Monday, December 11, 2006

Hungry = Better ?

Empty-Stomach Intelligence

Published: December 10, 2006

Hunger makes the best sauce, goes the maxim. According to researchers at Yale Medical School, it may make quadratic equations and Kant’s categorical imperative go down easier too. The stimulation of hunger, the researchers announced in the March issue of Nature Neuroscience, causes mice to take in information more quickly, and to retain it better — basically, it makes them smarter. And that’s very likely to be true for humans as well.

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Illustration by Leanne Shapton

Empty-stomach intelligence.

A team led by Tamas Horvath, chairman of Yale’s comparative medicine program, had been analyzing the pathways followed in mouse brains by ghrelin, a hormone produced by the stomach lining, when the stomach is empty. To the scientists’ surprise, they found that ghrelin was binding to cells not just in the primitive part of the brain that registers hunger (the hypothalamus) but also in the region that plays a role in learning, memory and spatial analysis (the hippocampus).

The researchers then put mice injected with ghrelin and control mice through a maze and other intelligence tests. In each case, the biochemically “hungry” mice — mice infused with ghrelin — performed notably better than those with normal levels of the hormone. The finding was startling, but “it makes sense,” Horvath says. “When you are hungry, you need to focus your entire system on finding food in the environment.” In fact, some biologists believe that human intelligence itself evolved because it made early hominids more effective hunters, gathers and foragers.

Horvath says we can use the hormonal discoveries to our cognitive advantage. Facing the LSAT, a final exam or a half-day job interview? Go in mildly hungry, not carbo-loaded for endurance, and snack to maintain that edgy state. Such advice, applied on a national scale, might help save our schools. Since overweight kids have suppressed ghrelin levels, Horvath theorizes that perhaps the obesity epidemic has contributed to declining test scores and other American educational woes.



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Sunday, December 10, 2006

Talkers: Brits Vs Yanks

Well Done!

Talking the Yanks Under the Table

Published: December 10, 2006

LONDON

NO sooner had her words been reported in the British newspapers then she frantically took them back, saying that she had been misunderstood and misquoted. But the question remains: was Gwyneth Paltrow on to something when she noted (or didn’t) that “the British are much more intelligent and civilized than the Americans,” and that “people here don’t talk about work and money; they talk about interesting things at dinner”?

Whether Britons are objectively cleverer and more amusing than Americans, or whether they just sound that way, is one of the deep mysteries of British life for expatriates like Ms. Paltrow, who lives in London with her husband, the British rock star Chris Martin, and their children, Apple and Moses.

Britons seem to have the advantage of accent: their exotic pronunciation can make even dubious observation sound like unimpeachable truth. They are also experts at the art of speaking coherently and with authority on topics they know little or nothing about. “Every Englishman can talk for 15 minutes on any subject without a note,” Norman Mailer has been quoted as saying.

This somehow makes them seem more persuasive. When Tony Blair put the case for the Iraq war to Congress in 2003, his elegant fluency made him appear not only more articulate and intelligent, but also more credible, than President Bush. If silky-tongued Mr. Blair supports the war, some Americans felt at the time, then there must be something to it.

As for the dinner parties alluded to in Ms. Paltrow’s reputed quotes, they are indeed different here. For one thing, said Amelia Mendoza, a transplanted New Yorker, London dinner conversation is enhanced by the alcohol that Britons like to swig between remarks. At the end of dinner — which can be later than midnight, even during the week — it is considered a hospitality failure if there aren’t at least as many empty bottles of wine left on the table as there were guests.

“People are more relaxed and they’re not thinking, ‘I’ve got to get home because I’ve got to get up to work,’ ” Mrs. Mendoza said. “It’s looser here; there isn’t that grind.”

Unlike Americans, Britons think it is rude to ask a stranger what he does, in case the answer is “nothing.” They think it is rude to talk about the price of one’s possessions, the cost of one’s house or the angst one feels on account of one’s shrink’s incompetence, not that anyone would admit to having a shrink.

But curiously, they don’t think it is rude to be rude, said Mary Killen, who writes the “Your Problems Solved” column in The Spectator magazine.

“People who are good value do tend to be outrageous and indiscreet and fairly childish,” Ms. Killen said. “In this country, we’re still quite happy behind closed doors to be as offensive as we want.”

That can lead to violent shouting matches over the table, with guests readily contradicting and insulting each other. A similar robustness of exchange — a delight in the quality and originality of the insult — characterizes proceedings in the House of Commons, where debates are as quick and sharp as fencing moves, thrust-lunge-recover, so nimble that Congress seems worthy and dull by comparison. In Britain, prime ministers’ careers can rise and fall on their ability to slash their opponents with the perfect verbal put-down.

“The Brits, as far as I can tell, don’t take themselves as seriously as Americans do,” said Stephen Miller, an American essayist who is the author of “Conversation: A History of a Declining Art” (Yale University Press). But they are serious about conversation itself, treating it as an art form.

“The U.S. hasn’t historically had a strong respect for conversation, something both de Tocqueville and Mrs. Trollope mention in their writing,” he continued in an interview. “The Puritans looked down on conversation as an idle waste of time.”

But the British writer and editor Sir Harold Evans, who has lived in the United States for 20 years, made the case for American conversation, saying that “those of us who grew up speaking the Queen’s English get more credit than we deserve.” London parties, he said via e-mail, tend to be more eclectic because people from different spheres are all based here. “But U.S. politics, very much personality based, gives U.S. dinner tables plenty to talk about,” he said.

At the same time, with their layers of veiled signals, bluffs and counterbluffs, Britons are skilled at using willful buffoonery in conversation, as a way to appear modest. This can prove confusing to the American observer.

Called to the White House in the first season of “The West Wing” to advise the president on how to defuse an escalating conflict between India and Pakistan, the fictional British diplomat Lord John Marbury arrives drunk, insults the chief of staff and leers salaciously at every woman in sight. But then his idiocy melts away, as he delivers a brilliant off-the-cuff analysis of relations in the Indian subcontinent, alluding among other things to the religious wars of the 16th century and quoting, accurately, from the Book of Revelation.

“Americans would rather describe great transcendent truths than do anything else; Brits would rather carry off challenging polemic than do anything else,” Andrew Solomon, the American writer and self-described Anglophile, said via e-mail. “American speech is inflected with the patois of multiculturalism and its expressive imprecision; good debating skills are taught in England to excellent effect.”

Ms. Paltrow should “recognize the virtues of each culture,” Mr. Solomon said. “Each offers its particular pleasures.”

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Saturday, December 09, 2006

Fast Diet

I Heard It Through the Diet Grapevine

Published: December 10, 2006

WHEN Teron Beal, a songwriter and aspiring actor in Manhattan, was looking to drop weight quickly for a photo shoot, he didn’t double up on gym visits, gulp metabolic boosting pills or limit his diet to leafy greens and lean protein. Instead, he took a more drastic approach: he tried the “master cleanse,” a fast that requires subsisting for 10 or more days solely on an elixir of fresh-squeezed lemon juice, cayenne pepper, maple syrup and water.

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Tony Cenicola/The New York Times

Sworn to by some, sworn at by others, master cleanse, a liquid diet, is back in vogue.

Noah Berger for The New York Times

Kristina Wong, a performance artist, lasted only five days on the diet. Nevertheless, she says, she lost weight.

“I had only three weeks and I needed the difference to be noticeable,” said Mr. Beal, adding that he lost nearly 10 pounds during his 12-day fast in July. “The first few days were horrible, but by the fifth day I woke up and looked in the mirror and saw two ab muscles that had eluded me for years. I was grumpy no longer.”

While popular diets and fasts come and go, master cleanse remains a perennial favorite, a kind of folk regimen that owes its popularity to word of mouth and the Internet. Created in the 1940’s by a nutrition guru, Stanley Burroughs, to treat ulcers and other internal ailments, the fast enjoyed a vogue in the late ’70s after the publication of his book “The Master Cleanser.” Its fans then were health-conscious types, interested in purging their bodies of impurities and toxins like pesticides and food additives.

But in recent years master cleanse has enjoyed yet another vogue among people seeking to shed pounds in a short time. Celebrities, of course, are in the vanguard. On Oprah Winfrey’s show, the singer and actress Beyoncé Knowles announced that she had lost 20 pounds on the fast to prepare for her starring role in the new film “Dreamgirls.”

Robin Quivers, Howard Stern’s long-suffering sidekick, told People magazine that she did the fast on three separate occasions in 2004 and shrunk to 145 pounds from a peak of 218. (She heard about it from the magician David Blaine, no stranger to challenging his body.)

And on a recent episode of “30 Rock,” the NBC comedy, Tina Fey’s character is asked: “What are you doing? South Beach? Master cleanse?”

She did look skinnier.

The Internet teems with testimonials to the cleanse, also known as the lemonade diet, claiming that it fights disease, clears the mind as well as acne, and increases energy. Bloggers chronicle their daily fasting. Master cleanse video diaries can be found on YouTube, and a cottage industry has developed with various companies peddling cleansing kits including all ingredients for the beverage except lemons.

Never mind that most nutrition and diet experts advise against multiday fasting.

“I cannot believe how this thing has had a total revival,” said Joy Bauer, a nutritionist and the author of “The 90/10 Weight-Loss Plan.” “People want a quick fix and they want to be thin so badly that they’re vulnerable and open to almost anything.”

Ms. Bauer estimated that fasters who drink six glasses of the lemony potion a day — the low end of the recommended amount — are consuming about 650 calories, far less than the 1,600-plus calories the average woman needs to maintain her weight or the roughly 2,400 calories a man requires.

“Of course you’re going to lose weight,” she said. “You’re starving yourself.” Seldom do the pounds stay off, she added, and people have a tendency to binge once they begin eating again.

Still, many are willing to disregard the word of nutritionists, seduced by the notion that the only things standing between them and a slimmer body are a citrus-flavored drink and several days of discomfort.

Last week at Amoy’s Beauty, the hair salon of Amoy Pitters in the East Village, a brunette complained about her holiday weight gain. “Girl,” Ms. Pitters said, “you need to do master cleanse.”

Ms. Pitters, who first tried the fast four years ago at the prompting of one of her clients, Kacy Duke, a personal trainer to several celebrities, said she was skeptical at first. But 10 days and dozens of lemons later, she was eight pounds lighter, and elated. “I fit into my ultraskinny jeans and I couldn’t believe it,” Ms. Pitters, a petite clotheshorse, said. “I was so proud of myself for sticking with it, because it wasn’t easy.”

Ms. Pitters estimated that 85 percent of her more than 200 clients have tried the cleanse after hearing her rave. She uses it after the holiday season and before trips to bikini-friendly locales. “I know it works,” she said. “And you’d be surprised how many models I know who do it, too.”

Kristina Wong, a performance artist in Los Angeles, lasted on the fast for only five days, but she also saw results. “I looked great,” said Ms. Wong, who uploaded a video diary of her fasting experience on YouTube in September. “No more stomach rolls. I was such a skinny mini.”

Ms. Duke, who puts herself on the lemonade diet four times a year for a week to 12 days, pointed to other supposed benefits. “My eyes are clearer, my skin has a different glow and some of my best running times have been while I’m on master cleanse,” she said. She introduced it to her client Denzel Washington and “he loved it,” she said.

The enduring popularity of the cleanse may have as much to do with its instant results as with the drink’s relatively inoffensive taste (think lemon Gatorade with a spicy kick) and simple recipe: 2 tablespoons lemon juice, 2 tablespoons Grade-B maple syrup, 1/10 teaspoon cayenne pepper and 8 ounces of spring or purified water.

According to “The Master Cleanser,” Burroughs’s book, the lemon acts as a purifier and provides potassium, the cayenne pepper adds B and C vitamins and aids in circulation, and maple syrup, a sugar, provides energy and minerals. Burroughs suggested that fasters drink anywhere from 6 to 12 glasses of the stuff a day as well as a mixture of water and sea salt in the morning and an herbal laxative tea in the evening, to help aid in waste removal.

On message boards at Web sites like CureZone.com, writers warn that it’s best to stay close to a restroom. “One day it was just two hours of me running back and forth to the bathroom,” Ms. Wong said.

All that time in the loo can adversely affect one’s social life. Many fasters also say so long to the business lunch, the after-work cocktail and dinner at the latest restaurant, for fear of temptation.

Samuel Klein, the director of the Center for Human Nutrition at the medical school of Washington University in St. Louis, is leery of master-cleanse-like regimens because there is no data that prove they provide any medical benefit and no evidence that fasting helps rid the body of toxins, which happens naturally, he said.

While fasting for a few days is not dangerous, Dr. Klein said, “Fasting for too long can deplete muscle tissue, including your heart muscle, and it can reduce the size and functioning of organs like the kidney and liver.”

He is just one of many nutritionists who caution that fasting can be counterproductive. Some say it can even slow down the metabolism, making it even more difficult to lose weight in the future.

Try telling that to the converts. Peter Glickman, the author of “Lose Weight, Have More Energy and Be Happier in 10 Days,” is among them. Mr. Glickman, who at 6-2 once weighed more than 230 pounds, had already made over his lifestyle, going on a vegan diet and losing 42 pounds, when he came across the fast three years ago online. He lost 23 pounds in 20 days, he said. He sold his software company and went into the business of promoting the diet.

It has proved lucrative. On his Web site, themastercleanse.com, he sells Burroughs’s original book ($8.95), his updated version and an accompanying CD ($31.95), and a master cleanse kit ($49.95; just add lemons). He wouldn’t give specifics, but said his book is in its fourth printing. “I just put in an order for 10,000 more the other day,” he said.

Adaora Udoji, an anchor at Court TV, grew up watching her father use the fast. “We all just thought he was a weirdo,” she said.

But after quitting smoking last year, she fasted for 14 days, and now she is a believer. “It’s almost like a religious experience,” she said. “The first few days you’re obsessing about food and by the fourth or fifth day, you get this inexplicable burst of energy and you feel like you can run laps around the world.”

Ms. Bauer, the nutritionist, is not convinced. “I really think this chanting about people feeling so invigorated by this really comes from the happiness that people feel about losing weight,” she said.

Running laps was the furthest thing from Ms. Wong’s mind during her fast. She found herself staring longingly at takeout menus and scouring food blogs. “I drive a car that runs on vegetable oil so it smells kind of like a fast-food restaurant, and there were times when I was so hungry I just wanted to pull over and put my mouth around the exhaust pipe,” she said.

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Tuesday, December 05, 2006

Winter Blues

Personal Health

Getting a Grip on the Winter Blues

Published: December 5, 2006

It is that time of year again, when despite the ratcheting up of festivities for the holidays, fully one person in five in the United States ratchets down. The cause is a now well-known but still infrequently treated disorder, winter blues or SAD, for seasonal affective disorder.

There are several remedies to help those affected by SAD escape an affliction that leaves many wanting to climb into bed, put their heads under the covers and not come out until spring. Indeed, some experts refer to SAD as a form of hibernation.

The problem typically starts gradually as the days become shorter in late summer or fall and peaks in midwinter in regions where there may be just 9 or 10 hours of daylight, if that.

For the estimated 14 million severely affected American adults, SAD can send them into a tailspin that makes it difficult if not impossible to fulfill daily responsibilities and derive any joy from life. An additional 33 million people are less severely affected but may experience declines in energy, cheerfulness, creativity or productivity in the dark days of winter.

The most commonly used treatment is exposure for up to several hours a day to high-intensity artificial light, in an effort to simulate the longer days of summer when people with SAD function at top speed.

Jet Lag and Circadian Rhythm

Dr Alfred J. Lewy, a psychiatrist who has been studying the biology behind SAD, describes it as a form of jet lag, a concept he proposed 20 years ago. He recently published experimental evidence that he says attests to the validity of this theory. If true, this would make SAD a disturbance in the circadian rhythm, the 24-hour pattern that normally aligns the sleep-wake cycle with all the other bodily rhythms. Dr. Lewy suggests that with the delayed dawn and shorter days of fall and winter, the rhythms of people afflicted with SAD drift out of phase with the sleep-wake cycle, as if they had traveled across many time zones.

With jet lag, recovery occurs over a matter of days, and the circadian rhythm once again becomes synchronized with day and night. “In people with SAD, this adjustment takes five months,” Dr. Lewy said.

If his theory is substantiated by further research, it may one day be possible to treat SAD with tiny daily doses of time-released melatonin, the substance in the brain that regulates the sleep-wake cycle. Melatonin naturally increases in the evening, causing sleepiness, and falls off as morning approaches. The idea would be to tailor the administration of melatonin in a way that realigns the out-of-sync circadian rhythm in people with SAD, just as tiny doses (much smaller than those typically sold in health-food and drug stores) of melatonin can be used to speed recovery from jet lag.

In his study, conducted with three colleagues at Oregon Health Sciences University, Dr. Lewy identified two types of SAD patients. About two-thirds required morning light or evening melatonin to correct their body clocks. The remainder needed evening light or morning melatonin to put their body rhythms back on track. Currently, there is no commercial source of time-release low-dose melatonin that could be used, with or without light therapy, to help people with SAD.

Current Remedies

Dr. Norman E. Rosenthal, a native of South Africa who discovered his own serious problem with SAD while a resident in psychiatry at the New York State Psychiatric Institute in 1976, has become an expert in diagnosing and treating the problem. His knowledge and experience in helping himself and countless patients afflicted with SAD are summarized in “Winter Blues: Everything You Need to Know to Beat Seasonal Affective Disorder,” whose revised edition the Guilford Press published this year.

Dr. Rosenthal aptly describes SAD as “an energy crisis.” Patients are not depressed in the usual emotional sense, but rather feel as if their batteries have run down.

The symptoms of SAD do mimic those of serious depression. Patients say they have to drag themselves out of bed in the morning, even after 10 hours of sleep, and force themselves to perform necessary chores. They feel leaden and would just as soon not see anybody or do anything. They find it difficult to concentrate and think clearly and quickly.

Sex drive often dwindles markedly but is often replaced by an insatiable appetite for carbohydrates — breads, pasta, potatoes, rice and sweets — that results in weight gain. Many people with SAD have two wardrobes, the one for winter being two sizes larger.

The most common remedy is light therapy. But not just any light. Patients are advised to sit in front of a specially designed light box that emits about 10,000 lux from a fluorescent bulb, most often in the morning for at least 45 minutes. Some patients require hours of light therapy each day to ward off the symptoms of SAD, which may mean having one light box at home and a second at work.

Among commercial sources for these light boxes is the Center for Environmental Therapeutics, which sells them for $200. Its Web site, www.cet.org, is a useful source of information about SAD.

Among other light-enhancing suggestions from Dr. Rosenthal are planning a winter vacation in a sunny climate or relocating to someplace nearer the Equator, where the days are longer in winter. (But, he cautions, first be sure you can tolerate the summer there.)

Helpful Machines and Therapies

For those who remain in northern latitudes, Michael and Jiuan Su Terman of the New York State Psychiatric Institute at Columbia University, who have conducted pioneering studies of SAD remedies, suggest considering a “dawn simulator.” This device gradually turns on a bedroom light every morning while you are still asleep, helping ease SAD symptoms by making the body think that it is experiencing the early sunrises of summer.

This might also help people who do not have SAD but who hate getting up in the morning when it is still dark out.

The Termans have also found another helpful gadget, a negative-ion generator. They showed that sitting in front of a machine that emits negative ions at a high rate for 30 minutes every morning was as effective as sitting in front of a light box for the same time. The generators are available for $165 from the Center for Environmental Therapeutics (Michael Terman is the president of its board). The advantage of this device is that it can be used while sleeping.

A third approach that has proved effective is cognitive behavioral therapy, when used with or without light therapy. Kelly J. Rohan of the Uniformed Services University of the Health Sciences in Bethesda, Md., found that this therapy, a brief form of psychotherapy that helps people change negative thoughts and behaviors, was as effective as light therapy in a study of 23 patients with SAD.

And unlike light therapy used alone, cognitive behavioral therapy helped prevent a relapse of SAD symptoms the next winter.

Dr. Rosenthal also recommends eating a diet relatively high in protein and low in carbohydrates and performing regular physical exercise, which is especially helpful if it is outdoors in the morning or, if indoors, in front of a light bo

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Monday, December 04, 2006

Future of Newspapers

A Newspaper Chain Sees Its Future, And It's Online and Hyper-Local

Washington Post Staff Writer
Monday, December 4, 2006; Page A01

FORT MYERS, Fla. -- Could this be the future of newspapering?

Darkness falls on a chilly Winn-Dixie parking lot in a dodgy part of North Fort Myers just before Thanksgiving. Chuck Myron sits in his little gray Nissan and types on an IBM ThinkPad laptop plugged into the car's cigarette lighter. The glow of the screen illuminates his face.


Myron, 27, is a reporter for the Fort Myers News-Press and one of its fleet of mobile journalists, or "mojos." The mojos have high-tech tools -- ThinkPads, digital audio recorders, digital still and video cameras -- but no desk, no chair, no nameplate, no land line, no office. They spend their time on the road looking for stories, filing several a day for the newspaper's Web site, and often for the print edition, too. Their guiding principle: A constantly updated stream of intensely local, fresh Web content -- regardless of its traditional news value -- is key to building online and newspaper readership.

Myron and his colleagues are part of a great experiment being conducted by their corporate parent, McLean-based newspaper giant Gannett, which is trying to remake the very definition of a newspaper. Losing readers and revenue to the Internet and other media, newspapers are struggling to stay relevant and even afloat. Gannett's answer is radical.

The chain's papers are redirecting their newsrooms to focus on the Web first, paper second. Papers are slashing national and foreign coverage and beefing up "hyper-local," street-by-street news. They are creating reader-searchable databases on traffic flows and school class sizes. Web sites are fed with reader-generated content, such as pictures of their kids with Santa. In short, Gannett -- at its 90 papers, including USA Today -- is trying everything it can think of to create Web sites that will attract more readers.

"Whatever you spend your time and money doing," said News-Press managing editor Mackenzie Warren, "is news."

So Myron sits in the parking lot, hunched over, keeping one eye out for threatening vagrants, and peers through his steering wheel to file a story on his laptop, perched on his knees. The workplace is, at best, ergonomically challenging.

The event he just covered? The signing of a fundraising calendar for the local chamber of commerce featuring the Hunks of North Fort Myers. The event was held inside a gym beside a Winn-Dixie in a strip shopping center.

It had been looking dim -- just three hunks and half a dozen seemingly uninterested middle-aged ladies working out nearby -- when Myron arrived at the gym with his ThinkPad under one arm and a digital camera peeking out of a pocket of his khakis.

Twenty minutes passed before one senior citizen and her husband walked in with two calendars to be signed by the hunks. She agreed to be interviewed and have her picture taken by Myron. He took notes on the screen of his ThinkPad, using an electronic stylus.

Thirty minutes later, sitting in his car with a sense of relief, he has written a short story, cropped one digital picture, written a caption, uploaded it all to the Web and linked to a previous story he'd written on the calendar fundraiser. Traditionally, such a story would barely rise to the level of a newspaper's weekly community insert. Yet this is the third story Myron has written on the calendar.

In the dark, Myron refreshed his browser and pulled up his fresh dispatch on the News-Press's Cape Coral "micro-site," one of several sites-within-a-site focusing on individual communities.

"There it is," he said. "That's what I do."

Fort Myers is a growing city constantly replenished by hard-core newspaper readers -- retirees. As such, the News-Press, circulation 89,283, has been spared some of the tumult in the rest of the newspaper industry, where circulation and advertising revenue have been in steady slide for a decade. Gannett's stock price is down 25 percent over the past two years. Hence the overhaul.


"We're trying a lot of things. Some will work; others won't," said Kate Marymont, 53, the energetic News-Press executive editor for the past six years and a Gannett lifer. "It's like play."

Among her innovations are some ideas that challenge journalistic orthodoxy. For instance:

? The creation of 14 full- and part-time mojos. By the end of next year, the paper's 30 other news reporters also will be mojos to one extent or another. The News-Press is nonunion.

? Enlisting the help of dozens of reader experts -- retired engineers, accountants, government insiders -- to review documents and data to determine why it costs so much to hook up water and sewer service to new homes in the area. The result: an investigative report that resulted in fees lowered by 30 percent and an official ousted. Gannett calls the practice "crowdsourcing." The News-Press and other Gannett papers also are building searchable online databases on as many topics as they can think of, in part to "enable people to do digging themselves and maybe find conclusions we won't," said Michael Maness, Gannett's vice president of strategic planning. "It's having thousands of investigative reporters instead of three."

? The appointment of a managing editor in charge of "audience building" who reports only to Marymont. The editor monitors Web traffic to make sure popular stories stay high on the page. The editor meets weekly and shares data with the paper's marketing and sales staffers.

? Online message boards that allow readers to post anything from lost-pet notices to profanity. "Bring it on," Warren said.

? Next spring, the paper plans to run a large story on a topic it would not identify. It did, however, say that the reporter on the article will accompany News-Press ad salespeople on trips to advertisers as the paper seeks a sponsor for the article. The logic: The reporter understands the project and can explain it best to potential advertisers. Though the reporter will be in sales meetings, he or she will not be part of the sales pitch. Nevertheless, the practice violates one of journalism's fundamentals -- maintaining a leakproof wall between the news and business sides of a newspaper.

As part of their training, mojos get a three-hour session with the paper's vice president of marketing. If someone out in the community complains that ad rates are too high in the daily News-Press, mojos can and should tell them that rates are lower in the paper's community weeklies.

It would be "morally wrong" for a reporter not to pass along such information, said Warren, the managing editor for information distribution, a new position. The paper also has a managing editor for information collection.

"It's like rolling down your window and giving someone directions," Warren said. Keeping reporters away from the business side is "old-school snobbery," he said.

The newsroom has mixed opinions of the new ways. Many are enthusiastic. "There is so much more creative energy than we can harness into actual journalism so far," said managing editor Cindy McCurry-Ross. Others are irked by such practices as mojos posting stories directly to the Web without editing -- a breach of newspaper editing protocol.

"It makes me crazy," said Gale Baldwin, a News-Press assistant managing editor and newspaper veteran. "But I grit my teeth because I know that things are changing."


Some staffers, who spoke on condition of anonymity for fear of retribution, worry that the zeal to feed the Web with fresh material has led to publishing "fluff" in addition to news. They recalled one recent incident in which Marymont walked through the newsroom and strongly noted that the Web site had not posted any fresh material in three hours, and urged them to publish something quickly.

Though the News-Press has largely been insulated from the industry's travails, it has not been immune. The paper showed a circulation decline this year, and Marymont must eliminate three staff positions by the end of the year to meet the budget set by Gannett headquarters in McLean. The paper has offered buyouts to older staffers.

Are readers buying the changes?

On the one hand, the News-Press Web site had grown from an average of 58,000 unique visitors per week in 2002 to 140,000 per week so far this year. Traffic to the paper's community micro-sites in August-October of this year is up 106 percent over the corresponding period last year. Carol Hudler, the paper's publisher, said it's too early to tell if the changes have made a material impact on the paper's revenue.

On the other hand, none of the sources Myron dealt with in two assignments on consecutive days seemed to grasp that what he was reporting and writing about them would go to the News-Press Web site.

"They ask me, 'When's what you wrote about me going to be in the paper?' " Myron said. "I have no good answer."



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Saturday, December 02, 2006

Weight = Loss

Your Money

Extra Weight, Higher Costs

Published: December 2, 2006

As you snatch a couple more Christmas cookies or down another eggnog, you might be thinking about what those extra calories will do to your health.

But have you considered what they will do to your wealth? The sugar and fat will add pounds, which can lead to heart disease, diabetes and a shortened life span.

There is another consequence to packing on extra weight: being fat costs money — tens of thousands of dollars over a lifetime.

Heavy people do not spend more than normal-size people on food, but their life insurance premiums are two to four times as large. They can expect higher medical expenses, and they tend to make less money and accumulate less wealth in their shortened lifetimes. They can have a harder time being hired, and then a harder time winning plum assignments and promotions.

We’re not talking about people who are merely carrying a few extra pounds, or only those who are Jabba the Hutt in their dimensions, either. People carrying 30 to 40 pounds extra can be affected.

“Being overweight can be dangerous to your wealth,” said Jay L. Zagorsky, an economist at Ohio State University who has looked at the relationship between various economic and sociological factors and a measure of obesity called the body mass index.

Doctors use the index to determine whether a person is merely overweight or dangerously obese. You divide your weight in pounds by the square of your height in inches, which is then multiplied by 703, to adjust the English-system measurements to the metric system. (You could use kilograms and centimeters, but that would be too easy.) Or use a Web calculator like the one at www.nhlbisupport.com/bmi/ or www.halls.md/ideal-weight/body.htm.

Anything under 25 is considered a normal reading of the index. From 25 to 30 is overweight, and above 30 is obese. People who rate above 40 are considered morbidly obese, meaning they are facing serious and sustained health problems.

The index has been criticized for its inability to distinguish between a well-muscled person and a fat one. Nevertheless, it is by this measure that academics estimate that 97 million Americans, about a third of the population, are considered obese. Almost 10 million Americans could be considered morbidly obese.

Academics have struggled to place a price tag on the cost of treating those carrying around too much weight. The obese suffer from heart disease, diabetes, depression, arthritis and joint problems, liver disease and sleep apnea.

Complications from obesity, particularly diabetes, which afflicts 21 million Americans, push up the bill: $44,000 for a heart attack, $40,200 for a stroke or $37,000 for end-state kidney disease, estimates Judith A. O’Brien, the director of cost research at the Caro Research Institute, a health costs consulting firm. Amputating just a toe, a not uncommon consequence of untreated diabetes, averages $15,000, she estimates.

Academics have not spent much time calculating what that care costs the overweight individual. Instead, they look at what obesity costs society or insurers. The sum usually arrived at is about $80 billion a year and steadily growing. The government or insurers pay about 85 percent of that. In other words, the fit and the fat pay for it indirectly through taxes or higher health insurance premiums.

This year, two nutritional scientists at the University of Wisconsin-Madison, Rachel N. Close and Dale A. Schoeller, took a unique twist on the calculations to determine what “supersizing” a fast-food meal costs society. Paying 67 cents to supersize an order — 73 percent more calories for 17 percent more money — adds an average of 36 grams of adipose tissue. The future medical costs for that bargain would be $6.64 for an obese man and $3.46 for an obese woman. “The hidden financial costs associated with weight gain from upsizing a value meal may help convince people it is not a bargain,” Mr. Schoeller said.

Even routine care can put a dent in a family’s finances. Office visits and prescriptions for medicines to manage diabetes, high cholesterol, back pain and depression can reach $7,000 in annual out-of-pocket expenses for someone — admittedly one with nearly every problem associated with obesity — covered by an employer’s health insurance, according to an online health care cost estimator United HealthGroup provides to its customers.

While the health problems ravage savings, an overweight person may have difficulty accumulating a nest egg in the first place. One of the earliest sociological studies of the overweight, in 1966, found that the heaviest students had a harder time getting into top colleges. More recent studies have found that the obese, particularly white women, are paid less. A study by John H. Cawley, an associate professor of human ecology at Cornell University, found that a weight increase of 64 pounds above the average for white women was associated with 9 percent lower wages.

Evidence from decades of discrimination studies has led Mark V. Roehling, an associate professor at the School of Labor and Industrial Relations at Michigan State University, to the conclusion that there is “consistent evidence of weight discrimination.”

One factor is that some employers do not want to be burdened with higher health insurance costs. Other times it is a matter of appearances or a belief that “people of size,” as Mr. Roehling terms the obese, are lazy, weak-willed or considered too unattractive to interact with customers. He has found that some employers are upfront about it, even in Michigan, which is the only state that outlaws weight discrimination.

While conducting research, he said, he was told by a personnel manager, who himself was overweight, that the company would not hire overweight people, even after Mr. Roehling told him that was illegal. The bias is more pronounced toward white women than white men, Mr. Roehling said: “Blacks are more accepting of large people and whites are more accepting of overweight black females.”

Mr. Roehling is convinced that weight bias is stronger than bias stemming from race. You can test that thesis yourself with the Implicit Association Test, at implicit.harvard.edu/implicit. It was created by researchers at Harvard, the University of Virginia and the University of Washington to plumb an individual’s attitude toward race, ethnicity and religion. Take the test for prejudice against overweight people and compare your result against the similar test for race.

Brian A. Nosek, a psychology professor at the University of Virginia who helped develop it, said that test results showed that bias against blacks and the overweight was about equal, but that while people rarely admit to race bias, they freely admit to weight bias. “There is no social sanction against saying you don’t like fat people,” Mr. Nosek said.

The weight penalties come in other forms as well. Sociologists have long noted that in developed countries, the higher-status people tend to be thin and the lower- status ones are fat. “That heavier people have a harder time getting married is pretty well supported,” said Jeffery Sobal, a professor at Cornell University who has studied obesity. Marriage can be crucial in wealth creation, especially when a person “marries up” to someone with money or a higher education. That may be a rarer occurrence for the obese. “There is a stigma against the overweight that plays out in the social class world,” he said.

The end result? The obese accumulate only about half the assets of the normal-size American, said Mr. Zagorsky, the Ohio State University research scientist. He matched B.M.I. and wealth data in the National Longitudinal Survey of Youth, a multiyear sampling done by the Bureau of Labor Statistics, and found that for every one-point increase in the index, net worth dropped by $1,000. The typical female baby boomer, he said, earned $313.70 less annually for every one-point increase in her B.M.I., while the typical male earned $161.30 less for every point.

A chicken-or-egg question invariably pops up. Are people fat because they are poor or poor because they are fat?

“We can never prove causality in social science,” Mr. Zagorsky said. “As an experiment, I can’t force people to eat or force them not to eat.” But he said that if wealth causes the change in weight, then people who receive inheritances should show a corresponding drop in their B.M.I. That does not happen, so he asserts that weight drives the lack of wealth.

Mr. Zagorsky’s data revealed an odd finding about inheritances. Thin people tend to receive bigger inheritances. He is not sure why, but he thought it could be because people with low B.M.I.’s live longer and their parents tend to live longer, so wealth has a longer time to accumulate before it is transferred.

What happens to a person who loses weight? Mr. Zagorsky said a drastic drop in weight corresponds to an increase in wealth. A baby boomer whose B.M.I. drops from 27.5, the middle of the overweight category, to 21.7, the middle of the normal category, sees an increase in wealth of $4,085. The impact of weight loss on wealth was considerably less for black women and it appeared to make no difference for black men. But a B.M.I. decrease of 10 points corresponds to a wealth increase of $12,720 for white men and slightly less for white women.

But it has to be a big loss in weight. “You can’t just drop 10 pounds and change your wealth,” he said.

E-mail: yourmoney@nytimes.com



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