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Everything You Know About Obesity Is Wrong

About Diets

  • A 2016 study that followed participants for an average of 19 years found that unfit skinny people were twice as likely to get diabetes as fat people, who were relatively fit.
  • Americans spend more on dieting every year than on video games or movies.

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Everything You Know About Obesity Is Wrong

Everything You Know About Obesity Is Wrong

https://highline.huffingtonpost.com/articles/en/everything-you-know-about-obesity-is-wrong/

highline.huffingtonpost.com

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Key Ideas

Obesity: The Facts

  • According to the Centers for Disease Control and Prevention, nearly 80 %of adults and about one-third of children now meet the clinical definition of overweight or obese. More Americans live with “extreme obesity“ than with breast cancer, Parkinson’s, Alzheimer’s and HIV put together.
  • Studies have found that about one-third of people classified as obese are metabolically healthy. They show no signs of elevated blood pressure, insulin resistance or high cholesterol.

Diets and Health

For half a century, doctors and researchers have known two things that could have improved, or saved, millions of lives:

  • Diets do not work. Not just paleo or Atkins or Weight Watchers or Goop, but all diets.
  • Being fat does not necessarily mean being unhealthy.

About Diets

  • A 2016 study that followed participants for an average of 19 years found that unfit skinny people were twice as likely to get diabetes as fat people, who were relatively fit.
  • Americans spend more on dieting every year than on video games or movies.

Treating Obese patients

Doctors have shorter appointments with fat patients and have been reported to show less emotional rapport during the interaction.

Making people guilty about being fat

Bioethicist Daniel Callahan said people should be made to feel ashamed of being obese. “People don’t realize that they are obese or if they do realize it, it’s not enough to stir them to do anything about it". He kicked his cigarette habit due to shame, so is applying the same psychology to obesity.

Nutritional Information to youngsters

According to a 2015 survey, students receive an average of 19 hours of nutrition education over four years of school time—five hours fewer than they got in 2006.

Ultra-Processed Foods

60% of the calories Americans consume come from '"ultra-processed foods”, according to the British Medical Journal (2016).

Reluctance to see a Doctor

Three separate studies have found that fat women are more likely to die from breast and cervical cancers than non-fat women, a result partially attributed to their reluctance to see doctors and get screenings/tests and timely diagnosis.

The Daily Stigma of being fat

More than 40 percent of Americans classified as obese say they experience stigma on a daily basis.

The Obesity Rate

 Since 1980, the obesity rate has doubled in 73 countries and increased in 113 others. No country has reduced its obesity rate in all these years.

The number one cause of death

Diet is the leading cause of death in the US, responsible for more than five times the fatalities of gun violence and car accidents combined.

Sugar and Additives are killing us

All of our biological systems for regulating energy, hunger and satiety get thrown off by eating foods that are high in sugar (like Fructose, for instance), low in fiber and injected with additives, and which make up 60 percent of the calories we eat.

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Depression and medication

Doctors for long treated depression as something inside your brain, which can be treated with meds, with no outside influence.

Certain exceptions (like losing a loved one and this leadi...

Isolated diagnosis

To treat someone who seemingly has depression, while isolating this from any other situation, event or circumstance that might have triggered it is a flawed way to diagnose a potential mental illness.

The root cause of the problem of depression is not addressed in this way.

Happy pills

Antidepressant prescription and eventually their doses have doubled over the past decade, yet depression and anxiety are spiraling out of control.

The real cause of depression does not seem to be completely inside our heads, and pill-popping is just a stop-gap measure, which may even be harmful.

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People struggle to keep weight off

Researchers have observed weight regain following weight loss across a range of populations and types of weight-loss diets.

Why long-term weight loss is so hard

The brain’s response to caloric restriction tends to be to increase cravings for foods that are highly rewarding and reducing our perception of being full. 

Diets frequently fail because they have an endpoint and are not a real lifestyle change. Maintaining a lifestyle that promotes a healthy weight and metabolism is often a lifelong journey. 

Maintaining weight loss

The actual food you eat isn’t the main thing that enables you to keep weight off.

Maintaining a weight-reduced state is a lifelong journey and many dietary approaches can work to facilitate weight loss and keep it off.

How depression is measured

Depression is often measured by scientists using something called the Hamilton Scale. It runs from 0 (where you are dancing in ecstasy) to 59 (where you are suicidal). 

Causes of depression

Many leading scientists believe the whole idea that depression is caused by a “chemically imbalanced” brain is wrong. 

There are in fact nine major causes of depression and anxiety that are unfolding all around us. Two are biological, and seven are out in here in the world, rather than sealed away inside our skulls.

Childhood trauma can cause depression

When you’re a child, you have very little power to change your environment. So, you have two choices.

  1. You can admit to yourself that you are powerless and there’s simply nothing you can do about it.
  2. You can tell yourself it’s your fault and at some strange level under your control. If you were responsible for being hurt, then at some level, you have to think you deserved it.

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Metabolism

It refers to the thousands of chemical reactions that turn what we eat and drink into fuel in every cell of the body. These reactions change in response to our environments and behaviors, an...

How The Body Uses Calories
  • Basal metabolism is the energy our body needs to keep our cells working and accounts for 65-80% of most adults' caloric consumption.
  • The thermic effect of food is the energy our body uses to process food and accounts for 10% of most adults' caloric consumption.
  • Physical activity accounts for 10 - 30 % of most people’s caloric consumption .
Controlling Your Own Weight

Not everyone overeats and becomes overweight, and not everyone who becomes overweight or obese develops illnesses like diabetes or heart disease. 

There was never a special diet, exercise regimen, or supplement that worked universally to control weight. Through trial and error, we have to discover habits and routines we can stick with that help us eat less and move more. 

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Intermittent fasting

Fasting means abstinence of some or all food for a period of time.

Intermittent fasting ranges from eating a few calories all day every other day or several times a week to fasti...

A metabolic shift

It can take 10 to 12 hours to use up calories in the liver before your body changes over to use the stored fat.

After meals, glucose is used for energy, while fat is stored in fat tissue. During fasts, once glucose is depleted, stored fat is broken down and used for energy.

The easiest way to lose weight

To lose weight, strive for sixteen calorie-free hours. Stop eating by 8 pm, and eat again at noon the next day. Results can take up to four weeks to notice.

Intermittent dieters should eat healthy foods, including whole grains and healthy fats and protein. They should limit saturated fats and avoid sugar and refined carbohydrates. Be sure to stay well-hydrated.

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Health and the weight-related stigma
Health and the weight-related stigma

Obesity should not just be defined by weight, but also by a person's health.

Doctors should go beyond only recommending diet and exercise. They should take a holistic approach to health...

The weight bias is wrong

The new guideline, funded by Obesity Canada, acknowledges their clinical limitations. Obesity is a complex, chronic condition that needs lifelong management.

There is a dominant cultural narrative regarding obesity that adds to the assumption about personal irresponsibility and lack of willpower. Research shows many doctors discriminate against obese patients, and that can lead to worse health outcomes.

Best weight vs Ideal weight

Obese person's "best weight" might not be their "ideal weight." A small reduction of about 3-5% can lead to health improvements.

The new guideline notes that keeping the weight off is often difficult because the brain will compensate by making the body feel more hungry. The guideline encourages doctors to provide support like psychological therapy, medication, and bariatric surgery. Physicians should ask permission before discussing a patient's weight and work with them to reach their health goals.

Ultra-Processed Foods

Ultra-processed foods like white bread, cereal, chips, and wafers are remarkably common, convenient, affordable, extremely profitable for the makers, come in strong flavors and are aggressively ma...

Our Everyday Foods

We consume ultra-processed foods every day without even realizing it.

  • The morning cereal and flavored yogurt.
  • The savory snacks and sweet baked goods.
  • The vegan hotdog and the chicken nuggets available on the street.
  • The doughnut or the premium protein bar we buy as a snack.
  • The carton-packed almond milk put in our coffee or the diet coke we have.
Apart from obesity, ultra-processed foods are responsible for depression, asthma, heart disease, gastrointestinal disorders, and even cancer.
More Light On Ultra-Processed Foods

Most cooked foods can be termed as 'processed foods', but ultra-processed foods are in a different domain, with few people having the clarity to differentiate.

A cooked carrot is processed food, but a bag of industrially-produced, carrot-flavored veggie puffs are ultra-processed and are still aimed at toddlers as a portion of natural food. Other examples include frozen peas or pasteurized milk.

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Ketosis

... is a normal metabolic process. When the body does not have enough glucose (derived from sugars and starches) for energy, it burns stored fats instead; this results in a build-up o...

Fast facts on ketosis
  • Ketosis occurs when the body does not have sufficient access to its primary fuel source, glucose.
  • Ketosis describes a condition where fat stores are broken down to produce energy, which also produces ketones, a type of acid.
  • In small amounts, ketones serve to indicate that the body is breaking down fat, but high levels of ketones can poison the body, leading to a process called ketoacidosis, a serious condition that can prove fatal.
  • People with type 1 diabetes are more likely to develop ketoacidosis, for which emergency medical treatment is required to avoid or treat diabetic coma.
  • Some people follow a ketogenic (low-carb) diet to try to lose weight by forcing the body to burn fat stores.
The ketogenic diet
The diet itself can be regarded as a high-fat diet, with around 75 % of calories derived from fats,  20 % from proteins and 5 % from carbohydrates.

Adhering to the ketogenic diet can lead to short-term weight loss, consuming fewer calories without feeling hungry while following the diet.

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Documented uses of the keto diet

Doctors have been prescribing ketogenic diets to treat epilepsy for nearly a century, and increasingly believe it holds promise for people with Type 2 diabetes.

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The Ketogenesis process

It supplies energy under circumstances such as fasting or caloric restriction to certain organs (e.g. the brain, heart, and skeletal muscle).

In ketogenesis, our livers start to break down fat into a usable energy source called ketones. Ketones can stand in for glucose as fuel for the body when there’s a glucose shortage. 

Once ketogenesis kicks in and ketone levels are elevated, the body is in a state called “ketosis,” during which it’s burning stored fat. 

The Keto diet
It is a very low-carb, high-fat diet. People on a ketogenic diet get 5 percent of their calories from carbohydrates, about 15 percent from protein, and 80 percent from fat. It’s this ratio that will force the body to derive much of its energy from ketones. 

That means eating mainly meats, eggs, cheese, fish, nuts, butter, oils, and vegetables while avoiding sugar, bread and other grains, beans, and even fruit.

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Minimalism: The deeper roots
Minimalism: The deeper roots

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Just after World War II, minimalism became popular because of its perfect utopian style. After...

Minimalism is not just a trendy style

Minimalism is about experiencing the world directly and engaging with your surroundings.

The style now seems more like numbing yourself and creating a protective environment from the overwhelming visual experiences on the internet.

Minimalism and its moral superiority aura

Minimalism these days has an aura of moral superiority.

The problem with minimalism today is that the style is associated with moral purity and outsiderness but it's being adopted by wealthy women and tech billionaires. The style of minimalism we see today is a reality that's not very minimal at all.

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