Wednesday, December 10, 2014

Introducing Sadly The Line-Dancing Owl

Sadly The Line Dancing Owl

Sadly The Line Dancing Owl

Yesterday, I posted about my daughter Linnie von Sky’s 2nd children’s book Pom Pom A Flightless Bully Tale, that is now available here.

Today, I would like to introduce you to Sadly The Line-Dancing Owl, who one morning wakes up with a dark cloud over his head.

Learn how Sadly in the end overcomes his sadness and how he finds the help he needs to be his happy self again. 

After tackling immigration and bullying, Linnie turns her attention to depression – in a children’s book that she admits is somewhat autobiographical,

“Depression is REAL and it SUCKS…at least it sucked the living daylight out of me and consumes too many people I love.”

Along for the ride is the incredibly talented Ashley O’Mara as the new illustrator.  Ashley is a Vancouverite, Emily Carr Graduate, Bird Lover (she draws the cutest darn chickens I’ve ever seen) and like Linnie, knows a thing or two about how much depression hurts.  

Please consider supporting Linnie’s fundraising campaign by pre-ordering your personal copy(ies) of Sadly The Line-Dancing Owl, which will again be 100% made in Canada.

To learn more about Sadly and how you can support this venture, please take a minute to visit Linnie’s Indiegogo page.

@DrSharma
Edmonton, AB

 

VN:F [1.9.22_1171]
Rating: 7.0/10 (3 votes cast)
VN:F [1.9.22_1171]
Rating: +1 (from 3 votes)


Tuesday, December 9, 2014

Pom Pom A Flightless Bully Tale Takes Flight

Pom Pom A flightless bully tale coverToday’s post is to announce the arrival of my daughter Linnie von Sky’s second children’s book, “Pom Pom A Flightless Bully Tale“, that hundreds of you helped fund by pre-ordering your copy(ies) about 12 months ago – your books are in the mail and should be there in time for the Holidays (a big THANK YOU from me for your support!).

To those of you, who are new to these pages, Pom Pom is the story of the slightly rotund little penguin Pomeroy Paulus Jr III., who simply hates it when people call him “Pom Pom”.  Like any boy his age he’s busy trying to impress ‘the birds’, particularly one bird: Pia. Pomeroy dreams of a pair of orange swim trunks; the ones that Pete, Pucker and Piper own. The same ones Pia said she loved. There’s just one little hiccup. The antAmart doesn’t carry them in his size.

The story tells of how mom helps Pomeroy get his own pair of orange swim trunks and how Pia saves the day when she steps up and puts bullies in their place.

Here is what Linnie had to say about the reason for writing this book in an interview with Lindsay william-Ross for VancityBuzz:

“When you talk about bullying you have to talk about how much it hurts. Kids understand that,” says von Sky, who hopes her stories ignite conversations. Of “Pom Pom,” von Sky remarks: “I think it’s an encouragement to talk about emotions. What triggers certain actions, what makes somebody want to hurt someone else. Are they hurting?”

For von Sky, whose protagonist in “Pom Pom” is picked on because of his size, the pain of bullying in the story echoes the passion she first tapped into working with the Canadian Obesity Network. “Weight bullying happens to be the one thing I’m extremely allergic to,” affirms von Sky.

For any of you  who would like to order your own copy of this delightful little children’s book about bullying, friendship, respect, sadness, empathy, standing up for friends, antarctica, penguins & above all, love (for ages 3 and up) – click here.

@DrSharma
Edmonton, AB

VN:F [1.9.22_1171]
Rating: 10.0/10 (2 votes cast)
VN:F [1.9.22_1171]
Rating: +2 (from 2 votes)


Thursday, November 27, 2014

Would You Like Some Guilt With That Popcorn?

popcornYesterday, I blogged about the McKinsey discussion paper that calls on governments to throw everything they’ve got at the obesity epidemic – proven or unproven – anything is better than nothing.

That said, it is indeed timely that this week, the US-FDA announced sweeping regulations on putting calories on menus, not just in fastfood restaurants but also in grocery stores, vending machines, and movie theatres.

Personally, I am all for it – never mind that we have yet to show that providing this information at the point of purchase actually changes behaviour of the target population (namely the people who do need to watch their calories) – I, for one, do find this information helpful.

Thus, every time I visit a McDonalds restaurant (yes, I do), I study the nutritional information that this restaurant chain has been making available to any customer who bothers to ask for decades.

Indeed, I do admit to deriving a kind of voyeuristic pleasure in seeing those astonishingly high numbers on certain food items and cannot help myself from inwardly shaking my head at the poor schmucks who order those foods.

What I do wonder, however, is whether knowing these numbers has ever actually changed my own behaviour.

Take movie popcorn for instance – I love it! (interestingly this is a habit that I only developed since moving to Canada).

Not that I am not aware that a large popcorn can easily have all the calories I need for the rest of the weekend – yup, I know that – indeed, I am making an “informed choice”.

In the few milliseconds I spend thinking about whether or not I may wish to skip the popcorn this time, those calorie numbers do regularly flash through my mind – in the end, the popcorn always wins.

So how will having the numbers up on the menu board staring in my face change things for me?

My guess is that I’ll still buy the popcorn, except now it will come with an even larger portion of guilt than before.

Obviously, with the numbers up there for everyone to see (including the people in line behind me), there may well now be an added tinge of embarrassment on top of the guilt.

Well, I may not be the typical consumer or even the target of these measures – after all these are meant for the people who could obviously do with some nudging towards eating a healthier diet (not really sure why I am excluding myself from this list).

Yet, I don’t mind these measures, I have always considered this a good idea.

But will having these numbers staring me in the face everytime I eat out change my consumption of popcorn? Probably not.

Will they make me think thrice (I already think twice)? Perhaps.

So to sum up, funnily enough, I find myself in full support of this measure – even if I am not really sure why.

I guess anything is better than nothing.

@DrSharma
Frankfurt, Germany

VN:F [1.9.22_1171]
Rating: 6.7/10 (3 votes cast)
VN:F [1.9.22_1171]
Rating: +2 (from 4 votes)


Monday, November 17, 2014

Obesity Myth: Obesity Is Caused By Simply Eating Too Much And Not Moving Enough

sharma-obesity-caloric-balance1In the latest issue of Canadian Family Physician, my colleagues JP Chaput, Zach Ferraro,Denis Prud’homme and I briefly address common myths about obesity.

Here is what we had to say about the commonly held notion that obesity is just about eating too much and/or not moving enough:

“Unhealthy diet and physical inactivity are the “big 2” on which almost all preventive and therapeutic programs for obesity are focused, thereby neglecting other possible contributors to excess body weight. Although intuitively appealing, clear evidence (eg, individual-level epidemiologic data and randomized experiments) beyond ecological correlations is lacking for the big 2.

Many other putative contributors to the increase in obesity (eg, insufficient sleep, psychological stress, endocrine disruptors, medications, intrauterine and intergenerational effects, etc) have supportive evidence that is as compelling as, if not more compelling than, the evidence for the big 2.

These nontraditional or new determinants of obesity influence energy input and output; overeating and reduced energy expenditure are perceived as “symptoms” and not as the root causes of the excess weight.

On the treatment side, an accumulating body of evidence shows that insufficient sleep can impede weight loss and addressing sleep for weight management has recently been endorsed by the Canadian Obesity Network.

Overall, accumulating evidence suggests that health practitioners and clinicians might need to consider a broader range of influential factors (eg, medications, lack of time, psychological stress, fatigue, chronic pain) to adequately identify and address the key factors responsible for the patient’s obesity, which is likely a clinical sign of chronic caloric “retention” (similar to edema being a clinical sign of fluid “retention”). This will enable health practitioners and clinicians to develop a personalized framework that addresses the root causes of patients’ weight gain.

Physicians must move beyond the simplistic and generally ineffective recommendation to “eat less and move more” by investigating and addressing the determinants of increased energy intake, decreased metabolic rate, and reduced activity.”

@DrSharma
Edmonton, AB

VN:F [1.9.22_1171]
Rating: 10.0/10 (5 votes cast)
VN:F [1.9.22_1171]
Rating: +6 (from 8 votes)


Thursday, November 13, 2014

8 Ways In Which Nephrology Prepared Me For Bariatric Medicine

230px-Patient_receiving_dialysis_03Last night I gave McMaster University’s Karl E. Stobbe lecture on obesity management in St. Catherines, Ontario.

A commonly asked question is how my training in internal medicine and nephrology brought me to obesity.

While that story is rather simple (many problems in nephrology are related to people’s excess weight), the far more interesting aspect of this is how, over the years, I have realised how perfectly my experience in nephrology, especially working with patients who have chronic kidney disease, prepared me for my current work in bariatric medicine.

Here are some of the more salient reasons:

1) Both obesity and chronic kidney disease are complex often life-long disorders that can affect every aspect of a patients health and well-being.

2) Both necessitate a long-term (lifelong) management approach that must address both the underlying drivers as well as the health consequences of the problem as well as prevent further progression (whenever possible).

3) Both are best delivered in the context of multi-disciplinary care involving nurses, dietitians, physiotherapists, occupational therapists, social workers, mental health workers and many other allied health professionals.

4) Nephrologists are often the only doctors that patients with kidney failure see regularly  – this means that they have to deal with all aspects of patient care – both minor and major, not unlike family doctors. Indeed, nephrologists are often functioning as the “family docs” of their patients on dialysis.

5) Patients with kidney disease present with a wide range of health problems – cardiovascular, metabolic, infectious, auto-immune, respiratory, gastrointestinal, musculoskeletal, nutritional, and virtually every other kind of disease, including mental health problems.

6) Nephrologist often have to be aware of and help manage the many psychosocial problems that their patients can present with.

7) Nutrition plays a very significant role in  managing patients with kidney disease, especially in patients on dialysis. Management of macro and micronutrients is something nephrologists have to deal with on a daily basis whether it is protein intake, minerals (e.g. sodium, potassium, calcium, iron, etc.) or vitamins (e.g. Vit D, or water-soluble vitamins like B complex or Vitamin C).

8) Obsessing about body composition, fluid balance, sarcopenia and nutrition are all standard issues that nephrologists are trained to worry about.

I would not have know just how valuable my training in nephrology would have been for my current practice – but looking back, I don’t think I could have been better prepared for the challenges of bariatric medicine.

@DrSharma
Toronto, ON

VN:F [1.9.22_1171]
Rating: 10.0/10 (2 votes cast)
VN:F [1.9.22_1171]
Rating: +2 (from 2 votes)

In The News

Diabetics in most need of bariatric surgery, university study finds

Oct. 18, 2013 – Ottawa Citizen: "Encouraging more men to consider bariatric surgery is also important, since it's the best treatment and can stop diabetic patients from needing insulin, said Dr. Arya Sharma, chair in obesity research and management at the University of Alberta." Read article

» More news articles...

Publications

  • Subscribe via Email

    Enter your email address:

    Delivered by FeedBurner




  • Arya Mitra Sharma
  • Disclaimer

    Postings on this blog represent the personal views of Dr. Arya M. Sharma. They are not representative of or endorsed by Alberta Health Services or the Weight Wise Program.
  • Archives

     

  • RSS Weighty Matters

  • Click for related posts

  • Disclaimer

    Medical information and privacy
    Any medical discussion on this page is intended to be of a general nature only. This page is not designed to give specific medical advice. If you have a medical problem you should consult your own physician for advice specific to your own situation.


  • Meta

  • Obesity Links

  • If you have benefitted from the information on this site, please take a minute to donate to its maintenance.

  • Home | News | KOL | Media | Publications | Trainees | About
    Copyright 2008–2014 Dr. Arya Sharma, All rights reserved.
    Blog Widget by LinkWithin