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New AAP Guidelines on Childhood Obesity [Emily Oster, ParentData]

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• The American Academy of Pediatrics released new guidelines for pediatricians on childhood obesity, which have been met with criticism from all sides.
• The guidelines suggest a more aggressive approach to obesity in children and adolescents, up to and including medication and surgery.
• The guidelines have been met with criticism due to the way society has associated overweight and obesity with value, as well as the data behind the guidelines.
• The two fundamental disagreements are whether childhood obesity is a health concern and whether there is anything effective to do about it.
• Intensive health behavior and lifestyle treatment is expensive, not widely available, and has small impacts.
• Medication for children 12 and over and bariatric surgery for children 13 and over with severe obesity are also suggested, but have their own issues.
• More evidence is needed on what might work, as well as discussion of the mental health impacts of these interventions on kids.
• The problem is difficult to solve and requires more work to be done.

Published February 6, 2023
Visit ParentData to read Emily Oster’s original post New AAP Guidelines on Childhood Obesity

Americans have been gaining weight for as long as records exist [Matthew Yglesias, Slow Boring]

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• Obesity has been a growing problem since the late 19th century, not just since 1980.
• The population aging has a mechanical impact on average obesity that is unrelated to changes in diet and nutrition.
• The average Americans’ weight change since the 1980s is startling, but the data suggests a much more boring story about a long-term increase in average weight punctuated by the Great Depression and World War II.
• Food insecurity was incredibly common for most of human history, but now spending on groceries has plummeted as a share of household spending.
• Food is also better across many dimensions of betterness, from ultra-processed junk food to home cooking.
• The downside to living in a society with a great deal of material abundance is that it is much less common to need to choose between going hungry and eating something you don’t like.

Published February 2, 2023
Visit Slow Boring to read Matthew Yglesias’s original post Americans have been gaining weight for as long as records exist

The Epidemic of #DiedSuddenly [Vinay Prasad, The Free Press]

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• Damar Hamlin’s near-death experience on national television has sparked speculation that Covid vaccines are the cause of sudden deaths among young, seemingly healthy people.
• The hashtag #DiedSuddenly has been used to track these unexpected deaths, and an anti-vaccine documentary has been seen by millions.
• Side effects of the vaccine include short-term effects such as arm pain, chills, fever, and headache, as well as more serious events such as myocarditis, a clotting condition, and blood clots in the lungs.
• Myocarditis is more common in young males and occurs more often after the second dose of vaccine, particularly with Moderna.
• Two recent studies have raised concerns about the connection between the mRNA vaccines and myocarditis, and the potential risk of strokes in people over 65 with the Pfizer bivalent booster.
• It is difficult to determine the cause of cardiac arrest in a seemingly healthy person, and an autopsy may be needed to reveal acute inflammation of the heart.
• Recent op-ed in *The Wall Street Journal* asserted that there were many “excess deaths” in 2020 and 2021 that were not attributable to Covid.
• These non-Covid deaths were disproportionately among young adults and likely already exceed 250,000.
• Americans have good reasons for their skepticism of public health leaders due to their denial of evidence and lack of transparency.
• Vaccines do not prevent people from getting or spreading Covid-19, and natural immunity from contracting Covid-19 is not considered when making vaccination recommendations.
• FDA is expected to call for an annual dose of a Covid-19 vaccine, but without studies looking into whether these vaccines provide sufficient protection to make any risks worthwhile.

Published January 25, 2023
Visit The Free Press to read Vinay Prasad’s original post The Epidemic of #DiedSuddenly

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