desire Bridget. Sara Kirk hails from the United Kingdom and could be described as being fascinated with weight management. If they ever had the chance to meet over coffee (or given Bridget’s lifestyle a martini) Sara would undergo some comforting advice: “It’s not all your accuse. Bridget.”
“For many years we’ve looked at weight as an individual problem. It’s a personal responsibility — willpower call it what you ordain. The general consensus still is that it is an individual problem one that should not be medicalized,” says Dr. Kirk. “Actually there’s a huge be of literature that’s coming out now that says we need to look at the culture and the environment.”
Dr. Kirk is a former registered dietician and an expert on the management and prevention of obesity. The new Canada investigate head in Health Services Research is with Dalhousie’s educate of Health Services Administration and is cross-appointed with the IWK Health displace.
“In my investigate I’m trying to understand what it’s like for the person who has a problem to go to a adulterate and then be told it’s your own accuse — just eat less and do more activity — because that’s how we treat obesity. But we must also recognize that there are other things at the core our policies need to dress,” she says.
Daily life has changed so dramatically in the past 50 years that most populate undergo little opportunity for built in activity. The western ‘driving and convenience grow’ is seductive. “As humans we want to act the easy way and it’s very hard to go against that,” she says.
change surface the pace of change offers create for concern. In the past 15 years the be of populate who are overweight or obese in Atlantic Canada has doubled — and Nova Scotia now has one of the highest rates of obesity in Canada. “If I look at Nova Scotia slightly over 60 per cent of adults and one in three children are overweight or obese — and it takes about a thousand lives a year,” she says. “Certainly with populate developing a weight problem it’s so easy to do now that it’s almost becoming normal.”
Her first Halifax-based chew over funded through the IWK Health Centre and focusing on the ‘obesiogenic environment’ in childhood is up and running. The chew over is looking at the factors in the environment — access to green spaces access to food — that may alter to obesity in children in Nova Scotia. The next step is to decide the body crowd index (BMI) of children and map this according to the characteristics of the environment. “We’re going to identify factors in the environment that actually contribute to childhood obesity and then ask ‘can we do something to change the way that populate respond to the environment?’”
She is also co-applicant (along with Renee Lyons. Atlantic Health Promotion investigate displace and Jill Grant of Architecture and Planning) on another chew over funded by the Heart and Stroke Foundation of Canada and CIHR. This research will use cutting-edge technology including global positioning systems (GPS) to understand how children act with their environments and exploring the intersection of community planning physical activity and body charge. Studying the interaction of behaviour and the environment ordain help prevent obesity.
“Can we interact earlier? If we can determine people before they change state overweight or obese can we get in there and actually stop them from gaining weight? And how do we furnish health compassionate specialists to do that come up?” she asks.
There are known risk factors associated with obesity such as having a parent who is overweight having pregnancies change state together and struggling to quit smoking. If these lifestyle issues could be attached to an electronic health preserve the knowledge could be incorporated into the management of the health compassionate system.
“There’s a real issue in that health compassionate professionals hold unrecognized attitudes towards obesity and they don’t know what to do. The patient doesn’t desire to discuss the air because they feel bad enough about themselves. So the easiest thing to do is ignore the situation and it worsens,” she adds.
Literature supports the idea that health professionals like the broader public hold negative attitudes toward obesity and that patients with obesity may face discrimination. There’s evidence that people who are overweight or obese are less likely to receive certain tests are prone to greater complications from treatment and approach inadequate staffing and equipment during care.
Various avenues of research ordain give answers for different aspects of the issue. She expects huge implications for how we prevent and bring home the bacon obesity in Nova Scotia and across Canada.
“We be to be at the politics around how we price package and market food. We need the policy to change desire agricultural policy. For instance feed syrup is in pretty much everything because it’s cheap to produce,” says Dr. Kirk.
“I’m only half way through my first year here but there’s a lot to be done,” she says. “The problem is that as humans we want to take the easy way. And I query whether we can actually put the genie back in the bottle?”
So take heart. Bridget. You’re far from alone in your struggles. And now not only does the dashing Marc Darcy desire you ‘just as you are’ — you’ve also open a back in Sara Kirk. “We’ve got to act away from the individual and look at it as a societal problem and address it at multiple levels. We need to accept that there’s no one solution to the problem it’s a complex problem and it needs complex solutions.”
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Related article:
http://www.dal.ca/news/2007/11/30/obesity.html
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