Sunday, July 22, 2012

Laughing our way through a double-dip recession...



Across history and cultures, if you are seen as ‘different’ or perhaps question the status quo, the prescribed method of the state has been to tell you to shut up, or else lock you up. Religion has played no small part in this too. Just think witchcraft - think sexuality - think gender. Incarceration and execution. Homosexuality as a mortal sin: and then post-enlightenment, as a diagnosable illness that only this year, the psychiatrist Dr Robert Spitzer recanted his theory that if you were gay, you could be ‘cured’. Widely seen as one of the architects of the Diagnostic and Statistical Manual of Mental Disorders (DSM) which is the ‘bible’ of the the American Psychiatric Association, and in which for years homosexuality was categorised as a disease, the DSM isn’t without it’s detractors, who argue it perpetuates the beliefs of a small number of powerful psychiatrists and by proxy, the pharmaceutical industry.
Psychotherapists like Gary Greenberg in his book Manufacturing Depression, suggest that the pathologising of human nature is pernicious, and it could be that ‘the depression epidemic is not so much the discovery of a long unrecognised disease, but a reconstitution of a broad swath of human experience as illness.’

It was with Greenberg’s comments in mind, around the pathologising of human discontent as disease, that I read with some disquiet, economist Lord Layard’s comments that, ‘If you go back 30 or 40 years, people said you couldn't measure depression. But eventually the measurement of depression became uncontroversial.’ 
With the first set of results on happiness for the governments national happiness/wellbeing index due this week from the Office for National Statistics - and with Layard something of a happiness tzar: the assertion that depression is all neat, measurable and uncontroversial is divorced from reality. Yes, we all know that treatments have, by and large improved, as has general understanding of mental ill health, but the assumption that human nature can be weighed out, compared and categorised still dominates, and in turn the relationship between those manufacturing the ‘cures’ and those diagnosing the ‘disease’ still exists. Earlier this month, I shared the story of the GlaxoSmithKline $3billion payout for ‘bribing doctors and encouraging the prescription of unsuitable antidepressants (Paxil) for children’, and having ‘paid for articles on its drugs to appear in medical journals...’ Therefore, it’s relevant that of the ‘authors who were selected and who defined the DSM-IV psychiatric disorders, roughly half had had financial relationships with the pharmaceutical industry at one time.’

So no, the measurement of depression is not clear cut Lord Layard and subjective happiness - on a scale of 1 to 10? I’m a sceptic, a cynic - no a pessimist, and I’m told that this is unhealthy, after all, our government aspires to be the next Bhutan! Happiness by government target? Well judging by our ranking in all the global measurements of wellbeing, we’re not doing too well. Still with the right medication, we can passively laugh our way through our double-dip recession.
Greenberg again, gets it right: ‘To think of pessimism as the symptom of an illness and then turn our discontents over to the medical industry is to surrender perhaps the most important portion of our autonomy: the ability to look around and say, This is outrageous. Something must be done.’

PUSSY RIOT
Talking of being incarcerated for expressing dissent or opinion in the face of an oppressive  state/church, lets remind ourselves of the non-violent protest of Pussy Riot back in February 2012. The Independent reports that, the three members of a feminist punk band arrested for singing a protest song in Moscow's main Orthodox church must remain in custody.
The trio, part of a collective called Pussy Riot, were told they would be kept in detention for a further six months, until at least 12 January. The case involving Maria Alyokhina, 24, Nadezhda Tolokonnikova, 22, and Ekaterina Samutsevich, 29, has split Russian society. The women have been in prison since they were arrested in February for performing an impromptu rendition of a song "Blessed Virgin, Mother Mary, Drive Putin Out!". They sang the "punk prayer" at the altar of the Cathedral of Christ the Saviour two weeks before the presidential election that returned Mr Putin to the Kremlin. They could be jailed for seven years if they are convicted of "hooliganism motivated by religious hatred".

Five women took part in the prank, dressed in the trademark coloured balaclavas worn by the Pussy Riot collective. Ms Tolokonnikova, Ms Alekhina and Ms Samutsevich were arrested a fortnight later after a video of the stunt went viral on YouTube. On Thursday, a lawyer for one of the cathedral guards, who claims to have been a "victim" of the women's alleged hooliganism, accused Pussy Riot of being supported by the same "Satanic forces" that carried out the 11 September terrorist attack in New York in 2001. Read more by clicking on the very satanic image of the three incarcerated women who used music to comment on politics, below.


François Matarasso
Echoing many of my blog comments on worries about understanding the value of the arts in terms of reductionist methods, I hope you’ll find this new paper from François of great interest. A Different Heartbeat is an account of a residency by musician Patrick Dineen at the Kidney Dialysis Unit, Royal Liverpool University Hospital, in spring 2011, with drawings by Mik Godley. A Different Heartbeat describes an intimate, small scale arts in health project, and places it into a wider context of questions about chronic illness, well being and the nature of benefits. It is an essay by François Matarasso and is a reflection on particular experience, and so about as far from a randomized controlled trial as it could be. But perhaps in that difference is something of value also.

Clore Duffield Poetry awards
The Clore Poetry and Literature Awards fund poetry and literature initiatives for children and young people, under the age of 19, across the UK. The Foundation has created these Awards with the aim of providing children and young people with opportunities to experience poetry and literature in exciting and compelling ways, in and out of school. The Awards are worth a total of £1m over five years, 2011 to 2015, with individual awards ranging from £1,000 to £10,000.
For more information click on le ciel below... 


Think you can run public services better than they are being run now?
The Government has announced a new £11.5m financial support scheme that will help voluntary organisations take over the running of public services in their communities. Communities with good ideas for how they can run local public services and want to use the Community Right to Challenge, can access advice and support to develop their skills to be able to bid for and run excellent local services.The grants programme will open in mid-July and more information on criteria and applications will be available then. Read more at: http://www.thesocialinvestmentbusiness.org/our-funds/communityrights/
Comic Relief UK Grants Programme (UK)
Comic Relief has announced that the final funding round as part of the current UK grants strategy will open for applications on the 13th August 2012. Under the UK grants programme voluntary and community groups can apply for funding for projects in the areas of:
  • Young people and mental health
  • Sexually exploited and trafficked young people
  • Domestic and sexual abuse
  • Mental health
  • Young people and alcohol
  • Refugee and asylum-seeking women
Comic Relief provides both capital and revenue and can pay for up to 100% of projects costs but they encourage applicants to get some of their funding from other sources. On average grants of between £25,000 and £40,000 are available.  The closing date for applications will be 12 noon on the 19th October 2012. Read more at: http://www.comicrelief.com/apply-for-a-grant/apply-for-a-uk-grant

£2.6 Million to Help Disabled People Become MP's (UK)
The Government has announced a new £2.6 million fund designed to help disabled people overcome barriers to becoming councillors, police and crime commissioners or MPs.  The money will help meet the additional costs a disabled candidate may face in standing for election.  The fund will be open for applications until the end of March 2014. It will help disabled candidates meet the additional costs they may face compared to a non-disabled person whether these are related to transport, communication, technology or support.  In addition to the fund, a new online training package went live today, tailored to disabled people who are interested in a political career.  Grants available will range from £250 - £10,000. Read more by clicking on the anarchist symbol above.


The British Film Institute – Film Fund (UK)
The British Film Institute has announced that its Film Fund is open to applications.   Through the fund a total of £18 million a year is available for filmmakers in the UK who are emerging or world class and capable of creating distinctive and entertaining work.  The funding is available for the development, production and completion of feature films.  The British Film Institute welcome applications for all kinds of film – from commercial mainstream to experimental, from genre movies to personal stories, from documentaries to animation to live-action fiction.  Applications can be submitted at any time. Read more at: http://www.bfi.org.uk/film-industry/lottery-funding-filmmaking



The Art of Good Health and Wellbeing, 
Fremantle 2012
4th Annual International Arts and Health Conference
The Art of Good Health and Wellbeing
26 - 29 November 2012
The University of Notre Dame Australia, Fremantle WA
SUBMIT YOUR ABSTRACT ONLINE NOW
The Art of Good Health and Wellbeing, 4th Annual International Arts and Health Conference, will present best practice and innovative arts and health programs, effective health promotion and prevention campaigns, methods of project evaluation and scientific research. Get full details of the conference by clicking on the image above.


an absence 

Thursday, July 19, 2012

Remnants of PJ-ism: Shea Moisture Curl & Style Milk

This is a short series on my attempt to finish a few remaining products from my 'product junkie' (PJ) days (though the below case was a slight exception).

product junkie /ˈprädəkt ˈjəNGkē/ Noun
A person with an obsessive habit of purchasing and collecting products, particularly hair products.  

Today's remaining products: Shea Moisture Organic Coconut & Hibiscus Curl & Style Milk.



In short, this product does not keep my hair moisturized.  (For the FULL product review, read this post.) 

Finishing strategy: For the past month, in an effort to use up this product, I've been overlaying it with pure shea butter.  After my wash routine, I apply the Shea Moisture to wet hair and then apply shea butter on top of it.  Sometimes, if I need just a hint of moisture before wash day, I apply the Shea Moisture solo.  However, that is rare; I usually follow up with shea butter.


You can now find HHB on Facebook. Share with your friends:

Hair Diary || Protective While Straight

This will be a monthly series in which I discuss my hair journey from now through my 5-year nappiversary in February 2013.

After three weeks in flat twists with twists (see earlier post), I flat-ironed my hair for an event.  It was more out of necessity than desire, but I enjoy the temporary change-up from my usual routine of twists.  

DISCLAIMER:
If you choose to flat iron your natural tresses, be sure you are aware of AND prepared for the possible risks (e.g., split ends, heat damage, breakage).  I purposely refrained from flat ironing my hair during the early part of my natural journey because I did not want to risk a setback.  Now that I am at a comfortable point in my hair care journey, I do not mind straightening my hair once in a while (~3 times a year).  

STRAIGHTENING PROCESS:
I started with freshly washed, detangled, and conditioned hair that was air dried in ~12 braids.  (See this page for my wash-condition-seal regimen.)  Then I undid each braid, applied Proclaim heat protectant generously, and proceeded to flat iron smaller sections with a maximum of two passes. 

HAIR FOR THE NEXT FEW WEEKS:
My straightened hair will be in pinned up jumbo twists for the next two weeks (if not three).  Just because my hair is straight does not mean I can shy away from protective styling altogether.  On the weekends, I might wear twistouts, depending on my mood.



You can now find HHB on Facebook. Share with your friends:

Tuesday, July 17, 2012

Summer Recipes

By Stephanie of Infinite Life Fitness

As the summer time is slowly creeping by, more and more people are starting to instill healthier eating habits and a new fitness routine to their busy schedules. Becoming healthy is a full lifestyle change. It is not just a fad you can stick with for a few weeks to see the results that you are wanting. It takes WEEKS of dedication and hard work insides and outside of the gym. The biggest part of getting healthier is eating healthier. Today I am sharing with you some easy, yummy, and not too hard recipes of some great meals you can try this summer!

{Source}

Rolled Lasagna
Prep: 25 mins
Cook: 35 mins
Makes: 4 servings

INGREDIENTS


• 8lasagna noodles
• 3tablespoons olive oil
• 1clove garlic, minced
• 112 ounce can crushed tomatoes
• 2ounces goat cheese
• 1/2cup chopped sweet onion
• 1large leek, white part only, chopped
• 1 3/4cups sliced cremini mushrooms
• 1bunch asparagus, cut into 1/2-inch pieces
• 2ounces low-fat mozzarella, grated
• 1/8teaspoon ground nutmeg
• 1/4teaspoon salt
• 1/4teaspoon freshly ground black pepper
• 1/2cup chopped fresh mint
• 1/2cup chopped fresh basil
• 1/4cup grated Parmesan

DIRECTIONS

  1. Preheat the oven to 350 degrees. Cook the lasagna noodles according to package directions. Drain, rinse and set aside. Reserve 1 tablespoon pasta water.
  2. Heat 1 tablespoon of the oil in a medium pot over medium-low heat. Add the garlic; cook 2 minutes. Add the tomatoes; cook 15 minutes. Whisk in 1 tablespoon of the goat cheese until combined. Set aside.
  3. Meanwhile, heat 2 tablespoons oil in a 12-inch skillet over medium heat. Add the onion; saute 3 minutes. Add the leek; cook 3 minutes. Add the mushrooms; cook 10 minutes. Add the asparagus; cook 3 minutes.
  4. Turn heat off; add 1 1/2 tablespoons goat cheese and the mozzarella, reserved pasta water, nutmeg, salt and black pepper. Add the mint and basil, reserving 1 teaspoon of each.
  5. Spread 1/2 cup tomato sauce on the bottom of a baking dish. Spoon 1/2 cup vegetable mixture onto each noodle, roll up and place seam side down in baking dish. Drizzle with remaining tomato sauce; crumble remaining goat cheese on top. Bake 15 minutes. Remove from oven, sprinkle with the Parmesan and reserved mint and basil; serve.


Nutritonal Informaiton:
Amount Per Serving:
Calories426
Protein(gm)17
Carbohydrate(gm)51
Fat, total(gm)18
Saturated fat(gm)6
Dietary Fiber, total(gm)6

{Source}

Lemon Basil Pasta With Summer Squash

INGREDIENTS


• 2ounces (2/3 cup) dry whole-wheat penne
• 1/2cup chopped zucchini
• 1/2cup chopped yellow squash
• 1/2cup canned white beans, rinsed and drained
• 1lemon, juiced
• 1/4cup chopped fresh basil
• 1tablespoon Parmesan cheese
• 1tablespoon olive oil

DIRECTIONS
Make it:
Boil pasta and drain. Toss with remaining ingredients.

Nutritional Information:
Amount Per Serving
Calories497
Protein(gm)21
Carbohydrate(gm)74
Fat, total(gm)16
Saturated fat(gm)3
Dietary Fiber, total(gm)8

{Source}

Spinach-Mushroom Pizza
Prep: 20 mins
Cook: 15 mins 425°F
Makes: 6 servings

INGREDIENTS


• 112 ounce whole-wheat pizza crust, such as Boboli
• 1/4cup pizza sauce
• 1/2cup frozen spinach, thawed and drained well
• 1/4small red onion, thinly sliced
• 1cup shredded part-skim mozzarella
• 6medium cremini mushrooms, sliced
• 1/4cup part-skim ricotta
• 2tablespoons grated Parmesan
• 1tablespoon extra-virgin olive oil
• 2teaspoons balsamic vinegar

DIRECTIONS
Makes:

  1. 6 servings
  2. Preheat the oven to 450 degrees. Place a large heavy baking sheet on the bottom of the oven. Lay the pizza crust on a work surface.
  3. Spread the crust with the sauce, followed by the spinach and onion. Sprinkle with the mozzarella and mushrooms. Dollop the ricotta over the pizza and sprinkle with the Parmesan. Drizzle the olive oil all over.
  4. Use a thin cutting board or the back of a second baking sheet to carefully transfer the pizza to the preheated baking sheet on the bottom of the oven. Bake until the crust is puffed and beginning to color at the edges and the cheese is melted, 10 minutes. Take the sheet out of the oven and preheat the broiler.
  5. Broil the pizza, watching carefully, until the cheese is browned and bubbling, about 2 minutes. Let pizza cool on the sheet for 5 minutes. Sprinkle with the balsamic vinegar, slice into wedges, and serve.


Nutritional information:
Amount Per Serving
Calories252
Protein(gm)15
Carbohydrate(gm)30
Fat, total(gm)10
Saturated fat(gm)4
Dietary Fiber, total(gm)5

{Source}

Mushroom and Asparagus Fettuccine
Prep: 25 mins
Makes: 4 servings

INGREDIENTS


• 8ounces dried fettuccine or linguine
• 8ounces asparagus, trimmed and cut into 1-1/2-inch pieces
• 3cups sliced fresh shiitake or crimini mushrooms
• 1medium leek, thinly sliced, or 1/2 cup chopped onion
• 3cloves garlic, minced
• 1tablespoon olive oil
• 1/3cup mushroom broth or vegetable broth
• 1/4cup half-and-half or light cream
• 1/4teaspoon salt
• 1/8teaspoon black pepper
• 1cup chopped plum tomatoes
• 1tablespoon finely shredded fresh basil
• 1tablespoon finely shredded fresh oregano
• 1/4cup pine nuts, toasted
• Finely shredded Parmesan cheese(optional)

DIRECTIONS

  1. Cook fettuccine or linguine according to package directions, adding asparagus the last 1 to 2 minutes of cooking; drain. Return pasta mixture to saucepan; cover and keep warm.
  2. Meanwhile, in a large skillet cook mushrooms, leek, and garlic in hot oil over medium-high heat for 4 to 5 minutes or until most of the liquid is evaporated. Stir in broth, half-and-half, salt, and black pepper. Bring to boiling. Boil gently, uncovered, for 4 to 5 minutes or until mixture is slightly thickened. Stir in tomatoes, basil, and oregano; heat through.
  3. Spoon the mushroom mixture over pasta mixture; toss gently to coat. Divide among 4 bowls or dinner plates. Sprinkle with pine nuts and, if desired, Parmesan cheese. Serve immediately.

Nutritional Information:
Amount Per Serving
Calories416
Protein(gm)15
Carbohydrate(gm)69
Fat, total(gm)12
Cholesterol(mg)6
Saturated fat(gm)3
Monosaturated fat(gm)5
Polyunsaturated fat(gm)3
Dietary Fiber, total(gm)6
Sugar, total(gm)5
Vitamin A(IU)777
Vitamin C(mg)19
Thiamin(mg)1
Riboflavin(mg)1
Niacin(mg)6
Pyridoxine (Vit. B6)(mg)0
Folate(µg)230
Cobalamin (Vit. B12)(µg)0
Sodium(mg)193
Potassium(mg)503
Calcium(DV %)71
Iron(DV %)5
Vegetables()2
Starch()4
Fat()2

I hope that the few recipes I just shared you will try! And remember…you can always add/subtract/or substitute ingredients for things that you want!

This is Stephanie from Infinite Life Fitness. Please feel free to check out my website at infinitelifefitness.com for more health and fitness tips!

Monday, July 16, 2012

Hirst, Burgers, Evidence and Basting...

日本での定期的な読者にメッセージが表示されます。
私は精神的健康との関係で芸術と文化の場所を探索プロジェクトを開発したいと思います。
あなたはこの議論に興味があったら、連絡を取ってください。
ありがとうございます。
DAMIAN HIRST SEEN IN BURGER KING....
Following on from last weeks news that the Biggest, Fattest McDonalds in the world has opened up in the shadow of the Olympic Stadium....and yes, its an Eco version - sustainable, in that after the Olympics, they're going to bulldoze it after the games - here are some more facts. It will serve up to 1,200 customers an hour and sell £3million of fast food during the Games.  Altogether they will serve 1.75 million ‘meals’ in 29 days, with Britons accounting for an estimated 85 per cent of customers. Not to be outdone though, Burger King have had a whopping donation from none other than Damien (I’ve got an exhibition on at the moment) Hirst! Great stuff eh? But Damien, wouldn’t half a cow be better?

ANNE BASTING
For those of us who attended the evening networking event with Anne Basting here at MMU, I think its safe to say, that we were all blown away by her imagination, passion and vision for the potential of people affected by dementia.  Anne had come to the UK to speak at a conference at Keele University and kindly offered to talk to members of the North West Arts and Health Network - and what a great evening it was! She shared her work on Time Slips; the Penelope Project and some of her new developments around Shipwrecked. She emphasized the liminal nature of our work, existing between disciplines, investing social capital in people who are largely marginalised to the extreme.  For me, what Anne did, was up the ante, and for those of you who couldn’t come to the event, but who read this, two things to ponder - part of her work with people affected by dementia involves not only getting to grips with Homer’s The Odyssey,  but also learning passages of ancient Greek. Forget the status quo, this is aspirational stuff.  Thank you Anne. These links will take you to some of her work

EVIDENCE
Last week in a comment on GlaxoSmithKlein I mentioned Ziggy Stardust as research, and I got a few interesting emails - to which - thank you.  As a counter-blast to the reductionist model, I’d like to hear from you about art and popular culture that might be construed as evidence of impact, or a research methodology - particularly as an unintended outcome, or intention. I’m thinking much in the same vein as Bowies claims - the mainstream and the popular. Please get in touch.


GRUNDTVIG and Arts for Health
I am thrilled to be working with Mark Prest and Portraits of Recovery over the next two years. Alongside partners in Italy, Turkey and Lithuania we will be developing work that explores different cultural experiences of recovery and addiction through the arts. This will include informal learning and the development of culturally relevant arts and health strategy with a range of European partners.
More details soon.


Public Art, Cultural Well-Being and the 
National Planning Policy Framework (NPPF) 
ixia is organising three briefing events on how the provision of public art will be influenced by the prominent inclusion of cultural well-being within the NPPF. The events will be led by the planning barrister, Ian Dove QC of No5 Chambers, and the cultural commentator, John Holden.
The topics covered will include: the purpose and status of the NPPF and how it relates to the planning system at a local level, including the Community Infrastructure Levy (CIL); the relationship between cultural well-being and public art; the justification and inclusion of cultural well-being and public art within local planning documents. The briefing events are for arts officers, public art officers, planners, artists, curators, developers and arts funders.
The dates and locations of the events are:
22nd October 2012 - London;
5th November 2012 - Birmingham;
12th November 2012 - Manchester or Leeds.


THE INTIMA
The Intima is an electronic journal founded in 2011 to stimulate thought, reflection, and conversation about the intersecting worlds of medicine, humanities and art, in the context of individual clinical experiences across the spectrum of health and illness. Narrative Medicine thrives on dialogue..
Mission: The Intima is an electronic journal dedicated to promoting the theory and practice of Narrative Medicine, an interdisciplinary field aiming to enhance health care through the development of effective communication and understanding between caregivers and their patients.
Vision: By providing an online venue for the expression of personal experience within the medical arena, The Intima creates space for caregivers, professionals, patients, and families to share their narratives in a format that fosters empathy, reflection, and deeper understanding of the diversity inherent in effective delivery of care.
Submission Guidelines: We have a rolling admissions policy for the Fall 2012 edition, expected to be published in September The final deadline is August 1st. Please consult http://www.theintima.org/guidelines.html for more information and feel free to contact editor@theintima.org with any questions.
Submissions can include:
  • Scholarly essays or articles geared towards educating a general audience about Narrative Medicine
  • Non-Fiction, personal narratives or perspective pieces
  • Fiction, Short Fiction
  • Field Notes, reflections on working in the field
  • Poetry
  • Studio Art, in any medium such as paintings, photographs, or prints
  • Audio or Visual Multimedia


Healthful Dancing Retreat: with Small Things Dance Collective, Miranda Tufnell and Joe Moran.
10th September 2012, Edge Hill University, Ormskirk.
For more details, by clicking on Anne Widdecombe.


Funding to Support to Voluntary Projects in Health and Social Care (England)

The Government has announced that applications are invited to the 2013-14 Innovation, Excellence and Strategic Development Fund that supports the voluntary sector in developing innovation across health and social care.  The fund is open to third sector health and social care organisations in England that provide a service similar to a service provided by the National Health Service or by Local Authority social services and whose activities support the Department of Health’s priorities. Applications must be made under one of the three Funding Strands, which are Innovation, Excellence and Strategic Development.  To be eligible, projects must have a national impact.  This can include local projects that can be replicated nationally.  There is no minimum or maximum amount that organisations can apply for. In the last funding round grants awarded ranged from £15,865 to £239,669 (for the first year allocations).  YouthNet is one organisation that has benefited from the fund, allowing it to redevelop its confidential online question and answer service. Through askTheSite young people are able to access confidential expert advice on any issue that is affecting their lives.
The closing date for applications is the 21st September 2012. Read more at: http://www.dh.gov.uk/health/2012/06/iesd-2013-14-2/


The 14-percent advantage of eating little and then a lot: Is it real?

When you look at the literature on overfeeding, you see a number over and over again – 14 percent. That is approximately the increase in energy expenditure you get when you overfeed people; that is, when you feed people more calories that they need to maintain their current weight.

This phenomenon is related to another interesting one: the nonlinear increase in body weight and fat mass following overfeeding after a period starvation, illustrated by the top graph below from an article by Kevin Hall (). The data for the squares on the top graph is from the Minnesota Starvation Experiment (). The graph at the bottom is based mostly on the results of a simulation, and doesn’t clearly reflect the phenomenon.


Due to the significant amount of weight lost in what is called above the semistarvation stage (SS), the controlled refeeding period (CR) actually involved significant overfeeding. Nevertheless, weight was not gained right away, due to a sharp increase in energy expenditure. That is illustrated by the U-curve shape of the weight gain in response to overfeeding. Initially the gain is minimal, increasing over time, and continuing through the ad libitum refeeding stage (ALR).

Interestingly, overfeeding leads to increased energy expenditure almost immediately after it starts happening. It seems that even one single unusually big meal will significantly increase energy expenditure. Also, the 14 percent is usually associated with meals with a balanced amount of macronutrients. That percentage seems to go down if the balance is significantly shifted toward dietary fat (), probably because the metabolic “cost” of converting dietary fat into body fat is low. In other words, large meals with a lot of fat in them tend to cause a reduced increase in energy expenditure – less than 14 percent. Shifting the balance to protein appears to have the opposite effect, increasing energy expenditure even more, probably because protein is the jack-of-all-trades among macronutrients ().

The calorie surplus used in experiments where the 14 percent increase in energy expenditure is observed is normally around 1,000 calories, but the percentage seems to hold steady when people are overfed to different degrees () (). Let us assume that one is overfed 1,000 calories. What happens? About 140 calories are “lost” due to overfeeding.

What does this have to do with eating little, and then a lot, in an alternate way? It allows for some reasonable speculation, based on a simple pattern: when you alternate between underfeeding and overfeeding, you reduce food consumption for short period of time (usually less than 24 h), and then eat big, because you are hungry.

It is reasonable to assume, based on the empirical evidence on what happens during overfeeding, that the body reacts to “eating big” as it would to overfeeding, increasing energy expenditure by a certain amount. That increase leads to a reduction in the caloric value of the meals during overfeeding; a reduction of about 14 percent of the overfed amount.

But the body does not seem to significantly decrease energy expenditure if one reduces food consumption for a short period of time, such as 24 h. So you have the potential here for some steady fat loss without a reduction in caloric intake. Keeping a calorie intake up above a certain point is more important than many people think, because a calorie intake that is too low may lead to nutrient deficiencies (). This is possibly one of the reasons why carrying a bit of extra weight is associated with increased longevity in relatively sedentary populations ().

Is this 14-percent effect real, or just another mirage? If yes, what does it possibly translate into in terms of fat loss? More on these issues is coming in the next post.

Sunday, July 15, 2012

CONVERGING in Philadelphia

About one week ago our School of Population Health participated in the inaugural CONVERGE program in Philadelphia. Powered by the team from Medcity.com out of Cleveland, Converge brought together all kinds of persons interested in health care innovation -- from big pharma to little pharma, from start ups with two employees to established managed care companies in our market, and everything in between.

I took the stage right after lunch for a "Fireside Chat" (on a day that was sweltering) with Karl Stark from the Philadelphia Inquirer. We "chatted" about innovation in general terms and specifically about my service on the Board of two amazing companies -- HUMANA and ENDO Health Solutions. Both of these firms are leaders in innovation as Humana is rapidly becoming the most important health and wellness company in America. ENDO is a fascinating company where drugs, devices, and information are being brought together under one roof to help physicians and others to deliver greater value in the marketplace.

I was so excited by all of the very positive feedback  on our chat that we hope to help Medcity bring CONVERGE to an even larger audience, in Philadelphia, next year this time. What innovative projects are you involved in?? Finally, I hope you will all follow up with us after our upcoming launch of the GRANDON SOCIETY this coming Thursday, July 19th at 10am EST. Look for more tweets from us at that time. Thanks again for your amazing support on line, DAVID NASH