Obesity Wars: Update from The Alternate Universe
The Long Haul
When the war on obesity was first declared, most of us thought it would be a quick lightning-like strike, we'd obliterate the enemy and come home. But now it looks like we're in for a long, expensive fight. I guess we should have learned from the wars on poverty and drugs. These wars take time. Forever kind of time.
After all, the enemy is smart, strong, and pernicious. It makes money by poisoning our kids with fattening foods through advertising and clever recipes, designed to manipulate genetic tendencies and human foibles.
Goodbye Columbus
As we learned this past weekend in the The New York Times Sunday Magazine (subscription), according to the "thrifty-gene hypothesis" (no, it is not the locus for that inexplicable desire of some women to shop at Target), "situations" are "created" by our "chromosome combinations" which can explain obesity in certain groups of Mexican-Americans:
the theory that some combinations of chromosomes create a situation in which cells are more inclined to store calories efficiently for times of scarcity. Some researchers have speculated that because many Mexican-Americans are descendants of American Indian hunter-gatherers, who evolved to store fat more easily for times of famine, those living a sedentary life in modern westernized societies with access to fast food may be more prone to gain weight
Another nail in the coffin of Columbus's reputation!
Looking Into the Abyss
Then again, The Times' article also blames obesity on the guilt complexes of parents, the concept of fatalismo (live for today) in Hispanic culture, and the "pobrecito syndrome" in which parents over empathize and overcompensate their children.
In the field, most soldiers involved in the war against obesity throw up their hands at such useless and endless omphaloskepsis. They have a dirty job they were sent to do, and it doesn't matter how it got this way...
Once out of the bottle, of course, the war genie can never go back, as social scientists and bureaucrats clamber aboard the obesity juggernaut and the steaks get bigger as the stakes get bigger... In case you weren't aware, there is a lot of the taxpayer's money to spend.
Stop Making Sense
Subversives will stop at nothing to foil the fight against flab. The University of Pennsylvania, yesterday, reported a study citing Weight Watchers as a nutrition plan that works -- while blaming no one.
Unlike the thrifty gene or pobrecito explanations for fleshiness, Weight Watchers skips over the entire game of victim-sorting and just states the facts: Eating plans can be constructed to maintain a weight that falls beneath the Bell Curve distribution for normal. This involves permutations on a simple mathematical proposition:
Calories consumed become fat when they are not burned off or used for building and maintenance.
Weight Watchers will tell you that no matter what your genetic make-up or childhood traumas, if you figure in the food groups appropriately, a healthful and weight-maintaining diet is almost easy to construct.
But it is up to you to actuate it.
It takes a little knowledge, a little discipline, and a little effort.
So much for that. I'm pulling m,y combat boot on and heading back out into the field. I'm embedded with the first fat infantry. Tomorrow we are staking out a McDonald's. That mother is going down!



I'm brave! I'm ready! I'm going to take on James Coney Island! With Cheese! And extra onions!
Posted by: Carol | January 04, 2005 at 10:05 PM
I just found CodeBlueBlog from a link off of Effect Measure. I'll be back from time to time.
The war on obesity will fail, because that is simply the wrong meme for this problem. You have to be ready to make life changes (not simply fight the war and go home), and give up treasures of youth, such as Milky Way bars, to lose weight and keep it off. It also helps to think in terms of losing fat, not weight. When you think in terms of fat loss, the key becomes combining good nutrition with cardio and strength training. Does Weight Watchers provide its clients with a weightlifting program? I wonder. . . .
While I haven't read the UPenn study yet (just the report in the NY Times), I wonder if they really said that Weight Watchers "worked". I was left with the impression they concluded Weight Watchers was the only commercial program that actually collected data measuring effectiveness of its program, which is quite a different matter.
Have to go. It's breakfast time, and there's a bowl of oatmeal calling me.
Posted by: JLowe | January 05, 2005 at 05:55 AM
"give up treasures of youth, such as Milky Way bars,"
Wrong-O. You don't have to "give up" anything. You just eat less of it, less often. Which is indeed exactly what may be wrong....huge gigantic portions, which overstuff the eye and lead to over consumption (this is validated, by the way, about a 30% increase in caloric intake).
The change that made the difference for me personally in combatting the post-menopause #creep was portion size and food diary every so often. Portion size I attended to by having life size photos made of the portions. What I thought was a portion of meat, for example, ends up being 2 1/2.
Posted by: Liz | January 06, 2005 at 12:56 AM
Portion size is certainly the appropriate juxtaposed stategy to food group assortment. Really, that is what Weight Watchers is saying: Pick the right foods (mistakes and digressive forays accasionally allowed) and eat them in the right proportions -- throw in a little daily exercise -- and there IS NO OBESITY PROBLEM. Period. It's a mathematical formula and is INCONTROVERTIBLE scientifically.
Problem is, now that this is a WAR, we will have every kind of bureaucratic and social scientific fool bucking for the Federal dollars being wiggled in Washington. This will complicate the problem in extreme ways.
Too bad. Like the ruby red slippers the answer will have been right there all along.
Posted by: CodeBlueBlogMD | January 06, 2005 at 10:34 AM
Responding to "Wrong-O. You don't have to "give up" anything."
CodeBlueBlogMD says it best. "Portion size is certainly the appropriate juxtaposed stategy to food group assortment", and "throw in a little daily exercise", and there is no obesity problem; and it is a mathematical formula that is incontrovertible scientifically.
The devil's in the details. If you take the time to calculate your total daily energy expenditure, monitor your daily intakes as well as your macronutrient ratios, along with your exercise activities, you too will find that there is no room for crap like Milky Way bars in your diet if you wish to lose fat and retain lean body mass.
I've lost and kept off my weight, improved my diet and fitness, and feel better for it all without giving one thin dime to clip joints like Weight Watchers.
Posted by: JLowe | January 09, 2005 at 07:16 AM
Yes, certainly if you want to LOSE weight, especially as you get older, it can be quite difficult to get yourself daily into negative caloric territory if you are sneaking high calorie/low nutritional value foods into the mix.
But maintenance is where it's at.
It is relativelky EASY to maintain your weight if you are informed about the simplicity of the mathematical relationships involved. With Weight Watchers training (which INCLUDES and accounts for the occasional Milky Way Bar) and a little bit of effort the process becomes a life style -- NOT a diet-- at which point you will be fine, forever.
Posted by: CodeBlueBlogMD | January 11, 2005 at 09:43 AM
Private health insurance spending on illnesses related to obesity has increased more than tenfold since 1987, according to the first research to quantify the trend.
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