the Ohio State research held the key to an explanation.\u003c/p>\n\u003cp>Later, other researchers found a correlation between prenatal exposure to urban pollution and higher obesity rates among children, and the Ohio State team’s follow-up investigations on their mouse study reinforced the link between fat and a polluted atmosphere.\u003c/p>\n\u003cp>So it does appear true that where the overweight kids live has a big influence on whether or not they grow fat. But there’s probably more to the story than exercise opportunity. There are increasing indications that the air the children breathe plays a significant role too, McConnell said.\u003c/p>\n\u003cp>His team will examine the records for 12,000 children who have been followed from elementary school through high school graduation as part of the USC Children’s Health Study, checking their exposure to air pollution against obesity. Researchers will give 200 obese children MRI exams, checking to see whether their body fat has concentrated around their abdominal organs, as it did with the mice in the Ohio study. Such fat buildups are increasingly believed to be a key risk factor for diabetes, McConnell said. He said the team also will test blood and fat samples for signs of inflammatory and pre-diabetic characteristics found in the mouse studies. Finally, an animal study will try exposing the test subjects to air pollution at different points in their lives – for example, before and after birth. The goal there will be to identify a point where exposure has the greatest impact, McConnell said.\u003c/p>\n\u003cp>“Over the next five years, I think we have a great opportunity to nail down what’s going on by looking at it from a variety of different levels,” he said.\u003c/p>\n\u003cp>McConnell also has been a leader in research showing how roadway air pollution \u003ca href=\"http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=4&cad=rja&ved=0CEIQtwIwAw&url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3D15Qj_JsCdpM&ei=oViGUu-KAYTtiwLbu4HACw&usg=AFQjCNFv9chhlmQNZwP7DIgFHKG21elg2A&bvm=bv.56643336,d.cGE\">may cause asthma\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We don’t need a lot of additional reasons to control air pollution, but I think understanding the true burdens associated with it probably helps policy makers decide what to do,” McConnell said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/16444/can-air-pollution-make-children-fat","authors":["8344"],"categories":["stateofhealth_11"],"tags":["stateofhealth_21","stateofhealth_117"],"featImg":"stateofhealth_16466","label":"stateofhealth"},"stateofhealth_16029":{"type":"posts","id":"stateofhealth_16029","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"16029","score":null,"sort":[1383555799000]},"guestAuthors":[],"slug":"study-girls-entering-puberty-younger-obesity-appears-major-factor-kaiser-san-francisco","title":"Study Finds Girls Entering Puberty Younger; Obesity Implicated","publishDate":1383555799,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_16054\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/50781677-2-e1383511143227.jpg\">\u003cimg class=\"size-large wp-image-16054\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/50781677-2-640x427.jpg\" alt=\"Retailer J.C. Penney features a Girls Plus clothing department tailored to overweight girls in this April, 2004 photo. (Scott Olson/Getty Images)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Retailer J.C. Penney features a Girls Plus clothing department tailored to overweight girls. (Scott Olson/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Building on earlier research a major new study has found that girls are starting puberty at even younger ages. The most significant changes were seen in Caucasian girls and in girls who are overweight or obese. Still, girls who were not overweight were also entering puberty younger, the study found.\u003c/p>\n\u003cp>Researchers at three sites around the country -- including the San Francisco Bay Area -- followed 1,239 ethnically diverse girls from 2004 to 2011. They looked at breast development, a key marker for the start of puberty.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Girls who mature earlier are at risk for lower self-esteem and higher rates of depression.\u003c/aside>\n\u003cp>Earlier studies had shown that African-American girls had reached this milestone at younger ages. \"Now it looks like it's happening earlier for Caucasian girls,\" said Dr. Louise Greenspan, a pediatric endocrinologist with Kaiser San Francisco and one of the authors of the study. \"Particularly, the overweight Caucasian girls are developing earlier than they have in the past.\"\u003c/p>\n\u003cp>Researchers looked at a number of factors, but the \"obesity epidemic appears to be a prime driver in the decrease in age at onset of breast development,\" the authors wrote. \u003c!--more-->\u003c/p>\n\u003cp>Researchers cannot say that being overweight or obese actually causes the earlier development, but there are biological reasons to suggest how body fat could contribute to the change. \"Fat makes hormones,\" Greenspan noted, \"and the hormones that are being made by the fat might also be generating high enough levels to make true breast development.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Greenspan specified \"true\" breast development, because their research was based on examining girls at least annually during the 7-year study period as opposed to other studies which had relied on observation. \"That's been a major criticism of prior studies,\" Greenspan said. \"Because when you look at a girl's chest, you can't tell whether there's fat tissue or true breast development, and our study was different because we examined the girls physically and were able to feel the difference between fat and real breast tissue.\"\u003c/p>\n\u003cp>The study, \u003ca href=\"http://pediatrics.aappublications.org/content/future/132/6#MONTHLYFEATURE\" target=\"_blank\">Onset of Breast Development in a Longitudinal Cohort\u003c/a>, was published online Monday in the journal Pediatrics. It was funded by the National Cancer Institute and the National Institute of Environmental Health Sciences.\u003c/p>\n\u003cp>\u003cstrong>Differences noted by ethnicity and race\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://children.webmd.com/tc/growth-and-development-ages-11-to-14-years-what-to-expect\" target=\"_blank\">Common sources\u003c/a> for health information often list puberty as starting around age 11 for girls. But in 1997, a \u003ca href=\"http://pediatrics.aappublications.org/content/99/4/505.abstract\" target=\"_blank\">landmark study \u003c/a>concluded that puberty was starting earlier, and African-American girls in particular were entering puberty younger than their peers. This study found average ages for the even-earlier breast development as follows:\u003c/p>\n\u003cul>\n\u003cli>8.76 years for African-American girls\u003c/li>\n\u003cli>9.23 years for Hispanic girls\u003c/li>\n\u003cli>9.62 years for Caucasian\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>9.92 years for Asian-American girls\u003c/li>\n\u003c/ul>\n\u003cp>This study is essentially the first to determine onset of puberty for Asian-American girls, although their study sample was still small. \"Previous studies have largely focused on the white/black difference,\" said Lawrence Kushi, Directory of Scientific Policy at Kaiser's Division of Research and the principal investigator for the \u003ca href=\"https://www.cygnetstudy.com/component/content/category/8-about-cygnet\" target=\"_blank\">San Francisco site\u003c/a> in this report. Hispanic girls have been somewhat more represented in prior studies than Asian-American girls, and Hispanic girls have \"shifted to somewhat younger ages,\" Kushi said.\u003c/p>\n\u003cp>The big difference is in Caucasian girls. The average age of breast development for them was four months earlier than seen in the 1997 study, and that's \"a pretty significant reduction\" on a percentage basis, says Greenspan, since puberty only lasts two to three years. But that's the average. The more obese girls had a \"greater shift,\" Kushi said. Some of these heavier girls were entering puberty close to a year earlier than previously reported.\u003c/p>\n\u003cp>African-American girls appeared to be \"holding steady\" compared to earlier studies, said Greenspan.\u003c/p>\n\u003cp>What's not clear from this study is if girls are also having their first period at a younger age. The research team has been following this group of girls since they were ages 6 to 8. Now they are 14 to 16. The researchers plan to analyze ages of the girls' first period once all the girls in the study have reached that milestone. \"One question we have,\" Greenspan said, \"is puberty starting earlier and ending earlier so there's an entire shift to an earlier age; or is puberty starting earlier and ending at the same time?\"\u003c/p>\n\u003cp>\u003cstrong>Psychological and physical health risks\u003c/strong>\u003c/p>\n\u003cp>This earlier onset of puberty puts girls at risk for certain mental and physical health issues. From the study:\u003c/p>\n\u003cblockquote>\u003cp>Girls with earlier maturation are at risk for lower self-esteem and higher rates of depression. They are more likely to be influenced by older peers and more deviant peers, and initiate intercourse, substance use and other norm-breaking behaviors at younger ages.\u003c/p>\u003c/blockquote>\n\u003cp>Many schools include classes about puberty and sexuality in 5th or 6th grade, Greenspan noted. But according to this new data, many girls are entering puberty in 3rd or 4th grade. This creates a \"real disconnect between the timing of girls' puberty and the timing of the education they receive about the puberty and their bodies in general.\" She argued for splitting the subject matter and teaching girls about puberty in the earlier grades and leaving sexuality for the later grades.\u003c/p>\n\u003cp>Girls who enter puberty younger are at higher risk for developing certain cancers as adults, including breast cancer -- possibly because earlier puberty increases exposure to estrogen, a known breast cancer risk. Greenspan hopes that the researchers will continue to receive funding to follow the girls into adulthood, which could yield better understanding of breast cancer risk.\u003c/p>\n\u003cp>The researchers also collected blood and urine samples from the girls at the beginning of the study and are analyzing certain chemicals to see what associations there may be between chemicals and breast development. They are looking at \u003ca href=\"http://www.npr.org/templates/archives/archive.php?thingId=141118712\" target=\"_blank\">Bisphenol A \u003c/a>(BPA), flame retardants, \u003ca href=\"http://www.cdc.gov/biomonitoring/Phthalates_FactSheet.html\" target=\"_blank\">phthalates\u003c/a>, heavy metals and chemicals used in nonstick cookware.\u003c/p>\n\u003cp>Karuna Jagger, executive director of Breast Cancer Action, a San Francisco-based advocacy group, called the study \"very important\" especially since causes of breast cancer are not fully understood, she said. She wants to know if chemical exposure means \"creating breasts that are susceptible to future insult and higher risk of breast cancer.\"\u003c/p>\n\u003cp>\u003cstrong>Living with uncertainty\u003c/strong>\u003c/p>\n\u003cp>In an \u003ca href=\"http://pediatrics.aappublications.org/content/future/132/6#COMMENTARIES\" target=\"_blank\">accompanying commentary\u003c/a> in Pediatrics, Marcia Herman-Giddens, lead researcher in the 1997 study, said that we may have to \"live with uncertainty\" for a long time, since the \"exact trigger for pubertal initiation is still unknown.\"\u003c/p>\n\u003cp>Herman-Giddens agreed that \"considerable research\" implicates obesity as a factor in the declining age of onset of puberty, but also points to other complex changes:\u003c/p>\n\u003cblockquote>\u003cp>Extensive interacting variables are known to be associated with earlier development in addition to weight and genetics: certain intrauterine conditions and exposures, preschool high-meat diets, dairy products, low fiber intake, isoflavones, high-stress families, absent fathers, certain endocrine disruptors, the microbiome as it influences weight, epigenetics, light exposure, hormone-laced hair products, insulin resistance, activity level, geographical location, and others.\u003c/p>\u003c/blockquote>\n\u003cp>This study did not look at boys. Greenspan noted there's \"mixed data\" for them, some suggesting boys are going through puberty earlier, some not. Further investigation needs to be done on boys, she said. \"The issue is that the chemicals or even fat may have a different effect on boys' puberty because [boys] have a different set of hormones.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This post has been updated with additional information about the range in onset of puberty for Caucasian girls.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Building on earlier research a major new study has found that girls are starting puberty at even younger ages. The most significant changes were seen in Caucasian girls and in girls who are overweight or obese. Still, girls who were not overweight were also entering puberty younger, the study found.\r\n\r\nResearchers at three sites around the country -- including the San Francisco Bay Area -- followed 1,239 ethnically diverse girls from 2004 to 2011. They looked at breast development, a key marker for the start of puberty.","status":"publish","parent":0,"modified":1383602394,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":28,"wordCount":1271},"headData":{"title":"Study Finds Girls Entering Puberty Younger; Obesity Implicated | KQED","description":"Building on earlier research a major new study has found that girls are starting puberty at even younger ages. The most significant changes were seen in Caucasian girls and in girls who are overweight or obese. Still, girls who were not overweight were also entering puberty younger, the study found.\r\n\r\nResearchers at three sites around the country -- including the San Francisco Bay Area -- followed 1,239 ethnically diverse girls from 2004 to 2011. They looked at breast development, a key marker for the start of puberty.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"16029 http://blogs.kqed.org/stateofhealth/?p=16029","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/11/04/study-girls-entering-puberty-younger-obesity-appears-major-factor-kaiser-san-francisco/","disqusTitle":"Study Finds Girls Entering Puberty Younger; Obesity Implicated","path":"/stateofhealth/16029/study-girls-entering-puberty-younger-obesity-appears-major-factor-kaiser-san-francisco","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16054\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/50781677-2-e1383511143227.jpg\">\u003cimg class=\"size-large wp-image-16054\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/50781677-2-640x427.jpg\" alt=\"Retailer J.C. Penney features a Girls Plus clothing department tailored to overweight girls in this April, 2004 photo. (Scott Olson/Getty Images)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Retailer J.C. Penney features a Girls Plus clothing department tailored to overweight girls. (Scott Olson/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Building on earlier research a major new study has found that girls are starting puberty at even younger ages. The most significant changes were seen in Caucasian girls and in girls who are overweight or obese. Still, girls who were not overweight were also entering puberty younger, the study found.\u003c/p>\n\u003cp>Researchers at three sites around the country -- including the San Francisco Bay Area -- followed 1,239 ethnically diverse girls from 2004 to 2011. They looked at breast development, a key marker for the start of puberty.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Girls who mature earlier are at risk for lower self-esteem and higher rates of depression.\u003c/aside>\n\u003cp>Earlier studies had shown that African-American girls had reached this milestone at younger ages. \"Now it looks like it's happening earlier for Caucasian girls,\" said Dr. Louise Greenspan, a pediatric endocrinologist with Kaiser San Francisco and one of the authors of the study. \"Particularly, the overweight Caucasian girls are developing earlier than they have in the past.\"\u003c/p>\n\u003cp>Researchers looked at a number of factors, but the \"obesity epidemic appears to be a prime driver in the decrease in age at onset of breast development,\" the authors wrote. \u003c!--more-->\u003c/p>\n\u003cp>Researchers cannot say that being overweight or obese actually causes the earlier development, but there are biological reasons to suggest how body fat could contribute to the change. \"Fat makes hormones,\" Greenspan noted, \"and the hormones that are being made by the fat might also be generating high enough levels to make true breast development.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Greenspan specified \"true\" breast development, because their research was based on examining girls at least annually during the 7-year study period as opposed to other studies which had relied on observation. \"That's been a major criticism of prior studies,\" Greenspan said. \"Because when you look at a girl's chest, you can't tell whether there's fat tissue or true breast development, and our study was different because we examined the girls physically and were able to feel the difference between fat and real breast tissue.\"\u003c/p>\n\u003cp>The study, \u003ca href=\"http://pediatrics.aappublications.org/content/future/132/6#MONTHLYFEATURE\" target=\"_blank\">Onset of Breast Development in a Longitudinal Cohort\u003c/a>, was published online Monday in the journal Pediatrics. It was funded by the National Cancer Institute and the National Institute of Environmental Health Sciences.\u003c/p>\n\u003cp>\u003cstrong>Differences noted by ethnicity and race\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://children.webmd.com/tc/growth-and-development-ages-11-to-14-years-what-to-expect\" target=\"_blank\">Common sources\u003c/a> for health information often list puberty as starting around age 11 for girls. But in 1997, a \u003ca href=\"http://pediatrics.aappublications.org/content/99/4/505.abstract\" target=\"_blank\">landmark study \u003c/a>concluded that puberty was starting earlier, and African-American girls in particular were entering puberty younger than their peers. This study found average ages for the even-earlier breast development as follows:\u003c/p>\n\u003cul>\n\u003cli>8.76 years for African-American girls\u003c/li>\n\u003cli>9.23 years for Hispanic girls\u003c/li>\n\u003cli>9.62 years for Caucasian\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>9.92 years for Asian-American girls\u003c/li>\n\u003c/ul>\n\u003cp>This study is essentially the first to determine onset of puberty for Asian-American girls, although their study sample was still small. \"Previous studies have largely focused on the white/black difference,\" said Lawrence Kushi, Directory of Scientific Policy at Kaiser's Division of Research and the principal investigator for the \u003ca href=\"https://www.cygnetstudy.com/component/content/category/8-about-cygnet\" target=\"_blank\">San Francisco site\u003c/a> in this report. Hispanic girls have been somewhat more represented in prior studies than Asian-American girls, and Hispanic girls have \"shifted to somewhat younger ages,\" Kushi said.\u003c/p>\n\u003cp>The big difference is in Caucasian girls. The average age of breast development for them was four months earlier than seen in the 1997 study, and that's \"a pretty significant reduction\" on a percentage basis, says Greenspan, since puberty only lasts two to three years. But that's the average. The more obese girls had a \"greater shift,\" Kushi said. Some of these heavier girls were entering puberty close to a year earlier than previously reported.\u003c/p>\n\u003cp>African-American girls appeared to be \"holding steady\" compared to earlier studies, said Greenspan.\u003c/p>\n\u003cp>What's not clear from this study is if girls are also having their first period at a younger age. The research team has been following this group of girls since they were ages 6 to 8. Now they are 14 to 16. The researchers plan to analyze ages of the girls' first period once all the girls in the study have reached that milestone. \"One question we have,\" Greenspan said, \"is puberty starting earlier and ending earlier so there's an entire shift to an earlier age; or is puberty starting earlier and ending at the same time?\"\u003c/p>\n\u003cp>\u003cstrong>Psychological and physical health risks\u003c/strong>\u003c/p>\n\u003cp>This earlier onset of puberty puts girls at risk for certain mental and physical health issues. From the study:\u003c/p>\n\u003cblockquote>\u003cp>Girls with earlier maturation are at risk for lower self-esteem and higher rates of depression. They are more likely to be influenced by older peers and more deviant peers, and initiate intercourse, substance use and other norm-breaking behaviors at younger ages.\u003c/p>\u003c/blockquote>\n\u003cp>Many schools include classes about puberty and sexuality in 5th or 6th grade, Greenspan noted. But according to this new data, many girls are entering puberty in 3rd or 4th grade. This creates a \"real disconnect between the timing of girls' puberty and the timing of the education they receive about the puberty and their bodies in general.\" She argued for splitting the subject matter and teaching girls about puberty in the earlier grades and leaving sexuality for the later grades.\u003c/p>\n\u003cp>Girls who enter puberty younger are at higher risk for developing certain cancers as adults, including breast cancer -- possibly because earlier puberty increases exposure to estrogen, a known breast cancer risk. Greenspan hopes that the researchers will continue to receive funding to follow the girls into adulthood, which could yield better understanding of breast cancer risk.\u003c/p>\n\u003cp>The researchers also collected blood and urine samples from the girls at the beginning of the study and are analyzing certain chemicals to see what associations there may be between chemicals and breast development. They are looking at \u003ca href=\"http://www.npr.org/templates/archives/archive.php?thingId=141118712\" target=\"_blank\">Bisphenol A \u003c/a>(BPA), flame retardants, \u003ca href=\"http://www.cdc.gov/biomonitoring/Phthalates_FactSheet.html\" target=\"_blank\">phthalates\u003c/a>, heavy metals and chemicals used in nonstick cookware.\u003c/p>\n\u003cp>Karuna Jagger, executive director of Breast Cancer Action, a San Francisco-based advocacy group, called the study \"very important\" especially since causes of breast cancer are not fully understood, she said. She wants to know if chemical exposure means \"creating breasts that are susceptible to future insult and higher risk of breast cancer.\"\u003c/p>\n\u003cp>\u003cstrong>Living with uncertainty\u003c/strong>\u003c/p>\n\u003cp>In an \u003ca href=\"http://pediatrics.aappublications.org/content/future/132/6#COMMENTARIES\" target=\"_blank\">accompanying commentary\u003c/a> in Pediatrics, Marcia Herman-Giddens, lead researcher in the 1997 study, said that we may have to \"live with uncertainty\" for a long time, since the \"exact trigger for pubertal initiation is still unknown.\"\u003c/p>\n\u003cp>Herman-Giddens agreed that \"considerable research\" implicates obesity as a factor in the declining age of onset of puberty, but also points to other complex changes:\u003c/p>\n\u003cblockquote>\u003cp>Extensive interacting variables are known to be associated with earlier development in addition to weight and genetics: certain intrauterine conditions and exposures, preschool high-meat diets, dairy products, low fiber intake, isoflavones, high-stress families, absent fathers, certain endocrine disruptors, the microbiome as it influences weight, epigenetics, light exposure, hormone-laced hair products, insulin resistance, activity level, geographical location, and others.\u003c/p>\u003c/blockquote>\n\u003cp>This study did not look at boys. Greenspan noted there's \"mixed data\" for them, some suggesting boys are going through puberty earlier, some not. Further investigation needs to be done on boys, she said. \"The issue is that the chemicals or even fat may have a different effect on boys' puberty because [boys] have a different set of hormones.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated with additional information about the range in onset of puberty for Caucasian girls.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/16029/study-girls-entering-puberty-younger-obesity-appears-major-factor-kaiser-san-francisco","authors":["240"],"categories":["stateofhealth_11"],"tags":["stateofhealth_46","stateofhealth_96","stateofhealth_117","stateofhealth_461"],"featImg":"stateofhealth_16084","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.","airtime":"MON-FRI 3am-9am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/morning-edition/","meta":{"site":"news","source":"npr"},"link":"/radio/program/morning-edition"},"onourwatch":{"id":"onourwatch","title":"On Our Watch","tagline":"Police secrets, unsealed","info":"For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg","imageAlt":"On Our Watch from NPR and KQED","officialWebsiteLink":"/podcasts/onourwatch","meta":{"site":"news","source":"kqed","order":"1"},"link":"/podcasts/onourwatch","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1567098962","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw","npr":"https://rpb3r.app.goo.gl/onourwatch","spotify":"https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x","tuneIn":"https://tunein.com/radio/On-Our-Watch-p1436229/","stitcher":"https://www.stitcher.com/show/on-our-watch","rss":"https://feeds.npr.org/510360/podcast.xml"}},"on-the-media":{"id":"on-the-media","title":"On The Media","info":"Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us","airtime":"SUN 2pm-3pm, MON 12am-1am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png","officialWebsiteLink":"https://www.wnycstudios.org/shows/otm","meta":{"site":"news","source":"wnyc"},"link":"/radio/program/on-the-media","subscribe":{"apple":"https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2","tuneIn":"https://tunein.com/radio/On-the-Media-p69/","rss":"http://feeds.wnyc.org/onthemedia"}},"our-body-politic":{"id":"our-body-politic","title":"Our Body Politic","info":"Presented by KQED, KCRW and KPCC, and created and hosted by award-winning journalist Farai Chideya, Our Body Politic is unapologetically centered on reporting on not just how women of color experience the major political events of today, but how they’re impacting those very issues.","airtime":"SAT 6pm-7pm, SUN 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Our-Body-Politic-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://our-body-politic.simplecast.com/","meta":{"site":"news","source":"kcrw"},"link":"/radio/program/our-body-politic","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/our-body-politic/id1533069868","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS9feGFQaHMxcw","spotify":"https://open.spotify.com/show/4ApAiLT1kV153TttWAmqmc","rss":"https://feeds.simplecast.com/_xaPhs1s","tuneIn":"https://tunein.com/podcasts/News--Politics-Podcasts/Our-Body-Politic-p1369211/"}},"pbs-newshour":{"id":"pbs-newshour","title":"PBS NewsHour","info":"Analysis, background reports and updates from the PBS NewsHour putting today's news in context.","airtime":"MON-FRI 3pm-4pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.pbs.org/newshour/","meta":{"site":"news","source":"pbs"},"link":"/radio/program/pbs-newshour","subscribe":{"apple":"https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2","tuneIn":"https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/","rss":"https://www.pbs.org/newshour/feeds/rss/podcasts/show"}},"perspectives":{"id":"perspectives","title":"Perspectives","tagline":"KQED's series of of daily listener commentaries since 1991","info":"KQED's series of of daily listener commentaries since 1991.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Perspectives-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/perspectives/","meta":{"site":"radio","source":"kqed","order":"15"},"link":"/perspectives","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/id73801135","npr":"https://www.npr.org/podcasts/432309616/perspectives","rss":"https://ww2.kqed.org/perspectives/category/perspectives/feed/","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"}},"planet-money":{"id":"planet-money","title":"Planet Money","info":"The economy explained. 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