11.05.2007

life is short. enjoy.

Very rarely, if ever, do I agree with Globe and Mail columnist Margaret Wente. But somewhere in the depths of this blog, you can find a post where I agree with John Tierney (conservative columnist for the New York Times) and maybe even David Brooks (arch-conservative and idiotic columnist for the same New York Times).

Well, let's not go that far, probably not David Brooks. But one time Allan and I were driving home from Baltimore, trying to find a baseball game on the radio, and we heard something on talk-radio that we agreed with... and it turned out to be Bill O'Reilly! This was at least five years ago, and we still remember it.

So if I could agree with Bill O'Reilly once in a lifetime, I can surely agree with Margaret Wente once a year or so.

I love this column. Three cheers for Margaret Wente. Eat, live, enjoy.
Cancer is your fault ... or is it?

I see you out there. I am looking straight at you from this page. I can see you sipping on your weekend latte, as you stuff that warm, flaky chocolate croissant into your mouth. You know you're killing yourself, don't you? But maybe you don't care. Are you irresponsible? Or are you simply weak?

That was the message of the biggest health story of the week. "Poor diet ratchets up cancer risk," blared the headline in the paper. According to a massive scientific study, one that made news around the world, a significant amount of cancer is preventable - if only the public makes the necessary lifestyle changes. Shape up, people! You're too fat! Your gluttony and sloth are killing you!

"The most striking finding in the report is that excess body fat increases risk for numerous cancers," said Phillip James, one of the study's authors and chairman of the British-based International Obesity Taskforce. Millions of cancer deaths could be prevented, said the experts, if the public paid more attention to diet, exercise and weight.

Well, who wants cancer? Not me. So I read carefully to find out what I have to do. The first thing I learned is that I'd better lose weight. In fact, almost everybody should. Not being overweight isn't good enough, the experts say, because what you really need to be is thin. A 5-foot-4-inch woman (not unlike myself) should weigh, say, around 117 pounds and fit into a size 6. Even a slight amount of excess weight is bad.

As for food, I'll have to cut out steak and other kinds of red meat, especially if it's barbecued. I should stay away from bacon, beer and wine, as well as anything with a high calorie count. I really should restrict myself to skinless chicken, whole grains, water and lots of fruit and veg. Exercise? An hour a day is best.

I ought to be thrilled at the news that I can significantly cut my risk of getting cancer. So why am I so depressed? I'll tell you why. Unless you are genetically blessed with skinny genes (I'm not), avoiding cancer means a lifetime of vigilance, calorie-counting, portion control and deprivation. The alternative is a lifetime of guilt and fear. I know what I'm supposed to do. And I'm not doing it!

Fortunately, there are two fundamental problems with this study. It isn't nearly as authoritative as it looks. And even if it were, the advice it offers is worthless. That's because the vast majority of people who want to lose weight are unable to keep it off, no matter how hard or how often they try, no matter how little they eat or how much they exercise. You might as well tell them they ought to walk on their hands instead of their feet.

That's not to say you've got a licence to gorge on chocolate croissants, or disregard what you eat. What I'm saying is that your control over your weight is quite limited. Each of us has a natural weight range of perhaps 20 or 30 pounds, and you should be thrilled if you can stay toward the bottom of yours. Even the most motivated, disciplined, focused people with the best possible behavioural, nutritional and exercise support cannot maintain a significant weight loss. Even Oprah gains it back.

Why do we refuse to face this sad but liberating truth? Well, lots of us would really, really like to weigh less. And we've been thoroughly brainwashed by the obesity industry, whose relentless message is that people can lose weight if only they try hard enough, and if they can't, it's their own fault.

The obesity industry is vast and growing. It includes drug companies, weight-loss centres, government bureaucrats and thousands upon thousands of nutritionists, doctors, scientists and academics. It encompasses a huge range of economic and professional interests. As New York Times reporter Gina Kolata says in her indispensable book, Rethinking Thin, there's something in it for everyone. Read it, if only so you'll stop feeling guilty.

Okay, so maybe you're not as weak and hopeless as you think. But according to that cancer study, you're still doomed. Doomed to significantly higher risk of cancer because you're fat, or even a size 12.

Don't believe it. There is no epidemic of cancer among fat people. There is an epidemic of cancer among people who live in the developed world in comparison to the Third World, which means that if you really want to cut your risk you would be well advised to live like a Chinese peasant (minus the cigarettes). If you're a woman and you're scared of breast cancer, you should also skip the proteins, not menstruate till you're 15, make sure to have eight or nine kids and breastfeed them.

A useful critique of this week's cancer study, which was issued by the World Cancer Research Fund and the American Institute for Cancer Research Prevention, is available on the JunkFood Science website. I highly recommend it. Although this study bills itself as the definitive meta-study of all time, it leaves a whole lot out. For example, it leaves out a massive Harvard study (71,910 women and 37,725 men followed for 15 years) to find out whether eating fruits and vegetables lowers cancer risk. The short answer: No. It also leaves out the largest meat study ever done, which aimed to find out whether eating red meat and processed meat increases the risk of colorectal cancer. The short answer: No. Nor does it mention a landmark study of diet and health, known as the Women's Health Initiative Dietary Modification Trial. In this massive trial, 48,835 postmenopausal women (the age most at risk for developing heart disease and cancers) were randomly assigned to two groups. One group ate an unrestricted diet, and the other group ate the kind of low-fat "healthy" diet prescribed in the cancer study. Both groups were followed for more than eight years.

The researchers expected to find significant clinical benefits from the "healthy" diet. But the results, published last year, were a major surprise. Eight years of "healthy eating" made no difference to the women's health. There was no effect on the incidence of cancer or heart disease. Not only that, there was virtually no long-term effect on their weight. They wound up weighing around a pound less than the women in the unrestricted eating group.

Wouldn't you be mad if you were in the healthy group? Think of all those calories counted and chocolate croissants forgone, and for nothing.

So here's my two cents of advice. Don't blame yourself if you can't stick to a diet. Don't blame yourself if you get cancer either. Honest, it's not your fault! Eat a steak once in a while.

Pick one with lots of fat. Enjoy it.

In case anyone wants to discuss this (and it's fine if you don't), let me put this right out there. I eat healthfully, because I care about myself and my well being. I exercise, because it's healthier for a body to move than not move, and because I feel so much better when I do.

Of course it's healthier to eat fresh, whole foods than fast food. Of course we shouldn't load our bodies with salt, trans fat, processed white flour and white sugar. Of course it's healthier not to drink alcohol to excess, and not to smoke. Garbage in, garbage out. I know that, and my life reflects it.

But having lived on the weight-loss treadmill for many years - and having driven myself nearly insane on it - and having written about people who almost died on that treadmill - then having liberated myself from it through years of hard work - I've come to see these perennial scolding weight-loss stories in a new light.

Food is wonderful. Eating is wonderful. Creating good food belongs with music, art or architecture, on the list of wondrous human endeavors, and eating good food is one of life's great pleasures. For me, so is drinking wine. Neither needs to be done to excess to be enjoyed, but a little excess once in a while is all right, too.

Food is not poison, always to be avoided, or only sampled with apology. Life is too short for so much self-denial.

I don't want to go into my whole diet and weight-loss history. It's boring, and it's behind me. I'll just say this: I used to care a lot more about weight. Now I care a lot more about health, and happiness. I am heavier, healthier and happier. It's a gift I wish I could give every person who beats herself up (usually herself) over her weight, or lives in a state of constant denial*.

In all the years I've been writing wmtc, I have only touched on this issue once. That's because part of my healthy attitude about my body shape and size - my hard-won, liberated attitude! - is that I don't talk about it. I have wholly rejected the obsessive discussion of weight-loss that much of our world engages in (and that I used to do, too), and I don't want to bring it to this blog.

But this column was just too good to pass up. Thank you, Margaret Wente. There, I said it.



* Denial meaning restriction, denying yourself things that you want, not the psychological defense mechanism of not acknowledging potentially painful subjects.

28 comments:

Idealistic Pragmatist said...

Oh, my god, I agree with Margaret Wente about something. I kind of hate myself now.

M. Yass said...

So if I could agree with Bill O'Reilly once in a lifetime, I can surely agree with Margaret Wente once a year or so.

A stopped clock is right twice a day, yanno.

James said...

It's always important, with media science reporting, to remember how bad most of it is. When a headline trumpets "XYZ DOUBLES RISK OF CANCER", it usually means that XYZ's contribution to cancer risk has gone up from something like 0.25% over a lifetime to 0.5%.

L-girl said...

A stopped clock is right twice a day, yanno.

So true, and one of my favourite expressions.

L-girl said...

It's always important, with media science reporting, to remember how bad most of it is. When a headline trumpets "XYZ DOUBLES RISK OF CANCER", it usually means that XYZ's contribution to cancer risk has gone up from something like 0.25% over a lifetime to 0.5%.

Excellent point, James. The headlines never match the data, and most of the data is not even reported - or anything that doesn't match the headline is buried in paragraph 37.

Mark, Ottawa said...

Now if one could get such applause for Christie Blatchford and Rosie DiManno.

Mark
Ottawa

impudent strumpet said...

Heh, I saw that article in the paper and considered reading it, but decided not to because Wente usually makes me cranky.

I think knocking yourself out and making yourself miserable all your life in order to minimize your chances of dying is one of the more futile things you can do with your time.

impudent strumpet said...

Mark: It's not really newsworthy when Blatchford or DiManno writes something decent.

Amy said...

As my father-in-law always said, "Moderation in everything is the best policy," be it food, liquor, work, etc. He lived to almost 96, so it worked for him.

By the way, David Brooks recently wrote an op-ed I found fairly insightful about the new "odyssey" phase of development among people between 21-35 or so. It may have been the first time I read something of his that didn't make me angry.

L-girl said...

Mark, would you please stop it with the links already? We all know where Blatchford and DiManno are, and if we don't, we will google them, ok??? Keerist, enough already with the links.

Whew. Had to get that out.

I personally avoid both Blatchford (war apologist) and DiManno (general progress basher), but they're not on the same level as Wente.

L-girl said...

ImpStrump, I thought of you when I posted this, because I know your reaction to Ms Wente. :)

I think knocking yourself out and making yourself miserable all your life in order to minimize your chances of dying is one of the more futile things you can do with your time.

Good point. Likewise to doing so for the purpose of being thin, especially when you can clearly see it's not working.

L-girl said...

As my father-in-law always said, "Moderation in everything is the best policy," be it food, liquor, work, etc. He lived to almost 96, so it worked for him.

This is the flip side of those who say their grandfather smoked 2 packs a day and lived to be 100... therefore smoking does not cause cancer. :)

It may have been the first time I read something of his that didn't make me angry.

That just shows your good judgement. :)

I don't read him anymore, or anyone who makes me angry or disgusted. I see people's comments about his columns, and that's enough.

Nice to see you here, Amy! I love gleaning readers from JoS.

L-girl said...

Oops, my mistake: Mark was not linking to Blatchford or DiManno, he was linking to his own blog.

Mark, I appreciate your reading this blog and your thoughtful comments. But please consider this your last warning: stop posting links to your own blog. As I have said before, that is considered spam: comments for the sole purpose of driving traffic to another site.

Anyone who wants to read your blog can find it through your profile.

Thank you for your cooperation. If not, goodbye.

Amy said...

Glad to be here, L! Though I am not in a position to comment on what is happening in Canadian politics, etc., I read your blog each day with interest. I even recommended it to someone who was so disgusted with his children's school's banning of certain Halloween costumes (can you imagine?) that he said he was thinking of moving to Canada.

L-girl said...

I even recommended it to someone who was so disgusted with his children's school's banning of certain Halloween costumes (can you imagine?) that he said he was thinking of moving to Canada.

Well thanks for that!

Your friend might be surprised to learn that's exactly the kind of thing Canadian parents complain about all the time. Perhaps for different reasons, but thzt type of thing is a common gripe here.

I have found that many Americans think about moving to Canada. That's quite common. But to actually do it, your motivation has to be very strong.

Amy said...

Your friend might be surprised to learn that's exactly the kind of thing Canadian parents complain about all the time. Perhaps for different reasons, but thzt type of thing is a common gripe here.

Really? That's surprising. I guess I had better warn him. But you are right---I am sure his talk of moving to Canada was a way of expressing frustration, not a serious commitment to thinking about it, let alone doing it.

Mark, Ottawa said...

l-girl: Brutal. And "The Torch" ain't my own blog by any means. Please don't be so touchy when one is actually trying to discuss things, perhaps with too much attitude on both our parts. How many solitudes do we want, an especially Canadian problem?

If you would prefer that I cease commenting here, with my own style, say so. But I think that would be rather a closing of mind, not what I think you advocate, I hope.

Feel free to comment at "The Torch".

Mark
Ottawa

L-girl said...

Really? That's surprising.

There's a segment of the population here - a white, Christian or Catholic, Canadian-born segment - that believes there is too much accommodation of new Canadians, people of colour, of non-Christian faiths, etc.

They can frequently be heard complaining that there are no more Christmas pageants in their (publicly funded) schools, often exaggerating that they are not allowed to have Christmas trees at home, or that someone is "taking over".

They're not a majority, and for the most part, as I see it, the kids themselves are well integrated and have no big issue with difference. But you do hear this.

Canada is very sensitive to its multiculturalism and pluralism, very intent on not putting any one culture first - lots of accomodation, and no top-down culture pushing. Some people are still pining for the Canada of their grandfathers... (although probably without all the poverty and disease...)

Amy said...

I think I wasn't clear about what my friend was complaining about. His child wore a costume to school that was supposed to be Mr Potato Head. Because the eyes were located over his chest, the school thought they looked like breasts and told him he couldn't wear the costume to school. So it wasn't anti-Halloween---it was that ugly right wing fear of anything that might be seen as sexually inappropriate. Would that be likely to happen in a Canadian school?

[This seems to have wandered far from your original topic. Sorry about that!]

L-girl said...

Mark, I'm sorry you found my comments brutal, but those are the rules here.

I'm not asking you to not comment. I'm asking you to live within the ground rules.

When someone appears to be commenting solely (or almost solely) for the purpose of driving traffic to another site, I consider that spam, no matter how worthy the other site may be.

Since you started out here with opinions that are offensive to me, I have a shorter fuse. Your opinions about my touchiness don't change that. And solitudes, of course, have nothing to do with it. This is not Canada. It's jsut wmtc.

Thank you for the invitation to comment at The Torch. It's not the kind of thing I enjoy reading, but thank you anyway.

Again, you are welcome to comment here, but I am asking you to please stop posting links to that one blog, whoever it belongs to. Thank you.

L-girl said...

I think I wasn't clear about what my friend was complaining about.

You actually never said. I was just reacting to parents complaining that something holiday-related had been banned. :)

it was that ugly right wing fear of anything that might be seen as sexually inappropriate. Would that be likely to happen in a Canadian school?

No. No no no. If someone brought it up, they would be ridiculed. It would be quite the laughingstock.

[This seems to have wandered far from your original topic. Sorry about that!]

Thank you, but no need to ever apologize for topic drift. I love the conversation here, wherever it goes.

The only thing I don't allow - which you would never do - is purposeful thread hijacking, when someone tries to redirect the conversation in a sudden, sharp turn. When it happens organically, I think it's great.

M@ said...

His child wore a costume to school that was supposed to be Mr Potato Head. Because the eyes were located over his chest, the school thought they looked like breasts and told him he couldn't wear the costume to school.

That's AWESOME.

Next year, I'm going to go as Naughty Miss Potato Head for Hallowe'en.

(Probably not to a school, though.)

frozen tundra said...

Laura-

As someone who works in cancer research for a living, this is news to me. I haven't come across anything that would lead me to believe that there is a statistically significant positive correlation between being overweight and getting cancer. Genetics? Yes. Smoking? Yes. Eating lots of grilled meats? Possible increased risk of colorectal cancer. But being overweight? That's a bit of a reach! If you're in this camp your main concerns ought to be your heart and the risk of diabetes.

So I guess being a guy that loves beer & a big steak whenever they're available I'd also have to agree with Margaret.

And at the risk of incurring a lifetime ban from your blog I have to admit that I've agreed with O'Reilly MORE than once in a lifetime! =)

L-girl said...

As someone who works in cancer research for a living, this is news to me.

Huge front-page news here in Canada...

So I guess being a guy that loves beer & a big steak whenever they're available I'd also have to agree with Margaret.

Life's too short to agree with Wente! ;-)

(But I agree.)

And at the risk of incurring a lifetime ban from your blog I have to admit that I've agreed with O'Reilly MORE than once in a lifetime! =)

Watch out, I'm on a banning roll from another thread. ;) J/K - although you might not want to tell me the details... :)

Do you know, Allan and I can't remember what it was we heard O'Reilly say that night? The only thing that stuck in our minds was the marvel of agreeing with him.

frozen tundra said...

I actually can't remember the details either, i just found myself listening the show & agreeing with what he was saying!

----------------------------------
Do you know, Allan and I can't remember what it was we heard O'Reilly say that night? The only thing that stuck in our minds was the marvel of agreeing with him.
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Did you guys run out and buy a Lotto 649 ticket that night? =)

L-girl said...

Did you guys run out and buy a Lotto 649 ticket that night? =)

Heh. At that time, it would have been a New York State lottery ticket, but still, I wonder if we missed our big chance... :)

frozen tundra said...

hee hee! here in Beantown it's Mega Millions. or Powerball if we can get someone to drive up to New Hampshire!

Cornelia said...

I have wholly rejected the obsessive discussion of weight-loss that much of our world engages in

That's cool! I am no fan of this dieting nonsense either and I find it sexist and fun-spoiling and unnecessary and I would neither do it nor advise it.