Sunday, November 09, 2008

Australian obesity inquiry told extreme health programs too risky

A rare burst of realism

Some dieting and exercise programs may do more harm than good, a parliamentary inquiry into obesity has been told. A submission by the Telethon Institute for Child Health Research, co-written by Professor Fiona Stanley, warned that "toughening up" exercise and diet programs wasn't the answer to the obesity epidemic. The submission was presented to the inquiry on Friday.

"We fear that there is a risk, if exercise and diet strategies are taken to extremes, that they could cause harm to some people," the experts wrote. "Extreme diets may have unwanted side effects. ''While high levels of LDL (low-density lipoprotein) cholesterol have been linked with heart disease, low levels have been linked with depression and attempted self-harm." [Both links are likely to be epidemiological nonsense but it is nice to have one cancelling the other out]

The institute's submission criticised other arguments presented to the Inquiry into Obesity in Australia. It said some recommended diet and exercise programs "had never been properly tested and (were) based on some measure of faith or belief". "Where evidence is weakest is regarding the question of what works to reduce obesity. Some trials of increased exercise and/or various diets show limited benefits, if any."

The submission questioned experts' calls for "toughening up" strategies that had not shown any impact on the rate of obesity. Increasing the "dose" of strategies - such as mandating exercise through schools or further reducing fat content in fast foods - could be futile if the strategies were flawed. "There may be some element missing, or some flaw in the strategies or the ideas underlining them, that prevent them being successful or lead them to be ineffective," it said.

The report recommended new policies should be trialled first. [What a revolutionary idea for the food Fascists!]

The House of Representatives Health Committee is holding national hearings and will make recommendations to the Government next year. Committee chair Steve Georganas said there had not been enough monitoring and tracking research in recent years, but there were successful programs that could be rolled out across the country. "No one advocates over-strict diets,'' he said. ''It's about a healthy lifestyle, not flogging people to death. ''There is evidence of many programs working. [What sort of evidence? Not double-blind, I'll warrant] ''But there's no easy solution. ''We need people to eat less and exercise more, but getting the whole society to change their habits is very difficult." [And improper]

Source



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