|Study Finds Giving Prebiotics To Kids Doesn't Change Their Energy Intake And Ups A Major Hunger Hormone Yet Still Concludes Prebiotics Have Potential To Help With Childhood Obesity?|
a study that had kids randomly assigned to taking either 8g oligofructose enriched inulin (prebiotic) per day or placebo (maltodextrin) for 16 weeks.
The study's pre-registered primary outcome measure, as recorded in ClinicalTrials.gov, was change in baseline fat mass at 16 weeks.
Secondary outcome measures (as recorded) were changes in baseline appetite at 16 weeks (assessed with visual analog scales and an eating behavior questionnaire), and objective appetite measures including a weighed breakfast buffet, weighted 3-day food records, and serum satiety hormone levels.
(Not preregistered as an outcome of interest? Body weight change or BMIz score.)
Outcome wise, here's a snapshot of the study's abstract:
"This simple dietary change has the potential to help with appetite regulation in children with obesity"
As to what Beneo, the manufacturer of the prebiotic used in this study had to say, I found these quotes in an article published on the trade-zine Nutraingredients at the time of the study's publication,
"Beneo regards this research of highest importance",and despite the study not even remotely coming to this conclusion also added,
"The intake of 8g of prebiotic inulin (Orafti Synergy 1) in a glass of water prior to dinner is a simple dietary intervention that supports children in their weight management efforts. The results show that they were naturally eating less (YF: no they didn't) than the control group having maltodextrin"Beneo also put out an excited press release to publicize the study.
Lastly, while the authors didn't report any conflicts of interest with this particular study, the supplements and placebos were provided by Beneo, and it was noted that one of the authors had previously enjoyed funding from Beneo. Unfortunately there is no mention as to who paid for this study's open access.
|Saturday Stories: Useless Multivitamins, Menopause, and Jordan Peterson|
the uselessness of multi-vitamins for all (happy to find this story for reader Pug Piper).
Jen Gunter, on her blog, with her combined personal and professional take on menopause.
Laurie Penny, in Longreads, covers Jordan Peterson, the intellectual this generation deserves.
[And if you don't follow me on Twitter or Facebook, here's a recent podcast I did where we chat about a whole slew of things including the app we're (slowly) developing, research on the DIET score, and why I think social media and physician champions are likely to extend the lifespans of today's fad diets]
|Book Review: The Complete Guide to Weight Loss Surgery|
Today's guest post comes from our office's newest RD Alex Friel who has reviewed a book for people considering or having bariatric surgery (full disclosure, was provided with a feee copy of the book by the authors)Thinking about weight loss surgery? You’re not alone. Bariatric surgery has been shown to be one of the most effective treatments for obesity and the number of people who undergo the procedure is steadily rising every year. Here at BMI, I work with many different clients. Some are considering bariatric surgery, others are actively preparing for it, and still more have undergone the procedure and are adjusting to life with a new anatomy. At every stage of the weight loss journey, it helps to be well informed.
Last week I was introduced to a new book written by registered dietitians Lisa Kaouk and Monica Bashaw. It’s a worthwhile read so I thought I’d share it with you. ‘The Complete Guide to Bariatric Surgery’ draws from their experiences as Weight Loss Surgery (WLS) dietitians and the many patients they have counseled over the years. Here’s what I liked:
The Complete Guide to Bariatric Surgery is available for purchase on Amazon. It’s also available as an e-book at www.baritricsurgerynutrition.com.
|Have You Been, Or Are You, On A Diet? Please Take 2 Minutes To Review This Brief Survey About How Easy Or Difficult It Is/Was.|
I first posted my wish for there to be a questionnaire that would serve to help individuals and researchers determine how easy or difficult a particular diet would be to follow.
I called it the Diet Index Enjoyability Total or DIET score, and my hope was that by using a series of simple Likert scales (descriptive scales from 1-10), researchers could set out to evaluate a particular weight loss approach's DIET score where high scores would identify diets that could actually be enjoyed, and where low scores would identify under-eating, highly restrictive, quality of life degrading, dieting misery. This would be useful both to individuals who could use the DIET score to evaluate whatever approach they were considering, but might also serve as a surrogate for shorter term diet studies to give a sense as to whether or not there's a low or high likelihood of long term adherence to a particular study's strategy.
I'm happy to report that the first work on using the DIET score has been conducted by Michelle Jospe at the University of Otago in New Zealand as part of the SWIFT trial, and her and Jill Haszard's early look at the data is promising.
Part of the process required to validate a questionnaire involves a qualitative review to see whether or not it's easy to use, comprehensive, and unbiased.
UPDATE: .....we did it! Thanks to everyone who already clicked! We've collected a sufficient number of responses. Do stay tuned though, because in the next rounds of data collection we'll be looking to explore DIET scores from those who are both doing wonderfully on specific diets, as well as collecting information about those diets people couldn't sustain and we'll need every response we can get!
|Saturday Stories: 2 on Corbyn's Anti-Semitism, 2 on Ecological Disasters, And 1 on Weight Bias|
on Jeremy Corbyn and anti-Semitism
Jamie Rogers in The Spectator, on how Britain's Labour Party is no place for a Jew
Ian Graber-Stiehl, in Gizmodo, on the ecological disasters that are our front lawns
Nathaniel Rich, in The New York Times, on the ecological disaster that is our planet
And if you don't follow me on Twitter or Facebook, this week I helped with CBC's The Current's story on weight bias in healthcare (listen button is just below the photo)
|Apparently Some Parents Are Hiring Fortnite (A Video Game) Coaches For Their Kids. Wish They'd Hire Them Cooking, Budgeting, And Critical Appraisal Coaches Instead|
the Wall Street Journal published a piece about parents hiring coaches to help their children gain skills and level up in Fortnite, a first person shooter video game.
The mind boggles.
Dare to dream of an alternate universe, where instead of hiring their children video game tutors, parents hired coaches to help teach their kids life skills like cooking, making and keeping a budget, or critical appraisal. Or better yet dream of parents going out of their way to do so themselves, and of a school system that weaves those sorts of actual life skills throughout their curricula from K-12.
We can dare to dream, can't we?
|No Parents, Your Children Aren't "Stealing Food" (And Some Thoughts On How To Silently Cultivate Better Choices)|
I have no doubt too, that in some cases, those kids received some perhaps well-intentioned, but I think very misplaced, ire about it.
The stories are all pretty similar, and often occur on weekends or after school whereby parents come home and find evidence that their child has raided the fridge, cupboard, or freezer by way of wrappers, cans, dirty dishes, or a much emptier than before container.
As to what's happening, some thoughts.
First off, we all did it. I remember "stealing" Voortman Strawberry-Turnovers pretty much every Saturday morning while my parents were sleeping and I was watching cartoons. Some mornings I'd put away 6 of them.
And why did I do it?
Because they're were delicious, and I was hungry, and I was a kid, and they were there, and because I could.
Secondly, we all still do it. Who doesn't grab a handful of this, or a package of that, multiple times a week or even daily?
Plainly put, grabbing yummy, readily available, oftentimes calorie dense and unhealthy foods is part of the human condition.
And though I appreciate that parents who may be concerned about their children's weights and/or eating patterns find this behaviour alarming, believing there to be something wrong with their children, or that their children lack "willpower", is unwise and unfair.
If you're worried about your children's (or your own) grazing habits, here are a few things for you to consider.
And lastly don't forget who we're talking about. If the expectation of regularly making healthy choices just because they're healthy isn't a fair expectation for all of us fully grown adults (and it's not), why would it be fair to expect that of your children?
|Saturday Stories: Gwyneth Paltrow, Ellen Maud Bennett, and Pauline Mara|
on Gwyneth and her GOOP - a rare must read recommendation.
Ellen Maud Bennett's obituary, in the Times Columnist, where her experiences with fat shaming and dismissive physicians are recounted, and where her final wish encourages everyone with obesity not to let medical professionals get away with blaming everything on weight without exploring other possibilities.
Steven Isserlis, in the Telegraph, recounts his wife, Pauline Mara's, alternative cancer treatment.