Four Part Agenda Part I. Whats the Problem Part II. How Our Culture Has Changed Part III. Culture is the Cause: A New Culture is the Solution Part IV. How to Create a New Culture By Creating Islands of Health
What is the Problem? Our food and activity patterns have changed Our nations health is poor and getting worse Individuals are dying prematurely and quality of life is declining Health care costs continue to increase which creates a burden to employers
How Do We Fix the Problem? 1.We need to know what is causing these changes. 2.We need to address the direct cause.
What is Causing These Changes? Genetics? Environmental toxins or chemicals? Something in the air or water? Changes to our culture? Something else?
It is actually cheaper to eat fast food than cook healthy food at home here. There is now an overrepresentation of cheap fast food in the region which is driving our diabetes epidemic. Dr. Darwiche Rashid Center for Diabetes United Arab Emirates
Lifetime Risk of Diabetes for Children Born in 2000 Venkat Narayan, JAMA 2003;290:1884 49%
Diabetes Among the Pima One-half of adult Pima Indians have diabetes and 95% of those with diabetes are overweight. Am. J. Epidemiol. (1978) 108 (6):497-505.
Proof Summary: Greater exposure to a Western culture is associated with greater obesity and diabetes Rapid acculturation is associated with rapid declines in health Health worsens faster for those who were healthiest to begin with (Pima)
Treatment Protocol 1.TLC (Therapeutic Lifestyle Change) 2.Medications Most physicians dont believe patients are able to change lifestyles.
Percent of Adults Overweight USA England Canada Austria France Korea Brazil
Common Questions: Are we sure its our culture? Are we confident we know what our ancestors ate? Who wants to live like a caveman? Humans are living longer, how can there be a problem with our health? Isnt this just your opinion?
Summary Our health is getting worse Our culture is the most likely culprit There is nothing we can do to speed up human adaptation Since we cannot change our genetics, the only thing we can change is our culture and environment
Up next.. Part II How Our Culture Has Changed We will discuss the only realistic solution to our poor health We will learn how and why our current culture has changed. We will understand the different pieces of our unhealthy culture and how to avoid or replace them