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Obesity and Smoking Trends Over Time

by: Jill Richardson

Thu Jul 02, 2009 at 18:06:20 PM PDT


I've been trying to look at whether or not increases in chronic illnesses can be linked to changes in the food system over the past century. I agree that it's not necessarily accurate to look at obesity alone as a proxy for "diet-related chronic illness" but the other data? Well it's a bit harder to come by. The really tricky thing to factor in is that smoking went down while obesity went up. Oh - and the CDC - bless them - gives smoking statistics over time for all ages but split between men and women and then gives obesity trends over time with men and women lumped together but split out by age group.

I'll give you the raw data I've been able to find thus far, but as you'll see, we're going to need some real experts to sort out what diet actually has to do with disease.

Jill Richardson :: Obesity and Smoking Trends Over Time
For the data below, I used CDC statistics and occasionally extrapolated a little bit (i.e. if I had a data point for 1990 and one for 1994, I would average them to estimate for 1992).

My Grandparents
My Dad's parents were born in 1920. We don't have obesity data on them until they hit age 55 or so, in 1975. That year, 37.2% of people ages 45-64 were overweight and 18.0% were obese (55.2% were overweight OR obese). Looking at people of all ages in 1975, 48% of men and 32% of women smoked.

In 1990, they were 70. By then 38.5% of people ages 65-74 were overweight and 25.6% were obese (64.1% were overweight OR obese). As this generation aged from 55 to 70, about 9% of them entered the overweight/obese category. That year (for people of all ages), 28% of men and 22.9% of women smoked.

Note here that as they were aging from 55 to 70, some of them were dying. Therefore, the increase in overweight/obesity as a percent of the total population isn't entirely explained by people gaining weight. Part of the explanation could be that some skinny smokers were dying.

My Mom's parents were born in 1930. When they were 55 (in 1985), 36.6% of people ages 45-64 were overweight and 29.5% were obese (a total of 66.1% of the age group was overweight or obese). At that time (for people of all ages), 32.2% of men and 27.9% of women smoked.

So my mom's parents' generation was fatter than my dad's parents' generation at age 55. Fewer people smoked when my mom's parents were 55 than when my dad's parents were that age, but this data doesn't tell you the ages of the smokers, nor does it tell you who used to smoke and quit. Of my four grandparents, two smoked and quit. One smoked well into the '90's until he nearly killed himself from it, and one never smoked. One grandparent who smoked and quit died of lung cancer.

In 2000, my mom's parents were age 70. That year, for people ages 65-74, 37.2% were overweight and 36.3% were obese (a total of 73.5% were overweight or obese). That year (for people of all ages) 25.2% of men and 21.1% of women smoked.

My Parents
How about my parents? They were born around 1950. When they were 24 years old (in 1974), 20.6% of 18-29 year olds were overweight and 7.9% were obese (28.5% were overweight or obese). That year (for people of all ages) 42.8% of men and 32.2% of women smoked.

When they were 37, in 1987, 31.9% were overweight and 22% were obese (53.9% were overweight or obese). That year (for people of all ages) 30.9% of men and 26.5% of women smoked. There probably weren't too many deaths from smoking in this group as they aged from 24 to 37, so the increase from 28.5% overweight/obese to 53.9% overweight/obese is a significant jump.

By the time this bunch hit 55 in 2005, 33.0% were overweight and 40.7% were obese (73.7% overweight or obese). Holy crap. In 2005, for people of all ages, 23.4% of men and 18.3% of women smoked.

People Born in 1965
I don't have any relatives (other than cousins) born around 1965, but it's about halfway between my parents and me so I'm going to look at it. Somebody born in 1965 would have been age 9 in 1974. 4% of children ages 6-11 were overweight (no stats on obese). Hopefully few kids that age were smoking

In 1980, that generation was age 15. That year, 5.0% of teens (ages 12-17) were overweight. That year, 37% of men and 30% of women smoked. So as they aged from 9-15, really very few kids were becoming overweight.

That changes as they get into their twenties. In 1989, when this generation was age 24, 23.1% of people ages 18-29 were overweight and 13.2% were obese (26.3% overweight or obese). That year, 29% of men (of all ages) and 24% of women (of all ages) smoked.

By the time the people born in 1965 reached age 37 (in 2002), 33.4% of people ages 30-44 were overweight and 29.0% were obese (62.4% overweight/obese). That year (for people of all ages), 24.6% of men and 20.0% of women smoked.

My Generation
How about my generation? I was born in 1980. When I was 9, in 1989, 11.3% of children ages 6-11 were overweight (no stats on obese). That's more than double compared to people born in 1965.

When I was 15, in 1995, 12% of my peers (ages 12-17) were overweight (no stats on obesity). Again, that's more than double for the kids born in 1965. That year (for people of all ages) 26.5% of men and 22.2% of women smoked. Of course, my generation was in high school, where we knew everything, and 34.8% of high schoolers smoked then.

By the time I reached 24, in 2004, 26.3% of my generation (people ages 18-29) was overweight and 24.1% were obese (50.4% overweight or obese). That is a HUGE increase over the generation born in 1965 (nearly double!) and about two and a half times as many as my parents' generation. As for smoking, in 2004, for people of all ages, 23.0% of men and 18.7% of women smoked.

My Brother's Generation
How about my brother? He was born in 1985. When he was 3, 7.2% of his generation (kids ages 2-5) were overweight. We don't have data before then to compare it with, but consider that only 4% of kids ages 6-11 were overweight in 1974 (kids born in 1965, twenty years before my brother).

When my bro was age 9, in 1994, 11.3% of kids ages 6-11 were overweight.

In 2000, when my bro was 15, 14.9% of teens (ages 12-17) were overweight (by now the high school smoking rate was down from 34.8% when I was in high school to 31.5%).

This year, my brother would have turned 24. The last year we have data for is 2005-2006 but in those years (Adam would have been 20-21), for people ages 18-29, 27.8% were overweight and 24.3% were obese (52.1% were overweight or obese).

If I Had Kids
What if I had a kid? For children born in 1995 (Ok that would make me a REALLY young mother), at age 3, 9.5% (of kids ages 2-5) were overweight. At age 9, in 2004, 18.8% of kids ages 6-11 were overweight (quadruple from 1974, double from 1984).

If I had a child at age 20, in 2000, by the time my child was 3 years old, 13.9% of kids ages 2-5 were overweight.

It appears to me that the overweight/obesity numbers started going up dramatically between 1980 and 2000. Some age groups saw moderate declines since then (13.9% of 2-5 year olds were overweight in 2003-2004 compared to 11.0% in 2005-2006) but for the most part the numbers are still slowly going up.

Also, note that people of my parents' generation and older came of age when nearly half of men and a third of women smoked. Even if they haven't smoked for decades now, their tobacco history is still going to play a role in their overall health.

Life expectancy has gone up continuously throughout the past century. This is not just due to diet and smoking but also advances in medicine and improved access to health care. If you look at this chart below, even as you go from 1970-1990 you're going to have a pretty big drop in people who smoke at all during their lives (high school smoking was at 27.5% when they began measuring it in 1991, it rose to 36% in 1997 and then began dropping, reaching 20% in 2007... it looks like smoking got a lot cooler to teenagers once the adults all stopped doing it).

Life Expectancy At Birth

YearMenWomen
19004648
197067.174.7
198070.077.4
199071.878.9
200074.379.7
200575.280.4

So - what does all of this mean? I don't know. We're living longer and that's great. We're fatter. We smoke less. Obviously there's a health benefit to the decrease in smoking. But what's the effect of our food on health? Could it be that the advances in medicine are slightly outweighing the effects of unhealthy food, so that we're getting sick from our food but we're living longer all the same? I'll see if I can find out.

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Here's something else you might take into consideration (4.00 / 4)
the shift from farming done mostly with manual labor to living in cities doing more sedentary jobs.

When Harold was born, in 1929, his family farmed for a living. Mostly subsistence farming, but they did have to have some cash crops to pay for things they either couldn't grow/build themselves or for services they couldn't perform themselves, such as gringing the grain they grew. Because it was the depression when he was a kid, they also ate a lot of wild game, greens, berries, fruit, etc. Most of what they and everyone else grew was what we would consider organic.

There weren't a whole lot of heavy people, at least not in the pictures I've seen of farmers from that era. The type of work those people had to do meant that you could pretty much eat what you wanted. You're going to burn it off. Harold's father used to cut grain with a scythe that had a big cradle on it. Believe me, as someone who has a schythe and who uses it on a regular basis, if you're doing that all day, no matter what you eat, you're probably not going to get more calories you'll burn.

I think also that the life expectancy really does have a lot more to do with advances in medicine than anything else. When was the last time you heard of someone's kid dying of whooping cough, a lot used to. Or polio? All I have to do is think back when my grandma got cancer, around 1962. The doc sent her home to die. When my mom came down with breast cancer they did a radical mastectomy, and told her that if she lived for 5 years she'd probably be fine. No radiation, no chemo, no fancy drugs or other treatments. Just scrape to the bone and cross your fingers. Then when my mom came down with cancer again in 1990, radiation, chemo, the whole shebang. If her aorta hadn't blown, she probably would have survived. The advances in medicine are some of the most awsome changes to society that I can imagine.

Regarding locavores as elitists - explain to me how supporting local business is elitist....


And don't forget heart bypass operations... (4.00 / 1)
I had one 30 years ago and I'm now 30 years older (and a whole lot wiser....!).  Without it I would have survived a month or two more then died. Yep, the good old days were'nt really so good in so many ways.

[ Parent ]
you just made me think (visually) of something (4.00 / 4)
I never really thought of the stats in a "personal" way, but when I was a kid, very, very few children in the class were overweight. I don't have any of my class photos scanned in, but in my minds eye, we were all basically the "right" size. I didn't even appear (in comparison) as slender as I do now. I can't remember what year it was as an adult that I started noticing overweight/obese children, but I do remember sorta being hit with it. There were just so many more. Next up was riding the subway and seeing infants and toddlers in strollers also overweight or on their way to it. Not normal baby fat, even I had that, lol!~ (yes, there is a photo of me bare bottom up on the changing table, all rolly polly). What I was seeing was different.

Obesity/diet should still play a role in smokers health. Smokers eating a healthier diet have bodies better armed to fend off the effects of smoking (and other things right  down to colds). And if they are obese, even more of a prob than just a bad diet. And age is a factor also. I think we are starting to get to the end of the generations that ate in moderation (in general). Both my parents quit smoking either before my sister and I were born, or very shortly after (can't remember). Neither ever gained weight due to not smoking. Mom weighed 99lbs when my sister and I were toddlers/pre-school. Mom never really put on weight until middle-age. She was still slender though. Part of it was genetics, but part diet as they always stressed moderation in eating, not so much verbally, but by what was cooked and served, and eating a healthy balanced meal. For us kids of parents of those earlier generations, that type of thing stuck with a decent portion of us, but many of us are also "victims" of the boom into processed food. In my own family on my dad's side, there is one sibling where moderate, healthy eating did not follow on.

It's interesting if you look at what they are stressing now about diet, exercise etc, it's all stuff some of us in the generation ahead of you grew up with as routine. Yes, a lot more of my generation is overweight than should be, but I would be surprised if the info was really that new to them. Oh, and we all grew up with Phys Ed in school, playing outside etc. All of that plays into diet and health issues along with the 2 working parents in middle and lower income classes. I'm very surprised when I watch some shows (including cooking ones where average people are involved) and some of the basics about food is unknown by so many. They may realize 'some" stuff is 'bad', but the lack of knowledge about good food and diet is really interesting. Do they even teach this in school anymore?


I don't remember more than three or four, myself... (4.00 / 2)
Which seems to fit in with Jill's trends here - I was born in 1979, my classes only tended to have a few overweight kids.  I was on the bone-thin side myself, up until about junior high.  

My daughter was born in 1997, and I'd say around 2003 / 2004, it was easily a quarter of her classmates noticeably overweight.

All I ever remember from school about food was a brief thing on the (useless, heh) food pyramid once a year during "health" class, which in NJ public schools took the place of phys ed for one quarter out of the year in jr. high & high school.  So we spent maybe two or three days total a year, just briefly touching upon the subject.  And nothing at all on healthy food in my senior yr in high school, as I only needed to take 4 classes that year, and got out of the rest of the day on a work-study type thing.

I do remember there was a "home ec" class in my jr. high, and that they got rid of it my 8th grade year.  I guess that would have been 1992.

I still think there should be a general "basic life skills" type of class required every junior or senior year in high school, that would teach all about these things - not just healthy food and cooking skills; but also basic financial management, how to do a resume, etc...

"Intelligent discontent is the mainspring of civilization." - Eugene V. Debs


[ Parent ]
I graduated highschool in 1981 (4.00 / 2)
I remember taking a Home Ec. class in grade school (this was before my grade school was split into grade/middle school [junior high]). I think I took the home ec. class in 7th grade. The only thing I remember from that class was that I totally sucked at using a sewing machine. I know we had cooking classes, but for the life of me I can't remember what we learned to cook.... I don't have any kids in school, so I don't know if they have Home Ec. classes or other basic life skills classes or not. I'll have to ask my friend's daughter when she comes over to work the horse she's training for me today if I remember. She's still in Highschool so she'll know. Although the Molalla school district may be different from Portland Public Schools. They have 4H in Molalla, I didn't even know there was such a thing when I was in school in Portland....

My cooking skills mostly came about after I moved out on my own. I love eating really good food, but I've never been flush enough with money that I was able to eat out at really good restaurants very often. So if I wanted to eat gourmet meals, I had to learn to fix 'em myself.

The thing that really helped me is the fact that my mom loved to cook, and she cooked things from all over the world. Then too, my paternal grandma, coming from 'the old country', did everything herself too. She made her own wine and vinegar in addition to keeping her own chickens, slaughter, etc.. Back when my dad was a kid, SE portland was more like Molalla and it's outlying areas, that is semi-rural. When my dad was a kid, Westmoreland park was a cow field and cows were actually pastured there, at least my dad's family's cow was.

Anyway, when I moved out into my own appartment, two of the things my mom gave me were a set of cook books and a set of spices. She also gave me some of her extra pots and pans. The things I bought new she advised me on as well. So my parents both encouraged us to learn to cook and helped wherever I and my brother needed. Even my brother is an excellent cook, and he build a cold smoker for fish. To has that he is an avid fisherman is the understatement of the century. A big section of one large wall in his office at his shop (he owns Classico Marmo, a stone fabrication shop in SE Portland) is litterally plastered with fishing pictures.

I think the bottom line as far as people eating healthy, especially at home, is for people to be interested enough in cooking healthy that they do it. If there's something you really enjoy doing, you'll find time or make time to do it.

I think another big advantage that we have now is the prolifferation of good cooking shows. I think that Alton Brown's show Good Eats is an example of a show that really demistifies basic cooking techniques. I've learned so much by watching his show, from bread making to making sauces, etc. He really takes the 'hard' out of cooking. Once you learn basic skills, you can make anything you can think of, come up with your own recipes, etc.

Regarding locavores as elitists - explain to me how supporting local business is elitist....


[ Parent ]
I'm pretty sure we started much younger (4.00 / 2)
with food/nutritional info in school, before "health" classes. Of course, we also had Phys Ed from the time I was little. I think it was 3rd/4th grade I remember starting to compete in yearly individual athletic achievement tests. We also had things like "field day" where you faced off against your peers. Usually at the end of the year. It was also more common for our parents to teach us to cook young. Many of us were also in things like Girl Scouts, where  you also got some of the basic knowledge/life skills. By the time I
"had" to take Home Ec, it was a freakin' joke, lol!~

I wonder what the status of our children's weight would be if they all still had one period of PE a DAY?


[ Parent ]
I remember field day! (4.00 / 2)
We had PE every day in grade school. I only had to take PE in my freshman year in highschool though. I really suck at sports, except swimming and horseback riding. My highschool, Cleveland, was just a few blocks from a bowling alley, so bowling was one of the things we did in HS. I got a special prize for having an average in the 20s, a record for the school at the time. I was always tripping myself during track and when we did badminton, my best friend who was my partner in doubles always snatched the birdie out of the air if it came at her from one side, instead of hitting it backhand. Between her grabbing the thing and me not being able to hit it in the first place, we had pretty low scores in that sport too.  :-P

Regarding locavores as elitists - explain to me how supporting local business is elitist....

[ Parent ]
We may have been only Freshman year required (4.00 / 2)
or it was Freshman had to take dictated classes and the years after that were choice. I pretty much stuck with dance classes. Freshman year (for girls) was track and field, baseball, gymnastics, and dance off the top of my head. I seem to remember standing on a tennis court at one point in HS, but that may have been a fluke, lol!~ We also had swimming, which I didn't do once I hit HS (Calif kid here). In the middle grades, we had PE and lunchtime team sports were highly encouraged. I did volleyball and basketball.

I should mention, I'm not much of a athlete, never had the desire. The only thing that I did have that helped with all of the athletics we were subjected to was my competitive nature, so I wasn't a total failure at all sports, lol!~ I was a fish, as were most of my friends. We had all been swimming since shortly after walking. I did ok at track and field (if I could go barefoot), but dance was def my thing. The rest was made tolerable with friends etc. I totally forgot about badminton!

So I guess you also went to school when they still had music and visual arts as a regular part of your day/week, eh? I excelled at academics (when I bothered that is, bored a lot). Don't know what would have happened to me without art classes. Sr yr I had all my requirements filled so I spent the morning in art and dance classes and the afternoon doing a work "thing" with preschoolers. That was a very good year, lol!~


[ Parent ]
I did my highschool the same way (4.00 / 2)
got all the required courses out of the way the first 3 years and did what I felt like my senior year. I did foreign languages, art and biology.

I had advanced art general and art staff. The AAG class was a repeat because that's as high as the general art classes went at Cleveland, so the teacher, Mr. Eng, told me to do what ever kind of art I wanted as long as I had original work to show each week. Art Staff was a dream. We ran the print shop for school performance productions, so when there was a play or a prom we did the posters, etc. Most of the time we just sat around goofing off and reading books, but the silk screening and design work I later put to good use when I started to do my own publishing.

Then I had 2nd year college Russian at Reed College, which I dropped after the second semester so I could have a 2 hour lunch, which I spent in down town Portland at the book shops, especially B. Dalton's. I also had first year Latin which was a blast.

And then I had an advanced biology class which was fun. We got to breed mutant fruit flies, extract DNA, and run pigeons through a skinner box among other things. My lab partner and I had the dumbest pigeon in the known universe. We couldn't get that bird to do anything. At first we thought that it was us, so we traded birds with another lab team who was having trouble with their bird. We didn't have any trouble with their bird so we traded back. Our original bird never did get trained even though at least one other team besides that one tried.

Regarding locavores as elitists - explain to me how supporting local business is elitist....


[ Parent ]
I remember those... (0.00 / 0)
I remember "Field Days" - but oddly enough, I seem to also remember that they stopped suddenly right around 4th or 5th grade.  Maybe it was a lawsuit / liability / insurance thing?  Very well may have been, seriously.  This was the 80's, after all - and we did get rough at times, heh.  I remember dodgeball was banned right around that time, too.

As for school food - My one year in Arizona (freshman year high school, 93-94), I remember the cafeteria was an absolute nightmare of branded chain fast food and soda fountains, etc.  Sure, I ate that stuff back then, but one thing I can say for NJ public schools is that I never would have ever even imagined anything like what I saw in Arizona that year, if I had done all my years in NJ.  Soda wasn't allowed in NJ schools, no branded fast food, etc.  The cafeteria in AZ though, literally looked like a mall food court.  Taco John's, I think, and Pizza Hut, and Coca Cola fountains with Coca Cola branded cups, etc.  Yuck...

"Intelligent discontent is the mainspring of civilization." - Eugene V. Debs


[ Parent ]
about smokers (4.00 / 2)
if you compare the health of non-smokers and smokers, one factor might be that non-smokers generally choose healthier habits overall (like exercise, healthy diet, less alcohol) compared to smokers. If that were the case, then you might find that non-smokers are even MORE healthy than smokers but that wouldn't be entirely the fault of the cigarettes. I'm not sure, just throwing it out as a thought.

"I can understand someone from Iowa promoting corn and soy, but we are not feeding the world, we are feeding animals and soft drink companies." - Jim Goodman

[ Parent ]
Makes total sense (4.00 / 1)
but you would have to throw the obesity factor out at that comparison, imo, and only compare healthier weights. Carrying 'some' extra prob wouldn't factor in much, but beyond that . . .

I think another thing that may be factoring into our health is manufactured vitamins. We may not utilize them as well as natural sources and we could be missing out on trace that would make them more effective. I see in some circles, there is a trending away from vitamins as a source for vitamins. One thing I never got was processing vitamins out, only to add manufactured ones in. And these days it's even more dangerous, what with pre-mixes and all. If you follow pet food, you see connections between health problems and food that when tested has had the vitamins off. There are pet owners that are actively tracking, testing, getting the word out and holding the PFCs feet to the fire. We see it for humans in some supplements and RX drugs, but I do wonder about what's in the canned food etc. Prob another very good reason when reading labels, go for less ingredients or make sure the vitamins shown in the nutritional label aren't from supplements.


[ Parent ]
What I'd like to know is (0.00 / 0)
where "poor" people find the money to buy prepared foods. As a young person entering the job market, we, (my brother and I shared a house he bought,) couldn't afford anything but the basics; staple vegetables like onions, potatoes, tomatoes and rice; luxuries like celery or ground beef when we were flush. We were both working at regular jobs.

We had no choice but to learn to cook. Granted the Fanny Farmer Cookbook never won any prizes in Paris, but it was (moderately) healthy food. After a few readings and leaning on our mother's how-NOT-to-cook-liver experience, almost every meal started with... "cut up an onion and sauté in oil...", though I'm sure we never said the word sautéd out loud.

The greatest change I've noticed in two generations is a general loss of experimental curiosity. (Obviously denizens of this and similar blogs should exclude themselves in this observation.) But growing up, Popular Mechanix and Popular Science were widely read. The garage inventor was ubiquitous in America.

Sometime around the dawning of the Nintendo Era, all that was lost. People stopped being spontaneously inventive... with great pride. MacGyver became a hero and at the same time the butt of endless jokes. It became chic to unimaginative, incurious, unresourceful and doltish.

Darwin wept.

Yankee Frugality: use it up, wear it out, make it last, or do without.


Prepared foods are cheaper (4.00 / 1)
if you shop sales. And then there's the ease. Some poorer families have parents working more than one job etc. Even if they only shop the outside of the aisle, the frozen area always has mega deals on frozen processed meals. Same with the canned goods aisle etc.

When this recession started kicking in big time, there were many news reports etc on how to eat cheaper and healthier. Many people don't know the "value" of whole foods etc. Many daytime shows are still featuring how to cook healthy on a budget and the FN has a show or 2 dedicated to it. One actually does the price breakouts and compares to store bought processed, along with how to utilize the main ingredients and/or dish for other meals that week. Amazing that we need that much info out there to do something as basic as feed ourselves right. These are aimed at ADULTS WITH FAMILIES. That's just nuts! It says there is a large enough percentage of people out there without this basic knowledge.

a general loss of experimental curiosity

cryin' shame, isn't it. One of the things I always liked about cooking was just opening the cupboards to create! I'd leave the spice and staple ones open as I grab my main ingredients and they would stay open through the whole process. Now the kitchen is set up so all that stuff is out 24/7 within reach of the stove. I even put the fridge where I could do a half turn from the stove and butcher block and reach in it. Gotta have access to the cold stuff!!  


[ Parent ]
I completely agree with you about being experimental (4.00 / 1)
about cooking. I always was of the mind that recipes were a jumping off point for anything new that I wanted to cook. I'll more or less go by the recipe for the first go 'round, but after that all bets are off.

Regarding locavores as elitists - explain to me how supporting local business is elitist....

[ Parent ]
Early on I didn't realize they were jumping off points (4.00 / 1)
but I wasn't afraid to think a little extra ingredients would ruin it, lol!~ Now I do use them as inspiration if I want to try new things. I can sometimes follow a recipe. The first year with the CSA, I did use a lot of recipes as a way to expand my cooking, but again, more often than not, just a starting point. I'm working on getting my blog live, but what's been hanging me up is giving recipes of some sort. I gave that idea up for good last night and I'm just going to give rundowns of what I tossed in unless specifics are needed {grin} I think I'll be more successful in actually keeping up with the blog if I do it in the same manner I cook and do everything else (artist here!), just  wing it!

[ Parent ]
One of the most important things (4.00 / 1)
people tell me all the time about recipes is to write down the ammounts, which I almost always forget to do. I do everything to taste.

I like watching Justin Wilson, the Cajun cook. He's great, he'll pour some salt into his palm and say now that's 1 teaspoon full. Everyone will laugh and then he'll pour the salt from his palm into a measuring spoon, and yep, it's one teaspoon. I gaurauntee it!


Regarding locavores as elitists - explain to me how supporting local business is elitist....


[ Parent ]
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