Monday, 23 May 2011

Neuroethics: The Brain and Political Beliefs


Article first published as Brain Science and Political Belief on Technorati.


Brain science is providing some important insights into the mechanisms involved in a variety of beliefs including political, religious and moral beliefs. Dr. Jordan Grafman, Ph.D. currently with the Kessler Foundation has led some of the key research initiatives in this area of brain research. He recently presented at the May, 2011 Warren Frontiers in Neuroscience lecture series in Tulsa, Oklahoma. I previously posted a summary of work relevant to the brain science and moral beliefs and a separate post on religious beliefs. Here are some of the key points from his presentation related to political beliefs and relevant published research manuscripts.
A important starting point in understanding how the brain processes political beliefs is to discover key elements of these beliefs. The classical description of political beliefs defines individuals long a single criterion domain, conservative to liberal. But statistical modeling of large numbers of individuals demonstrates three key domains for political belief. These domains appear somewhat independent of each other and appear to engage different brain neural circuits. The three domains and localized areas the brain involved include:
individualism--medial prefrontal cortex and the temperoparietal junction
conservatism-dorsolateral prefrontal cortex
radicalism-ventral striatum and posterior cingulate
So how does brain circuitry differ between those who are interested in politics compared to those with little interest in the area? Grafman while at his previous NIH position and colleagues from Italy as well as George Mason University in the U.S. examined this question in a series of 25 subjects using functional magnetic imaging scanning technology.
Subjects in the scanner were asked to agree or disagree with a variety of political opinions. Subjects who were interested in politics showed significantly more activation of the brains regions in the amygdala and ventral striatum. Subjects disinterested in politics showed limited activations in these regions regardless of the content of religious beliefs encountered.
The amygdala has been demonstrated to be an important region for processing both positive and negative emotional stimuli. The ventral striatum appears to be a key region in processing reward and positive affect.
The research suggests those with strong political interests, i.e. "political junkies" engage brain circuits involved in emotional and reward reinforcement. Similar circuits appear to be engaged in other individuals by chemical as well and specific environmental stimuli. For example, similar circuits may be activated by religious stimuli in those with strong religious beliefs.
It is unknown exactly how the brain influences each individuals selection of an area of interest and engagement. We do not know why one individual is drawn to a field of technical interest, i.e. computer science rather than a field of social interest such as politics.
But once an individual establishes strong political interest and a strong political belief system brain circuitry effects develop. These circuits appear to not be specific to politics but specific to circuits controlling emotional engagement and reward reinforcement.
Future brain science research is likely to further discover the mechanisms involved in political belief development and maintenance. An ethical challenge is likely to emerge on how these discoveries are used by political parties to influence voter preferences and voter engagement.
Link to Dr. Grafman's website related to his research on traumatic brain injury at the Kessler Foundation.
Zamboni G, Gozzi M, Krueger F, Duhamel JR, Sirigu A, & Grafman J (2009). Individualism, conservatism, and radicalism as criteria for processing political beliefs: a parametric fMRI study. Social neuroscience, 4 (5), 367-83 PMID: 19562629


Gozzi M, Zamboni G, Krueger F, & Grafman J (2010). Interest in politics modulates neural activity in the amygdala and ventral striatum. Human brain mapping, 31 (11), 1763-71 PMID: 20162603


Photo of African Elephant, the symbol of U.S. Republican Party from author's private family collection by photographer Sarah Yates.


Saturday, 21 May 2011

Veggie Burger & Baked Chili Fries


Veggie Burger
Printable Recipe
Serves 6

6 wheat buns
1 (14 oz.) can no-salt kidney beans
1 red or yellow onion
2 Tbsp. olive oil
1 carrot
1 piece whole wheat bread (toasted )
2 tsp. chili powder
1 1/2 tsp. paprika
1/2 tsp. sea salt
4 Tbsp. water
Sauce (recipe below)

1.)  Dice onion and saute in 1 Tbsp. oil until soft and translucent.
2.)  Drain & rinse kidney beans, finely chop carrot and break toasted bread into small pieces. Place in bowl. Add onion and spices to bowl and stir well.  Mash with potato masher, but don't over mash.
3.)  Form 6 patties and brown both sides in 1 Tbsp. olive oil. Spread buns with a generous amount of sauce (recipe below).  Add Veggie Patty, tomato, pickles and lettuce.  Serve with baked fries.

Sauce:
2 Tbsp. Ketchup
2 Tbsp. Vegenaise (egg-free grapeseed oil mayonnaise)
1/2 tsp. Chili Powder

Mix ingredients together and spread on bun before adding veggie patty.


Baked Chili Fries
Printable Recipe

2 large potatoes
extra virgin olive oil
chili powder
sea salt

1).  Heat oven to 425 degrees Fahrenheit.
2.)  Brush or spray cookie sheet with extra virgin olive oil.
3.) Wash and slice potatoes (with skin on) and place on pan.  Spray or brush tops of fries with olive oil.  Sprinkle with sea salt and chili powder. 
4.)  Bake for 20-25 minutes or until lightly browned.

Friday, 20 May 2011

Ray Peat - Sugar vs. Starch


I didn’t want to give up on the Ray Peat topic altogether now. There is still a lot to be said. In fact, his lengthy article titled “Glycemia, Starch, and Sugar in context” is a perfect article to deconstruct. It is full of many of Peat’s main philosophies about stress hormones, blood sugar regulation, metabolism, gelatin, polyunsaturated fat – you name it. It’s all there in that article. And it’s the perfect article to examine because some of it is great, and some of it is downright silly. It’s a great blend. In fact, it will probably take many posts to break this single article down – but once we are through most of you will have a pretty good idea about Ray Peat, and also will be left, hopefully, with a balanced view of him as a researcher (which is something few can claim – most either think he is a total wacko or is like the Messiah of nutrition).

I will not put every paragraph in the article under the microscope, but we will start with a few that I have selected to discuss and keep the conversation going for a while. In so doing, hopefully we’ll get somewhere. Begin! (spoken in the tone of the original Mortal Kombat video game).

“Judging by present and past statements of the American Dietetic Association, I think some kind of institutional brain defect might account for their recommendations. Although the dietetic association now feebly acknowledges that sugars don't raise the blood sugar more quickly than starches do, they can't get away from their absurd old recommendations, which were never scientifically justified: “Eat more starches, such as bread, cereal, and starchy vegetables--6 servings a day or more. Start the day with cold (dry) cereal with nonfat/skim milk or a bagel with one teaspoon of jelly/jam. Put starch center stage--pasta with tomato sauce, baked potato with chili, rice and stir-fried beef and vegetables. Add cooked black beans, corn, or garbanzo beans (chickpeas) to salads or casseroles.”

Peat, in his disdain for mainstream nutrition beliefs, is poking fun at the dietary recommendation to base the diet primarily around starches and not simple sugars. Of course, these recommendations were based on widely held but later discovered-to-be-mistaken beliefs that complex carbohydrates – like grains, potatoes, corn, and beans, digested more slowly than simple sugars comprised of less “complex” molecules. It had been known for ages that these foods generally led to more stable blood glucose levels (measured over a 6-hour time period as opposed to just basing everything off of what happens in the first half hour), and were great preventatives against hypoglycemia unlike the foods listed by early anti-sugar author E.M. Abrahamson (1951) who gave the following prescription for those prone to hypoglycemia, “no sugar, candy, or other sweets, no cake with icing, no pies or other pastry, no ice cream, no honey, no syrup, no grape juice or prune juice. And regrettably, our string of ‘no’s’ includes cocktails, wines, cordials, and beer. Finally, if you have hyperinsulinism, you must avoid caffeine as you would the pest.”

Of course, there are many diseases including hereditary fructose intolerance and various glycogen storage diseases in which starch is a completely safe food to eat, but the ingestion of any of the foods listed by Abrahamson containing simple sugars can cause life-threatening bouts of hypoglycemia. This has nothing to do with the absorption rate of the carbohydrates, and in my experience the absorption rate of the carbohydrates has nothing to do with a food’s ability to trigger hypoglycemia. Quite simply, absorption rate or “glycemic index” of foods or the insulin spike after eating rapidly-absorbed starches has nothing to do with hypoglycemia. Thinking that it does is just another pseudoscientific sasquatch.

Thinking that such recommendations were made due to some brain defect is even more offensive, as many of the mantras of mainstream nutrition are based on the pioneering work of Denis Burkitt, Hugh Trowell, T.L. Cleave, and others who spent time in Africa gathering hard data on the rates, or absence I should say, of many cancers, heart disease, diabetes, obesity, constipation, hemorrhoids, varicose veins, appendicitis, diverticulosis, and many others on diets built around starchy agricultural staples – notably whole grains, corn, root vegetables, and the like. It’s not like these beliefs were pulled out of thin air as part of some government propaganda machine. And as Burkitt witnessed, the more food that was displaced with whole grains and tubers, the lower the fasting glucose level of the population.

"The Dietetic Association's association with General Mills, the breakfast cereal empire, (and Kellog, Nabisco, and many other food industry giants) might have something to do with their starchy opinions. Starch-grain embolisms can cause brain damage, but major money can also make people say stupid things."

These food companies make more money the more high-fructose corn syrup and vegetable oil they manage to squeeze into the food, as these are generally much cheaper calories than those in villainous grains or potatoes (although they are still plenty cheap). More importantly, the more fat and extra sweet HFCS in the product, the more of it consumers buy and eat because sugar – particularly high-fructose corn syrup because it is sweeter, and fat, are more stimulating than starch, generally-speaking (although there are plenty of people that get more riled up about chips, Cheez-its, and baguettes than sugar-laden sweets). To think that such companies are behind some massive scheme to steer people towards vile corn and potatoes and away from wholesome simple sugar is comical to put it lightly.

"In an old experiment, a rat was tube-fed ten grams of corn-starch paste, and then anesthetized. Ten minutes after the massive tube feeding, the professor told the students to find how far the starch had moved along the alimentary canal. No trace of the white paste could be found, demonstrating the speed with which starch can be digested and absorbed. The very rapid rise of blood sugar stimulates massive release of insulin, and rapidly converts much of the carbohydrate into fat."

I smell more sasquatch here. In fact, the smell is so strong the John Lithgow is outside my window shouting the name “Harry” over and over. Jack Black and Kyle Gass are here with a bottle of aerosol Trap B Gone and are setting up a drumset as we speak. Sasquatch’s “drumming is kickass” they tell me.


Insulin converting carbohydrate into fat? That’s not how insulin works at all. In fact, a solid debunking took place a couple months back at http://www.carbsanity.blogspot.com/ in which it was shown that the body is in negative fat balance (burning more fat than storing) during postprandial insulin spikes – like the kind you get after having some good old corn starch. On top of that, the easiest carbohydrate to convert to fat has been shown time and time and time and time and time again to be the one that travels to the liver and is digested most slowly. It’s called fructose. Not only does the presence of fat make fat storage easier, if fructose is converted to fat in the liver (which it can be under certain circumstances) it increases insulin resistance, which can lead to increased fat storage (insulin lowers appetite and increases metabolic rate, so becoming unresponsive to the hormone has a tendency to increase appetite and reduce metabolic rate).

Insulin is also intricately tied to leptin, the master hormone of managing the calories in/calories out equation. Surges in insulin cause surges in leptin, which lowers appetite and increases the metabolic rate. Stating that making insulin rise leads to becoming fat is a complete misrepresentation of the bigger picture. In fact, starch-based diets usually lower appetite dramatically, and many starchy foods like potatoes and oats are known to satisfy the appetite on fewer calories than just about any foods known (higher “satiety index”).

Speaking of corn starch specifically, this has actually been used successfully by Francine Kauffman of the American Diabetes Association in the prevention of early morning hypoglycemia in diabetics – more evidence that absorption rate is not the prime determinant of whether or not a particular carbohydrate goes on to trigger hypoglycemia and general blood glucose dysregulation.

Anyway, don’t get the wrong idea here. I’ve been eating simple sugars in favor of starches myself for many months now and have noticed some apparent benefits. Many seem to do better with sugars than starches for keeping hands and feet warm, producing more energy, getting better sleep – probably due to enhanced liver glycogen storage, and so forth. Many fare better from a digestive standpoint on fruit, juice, and sugar than more complex carbohydrate molecules. Some even report a lowering of appetite on sugar vs. starches, especially with the consumption of whole fruits which, like most starchy staples, are very high satiety index foods. Fruit is also generally more nutritious and hypoallergenic.

So be open to either, or a combination of the two. It’s up to everyone to experiment for themselves to see what the relative benefits and drawbacks of the two basic types of carbohydrates are. But the point here is to shoot down Peat’s wacky and erroneous biochemical justification of the outright superiority of sugar over starch. There is not a clear cut right or wrong carbohydrate, and the mainstream belief that “complex” carbohydrates are superior to simple sugars is not the result of a governmental or agribusiness conspiracy.

In the next episode, we will continue looking closer at Ray’s cookie-cutter and false portrayal of insulin as being a hormone that, if driven up, will drive blood sugar down and cause hypoglycemia. Don’t worry, Ray’s got some tremendous gems in this article as well, as he is one of the few that actually does have some understanding of type 2 diabetes, realizes that it is a shortage, not a surplus of glucose at the cellular level, and so on.

For more discussion on the sugar and starch issue, read this free book on how to raise your metabolism.

Wednesday, 18 May 2011

Addiction: Your Brain on Porn

Delving deeper into our conversation from yesterday, the best overall discussion of how the reward centers in the human brain work that I've found is in this lengthy but informative slideshow presentation on pornography addiction.  Although it may not seem relevant, it certainly is.  The presenter goes into great depth about food as well, and how it ties in. 

While pornography addiction may be an extreme form of addiction, I can say, fully, that even just regular usage of the internet is addictive - extremely addictive.  There's something innately stimulating about being able to click buttons and have curiosities satisfied within seconds.  After many hours on the computer, I start to get pulled in and have trouble getting away from the internet.  Sometimes I will spend a couple of hours aimlessly clicking back and forth between social networking sites, blog comments, my email account, and other things that I like to check in on frequently, like the spot price of silver.

It has a strange and mysterious "oh let me just check one more thing" kind of feel.  It's like trying to turn the television off before going to bed at night.  You are constantly looking for just one more hit of gratification somehow, one more click of the mouse or button on the remote control, and keeping novel things coming down the pipeline by being able to click on new videos or links or pages or channels is enough to trigger the effect.  Facebook of course is a perfect medium for triggering this "just one more bite" effect, and there are increasingly more tales emerging of people with serious addictions to it.         

I was in real trouble when I was actively trading stocks and currencies on the Forex market for a while in 2009.  Yikes.  I must have hit the refresh button 100 times per day for a while there, and eventually had trouble sleeping at night.  Fortunately, the escalation process took hold of me, I began to take increasingly daring risks, and eventually lost all the money I had to play with.  This may sound bad, but I got my life back, and immediately stopped spending half of my day playing George Soros.  It was the best thing that could have happened to me at that point.  Of course, this is typical behavior for any gambling addict.  It is an escalation process in which the rational mind is gradually replaced by the allure of the next big thing.

Anyway, this video series is just great.  Since all forms of addiction share the same basic characteristics, I actually find the fact that it is based specifically on pornography to be a very entertaining choice - reminiscent of a funny skit by Dave Chappelle about the internet.  As it pertains to the usual topic of weight regulation, anyone and everyone can see that, even if many cases of obesity have nothing to do with addiction and the "just one more bite" allure of many modern, processed, over-stimulating foods, that certainly many cases of obesity have EVERYTHING to do with it.  Addiction shares the same pathology, and operates by the same neurocircuitry - mostly the dopaminergic system.  It's fascinating, and was certainly worth my time to watch.  And yes, I'm addicted to watching youtube videos on my phone.  But I keeps it educational baby so it at least has something to offer!    











  

Tuesday, 17 May 2011

The End of Overeating by David Kessler


I’m spoiled. By spoiled I mean that my greatest luxury is that I can wake up in the morning and write about whatever the heck I want to write about. Having to write about Ray Peat all month? Well, drudgery has set in. I wanna talk about something that is interesting to me now – like, today, and Ray Peat’s stances on starch and how it has caused the rise in obesity (is this a joke Ray?) or estrogen just won’t do. Screw Ray May. We’re going to play and feel the day, okay?

A lot of people have contacted me over the past few months wondering how I feel about Stephan Guyenet’s recent focus on food palatability in governing weight. When I get these emails, I do get a little annoyed. I get annoyed because I’ve been writing about the role of palatability in weight set point for two years now, and thinking about it for four years – since I encountered the work of Seth Roberts.  I even gave it my own name and flippin' sweet acronym - the "Pleasure Center Activation Theory (PCAT)." This is nothing new. There is a vast amount of research and common sense pointing in that direction. And so, I address this, for about the 6th time – drawing upon a book dedicated entirely to the subject – The End of Overeating by David Kessler.

“Where traditional cuisine is meant to satisfy, American industrial food is meant to stimulate.”

For starters, when you mention the word “palatable,” many get the wrong idea. I know in some back and forth earlier this year with Aaron F. and others, that the idea of good food being the culprit of obesity didn’t sit well. And it shouldn’t. By palatable, scientists mean the ability of a food to stimulate the reward centers in the brain, more or less. And while I would never opt for a Cool Ranch Dorito over seared foie gras slung over brioche, there’s no question, in terms of the scientific definition of palatability, that the magic, chemically-enhanced, MSG-laden flavor dust on a perfectly-crunchy Dorito measures much higher on the palatability Richter scale. I had a Tabasco Cheez-it recently to remind myself of how potent modern food-like things are. And I gotta tell ya, that stuff is mesmerizing. Food like that gets ever more drug-like every time I taste it.

“To understand how eating promotes more eating – and why homeostasis is under sustained assault – we must first understand the concept of ‘palatability’ as the term is used scientifically. In everyday language, we call food palatable if it has an agreeable taste. But when scientists say a food is palatable, they are referring primarily to its capacity to stimulate the appetite and prompt us to eat more. Palatability does involve taste, of course, but, crucially, it also involves the motivation to pursue that taste. It is the reason we want more. Palatability is largely based on how food engages the full range of our senses. Usually, the most palatable foods contain some combination of sugar, fat, and salt. The sensory properties of palatable foods – the cold, creamy pleasure of a milkshake, the aroma of chocolate cake, the texture of crispy chicken wings sweetened with a honey-mustard dipping sauce – all stimulate the appetite. And it’s that stimulation, or the anticipation of that stimulation, rather than genuine hunger, that makes us put food into our moths long after our caloric needs are satisfied.”

With this broader definition you have a whole host of sensory stimuli that play a part in weight regulation. Food packaging, lighting, social setting, ambience, food color, music, aroma, crunch, texture contrast, moisture content, chewing time, fiber content – these all play a role in the sensory environment of the food experience. And these things are understood by the people who sell food successfully. The first person to conceptualize of pink lemonade or the infamous blue raspberry knew a thing or two about human senses. Heck, you can even taste test the same thing in two different types of packaging to find out which package “tastes better.” This kind of research is being done to make food as hyperpalatable as possible.

What I like about what could be called the “addiction model of obesity,” is that addiction, unlike the insulin or leptin system of the body (or recently discussed TXNIP), is not a negative feeback loop. It’s an escalation process, where you must go ever higher to achieve the same level of gratification. We know for sure that weight regulation occurs in the brain – to think that something as dominant in the brain as the relentless hunt for pleasure stimulation doesn’t play a role, or couldn’t trump the metabolic signals of leptin or TXNIP, would be foolish. It’s certainly part of the picture. How much of the picture, and whether or not Bob Ross painted it, is a question that has not been answered – and is probably highly individual.

“Eating foods high in sugar, fat, and salt makes us eat more foods high in sugar, fat, and salt. We see this clearly in both animal and human research. Barry Levin, a physician and professor at the New Jersey Medical School, demonstrated this principle with rats. He bred one strain to overfeed when a high-calorie diet was available, producing an obesity-prone rat. The other strain did not ordinarily overfeed – an obesity-resistant rat. After a period of eating extra calories, the obesity-resistant rats typically cut back their food consumption much faster than obesity-prone rats. But when both groups of rats were offered a rich, creamy liquid high in sugar and fat, those patterns changed. All the animals ate without restraint. Levin said that when they are given such a palatable combination, ‘they will just gorge themselves.’ Increasing only the fat content of a resistant rat’s diet won’t make the animal overeat or become obese. But feed it a high-fat, high-sugar diet, and it will grow just as fat as an obesity-prone rat on a high-calorie diet.”

This is an important concept to take note of. Sugar is not fattening. I lose weight rapidly eating 800 grams of sugar per day. Fat is not fattening. I remained very lean gobbling up 300 grams of fat per day for several years on a diet with about 100-150 grams of carbohydrates per day. There is no one substance that is fattening and is the culprit of all obesity. Sure, vegetable oils are a prime suspect in terms of playing a role, potentially a major one in a discussion of root causes – as they have far-reaching pro-inflammatory and anti-metabolic properties that are capable of short-circuiting the weight regulation mechanism of the human body over lifetimes and generations.

But we should instead look at foods as a whole. In general, we could say eating in restaurants is fattening. Brownies are fattening. Ice cream is fattening. Potato chips and French fries are fattening. If I eat lots of these foods I gain fat at a pretty rapid rate, at least for a few weeks. Recently I got all gung ho on Peat and began eating ice cream to appetite. But lo and behold, just like many who have a tendency towards weight gain have reported to me about Peat’s high fat/high sugar combo, I gained fat very quickly with ice cream in my diet, needing roughly 4,500-5,000 calories to satisfy my appetite instead of the normal 3,500-ish. Substituting more fruit and juice and starch for the high fat content in the ice cream strips the fat off quickly, and lowers my appetite tremendously.

But even with these generalizations, much complexity remains. Monotony trumps all, removing the pleasure away from what would otherwise stimulate the pleasure circuitry. Eat nothing but ice cream or French fries and your appetite will likely plummet and you will lose weight.

Further confusing the issue, the largest my appetite has ever been was after prolonged calorie restriction. I wasn’t really an “addict” when it came to food until I did that. Before that my appetite regulated itself pretty well without ever thinking much about all this health and nutrition stuff. It certainly wasn’t a case of eating “fat, sugar, and salt makes you want to eat more fat, sugar, and salt.” Instead, it was NOT eating fat, sugar, and salt that made me want to eat to the point of sheer agony of fat, sugar, and salt. After doing that for long enough, my appetite regulated itself once again, and fat, sugar, and salt began to once again lose their relentless appeal.

On the program I devised on how to raise your metabolism, nearly everyone has noted a huge drop in cravings for sugary foods and other high pleasure items. Why is that? Also, pigging out on ice cream which I have done on two occasions this year, left me totally sick of ice cream and craving cardboard by the end of a week.

Similarly, the 5-year old girl that I recently watched overcome nightmares and bed wetting by eating ice cream and whatever else she wanted totally unrestrained, started out eating two ice cream cones in one sitting, then moved to one, then asked for ice cream and had two licks before throwing it away, and now doesn't even ask for it with dinner anymore.  Ice cream lost its excitement.  It didn't become more appealing and suddenly catapult the kid into obesity. 

And what about all the intuitive eating preachers like Geneen Roth and Jon Gabriel who have had great success telling people to eat whatever the hell they want, only to find that giving themselves permission to eat anything and everything they wanted ended up making them lose weight – as removing the stigma of forbidden foods and the emotions like guilt and reward around eating just made people crave healthier foods and lose their appetite?

My suspicion is that the one key factor left out of the whole equation is addiction proneness. I do think addiction proneness can be diminished if not eliminated entirely by increasing the metabolic rate, lowering stress hormones, and removing all of the psychological baggage surrounding food – certainly getting away from the concept of food as a treat, reward, or a form of entertainment.

Anyway, it’s all very fascinating, and a big part of the big picture – as big or bigger than Bob Ross’s happy little trees. To hear former head of the FDA, David Kessler, talking about his conclusions, scroll down to watch a tv interview with him...

Here are some other interesting Kessler quotes to make ya go hmmm….

“Animals, humans included, seem to have a built-in preference for features larger than those that occur naturally. Ethologists, scientists who study animal behavior, have tried to understand the attraction of the ‘super-normal stimuli.’ Consider the oystercatcher, a shorebird with black-and-white plumage, a red bill, and brightly colored legs. Back in the 1950’s, Dutch ethologist Nikolaas Tinbergen conducted now-classic studies of the bird’s incubation behavior and discovered something astonishing: When presented with a choice between brooding its own small egg and the giant egg of a much larger bird, the oystercatcher invariably chose to sit on the giant one.”


“Just as a compulsive gambler can’t place a single bet and feel satisfied, many people can’t stop after a few bites of hyperpalatable food. We have become conditioned to seek more reward. The barricades to repetitive behavior have been toppled. We keep looking for the next big wow.”






Monday, 16 May 2011

Ray Peat - Exercise


Ray Peat doesn’t seem to be very fond of exercise. This is one area where he has opened up a huge gaping hole in the armor of his interpretation of science, hormones, and so forth. In fact, his brush off of exercise as being something that raises cortisol, growth hormone, and lactic acid and is therefore bad gives me reservations and hesitations about pretty much all of his work. To file exercise into a strict category of “bad” shows his lack of experience with it, and his strong bias towards intellect and away from physical accomplishment.

But the fact of the matter is, exercise can be a very powerful tool for health enhancement. During aging, the remarkable ability of exercise to restore youthful, anabolic hormones (you know, the ones that combat the catabolic hormones Ray is at war with) and delay the loss of functionality and mobility is unparalleled. Exercise gives the body powerful incentive to undergo adaptation, forcing the regeneration of new tissue, denser bone, and greater agility and strength.

It’s these adaptations that Peat seems to ignore. He notes only the short-term effects of exercise, which stimulates the stress response in the human body, generates lots of the villainous lactic acid, and, if looked at through this narrow lens, just seems to do a lot of damage. But this ignores the reparative mechanisms, and the adaptations that occur. It ignores the lowering of baseline cortisol even though exercise itself causes acute surges in cortisol. It ignores the body’s increased proficiency at disposing of lactic acid.

Peat ignores, while poking fun at “breathless exercise” as if it were a pursuit of the dimwit, how lung capacity expands in response to high-intensity exercise, and greatly enhances the lung’s ability to deliver precious oxygen to the cells (something he has pinpointed in his other conclusions as being one of the hallmarks of healthy aging). This becomes more and more important as we age – and lung volume could very well be considered a great yardstick for a person’s rate of aging – with “breathless exercise” being the best known way to expand lung volume.

While I have no blind infatuation with exercise – and have experienced many tolls being taken on my own body from various exercise pursuits, numerous investigations all reveal that the human body has a physical need for movement. Without physical challenge, it atrophies and health suffers in numerous ways. While there are plenty of overexercisers out there in need of increased rest (hence my own advice to avoid exercise on a temporary basis in order to raise your metabolism), there’s no doubt that it’s more common in Western populations to suffer from lack of exercise and poor exercise programs (either all cardio/endurance, or all weightlifting in narrow ranges of motion with too much weight) – not excesses of exercise.

A truly great scientist would recognize the positives and negatives of various types of physical movement and exercise and recognize when and how to use it and for whom – or at least acknowledge that there are both benefits and drawbacks and maintain a balanced perspective about the issue in general. Peat is clearly nowhere near grasping this possibility. Because of this, he is missing what for many could be a very valuable tool for health enhancement, health preservation, quality of life, and life extension.

But I still tip my hat to him for balancing out the sick mainstream adoration with the “no pain, no gain” approach to health. It is a strange disease, often combined with wacky diet ideas, diet food, and protein shakes that spell disaster for "jillians" of soon-to-be screwed people. Clearly someone had to step in and say something.

But come on Ray, let me hear your body talk... 




Sunday, 15 May 2011

Economic Distress and Suicide: Japan and U.S.

My colleagues and I are presenting a new research poster presentation this week at the 2011 American Psychiatric Association meeting in Honolulu. I wanted to use this post to summarize some of the current research related to our presentation as well as highlight the findings from our poster.

Over the last few years, I have had the opportunity to meet yearly with a group of Japanese and American researchers and psychiatrists in a retreat setting in Itasca State Park in Minnesota. This group has recently been named the Itasca Brain and Behavior Association. The goal of the group is to promote international research collaboration in clinical neuroscience and areas of psychosomatic medicine.

I learned from my Japanese colleagues last year that suicide rates in Japan increased significantly around 1998--a increase that has continued now for the last 12 years. The figure below documents the trend in suicide rates in Japan as well as the U.S.   Suicide rates increased to a larger percent in males (47%) compared to females (23%) in this period. My Japanese colleagues reported that psychological autopsy information suggested unemployment and divorce as common factors felt to be contributing to this increased rate of suicide.



Epidemiological work has now supported a link between regional unemployment in Japan and increased rates of suicides.

Japan has experience a prolonged economic malaise since 1998. Several sources have suggested the U.S. and Japanese economic cycles may be similar with the U.S. trailing the pattern in Japan by 10 to 15 years. Unemployment began increasing in Japan in 1998 and jumped dramatically in the U.S. beginning in 2008. The housing bubble in Japan peaked in 1996 and in the U.S. peaked in 2008. The possibility that the U.S. is entering a prolonged economic downturn similar to Japan raises the question of the mental health and suicide rate response. Is the U.S. vulnerable to an increased rate of suicides similar to that found in Japan? If so, what would a similar response look like and could mental health clinicians and public health officials do anything to reduce of minimize this type of risk.

Our research focused on looking at the age and gender distribution of increased rates of suicide in Japan and applying those rates to the U.S. population based on the 2010 Census. The baseline number of suicides in the U.S. average around 33,000 per year. If suicide rates were to increase to the magnitude found in Japan, the number of increased suicides in the U.S. would be about 14,000 per year. Interestingly, our model found that approximately 90% of the increased number of suicides would occur in men as men have higher baseline rates and experienced a greater increase in Japan after 1998.

A recent manuscript published in the American Journal of Public Health looked at suicide rates in relation to economic cycles between 1929 and 2007. This analysis suggested that suicide rates in the U.S. do vary with economic cycles and need to be consider in public health planning.

The presence of a primary psychiatric disorder (major depression, bipolar disorder, schizophrenia, substance dependence) is the primary determinant of risk for suicide. Our research does not predict a dramatic increase in suicide rates but rather is a warning to U.S. clinicians and public health officials. The take home messages from our collaborative research would be:

The U.S. should be alert for the potential for economic crisis and unemployment to increase risk of suicide deaths

Elevated risk for suicide related to unemployment appears highest in middle to older aged men

Adults with pre-existing mental disorders losing there job may also lose prescription benefits as well as re-imbursement for mental health services. Efforts should be made to identify these individuals and provide alternate pathways to mental health care

Employers should examine the support services provided those involved in layoffs with an effort to provide psychiatric and psychological services to these vulnerable populations

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Chang SS, Gunnell D, Sterne JA, Lu TH, & Cheng AT (2009). Was the economic crisis 1997-1998 responsible for rising suicide rates in East/Southeast Asia? A time-trend analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand. Social science & medicine (1982), 68 (7), 1322-31 PMID: 19200631

Luo F, Florence C, Quispe-Agnoli M, Ouyang L, & Crosby A (2011). Impact of Business Cycles on US Suicide Rates, 1928-2007. American journal of public health PMID: 21493938