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13 " how each relates to all the others and to our health. I was reading Dancing Skeletons, a book by nutritional anthropologist Katherine Dettwyler about her time working in Africa, when I found a section about kwashiorkor. Kwashiorkor is a severe form of malnutrition common in young children throughout the tropics. The hallmark diet of this disease is high in calories (from sweet potatoes or other starches) but low in protein. In this case, the low protein is not the problem—other children who eat equally low amounts of protein but fewer total calories are not likely to develop the disease. It’s the ratio of the nutrients that contributes to the development of kwashiorkor. KEGEL EXERCISE A contraction of the pelvic floor often prescribed to prevent the leakage of urine when coughing or running. This section of Dettwyler’s book resonated with me because I recognize that the outcomes of an exercise program depend largely on the ratio of all the movements to each other. Exercise (a repetitive intake of an isolated muscle contraction to fill a hole of missing strength) is often prescribed like vitamins (a capsule ingested to decrease a nutritional void). One of the arguments I am most known for professionally is that the way the Kegel exercise is prescribed can actually be harmful and not helpful at all. A Kegel is like a starch in the case of kwashiorkor: when done excessively and in the absence of other movement vitamins, it can create a negative outcome—too much pelvic-floor tension. The Kegel (as I’ll expand upon in Chapter 10) is not inherently more “bad” than a sweet potato, but neither is a sweet potato (or Kegel) health-making when consumed in isolation. "

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