LIST OF PHYSICIANS - cia.gov · Title: LIST OF PHYSICIANS Subject: LIST OF PHYSICIANS Keywords
Thanks to the Physicians Committee for Responsible Medicine for content used in this presentation....
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Transcript of Thanks to the Physicians Committee for Responsible Medicine for content used in this presentation....
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Thanks to the Physicians Committee for Responsible Medicine for content used in this presentation. Learn about PCRM.
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Can foods be addicting? Can foods be addicting?
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How to Magnetize a Baby
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Blass EM. Devel Psychol 2001;37:762-74.
University of Massachusetts at Amherst
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Sugar
Sugar → opiate release → ↑ dopamine Sugar → opiate release → ↑ dopamine
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Sugar
• Reduces crying in healthy newborns
• Reduces visible reaction to heel-stick and circumcision
• Has no effect in infants of opiate-addicted mothers
Smith BA. Devel Psychol 1990;26:731-7. Blass EM. Monogr Soc Res Child Dev 1994;59:1-96.
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Is Sugar a Problem?
Sugar, 1 teaspoon
Chocolate chip cookies (2)
Soda, 20 ounces
Twizzlers (2.5 oz.)
Calories
15
90
250
263
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Soda Serving Sizes
6-ounce bottles
12-ounce cans
16-ounce bottles
20-ounce bottles
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Coca-Cola (20 oz.)
• 68 grams sugar + 78 mg caffeine
• 250 calories
Pennington, Bowes and Church's Food Values of Portions Commonly Used (Philadelphia: Lippincott-Raven, 1998)
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Coca-Cola
“Caffeine is not addictive.”
From the Coca-Cola Web site:
www2.coca-cola.com/contactus/myths_rumors/ingredients_addictive.html
accessed February 15, 2005
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Spot the Addicting Food
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Say “Cheeeeeese!”
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Casomorphins
Opiates that form as casein (milk protein) is digested.
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Casomorphins
From ß-casein:ß-casomorphin-7 Try-Pro-Phe-Pro-Gly-Pro-Ile
ß-casomorphin 5 (bovine) Tyr-Pro-Phe-Pro-Gly
ß-casomorphin 5 (human) Tyr-Pro-Phe-Val-Glu
Morphiceptin Tyr-Pro-Phe-Pro-NH2
From as1-casein:a-Casein exorphin Arg-Gly-Phe-Gin-Asn-Ala
Shah NP. Br J Nutr 2000;84(suppl 1):S3-S10.Teschemacher H. J Dairy Res 1986;53:135-8.
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Cheese (2 oz.)
Brie
Cheddar
Feta
Goat
Mozzarella
Swiss
Calories
190
228
150
206
160
214
Fat (grams)
16
19
12
17
12
16
Pennington, Bowes and Church's Food Values of Portions Commonly Used (Philadelphia: Lippincott-Raven, 1998)
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Cholesterol (per ounce)
Brie
Cheddar
Feta
Roast sirloinChicken breast (whole)
Chicken breast (skinless)
Beans, grains
Vegetables, fruits
Cholesterol
28
30
25
25
24
20
0
0
Pennington, Bowes and Church's Food Values of Portions Commonly Used (Philadelphia: Lippincott-Raven, 1998)
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Dairy Products
Arthritis
Migraine
Digestive Problems
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Milk and Prostate Cancer
Ganmaa D, Li X, Wang J, Qin L, Wang P, Sato A. Int J Cancer 2002:98,262-267.
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Physicians’ Health Study (Harvard)
≥ 2.5 servings/day of dairy products
20,885 physicians
34% increased risk
of prostate cancer
Relative risk: 1.34 (1.04-1.71)
Chan JM. Am J Clin Nutr 2001;74:549-54.
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Health Professionals Follow-up Study (Harvard)
• Relative risk for advanced cancer: 1.6 (95% CI, 1.2-2.1)
• 83% of milk consumed was skim or lowfat
Giovannucci E. Cancer Res 1998;58:442-7.
> 2 servings/day of milk
47,781 health professionals
60% increased risk
of prostate cancer
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• Men and women aged 55 to 85 years
• 3 8-oz servings of milk for 12 weeks
Serum IGF-I 10% (P<.001)
Heaney RP. J Am Dietetic Asso 1999;99:1228-33.
Milk Raises Insulin-Like Growth Factor-IMilk Raises Insulin-Like Growth Factor-I
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Wendy’s “Cheddar Lover’s Bacon Cheeseburger”
promotion sold:
• 2.25 million pounds of cheese
• 380 tons of fat
• 1.2 tons of pure cholesterol
USDA Report to Congress on the Dairy Promotion Programs, 2000
The U.S. Government at WorkThe U.S. Government at Work
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• Wendy’s “Cheddar Lover’s Bacon Cheeseburger”
• Subway’s “Chicken Cordon Bleu,” “Honey Pepper Melt”
• Pizza Hut’s “Ultimate Cheese Pizza”
• Burger King, Taco Bell
USDA Report to Congress on the Dairy Promotion Programs, 2000
The U.S. Government at WorkThe U.S. Government at Work
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Dick Cooper, Vice President of Cheese Marketing, Dairy Management, Inc., at the “Cheese Forum,” December 5, 2000. USDA Report to Congress on the Dairy Promotion Programs, 2000
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“Would you give up meat for a week for $1,000?”
1,244 adults, surveyed April 2000
Answered “No”:
White Americans: 24%
Black Americans: 29%
Asian Americans: < 10%
Hispanic Americans: < 10%
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Opiate Blockade Cuts Meat Appetite
Ham ↓ 10%
Salami ↓ 25%
Tuna ↓ ~ 50%
Yeomans MR, Wright P, Macleod HA, Critchley JAJH. Effects of nalmefene on feeding in humans. Psychopharmacology 1990;100:426-32.
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Benefits of Meatless Diets
• Reverse heart disease
• Lose ~ 10% of body weight
• ↓ cancer risk by ~ 40%
• ↓ blood pressure
• Improve or reverse diabetes
• ↓ risk of Alzheimer’s disease?
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Top 10 Rationalizations
7. You’ve got to die of something.
8. I’m a blood type O, so I have to eat meat.
9. Diet advice is always changing. Just eat what you want.
10. My grandfather smoked, drank, and ate all the wrong things and lived to be 90.
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Top 10 Rationalizations
4. The stress of denying yourself is worse than “giving in.”
5. Healthy eating is time-consuming.
6. Healthy eating is expensive.
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Top 10 Rationalizations
1. There are no bad foods, only bad diets.
2. All foods can fit. Everything in moderation.
3. I can exercise these extra calories off.
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Care-Givers’ Rationalizations
“We have to follow people’s tastes.”
“We have to stick to people’s cultures.”
“We need more research before we can say anything.”
“My patients would rather just pop a pill.”
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Breaking Free
Avoid temptation and triggering circumstances.
Ask family and friends for support.
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Online Information and Support
PCRM.orgNutritionMD.org
Physicians Committee for Responsible Medicine 5100 Wisconsin Avenue NW, Suite 400
Washington, DC 20016202-686-2210
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Thank you.