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David Katz, M.D.

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Healthy Living Takes Skill!

Posted: 11/15/2011 7:00 am

Today, The Huffington Post is launching the new platform for its Healthy Living content. That may be fodder for celebration here at HuffPost, but it begs a question: Why is healthy living something that requires such voluminous and on-going information exchange? Why is healthy living something that warrants probing and parsing, rather than something that simply happens? Why isn't living intrinsically healthy?

The answer is that it once was. Living a simple, tribal, natural existence was healthy. Sleeping and waking in response to the cycles of the sun and planet were healthy. Living in accord with our adaptations and the world around us was healthy.

Now, let's not exaggerate the situation. Living in accord with our own nature and the natural world around us may have been healthy -- but it was certainly no guarantee of good health. The environment always threatened us with everything from parasites to predators, hypothermia to homicide.

In the world of our long history, living may have been healthy -- but that did nothing to forestall the risk of dying prematurely! During the Stone Age, mean Homo sapien survival was estimated at roughly 20 years -- and the full span of human life expectancy at about 40. Living was healthy -- it just didn't last very long!

But now, we do need to talk about healthy living, because living itself is no longer healthy. It seems to require more and more advising, coaching, coaxing and coercing.

Living as we now do generally means stressing more than we should, while sleeping less -- exercising less than we should, while eating more. We are still subject to the slings and arrows of outrageous fortune, of course, in the form of perils we don't control, although generally better shielded from them. But the fact that living itself -- our daily routine -- is unhealthy, that's new.

The cause? Just about every aspect of the modern world that makes it modern. Planes, trains and automobiles. Electronic devices and global commercial markets. Tax forms and Times Square. The World Wide Web and suburban sprawl. We are out of our element. Way out.

Drilling down to my areas of special interest, I note as I have before that throughout most of human history, calories were relatively scarce and hard to get, and physical activity was unavoidable (it was called "survival," rather than "exercise"). We have devised a modern world in which physical activity is scarce and hard to get, and calories are unavoidable. The result -- epidemic obesity and diabetes -- is a foregone conclusion in a species with no native defenses against caloric excess and the lure of the couch.

There are two solutions, alone or in combination, if we want to alter the rather dire chronic disease trends we have created: change the world, or change ourselves so we don't succumb en masse to its obesigenic and morbidigenic forces.

To the extent that Healthy Living on The Huffington Post is a forum for advocacy, it can help advance the cause of changing the world. We can visit here, see good ideas, rally around them -- and help turn them into policies that exert a salutary influence on the world around us. Maybe.

Changing the world is slow, and involves multiple steps -- and multiple impediments. The military industrial establishment never gives up the status quo without a fight! And I trust we can also agree that even in the absence of impediments, few of us would be inclined to pave our way all the way back to our native Stone Age environment. So changing ourselves is inevitably part of the formula.

The particular change required is, in my opinion, much about acquiring skill. Willpower is far more often on the marquee, but skill power matters at least as much. Will is good, but skill may be required to find, fashion, pave, and/or follow the way to health. In the absence of skill power, it may simply not be possible to get there from here.

In my prior column, I explored the issue of food addiction. Along the way, I referenced a stunning Chicago Tribune expose that highlighted targeted food industry efforts to base product formulation on functional MRI brain scans. The story suggests that brain imaging was being used to determine what flavor combinations provoked the strongest uptick in appetite.

The notion that portion control will ensue from willpower alone when Ph.D.s in nutritional biochemistry are collaborating with neuroscientists to ensure that nobody can eat just one... is at best wishful thinking, and at worst downright preposterous. Yes, of course, will is required. Yes, of course, we need a heaping helping of personal responsibility. But before we can take responsibility, we must be empowered with the requisite skills. Mountaineers don't scale Everest just because they want to; they need skills.

In the modern world, living healthy is also a steep uphill climb. Skills are required.

In the area of portion control, a number of useful skills are yours for the taking. You can enhance your awareness of what causes you to overeat, and tweak your environment to favor moderation with help from Brian Wansink. You can use the volume of food to help fill you up on fewer calories with help from Barbara Rolls. You can get tips about finding your way to real food from Michael Pollan. You can take advantage of expert guidance in a book, or on the supermarket shelf, to help you make better choices. And I am pleased to help with everything from food label interpretation, to how avoiding an excessive variety of flavors in any given food, meal, or snack can help you fill up on less.

There is no reason to limit your skills to any one of these, or even to all of them. The more skills acquired, the better prepared you are for any eventuality. There are skills related to shopping, snacking and cooking. There are skills related to time management, and fitting exercise into a crammed daily routine. For every challenge the modern environment throws on the path leading to health, there is a relevant skill to get you over or around it.

Which brings us back to healthy living. It's a priority and an aspiration. It's a responsibility and a right. It's an opportunity and an obligation. It's not really complicated -- but in the world we live in, it's hard.

Which is why it is also a web platform where insights and expertise are served fresh daily. Because in this cockamamie world of our own devising, healthy living takes skill. Come and get it.

-fin

Dr. David L. Katz; www.davidkatzmd.com
www.turnthetidefoundation.org

 

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Today, The Huffington Post is launching the new platform for its Healthy Living content. That may be fodder for celebration here at HuffPost, but it begs a question: Why is healthy living something th...
Today, The Huffington Post is launching the new platform for its Healthy Living content. That may be fodder for celebration here at HuffPost, but it begs a question: Why is healthy living something th...
 
 
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10:17 PM on 12/04/2011
I never thought of healthy living as requiring "skills". I always thought it was a matter of discipline and awareness. I am in agreement, however, that healthy living is not complicated, but it is becoming increasingly more difficult.
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David4FreePress
I am a volunteer, Tong Ren distant energy healer.
05:06 PM on 11/18/2011
Living Healthy is so difficult because it covers the full spectrum of our existance, including personal growth and development, education, medical care, food supply, environment pollution, economic opportunity, etc. Even if the forum is limited to personal learning, growth and skill deveopment, crossing paths of political issues is inevitable.
We are all born ignorant, so our purpose in life must be learning and growth in order to live healthy. What must be learned depends upon the current influences, which will always be changing. So we must constantly strive to learn more, and overcome the natural human tendency to be lazy.
For all of the challenging current influences, it has never been easier to learn and obtain information. So using a forum like this will only make Living Healthy that much easer.
04:49 PM on 11/16/2011
I couldn't agree more. Acquiring healthy living skills in today's world is an absolute must. The good news is, once you take the time to learn them, they serve you for the rest of your life.

And thanks for reminding everyone that it's not just about willpower! We can't power our way through cravings for very long - we're human after all! Much easier to equip ourselves with an understanding of why we have them in the first place and work from there.

Great post!
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William Anderson LMHC
Licensed Psychotherapist, Weight Control Expert
09:29 AM on 11/16/2011
Yes, come and get it. We need to stop looking in all the wrong places for the answers, the easy feel-good answers, and ask what it is we are really missing and where to find it. I found it and got healthy and now I teach others. You and the HuffPost may point the way.

William Anderson, LMHC
Author of 'The Anderson Method - Secrets of Permanent Weight Loss'
www.TheAndersonMethod.com
10:27 PM on 11/15/2011
Good post and raises some interesting fundamental questions. I majored in anthropology as an undergraduate and saw a lot of evidence that we humans are never in control or have that innate ability to live "healthy" as you suggest. It takes a long time to adapt to our environments so those who are capable of living healthy in a sedentary world of surpluses may be the first or second of many generations required for this adaptation.
It is possible to do so as we can see every now and then. The bigger question is what needs to be done to get those who haven't been blessed with the genes, nurturing and environment to catch up? I'm sure you have some ideas along those lines.
12:35 PM on 11/17/2011
this comment reminds me of a suggestion i hadmade in the supermarket spontaneously to some high school kids buying th eusual coke and chips : business men [ ditto entertainers] are trying to replace mother and father; at lunch thesekids should ahve eaten at home or a packed lunch or at a organic " restaurant " in the school run by thelocal farmer's market people

it takes 18 years of nurture for a child to become mature physically and another 6 years for the brain to be fully grown in order to support the intellect and emotional intelligence completely.

if this nurturing is scattered between home and school and advertising and entertainment stars.... which role model will prevail in the childs mind

it is said that evolutionaryly we can only care about 100 people a typical village ; on TV an dinternet, young people see so many people many more than they can care about and they are all imprinted on them
03:28 PM on 11/15/2011
Great post Dr. Katz! I agree wholeheartedly. I think that the general public knows what is healthy, but we don't always have the skills to effectively implement that knowledge. It seems important right now to support people in making the choice to build healthy habits. I'm not sure if this is done by providing information, but more on reflecting, guiding and influencing the decision making process. I'm hoping to build a network around this societal need. Do you have any tips or resources I might follow up on?
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David Katz, M.D.
Director, Yale Prevention Research Center; Editor-
06:56 PM on 11/16/2011
Thank you, Matthew. There are many relevant resources, of course. Our own offerings are accessible at http://www.turnthetidefoundation.org/programs.htm, so that seems a reasonable place to start.
04:01 PM on 11/17/2011
Thanks for this, Dr. Katz. I have a psychology/counseling/coaching background, so I found the OWCH program particularly interesting. I'm curious if weight management seems to be more successful in one-on-one counseling or a peer group setting. Do you have any thoughts on this?
01:23 PM on 11/15/2011
We have completely lost touch with holistic healthy living. Add to the mix food that is mostly processed - we are one super sick country! I'm so grateful to be able to educate and show people how to become happy, healthy, balanced and joy-filled. NYC Healthy Chick
11:49 AM on 11/15/2011
These are all interesting and good points. On portion control, we should be encouraging manufacturers to make smaller plates and glasses for our homes and restaurants. If a dinner plate can't fit into a standard cabinet, it's TOO big. If it barely fits into a standard cabinet, it's TOO big. Even if it fits into a standard cabinet, it may still be TOO big. And unless that plate was manufactured prior to 1970, it is probably TOO big. Having said all that, though, a big plate of salad can be healthy, providing it's not drowning in dressing and topped with fried chicken and croutons, and accompanied by a glass of wine that surpassed the standard drink size of 4-5 oz. (and about 100 calories) when the bartender poured it to the top of that 10 oz. wine glass sporting etched flare.