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Has obesity's 'smoking gun' been found?
Feb 02, 09
Suzanne Havala Hobbs

The biggest enemy of your waistline may be sitting on your desk.

Or waiting for you in the drink holder.

It’s the sweet tea you order at lunch, the soft drink you sip all day, the sports drink you guzzle after a run or that margarita you enjoy when you go out to eat.

“Caloric beverages are the smoking gun in the obesity epidemic.” That was the takeaway message from my visit with Barry Popkin, author of the new book, The World is Fat (Avery, 2009). Popkin is a distinguished professor of global nutrition at UNC-Chapel Hill where he directs the Interdisciplinary Center for Obesity.

In his book, Popkin explains how the combined effects of technology, globalization, government policies and food industry practices conspire against human biology to make us pack on the pounds.

Willpower isn’t enough to fight this force.

We gaze at computers all day, we don’t move enough, and we have 24-hour access to cheap, calorie-dense junk foods that the advertisements we’re bombarded with trigger us to buy.

But that’s not what interests Popkin most.

He’s most passionate about the element that gets the least attention in the battle of the bulge: The calories we drink.

“Our thirst mechanism is different than our food and hunger mechanism,” says Popkin. “There is clear consensus that when you consume beverages, you don’t decrease food calories.”

That’s our biology in action.

We’d die after two or three days without water. Our bodies ensure we get what we need by keeping our internal fluid and food counters separate.

That wasn’t a problem until relatively recently.

Until about 50 years ago, we didn’t get many calories from fluids. Our main beverages were milk and water, with the occasional beer or glass of wine. Most people got no more than about 100 calories each day from the things they drank.

That has changed.

Technology gave us processed foods and the ability to eat more while we worked less. Through the 1950s and 1960s, people gradually became overweight, and the prevalence of coronary artery disease increased.

But it wasn’t until the 1980s that soft drinks and other caloric beverages – sports drinks, beer and wine, fruit juice and other juice drinks – saturated society. Industry poured money into marketing, vending machine sales, and wide distribution of sweet drinks.

“Consumption exploded,” said Popkin. And so did our seams.

Especially troubling to Popkin is the epidemic of overweight and obesity among children. He outlined several steps parents should take:

* Limit beverages to skim milk or water for children one year of age and older. Lowfat and whole milk contain too many calories (and too much saturated fat.) No other beverages. Period.

* Do this from the beginning. Don’t let kids become accustomed to the taste of sweet drinks.

“Southern sweet tea is very caloric,” said Popkin.

If you must have something sweet, choose a diet drink. It’s not ideal to consume artificially sweetened drinks, but it’s better than the alternative.

* No fruit juice. Opt for fiber-rich fresh fruit instead. If you must drink fruit juice, hold it to a maximum of 4 ounces per day.

* Ditch the vitamin waters and other caloric designer waters. “They’re all equally bad, with no benefit,” says Popkin.

The problem is a global issue. In France, no caloric beverages are sold in schools. In fact, the country has banned all vending machines from school premises in middle and secondary schools.

Similar discussions are taking place in the U.S., but measures taken have been less substantial.

“When it comes to food and drink, we’re the last to change,” says Popkin.

It’s time to try.

The contents of this website are not intended to provide personal medical advice.Individual medical advice should be obtained from a qualified health professional.
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