Sunday, August 31, 2008

Water for the Pima

A few months ago, I published a post about the Pima Indians (Akimel O'odham) of Arizona. The Pima are one of the most heart-wrenching examples of the disease of civilization afflicting a society after a nutrition transition. Traditionally a healthy agricultural people, they now have some of the highest rates of obesity and diabetes in the world.

The trouble all started when their irrigation waters were diverted upstream in the late 19th century. Their traditional diet of corn, beans, squash, fish, game meats and gathered plant foods became impossible. They became dependent on government food programs, which provided them with white flour, sugar, lard and canned goods. Now they are the subjects of scientific research because of their staggering health problems.

I'm happy to report that after more than 30 years of activism, lawsuits and negotiation, the Pima and neighboring tribes have reached an agreement with the federal government that will restore a portion of their original water. Of the 2 million acre-feet of water the Pima were estimated to have used since before the 16th century, the settlement will restore 653,500. An acre-foot is approximately the personal water use of one household. The settlement also provides federal funds for reconstructing old irrigation canals.

Now we will see how the Pima will use it. Will they return to an agricultural lifestyle, perhaps with the advantages of modern technology? Or will they lease the water rights for money and continue to live off Western foods? Perhaps some of both. They are definitely aware that Western food is causing their health problems, and that they could regain their health by eating traditional foods. However, white flour "fry bread", sugar and canned meat have been around for so long they are also a cultural tradition at this point. Only time will tell which path they choose.

Friday, August 29, 2008

My Conflict of Interest Disclosure

This blog does not bring me any revenue, direct or indirect. I publish it as a free service to my friends and family, and anyone else who's interested.

I don't allow advertising at this time, nor am I connected to any of the products or books I've mentioned in any way.

My meager salary is paid indirectly by the National Institutes of Health, which supports my research on neurodegenerative disease. This blog is a personal project of mine and the NIH has no influence over it, or knowledge of it.

My biases are all my own.

Thursday, August 28, 2008

Conflict of Interest

The U.S. National Cholesterol Education Program (NCEP) is a government organization that educates physicians and the general public about the "dangers" of elevated cholesterol. They have a panel that creates official guidelines for the reduction of cardiovascular disease risk. They contain target cholesterol levels, and the usual recommendations to eat less saturated fat and cholesterol, and lose weight.

They recommend keeping LDL below 100 mg/dL, which would place tens of millions of Americans on statins.

I was reading Dr. John Briffa's blog today and he linked to a government web page disclosing NCEP panel members' conflicts of interest. It's fairly common in academic circles to require conflict of interest statements, so a skeptical audience can decide whether or not they think someone is biased. The 9-member NECP panel was happy to indulge us:

Dr. Grundy has received honoraria from Merck, Pfizer, Sankyo, Bayer, Merck/Schering-Plough, Kos, Abbott, Bristol-Myers Squibb, and AstraZeneca; he has received research grants from Merck, Abbott, and Glaxo Smith Kline.

Dr. Cleeman has no financial relationships to disclose.

Dr. Bairey Merz has received lecture honoraria from Pfizer, Merck, and Kos; she has served as a consultant for Pfizer, Bayer, and EHC (Merck); she has received unrestricted institutional grants for Continuing Medical Education from Pfizer, Procter & Gamble, Novartis, Wyeth, AstraZeneca, and Bristol-Myers Squibb Medical Imaging; she has received a research grant from Merck; she has stock in Boston Scientific, IVAX, Eli Lilly, Medtronic, Johnson & Johnson, SCIPIE Insurance, ATS Medical, and Biosite.

Dr. Brewer has received honoraria from AstraZeneca, Pfizer, Lipid Sciences, Merck, Merck/Schering-Plough, Fournier, Tularik, Esperion, and Novartis; he has served as a consultant for AstraZeneca, Pfizer, Lipid Sciences, Merck, Merck/Schering-Plough, Fournier, Tularik, Sankyo, and Novartis.

Dr. Clark has received honoraria for educational presentations from Abbott, AstraZeneca, Bristol-Myers Squibb, Merck, and Pfizer; he has received grant/research support from Abbott, AstraZeneca, Bristol-Myers Squibb, Merck, and Pfizer.

Dr. Hunninghake has received honoraria for consulting and speakers bureau from AstraZeneca, Merck, Merck/Schering-Plough, and Pfizer, and for consulting from Kos; he has received research grants from AstraZeneca, Bristol-Myers Squibb, Kos, Merck, Merck/Schering-Plough, Novartis, and Pfizer.

Dr. Pasternak has served as a speaker for Pfizer, Merck, Merck/Schering-Plough, Takeda, Kos, BMS-Sanofi, and Novartis; he has served as a consultant for Merck, Merck/Schering-Plough, Sanofi, Pfizer Health Solutions, Johnson & Johnson-Merck, and AstraZeneca.

Dr. Smith has received institutional research support from Merck; he has stock in Medtronic and Johnson & Johnson.

Dr. Stone has received honoraria for educational lectures from Abbott, AstraZeneca, Bristol-Myers Squibb, Kos, Merck, Merck/Schering-Plough, Novartis, Pfizer, Reliant, and Sankyo; he has served as a consultant for Abbott, Merck, Merck/Schering-Plough, Pfizer, and Reliant.

Every company in bold is a statin manufacturer. This is outrageous! These are the people setting official government blood cholesterol target values for the entire country! Eight out of nine of them should be dismissed immediately, and replaced by people who can do a better job of pretending to be impartial!

Walking Off 35 Pounds

In the 'before photo' here Debra Flinn weighs 216 pounds at her height of 5'5".

She decided to take extreme measures to lose weight and planned on walking to a city that was 874 miles away.

It took her 66 days to do it (at an average daily walking mileage of 13 miles). When she got there she was 35 pounds lighter.

See her story and her 'after photo' here.

Wednesday, August 27, 2008

Ooops been gone a while

Right then, seeing as I have been tardy, let me bring you all up to speed. I had my unfill which was wonderful... too wonderful. I have been able to eat everything and it's dog.

So I booked to have a top up and had it done last Sunday. I had 0.5mls put back in (for free) and to be honest there is not a lot of difference. I have not been eating quite so much, but apart from that I am able to eat pretty much all things except for sliced bread/rolls.

I am finding that pitta is a really good thing for me to eat. I have had 3 pitta bread over the course of the day with hummus. Tonight's tea is roast gammon with cauliflower cheese and for afters we are having apple and blackberry crumble and custard.

I am not hungry right now, and all I have consumed all day has been pitta bread and hummus, orange juice and coffee.

If you asked me have I had a lot to eat today I would say "yes" and in the back of my min think "too much" but actually this is BECAUSE of the band causing the sensation of satisfaction. I only FEEL like I have eaten too much, when in fact I haven't.

I hope to see a difference with my eating with this fill. Not so tight that I cannot eat more than a bite, but enough so that I can keep healthy and just lose maybe even 1/2 pound per week.

I am conscious that I am not really at my 1 year out yet (Band Mk2 that is - counting November 9th as band day.), and I have lost about a 1/3rd of the weight I want to ideally lose. I hope to have knocked half the weight on its head by my Band (mk2) Anniversary.

What damage did I do to my weight whilst at open free for all... 4 lb gain. This was analysed as 1 pound of water, 1 pound of muscle and 2 pounds of fat. Not bad when you consider I ate like a hog for 2 weeks solid. Mind you, eating like a hog for someone with a band, whatever their restriction is like, is significantly reduced from the Hardcore Hog that I was pre banding!!

So, I am not going to update my weight bar and add on the 4pound gain, as I will feel horrible and it will put me in a bad place, and I will adjust it when I have lost 4 and a half pounds instead and then I will be happy.

I have exactly 6mls in my band.

I suffered with a lot of pain in my port over the last few days where I have had to resort to codeine (Thanks Dad! He gave me all 200 packets of 90 tablets given to him from the hospital after his cancer operation - bargain!). Codeine was the only thing that touched my pain before when my band broke. However, it was NOT that kind of pain, but really from the injection site. There has been no swelling, redness or anything else and I still definitely have restriction, so I am not worried, although paranoia did start to set in during the long sleepless night after the fill! Today is fine though and I have been decorating, sawing, painting and all kinds of stuff without a problem.

As for the normal lark... we have our new lodger Josh. He arrived this afternoon at 3:30 with all his stuff. He is really excited about staying and starting his apprenticeship etc. Seems like a nice lad. He has a brother aged 9 too so just like home really!

Right, over and out for today.

Tuesday, August 26, 2008

Eating Down the Food Chain

Europe once teemed with large mammals, including species of elephant, lion, tiger, bear, moose and bison.

America was also home to a number of huge and unusual animals: mammoths, dire wolves, lions, giant sloths and others.


The same goes for Australia, where giant kangaroos, huge wombats and marsupial 'lions' once roamed.


What do these extinctions have in common? They all occurred around when humans arrived. The idea that humans caused them is hotly debated, because they also sometimes coincided with climactic and vegetation changes. However, I believe the fact that these extinctions occurred on several different continents about when humans arrived points to an anthropogenic explanation.


A recent archaeological study from the island of Tasmania off the coast of Australia supports the idea that humans were behind the Australian extinctions. Many large animals went extinct around the time when humans arrived in Australia, but that time also coincided with a change in climate. What the new study shows is that the same large animals survived for another 5,000 years in Tasmania... until humans arrived there from the mainland. Then they promptly went extinct. That time period didn't correspond to a major climate change, so it's hard to explain it away.


It's a harsh reality that our big brains and remarkable adaptability give us the power to be exceptionally destructive to the environment. We're good at finding the most productive niches available, and exploiting them until they implode. Jared Diamond wrote an excellent book on the subject called Collapse, which details how nearly every major civilization collapse throughout history was caused at least in part by environmental damage. It's been a hallmark of human history since the beginning.

I don't think it will take much to convince you that the trend has accelerated in modern times. Ocean life, our major source of nutrient-rich wild food, has already been severely depleted. The current extinction rate is estimated to be over 1,000 times the baseline, pre-modern level, and rising.


Humans have always been top-level predators. We kill and eat nutrient-dense prey that is often much larger than we are. But today, the extinction of such walking meat lockers has caused us to eat down the food chain. We're turning to jellyfish and sea cucumbers and... gasp... lobsters!


While it's true that we've probably always eaten things like shellfish and insects, I find it disturbing that we've depleted the oceans to the point where we can no longer sustainably eat formerly abundant carnivorous fish like tuna. We need to make a concerted effort to preserve these species because extinction is permanent.


I don't want to live in a future where the only thing on the menu is bacteria patties, the other other other
other white meat.

Monday, August 25, 2008

Saharan Hunter-Gatherers Unearthed

The media recently covered an archaeological discovery in Niger that caught my attention. In the middle of the Sahara desert, researchers found a hunter-gatherer burial site containing over 200 graves ranging from about 10,000 to 4,500 years old. During this period, the region was lush and productive.

There were two groups: the Kiffian, who were powerful hunters and fishermen, and the Tenerian, who were smaller pastoralists (herders) and fishermen.

Individuals at the Kiffian sites averaged over 6 feet tall, with some reaching 6' 8". They were powerfully muscled, and found with the remains of elephants, giraffes, pythons, giant perch and other large game.

Not that you have to be Conan the Barbarian to kill an elephant. Forest pygmies traditionally hunt elephants, and there's a picutre in Nutrition and Physical Degeneration to prove it. They use stealth, agility and an intimate knowledge of their prey to make up for their small size and primitive weapons.

Both the Kiffians and the Tenerians had excellent dental development and health. Take a look at some of the pictures. Those are the teeth of a wild Homo sapiens. Straight, free of decay and with plenty of room for the wisdom teeth. They must have had good dentists.

Both cultures also showed a high level of intelligence and empathy. They were found with decorated pottery shards and their bodies were arranged in imaginative and empathetic ways. A man was buried sitting on a tortoise shell. A mother was buried with her two children. Here's the picture. I can't say it better than the LA Times:
Among the Tenerian graves was a heart-rending burial tableaux [SIC!!]: A young woman was lying on her side. Pollen under her body suggested that she was placed on a bed of flowers. Lying on their sides facing her were two young children, their fingers interlocked with hers, leaving a tangle of bones.
Haha, I couldn't let the spelling error slide, it should be 'tableau'. Hey, I'm half French, give me a break.