New ideas pleaseBMJ 2006; 333 doi: https://doi.org/10.1136/bmj.39056.616898.47 (Published 07 December 2006) Cite this as: BMJ 2006;333:0-f
All rapid responses
Dear Dr. Groves:
Well said: lifestyle changes remain, for now, the potentially most
effective and most difficult intervention to control diabetes. And yes, we
do need new ideas to make it happen. But how to make this miracle come
true? It might not be a proven scientific fact, but it seems as if
obesity, rejection to physical activity and to healthy vegetarian foods
come all together in a malicious gene as a trick from nature to castigate
"those who indulge and bulge"!
As we all know, whales strictly follow all the recomendations for a
healthy lifestyle: a very healthy diet (mostly fish), full time physical
activity, swiming auround the clock and no stress. And in spite of all
these favourable conditions, the whale is the most explicit example of
obesity... If all theories on dietetic strategies to control overweight
were correct, then the Whale Padarox would not be such an impressive
reality. This very same rationale holds true for the elephant,
characterizing the Elephant Paradox, i.e., the "dried version" of the
Whale Paradox. How would you explain this?
As a physician and a metabolic syndrome patient I agree that
lifestyle changes can be efficacious in controlled conditions for a short
period of time, but it will never be effective in daily clinical practice.
AUGUSTO PIMAZONI, MD
Competing interests: No competing interests