Chapter 9. Homeostasis: Active Regulation of the Internal Environment
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By Sarah C. P. Williams When the human body needs extra energy, the brain tells fat cells to release their stores. Now, for the first time, researchers have visualized the nerves that carry those messages from brain to fat tissue. The activation of these nerves in mice, they found, helps the rodents lose weight—an observation that could lead to new slimming treatments for obese people. “The methods used here are really novel and exciting,” says neuroendocrinologist Heike Muenzberg-Gruening of Louisiana State University’s Pennington Biomedical Research Center in Baton Rouge, who was not involved in the new study. “Their work has implications for obesity research and also for studying these nerves in other tissues.” Diagrams of the chatter between the brain and fat tissues have long included two-way arrows: Fat cells produce the hormone leptin, which travels to the brain to lower appetite and boost metabolism. In turn, the brain sends signals to the fat cells when it’s time to break down their deposits of fatty molecules, such as lipids, into energy. Researchers hypothesized that there must be a set of nerve cells that hook up to traditional fat tissue to carry these messages, but they’d never been able to indisputably see or characterize them. Now they have. Thanks to two forms of microscopy, neurobiologist Ana Domingos, of the Instituto Gulbenkian de Ciência in Oeiras, Portugal, produced images showing bundles of nerves clearly enveloping fat cells in mice. She and her colleagues went on to show, using various stains, that the nerves were a type belonging to the sympathetic nervous system that stretches outward from the spinal cord and keeps the body’s systems in balance. © 2015 American Association for the Advancement of Science
Link ID: 21448 - Posted: 09.26.2015
By Sarah C. P. Williams Immune cells are usually described as soldiers fighting invading viruses and bacteria. But they may also be waging another battle: the war against fat. When mice lack a specific type of immune cell, researchers have discovered, they become obese and show signs of high blood pressure, high cholesterol, and diabetes. The findings have yet to be replicated in humans, but they are already helping scientists understand the triggers of metabolic syndrome, a cluster of conditions associated with obesity. The new study “definitely moves the field forward,” says immunologist Vishwa Deep Dixit of the Yale School of Medicine, who was not involved in the work. “The data seem really solid.” Scientists already know that there is a correlation between inflammation—a heightened immune response—and obesity. But because fat cells themselves can produce inflammatory molecules, distinguishing whether the inflammation causes weight gain or is just a side effect has been tricky. When he stumbled on this new cellular link between obesity and the immune system, immunologist Yair Reisner of the Weizmann Institute of Science in Rehovot, Israel, was studying something completely different: autoimmune diseases. An immune molecule called perforin had already been shown to kill diseased cells by boring a hole in their outer membrane. Reisner’s group suspected that dendritic cells containing perforin might also be destroying the body’s own cells in some autoimmune diseases. To test the idea, Reisner and his colleagues engineered mice to lack perforin-wielding dendritic cells, and then waited to see whether they developed any autoimmune conditions. © 2015 American Association for the Advancement of Science
Eating two and a half times more than you should will leave you overweight and prone to type 2 diabetes, although no one is entirely sure why. Now a team that fed volunteers a whopping 6000 calories a day have found some clues. Obesity is only one problem caused by eating too much. An overly large food intake can also increase a person’s risk of diabetes, heart disease and some cancers, but no one is sure why this should be the case. Resistance to the hormone insulin seems to play a role. When a healthy person eats a meal, their blood glucose levels rise, and the body responds by making insulin. This hormone prompts the body to store un-needed glucose, but people who develop insulin resistance are not able to absorb excess glucose in the same way. This means that, after eating, their blood glucose levels remain high, and over time, this can damage the kidneys, nervous system and heart, for example. Guenther Boden and Salim Merali at Temple University, Philadelphia, and their team set out to investigate how overeating might lead to insulin resistance. They fed six healthy male volunteers 6000 calories’ worth of food every day for a week – around two and a half times what they should have been eating. “It was a regular, American diet, composed of pizzas, hamburgers and that sort of thing,” says Merali. Each volunteer stayed at a hospital for the duration of the experiment, where they were bed-bound, carefully monitored and prevented from doing any sort of exercise. © Copyright Reed Business Information Ltd.
Link ID: 21400 - Posted: 09.12.2015
By Nicholas Bakalar Being obese at age 50 may be tied to an increased risk of developing Alzheimer’s disease at a younger age. Previous studies have shown that being overweight at midlife is associated with an increased risk of developing Alzheimer’s. Now researchers have found that it also predicts occurrence at a younger age. Scientists studied 1,394 cognitively normal people, average age around 60, following them for an average of 14 years. During the study, 142 developed Alzheimer’s. After controlling for age, race, level of education and cardiovascular risk factors, they found that each unit increase in B.M.I., or body mass index, at age 50 was associated with a 6.7-month decrease in the age of onset of Alzheimer’s. The study, in Molecular Psychiatry, also found an association of higher B.M.I. with larger deposits of neurofibrillary tangles on autopsy, one of the characteristics of brain damage in Alzheimer’s disease. “Age of onset is not as well studied as risk,” said the senior author, Dr. Madhav Thambisetty, a neurologist at the National Institute on Aging. “As we try to cure Alzheimer’s disease, we also want to delay the onset of symptoms. Until we know what factors accelerate onset, we won’t be able to test any potential interventions. And that is perhaps as important as the search for treatment.” © 2015 The New York Times Company
by Bethany Brookshire You’ve already had a muffin. And a half. You know you’re full. But there they are, fluffy and delicious, waiting for the passersby in the office. Just thinking about them makes your mouth water. Maybe if you just slice one into quarters. I mean, that barely counts… And then we give in, our brains overriding our body’s better judgment. When I catch myself once again polishing off a whole plate of baked goods, I wish that there was something I could do, some little pill I could take that would make that last delicious bite look — and taste — a little less appealing. But the more scientists learn about the human body, the more they come to understand that there is no one set of hormones for hungry, with a separate set that kicks off your ice cream binge. Instead, our guts and their hormones are firmly entwined with our feelings of reward and motivation. That close relationship shows just how important it is to our bodies to keep us fed, and how hard it is to stop us from overeating. Researchers have long divided our feeding behavior into two distinct categories. One, the homeostatic portion, is primarily concerned with making sure we’ve got enough energy to keep going and is localized to the lateral hypothalamus in the brain. The reward-related, or “hedonic,” component is centralized in the mesolimbic dopamine system, areas of the brain usually referenced when we talk about the effects of sex, drugs and rock ’n’ roll. © Society for Science & the Public 2000 - 2015
By Dina Fine Maron Whenever the fictional character Popeye the Sailor Man managed to down a can of spinach, the results were almost instantaneous: he gained superhuman strength. Devouring any solid object similarly did the trick for one of the X-Men. As we age and begin to struggle with memory problems, many of us would love to reach for an edible mental fix. Sadly, such supernatural effects remain fantastical. Yet making the right food choices may well yield more modest gains. A growing body of evidence suggests that adopting the Mediterranean diet, or one much like it, can help slow memory loss as people age. The diet's hallmarks include lots of fruits and vegetables and whole grains (as opposed to ultrarefined ones) and a moderate intake of fish, poultry and red wine. Dining mainly on single ingredients, such as pumpkin seeds or blueberries, however, will not do the trick. What is more, this diet approach appears to reap brain benefits even when adopted later in life—sometimes aiding cognition in as little as two years. “You will not be Superman or Superwoman,” says Miguel A. Martínez González, chair of the department of preventive medicine at the University of Navarra in Barcelona. “You can keep your cognitive abilities or even improve them slightly, but diet is not magic.” Those small gains, however, can be meaningful in day-to-day life. Scientists long believed that altering diet could not improve memory. But evidence to the contrary started to emerge about 10 years ago. © 2015 Scientific American
Link ID: 21350 - Posted: 08.28.2015
Dan Charles Ah, sugar — we love the sweetness, but not the calories. For more than a century, food technologists have been on a quest for the perfect, guilt-free substitute. Ah, sugar — we love the sweetness, but not the calories. For more than a century, food technologists have been on a quest for the perfect, guilt-free substitute. Ryan Kellman/NPR There's a new candidate in the century-old quest for perfect, guiltless sweetness. I encountered it at the annual meeting of the Institute of Food Technologists, a combination of Super Bowl, Mecca, and Disneyland for the folks who put the processing in processed food. It was right in the middle of the vast exhibition hall, at the Tate & Lyle booth. This is the company that introduced the British Empire to the sugar cube, back in 1875. A century later, it invented sucralose, aka Splenda. "We have a deep understanding of sweetening," says Michael Harrison, Tate & Lyle's vice president of new product development. This year, his company launched its latest gift to your sweet tooth. It's called allulose. "This is a rare sugar. A sugar that's found in nature," Harrison explains. Chemically speaking, it's almost identical to ordinary sugar. It has the same chemical formula as fructose and glucose, but the atoms of hydrogen and oxygen are arranged slightly differently. © 2015 NPR
Aaron E. Carroll If there is one health myth that will not die, it is this: You should drink eight glasses of water a day. It’s just not true. There is no science behind it. And yet every summer we are inundated with news media reports warning that dehydration is dangerous and also ubiquitous. These reports work up a fear that otherwise healthy adults and children are walking around dehydrated, even that dehydration has reached epidemic proportions. Let’s put these claims under scrutiny. I was a co-author of a paper back in 2007 in the BMJ on medical myths. The first myth was that people should drink at least eight 8-ounce glasses of water a day. This paper got more media attention (even in The Times) than pretty much any other research I’ve ever done. It made no difference. When, two years later, we published a book on medical myths that once again debunked the idea that we need eight glasses of water a day, I thought it would persuade people to stop worrying. I was wrong again. Many people believe that the source of this myth was a 1945 Food and Nutrition Board recommendation that said people need about 2.5 liters of water a day. But they ignored the sentence that followed closely behind. It read, “Most of this quantity is contained in prepared foods.” Water is present in fruits and vegetables. It’s in juice, it’s in beer, it’s even in tea and coffee. Before anyone writes me to tell me that coffee is going to dehydrate you, research shows that’s not true either. Although I recommended water as the best beverage to consume, it’s certainly not your only source of hydration. You don’t have to consume all the water you need through drinks. You also don’t need to worry so much about never feeling thirsty. The human body is finely tuned to signal you to drink long before you are actually dehydrated. © 2015 The New York Times Company
Link ID: 21335 - Posted: 08.25.2015
By Gretchen Vogel Researchers may have finally explained how an obesity-promoting gene variant induces some people to put on the pounds. Using state-of-the-art DNA editing tools, they have identified a genetic switch that helps govern the body’s metabolism. The switch controls whether common fat cells burn energy rather than store it as fat. The finding suggests the tantalizing prospect that doctors might someday offer a gene therapy to melt extra fat away. Along with calories and exercise, genes influence a person’s tendency to gain—and keep—extra pounds. One of the genes with the strongest link to obesity is called FTO. People with certain versions of the gene are several kilos heavier on average and significantly more likely to be obese. Despite years of study, no one had been able to figure out what the gene does in cells or how it influences weight. There was some evidence FTO helped control other genes, but it was unclear which ones. Some researchers had looked for activity of FTO in various tissues, without finding any clear signals. Melina Claussnitzer, Manolis Kellis, and their colleagues at Harvard University, Massachusetts Institute of Technology, and the Broad Institute in Cambridge, turned to data from the Roadmap Epigenomics Project, an 8-year effort that identified the chemical tags on DNA that influence the function of genes. The researchers used those epigenetic tags to look at whether FTO was turned on or off in 127 cell types. The gene seemed to be active in developing fat cells called adipocyte progenitor cells. © 2015 American Association for the Advancement of Science
Tina Hesman Saey Researchers have discovered a “genetic switch” that determines whether people will burn extra calories or save them as fat. A genetic variant tightly linked to obesity causes fat-producing cells to become energy-storing white fat cells instead of energy-burning beige fat, researchers report online August 19 in the New England Journal of Medicine. Previously scientists thought that the variant, in a gene known as FTO (originally called fatso), worked in the brain to increase appetite. The new work shows that the FTO gene itself has nothing to do with obesity, says coauthor Manolis Kellis, a computational biologist at MIT and the Broad Institute. But the work may point to a new way to control body fat. In humans and many other organisms, genes are interrupted by stretches of DNA known as introns. Kellis and Melina Claussnitzer of Harvard Medical School and colleagues discovered that a genetic variant linked to increased risk of obesity affects one of the introns in the FTO gene. It does not change the protein produced from the FTO gene or change the gene’s activity. Instead, the variant doubles the activity of two genes, IRX3 and IRX5, which are involved in determining which kind of fat cells will be produced. FTO’s intron is an enhancer, a stretch of DNA needed to control activity of far-away genes, the researchers discovered. Normally, a protein called ARID5B squats on the enhancer and prevents it from dialing up activity of the fat-determining genes. In fat cells of people who have the obesity-risk variant, ARID5B can’t do its job and the IRX genes crank up production of energy-storing white fat. © Society for Science & the Public 2000 - 2015.
By Gretchen Reynolds Sticking to a diet requires self-control and a willingness to forgo present pleasures for future benefits. Not surprisingly, almost everyone yields to temptation at least sometimes, opting for the cookie instead of the apple. Wondering why we so often override our resolve, scientists at the Laboratory for Social and Neural Systems Research at the University of Zurich recently considered the role of stress, which is linked to a variety of health problems, including weight gain. (There’s something to the rom-com cliché of the jilted lover eating ice cream directly from the carton.) But just how stress might drive us to sweets has not been altogether clear. It turns out that even mild stress may immediately alter the workings of our brains in ways that undermine willpower. For their study, published this month in Neuron, researchers recruited 51 young men who said they were trying to maintain a healthy diet and lifestyle. The men were divided into two groups, one of which served as a control, and then all were asked to skim through images of different kinds of food on a computer screen, rating them for taste and healthfulness. Next, the men in the experimental group were told to plunge a hand into a bowl of icy water for as long as they could, a test known to induce mild physiological and psychological stress. Relative to the control group, the men developed higher levels of cortisol, a stress hormone. After that, men from each group sat in a brain-scanning machine and watched pictures of paired foods flash across a screen. Generally, one of the two foods was more healthful than the other. The subjects were asked to click rapidly on which food they would choose to eat, knowing that at the end of the test they would actually be expected to eat one of these picks (chosen at random from all of their choices). © 2015 The New York Times Company
By Mitch Leslie Some microbes that naturally dwell in our intestines might be bad for our eyes, triggering autoimmune uveitis, one of the leading causes of blindness. A new study suggests that certain gut residents produce proteins that enable destructive immune cells to enter the eyes. The idea that gut microbes might promote autoimmune uveitis “has been there in the back of our minds,” says ocular immunologist Andrew Taylor of the Boston University School of Medicine, who wasn’t connected to the research. “This is the first time that it’s been shown that the gut flora seems to be part of the process.” As many as 400,000 people in the United States have autoimmune uveitis, in which T cells—the commanders of the immune system—invade the eye and damage its middle layer. All T cells are triggered by specific molecules called antigens, and for T cells that cause autoimmune uveitis, certain eye proteins are the antigens. Even healthy people carry these T cells, yet they don't usually swarm the eyes and unleash the disease. That's because they first have to be triggered by their matching antigen. However, those proteins don't normally leave the eye. So what could stimulate the T cells? One possible explanation is microbes in the gut. In the new study, immunologist Rachel Caspi of the National Eye Institute in Bethesda, Maryland, and colleagues genetically engineered mice so their T cells recognized one of the same eye proteins targeted in autoimmune uveitis. The rodents developed the disease around the time they were weaned. But dosing the animals with four antibiotics that killed off most of their gut microbes delayed the onset and reduced the severity of the disease. © 2015 American Association for the Advancement of Science.
Carl Zimmer You are what you eat, and so were your ancient ancestors. But figuring out what they actually dined on has been no easy task. There are no Pleistocene cookbooks to consult. Instead, scientists must sift through an assortment of clues, from the chemical traces in fossilized bones to the scratch marks on prehistoric digging sticks. Scientists have long recognized that the diets of our ancestors went through a profound shift with the addition of meat. But in the September issue of The Quarterly Review of Biology, researchers argue that another item added to the menu was just as important: carbohydrates, bane of today’s paleo diet enthusiasts. In fact, the scientists propose, by incorporating cooked starches into their diet, our ancestors were able to fuel the evolution of our oversize brains. Roughly seven million years ago, our ancestors split off from the apes. As far as scientists can tell, those so-called hominins ate a diet that included a lot of raw, fiber-rich plants. After several million years, hominins started eating meat. The oldest clues to this shift are 3.3-million-year-old stone tools and 3.4-million-year-old mammal bones scarred with cut marks. The evidence suggests that hominins began by scavenging meat and marrow from dead animals. At some point hominins began to cook meat, but exactly when they invented fire is a question that inspires a lot of debate. Humans were definitely making fires by 300,000 years ago, but some researchers claim to have found campfires dating back as far as 1.8 million years. Cooked meat provided increased protein, fat and energy, helping hominins grow and thrive. But Mark G. Thomas, an evolutionary geneticist at University College London, and his colleagues argue that there was another important food sizzling on the ancient hearth: tubers and other starchy plants. © 2015 The New York Times Company
By James Gallagher Health editor, BBC News website Fat or carbs? Scientists have shed new light on which diet might be more effective at reducing fat Cutting fat from your diet leads to more fat loss than reducing carbohydrates, a US health study shows. Scientists intensely analysed people on controlled diets by inspecting every morsel of food, minute of exercise and breath taken. Both diets, analysed by the National Institutes of Health, led to fat loss when calories were cut, but people lost more when they reduced fat intake. Experts say the most effective diet is one people can stick to. It has been argued that restricting carbs is the best way to get rid of a "spare tyre" as it alters the body's metabolism. The theory goes that fewer carbohydrates lead to lower levels of insulin, which in turn lead to fat being released from the body's stores. "All of those things do happen with carb reduction and you do lose body fat, but not as much as when you cut out the fat," said lead researchers Dr Kevin Hall, from the US-based National Institute of Diabetes and Digestive and Kidney Diseases. Cutting down on carbohydrates might not be as effective after all, the study suggests In the study, 19 obese people were initially given 2,700 calories a day. Then, over a period of two weeks they tried diets which cut their calorie intake by a third, either by reducing carbohydrates or fat. The team analysed the amount of oxygen and carbon dioxide being breathed out and the amount of nitrogen in participants' urine to calculate precisely the chemical processes taking place inside the body. The results published in Cell Metabolism showed that after six days on each diet, those reducing fat intake lost an average 463g of body fat - 80% more than those cutting down on carbs, whose average loss was 245g. © 2015 BBC.
Link ID: 21296 - Posted: 08.15.2015
By Dina Fine Maron Don’t stress too much about cutting calories if you want to shed pounds—focus on getting more exercise. That’s the controversial message beverage giant Coca-Cola is backing in its new campaign to curb obesity. Coke is pushing this idea via a new Coke-backed nonprofit called Global Energy Balance Network, The New York Times reported on August 9. Money from Coke, the Times reported, is also financing studies that support the notion that exercise trumps diet. But is there any merit to such a stance? Not much, says Rutgers University–based diet and behavior expert Charlotte Markey. She is the author of an upcoming cover story in Scientific American MIND on this topic, and spoke about the Coke claims with Scientific American on Monday. In your fall Scientific American MIND feature you write “study after study shows that working out is not terribly effective for weight loss on its own.” Why is that? Exercise increases appetite, and most people just make up for whatever they exercised off. There’s a lot of wonderful reasons to exercise and I always suggest it to people who are trying to lose weight—some sort of exercise regimen keeps them focused on their health and doing what is good for them, and it’s psychologically healthy. But in and of itself it won’t usually help people lose weight. Two years ago there was a review study in Frontiers in Psychology that concluded dieting often actually led to weight gain. Why would that happen? When people try to diet, they try to restrict themselves, which often leads to overeating. They cut out food groups which make those food groups more desirable to them. They think too much about short-term goals and don’t think about sustainable changes. But if you are going to lose weight, you have to change your behaviors for the rest of your life or otherwise you gain it back. That’s not a sexy message because it seems daunting. © 2015 Scientific American
Link ID: 21285 - Posted: 08.12.2015
By Anahad O’Connor Coca-Cola, the world’s largest producer of sugary beverages, is backing a new “science-based” solution to the obesity crisis: To maintain a healthy weight, get more exercise and worry less about cutting calories. The beverage giant has teamed up with influential scientists who are advancing this message in medical journals, at conferences and through social media. To help the scientists get the word out, Coke has provided financial and logistical support to a new nonprofit organization called the Global Energy Balance Network, which promotes the argument that weight-conscious Americans are overly fixated on how much they eat and drink while not paying enough attention to exercise. “Most of the focus in the popular media and in the scientific press is, ‘Oh they’re eating too much, eating too much, eating too much’ — blaming fast food, blaming sugary drinks and so on,” the group’s vice president, Steven N. Blair, an exercise scientist, says in a recent video announcing the new organization. “And there’s really virtually no compelling evidence that that, in fact, is the cause.” Health experts say this message is misleading and part of an effort by Coke to deflect criticism about the role sugary drinks have played in the spread of obesity and Type 2 diabetes. They contend that the company is using the new group to convince the public that physical activity can offset a bad diet despite evidence that exercise has only minimal impact on weight compared with what people consume. This clash over the science of obesity comes in a period of rising efforts to tax sugary drinks, remove them from schools and stop companies from marketing them to children. In the last two decades, consumption of full-calorie sodas by the average American has dropped by 25 percent. © 2015 The New York Times Company
Link ID: 21283 - Posted: 08.10.2015
By Ariana Eunjung Cha Everyone knows that a diet full of white bread, pasta and rice is bad for your waistline. Now scientists say these types of refined carbs could also impact your mind — putting post-menopausal women at higher risk for depression. In a new study published in the the American Journal of Clinical Nutrition, researchers looked at data from more than 70,000 women who participated in the National Institutes of Health's women's health initiative between 1994 and 1998. They found that the more women consumed added sugars and refined grains and the higher their score on the glycemic index (GI) — a measure of the rate carbohydrates are broken down and absorbed by the body — the more they were at risk of new-onset depression. Those who had a different sort of diet — one with more dietary fiber, whole grains, vegetables and non-juice fruits — had a decreased risk. "This suggests that dietary interventions could serve as treatments and preventive measures for depression," wrote James Gangswisch, an assistant professor of psychiatry at Columbia University Medical Center, and his co-authors. The researchers explained that refined foods trigger a hormonal response in the body to reduce blood sugar levels. That is believed to lead to the "sugar high" and subsequent "crash" some people say they feel after eating such foods. This can lead to mood changes, fatigue and other symptoms of depression.
By Mitch Leslie If you need to lose a lot of weight, surgeons have a drastic option: They can reroute and sometimes remove parts of your stomach, making it smaller. But instead of limiting the amount of food you can eat, the surgery may work by triggering long-term changes in the types of microbes that inhabit your intestines, a new study suggests. If so, altering the kinds of microbes that live in your gut may be a simpler—and safer—route to weight loss. The research provides “some of the best evidence in humans so far” that bariatric surgery works “in part by changing the bacteria in your gut,” says David Cummings, an endocrinologist at the University of Washington, Seattle, who was not involved with the work. Weight loss isn’t the only benefit of so-called bariatric surgery. If a patient has diabetes, for instance, it will usually disappear. The surgery alters metabolism and digestive system functions in several ways, and researchers are still trying to pin down why it’s effective. “This is not about making your stomach small,” says Randy Seeley, an obesity and diabetes researcher at the University of Michigan, Ann Arbor, who wasn’t connected to the study. One way that bariatric surgery might trigger its effects is through its influence on the microbiota, the swarms of microbes that dwell in our intestines and help us digest food. Studies have found that bariatric surgery dramatically alters the microbiota’s makeup in mice and humans. Two years ago, scientists put mice through a Roux-en-Y gastric bypass—a type of bariatric surgery that involves reducing the stomach to a small pouch and stitching it to the middle part of the small intestine—and then transplanted microbes from the slimmed down animals into mice that lacked intestinal bacteria. The recipient rodents lost 5% of their body weight in 2 weeks. But these studies only checked for short-term changes. © 2015 American Association for the Advancement of Science
Link ID: 21269 - Posted: 08.05.2015
Richard Harris One of the frequent trials of parenthood is dealing with a picky eater. About 20 percent of children ages 2 to 6 have such a narrow idea of what they want to eat that it can make mealtime a battleground. A study published Monday in the journal Pediatrics shows that, in extreme cases, picky eating can be associated with deeper trouble, such as depression or social anxiety. The study followed a broad spectrum of children who had come to Duke University for routine medical care. Most kids dislike some foods (broccoli is a common villain), but the researchers counted a child as a severely picky eater if his or her food choices were so limited that it made meals at home difficult, and meals out all but impossible. Those extreme cases were rare — just 3 percent of all kids. But, as a group, they were twice as likely as the children who weren't picky to have a diagnosis of depression, and seven times as likely to have been diagnosed with social anxiety, according to the study. Nancy Zucker, director of the Duke Center for Eating Disorders, says parents of children who are extremely finicky may find it useful to seek help, because the kids may not simply outgrow the behavior on their own. And even if they eventually do, it can be disruptive to child and family alike in the meantime. A big question is what to do about less extreme cases, which in the Duke study made up 17 percent of all children. These children have a list of foods that they are reluctant to stray beyond. © 2015 NPR
By Sophia Kercher As Kathleen Emmets was undergoing cancer treatment in New York over the past few years, her weight began to drop. Even though she was often nauseated and paralyzed by chemotherapy-induced neuropathy, she joked that thinness was the “bonus of cancer,” and found herself looking in the mirror and admiring her deep and hollow collarbone. Ms. Emmets, now 39, filled her closet with extra-small size clothes. At night she pressed her fingers against her protruding bones, saying to herself, “I’m finally skinny.” But it was only when her cancer treatment changed that it became clear that the body-image issues she had been grappling with since her early 20s — when she would eat next to nothing and walk for six hours a day to deal with stress — had begun to resurface. When the new treatment didn’t make her sick, her appetite returned, and she began to gain weight. But instead of celebrating this sign of improving health, Ms. Emmets says she missed her size 2 jeans and was appalled by her round belly and full breasts. Her husband watched with concern as her body appeared stronger but she began imposing her own food restrictions and started shrinking again. “During your cancer treatment, you have no control over your body — you give up your body to your doctor,” said Ms. Emmets, who wrote about her experiences on the website The Manifest-Station. “You are willing to do it because you want to live. Food restriction is the one thing that you can do to have some sense of control when everything is chaotic.” While it isn’t known how often cancer triggers or reawakens an eating disorder, doctors and nutrition experts who work with cancer patients share anecdotal reports of patients who emerge from a difficult round of cancer treatment and weight loss only to begin struggling with a serious eating disorder that threatens their postcancer health. © 2015 The New York Times Company
Keyword: Anorexia & Bulimia
Link ID: 21236 - Posted: 07.30.2015