What if obesity were linked to a sexually transmitted virus?

Are you trying to tell us something, John? ;-)

That's an interesting question, though. My answer:

I'd imagine that condom use would rise and alcohol consumption would drop.

It's always interesting to consider the incentives-consequences of anything like that.

--"Hey, you might get a dread disease!"

--"So?"

--"And become really obese!"

--"Really? Screw that! I mean, DON'T....."

You know what would cure the Obesity epidemic here in the US? A good famine. People can tweak this stuff all they want, but for the MOST PART- it is calories in, versus physical output. I say this as a woman who has lost almost 20 lbs in the last month because I haven't been eating enough. When I can eat? Carbs carbs carbs.

Great article Bill but with me you are preaching the the choir. Lost 25 pounds over the last 6 months, working with weights and lots of bicycling.

Followed your link to the Atkins article and you explained a problem that did crop up for me. Confusion was a problem for me when I forgot to eat enough carbs...sort of a vicious circle, get stupid because you aren't eating enough carbs, stay stupid because you aren't eating enough carbs...forget to eat carbs. hehe.

Thanks for a terrific morning of reading.

Pierre

Thanks for linking your 2004 Atkins post, that was a good read. Interesting point on inflammation. Anti-inflammatory supplements are probably a good idea regardless of diet.

Carin -

People can tweak this stuff all they want, but for the MOST PART- it is calories in, versus physical output.

That's a prime factor. But like "most" people, you feel confident about a broad proclamation based on your experience, as a single human living on a planet of billions.

Some (many, most) people can lose weight by simply eating less. Among the majority of those people, not only is a primarily-carbohydrate diet ill-advised because it's nutritionally bankrupt, it will also comparatively cause them to retain more fat and lose muscle. But other people have damaged @-MSH genes, adenoviruses or malfunctioning thyroid glands - among other unknown factors - that make losing weight immeasurably harder. Also underplayed is the idea of "metabolic set-points," namely how getting fat once synergistically encourages one to stay fat, via a variety of self-reinforcing metabolic processes. Another example: what type of exercise is a better strategy to lose fat: aerobic or anerobic weight-bearing? One is much more strategically effective than the other, based on how it impacts your hormonal chemistry and resting metabolism.

The overall point being, it's far more complex than just "stop eating so much" with many people. At the very least, dieticians and physicians should know this.

To wit:

In the United States obesity rates have doubled for adults and tripled for children in the last 30 years. Atkinson pointed out the epidemic is global: Several developing countries, such as Paraguay and South Africa, have comparable rates of obesity as Americans.

"It becomes hard to say we're eating more McDonalds. Now we're asking, 'What's going on here?'" he said.

I guess the problem I have with some of the examples you give - and with such weight loss advice - is that for the majority of people, it isn't a metabolic issue. They aren't "carb addicts" or whatever trendy that's-why-I'm-overweight excuse they're using this week.

Junk food- don't eat it.
Meals- smaller portions.
general diet- balanced.

I know people who have been on the Adkins diet for years. They lost weight initially, true, but it didn't lead to them becoming a "fit" person. Yet, holiday after holiday I have to endure the "I can't eat that" mantra. Perhaps it's made me bitter.

I guess the problem I have with some of the examples you give - and with such weight loss advice - is that for the majority of people, it isn't a metabolic issue

I don't quite agree with that statement - because once an individual initially failed to exercise self-control at a certain age, it became a "metabolic issue" for a lot of them, because fat metabolically doesn't want to leave once it's created. And metabolic efficiency declines with age.

That being said, I think that we can both agree that self-control is still the main factor in health, exercise and weight-loss. There are just better/more efficient ways to apply oneself to getting fit besides thinking solely in terms of "calories in less than calories out" is one of my points, as well as the fact that you can't look at someone that's overweight and positively assess that they're simply lazy.

They aren't "carb addicts" or whatever trendy that's-why-I'm-overweight excuse they're using this week.

I get annoyed by "trendy that's-why-I'm-overweight excuses)" myself, and trendy "this is what diet I'm on this week" excuses as well.

But mostly that's a symptom of humans being perpetually-annoying, whiney creatures, I think. Just my pet theory.

Does anyone have a link to the price of, say, one pound of bread for the past 1000 years?

I think that no matter what gene they find, there still has to be a certain level of personal responsibility associated with obesity. We can find a gene associated with everything...homesexuality, cleptomania, obesity, violent tendencies...whatever, but in the end, people still need to be responsible for their actions!

All of the personal responsibility in the world wouldn't help someone with a damaged thyroid or pituitary gland, as certain examples. Thus, your proclamation is so general as to lack meaning.

At the end of the day the main law of the universe is Conservation of Energy, That energy is neither created nor destroyed, it only changes form. period, end of sentence. Hence, calorie intake (chemical energy) get processed into fat, (more chemical energy) or is expended in exercise (chemical energy converted into mech and therm energy). I'm sorry if thats too much to deal with, but your body stores energy in the form of fat, if you want less fat, intake less energy from chemical sources and have your body use its stored energy. Six months after Bataan, there were no fat prisoners (even those with damaged thyroid or pituitary glands).

I'm sorry if thats too much to deal with, but your body stores energy in the form of fat, if you want less fat, intake less energy from chemical sources and have your body use its stored energy.

First of all, your body stores energy in more forms than just fat, and this comment reveals your level of education on metabolism.

Second, I'm sorry if this is "too much for you" to grasp, John, but in what form you take in the energy, what machinery your individual body has available to process and expend vs. store the energy and what methods you choose to expend the energy are all key and highly variable variables in the equation, contradicting the simple "calories in vs. calories out" equation.

I could eat 300 calories of protein vs. 300 calories of sugar, and my body will utilize the material to drastically different effect. And if my body has a defective gene responsible for utilizing blood sugar or controlling appetite, my machinery has certain inefficiences less able to be influenced by your simplistic equation.

Six months after Bataan, there were no fat prisoners (even those with damaged thyroid or pituitary glands).

That's because the individuals were military men that underwent STARVATION, which is neither here nor there in an intelligent discussion about the rational influences on body composition.

So again, I'm sorry if all of this complexity is "too much for you to deal with," but I can certainly explain it in the form of a puppet show, if you think that would help you any. Or have it translated into "Jerk."

In some instances, obesity can be the product of systemic inflammation. Chronic cryptopathic systemic inflammation is at the root of many midife diseases: cvd, adult onset diabetes, arthritis, etc. Have your doctor keep a close watch on your CRP (c-reactive protein) and do what you must to keep those levels within normal range.

True. And obesity also causes systemic inflammation.

Yeah.. pernicious malnutrition: the Killer in the shadows. The whole paradigm of dietetics taught at the medical school level is hopelessly screwed up. There's some fascinating work being done by Hediger's group at Harvard (and others) regarding the emerging science of metabolic transports. If you've time, give the sitescroll a quick read-down: http://membranebiology.bwh.harvard.edu/matthiashediger.html

Thanks, I'll check it out.

Another oddity regarding obesity sufferers: they're typically in scurvy.

PC nonsense. Obesity is caused by moral turptitude

Well, you'd certainly know about "moral turpitude," jeff.

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I've basically been doing nothing worth mentioning. Not that it matters. I just don't have anything to say these days. I've just been hanging out waiting for something to happen. Not much on my mind these days.
I just don't have much to say right now, but I guess it doesn't bother me. Basically nothing seems worth thinking about. Nothing notable happening these days. Shrug. Not that it matters. My mind is like a void. I've basically been doing nothing , not that it matters. More or less nothing going on. I guess it doesn't bother me. Not much on my mind.

My mind is like a fog, not that it matters. I just don't have much to say these days. That's how it is. I haven't been up to anything recently.
I've just been letting everything pass me by lately. I haven't gotten anything done today. Pfft.
My life's been basically boring. Not much on my mind today. I've just been letting everything pass me by recently, but such is life. Basically nothing seems worth bothering with, but eh. It's not important. I've just been hanging out doing nothing.

My life's been pretty dull lately, but I guess it doesn't bother me. I haven't been up to anything recently. Maybe tomorrow. I've pretty much been doing nothing worth mentioning. I haven't gotten much done these days. Pretty much nothing seems worth thinking about.

I feel like a fog, not that it matters. I've pretty much been doing nothing , but eh. Today was a loss. I haven't gotten much done for a while.

I can't be bothered with anything recently. I've just been sitting around doing nothing. Today was a loss. I just don't have much to say. Nothing seems worth thinking about.

I haven't been up to much recently, but whatever. I just don't have much to say lately. Basically nothing happening to speak of. So it goes. My mind is like a complete blank. Such is life.

I've pretty much been doing nothing worth mentioning. I haven't gotten anything done today. I haven't been up to much , but oh well. I've just been staying at home waiting for something to happen, but so it goes. Pfft.

I've just been staying at home waiting for something to happen. I've just been letting everything wash over me. I can't be bothered with anything recently.

Nothing notable going on. My life's been generally dull today. So it goes. Not much on my mind to speak of.

I haven't gotten anything done today. My life's been dull today, but shrug. I can't be bothered with anything recently, but oh well. I've just been sitting around doing nothing. What can I say? So it goes.

I haven't gotten anything done. Whatever. I just don't have anything to say.

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Today was a complete loss, but oh well. I don't care. So it goes. Nothing going on , but shrug. Not much on my mind these days. Such is life.

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