#Western Reserve Hospice

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Can sugar contribute to obesity? Yes.

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How is Does Sugar Really Make You Fat?

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Can a person eat a lot of sugar and remain thin? Also yes.

Plenty of thin people eat a diet high in refined sugar. Think of all the teens who live on soda and fast food. Therefore, logically, sugar is not the sole cause of obesity. Of my four children, my son who never has to worry about his weight eats more sugar than his siblings, yet remains thin without trying.

There is little doubt that eating more calories than the body consumes leads to obesity. But does the body care if the calories come from sugar or from a healthy balance of fruits and vegetables, meat and potatoes?

At least in many instances, it seems the answer is no. When patients enter the hospital they are commonly given IV fluids which are primarily sugar water. Many of these patients lose weight, despite taking most of their calories in the form of glucose. Cancer patients and others with serious illness survive on tube feeds alone for months or years at a time. Many of these patients lose weight, despite the high carbohydrate content of the liquid diet. The total calories taken in is simply insufficient to meet the needs of the body. The body feeds on itself to make up for inadequate diet, and weight loss results.

On the other hand, patients who are already overweight or obese often develop a craving for sugar or simple carbohydrates, and find these foods tend to maintain or worsen the overweight condition.

Just what gives here? Do doctors and scientists understand what's going on?

A few years ago they thought they had the answer. The discovery of leptin deficiency in massively obese mice led scientists to believe they had the answer for overweight humans as well. Leptin tends to inhibit appetite. The lack of this hormone makes mice (and people) eat voraciously. However, it turns out that most overweight people have more leptin than thinner people. The biologic system that controls appetite and weight turns out to be much more complicated than previously understood.

Scientists did discover that certain humans have the mutation that leads to leptin insufficiency and obesity at a young age. Treating these children with leptin does help lower their body weight considerably.

But what about the middle-aged adult who has seen the spare tire inflate over the years? Currently we have no good answer except to eat less and exercise more. Avoiding sugar is not a bad idea - it's so difficult to limit intake to a reasonable amount that total abstinence may be an easier answer. But other simple carbohydrates may be just as bad for the body: white bread, white rice, white potatoes, breakfast cereal, and pasta.

The healthiest diet is one that consists primarily of vegetables and fruits, yet many find this unfulfilling. No matter what the scientists discover, a pill can't be the answer for modern man. We simply need to exercise more and eat healthier. The very thought makes me hungry for a piece of cake. What's a person to do? I'm pretty sure if we had to grow our own food we'd all be thinner - I know I would be. Can I use my teenagers for an excuse for now?

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Western Reserve Hospital - Mindfulness Meditation and Stress Reduction

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Meditation is a slippery concept, defined by different people in different ways, especially when the myriad of religious traditions is considered. But in the Western world, meditative practices can generally be grouped in two main categories: mindfulness meditation (open-monitoring) and concentrative meditation (focused attention). Unfortunately, this attempt to distinguish between practices tends to break down, even in scientific studies that should be more careful. In this article, we will focus (no pun intended) on one of the benefits of mindfulness meditation that has managed to shine through this confusion - the ability to reduce stress.

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What Is Mindfulness Meditation?

Mindfulness meditation emphasizes a non-judgmental, moment-to-moment awareness of your individual experience - generally meaning thoughts, feelings, and sensations, but sometimes taken more broadly to include interactions with the physical world. Thus, part of the task is to actually be in the present moment instead of thinking about the future or the past. But the other central element here is the open acceptance of whatever you find in your present - a kind of "going with the flow." This orientation towards experience is sometimes referred to as "beginner's mind," in which one sees the world as if for the first time, free of the baggage of experience or preconceptions.

Towards A More Evolved Mind

In everyday waking life, characterized in the brain by the dominance of the Beta brainwave, the evolutionary hangover of the fight-or-flight response causes a host of undesirable problems. While we once needed to react quickly to real dangers - like a predator interested in dining al fresco on a little homo sapiens - the elevation of blood pressure, heart rate, and cortisol are now frequently triggered merely by perceived stressors. Since no actual "flight" ensues, the body is not able to "burn off" the hormonal stew in a release of intense physical activity and, over time, the neurochemical imbalance leads to cardiovascular diseases, suppressed immune systems, inhibited growth and repair, and many other physical and emotional ailments.

Numerous scientific studies have demonstrated the effectiveness of mindfulness meditation in combating stress. In part, this is due to the reduction in the trained mind's tendency to wander "off the reservation" and start speculating about imaginary, dire consequences. In some studies, a "mindfulness intervention" actually caused people to reevaluate perceived stressors and react to them in a neutral or even positive way. The University of Massachusetts Medical School has a program, founded by the Zen-trained Jon Kabat-Zinn, dedicated to Mindfulness-Based Stress Reduction (MBSR). The program has been adopted by many other hospitals with alternative medicine efforts, and has proven particularly effective in treating depression and anxiety disorders.

In addition to the reduction of stress, mindfulness meditation enhances one's ability to perceive the world accurately and, in fact, tends to encourage more positive reactions to experience. Not surprisingly, the practice has spread from the medical arena to the world of big-business, with several major corporations offering mindfulness programs to their employees.

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