Wednesday, 24 August 2016
(Part 1 is here)
The monkey on my back is no longer a mandrill, more of a vervet.
I still want to smoke, sometimes A LOT, but it’s slowly becoming more an emotional and mental need, a kind of nostalgia. I miss it like Wendy missing Neverland.
For the first time, smoke smells bad to me. A friend was smoking Rothmans, admittedly one of the stinkiest fags, and I didn’t like it. Up until now, I’ve stood next to friends while they smoked and even followed people in the street a couple of times (yes, I know).
The IBS has mostly calmed down. For the first month, my digestion was seriously messed up and sometimes I looked five months pregnant, not because of the stress of quitting but because of physical withdrawal from chemicals that have controlled appetite and digestion for over 30 years. It takes a while for that to normalise (and it pisses me off when people assume IBS is caused solely by stress and, by implication, that I’m a feeble, neurotic woman).
The weight gain is holding steady at around 3kg. I’m exercising like buggery to get rid of it but so far, no dice. I haven’t noticed any difference at the gym with the weights but I can go harder on the cardio and being really out of breath at the end feels good, an endorphin rush I haven’t had for years. My knees aren’t so keen though.
I spoke to my dentist about whether the inhalator is having an effect on my oral health and he said that as long as my mouth isn’t permanently dry, it should be OK long term. On the upside, circulation to my gums is greatly improved already. On the downside, the fast recovery means they are much more sensitive so a session with the hygienist was nasty even with painkilling gel.
I’ve discovered that when someone kisses you, they can’t taste the nicotine from the inhalator, so that’s a bonus.
I’ve noticed that inhalators are sold in the pharmacy section of my supermarket whereas vaping equipment is sold with smoking products.
The rage has mostly gone although there are still moments. I haven’t done anyone actual harm but I’ve come very close a couple of times. They deserved it. I can now see the appeal of being a vigilante superhero – judge, jury and executioner. I may have to work on that. Or buy a cape and mask.
Things not to say 1: If I say I want to smoke, don’t say ‘No you don’t’ and think you’re being helpful because I really do. Acknowledge the craving and help me deal with it by distracting me – make me laugh, do a little dance, whatever.
Things not to say 2: ‘What, still?’ Yes, still. Just because smoking doesn’t cause extreme and obvious behavioural changes like some drugs and alcohol can doesn’t make it any less powerful an addiction. I’m bored with it too, with how much attention it takes up - even when I’m thinking about something else at the same time. I want it to be over and done with. So kindly take your short attention span elsewhere.
Things not to say (or think) 3: Stop making a fuss and get on with it, you shouldn’t have been smoking in the first place. There’s a moral judgement attached to some people’s response to addiction, even if they don’t admit it. It’s based on ignorance about genetics, personality, environment, whether the people you most closely identified with did it, changing social acceptance, legality, and smugness. A lot of smugness. No one factor makes anyone a victim destined to be an addict but it’s a complex, multi-factorial thing and judging from your moral high ground really doesn’t help.
The vervet has shrunk to a pygmy marmoset. I’ve decided to give her a name – Sparky. ***
Do I still want to smoke? Yes, every day, mostly in the evenings. But not for as long or as intensely as before, and it’s not making me miserable that I can’t.
I’m having regular dreams where I light up, then realise what I’ve done and wake up really angry with myself, so it looks like my unconscious is rooting for me too. Shame it can’t have a word with my metabolism.
From a 3kg peak, weight gain is now 1.5kg. I’m eating a bit less than I was before I quit but there really wasn’t much I could trim off my diet and now I’m hungry a lot of the time, which is miserable. The Nicotine Replacement Therapy is supposed to help with metabolism, hunger and weight gain. Maybe I’d have gained a lot more without it, there’s no way of knowing.
Public health and other advice websites assume that all smokers are fat bone-idle slugs so their weight gain advice is mostly just to be more active and avoid snacking, which is no use to me at all.
I’m trying HIIT as part of my regular workout (High Intensity Interval Training – basically doing sprints). There are many variations and I’m doing a 2:1 ratio: 20 second sprints then 10 seconds slower on the bike, repeated for four minutes, at the end of every workout (two weights, two cardio per week) plus an extra cardio session with HIIT, plus a lot of walking. Research shows HIIT is better for weight loss than longer periods of less intense cardio. I don’t know if I’ll be able to go back to my normal gym routine once I’ve lost the weight or if I’ll have to keep up this level of intensity forever to keep it off. I bloody hope not. I’ve had knee problems since I was a kid and compartment syndrome in both legs about six years ago so I don’t want to push my luck. My knees hate me right now.
Things I have learned 1: Nicotine is the third most addictive substance known, after heroine and cocaine, then alcohol and barbiturates. There is also an individual factor that makes some people more susceptible to some substances than others - I’ve used four out of those five and only become addicted to one.
Things I have learned 2: Smokers tend to have more visceral fat – the one that sits round the organs and causes serious health problems. It’s a stealth fat that even people who don’t look overweight can have. Because of chemical changes in the body, weight-gain after quitting is more likely to be subcutaneous fat (under the skin), which is less harmful, especially short-term. And it will be short term, if it kills me.
Things I have learned 3: Nicotine is not all bad. This shouldn’t be a surprise as poisonous plants like deadly nightshade have medical uses.
It has been found to protect against Parkinson’s disease. A small study has found that it may also protect against the early stages of Alzheimer’s disease.
There isn’t even much of a problem with addiction in its therapeutic use because, according to an article in Scientific American, other ingredients in tobacco smoke are necessary to amp up nicotine’s addictiveness. Those other chemical ingredients—things like acetaldehyde, anabasine, nornicotine, anatabine, cotinine, and myosmine—help to keep people hooked on tobacco. On its own, nicotine isn’t enough.
Another benefit is as a cognitive enhancer. According to Jennifer Rusted, professor of experimental psychology at Sussex University: “To my knowledge, nicotine is the most reliable cognitive enhancer that we currently have, bizarrely.” Many other studies back her up.
According to another article in Scientific American: Psychologists and tobacco-addiction specialists think it's now time to distinguish clearly between nicotine and smoking; the evidence shows smoking is the killer, not nicotine.
"We need to de-demonize nicotine," said Ann McNeill, professor of tobacco addiction at the Institute of Psychiatry, Psychology and Neuroscience at King's College London.
Things I have learned 4: There’s a lot of disagreement over whether addiction is a disease or a learned pattern of behaviour, whether addicts are helpless victims and should be treated as such or whether this view disempowers people and makes them less likely to try to take control and change. The term ‘brain plasticity’ gets bandied about a lot in terms of learning or unlearning behaviour, including addictive behaviour, but it’s pretty much empty of meaning and should be regarded with skeptical caution.
This is the point where I should think about stopping the NRT according to some guidance but I’m in no rush. One Everest at a time. And according to the research I’ve mentioned, it’s not doing me any lasting harm and may even have some benefits.
For the first time since I was a teenager I will have to deal with life’s vicissitudes without the comfort blanket of nicotine, which could be interesting. But Sparky and I will keep plodding down the long and winding road. Maybe I can train her to wear a little hat and bang cymbals.
** That's English fags, not American fags, obviously.
*** Monkey notes: the mandrill is the largest monkey, the pygmy marmoset the smallest and the vervet (not surprisingly) somewhere in between.
Thursday, 16 June 2016
This is my experience after 23 days of not smoking. None of what follows is setting myself up to fail, it’s being realistic about the task ahead and preparing myself for it. As the Boy Scouts say: Be Prepared. As far as I can see, thinking it will be easy is the best way to fail. Forewarned is forearmed.
What they don’t tell you
It will be fucking awful. No one tells you quite how awful it will be because all the health advice givers want you to stop.
Mood swings. I expected to be a bit grumpy. I didn’t expect to want to punch people, to burst into tears and to be bouncing around like Tigger all in the same day. Things and people that would normally mildly irritate you will make you go postal. It’s a bit like the worst PMS - for weeks on end.
If you live in a city and/or use public transport getting your sense of smell back is not a bonus. London and Londoners do not smell good.
You may never stop wanting to smoke. People have told me that even 30 years on they would go back to it if it was safe.
Cravings feel like a monster has taken over your body. Advice says that they get weaker and less frequent after about 14 days. They should last just a few minutes and then pass. Not so far. I still want to smoke just as much and just as often. My cravings can last up to half an hour.
Most people fail. Some research shows that around a third of smokers try to quit each year and that ‘fewer than one in eight former smokers who had abstained for a month or less at baseline were continuously abstinent over the next 2 years’. Other research has varying percentages for cold turkey and assisted quitting but in all cases, the percentage who succeed is very small.
What not to say
Do not say ‘I decided to give up and just did it. It was easy’. I will slap you. Hard.
Do not say ‘It doesn’t matter if you put on a bit of weight’. It clearly does matter or it wouldn’t have been mentioned. Stick to making sympathetic noises.
Do not say ‘Think of all the money you’re saving’. If that was a reason for giving up, no one would smoke. See also comments about not smelling like an ash-tray, not dying etc etc. I gave up because I just wasn’t enjoying it any more. I didn’t want to smoke. As simple as that. This doesn’t mean I don’t want a cigarette. Because I’m an addict.
ETA: Do not say 'Try to avoid triggers'. For me these are: waking up, going to the gym, eating, drinking and, it turns out, being with one of my closest friends (a non-smoker).
Do not talk about being a chocoholic or being really grumpy before you have your morning coffee. If you haven’t been a smoker, you won’t get it.
This may sound harsh and ungrateful but I reserve the right to be Oscar the Grouch verging on She Hulk for the next few months.
Nicotine Replacement Therapy
NRT covers products like patches, nicotine gum, inhalators and e-cigarettes. In theory it helps break the habit of smoking (as opposed to the addiction) while still getting some nicotine to lessen the cravings, and it doubles the chances of success.
The problem is that it’s aimed at a theoretical average smoker of 20 full-strength cigarettes a day who would get about 15mg of nicotine. I was smoking 10-12 of what used to be called ultra-low cigarettes which meant that I was getting about 1mg of nicotine a day. So I would have to use about 6% of a nicotine patch – not exactly practical. There are products with less nicotine for phased quitting but even these would give me a lot more than I was previously getting.
You’d think this would mean quitting was easier, but no. I know this because I tried to give up about 20 years ago when I was smoking 20 full-strength a day.
I opted for an inhalator and worked out from the information given that about 15 seconds of sucking on it would give me about the same nicotine as a cigarette. But there is no precise information about how nicotine absorption from cessation products compares with smoking other than the fact that it’s slower and less effective. Advice tells you to suck until you feel satisfied but as it takes longer to feel the effect you can end up getting a lot more nicotine than you actually want or need. So I’m very probably getting more than I was - although in a safer form.
ETA Day 32: I've done a bit more research and concluded that I was possibly under-dosing with the inhalator, which is why the first few weeks were so rough. I wasn't quite going cold turkey but certainly lukewarm turkey.
Some people I know used vaping and e-cigs as a way to give up and it worked for them. But if you go into vaping shops and talk to staff (as I did), it’s clear that vaping is becoming a hobby in itself with accessories, flavourings and associated products. I did consider it but I didn’t want to look like Puff the Magic Dragon billowing out clouds of vapour. Most of the flavourings smell disgusting to me. Many places don’t allow it indoors now so I’d have to go outside to do it and I want to break that association. It’s a lot more involved than lighting a cigarette (flavoured liquids, replacing coils at regular intervals, charging batteries and so on) and I just wanted to get the nicotine into me in the simplest and least twattish way.
This is a big one for me. When I gave up about 20 years ago I put on about 30lbs/13.5kg. I couldn’t lose it after a year and got so miserable that I went back to smoking. At the moment, my weight is about 4.5lb/2kg above where it should be and it’s a battle royal to stop it going any higher. Nicotine is an appetite suppressant and metabolism stimulant, which is why you gain weight when you stop smoking. If you’re using NRT this shouldn’t happen. But it has.
Your digestion will get messed up and your metabolism may well slow down so even if you resist the urge to snack you’ll gain weight. It also kicked off my Irritable Bowel Syndrome. Oh joy.
The advice web sites say to exercise more. I already go to the gym four times a week and walk a lot. I’m trying to walk more but it’s killing my knees. Being atypical sucks.
One big difference between giving up now and my failed attempt 20+ years ago is social media. It didn’t exist then. Telling everyone on Twitter and Facebook that I’d given up meant that backing down was a lot harder but, more importantly for me, it means that I can get support and encouragement, especially if I'm having a bad day.
The downside is that giving up takes months and months and people will lose interest in daily updates. I don’t blame them, I would too. So I’ve picked a couple of close friends for long-term support, people who won’t get sympathy fatigue. Lucky them.
The next step
The advice is to use NRT for at least 12 weeks as in theory this is how long it takes to break the habit or at least the psychological addiction. Again, this is a one-size-fits-all guestimate. Some people take a lot longer. I’m not expecting to get over 30 years of smoking in a couple of months. And I am not a patient person. This is the long, slow, tedious bloody haul.
Nicotine itself isn’t that bad for you so getting off the NRT isn’t such a pressure. It’s generally considered no worse than caffeine – not totally without negative effects but way safer than smoking. So I may still be using it this time next year. We’ll see.
I haven’t fallen off the wagon yet. The important thing is to take responsibility for quitting. I’ve decided that if I do have a smoke, I won’t blame anyone or anything else. I am not a victim, I have had a lapse of willpower. It happens. Get back on the wagon.
After smoking for so long I accept that there may be some damage that will never be reversed.
Someone asked me if I now see myself as a non-smoker. I see myself as someone who is not smoking right now. That’s not giving myself an escape route, that’s focussing on the present because it’s in the present that I want to smoke.
So that’s where I am now. It’s early days. Watch this space.
Thursday, 7 April 2016
Why exercise is not an act of contrition
Shirley Cramer, chief executive of the Royal Society for Public Health thinks activity icons on food packaging will help combat obesity. The idea is to use stick people to show how long it would take to run or walk off the calories you’re about to eat.
The RSPH think that people are suffering from information overload in food packaging and that this will help – by giving them even more information as there is no proposal to replace the current labelling. Their research has found that 63% of people would support its introduction, with 53% saying it would cause them to make positive behaviour changes such as choosing healthier products, eating smaller portions or doing more physical exercise.
There are several problems with this approach. Firstly, who are the times based on? Everyone has a different metabolism and burns calories at a different rate depending on gender, height, age, build, lifestyle and so on.
The recommended calorie intake is 2500 a day for men and 2000 for women, based on some mythical average human. Averages can be useful as guidelines but it should be made clear that pretty much no one is ‘average’. I’m certainly not and nor is anyone I know.
Judging by the comments on the BBC article about this initiative, people don’t even understand what calories do. Someone commented on how long they’d have to run to work off 2500 a day, for example. We need calories to survive, they are not the enemy. It makes a big difference what constitutes those calories though – fats, sugars and so on. Eating 2000 a day is not going to keep you healthy if they’re made up of pizza and chocolate no matter how much you exercise.
You don’t just burn off calories while exercising. People who exercise regularly have a higher resting metabolic rate, which means that they burn off more even when they’re doing nothing just to sustain the extra muscle. What’s more, exercise is not just for calorie or weight control. There are many other health benefits, both physical and psychological.
The RSPH press release says that ‘it is hoped that ‘activity equivalent’ calorie labelling would help promote and normalise physical activity’. This is my biggest problem with the proposal – the intention may be to get people to be more active but it very strongly promotes the idea of exercise as punishment or penance rather than ‘normalising’ activity.
It’s like a Catholic approach to health – commit the sin and then do penance. Exercise is not an act of contrition and framing it as such helps no one. If guilt is your motivation and you hate every minute of your workout, you’re much less likely to keep up the exercise. Or, if you think you can exercise away the muffin, you have no reason to stop eating them in a cycle of sin and do penance, sin and do penance. As one woman told me, this approach is ‘reinforcing the notions that food has a moral value based on its calorific content, and that exercise is some kind of punishment for making arbitrarily-determined ‘poor’ nutritional choices’. Exercise does not wash away your sin and restore your moral balance.
A woman at my gym once said to me ‘When I’m as thin as you I can stop coming’. She wasn’t happy when I pointed out that the only reason I stay fit is that I keep coming. Forever. And ever. Amen.
There’s another worrying aspect to this proposed initiative. As a friend has pointed out, ‘This promotes an inherently disordered framing of what food and exercise are ‘for’. The whole idea of exercising simply to compensate for the food you've eaten is so triggering to people in eating disorder recovery who need to unlearn this bullshit in order to have a healthy and moderate relationship with food. This is so harmful, in the sense that it might actually trigger restriction and a return to disordered eating behaviours’.
This proposal comes from a good intention to help empower consumers to make healthier choices and to tackle the obesity crisis. But we already know that some foods are healthier than others. People over-eat for many different and complex reasons. If you buy crisps or chocolate, you know they are not health food. Who looks at how many calories are in a bar of chocolate and then puts it back? No one.
Making people feel guilty about their choices is not going to solve underlying psychological problems, nor is promoting exercise just to balance the scales. It’s not going to change anyone’s relationship with what they put in their mouth or with their bodies. When it comes to obesity, no one-size-fits-all approach is going to work.
As to the 63% who support the introduction of the activity icons – the road to hell is paved with good intentions. Also, the road to gyms making a profit is paved with people who join and then stop going after a couple of months. People often answer health questions based on how they would like to see themselves, how they would like to be, rather than on a realistic self-appraisal.
There is also the issue of practicality. Legislation on the mandatory labelling of food and drink is currently decided at the European level. Even if the political will existed and the food and drink industry was on board, it could take several years to happen. The industry is generally not so keen on ideas that discourage people from eating their products – unless they can sell us other products to counteract their effect. Maybe they should start investing in gyms.
Finally, why is it that articles like this so often have a food porn image at the top? Does the BBC (for example) think that we’ll read anything if there’s a picture of a heap of chocolate at the top? And, as all chocolate-lovers know, there is no such thing as a standard chocolate bar.
Pray for us sinners.
Wednesday, 6 April 2016
The debate about cultural appropriation keep flaring up, much like the recently active Popacatapetl, and it does seem to be generating more heat than light. I’m surprised and disappointed that any of this still needs saying, but from what I hear and read on a regular basis, it seems it does.
Is cultural appropriation a useful or even correct term?
Ethnicities are not monocultures. Cultures are not monocultures. Typifying Indian culture (for example) by Southern Indian Hindu cuisine and then saying that cooking this food at home is cultural appropriation is in itself a kind of ignorant colonialism – they’re all the same over there. That’s like saying that all white people are Goths. If you’re going to talk about a particular culture, you need to define exactly what it is you’re talking about.
No culture is historically ‘pure’ even if some people like to think theirs is. It’s impossible to eradicate all elements of the Other. There is always cross-pollination. All cultures are an amalgamation of historical influxes and absorption. Even isolated jungle tribes have contact with each other and adopt elements of each others’ culture that suit them, while maintaining a sense of their own. The zero was adopted in the West because it made maths and trade easier. Better kinds of agriculture, metal working and medicine were acquired without asking permission. Not all of what could be called cultural appropriation is bad.
Historically, some markers of cultural identity were visible – clothes, food, music, for example. Others were less so – stories, private rituals, language. A shibboleth is defined as ‘a custom, principle, or belief distinguishing a particular class or group of people’. It comes from the Hebrew word shibbólet and its pronunciation was used to distinguish Ephraimites, whose dialect lacked a /ʃ/ phoneme (as in shoe), from the people of Gilead whose dialect did have it. In Mediaeval France, people separated themselves into Langue D’Oc and Langue D’Oil. It was a geographical separation that became a marker of custom, community and allegiance based on different ways of pronouncing the word for Yes.
Markers like this are rarely appropriated, mainly because they have no commercial or aesthetic value.
Nations and individuals have no problem selling aspects of their culture to outsiders. This can be to tourists in their own country or it can be by moving abroad and selling it to the natives – for example, by running a restaurant, selling carpets or holding classes in yoga or martial arts. That’s the foundation of export, after all. The people selling the culture decide which aspects of it to sell and may modify it for foreign tastes. They are in control of the dissemination and profitability of their own culture.
Claiming appropriation in this context denies individuals and cultures any agency of their own. They’re not capable of deciding what to do with their culture and can’t protect it so white, middle class Westerners have to do it for them. Then they can feel all virtuous by getting outraged on someone else’s behalf without actually stopping to ask that someone else if they’re offended.
Is it only appropriation if your culture has a history of exploiting or abusing the culture you’re accessorising? Is it appropriation if, for example, a Jamaican wears a bindi? Or is it not because it’s much harder for white Westerners to decide which group to side with?
There’s also an element of cultural protection. We don’t like to surrender aspects of our culture that make us different from Others. No one likes to see markers of their In group go mainstream. A degree of this is inevitable in an increasingly global culture but it’s not a new thing. In the distant past when groups were more isolated, each developed its own identity like speciation in isolated locations. As people began to mix more, often through trade or war, it became more important to be able to distinguish Us and Them, especially if one group was exploited or threatened. We’re an Us and Them kind of species, no different from many others. When resources are limited, it’s important to know who to share them with and who you’re competing with.
Refugees or immigrants often try to maintain their cultural identity as a distinct entity. It’s not a refusal to ‘assimilate’, it’s a survival instinct. It can bind them together in a difficult time and may give them a sense of comfort, strength and value. It gives them history, context and identity even though they benefit from and contribute to the culture they find themselves in. Don’t forget who you are, where you came from or what you have suffered.
What this all boils down to is power. Who is in control of the cultural copyright and who is benefiting from it? Are value, history and meaning lost or is it a fair exchange?
But any time a dominant culture discriminates against or exploits a minority or tries to impose their culture as the only valid one, establishing a cultural hierarchy while cherry-picking and commercialising the bits that are ‘acceptable’, that’s not cultural appropriation. Racism is the problem, not shopping. And that’s much harder to admit to or tackle than pointing the finger at a white woman in a cheongsam.
Thursday, 3 March 2016
Scaled up, curvy Barbie would be 167.6cm or 5’6” (slightly taller than average) with a waist measurement of 63cm (24.8in) and hips 91.2cm (35.9in) whereas the average British woman measures 79.5cm (31.3in) and 105cm (41.3in) according to the 2012 Health Survey of England.
In that year, 67% of men and 57% of women were overweight or obese. Overweight and obesity are defined as ‘abnormal or excessive fat accumulation that may impair health’. Being overweight/obese is associated with an increased risk for some common causes of disease and death including diabetes, cardiovascular disease and some cancers.
The cost to the NHS of obesity and obesity-related disease was £2.3 billion in 2007 and is projected to be £7.1 billion by 2050 (assuming we still have an NHS by then). Costs attributed to overweight and obesity taken together are £4.2bn in 2007, projected to be £9.7bn in 2050. This compares with the current cost of smoking-related disease at approximately £2bn (and smokers are heavily taxed).
For some time, Body Mass Index (BMI) has been used as an indicator of obesity but it’s a pretty blunt instrument as it doesn’t distinguish between fat and muscle or take account of how the fat is distributed (fat in the core area or around the organs is worse for health than fat lower down the body, for example). Waist to hip ratio or waist measurement are now considered more accurate with a waist measurement over 102cm (40.2in) in men and 88cm (34.6in) in women taken as the threshold for health concerns. This metric still works best for people of average height and Western ethnicity though.
By these measurements, Curvy Barbie is clearly thinner than the average UK woman. This may not be a bad thing.
Original skinny Barbie has taken a lot of flak over the years for causing girls and young women to be unhappy with their body shape. For example, research done in 2006 found that girls aged between 5.5 years and 7.5 years old were less satisfied with their own body shape after reading a book with pictures of original Barbie. The research was done by Helga Dittmar of Sussex University who found that "The girls said they wanted a thinner body shape than they had. They had lower body-esteems after seeing pictures of Barbie. If we show an effect with a single exposure study it stands to reason that the impact increases as time moves on."
The media is full of images of very thin people that cause a lot of pressure, misery and body dysmorphia in women (and of course, men too). Diet books and products are huge earners. Barbie is just a tiny contributor but even with falling sales, she is a presence in the lives of many young people.
Fat shaming is hateful behaviour. There was a recent case of people handing cards to overweight women on the Tube in London to humiliate them, reducing women (yet again) to just a body to be judged.
Women are of course used to being judged by their appearance – and found wanting both by companies trying to sell products and by society in general. But should Barbie reflect the average woman? If she had a scaled-down version of the average waist and hip size would this make young women feel better about themselves or would it normalise obesity? Even while acknowledging the flaws of BMI, the Health Survey of England found that ‘there was a significant discrepancy between participants’ own assessment and their BMI category, which was greater among men than women. This lends support to the idea that a high prevalence of overweight and obesity in the population has led to a greater bodyweight/size becoming the norm’.
There’s a fine line to be walked here. While it is in no way acceptable to judge anyone by their size, promoting healthy body shape through a balanced diet and exercise can only be a good thing. The message is too complex for some: obesity is not good for health but if fat is bad, it’s too easy to jump to the assumption that fat people are bad/weak/stupid. It’s important that children understand the distinction. There’s also a class/income element to obesity as people in lower income groups are more prevalent in overweight groups.
Children have little or no control over what they eat so education is essential to ensure that, as soon as they have a choice, they make it a healthy one. The recent proposal to tax sugary drinks has its heart in the right place but even if campaigners succeed in getting it done, it won’t work without education and healthy bodies as role models.
Prevention is easier than cure. It’s hard to lose weight and exercise regularly. Evolution has geared us to seek out fats and sugars as they were once in short supply. Now they’re everywhere. The time of food scarcity when a fat baby was thought to be a healthy baby is long gone.
Children don’t know what dress size Curvy Barbie takes, they don’t know that it’s less than the average, they just see that she’s not skinny as a stick. Yes, she is just a doll and is only a tiny part of the way children are influenced. But if Curvy Barbie helps just a little bit to stop children feeling as bad about themselves while at the same time it normalises a healthier shape, that could be a step in the right direction.
Perhaps toy maker Mattel is being more realistic about the shape we’re in or perhaps this is an attempt to boost profits, which are reported to have fallen by 59% with a 14% drop in sales of Barbie.
It seems unlikely that Mattel is being altruistic. The tall and petite versions only look different heights compared with standard Barbie. In isolation, they just look like any other doll – and are still unnaturally thin. Tall Barbie would be 180cm (5ft 11in tall) with a waist measurement of 56.4cm (22.2in) and 78cm (30.7in) hips. Just for comparison with Lanky Barbie, I am 185cm (73in) with a waist of 76cm (30”) and hips 99cm (39”). I weigh 66.5kg (146lb) with more muscle than average. If I were any thinner, I’d be ill.
Sunday, 8 November 2015
Yet more articles have appeared about how animals perform compared with humans; this time it’s chimps.
Experimenters at Kyoto University have found that one chimp can be trained to do a numerical short-term memory test faster than the average human can do it. The media love stories like this. There has been repeated coverage of the fact that crows are better at solving certain problems than children younger than seven – without being trained at all. There are also media favourites Alex the parrot and Koko the gorilla or the orang utans who have learnt to imitate human behaviour, for example hammering nails into wood or starting a fire.
Does this mean they are as smart as us or that they are natural imitators and problem-solvers, evolved cognitive skills that equips them to survive in their ecological niche? Hammering in nails is not a life skill that orangs need and demanding a nut is not one that Alex would need if he wasn’t kept in a lab.
Corvids in general and New Caledonian crows in particular are different from chimps in that they use innate abilities to problem-solve rather than being trained. But comparisons with humans are still false. The average corvid lifespan is around 20 years and they begin to reproduce from around three years old. They don’t have the luxury of a long childhood to acquire skills, they have to hit the ground running or they don’t survive.
Humans have solved the evolutionary problem of head size versus pelvis size by having young that are born in a relatively undeveloped state. Human lifespan and a long protected infancy mean that we have time to learn and develop before being set loose on the world. So comparing a crow with a child tells us nothing about either in terms of how ‘smart’ both species are.
There is a tendency to equate intelligence with consciousness and self-awareness. Humans have the ability to recognise ourselves in a mirror, an indicator of self-awareness. A few other animals have also shown this ability, as opposed to thinking the reflection is another animal, which indicates that they too have a degree of self-awareness. Again, the temptation is to add ‘just like us’. But these are all social animals. In social groups, the ability to tell the difference between yourself and another is a lot more useful than it is for solitary species. So this ability is an indicator of what is needed to survive in social groups, not of ‘elevated’ consciousness or intelligence.
One of the most successful species on earth is grass. It can live pretty much anywhere except the poles. All kinds of parasites have solved evolutionary problems in cunning ways, for example the lancet liver fluke Dicrocoelium dendriticum. These are most definitely not conscious species and yet they thrive. So is intelligence over-rated? Is it something we value only because, by our own definition, we have it? Who are we trying to impress?
There have been attempts to teach other animals to communicate with humans for a very long time. Some primates, for example, can learn to make signs or point to symbols to communicate with us. Alex the parrot could construct basic sentences. The fact that they can’t communicate in a complex human way doesn’t mean they are less ‘smart’, it means they don’t need to. Our more complex vocal communications are necessary in our more complex societies. The intricacy and (to us) the beauty of bird song has been summed up as ‘Fuck me or fuck off’ (attracting mates or warning off rivals). That’s all it needs to do.
If chimps needed human-type language, they would have evolved it. In evolutionary terms, cross-species communication is pointless. There are some monkeys that have learnt to recognise the alarm calls of other monkey species that share the same habitat and will respond appropriately to, for example, a snake alarm or a raptor alarm. But they are not communicating with each other. Apes only communicate with humans because they have been trained to do it for rewards in an artificial environment. This shows that they can adapt their innate skills to new tasks. It says nothing about their relative intelligence.
Most of the response to human-like abilities in other animals comes, not surprisingly, from headlines or TV programmes. But some academics don’t help. Researcher Tetsuro Matsuzawa, Director of the Kyoto Primate Research Institute says "Some humans are uncomfortable with the idea that beasts are cleverer than us, because we are supposed to be their intellectual superiors."
But the research doesn’t show that they are cleverer than us. It shows that they can use their innate abilities to learn tasks that have significance only to humans in return for rewards. You could say that chimps really like fruit and will do anything to get it.
It’s true that many of us still like to see ourselves as the superior species, which is mostly a Judeo-Christian hang-over from the Creation myth where God gives humans dominion over the animals. Some people don’t like it when other animals display skills we see as solely human (and therefore superior), maybe because it hurts our egos, maybe because the more ‘like us’ they appear, the harder it is to justify treating them in unethical ways (very inconvenient).
The claims that many human behaviours are unique has slowly been eroded. Tool use, warfare, problem-solving, social skills like empathy and even farming have been observed in many species (ants farm aphids and fungus). There is pretty much nothing we do that animals don’t, except possibly art. It’s a continuum, with humans displaying more complex forms of certain behaviours than other animals. But only because we need to in order to survive. It could be said that evolving our skills is a price we’ve had to pay to survive, not a crowning achievement.
Put a two year old human in the jungle and it wouldn’t last long. Most adult humans wouldn’t either but they are more than capable of crossing a busy road. Two year olds are rubbish at pretty much everything. But they do have the ability to make adults look after them. We have the skills and the ‘smarts’ that we need.
There are TV shows with titles like ‘Are you as smart as a seven year old?’ These should really be called ‘Can you remember the stuff you were taught 40 years ago that you haven’t needed to know since then?’ It’s the same mentality shown by articles comparing humans and other animals and the same basic error of not comparing like with like. Animals in the wild don’t learn skills that serve no purpose. Not learning how to hammer in nails but focussing on how to build a good tree nest is a better use of mental resources and smarter in terms of survival. It takes a lot of energy to run a brain and it makes no sense to waste energy on unnecessary behaviours.
The chimp at Kyoto outperforms other chimps in the same research programme, which tells us that some animals within the same species are better at certain things than others, not that this chimp is ‘smarter’ than us. The point is that every species is as ‘smart’ as it needs to be. That’s how evolution works. Other animals are experts at surviving in their niches just as we are. When their environment changes or new challenges present themselves, they adapt or die out. So do we.
Intelligence is a human concept, a trait we have defined in narrow terms to suit – and flatter - ourselves. But it’s not a competition. Chimps and crows don’t give a toss how many A Levels you have.
The answer to the question is – you’re asking the wrong question.
Friday, 17 July 2015
The British Medical Association is calling for a 20% tax on drinks with added sugar in an attempt to stem the increase in obesity, Type 2 diabetes and tooth decay.
Obesity costs the NHS more than £5 billion every year and treating Type 2 diabetes costs £8.8 billion a year, almost 9% of its budget (smoking-related disease costs around £2.7bn)
However, the BMA proposal may not be the simple fix it appears to be.
The BMA cites evidence from other countries that increasing the cost of these drinks leads to a reduction in obesity in the population. A meta-analysis of the link between a sugary drink tax and obesity levels finds that there is some correlation in America, France, Mexico and Brazil where an increase in price was associated with a decrease in the demand for what the analysis calls sugar sweetened beverages (SSBs).
The BMA cites Mexico as an example of a country where a tax has worked in reducing obesity but doesn’t consider if other measures were taking place at the same time – for example, health awareness campaigns and reduction of sugar in other products. In other words, as we so often find, correlation does not equal causation.
In some countries, people drink SSBs because they have little or no access to clean drinking water – in some parts of Mexico and Brazil, for example. This may have influenced the amount of SSBs people were drinking and their choice of alternatives – which makes them less convincing as arguments for a tax on SSBs in the UK. In other words, the BMA is not comparing like with like.
The meta-analysis found that, rather than choosing diet versions of SSBs, people switched to juice and milk. One study found that the impact of a tax may be minimal because of this and that the fats and calories in these drinks could reduce the effect of SSB price increases. There are vitamins and calcium in these alternatives but if weight loss is the aim, this is not a good argument.
There are also culture-specific factors that need to be considered in the UK.
Focussing on sugar sidelines the problem of fat consumption. Saturated fats are still a major health problem in the UK even if the current fashion is to demonise sugar and blame it for all our ills. Sat fats often come as part of the sugary package – for example in biscuits and chocolate. The UK is the third largest consumer of chocolate in the world and the second biggest biscuit eater.
According to the NHS, sweet drinks are not the biggest contributor to adult sugar intake. Up to 27% of it comes from table sugar, jams, chocolate and sweets and 20% from cakes, pastries and biscuits. Only 25% of added sugar comes from soft drinks and fruit juice. Note that this includes supposedly healthy fruit juice.
The British also eat more crisps than the rest of Europe put together and a third of UK children eat crisps every day. In addition to the fat content, there is all the salt, too.
So while cutting back on SSBs may help, the fact that a tax may have worked in other countries doesn’t mean it will necessarily work here. The BMA needs stronger evidence tailored to British eating habits and culture to make a convincing argument.
Another objection is that a tax would hit the poorest the hardest. The counter-argument is that lower-income groups have seen the greatest rise in obesity. Several US states introduced a tax on SSBs to raise revenue but are now claiming this is part of their anti-obesity policy, so any comparison of the UK with the US should factor in political capital to be gained from any tax as well as financial interests – and political cowardice.
The sugar lobby in America is very powerful, influencing governments and being highly duplicitous about the effects of sugar and the situation in the UK is not much better.
It is very much easier for governments to penalise the public than the producer.
If the tax raised is spent on providing subsidies for healthier drinks and foods or health awareness campaigns, there could be some justification for it; so far there is no indication that this would be done. But this too would let the sugar producers off the hook.
The Scientific Advisory Committee on Nutrition is releasing a report this week that says sugar should take up no more than 5% of daily intake, down from 10%.
Figures from the national diet and nutrition survey, referenced in the SACN report, found sugary drinks to be the highest contributor of sugars to the diet of 4 to 10 year olds. While reducing children’s sugar intake is undeniably a good idea to prevent disease in the future, it doesn’t tackle current problems and, again, ignores fat intake. Current adult saturated fat intake, at 13.3% of food energy, far exceeds the 11% maximum recommended intakes and this 2.3% is enough to have a significant health impact.
The Government has delayed the release of a detailed assessment by Public Health England of the likely success of a range of measures to reduce our addiction to sugar. If it ever is released, it will make interesting reading.
It’s clear that something has to be done to curb our sweet tooth but it’s a much more complicated issue that the BMA appears to think it is. There needs to be a different approach for adults and children. Other sources of sugar need to be tackled alongside drinks for there to be any hope of success. Political and financial considerations need to be factored in. Fats must be targeted as much as sugars.
It could be argued that the BMA’s proposal is a step in the right direction. But it’s a false step based on insufficient evidence and a failure to address the bigger picture. It’s like putting a sticking plaster on a gaping wound.