Tuesday, September 13, 2022

Savour

 If you have access to some 10 or 20 or 30 years old group photos (school, college, wedding, party), please take a look at them; compare and contrast them to some recent ones. If you don't have access to such photos, try to think of a group of people that you know -- friends, co-workers and extended family members. Age group doesn’t matter. I request you to pause here to find some pictures before reading further. It is a crucial step in this exercise.

Now, it is very likely that you would agree that over-weight/obesity is on the rise. We don’t need to know the exact numbers to acknowledge that. But, if you are a person interested in numbers, all you need to do is to go to any public space or a social event and check it out for yourself. I did exactly that. I stood at some busy cross-roads in Chennai, clocked myself and observed the people on bicycles and motorbikes. I counted the number of people who were NOT visibly overweight (Group-A). My friend counted the number of people who were visibly overweight(Group-B). 

If the number of people in Group-A was 'n',

the number of people in Group-B was at least four times 'n'(4n).

Some caveats here:

- Obviously, we are likely to have missed some people due to the nature of the traffic at that time. Thus, #(Group-A) + #(Group-B) was not equal to the total number of people on bicycles and motorbikes. So, we can’t do a percentage calculation here. 

- We couldn’t count people in cars and three-wheel autos.

- Data collected from pockets of Chennai doesn’t *accurately* represent all of Chennai, or other other cities or rural areas.

Having said that, this data still shows us the *trends*. I am deeply pained by this trend. Being over-weight or obese significantly puts one at risk for various diseases. I have been observing various contributing factors at play here, for more than 20 years. This post is an earnest attempt to present my observations and understanding that ensued from those.

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I have chosen to omit exceptions for brevity and have focused on the patterns that are quite common.

A baby is born. The new parents are excited and figuring out ways to feed the baby (breastfeed, bottle-feed). As they are going through this challenging phase they get advice from doctors, books, family and friends. Most of them develop this understanding that the baby would cry when he is hungry. They also get to know that once the baby is nursed, he stopped crying. They begin to understand other hunger cues. Now, as the baby grows into a toddler the parental anxiety around food grows too. The caregiver distracts this mobile little person in a million ways just so food can be shoved into his mouth. 

Sure enough, the distractions work, at least in the short-term. Once a set of options expire, the caregivers quickly come up with new ones. The technology used can be different (from pointing at the moon or a nearby animal to using a mobile phone), but the theme is the same -- distraction.

What do distractions do? My thoughts are:

1. They *disconnect* the baby from her *self*.

The beautiful process of feeling hungry and smelling, touching the food and taking that one’s own mouth:

- activates the digestive system

- helps the baby understand the connection between her hunger, hands, mouth and the good feeling that results when the food reaches her tummy. 

- develops a good tactile sense.

- empowers the baby (although the baby wouldn’t know that)

- integrates the baby into the meal routines and rituals.

2. Distractions are basically manipulations to get what we want to happen. Once the baby starts seeing through this (which is likely to happen eventually), they start losing trust on the care giver. 

3. Food is for survival. All living beings are interested in surviving. Children simply can’t starve themselves to death. That goes against Evolution. Left alone to their devices little children, who have a healthy relationship with food, will seek food only when they are hungry. In my limited experience I have seen that, if this healthy relationship is allowed to exist, the chances of developing eating disorders (anxiety around food, over-eating, binge eating, anorexia) -- is quite small. Distractions don't let a healthy relationship develop between the baby and her food.

The baby is now a toddler and he is sent to a day-care, pre-school or kindergarten. There is a routine enforced by the place that he is going to. He is asked to eat when it is time to eat, whether or not he is hungry. The disconnect between his self and what he does starts here (if not earlier). He is also asked by adults and care-givers to “finish” what is on his plate, even if his body is not for it.

Occasionally the toddler falls sick and rejects food. This is body's natural response to sickness. In simple terms, the body tries to heal itself when we get sick; digestion is too cumbersome during sickness. But the adults around her are worried and anxious for her. They insist that she should eat or drink. The toddler eventually yields to parental pressure, thus widening the disconnect.

To understand this disconnect deeply and assist with healing, we need to start looking at our own relationship with food. 

-- Hema


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