Kamis, 31 Mei 2012

Wheelchair Bodybuilding

I just wanted to point towards Adelfo Cerame a bodybuilder with a disability. 

I've been reading about him and following his contest prep for a while via the prolific Suppversity blog (I have no idea how Prof Andro has the time to prepare posts of the depth that he achieves almost every day, he is amazing)

Adelfo is inspirational. 


Resistance Training improves Cardio Fitness....Get Strong to get fit!

So we have been saying this for a while.... One of the key themes of my book Hillfit is that getting stronger will make you more fit for "cardio" activities such as hillwalking or hiking.  The theme is how to get stronger.  Indeed I had one client ask for a refund because I didn't tell her how to improve her cardiovascular fitness!  I need to send her this new paper:

Resistance Training to Momentary Muscular Failure Improves Cardiovascular Fitness in Humans: A Review of Acute Physiological Responses and Chronic Physiological Adaptations

A detailed, peer reviewed academic survey of the literature and previous studies which demonstrates that proper resistance training...to failure...improves all the standard measures of cardiovascular fitness.

This is a proper scientific paper, long and in depth.  The writers have been through all the relevant previous work on this and have demonstrated that getting stronger gets you fitter!

The full paper is available on line and  I have put the abstract below.

Training to Momentary Muscular Failure Improves Cardiovascular Fitness in Humans: A Review of Acute Physiological Responses and Chronic Physiological Adaptations. JEPonline 2012;15(3):53- 80. Research demonstrates resistance training produces significant improvement in cardiovascular fitness (VO2 max, economy of movement). To date no review article has considered the underlying physiological mechanisms that might support such improvements. This article is a comprehensive, systematic narrative review of the literature surrounding the area of resistance training, cardiovascular fitness and the acute responses and chronic adaptations it produces. The primary concern with existing research is the lack of clarity and inappropriate quantification of resistance training intensity. Thus, an important consideration of this review is the effect of intensity. The acute metabolic and molecular responses to resistance training to momentary muscular failure do not differ from that of traditional endurance training. Myocardial function appears to be maintained, perhaps enhanced, in acute response to high intensity resistance training, and contraction intensity appears to mediate the acute vascular response to resistance training. The results of chronic physiological adaptations demonstrate that resistance training to momentary muscular failure produces a number of physiological adaptations, which may facilitate the observed improvements in cardiovascular fitness. The adaptations may include an increase in mitochondrial enzymes, mitochondrial proliferation, phenotypic conversion from type IIx towards type IIa muscle fibers, and vascular remodeling (including capillarization). Resistance training to momentary muscular failure causes sufficient acute stimuli to produce chronic physiological adaptations that enhance cardiovascular fitness. This review appears to be the first to present this conclusion and, therefore, it may help stimulate a changing paradigm addressing the misnomer of ‘cardiovascular’ exercise as being determined by modality.
Key Words: Aerobic, Metabolic, Molecular, Myocardial

Go and read it....it will challenge you but will also explain a lot of where I am coming from in this blog and in Hillfit.   James Steele, the lead author, writes about the paper on his excellent blog - No such thing as cardio

Rabu, 30 Mei 2012

PPP - another bijou rant-ette.

Blame it on the hot weather and screaming kids! :-D
PPP stands for Piss Poor Parenting.

Why, oh why, oh why do parents allow children to dictate their own diets? As if children know what's good for them! At an event I attended recently, "Johnny*" was given a plate of chicken drummers (mechanically-recovered chicken formed into the approximate shape of chicken drumsticks and coated with breadcrumbs) and oven chips. I asked Johnny if he would like a beefburger, sausage or pork steak. He replied. "I don't like them". He only wanted manufactured shite. Seriously, WTF?

When I was a lad, I was given the same food as my parents. If I didn't eat it, I went without. I ate it!
Nowadays, "children's menus" in restaurants (I'm being quite generous in the use of the word restaurant) consist of lots of manufactured shite that children like. Unlike veggies & fruit, this shite contains very little fibre/fiber or magnesium.

Is it any wonder that childhood constipation is a problem? Why are children being given PEG or even Lactulose, when there's a much better solution - Epsom Salts (which contains magnesium). The gut needs magnesium to function properly. See You're free, and a testimonial.

The brain needs magnesium to remain cool, calm and collected i.e. function properly. The brain also needs DHA and Vitamin D3 to function properly. Many kids don't like oily fish so they won't/don't eat it. It's not rocket science to purée some wild red salmon with some Bolognese/Sweet chilli/w.h.y. sauce so that they won't notice it. Many kids play indoors or are smothered in sunblock when they do go outdoors. Is it any wonder that childhood ADD/ADHD is much more common? Medication and psychotherapy? Seriously, WTF?

When I was a lad, there were a couple of show-offs in my class at school, but nobody behaved like "Jimmy*" (physically and mentally hyperactive with bad behaviour, screaming and shouting). Johnny was also badly behaved, but not as bad as Jimmy. The parents at the event seemed content that, every day, their children had to be given "uppers" (e.g. Ritalin) to help them concentrate during the day and "downers" to help them sleep at night. Seriously, WTF?

I will now take a deep breath and count to twenty. There, that's better!

*Names changed.

Senin, 28 Mei 2012

Back to Green Exercise - why is walking in the woods good for you?

The psychological benefit of exercise in the outdoors, particularly in natural environments, is something that I've mentioned before (e.g. here).  I also had a piece in TGO on the subject:  Hills not Pills (the reference material for that is here) It is also something that I mention in the Hillfit book.

Alex Hutchinson has a good article on this in the Globe and Mail - Why is walking in the woods so good for you? which focusses on recent science looking at the some of the reasons for this, highlighting the role of your perception, the call on your attention that is made by your environment:

The ability to direct voluntary attention is crucial in daily life (and for cognitive tasks like remembering random digits), but it’s easily fatigued. Dr. Berman and his colleagues believe that going for a walk in the park gives voluntary attention a break, since your mind has a chance to wander aimlessly and be engaged – involuntarily but gently – by your surroundings.

“In a lot of natural areas, you’re away from loud noises and distractions,” Dr. Berman explains. “It tends to be less crowded so you don’t have to worry about bumping into people, and it also has interesting stimulation to look at, which captures your attention automatically.”
I love that.  Taking a walk offers a real mental break.


On a diet? Don't look at the food.....

Spotted this yesterday and thought it worth posting.  If you read around the topic of obesity there are various hormones that get mentioned - leptin, insulin, Peptide YY and others.  Ghrelin is another one that pops up occasionally: a hunger stimulating hormone.

Ghrelin Levels Increase After Pictures Showing Food

With a background of regular meals, these researchers showed various photos to the subjects: food and "neutral" images.  The findings suggest that sight of food elevates ghrelin levels.

Interesting but obvious too?  Seeing food makes you hungry. 

I wonder if all this has something to do with the obesity epidemic too.  Images of food are everywhere.  Appetites through the roof.  People are eating more and getting fatter.

Be careful what you spend your time looking at.

Minggu, 27 Mei 2012

Out in the hills

Thanks for all the comments on the last post.  It is nice to have such supportive readers.

I took the advice of some of you yesterday and just did something that made me happy - a 10 mile walk in the Scottish mountains.  The weather was perfect and the day left me feeling tired but energised.

(There are more photos here)

I took a video on the top because I was blown away by the views:



This morning I was up early and into my local hills where I was lucky enough to experience a cloud inversion.  The cloud and mist hung low across the city but I soon climbed above it into blue skies.  It is stunning to look down on this carpet of white cloud with the blue skies above.

Certainly a weekend that has been proper re-creation.  Tiring but worth it for what I saw and did.


Jumat, 25 Mei 2012

Testing hypotheses - a rant.


My brain just exploded! On Why conventional view of obesity / FR is wrong, ItsTheWoo wrote "...there is not a doubt in my mind obesity is entirely 100% an illness, a disorder... "

According to ItsTheWoo's hypothesis, the increasing incidence of obesity all around the world since 1970 is 100% caused by the increasing incidence of illness all around the world since 1970. Seriously, WTF?

According to Nigeepoo's hypothesis, the increasing incidence of obesity all around the world since 1970 is significantly caused by the increasing influence of Crap-in-a-Bag/Box/Bottle (CIAB) manufacturers on the population by cunning marketing and on the Government by bribery lobbying since 1970.

The former results in increasing consumption of CIAB and the latter results in increasing subsidies on the raw materials used for manufacturing CIAB, making CIAB cheaper (also more profitable) than natural foods, thus increasing consumption of CIAB. See Why are Twinkies cheaper than carrots?

There are other factors causing increased obesity e.g. increasing numbers of towns/cities which discourage walking. See also Determinants of the Variability in Human Body-fat Percentage.

Highly-engineered and highly-calorific CIAB encourages subconscious over-eating via Food Reward. The hyper-secretion of insulin (compensatory hyperinsulinaemia) caused by the subconscious over-eating of CIAB causes subconscious under-moving by inducing drowsiness and lethargy, sometimes followed by the munchies if blood glucose goes too low. Insulin is just a hormone that is secreted for the storage of stuff and a reduction in the burning of stuff. Don't blame insulin for doing its job. If you have zero insulin (e.g. untreated type 1 diabetes), your body stops storing stuff and starts burning stuff uncontrollably. Before the invention of insulin injections, people with type 1 diabetes usually died within 2 years.

Subconscious over-eating is good for the profits of CIAB manufacturers. An increasing number of dyslipidaemic/hypertensive/depressed/diabetic/demented/w.h.y. people is good for the profits of health-care providers and drug manufacturers. These organisations currently make huge profits, so it's not going to be easy to change anything that will reduce them.

I deleted the last part of my rant as it was a bit too ranty, but I'm reinstating it in a toned-down form as I've mentioned it in the comments.

ItsTheWoo continually conflates subconscious over-eating and under-moving with conscious over-eating and under-moving (gluttony and sloth). The vast majority of over-fat people become over-fat due to subconsciously over-eating and under-moving. A tiny minority of over-fat people are gluttonous and slothful.

Telling people to consciously Eat Less, Move More doesn't work. This doesn't mean that Eat Less, Move More doesn't work. It means that Eat Less, Move More has to be done subconsciously. This is where low-carb/paleo/real food diets come into their own.

Rant over.

Rabu, 23 Mei 2012

Struggling

I'm struggling bit with this blog. I'm feeling pretty down anyway with the loss of my Dad, but I'm finding it hard to get much motivation to post here.  Partly I think I am learning that it is the basics that are important anyway.  I am tired of all the fads and the personalities, the drama and the seeking after novelty. 

Eat real food, get enough sleep, do some strength training, walk lots.  

Diet - I used to think it was all about low carb, or high fat, or paleo....now I am not so sure.  I avoid wheat because it makes my stomach unhappy, but otherwise I eat all sorts.

Exercise - some basic, safe strength training goes a long long way to promoting all sorts of health.  However, there are so many fads and crazes out there.  So much too which is written as if we are all elite athletes or physiotherapy patients. 


Bananas as an energy source.

This one reminds me of the stuff that showed chocolate milk to be the ideal post workout snack - it puts the everyday food into focus.

You don't need the fancy products....nanas are fine.

Full text

Bananas as an Energy Source during Exercise: A Metabolomics Approach

This study compared the acute effect of ingesting bananas (BAN) versus a 6% carbohydrate drink (CHO) on 75-km cycling performance and post-exercise inflammation, oxidative stress, and innate immune function using traditional and metabolomics-based profiling. Trained cyclists (N = 14) completed two 75-km cycling time trials (randomized, crossover) while ingesting BAN or CHO (0.2 g/kg carbohydrate every 15 min). Pre-, post-, and 1-h-post-exercise blood samples were analyzed for glucose, granulocyte (GR) and monocyte (MO) phagocytosis (PHAG) and oxidative burst activity, nine cytokines, F2-isoprostanes, ferric reducing ability of plasma (FRAP), and metabolic profiles using gas chromatography-mass spectrometry. Blood glucose levels and performance did not differ between BAN and CHO (2.41±0.22, 2.36±0.19 h, P = 0.258). F2-isoprostanes, FRAP, IL-10, IL-2, IL-6, IL-8, TNFα, GR-PHAG, and MO-PHAG increased with exercise, with no trial differences except for higher levels during BAN for IL-10, IL-8, and FRAP (interaction effects, P = 0.003, 0.004, and 0.012). Of 103 metabolites detected, 56 had exercise time effects, and only one (dopamine) had a pattern of change that differed between BAN and CHO. Plots from the PLS-DA model visualized a distinct separation in global metabolic scores between time points [R2Y(cum) = 0.869, Q2(cum) = 0.766]. Of the top 15 metabolites, five were related to liver glutathione production, eight to carbohydrate, lipid, and amino acid metabolism, and two were tricarboxylic acid cycle intermediates. BAN and CHO ingestion during 75-km cycling resulted in similar performance, blood glucose, inflammation, oxidative stress, and innate immune levels. Aside from higher dopamine in BAN, shifts in metabolites following BAN and CHO 75-km cycling time trials indicated a similar pattern of heightened production of glutathione and utilization of fuel substrates in several pathways.

Poly unsaturated fats.....

Interesting looking study. (Full Text)

They take the obligatory swipe at saturated fat, but the thrust seems to be to avoid excess omega 6 poly unsaturated fats.  Of course all this is called Mediterranean....whatever that means in reality.

New insights into the health effects of dietary saturated and omega-6 and omega-3 polyunsaturated fatty acids


Cardiovascular diseases and cancers are leading causes of morbidity and mortality. Reducing dietary saturated fat and replacing it with polyunsaturated fat is still the main dietary strategy to prevent cardiovascular diseases, although major flaws have been reported in the analyses supporting this approach. Recent studies introducing the concept of myocardial preconditioning have opened new avenues to understand the complex interplay between the various lipids and the risk of cardiovascular diseases. The optimal dietary fat profile includes a low intake of both saturated and omega-6 fatty acids and a moderate intake of omega-3 fatty acids. This profile is quite similar to the Mediterranean diet. On the other hand, recent studies have found a positive association between omega-6 and breast cancer risk. In contrast, omega-3 fatty acids do have anticancer properties. It has been shown that certain (Mediterranean) polyphenols significantly increase the endogenous synthesis of omega-3 whereas high intake of omega-6 decreases it. Finally, epidemiological studies suggest that a high omega-3/omega-6 ratio may be the optimal strategy to decrease breast cancer risk. Thus, the present high intake of omega-6 in many countries is definitely not the optimal strategy to prevent CVD and cancers. A moderate intake of plant and marine omega-3 in the context of the traditional Mediterranean diet (low in saturated and omega-6, but high in plant monounsaturated fat) appears to be the best approach to reduce the risk of both cardiovascular diseases and cancers, in particular breast cancer.

The Glute Guy on Lumbar Pelvic Hip Function



Good stuff from Bret Contreras

Cheating

This was interesting.  A study on "cheating" - swinging the weights, using poor form, whatever you want to call it. 

They used a computer simulation of a lateral raise, adding a little momentum to the move to see what would happen.  The idea seems to be that added momentum (cheating) increases the torque on the muscles.

I'm not sure what I think of this...but I can't get past the idea that this is a computer simulation.


Does cheating pay: the role of externally supplied momentum on muscular force in resistance exercise.
Our work investigates the use of "external momentum" in the context of hypertrophy-oriented training. This is momentum supplied to the load (such as a dumbbell) used in an exercise by means of action of muscles not inherently involved in the exercise. We challenge the general consensus that the use of such momentum often described as "cheating" is counterproductive. We focus on the use of external momentum in the shoulder lateral raise and adopt a framework whereby exercise execution is simulated on a computer. This is achieved using a physical model of motion which is combined with anthropomorphic measurements and empirical data of muscular recruitment from previous work. The introduction of moderate momentum (producing initial angular velocities around 57.5° s(-1)) increases the torque of the target muscles even without an increase in the load used. A moderate increase in the load and the use of momentum allows the torque to be increased even further. In contrast, excessive use of momentum results in lower demands on the target muscles, while an excessive increase of the load reduces the total hypertrophy stimulus by virtue of the decreased number of repetitions which can be performed successfully and thus the dramatically shortened time under tension. Our results disprove the conventional belief that the use of external momentum necessarily reduces the overload of the target muscles. A moderate use of external momentum increases both the per-repetition peak torque and the total hypertrophy stimulus in a set.

Sabtu, 19 Mei 2012

Barefoot running efficiency

Not sure that it is all about efficiency....what about injury prevention ..... but you might be interested in this from here.

UPDATE- Someone pointed me to the comments to the Scientific American article and this one from Ken Schafer makes some excellent points, so I hope he doesn't mind me cutting and pasting:

..............I have read the study. This study had nothing to do with cushioned shoes. They took experienced barefoot runners. And compared how much energy they used running barefoot and how much energy they used running in very light weight minimalist running shoes (little to no cushion).

The subjects used slightly more energy when running barefoot. It is important to understand that the subjects maintained the same "barefoot" running technique with and without shoes. So this was not a test of fore-footed running technique vs. heel striking running technique. Most of the evidence to date indicates that the technique used by barefoot runners is more efficient than the heel landing technique that most people (from sedentary shoe wearing populations) use when running.

Second point, barefoot runners have NOT dominated distance running for decades. The person, who wrote this, in the caption above, has no idea what he is talking about. The African runners, who many times have grown up barefoot, and who often run using a fore-footed landing, have dominated distance running for decades, but mostly while wearing shoes. Finally, this was just one study. So it is the results are far from conclusive.

Kamis, 17 Mei 2012

Some more intermittent fasting research

via Science Daily
In a paper published May 17 in Cell Metabolism, scientists from Salk's Regulatory Biology Laboratory reported that mice limited to eating during an 8-hour period are healthier than mice that eat freely throughout the day, regardless of the quality and content of their diet. The study sought to determine whether obesity and metabolic diseases result from a high-fat diet or from disruption of metabolic cycles.

The abstract is at Time-Restricted Feeding without Reducing Caloric Intake Prevents Metabolic Diseases in Mice Fed a High-Fat Diet


Nutritional regulation of muscle protein synthesis with resistance exercise

I just spotted this paper and it is definitely worth a read.  The whole thing is there for free download as a pdf:

Nutritional regulation of muscle protein synthesis with resistance exercise: strategies to enhance anabolism

Provision of dietary amino acids increases skeletal muscle protein synthesis (MPS), an effect that is enhanced by prior resistance exercise. As a fundamentally necessary process in the enhancement of muscle mass, strategies to enhance rates of MPS would be beneficial in the development of interventions aimed at increasing skeletal muscle mass particularly when combined with chronic resistance exercise. The purpose of this review article is to provide an update on current findings regarding the nutritional regulation of MPS and highlight nutrition based strategies that may serve to maximize skeletal muscle protein anabolism with resistance exercise. Such factors include timing of protein intake, dietary protein type, the role of leucine as a key anabolic amino acid, and the impact of other macronutrients (i.e. carbohydrate) on the regulation of MPS after resistance exercise. We contend that nutritional strategies that serve to maximally stimulate MPS may be useful in the development of nutrition and exercise based interventions aimed at enhancing skeletal muscle mass which may be of interest to elderly populations and to athletes.

Rabu, 16 Mei 2012

Ankle strength changes with the seasons

This is an interesting one.

Serum [25(OH)D] status, ankle strength and activity show seasonal variation in older adults: relevance for winter falls in higher latitudes.

ankle dorsiflexor strength varied seasonally. Increased ankle strength in summer may be influenced by increased levels of outdoors activity over the summer months. Reduced winter-time dorsiflexor strength may predispose older people to increased risk of tripping-related falls, and warrants investigation in a multi-faceted falls prevention programme

Interesting that strength is always key.

Bulletproof Executive interviews Dr. Doug McGuff

It is no secret that I am a big fan of Doug McGuff.  I interviewed him here a couple of years ago and he was kind enough to give me a very good review for Hillfit.

There is an excellent interview with Doug at the Bulletproof Executive site that is very well worth listening to.

Podcast #26: Body By Science with Dr. Doug McGuff, MD

Back

So I am back to work and back to "normal" life after a tough couple of weeks.  For the last 6 months most of my life has been focussed on planning the elections in Edinburgh.  Polling on 3 May and the count on 4 May.  320,000 voters over 62,000 postal voters, 340 polling stations, 17 wards, 127 candidates.  Then on 2 May I was called to my Dad's bedside and I had to walk away from it all.  I drove south for 4 hours and then with my family sat with him for 48 hours until he died.  For most of that time I held his hand and talked to him.   When I arrived he was conscious and he saw me, smiled and tried to talk.

When I visited he would always hate it when I left to return to Scotland.  This time when I got to the hospital I told him that I was not going to leave him anymore, ever.  I remained there with him then.  And he died.  Finally all the confusion, the weakness was gone.  He was at rest.  I was with him all the time.

Now all seems a little empty.  After a long and hard week of administration - registering the death, organising the funeral, sorting out the will - I returned to Scotland.  The election was over.  All the drama finished with and I had missed it all.  I feel strangely dislocated from it.

And this blog....I will start posting things again, but at the moment it all seems a little frivolous.

Thanks for all the messages of support.

Get in! Part 4. Get out! Get this!

First, here's a rather jolly but not safe for work song from The Beautiful South.


Mum's GP has approved mum getting 500mg/day Thiamine. I'm waiting for it to arrive from Vitacost.

Mum's GP has approved the discontinuation of Aspirin 75mg/day and Omeprazole 20mg/day, as they are of little benefit and it reduces the number of pills that mum has to swallow each day.

I sang backing vocals for my friend Ray Langstone with a group of excellent musicians at the Unicorn pub on Monday evening. That's the first time I've done something like that.

This is the song Ray sang.


Jumat, 11 Mei 2012

Good Health: You can get it if you really want.

You'll never guess!

Some people moan about their health problems a lot. If somebody tries my advice and their health doesn't improve, they are justified in moaning about it.

If however I give them advice, they ignore it and then carry on moaning, it's time to ignore them. I don't have time for...

Rabu, 09 Mei 2012

You're free, and a testimonial.

First, the music video.


I have to admit that I'm not exactly what you'd call "exciting". Apart from driving my yellow MX-5 very fast in the middle of the night when there's nobody around, I'm not an adrenaline junkie. My mother used to throw herself out of light aircraft with a parachute on her back. There were occasions where her main 'chute either failed to open or it became tangled and had to be "cut away" before deploying the reserve.

I'll fly through the air when I've grown a pair of wings. I'll swim when I've grown a set of gills. I'll climb up the side of a mountain when I've grown two extra legs and have the strength & balance of a goat.

In some ways, I'm lucky to have slightly defective hearing & vision. I'm happy with the sound quality of inexpensive stereos and I don't need HDTV. I get my kicks from singing and from helping people to improve their health. I believe that health is number one priority as, without it, you can't properly do or enjoy things in life.

So, you're free to do what you want to do. Also, you're free to take or leave my advice! Anyway...

Somebody who I've known for about 14 years had been suffering from fairly obvious signs of magnesium deficiency (anxiety, poor sleep, cramps, spasms etc) for quite a while, so I virtually frog-marched him to the pharmacy at Tesco on bank holiday Monday and got him to buy a pot of Epsom Salts and add some to a smoothie.

He wishes to remain anonymous, but last night he informed me that he's feeling much better and is now pooing normally for the first time in 20 years. That's probably how long he's been deficient in magnesium. I've also given him 14 Vitamin D3 5,000iu mini gelcaps to try, as he suffers from low moods and rarely gets any sun on his skin.

Our bodies work so much better when they have all the nutrients that they need.

Jumat, 04 Mei 2012

Intermission

The blog will be quiet for a while. My dad has died, released from his dementia at last.

Feel-good Friday.

Nothing to report, so crank the volume knob up to 11 for the following two music videos.





A big "thank-you" to Ann Gibbs for bringing these songs into my life at Monday night jam sessions at the Unicorn pub in Aldershot. I hadn't heard either of them until I went there!

Kamis, 03 Mei 2012

Look after your brain, Part 5.

This is another bookmarking post.

I spotted an article by Emily Deans M.D. called Nutritional Brain Bomb - Thiamine Deficiency.

So there's yet another way to knacker the brain, resulting in Wernicke's encephalopathy and in severe cases, Korsakoff's psychosis. Both of these conditions are partially irreversible due to neuron death. Both of these conditions are partially reversible by high-dose thiamine therapy.

Thiamine 500mg/day is one last therapy to try mum on after I've got her back on Vitamin K2 (hopefully today).

Continued on Quality >> Quantity.

Selasa, 01 Mei 2012

Smoking and Obesity

interesting comment in the Guardian today from the artist David Hockney on obesity....

Is there a link between the decline of smoking and the rise of obesity and diabetes? It's been suggested that with a previous "health" scare of fat being bad for you, they took it out of a lot of food and thus the flavour, and then, to give it some flavour, added sugar. This was 30 years ago. It turned out some fat was not only essential, it was good for the heart after all, but they have now given a lot of people a sweet tooth. This is why it is so appalling that there is no debate at all about smoking. Some people might be much better off smoking instead of nibbling. There are still 10 million smokers, now treated like very naughty children. It seems there is no free lunch, and the media and political elite look like the cause of it all, exaggerating constantly to people they seem to despise.