Not So Small World After All?
It’s a world of laughter
- A world of tears
It’s a world of hopes
- And a world of fears
There’s so much that we share
- That it’s time we’re aware
It’s a small world after all …
-Written by Richard M. Sherman and Robert B. Sherman
BMI (body mass index): A ratio of weight to height (weight in kilograms divided by height in meters squared) BMI = kg/m2
The other day I was working with a gastroenterologist (GI doctor) who was sporting a smart looking Mickey Mouse watch. She had acquired it on a recent family vacation to Disneyland. This sparked some conversation about the land of enchantment and some of the rides they experienced. Of course I had to ask about the Small World ride.
The line: It’s a small world after all (sorry now that it’s stuck in a circular loop in your head), has been the subject of many jokes and comments throughout the years; but what followed was a new twist to me. Seems the ride had been out of commission for repairs and the reason…
Well, there is some controversy surrounding the reason the ride was shut down in 2008. The ride has been around some 45 years and the original flume and fleet of boats made their maiden voyage during the 1964-65 New York World’s fair. The sturdy little pastel boats have been doing yeoman’s work ever since. No doubt that kind of run would even cause Cal Ripken to pit stop for some refurbishments.
According to MiceAge the Imagineers of the 1960’s designed the ride to accommodate the average man (175lb) and woman (135lb) of the era; not the adult of today who can often weigh more than 200lbs. The boats ride lower in the water and tend to “bottom out,” causing the whole contraption to stop in its tracks. The solution (prior to redesign) was to limit passengers or escort embarrassed patrons off the ride.
Several stories including one in the New York Times call on readers to draw their own conclusions. The subject is somewhat taboo and Disney denies any connection between redesign and weight of the riders.
Whether the connection is valid or not the fact remains Americans are getting heavier on average. According to the U.S. National Institutes of Health, approximately two-thirds of adults age 20 or older are overweight or obese with BMIs greater than 25, and nearly one-third have BMIs greater than 30. Less than one-third are at a healthy weight with a BMI of 18.5 to 24.9.
In my own experience as a nurse I’ve witnessed hospitals having to equip ceilings with steel I-beams to support mechanical lift systems to get obese patients in/out of bed. A recent staff development in many care settings are the “Lift teams.” These are designated staff whose sole job is working the lifts and turning patients—in order to save nurses from back injuries.
Kaiser Permanente purchased a fleet of love-seat sized wheel chairs years ago to accommodate the increased girth of its members. I once took one of these devices to a presentation at Nike World Head Quarters…they couldn’t believe their eyes as I rolled it in the room.
At issue are not just the obvious effects of BMI on health and longevity but control of one’s own experience and for this discussion that means aging in place.
It’s About Control (but not what you might think)
In an article from Newsweek (Feb/23/2009): Stress Could Save Your Life, author Mary Carmichael writes about the connection between control and stress. Carmichael notes a classic study where scientists put two rats in a cage, each locked to a running wheel. The first rat could exercise whenever he liked. The second was yoked to the first and forced to run when his cage-mate did.
The exercise that usually decreases stress and encourages neuron growth in the brain did just the opposite in the second rat—the reason…control. Psychologists know that one of the biggest factors in how we process stressful events is how much control we have over our lives. A body rendered un-available due to high BMI can place limits on personal control (mobility and independence). Much of the appeal of aging in place is about choice—to make the issue relevant is to frame it as matter of control.
Research has shown that by avoiding a further increase from 28 kg/m² to 32 kg/m², a typical person in early middle age would gain about 2 years of life expectancy. Two years of extra life down the road might not sound all that compelling to some, but the issue is really more one of extending health—not extending life.
Inactivity doesn’t necessarily shorten the life-span…it most definitely shortens the health-span. –Dr. Rosenburg, Tufts University
Extending the health-span can equate to maintaining mobility and independence; ultimately leading to a higher degree of control (& decreased stress) over one’s life experience. And that’s what aging in place is all about.
See:
Calculate: Your BMI
Research on life expectancy
Middle aged women and stroke
It’s a small world video
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