Woman's Hour: Why Diets Don't Work

The other day on Woman's Hour Jane Garvey was trying to obtain help for a listener who had written to the programme about being very fat and unable to lose weight, other than temporarily, by dieting. By clicking on "Chapter 3" on this page you can listen to the discussion.

"Diets don’t work – or do they? We’ve all known people who’ve had success losing pounds upon pounds following one diet or another. But what happens long term? Do they maintain their new weight for ever or do they slip back into old patterns, feeling out of control around food, putting the pounds back on, and starting yet another diet. Jane talks to a listener who has tried every diet under the sun and is still not happy with her weight. She is also joined by three people with radically different approaches to the question of dieting - Dr Susan Jebb Head of Diet and Population Health at the Medical Research Council Human Nutrition Research, Dr John Briffa, author of Escape the Diet Trap and Sue Thomason, a life coach specialising in body image and disordered eating."

The first adviser we heard from was Dr Susan Jebb. She spoke about how to stick to an eating plan and about utilising friends and family, and the importance of motivation and getting help from groups. But as Jane pointed out, her advice boiled down to going on a diet and joining groups, and the listener had tried all that many times and had no success. Jane was spot on there. This sort of advice won't help. We hear it all the time and it doesn't work. - If you keep on doing what you've done before, you can't expect to get different results, can you? I hadn't expected Dr Jebb's advice to be any use actually, because she is a member of the board of Change4Life, about which I have a very low opinion. - See my little blogpost.

The next adviser was Dr John Briffa, one of my faves because he gives advice that is based on proper scientific research and evidence, not opinion and dogma. He explained that generally diets don't work and he explained why they don't/can't work - because body mechanisms come into play and metabolism goes down when calories are restricted. He tried in a very short time to explain the significance of the hormone, insulin, and that to lose weight carbohydrates need to be restricted. He suggested basing diet on meat, fish, eggs, nuts, fruit, vegetables, and avoiding carbohydrates, and not going for a low fat intake.

The last adviser was Sue Thomason, a Life Coach. She said take the emphasis off losing weight. She talked quite a bit, but I couldn't make any sense of it, and I did listen pretty carefully. There was nothing practical there. I think I'd categorise her contribution as verbal garbage, and I'm not a fan of verbal garbage.

Frankly, Chapter 3 was altogether a bit too rushed, in my opinion. And unfortunately Sue, the listener who was wanting help to lose weight, didn't find any of the advice helpful. - Dr Briffa's advice would help her, I'm certain, but there was too little time for him properly to explain his points, and Sue firmly rejected the low carb idea, because she said the protein foods would be too expensive for her. - Well, there you go. - I don't honestly think it would cost her a lot more, and I'm sure any extra expense would be worth it...

Anyway, here's my twopenn'orth of advice for Sue: cut down on salt and salty food. It's not the only way to lose weight, but it's the fastest, the simplest, the cheapest and the safest. - It does work and it benefits your health in countless ways. I do hope she happens to read this and decides to have a go at cutting down on salt.

International Day of Awareness for Female Genital Mutilation/Cutting

Today is International Day of Awareness for Female Genital Mutilation/Cutting. On Woman's Hour Jane Garvie spoke to Sister Fa, Senegalese campaigner seeking to inform people about the harmful consequences of female genital cutting. "To celebrate progress made, as well as to outline the opportunity for further abandonment, there will be an event in the House of Commons. One of the speakers will be the Senegalese hip-hop artist, Sister Fa. As a ‘cut’ woman herself, and a successful, inspiring role model for women, she uses her music to help end FGM/C; and last year she won the prestigious Freedom to Create prize for her work."

Female and got Big Feet?

I heard the item about women's big feet on Woman's Hour a few weeks ago and resolved to write about it, but being so tired, I've only just got round to it. (At the bottom of the webpage you can click on "CHAPTER 4" and listen to the item on big feet.) "New research has found that most women with size 8 or 9 feet are ashamed by their shoe size, and nearly half lie about how big their feet are. So, why all the fuss? Jane chats to Keren Miller a long time sufferer of big feet blues who has taken matters into her own hands, and asks podiatrist Lorraine Jones whether big footed women are fast becoming the norm."

Keren spoke about difficulties in buying shoes for bigger female feet and mentioned particularly the distress caused to her teenage daughter (who has size 11 feet) by the reaction of tactless staff in a shoe shop that did not have shoes big enough for her feet. Ms Miller enterprisingly and laudably decided to do something about the situation and now has this helpful website: http://www.prettybigfeet.co.uk/

My own feet/footwear problems lie not in large size as such, but in the fact that my once size 5½ width AA (i.e. narrow) feet have become much bigger. They are now size 7 and are wide - probably extra wide. Podiatrist Lorraine Jones explained how obesity causes bigger feet because with increased weight to carry, the arch of the foot gets more flattened and splays out, making the foot longer and wider. She also spoke of how insoles are helpful to her patients. I fully agree with her there; properly fitted cushioned insoles can makes shoes much less painful for the overweight wearer.

The women (and men too) whose feet have become longer and wider because of increased weight often have the additional extremely painful problem of their feet being swollen. Specifically, the swelling is swollen veins resulting from sodium and water retention, aka fluid retention. In my case the fluid retention was caused by inappropriately-prescribed prescription drugs. Prescribed medication is a very common cause of fluid retention/swollen feet/obesity. The swelling can be reduced by seriously reducing salt intake: see here. And see Obesity and the Salt Connection. See also prescribed HRT and steroids and prescribed antidepressants.

People whose feet are swollen, rather than just naturally large, do not need shoes with just extra length and width, they need extra depth too, especially in the toes region. Otherwise the already painful swollen veins will be squashed and become even more painful and damaged. There are special shoes, etc for painful, swollen feet. Cosyfeet is one such supplier. And Ecco and Hotter make shoes with very well-cushioned insoles. I'm sure there are many other good makes too. It is very important to get shoes that are big enough. It is better to shop for shoes later on in the day because swollen feet become more swollen as the day wears on and gravity sends more fluid to the feet.

Holly McNish: I loved her performance poem WOW

I loved Holly McNish's newly composed poem for Woman of the World which I heard her perform on Radio 4's Woman's Hour omnibus edition today. You could listen to it using a link from this page.

On Woman's Hour today Ilsa Parry, creative designer, was interviewed by Jane Garvey.

On Radio 4's Woman's Hour today, Ilsa Parry, creative designer, was interviewed by Jane Garvey. Jane's characteristic warm style of questioning and Ilsa's enthusiastic responses made for very enjoyable listening. It sounded as though disabled people may eventually benefit from Ilsa's innovative, original ideas. So I looked for her on the internet:

rethinkthings

ilsaparry.blogspot

You may like to have a look...(o:

Joan Burnie, Associate Editor of Scotland's Daily Record , was on Radio 4 Woman's Hour this morning, airing her prejudice and ignorance about obesity.

She was emphatically declaring that 'everybody knows' that they should eat less and exercise more in order not to be obese. She clearly is contemptuous of obese people and blames them for their obesity. She appeared to wish that they would die soon though claimed that she was not serious when she said it.

Centuries ago 'everybody knew' that the world was flat. - It was an assumption made because it seemed obvious. - When the hypothesis was scientifically investigated this assumption was found to be untrue and there can be few people now who still believe in the flat earth theory.

Similarly the theory that people become obese because they eat too much and exercise too little is just an assumption, as is the assumption that if they eat less and exercise more they will lose their excess weight - despite the FACT - the well-known FACT - that diets do not work. There has never been any rigorous testing of the theory. It has always been a mere assumption. - But this mere assumption and the constantly reiterated insulting and harmful advice being given by uninformed bigots like Joan Burnie and the rest of the bullying obesity 'experts' is destroying the lives, health and happiness of many millions of overweight/obese people the world over...)o:

Obesity is NOT caused by overeating and/or inactivity. It is caused by fluid retention, frequently because of taking prescribed medications, especially steroids such as prednisolone, prednisone and HRT, and anti-depressants such as amitriptyline. (When doctors prescribe drugs that cause sodium retention and water retention they should warn the patient not to eat salt, or food containing salt, while taking the medication. When they do not give this warning, the inevitable consequence is considerable weight gain.)

Obesity can be easily reduced by seriously reducing your salt/sodium intake and eating plenty of fruit and fresh vegetables. It is important not to restrict calories. - 'Slimming' or 'dieting' is unnecessary, ineffective and often harmful.

Lose weight, reduce your risk of most cancers, high blood pressure, type 2 diabetes, stroke, heart disease, vascular dementia, osteopenia, osteoporosis, hypercholesterolaemia, depression, liver and kidney problems, and improve your health in many other ways without drugs or expense by eating less salt! - Try it! - You will feel so much better!

See my website http://www.wildeaboutsteroids.co.uk/.html (The site does not sell anything and has no banners or sponsors or adverts - just helpful information.)

Read my Mensa article on Obesity and the Salt Connection

Children and Obesity

vulnerable groups

See Sodium in foods and

Associated health conditions and

See FAT RETENTION

advice for pregnant mothers

http://www.wildeaboutsteroids.co.uk/socio.html - social and economic considerations