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                How my guilty pleasure could make you healthier
                  13th March 2009 
				• How my guilty pleasure could make you healthier 
                  
                 • Watch your waist and keep obesity at bay 
                  
                 • How the world's ugliest plant can reduce hunger 
                  
                 I have a confession to make... 
                  
                 I love Holby City. 
                  
                 Well, maybe love is too strong a word. I don't  
                 serenade it or send it chocolates, but if it's on when  
                 I'm in I watch it. And recently I've even started  
                 recording it if I'm out. 
                  
                 Of course, most weeks plot lines are taken up with  
                 who's sleeping with who, who's fallen out with who,  
                 and sometimes - when it gets really confusing - who's  
                 sleeping and falling out with who at the same time. 
                  
                 But this week's episode made an interesting point... 
                  
                 A man was admitted to hospital suffering from chest  
                 pains and a terrible hacking cough. 
                  
                 His usually doctor had been treating him for five  
                 years. He'd had various operations, had been given  
                 various treatments, but the real cause of the problem  
                 was simple... 
                  
                 It was him. 
                  
                 This guy smoked like a chimney and ate out at  
                 restaurants practically everyday, not skimping on the  
                 cheese board by the looks of it. 
                  
                 He was seriously overweight, he drank too much  
                 alcohol, he smoked... and as a result he was slowly  
                 but surely killing himself. 
                  
                 Now, over the course of these five years, the doctors  
                 had recommended he cut out the fags and booze, and  
                 eat more healthily... but he never did. 
                  
                 He blamed it on his job (he was in some sort of  
                 corporate fundraising job which involved a lot of  
                 entertaining)... but then it's ALWAYS easy to blame  
                 your problems on something else. 
                  
                 But Holby had put a new policy in place called Zero  
                 Tolerance. 
                  
                 Basically, this meant that the hospital would treat  
                 people in an emergency, or who were ill by accident or  
                 through no fault of their own. But if their illness was a  
                 direct result of their behaviour, the hospital would not  
                 help them until they started helping themselves.
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                In this case, the hard drinking, hard smoking, hard  
                 eating man was told to have a meeting with the  
                 nutritionist, start living more healthily, and lose two  
                 stone. The doctor wanted to see him in two months to  
                 see how he was progressing, but refused to give him  
                 drugs or keep him on the ward until he started taking  
                 responsibility for his own health. 
                  
                 Naturally this lead to people sleeping and falling out  
                 with each other, but it raised a very good point - and  
                 one that I agree with to an extent... 
                  
                 People SHOULD take more responsibility for their  
                 own health. It's up to us to look after ourselves and  
                 doctors to look after us when things go wrong. But we  
                 need to make an effort in the first place... 
                  
                 And keeping your weight in check in a great place to  
                 start. 
                  
                 Watch your waist and keep obesity at bay 
                  
                 There are dozens of ways to find out if you're  
                 overweight, but new evidence suggests that the best  
                 way is to look at your hips and waist. 
                  
                 Apparently, the amount of body fat stored around the  
                 abdomen, compared that stored on the hips, is a more  
                 accurate gauge of likely health risks than BMI (Body  
                 Mass Index). 
                  
                 To check your fat distribution, simply divide your  
                 waist size by your hip size. This will give you your  
                 ratio. 
                  
                 So if you have a 30-inch waist and 40-inch hip  
                 circumference, your ratio would be 0.75. 
                  
                 But if you have a 41-inch waist and 39-inch hips, then  
                 it's ratio of 1.05. 
                  
                 It's clear that the lower ratio you have, the better off  
                 your health is likely to be. 
                  
                 The risk of heart disease rises sharply for women with  
                 ratios above 0.8 and for men with ratios above 1.0. | 
               
              
                Here's a basic guide: 
                  
                 - Women whose waistlines are over 31.5 inches and  
                  men whose waists measure over 37 inches should  
                  watch their weight. 
                  
                 - Any more than 35 inches in women and 40 inches in  
                  men has been associated with an increased risk of heart  
                  disease. 
                  
                 (In one 2000 study, a high triglyceride level, along  
                 with a waist measurement of over 36 inches, meant a  
                 higher likelihood of heart problems for men.) 
                  
                 So, what do you do if you have too much fat around  
                 your waist, but just can't stop eating? 
                  
                 Maybe a remote desert tribe in Africa have the  
                 answer... 
                  
                 How the world's ugliest plant can reduce hunger 
                  
                 The world has many ugly, menacing looking plants,  
                 but this one wins first prize. 
                  
                 The Hoodia Cactus sprouts about 10 spiky tentacles the  
                 size of long cucumbers. Inside is an unpleasant-tasting,  
                 fleshy substance. 
                  
                 (Are your taste buds going yet?) 
                  
                 The thing is, this plant could hold the answer to the  
                 problem of over-eating. 
                  
                 The San Bushmen of the Kalahari, one of the world's  
                 oldest tribes, have eaten the Hoodia for thousands of  
                 years to stave off hunger during long hunting trips. 
                  
                 When South African scientists tested it, they  
                 discovered a previously unknown molecule - now  
                 called P 57. 
                  
                 Turns out, it's a natural appetite depressant. 
                  
                 One BBC reporter was brave enough to travel out to  
                 the desert and meet this prickly monster face to face. | 
               
              
                She ate about a couple of mouthfuls of Hoodia at about  
                 six in the evening, then began the long haul back to  
                 Capetown. 
                  
                 She went to bed around midnight without eating and  
                 skipped breakfast the next day. She managed some lunch  
                 without really feeling hungry. 
                  
                 Her full appetite gradually returned that evening, 24  
                 hours after eating Hoodia. 
                  
                 And this doesn't seem to be a one off reaction. 
                  
                 When the first human clinical trial was conducted, a  
                 morbidly obese group of people were told to watch  
                 television, read and eat. 
                  
                 Half were given Hoodia, half a placebo. 
                  
                 Fifteen days later, the Hoodia group had reduced their calorie  
                 intake by 1000 a day! 
                  
                 How P57 works 
                  
                 Dr Richard Dixey explains how P 57 actually works: 
                  
                 'There is a part of your brain, the hypothalamus. Within  
                 that mid-brain there are nerve cells that sense glucose  
                 sugar. 
                  
                 'When you eat, blood sugar goes up because of the food,  
                 these cells start firing and now you are full. 
                  
                 'What the natural cactus Hoodia seems to contain is a  
                 molecule that is about 10,000 times as active as glucose. 
                  
                 'It goes to the mid-brain and actually makes those nerve  
                 cells fire as if you were full. But you have not eaten. Nor  
                 do you want to.' 
                  
                 So if I don't get a padlock for the fridge door, I should try  
                 Hoodia. 
                  
                 But if you're tempted to take it, make sure you consult your  
                 doctor first. 
                  
                 That's all for today. 
                  
                 I'll be back again on Sunday with my news, tips and ideas to  
                 help keep you healthy and happy! | 
               
               
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