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An investigation into how the obesity epidemic and our environmental woes may be interwoven societal problems.
Megan Carter
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by Megan Carter in Verdant Nation
Just recently a colleague and friend of mine, Travis Saunders, asked me to guest post on his blog: Obesity Panacea - a highly cited obesity blog, hosted by the Public Library of Science Blog Network. The post highlights a portion of my PhD work investigating how change in child weight status relates to local environmental factors. You can access the post here. The papers on which my post focus on can be found below. Carter MA, Dubois L, Tremblay MS, & Taljaard M (2012). The Influen........ Read more »
Carter MA, Dubois L, Tremblay MS, & Taljaard M. (2012) The Influence of Place on Weight Gain during Early Childhood: A Population-Based, Longitudinal Study. Journal of urban health : bulletin of the New York Academy of Medicine. PMID: 22806452
by Megan Carter in Verdant Nation
Creative Commons imageToday's post is a follow-up to the previous post on the pervasiveness of environmental contaminants and pollutants and the potential link to obesity, particularly in utero. As I left off, much research remains to be conducted to definitively link specific industrial chemicals (known endocrine disruptors), which are highly prevalent in our society, to obesity.The precautionary principal is used to protect public health and has various interpretations. In general, i........ Read more »
Weir E, Schabas R, Wilson K, & Mackie C. (2010) A Canadian framework for applying the precautionary principle to public health issues. Canadian journal of public health. Revue canadienne de sante publique, 101(5), 396-8. PMID: 21214055
by Megan Carter in Verdant Nation
Everybody knows that obesity results from energy in being greater than energy out, right? Okay, we know that it's a lot more complex than that, but what if obesity could arise separate from this? We're pretty wedded to the idea that diet and physical activity are major risk factors, so it may be a little disconcerting to learn that a new body of research suggests that being exposed to "obesogens," chemicals in the environment (usually man-made), may program us to be fat. In this first post, I wi........ Read more »
Holtcamp, W. (2012) Obesogens: An Environmental Link to Obesity. Environmental Health Perspectives, 120(2). DOI: 10.1289/ehp.120-a62
by Megan Carter in Verdant Nation
Microsoft Office ImageMany writers (e.g. Mark Bittman), journalists, researchers, scientists, and celebrity chefs (e.g Jamie Oliver), believe that if people cooked more, obesity wouldn't be such a big issue. While I agree with this observation generally and feel that it could probably be good for the environment too, I don't think it is something that on its own could ever be effective in our capitalist society.First, how can cooking our own meals help the obesity epidemic? Meals and snacks........ Read more »
Lachat, C., Nago, E., Verstraeten, R., Roberfroid, D., Van Camp, J., & Kolsteren, P. (2012) Eating out of home and its association with dietary intake: a systematic review of the evidence. Obesity Reviews, 13(4), 329-346. DOI: 10.1111/j.1467-789X.2011.00953.x
Bezerra, I., Curioni, C., & Sichieri, R. (2012) Association between eating out of home and body weight. Nutrition Reviews, 70(2), 65-79. DOI: 10.1111/j.1753-4887.2011.00459.x
Troy LM, Miller EA, & Olson S. (2011) Hunger and Obesity: Understanding a Food Insecurity Paradigm: Workshop Summary. Institute of Medicine. info:/
by Megan Carter in Verdant Nation
It’s pretty hard to determine if residential characteristics influence the development of obesity. There are a multitude of reasons for this, but one I want to focus on is the research design of the study. Most research in this area has been cross-sectional (looking at one point in time only). The problem with these studies is that we have no idea what came first, the neighborhood characteristic or obesity. There is also the issue of self-selection. Certain people may prefer to live in certa........ Read more »
Ludwig J, Sanbonmatsu L, Gennetian L, Adam E, Duncan GJ, Katz LF, Kessler RC, Kling JR, Lindau ST, Whitaker RC.... (2011) Neighborhoods, obesity, and diabetes--a randomized social experiment. The New England journal of medicine, 365(16), 1509-19. PMID: 22010917
by Megan Carter in Verdant Nation
CC Image: Franco Folini Now I am not generally one to give money to a pan-handler. If I do give something, it’s generally a snack (usually healthy) if I have one on me. This has been met with different responses: scorn, indifference or thankfulness. I have offered a few times to go and buy these pan-handlers something to eat or drink but have never been take up on the offer, until today. I regret though, that I may have contributed to, not helped the problem of food insecurity........ Read more »
Pilgrim A, Barker M, Jackson A, Ntani G, Crozier S, Inskip H, Godfrey K, Cooper C, Robinson S, & SWS Study Group. (2011) Does living in a food insecure household impact on the diets and body composition of young children? Findings from the Southampton Women's Survey. Journal of Epidemiology and Community Health. info:/10.1136/jech.2010.125476
Kirkpatrick SI, & Tarasuk V. (2008) Food insecurity is associated with nutrient inadequacies among Canadian adults and adolescents. The Journal of nutrition, 138(3), 604-12. PMID: 18287374
by Megan Carter in Verdant Nation
Urban planning and epidemiology need to become better friends. Rigorous epidemiological studies that assess the health impacts of urban planning interventions are desperately needed. These studies can more reliably tell us what works and what doesn’t, and therefore where best to put our hard-earned tax dollars. I’m not sure why they are lacking. Money? Time? I guess they are all good excuses. But in the grand scheme of things, I would settle for even just a simple before-after study – some........ Read more »
Evenson, K., Herring, A., & Huston, S. (2005) Evaluating change in physical activity with the building of a multi-use trail. American Journal of Preventive Medicine, 28(2), 177-185. DOI: 10.1016/j.amepre.2004.10.020
by Megan Carter in Verdant Nation
Eating that double-fudge brownie or entire bag of chips ultimately comes down to individual choice. However, it is becoming more and more apparent that we are not really free to choose – our choices arise from opportunities or barriers that are structured in large part by the places in which we live, work, play, or go to school. The abundance of ultra-processed, energy –dense, nutrient-poor foods that are readily available, heavily marketed, cheap, and tasty, presents a large barrier to........ Read more »
Just D.R.,, & Wansink B,. (2009) Smarter Lunchrooms: Using Behavioral Economics to Improve Meal Selection. Choices:The Magazine of Food, Farm, and Resource Issues, 24(3). info:/
by Megan Carter in Verdant Nation
I am re-posting a guest-post that I wrote in June for my friend and colleague, Travis Saunders, on his blog: 'Obesity Panacea'. I was too lazy then to put the whole thing up on my own blog...Alas, I've come back to it as potential thesis material, so have decided to take the two minutes to format it. You can also view the original post here. I am hoping that researchers and the public at large are starting to get past the ‘blame the victim’ perspective of obesity. True, choice and prefe........ Read more »
Szreter, S. (2004) Health by association? Social capital, social theory, and the political economy of public health. International Journal of Epidemiology, 33(4), 650-667. DOI: 10.1093/ije/dyh013
by Megan Carter in Verdant Nation
Hopefully I will be back to a more or less regular blog posting schedule now that I am back from my trip overseas. I went to Dublin (Ireland) and Edinburgh (Scotland) for a few weeks of vacation and a couple days of conferencing. I was lucky enough to get to do some biking both inside and outside of the city (the city being Edinburgh). Today’s post is more of a reflection on biking culture and infrastructure in Ireland and Scotland versus here in Canada. I was only there for a short........ Read more »
Reynolds, C., Harris, M., Teschke, K., Cripton, P., & Winters, M. (2009) The impact of transportation infrastructure on bicycling injuries and crashes: a review of the literature. Environmental Health, 8(1), 47. DOI: 10.1186/1476-069X-8-47
by Megan Carter in Verdant Nation
One potential way to combat the obesity epidemic and environmental degradation all in the same go is urban agriculture. I’ve been thinking a lot about this lately, wondering if it is feasible in climates like New York City and Toronto, if it can actually generate enough food to continuously feed a city, and of course, also improve diet quality at a population-level.Urban agriculture refers to agricultural practices (usually intensive) within and around cities that compete for resources such as........ Read more »
Pearson, L., Pearson, L., & Pearson, C. (2010) Sustainable urban agriculture: stocktake and opportunities. International Journal of Agricultural Sustainability, 8(1), 7-19. DOI: 10.3763/ijas.2009.0468
by Megan Carter in Verdant Nation
There is no disputing that diet and physical inactivity are contributors to the obesity epidemic. A recent debate involving Drs Yoni Freedhoff and Bob Ross showed that both are important (I don’t think there was consensus in the audience as to who won). What I want to highlight in this post is that, from a sustainability perspective (see my previous post for a definition), it is a moot point to argue over the relative importance of each.Our food system has changed dramatically over the la........ Read more »
Feng J, Glass TA, Curriero FC, Stewart WF, & Schwartz BS. (2010) The built environment and obesity: a systematic review of the epidemiologic evidence. Health , 16(2), 175-90. PMID: 19880341
by Megan Carter in Verdant Nation
Today’s post focuses on why you should eat yer fruits and vegetables, and how we may be able to get more of us to do so. At a population level, the evidence for increasing fruit and vegetable (F&V) consumption and decreasing obesity isn’t super strong [1]. But I still think that it’s at the heart of how to make a healthy population – coupled of course, with decreasing intake of crappy, energy dense, nutrient poor snack foods and sugar-sweetened beverages, as well as growing food in sus........ Read more »
Ledoux TA, Hingle MD, & Baranowski T. (2011) Relationship of fruit and vegetable intake with adiposity: a systematic review. Obesity reviews : an official journal of the International Association for the Study of Obesity, 12(5). PMID: 20633234
by Megan Carter in Verdant Nation
I am an intense believer in the social determinants of health and looking at health problems through a social-ecological lens (i.e. determinants of health exist at multiple social levels of influence and are not just attributable to the individual or to the healthcare system). I think this is why I’ve also gotten incredibly interested in politics – from this perspective, government policies can influence population and environmental health. An interesting social determinant of health, ........ Read more »
Leal C, & Chaix B. (2011) The influence of geographic life environments on cardiometabolic risk factors: a systematic review, a methodological assessment and a research agenda. Obesity reviews : an official journal of the International Association for the Study of Obesity, 12(3), 217-30. PMID: 20202135
by Megan Carter in Verdant Nation
Home cooking is where it’s at. In my view, getting people to cook at home with wholesome foods is one way to combat the obesity epidemic. And of course, home cooked meals *can* taste great; that’s chef-dependent of course. Foods prepared outside of the home are higher in calories, fat, and sodium, and a recent meta-analysis found that children and adolescents who eat shared family meals at least 3 times per week are less likely to be overweight or eat unhealthy foods than children who eat ........ Read more »
Hammons AJ, & Fiese BH. (2011) Is Frequency of Shared Family Meals Related to the Nutritional Health of Children and Adolescents?. Pediatrics. PMID: 21536618
Quested T, & Johnson H. (2009) Household Food and Drink Waste in the UK. WRAP. info:/
by Megan Carter in Verdant Nation
I just got back from a conference in Montreal – one on obesity at that. The hotel, the location for the conference, held sessions on floors 1-4 and on sub floors below the lobby – ample opportunity to use the stairs. There were two main problems: 1) the stairs were confusing – you’d get up to one floor but then couldn’t find the next set of stairs to the next floor and have to walk quite a distance to get to them; and 2) there were escalators in between these floors in plain sigh........ Read more »
Bloomberg MR, Burney D, Farley T, Sadik-Khan J, & Burden A. (2010) Active Design Guidelines: Promoting Physical Activity and Health in Design. City of New York. info:/
by Megan Carter in Verdant Nation
We all know that we are not getting enough physical activity these days. In fact, 52% of Canadian adults 20 years of age or older are considered inactive, and 88% of children aged 5-19 years don’t meet Canada’s physical activity guidelines. It’s one out of many reasons why the prevalence of overweight and obesity is so high. But physical activity has other health benefits, in addition to staving off obesity and cardiovascular disease, such as reducing stress and improvi........ Read more »
Nocon M, Muller-Riemenschneider F, Nitzschke K, & Willich SN. (2010) Increasing physical activity with point-of-choice prompts -- a systematic review. Scandinavian Journal of Public Health, 633-38. info:/
by Megan Carter in Verdant Nation
Hat tip to Atif who brought this story to my attention this past November. Over the last three years the Bloomberg administration has created over 200 miles of bike lanes and passed several bicycle friendly laws. This has been to the detriment of infrastructure supporting car use. To me, this is great news but to others that have a special attachment to their cars, or fear delivery trucks won’t be able to make their morning deliveries, this is terrible news. A similar story is starting t........ Read more »
WHITEHEAD, T., SIMMONDS, D., & PRESTON, J. (2006) The effect of urban quality improvements on economic activity. Journal of Environmental Management, 80(1), 1-12. DOI: 10.1016/j.jenvman.2005.01.029
Lee, A., & March, A. (2010) Recognising the economic role of bikes: sharing parking in Lygon Street, Carlton. Australian Planner, 47(2), 85-93. DOI: 10.1080/07293681003767785
by Megan Carter in Verdant Nation
Is being in a ‘green’ environment good for our health and well-being? Are we starved of this connection with nature? Richard Louv thinks so, author and chairman of the Children and Nature Network. He has coined the term ‘nature-deficit disorder’ to reflect the psychological, physical and cognitive repercussions of our lack of contact with nature, especially among children in their vulnerable developing years. Although Mr Louv specifies that this is not a formal diagnosis........ Read more »
Bowler DE, Buyung-Ali LM, Knight TM, & Pullin AS. (2010) A systematic review of evidence for the added benefits to health of exposure to natural environments. BMC public health, 456. PMID: 20684754
by Megan Carter in Verdant Nation
As society becomes more plugged in, it is more and more important to get ourselves, and especially our kids, outside to play. Play is important for children in terms of cognitive, emotional, social, and physical development. We know in Canada that children are not getting enough daily physical activity, and we as a nation are not doing nearly enough to combat this problem. The author, Richard Louv, has even coined the term ‘nature deficit disorder:’ behavioural problems resulting from ........ Read more »
Healthy Active Living . (2010) Active Healthy Kids Canada. Healthy Habits Start Earlier Than You Think. The Active Healthy Kids Canada Report Card on Physical Activity for Children and Youth. Active Healthy Kids Canada. info:/
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