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Keenan: Male body image — we are what we eat – Calgary Herald

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An entire special issue of the journal Body Image was just devoted to the role of social media in shaping how we present ourselves to the world. The editors note that “younger adolescents, women, and individuals who value appearance as measures of attractiveness and self-worth might be most likely to experience negative outcomes of social media.”

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I was expecting to see a lot of discussion about female body issues in this journal, with scant coverage of the male side. This is a pet peeve since I know body image is a growing concern for many guys.

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I was pleasantly surprised. One article explored male/female differences when it comes to “intuitive eating,” which the authors describe as having four components. One is “a willingness to eat when hungry rather than relying on cognitive rules to dictate when, what, and how much to eat.” The second component, according to lead author Kristen Murray of the Australian National University, is “eating in response to physical rather than emotional hunger.” Murray goes on to explain that intuitive eaters “trust their internal signals to guide eating” and also that they make “food choices that largely nourish and support the health and functioning of the body.”

Murray and her colleagues studied an equal number of men and women and found that men scored significantly higher on most of the measures of intuitive eating. The authors suggest that this is largely due to “greater intensity and frequency of pressures around appearance in women” and suggest campaigns to promote intuitive eating, especially by women.

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It’s important to recognize that eating issues can definitely affect boys and men and are almost certainly being heightened by online information and social media promoting certain body images and eating practices. According to the website eatingdisorderhope.com, 25 per cent of those diagnosed with eating disorders are males. They are typically struggling with anorexia nervosa, which is a problem for both genders, though perhaps with different motivations. The website explains that “Women that restrict their intake to alter their bodies are often attempting to achieve thinness. Men, however, are often attempting to become leaner yet toned. This is likely due to societal pressures regarding what a male body ‘should’ look like versus a female body.”

Another website, nationaleatingorders.org confirms that 25 per cent of males figure for anorexia nervosa. It also cites figures for binge eating disorder, where males make up 36 per cent of reported cases, and bulimia nervosa, which involves purging, at 25 per cent males. This site goes on to state that “eating disorders have the highest mortality rate of all mental illnesses.”

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That website lists some sub-clinical eating disorders like binge eating and taking laxatives. It includes fasting among these. I think a bit more subtlety is in order there. Fasting can certainly be a symptom of an eating disorder, but it is increasingly recognized as a legitimate eating strategy for many people.

American chiropractor Dr. Mindy Pelz has written extensively on this subject. However, guys are not likely to pick up her books since they have titles like Fast Like a Girl and The Menopause Reset. That’s a shame because there are some fascinating ideas in them.

Pelz claims that something as simple as restricting the timing of your eating can have huge benefits. She recommends going for 13 to 15 hours without food, claiming this will help regulate blood sugar levels, and even cause the body to kill off cells that are not performing in the way the body requires. In one of her videos “My 5-1-1 Diet Variation” she suggests five days a week of intermittent fasting of the 13- to 15-hour variety, one super day of almost complete fasting (22 to 24 hours), followed by a day of feasting. She claims this eating pattern derives from our hunter-gathering ancestors. She says they feasted when they had a fresh kill and lived on nuts and berries the rest of the time.

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One thing I have learned about diets is that they are very personal. Whether you are a man or a woman, you have to find your own eating “sweet spot,” though I can tell you it probably doesn’t contain a lot of candy bars or sugared cereals. 

I’ll share my own experience, which is that I have my weight just where I want it through a combination of laying off most carbohydrates and restricting eating to an eight-hour window. Of course, there’s still room for special occasions and for birthday cake, and I’m not able to pose shirtless on Instagram or anything like that. Still, as my Dad used to say, “I’m in good shape for the shape I’m in.”

Dr. Tom Keenan is an award-winning journalist, public speaker, professor in the School of Architecture, Planning and Landscape at the University of Calgary, and author of the best-selling book, Technocreep: The Surrender of Privacy and the Capitalization of Intimacy.

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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

The Canadian Press. All rights reserved.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

The Canadian Press. All rights reserved.

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