Water Intoxication or Hyponatremia tends to be an uncommon disorder, unless as I’ve mentioned in class, you happen to live in Northern California.
In the nearly 5 years that I have been teaching Nutrition there have been two high profile deaths from Water Intoxication. The first was a 21-year-old Chico State College Student, Matthew Carrington who died in 2005 after fraternity hazing.
The most recent one occured just two years later in 2007 when Jennifer Strange, a 28-year-old mother participating in a Radio Station contest to”Hold Your Wee for a Wii.” Both occurred in Northern California.
It is interesting how serendipity works at time. While I was lecturing on these unfortunate cases of Water Intoxication, a settlement was being reached in the lawsuit filed against the radio station. I am posting the latest correct information about the Wee for a Wii Water Intoxication (Hyponatremia) Death from 2007.
The Wee for a Wii Case
Jennifer Strange of Rancho Cordova entered the “Hold Your Wee for a Wii” contest sponsored by KDND-FM (107.9) “The End” to try and win a Nintendo Wii video game system for her three children. In the contest contestants were challenged to drink water (16 ounces of water every 10 minutes). She came in second, dropping out once she started feeling ill. Ultimately Strange ended up succumbing to the excessive water consumption from the contest.
On October 29, a Sacramento jury awarded $16 million to her family.Entercom Sacramento, which operates KDND-FM (107.9) “The End,” was found negligent of ignoring several warnings that a morning show contest could have fatal consequences. During the course of the contest, one on-air host mentioned the 2005 death of a college student during a hazing ritual in Chico and a listener also called in to advise against the stunt.
Info on Water Intoxication or Hyponatremia
Water intoxication is generally not a common problem. Researchers published a clinical case of a 64 year old woman who began compulsively drinking water in the Journal of Clinical Pathology in 2003. They included the mechanism behind water intoxication:
Water intoxication provokes disturbances in electrolyte balance, resulting in a rapid decrease in serum sodium concentration and eventual death. The development of acute dilutional hyponatraemia causes neurological symptoms because of the movement of water into the brain cells, in response to the fall in extracellular osmolality.
Too much water in the body causes water to move into the cells, particularly the brain cells. As the sodium concentration falls in the blood (because of too much water) symptoms progress from confusion to drowsiness and eventually coma. The rate at which the water is consumed plays an important factor in the lethality of water intoxication. Large volumes of water consumed in a short period of time can produce a rapid drop in serum sodium levels which may be fatal.
Hopefully with these two high-profile cases, the word will get out and people will know not to drink too much water too fast.
There has been some concerned raised about the Smart Choices program, particularly when Froot Loops (and other sugary cereals) recently was approved as a “Smart Choice.” Health advocates are encouraging people to avoid Smart Choices to eat healthy. They are also raising concerns about whether the Smart Choices program is a sign of nutrition or just another marketing angle (manufactures must pay to have the logo on their products).
See more about Froot Loops in the blog post on Watch Out for High Sugar and Poor Nutrient Content in Many Children’s Cereals. In the study released by Consumer Reports, Froot Loops ended up with a “fair” rating, with a low fiber amount and 12 grams of sugar. It does appear that Froot Loops has changed their formula lately, adding in more fiber to the popular sugar cereal for a total of 3 grams of fiber in a serving. You can read what Marion Nelson, Professor of Nutrition, Food Studies, and Public Health at New York University has to say about this change of formula at the Huffington Post.
It will be interesting to see what happens and what the manufactures response will be to the public outcry about their program.
About Smart Spot
The Smart Spot program is a program created by PepsiCo’s to make it “easier for people to identify food and beverage choices that contribute to healthy lifestyles.” The Smart Spot logo appears on more than 250 products across all of PepsiCo’s brands including Tropicana®, Gatorade®, Baked! Lay’s®, Quaker® and Diet Pepsi®.
The Smart Choice Program was motivated by the need for a single, trusted and reliable front-of-pack nutrition labeling program that U.S. food manufacturers and retailers could voluntarily adopt to help guide consumers in making smarter food and beverage choices.
According to their website to qualify for the Smart Choices Program, a product must meet a comprehensive set of nutrition criteria based on the Dietary Guidelines for Americans and other sources of nutrition science and authoritative dietary guidance.
The Smart Choices program was designed to replace the other health labels that have been seen on foods such as “Sensible Solution and “Smart Spot.”
An interesting twist on combating the growing obesity epidemic is developing.
This fall San Francisco’s Mayor Gavin Newsom plans to introduce legislation that would charge retailers who sell sugary beverages a fee—levying a soda sales fee. The hope is that the extra fees will financially discourage people from consuming a lot of extra, empty calories.
According to the SF Gate article, Newsom only needs approval from the Board of Supervisors to levy a fee on retailers. A tax on individual cans of soda and sugary juice would require voters’ approval.
Motivation Behind the Soda Fees
According to Newsom, he was motivated to move forward with legislation for a soda fee after a new study on the relationship between soda and obesity was released. Researchers from UCLA demonstrated a link between soda and obesity in California. In this study researchers reported:
Adults who drink at least one soft drink a day are 27 percent more likely to be obese than those who do not.
The study, Commissioned by CCPHA (California Center for Public Health Advocacy), provides scientific evidence of the direct contribution of sugar-sweetened beverages to California’s $41 billion obesity epidemic.
Opposing the Fees
Understandably, the American Beverage Association has fought attempts to implement soda taxes. They released a statement about the new study.
If our goal is to address obesity, then educating consumers about the importance of balancing calories consumed from all foods and beverages with the calories expended through physical activity is what matters – not demonizing any one particular food.
Another soda fee opponent is Jim Lazarus, vice president of the San Francisco Chamber of Commerce. His group wonders:
Does this mean there’s a fee on candy bars, on ice cream, on potato chips? Where do you draw the line?
It is his belief that the additional small fee, which will probably be passed on from the retailer to the consumer, would not be enough to dramatically change people’s habits. Lazarus believes the the soda fee is just another revenue source for the city.
What do you think? Do you think adding a fee to sodas, in the current economic climate, where people are already counting their pennies, may make a difference in decreasing the amount of soda consumed?
Do you think other empty calorie foods should be taxed as well?
A special thanks for Ellen for including this in her show today. The topic was timely, since I was lecturing on Weight in class today.
Ellen featured several “plus” sized models on her show from an upcoming Glamour Magazine will feature a pictorial for October on plus-sized (anything over a size 6) models. Ellen Tweeted about the interview:
These girls are considered “plus sized”, which is crazy.
I think a better term is “normal sized.” Or just “beautiful.”
This move towards featuring more normal sized women is very welcome, considering that the average sized woman is a closer to a size 12 – 14, not a size 0 – 4 seen in the fashion magazines. These plus-size models are proving that not all models have to be super skinny to be super sexy.
In addition Glamour Magazine Editor, Cindi Lieve, pledged that they will be featuring a wider range of women in their pages than has traditionally been featured.
In looking at the topic of body images and truth in advertising, here is an example of another celebrity photoshopping incident that occurred in March 2009 and created a bit of a buzz.
In this case, unretouched photos of reality star Kim Kardashian were released by mistake, before the ‘official’ photoshopped version. According to Momlogic, “Women everywhere breathed a sigh of relief.”
You can see the before (left) and after (right) pictures below:
So what: I have a little cellulite. What curvy girl doesn’t!?
How many people do you think are photoshopped? It happens all the time!
I’m proud of my body and my curves and this picture coming out is probably helpful for everyone to see that just because I am on the cover of a magazine doesn’t mean I’m perfect.
She used the pictures as motivation to work out in the gym and get into better shape.
Wouldn’t it be nice if the unphotoshopped pic had been the one used on the cover of the magazine. Now that would have been sending a real message that being curvy and having cellulite is o.k.
Last year I blogged about Tyra Banks taking on her critics in her Retort on “Fat” Comments. I’ve used this example for several years in the Nutrition course as an example of someone in the public eye, being labeled “fat” for having a healthy BMI. This year, she is in the news again about her weight, but for making healthy lifestyle changes.
According to reports for Tyra Banks, what began as a game, a a three month “get fit, get healthy challenge” with seven of her friends has turned into a new lifestyle for her. As noted in the Video clip below, she felt conflicted and decided to say something about her weight loss after the media started to notice:
“The media started taking notice and showing pictures of before and after of me losing weight, and I felt kind of exposed because I wasn’t trying to proclaim to the world, ‘I got fit and I got healthy and I got in shape,’ because I felt kind of conflicted especially after the ‘Kiss my fat ass’ thing,” she says. “It’s still fat by the way.”
As part of the change, Tyra bought an elliptical machine and started exercising while watching Sex and the City. According to People.com Tyra says she:
“…got rid of one of my couches in my living room and I watched Sex and The City episodes on the treadmill or the elliptical. “o Sex and the City lasts 30 minutes – that’s how long I’m on the elliptical.
In addition the started writing down every single thing she ate making her more aware of the calories she consumed especially while eating out.
Key Points to her lifestyle changes:
Getting off the couch, by getting rid of it
Exercising
Tracking calories
Having fun doing it
Being accountable to friends about getting healthy
Congratulations on the weight loss and for also setting a healthy example.
In August, quite a controversy erupted over Kelly Clarkson’s changing appearance on the cover of Self Magazine. You can see the split image that ran in the People Magazine article on the controversy.
According to The Buzz Log, “Self magazine admits it did airbrush the singer, but no more than they do every other cover model.”
You can compare her cover picture with the video clip of her photo shoot with Self Magazine.
I am wondering what they did to her face. Her face is more circle-shaped in the video clip and oval in the final cover.
You do have to wonder what kind of message this is sending to our women and girls. Here is some one who reports to be comfortable with her size, but the magazine opted to make her face and her weight more visually appealing, which means showing less of her.
I asked my 9-year-old and 7-year-old what was going on with the pictures. The 7-year-old immediately picked up on the fact that the cover picture was ’skinner’ than the other pictures. After I asked my 9-year-old what she though about them changing the cover, she said it was bad because they were lying about her weight.
Matt Lauer of the Today Show interviews David Zinczenko of Eat This Not That to show parents how to help children make healthier choices when it come to meal and snack time.
Eat This Not That! for Kids is one of the books I have gotten for my daughters written to teach you how to be the leanest family on the block.
My daughters enjoy going through the book and discovering that many of the foods we are eating are in the “eat this” category and not in the “not that” category. They keep searching for more healthy options from the “eat this” list to add to what we purchase at the store, or health options for eating out. Eat This Not That! for Kids is available on Amazon.
A new study commissioned by the California Center for Public Health Advocacy (CCPHA) is provides scientific evidence of the direct contribution of sugar-sweetened beverages to California’s $41 billion obesity epidemic.
Researchers at UCLA, lead by Susan Babey, examined sugary drinks and their effect on state spending and consumers’ health published in the report, Bubbling Over: Soda Consumption and Its Link to Obesity in California. Babey pointed out:
Soda is cheap, sweet and irresistibly marketed to teens. Not enough teens know about the health and dietary risks of drinking huge quantities of what is essentially liquid sugar.
Hear what Dr. Harold Goldstein, another study author and executive director for CCPHA has to say about the study and their findings. To get to his interview, advance to 1:47.
Main Findings
Researchers from study reported that 41 percent of children (ages 2 – 11), 62 percent of adolescents (ages 12 – 17) and 24 percent of adults drink at least one soda or other sugar-sweetened beverage every day. In addition regardless of income or ethnicity, adults who drink one or more sodas or other sugar-sweetened beverages every day are 27 percent more likely to be overweight or obese.
Key Findings
Key findings from the soda research include:
$41 billion—Amount spent treating obesity in California each year.
41 percent—Kids ages 2-11 who drink at least one soda every day.
62 percent—Adolescents 12-17 who drink at least one soda every day.
39 pounds—Amount of sugar consumed over one year if you drink one soda a day.
17 teaspoons—Amount of sugar in a 20-ounce serving of soda.
278 calories—Increased number Americans consume each day compared with 30 years ago.
43 percent—Share of new calories attributable to soda.
Recommendations from CCPHA
The CCPHA recommends:
Cities, counties, businesses, health care providers, religious organizations, the state legislature, and Congress—and each of us as individuals—can help reduce consumption of soda and other sugar-sweetened beverages and their contribution to California’s obesity epidemic.
Some of the additional recommendations that can be taken by individuals, workplaces and others:
Individuals—Reduce consumption of soda and other sugar-sweetned beverages in the family.
Workplaces—Limit or replace soda and other sugar-sweetened beverages in vending machines. Incorporate information about soda and other sugar-sweetened beverages into workplace wellness programs.
Cities & Counties—Provide and sell only healthy beverages at city and county sponsored events, especially those attended by children and adolescents. Limit or exclude soda and other sugar-sweetened beverages in vending machines in property owned or leased by cities and counties.
California Legislature—Impose an industry fee on soda and other sugar-sweetened beverages. Earmark funds for community-based prevention programs. Prohibit marketign of soda and other sugar-sweetened beveratges on public school campuses K-12.
Congress—Tax soda and other sugar-sweetened beverages. Earmark revenues for community-based prevention programs. Require the Federat Trade Commission to develop and implement standards for soda and other sugar-sweetened beverage advertising aimed at children under age 12.
Limiting access to and imposing sales tax on sodas and other sugar-sweetened beverages may just be the tip of the iceberg in finding economic ways (or disincentives) to combat the growing obesity epidemic.
The New York City Public Health Department has launched an innovative, visual campaign to help convince New Yorkers to limit the amount of calories they are consuming from sodas and other sugary beverages by asking them of they are “Pouring on the Pounds.”
You can see the images being used in the campaign below:
The Facts
According to Cathy Nonas in the related blog about the campaign:
The reality is Americans consume 200 to 300 more calories each day than we did 30 years ago. Of these extra calories, nearly half come from sugar-sweetened drinks with zero health benefits.
The number of calories and sugar in different beverages can be quite a bit.
One 20 oz. bottle of soda = 250 calories with 16 ½ teaspoons of sugar.
One 20 oz. bottle of lemon-flavored iced tea = 210 calories with 14 ½ teaspoons of sugar.
One 20 oz Sports Drink = 120 calories with 8 ½ teaspoons of sugar.
A table with the different number of calories and sugar content in different beverages is available on the New York Health Department.
As part of the campaign the Health Department is encouraging people to not drink themselves fat, to cut back on soda and other sugary beverages and go with water, seltzer or low-fat milk instead.
The Campaign
The public-awareness campaign, which includes posters in the subway system and a Health Bulletin, will run for three months.
Do you think that we should do something like this in California to discourage Californians from consuming too many empty beverage calories and fat?
Are Your Pouring on the Pounds? Posters. New York City Department of Health and Mental Hygiene. Three Versions (Soda, Sports Drinks and Tea) (PDF File)
Health Bulletin. 2009. Are You Pouring on the Pounds? Vol 8, No. 6. New York City Department of Health and Mental Hygiene. (PDF File)
Water Intoxication or Hyponatremia tends to be an uncommon disorder, unless as I’ve mentioned in class, you happen to live in Northern California.
There has been some concerned raised about the Smart Choices program, particularly when Froot Loops (and other sugary cereals) recently was approved as a “Smart Choice.” Health advocates are encouraging people to 
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An interesting twist on combating the growing obesity epidemic is developing.
Eat This Not That! for Kids
is one of the books I have gotten for my daughters written to teach you how to be the leanest family on the block.
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