Thursday, April 28, 2011

Food Reward: a Dominant Factor in Obesity, Part I

A Curious Finding

It all started with one little sentence buried in a paper about obese rats. I was reading about how rats become obese when they're given chocolate Ensure, the "meal replacement drink", when I came across this:
...neither [obesity-prone] nor [obesity-resistant] rats will overeat on either vanilla- or strawberry-flavored Ensure.
The only meaningful difference between chocolate, vanilla and strawberry Ensure is the flavor, yet rats eating the chocolate variety overate, rapidly gained fat and became metabolically ill, while rats eating the other flavors didn't (1). Furthermore, the study suggested that the food's flavor determined, in part, what amount of fatness the rats' bodies "defended."

As I explained in previous posts, the human (and rodent) brain regulates the amount of fat the body carries, in a manner similar to how the brain regulates blood pressure, body temperature, blood oxygenation and blood pH (2). That fact, in addition to several other lines of evidence, suggests that obesity probably results from a change in this regulatory system. I refer to the amount of body fat that the brain defends as the "body fat setpoint", however it's clear that the setpoint is dependent on diet and lifestyle factors. The implication of this paper that I could not escape is that a food's flavor influences body fatness and probably the body fat setpoint.

An Introduction to Food Reward

The brain contains a sophisticated system that assigns a value judgment to everything we experience, integrating a vast amount of information into a one-dimensional rating system that labels things from awesome to terrible. This is the system that decides whether we should seek out a particular experience, or avoid it. For example, if you burn yourself each time you touch the burner on your stove, your brain will label that action as bad and it will discourage you from touching it again. On the other hand, if you feel good every time you're cold and put on a sweater, your brain will encourage that behavior. In the psychology literature, this phenomenon is called "reward," and it's critical to survival.

The brain assigns reward to, and seeks out, experiences that it perceives as positive, and discourages behaviors that it views as threatening. Drugs of abuse plug directly into reward pathways, bypassing the external routes that would typically trigger reward. Although this system has been studied most in the context of drug addiction, it evolved to deal with natural environmental stimuli, not drugs.

As food is one of the most important elements of survival, the brain's reward system is highly attuned to food's rewarding properties. The brain uses input from smell, taste, touch, social cues, and numerous signals from the digestive tract* to assign a reward value to foods. Experiments in rats and humans have outlined some of the qualities of food that are inherently rewarding:
  • Fat
  • Starch
  • Sugar
  • Salt
  • Meatiness (glutamate)
  • The absence of bitterness
  • Certain textures (e.g., soft or liquid calories, crunchy foods)
  • Certain aromas (e.g., esters found in many fruits)
  • Calorie density ("heavy" food)
We are generally born liking the qualities listed above, and aromas and flavors that are associated with these qualities become rewarding over time. For example, beer tastes terrible the first time you drink it because it's bitter, but after you drink it a few times and your brain catches wind that there are calories and a drug in there, it often begins tasting good. The same applies to many vegetables. Children are generally not fond of vegetables, but if you serve them spinach smothered in butter enough times, they'll learn to like it by the time they're adults.

The human brain evolved to deal with a certain range of rewarding experiences. It didn't evolve to constructively manage strong drugs of abuse such as heroin and crack cocaine, which overstimulate reward pathways, leading to the pathological drug seeking behaviors that characterize addiction. These drugs are "superstimuli" that exceed our reward system's normal operating parameters. Over the next few posts, I'll try to convince you that in a similar manner, industrially processed food, which has been professionally crafted to maximize its rewarding properties, is a superstimulus that exceeds the brain's normal operating parameters, leading to an increase in body fatness and other negative consequences.


* Nerves measure stomach distension. A number of of gut-derived paracrine and endocrine signals, including CCK, PYY, ghrelin, GLP-1 and many others potentially participate in food reward sensing, some by acting directly on the brain via the circulation, and others by signaling indirectly via the vagus nerve. More on this later.

Healthy Spirits: New Arrivals

1. Alagash Confluence

2. De Dolle Oerbier

3. Marin Brewing White Knuckle DIPA

4. La Trappe Quadruppel


cheers,

dave hauslein
beer manager
415-255-0610



Wednesday, April 27, 2011

Healthy Spirits: New Arrivals

1. Uinta Crooked Line Cockeyed Cooper Bourbon Barrel Barleywine

2. Uinta Crooked Line Labyrinth Black Ale (Imperial Stout aged in Rye whiskey barrels with
licorice)

3. Uinta Crooked Line Tilted Smile Imperial Pilsner

4. Uinta Crooked Line Detour Double IPA

5. Lost Abbey Red Barn

6. Deschutes Jubel 2010 (last case in the warehouse, when it's gone it's gone!)

7. Ommegang Gnommegang (Brasserie D'Achouffe/Ommegang Collaboration Blonde Ale)

8. Pretty Things Jack D'Or


cheers,

dave hauslein
beer manager
415-255-0610






Friday, April 22, 2011

Healthy Spirits: Stillwater/Mikkeller Collaborative Gypsy Ale: Our Side

Now in stock.

cheers,

dave hauslein
beer manager
415-255-0610

Monday, April 18, 2011

Upcoming Talks

I'll be giving at least two talks at conferences this year:

Ancestral Health Symposium; "The Human Ecological Niche and Modern Health"; August 5-6 in Los Angeles. This is going to be a great conference. Many of my favorite health/nutrition writers will be presenting. Organizer Brent Pottenger and I collaborated on designing the symposium's name so I hope you like it.

My talk will be titled "Obesity; Old Solutions to a New Problem." I'll be presenting some of my emerging thoughts on obesity. I expect to ruffle some feathers!

Tickets are going fast so reserve one today! I doubt there will be any left two weeks from now.


TEDx Harvard Law; "Food Policy and Public Health"; Oct 21 at Harvard. My talk is tentatively titled "The American Diet: a Historical Perspective." This topic interests me because it helps us frame the discussion on why chronic disease is so prevalent today, and what are the appropriate public health measures to combat it. This should also be a great conference.

Saturday, April 16, 2011

Obesity and the Fluid-in, Fluid-out Therapy for Edema

I recently attended a lecture by Dr. Arya M. Sharma here at the University of Washington. Dr. Sharma is a Canadian clinician who specializes in the treatment of obesity. He gave the UW Science in Medicine lecture, which is a prestigious invited lecture.

He spent a little bit of time pointing out the fallacy behind conventional obesity treatment. He used the analogy of edema, which is an abnormal accumulation of fluid in the body.

Since we know that the amount of fluid contained in the body depends on the amount of fluid entering the body and the amount of fluid leaving the body, the treatment for edema is obvious: drink less, pee more.

Of course, this makes no sense. It doesn't address the underlying cause of edema and it will not help the patient. Yet we apply that exact same logic to fat loss. Since the amount of energy contained in the body (in the form of fat) depends on the amount entering and the amount leaving, the solution is easy: eat less, move more. Well, yes, if you can stick to that program it will cause fat loss. But that's equivalent to telling someone with edema to drink less water. It will cause a loss of fluid, but it won't correct the underlying problem that caused excessive fluid retention in the first place.

For example, if you have edema because your heart isn't pumping effectively (cardiac insufficiency), the heart is the problem that must be addressed. Any other treatment is purely symptomatic and is not a cure.

The same applies to obesity. If you don't correct the alteration in the system that causes an obese person to 'defend' his elevated fat mass against changes*, anything you do is symptomatic treatment and is unlikely to be very effective in the long term. My goal is to develop a method that goes beyond symptomatic treatment and allows the body to naturally return to a lower fat mass. I've been doing a lot of reading and I have a simple new idea that I feel confident in. It also neatly explains the results of a variety of weight loss diets. I've dropped a few hints here and there, but I'll be formally unveiling it in the next couple of months. Stay tuned.


* The body fat homeostasis system. The core element appears to be a negative feedback loop between body fat (via leptin, and insulin to a lesser degree) and the brain (primarily the hypothalamus, but other regions are involved). There are many other elements in the system, but that one seems to set the 'gain' on all the others and guides long-term fat mass homeostasis. The brain is the gatekeeper of both energy intake and energy expenditure, and unconscious processes strongly suggest appropriate levels for both factors according to the brain's perceived homeostatic needs. Those suggestions can be overridden consciously, but it requires a perpetual high degree of discipline, whereas someone who has been lean all her life doesn't require discipline to remain lean because her brain is suggesting behaviors that naturally defend leanness. I know what I'm saying here may seem controversial to some people reading this, because it's contrary to what they've read on the internet or in the popular press, but it's not particularly controversial in my field. In fact, you'll find most of this stuff in general neuroscience textbooks dating back more than 10 years (e.g., Eric Kandel and colleagues, Principles of Neuroscience).

Friday, April 15, 2011

Help HWC Keep the Momentum Going!

As you know, HWC is the recipient of the YorIT Social Venture funding.  Help us keep the momentum building toward our opening.  Here's how you can help:

Have a green thumb?  Like digging in the dirt?  Help create our Community Garden Plot, HWC will participate in the York City community garden at 234 S Pershing Street. LOTS of work ahead preparing, planting, tending garden. If interested, please e-mail us at healthyworldcafe@gmail.com.

Help us spread the word about HWC at these upcoming events:

Olde York Street Fair, May 8th, 12:30 p.m. - 6 p.m. to staff a table with seed packets and brochures / share info about HWC.  Again, if you can help us, send an e-mail with your availability.

Advisory Group Meeting, Monday, June 6, 6:30 p.m., Friends Meeting House.  Advisory Group meetings are open to all, and we always welcome new advisory group members.  Bring a friend!

There are plenty of ways to help HWC in the coming weeks!  Get involved, volunteer, contribute.  Help us make HWC a reality!

Thursday, April 14, 2011

Healthy Spirits: New Arrivals




1. Djavlebryg Gudelos Imperial Stout


2. Bruery Saison De Lente


3. Bruery Rugbrod


4. Knee Deep Beautiful Blonde Ale


5. Knee Deep Hopstar IPA


6. Knee Deep Tamilla Porter


7. Iron Springs Kent Lake Kolsch


8. Iron Springs Epiphany Ale



cheers,

dave hauslein

beer manager

415-255-0610



Wednesday, April 13, 2011

HEALTHY SPIRITS: THE NEW STUFF


1. Sierra Nevada Old Chico Kristalweiss


2. Crispin Brownslane English Style Cider (16oz can)


3. Goose Island Sofie


4. Lagunitas Undercover Shutdown Ale


5. Firestone Walker Reserve Porter


6. Firestone Walker Double Jack


7. Uinta Dubhe Imperial Black IPA with Hemp Seeds


8. Uinta Sum'r Organic Ale


9. Uinta Wyld Organic Extra Pale Ale


10. Uinta 17th Anniversary Barleywine


11. Shipyard Double Old Thumper Ale


12. Lost Abbey Carnevale


13. Bayerischer Banhof Berliner Weisse


14. Mission Shipwrecked Double IPA


15. Port Brewing Mongo Double IPA


16. Tripel Karmeliet


cheers,


dave hauslein

beer manager

415-255-0610

Sunday, April 10, 2011

US Omega-6 and Omega-3 Fat Consumption over the Last Century

Omega-6 and omega-3 polyunsaturated fats (PUFA) are essential nutrients that play many important roles in the body. They are highly bioactive, and so any deviation from ancestral intake norms should probably be viewed with suspicion. I've expressed my opinion many times on this blog that omega-6 consumption is currently too high due to our high intake of refined seed oils (corn, soybean, sunflower, etc.) in industrial nations. Although it's clear that the quantity of omega-6 and omega-3 polyunsaturated fat have changed over the last century, no one had ever published a paper that attempted to systematically quantify it until last month (1).

Drs. Chris Ramsden and Joseph Hibbeln worked on this paper (the first author was Dr. Tanya Blasbalg and the senior author was Dr. Robert Rawlings)-- they were the first and second authors of a different review article I reviewed recently (2). Their new paper is a great reference that I'm sure I'll cite many times. I'm going to briefly review it and highlight a few key points.

1. The intake of omega-6 linoleic acid has increased quite a bit since 1909. It would have been roughly 2.3% of calories in 1909, while in 1999 it was 7.2%. That represents an increase of 213%. Linoleic acid is the form of omega-6 that predominates in seed oils.

2. The intake of omega-3 alpha-linolenic acid has also increased, for reasons that I'll explain below. It changed from 0.35% of calories to 0.72%, an increase of 109%.

3. The intake of long-chain omega-6 and omega-3 fats have decreased. These are the highly bioactive fats for which linoleic acid and alpha-linolenic acid are precursors. Arachidonic acid, DHA, DPA and EPA intakes have declined. This mostly has to do with changing husbandry practices and the replacement of animal fats with seed oils in the diet.

4. The ratio of omega-6 to omega-3 fats has increased. There is still quite a bit of debate over whether the ratios matter, or simply the absolute amount of each. I maintain that there is enough evidence from highly controlled animal studies and the basic biochemistry of PUFAs to tentatively conclude that the ratio is important. At a minimum, we know that excess linoleic acid inhibits omega-3 metabolism (3, 4, 5, 6). The omega-6:3 ratio increased from 5.4:1 to 9.6:1 between 1909 and 2009, a 78% increase.

5. The biggest factor in both linoleic acid and alpha-linolenic acid intake changes was the astonishing rise in soybean oil consumption. Soybean oil consumption increased from virtually nothing to 7.4% of total calories, eclipsing all sources of calories besides sugar, dairy and grains! That's because processed food is stuffed with it. It's essentially a byproduct of defatted soybean meal-- the second most important animal feed after corn. Check out this graph from the paper:

I think this paper is an important piece of the puzzle as we try to figure out what happened to nutrition and health in the US over the last century.

Saturday, April 9, 2011

HWC Wins YorIT Social Venture Challenge and $20K in funding!

Reprinted from www.yorit.org:

YorIT Social Venture Challenge  
Healthy World Cafe Receives $20,000 as Winner of 2011 YorIT Social Venture Challenge

April 8th, 2011 – Tonight the YorIT membership selected Healthy World Café as the winner of this year’s Social Venture Challenge and the recipient of $20,000 in start-up funds. Healthy World Café is a 21st-Century, nonprofit restaurant concept in downtown York that will provide healthy meals made from local ingredients at a price each customer decides he/she can afford. The Café will offer an accessible community gathering place where all are welcome and local food, art and music are promoted. Healthy World Café seeks to offer a new dining experience that brings people to downtown York and supports the local economy. Funding from YorIT will support the start-up costs for the Healthy World Café, which plans to be self-sustaining within a year of opening. Philanthropic Endeavors is the fiscal agent for this initiative.

YorIT members made their decision following live pitches from all three Social Venture Challenge finalists: Downtown Delivered, Healthy World Café and Y-FI. The event took place at the Capitol Theatre in Downtown York before a live audience made up of YorIT members, mentors and supporters, as well as interested community stakeholders, potential investors and members of the public. Members who were unable to attend the Finalist Event in person were encouraged to submit their vote by proxy.

The YorIT Social Venture Fund was created through the annual contributions of YorIT members to effect change in our community in a way that is meaningful to our generation. Our membership seeks to fund passionate and creative individuals with ideas that are innovative, feasible and sustainable, and which may not have attracted support from traditional funding sources.

The goal of this year’s YorIT Social Venture Challenge was to fund initiatives with the potential to help attract and retain restaurants and retailers in Downtown York. YorIT used social media, public relations and a guerilla marketing effort to generate interest in this year’s Challenge, which yielded seven exciting video proposals from non-traditional applicants. The videos, uploaded to YouTube, have attracted hundreds of viewers and demonstrate the creative energy Yorkers offer to our community.

The YorIT Challenge Committee, after declaring any potential conflicts of interest, screened those proposals for initial feasibility and potential impact and invited four groups in for second round interviews. Again, potential conflicts were declared and committee members abstained from interviews and deliberations as appropriate. The Selection Committee ultimately narrowed the field down to two finalists, who were soon joined by a third who was able to take the steps recommended by the Committee in order to move them forward as finalists.

We were very proud to put forward three compelling and uniquely different ideas to benefit our downtown. Each was vetted for feasibility, sustainability and potential impact. It is our hope that while Healthy World Café is the recipient of this year’s Challenge Funds, all three finalists will have found the evening to be a platform from which their initiatives were able to generate interest and support from the greater community.

You can learn more about the Healthy World Café at their website: www.healthyworldcafe.org

Also please view their video proposal here:


  • Healthy World Café: View Video

    Below you will find some brief information about the other two finalists, including a link to the video proposal that they submitted to be considered for this year’s challenge. We encourage you to contact each group directly for more information about their initiatives and how you might support their efforts.

    2011 YorIT Social Venture Challenge Finalists:

    Downtown Delivered is bicycle delivery service for downtown restaurants and food vendors. Beginning two days a week with Central Market vendors, the company seeks to bring market-fresh meals to time-strapped downtown businesses and families, while offering downtown restaurants and retailers an opportunity to increase sales. The company has a commitment to providing quality, fresh foods, delivered on bicycles to reduce carbon emissions and traffic congestion. The critical feature of this service is the development of an online ordering system that keeps track of available products in real-time. Funding from YorIT would have supported the development of the software and initial start-up costs for Downtown Delivered. Philanthropic Endeavors is the fiscal agent for this initiative.




  • Downtown Delivered: View Video

    Y-FI is an existing community wireless internet project, sharing local resources to benefit the community at large and support economic growth in Downtown York City. The proposal seeks to significantly expand the Y-FI wireless network in York’s Central Business District. Y-FI, under the exclusive direction of Bob Mock, has already established wireless systems in Central Market and several other downtown businesses, making them “third places” where individuals can hang out and stay in touch. Funding from YorIT would have allowed the network to expand its reach by adding approximately 30 additional wireless points and providing back-up technical support. The more connections that are established, the greater the strength of the network. Y-FI recently partnered with the York County Economic Development Corporation (YCEDC) and its nonprofit subsidiary PEDYC, strengthening the initiative’s sustainability and scalability.



  • Y-fi: View Video




  • http://www.myyfi.com/.

    Thank you for your support as we continue to seek creative and compelling ideas to improve the quality of life in our community. We look forward to sharing information about next year’s Challenge in the months to come.









  • Friday, April 8, 2011

    Healthy Spirits: NEW HOURS


    Monday-Thursday: 10AM-10PM

    Friday: 10AM-11PM

    Saturday:11AM-11PM

    Sunday:11AM-9PM


    cheers,


    dave hauslein

    beer manager

    415-255-0610


    Healthy Spirits: Drake's Drakonic




    We are happy to announce the arrival of Drake's Brewing Company's DRAKONIC Imperial Stout!


    FROM THE LABEL: "You are holding a Drake's Drakonic Imperial Stout, a big malty beast of a beer that exemplifies how we roll here at Drake's. Two-row malt is blended with chocolate malt, roasted barley, and dark Crystal malts to make up the grist. Only one hop addition, Colombus for bittering, is added so that the abundance of malt in this beer can shine through. Enjoy the dense brownish head, ther silky maltiness, flavors reminiscent of licorice, coffee & chocolate, and the slightly dry finish. Here's to those who don't fear the mighty!"



    Come and get it!



    cheers,

    dave hauslein

    beer manager

    415-255-0610

    Thursday, April 7, 2011

    Healthy Spirits: New Arrival



    The Mikkeller Big Worst Barleywine has arrived! Clocking in at 18.5%ABV, this is a great sipper from one of Europe's most innovative breweries. Drink it!




    cheers,




    dave hauslein


    beer manager


    415-255-0610






    Healthy Spirits: The New Stuff


    1. Avery Maharaja


    2. St. Bernardus Witbier


    3. He'Brew Bittersweet Lenny's Rye IPA 4 packs


    4. Bateman's Mr. George's Ruby Porter


    5. Gouden Carolus Cuvee Van De Kaiser Blauw 2008 Magnum


    6. Spire Mountain Pear Cider


    7. Grand Teton Persiphone Imperial Pilsner


    8. Hair of the Dog Blue Dot IPA


    9. Victory Golden Monkey is back!


    cheers,


    dave hauslein

    beer manager

    415-255-0610


    Wednesday, April 6, 2011

    Healthy Spirits: New Arrivals


    1. Nogne-O Red Horizon

    2. Nogne-O Dark Horizon Batch #3

    3. Mikkeller Beer Geek Brunch

    4. Mikkeller Rauch Geek Breakfast

    5. Mikkeller Beer Hop Breakfast

    6. Beer Here Morke Pumpernickel Porter

    7. Mikkeller Koppi

    8. Djaevlebryg Old Mephisto

    9. Mikkeller 10

    10. Mikkeller Green Gold IPA

    11. XBeeriment Black Force One


    cheers,

    dave hauslein

    beer manager

    415-255-0610




    Tuesday, April 5, 2011

    Fat-ten-u

    I recently bought the book Food in the United States, 1820s-1890. I came across an ad for an interesting product that was sold in the late 1800s called Fat-ten-u. Check your calendars, it's not April fools day anymore; this is for real. Fat-ten-u was a dietary supplement guaranteed to "make the thin plump and rosy with honest fleshiness of form." I found several more ads for it online, and they feature drawings of despondent, lean women and drawings of happy overweight women accompanied by enthusiastic testimonials such as this:
    "FAT-TEN-U FOODS increased my weight 39 pounds, gave me new womanly vigor and developed me finely. My two sisters also use FAT-TEN-U and because of our newly found vigor we have taken up Grecian dancing and have roles in all local productions."
    I'm dying to know what was in this stuff, but I can't find the ingredients anywhere.

    I find this rather extraordinary, for two reasons:
    • Social norms have clearly changed since the late 1800s. Today, leanness is typically considered more attractive than plumpness.
    • Women had to make an effort to become overweight in the late 1800s. In 2011, roughly two-thirds of US women are considered overweight or obese, despite the fact that most of them would rather be lean.
    A rhetorical question: did everyone count calories in the 1800s, or did their diet and lifestyle naturally promote leanness? The existence of Fat-ten-u is consistent with the idea that our bodies naturally "defended" a lean body composition more effectively in the late 1800s, when our diets were less industrialized. This is supported by the only reliable data on obesity prevalence in the 1890s I'm aware of: body height and weight measurements from over 35,000 Union civil war veterans aged 40-69 years old (1). In that group of Caucasian men, obesity was about 10% of what it is today in the same age group. Whether or not you believe that this sample was representative of the population at large, I can't imagine any demographic in the modern US with an obesity prevalence of 3 percent (certainly not 60 year old war veterans).

    Here are two more ads for Fat-ten-u and "Corpula foods" for your viewing pleasure:

    Friday, April 1, 2011

    Great New Product

    Do you feel sad sometimes? Are you tired when you get up in the morning? Do you get winded running sprint intervals? I've just found a great new product that I think can help. It's called bozolol.

    Bozolol is an amazing nutritional supplement extracted from the bozolol berry, harvested wild in the heart of the Amazon rainforest. To the native Ilotaca tribe, the bozolol berry is sacred because it alters the molecules in your brain to make you smarter AND sexier.

    Here's how it works: bozolol actually
    increases the uptake of fat-soluble vitamins from your food, while reducing inflammation in the arteries and helping you shed fat faster than a pork roast! Guaranteed! Learn more about it here

    April fools!

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