SDOH Archives

Social Determinants of Health

SDOH@YORKU.CA

Options: Use Forum View

Use Monospaced Font
Show Text Part by Default
Show All Mail Headers

Message: [<< First] [< Prev] [Next >] [Last >>]
Topic: [<< First] [< Prev] [Next >] [Last >>]
Author: [<< First] [< Prev] [Next >] [Last >>]

Print Reply
Subject:
From:
"Snyder, Ursula" <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Mon, 5 Apr 2004 20:25:19 -0400
Content-Type:
text/plain
Parts/Attachments:
text/plain (158 lines)
Americans shrinking as junk food takes its toll

Poverty and poor diet mean the average US man is getting smaller, while
Europeans keep growing taller

Robin McKie, science editor
Sunday April 4, 2004
The Observer <http://www.observer.co.uk>
http://observer.guardian.co.uk/international/story/0,6903,1185387,00.html
Researchers have made a startling discovery: Americans are shrinking. A
nation once famed for its strapping, well-nourished youth is gradually
diminishing in physical stature.
By contrast, the heights of men and women from Europe are increasing
inexorably. The average Dutchman, whose country produces the Continent's
loftiest men, is now more than six feet tall - almost two inches above his
American counterpart. And he is still growing. Across the Netherlands hotel
owners are lengthening beds and raising door mantles to stop the nation's
tall youth suffering from irreparable anatomical damage.
According to a New Yorker essay on the subject last week, Dutch ambulances
are even having to keep their back doors open on many occasions to allow for
the prodigious dimensions of their patients' legs.
New research has shown some unexpected disparities between statures of
Americans and Europeans, indicating that recent social changes and diet are
major influences on adult height.
For British men, too, are outstripping their transatlantic rivals. At the
time of the American Revolution, the average US male was two inches taller
than his British counterpart. Today he is almost half an inch shorter.
This surprising reappraisal of American and European physiques is the work
of researcher John Komlos of Munich University. 'Much of the difference is
due to the great social inequality that now exists in the United States,'
Komlos told The Observer last week. 'In Europe, there is - in most countries
- good health service provision for most members of society and plenty of
protein in most people's diets. As a result, children do not suffer
illnesses that would blight their growth or suffer problems of malnutrition.
For that reason, we have continued to grow and grow.'
On the other hand, America has eight million people with no job, 40 million
individuals with no health insurance, 35 million living below the poverty
line, and a population that exists mainly on junk food. There, the rise in
average height that marked its progress as a nation through the 19th and
20th centuries has stopped and has actually reversed - albeit very slightly
- in recent years. Many Americans are rich and do well anatomically as a
result, but there is a large underclass that is starting to drag the country
down the stature charts.
This discovery, which has been revealed through research that Komlos has
assembled over decades, amounts to an assault on the values of the free
market economy espoused by Americans and provides powerful support for those
who back European ideas about universal healthcare.
Fluctuations in human stature are not new and have occurred regularly
throughout history. Our early hunter-gatherer ancestors were tall and lean.
Later, as farming spread across the world, dense populations learnt to live
on only a few standard crops and suffered considerable nutritional neglect.
The result was a decline in stature.
Similarly, climatic changes have had a profound effect on human height - a
physical attribute that is now regarded by historians, scientists and
economists as a key indicator of the health of any group of people living at
any particular time and place. For example, during the Little Ice Age, in
which temperatures plummeted across the world between 1300 and the mid-19th
century, there was a noticeable decrease in human stature.
'There are two possible mechanisms for this observation,' said Professor
Chris Stringer of the Natural History Museum. 'Firstly, all mammals get
shorter and rounder when climates cool. It is a physiological response to
cold. Short, round bodies preserve heat better than tall cool ones.
'However, there is an alternative explanation for shrinking stature in bad
weather. It means poor crops, and that in turn means malnutrition and, of
course, the consequence of that is poor stature.
'Those tiny suits of armour that you see when you visit the Tower of London
were worn by people who were badly nourished. During winter they would have
only salt meat and a few vegetables to live on. That's not going to help you
grow very well.'
Modern society now protects humans from such problems, though in recent
years it has become clear that political factors are having some effect on
nutrition levels and proper diet and therefore stature. And it is in this
arena that Komlos has made his key discoveries.
Through painstaking investigations he has calculated the heights of men at
different times over our recent historical past. This shows that, around
1850, Americans - blessed with Western technology that allowed its citizens
to spread unstoppably across the United States - lived relatively fine lives
that let its menfolk reach an average height of 5ft 9in. By contrast,
Dutchmen were only able to reach about 5ft 7in.
By the early 20th century the average American man was still about the same
height as his predecessor. But the average Dutchman had nearly caught up and
was only about half an inch shorter.
But in the 20th century Americans were overtaken. The average US male is now
about 5ft 10in. The average Dutchman is just over 6ft.
More importantly, the latter is continuing his rise in average height. The
Americans have long since stopped growing and, according to some measures,
may actually be getting smaller. 'In relative terms, Americans are certainly
shrinking in comparison with Europeans,' says Komlos.
One possible explanation lies with immigration. As more Mexicans and Chinese
enter the US, these individuals may lower the average height, it is argued.
But statisticians dismiss this suggestion. During the 19th century the
country took in millions of malnourished, and therefore small, people. Yet
Americans remained the tallest people in the world at that time.
In fact, the very idea that various peoples are programmed, on average, to
be short or tall is thrown into doubt by Komlos's work. Apart from a few
rare races, such as African pygmies who are genetically programmed to have
low stature, virtually everyone in the world has the potential to reach the
same average height as the Dutch, and that includes the Mexicans, Chinese,
Inuit, and other peoples who are not usually noted for their stature.
To achieve that status will require some arduous social engineering. The
Dutch health service, with its magnificent support services for pregnant
woman (quality of life in the womb is a key factor in determining future
health and height) and its high-protein diets based on dairy food, will not
be easy to emulate in a world whose population is now soaring towards seven
billion.
Growth Spurt
The steady increase in the height of British youngsters which began over a
century ago continues to manifest itself today, particularly among girls.
According to figures provided by the Child Growth Foundation, the height of
the average British nine-year-old girl rose from 4ft 4in (130.6cm) in 1983
to 4ft 5in (132.7cm) in 2003, while the average British nine-year-old boy
increased from 4ft 4in to just under 4ft 5in.
'It would appear that girls are doing slightly better than boys, but that
may simply be due to the fact that girls are reaching puberty earlier and
earlier, and are beginning their adolescent growth spurt before boys,' said
Tam Fry, of the foundation.
The increase is also roughly in line with the general trend observed over
the past 100 years that the average child is increasing in height at a rate
of between four and five inches a century.


Ursula Snyder, PhD
Editor/Program Director, Medscape Ob/Gyn & Women's Health
www.medscape.com/womenshealth
Section Editor, Ob/Gyn & Women's Health, Medscape General Medicine
www.medscape.com/mgmhome


T: +1 902 868 1892  F: +1 902 346 2048 (CANADA)
Voicemail: +1 212 624 3725 (USA)
Email: [log in to unmask]

Medscape/WebMD
224 West 30th Street
New York, NY 10001
T: +1 212 624 3700
F: +1 212 624 3820

-------------------
Problems/Questions? Send it to Listserv owner: [log in to unmask]

To subscribe to the SDOH list, send the following message to [log in to unmask]
SUBSCRIBE SDOH yourfirstname yourlastname

To post a message to all 1040 subscribers, send it to [log in to unmask]
Include in the Subject, its content, and location and date, if relevant.

To unsubscribe, send the following message to [log in to unmask]
SIGNOFF SDOH

For a list of SDOH members, send the following message to [log in to unmask]
REV SDOH

To receive messages only once a day, send the following message to [log in to unmask]
SET SDOH DIGEST

To view the SDOH archives, go to: http://listserv.yorku.ca/archives/sdoh.html

ATOM RSS1 RSS2