Honey Boo Boo Weight Intervention

Sometimes there are no words, yet there are so. many. words.  It's hard to choose them.

Why is this a story? Why is it relevant?

Regardless of your feelings of Mama June's "parenting" for what it is — or isn't — (or why it is vastly different than yours or what you grew up with) this child is quite typical of an American Child.

Maybe she's an American Child times twenty plus some considering her life has been under a media microscope since she was very small, and she has been brought up to act for the cameras.  What we see of this kid is so many of the things in our own children that are enhanced because cameras-in-her-face-act-more-goofy-we're-getting-paid for this.

And I know it makes you uncomfortable.  (I know it does.  That is why you watch it, or that is why you must comment about NOT watching because "That Poor Girl, Bless Her Heart!"  Shut up.)

Don't pretend she isn't realistic — kids with overweight and obesity are quite the norm.  Even those with somewhat healthy, active lifestyles. 

I used to get comments about my youngest … "She's just like Honey Boo-Boo."  I never really knew if those who said it meant that she was overweight, or hyperactive.  Because all of my kids are diagnosed overweight or obese

But I am not Mama June.

We do not eat like the Mama June household.    But, that said, overweight still occurs.  

I'd ask you to ask my youngest what her favorite food is.

It's gluten free organic vegan burritos.  Thank-you.  They are expensive, so if you'd like to send a case? PLEASE DO.  I think they're on my Amazon Wish List.  LMAO. 

But why is it that her childhood obesity is a "problem" for us and requires an intervention a la The Doctors?  Because the public consumed her lifestyle and promoted it by reality television?  This child's weight is not our business.  

A lot of it is probably our fault for promoting and exploiting it.  

Stop pushing reality television.  

Non Scale V I C T O R Y – You Are VICTORIOUS.

“Get Off The Scale!
You are beautiful. Your beauty, just like your capacity for life, happiness, and success, is immeasurable. Day after day, countless people across the globe get on a scale in search of validation of beauty and social acceptance.
Get off the scale! I have yet to see a scale that can tell you how enchanting your eyes are. I have yet to see a scale that can show you how wonderful your hair looks when the sun shines its glorious rays on it. I have yet to see a scale that can thank you for your compassion, sense of humor, and contagious smile. Get off the scale because I have yet to see one that can admire you for your perseverance when challenged in life.
It’s true, the scale can only give you a numerical reflection of your relationship with gravity. That’s it. It cannot measure beauty, talent, purpose, life force, possibility, strength, or love. Don’t give the scale more power than it has earned. Take note of the number, then get off the scale and live your life. You are beautiful!”

― Steve Maraboli, Life, the Truth, and Being Free

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Running for beginners

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I do not run.  I am not a beginning runner.  I am not even a jogger.  I may be inclined to say that I am a skipper.  I don't understand that "runner's high" that runners describe when they get moving long-term and feel their endorphins push through – because I haven't gotten that yet.  I am a walker.  I can walk for miles and miles.  I almost never feel the urge to run.  How is that for honesty?
But.  I may or may not have told someone that I like the svelte look of a runner's body.   (And that maybe someday I could try?)  Runner's legs are the shit.  Not runny shit.  Runner's legs.  You know, all tight and muscley.  
I saw this plan online today and realized that I could probably, maybe, perhaps handle this plan.  I do not need to run a 5K, a half-marathon, or ever become a triathlete, but two or three solid minutes in a row of jogging without DYING the DEAD?  Might be nice.
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All the weight I didn’t lose

All the weight I didn’t lose - from Salon.com 

"I am the “after” side of surgery, having lost more than 250 pounds. No one gets this, at least not without an explanation, because I still weigh over 200 pounds, and the weight loss fable is supposed to end when you’re thin, not when you’re merely “an average fat American.”

Yes, some of us do "get it."  

This is a powerful article a friend of mine who happens to be a special kind of "after"  (which is not the kind of " air quotes" that indicate failure, but that she has SHIT TO DEAL WITH and y'all need to stop judging a person at first glance, you know?) posted in my BBGC support group.   Thank you, Sarah.  I GET IT.  Some of us DO.  Rawr.  

Please read it.  Please open your mind to all "afters," and stop the WLS shaming.  

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Mini Squee – #YWMconvention #OAC

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On October 27th, 2012, during the Obesity Action Coalition "Your Weight Matters" Event at the Hilton Anatole
, there will be another first: the first annual OAC Awards!

Your friendly blogger was nominated in one of these categories, and I am thankful to you for that.  Thank you.  And, really, thank you.

I will be present at the events, dinner, ceremony, and of course the Walk From Obesity with at least $6000.00 in donations from Team MM + BBGC.  

Have I mentioned that there is still time to donate to Team MM + BBGC and I do not see your donation in yet?  

Go ahead, I will wait for you!

Thank you – and see you there? 

There is still time to register for the OAC event!  

Do. not. miss. it.

 Join the OAC event on Facebook!

 

 


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About the OAC Awards –

The following awards will be presented during the OAC Inaugural Your Weight Matters National Convention:

OAC Advocate of the Year - This award is given to the OAC Member who has lead the charge in taking on National, local and state advocacy issues. This individual should be a tireless advocate to advance the cause of fighting obesity and the individual affected by obesity.

Community Leader of the Year - This award is given to an individual who continually works in their community to advance the cause of fighting obesity. The recipient should be an individual who actively engages their community or with their constituency in spreading awareness of obesity and encourages others to get involved in activities that further the mission of the OAC.

Outstanding Membership Recruitment by an OAC Member - This award is designated for the individual OAC member who is an active membership recruiter in the OAC. The individual is a regular membership promoter and continually encourages membership in the OAC.

Outstanding Membership Recruitment by a Physician - This award is given to the Sponsored Membership Program participant (physician) that has recruited the most new members in the OAC in the 12 months prior to the Convention month. The recipient of the award has encouraged membership in the OAC by purchasing it on behalf of the patient.

Bias Buster of the Year - The OAC’s Bias Buster of the Year is awarded to the individual who has lead the charge to put the OAC on path to effect change in mindsets, policies and public perception of weight bias. This individual is both proactive and reactive in responding to weight bias issues and is an example to others on how to get involved as a Bias Buster.

OAC Member of the Year - This is the OAC’s highest honor and is awarded to an OAC member who goes above and beyond to help the OAC in its efforts to achieve its mission and goals. This individual is an exemplary OAC member and continually represents the OAC in impacting the obesity epidemic.

______________________________________________________

The Obesity Action Coalition (OAC) is set to host a ground-breaking educational convention on weight and health, the Inaugural “Your Weight Matters” National Convention. Join them in Dallas, October 25-28 for this ground-breaking Convention that will answer all your questions about weight and health! For more information, please visit www.YWMConvention.com.

 

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60% of Bariatric Patients Keep At Least 50% of Weight Off.

A new study shows somewhat murky success rates, that we probably already are aware of — and that problem behaviors are likely to continue.

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60% of Bariatric Patients Keep Weight Off.

Nearly 60% of bariatric surgery patients are successful at long-term weight loss according to a new study from Switzerland with an eight-year follow-up.

However, disordered eating behaviors, such as binge eating or night eating lingered for 51% of the 80 women who completed the entire study, says study author Maaike Kruseman, MPH, RD, professor of nutrition and dietetics at the University of Applied Sciences Western Switzerland, Geneva.

The weight loss results, however, were a pleasant finding for researchers and patients, Kruseman says. ''In our center, most patients have a long history of failed diets, so successful weight loss lasting longer than a couple of years was an incredibly good result," Kruseman tells WebMD in an email interview.

Disordered eating after the bariatric or weight loss surgery is not usually documented on a routine basis, she says, but she suspects it is common. "The bypass takes care of one aspect of the patient's problems, but if disordered eating is present before the operation, it will not [usually] disappear by itself, or only rarely," she says.

That finding, she says, points to the need for long-term follow-up of bariatric surgery patients by a team of health care providers that can tend to medical and psychological needs.

The study appears in the Journal of the American Dietetic Association.

At the 8-year mark, 80 participants, all women, were still taking part in the study. Of those, 47, or 59%, had achieved an excess weight loss of 50% or more, considered successful.

At the end of the follow-up, researchers also found:

  • Fifty-three patients or 67% had a BMI under 40; 16 or 20% had shifted from the obesity category to overweight. One woman achieved a normal BMI, under 25.
  • The average daily calorie intake went from 2,355 at the study start to 1,680 for the 80 participants who finished the study.

Younger women were more likely to maintain the successful weight loss.

Despite the overall success, Kruseman found that 41 women or 51% had binge eating or night eating syndrome. This points to the need for continued follow-up, she says, with attention given to eating behaviors.

''To my patients who ponder the operation, I ask them to think about their expectations," she says. "It is a very invasive intervention and it has apparently good results, but only on weight. There is no guarantee that their whole life will improve after the operation."

Follow-up Care Important

The weight loss results of the new study are in line with other studies, says John Baker, MD, president of the American Society for Metabolic & Bariatric Surgery and director of the medical weight loss program at Baptist Health in Little Rock, Ark., who reviewed the study for WebMD.

"It's not surprising, the fact that patients still had eating disorder issues," he says. "The surgery doesn't correct those things."

"This [study] is emphasizing the importance of aftercare and allowing the patients access to aftercare," he tells WebMD. That care should include dietary instructions and psychological help to deal with any eating issues, he says.

Another expert says the study results confirm the idea that bariatric surgery requires a long-term commitment by the patient and health care providers. ''The consequences of bariatric surgery can change as patients move through active weight loss to some weight gain," says Trina Histon, PHD, director of the Weight Management Initiative at Kaiser Permanente in Oakland, Calif.

''Patients need various check-ins over the years to ensure they are maintaining optimal care," she says. That way, health care providers can pick up on early warning signs of issues that warrant attention, she says.

The study –

Dietary, Weight, and Psychological Changes among Patients with Obesity, 8 Years after Gastric Bypass


Background and objective

Long-term data on patients with obesity outcome after bariatric surgery are lacking. The goal was to document dietary and anthropometric changes more than 5 years after surgery, as well as patients' eating behavior, psychological state, and quality of life.

Methods

A cohort of 80 women (mean age 40±10 years) who underwent a Roux-en-Y gastric bypass between 1997 and 2002 were followed in a Swiss University Hospital for an average of 8±1.2 years. The primary outcome was successful weight loss defined as excess weight loss ≥50%. Body composition was measured by bioelectrical analysis, and diet was assessed via a food diary. Eating disorders, psychological factors, and quality of life were evaluated by questionnaires. Patients' perceptions of difficulties and benefits were explored using semistructured interviewing. Results at baseline and last visit were compared using paired t test. Cofactors' means were compared between successful and unsuccessful patients with Student t tests and logistic regression.

Results

Average weight loss 8 years after surgery was 30.7±13.8 kg. Excess weight loss ≥50% was observed for 47 patients (59%). Between baseline and last visit, relative proportions of fat mass/total body weight decreased, and fat-free mass/total body weight increased. Mean energy intake was 2,355±775 kcal at baseline and 1,680±506 kcal at last visit, with 42% of energy from carbohydrates, 39% of energy from fats, and 19% of energy from protein (0.8 g/kg). At last visit, 41 patients (51%) described episodes of binge eating or night eating syndrome. Factors associated with excess weight loss ≥50% were: younger age at operation, greater number of psychological consultations before the operation, and higher
scores on ineffectiveness and social insecurity scales at baseline.

Conclusions

More than half of the patients achieved successful weight loss, but disordered eating behavior was frequent. Periodic follow-up screenings and interdisciplinary care are advised. The definition of successful outcome should take into account problematic eating behaviors.