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Wednesday, November 13, 2024
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1288189521-four-lokoWord in today’s New York Times that the FDA is ready to take a stand on alcohol-laced caffeinated energy drinks offers a good opportunity to consider the impact of media attention on health policy.

Media outlets have been full of stories for months about young people becoming seriously ill or even dying after ingesting the drinks. Most reports have centered on Four Loko, a fruit-flavored malt beverage with 12% alcohol content and caffeine equal of a cup of coffee. It’s known on some college campuses, “Coma in a Can.”

The FDA, which has never approved adding caffeine to alcoholic beverages, has been reviewing whether alcohol-caffeine energy drinks are safe and legal. The review began about a year ago at the urging of 18 state attorneys general.

Four Loko’s manufacturer “has said that drinking premixed alcohol and caffeine is no different from drinking a few glasses of wine with dinner and having coffee afterward,” notes the Times. The company, whose product had been widely available in the US, says it takes steps to prevent its products from getting into the hands of minors and complains that Four Loko is being targeted unfairly.

But the drumbeat of media reports has spurred state action ahead of an FDA ruling. Several states have banned the drinks; New York’s governor says his state will as well, and that state’s main beer distributors have agreed to stop delivering caffeinated alcoholic beverages to retailers.

On last night’s episode of NBC’s hit show “The Biggest Loser,” trainers Bob Harper and Jillian Michaels were extremely disappointed in the terrible results their clients achieved the week before. “I want to see numbers on that scale that represent what Jillian and I are all about!” Bob exclaimed, yelling out into the gym, “I’m thinking I want to hurt someone I haven’t been able to hurt for a long time.” Contestants had trained at Camp Pendleton, the famed Marine training ground, and had mostly posted unacceptable weight loss of a pound or two for the week. In fact, three players gained weight for the week, unheard of in Biggest Loser history. It got Bob pissed, and it got us at the Center for Health, Media and Policy at Hunter College wondering: what the hell are they doing at that ranch? What goes on in their normal environment if a week at Camp Pendleton is like a week at the Cheesecake Factory? So we’re blogging The Biggest Loser this week and for the rest of the season to take a closer look, calling on experts from various health care professions to help us understand what this enormously popular and profitable expression of health issues is all about.

It’s a weird time to be a fat person in America. In an era when most of us strive to treat each other with sensitivity about a myriad of physical and cultural differences, overweight people, with their “self-created” problems, don’t rate much consideration. The fashion and entertainment industries are notorious for their plus-size unfriendly ways. Even against this background, the current cultural mood towards the heavy seems to be shifting into a harsher gear, seeing them increasingly as moral degenerates and a civic burden. The right predicted years ago that if cigarette smoking was culturally vilified, eventually twinkies would be too, and, for better or worse, they were right: NYC has banned trans fats and has floated taxing sugar-based drinks; many other municipalities are following suit. What was once a personal struggle to eat well has acquired new civic and moral weight. So, with our country agog about the obesity epidemic and its related health care costs, with Michelle Obama dedicating herself to helping all kids be as sleek and fit as Malia and Sasha, and with Mika Brzezinski smugly purring about her daily runs and abhorrence of carbs every morning on MSNBC’s Morning Joe, The Biggest Loser occupies a strange place in our current cultural landscape. With all due respect to the fat acceptance movement, most of us don’t dispute that being severely overweight is not healthy, but you have to wonder what’s going on when seven million people tune in weekly to cheer as the obese are pushed to exercise until they vomit or are hospitalized.