Fat people in denial

zultr said:
I didn’t know I was trying to answer the question. I assumed writing “I don't know. I think it depends a lot on the individual,” and “I'm certainly no expert on addiction” would have tipped you off on this point.
Then what is the point to your post? You make these claims and then say you don't know. Why did you bother in the first place.

I don’t feel compelled to research stats for all behaviors for your edification, but you already know the answer to the smoking question. After you stated that “95% of people who quit smoking don't start again,” I posted that it is in fact slightly more than 93%. I would bet those results fall within their respective margins for error, making the difficulty of each act indistinguishable, rendering your initial comment wrong. You do rely on science rather than personal guesses for your analysis, don’t you?
I said that I could very well be wrong and have not addressed it since. What I don't understand is how you arrive at your original premise since you admit your lack of understanding of the subject.

Do you know for a fact that giving up golfing on Saturdays is statistically easier for everyone to give up than smoking? If not, then why are you stating it as fact? Perhaps quitting golf would be easier for you personally, but wouldn’t that make “your experience anecdotal?” After all, “isn't it rational to accept science over anecdotal evidence?” For you, lifestyle changes that lead to weight loss are difficult for you to bear; in fact, they make you “nervous and miserable to be with.” What of an individual who is completely obsessed with golf and couldn’t give a rats ass about smoking or eating? Is their experience irrelevant because you don’t share their perception or that they constitute a statistical minority?
This is great if you will apply it consistently. If you do it makes your original statement moot.

Are those the only things that people fail at, or are they what you perceive to be the most common? Some people fail at keeping their garages clean while gambling, smoking, and eating pose no challenge at all. I'm sure that statistics indicate that certain behaviors that are more difficult to kick than others, but since there are so many exceptions and variations to the rule, it seems to depend on the individual.
Again, then I fail to see why you bothered to respond in the first place. Why did you tell us about your anecdotal experience if it has no bearing or no meaning at all?

I believe I am raising some logical questions while not necessarily knowing the answer. I'm also pointing out that science at this point may not have all the answers either (it does happen, believe it or not). Obesity is a new phenomenon in human history and its study is in its infancy. I haven’t seen any scientific studies that specifically address the points I am raising (if you find them, I’m willing to be enlightened), and it is perfectly reasonable that such points be considered; to do so is far more reasonable than latching on to the first study that says what you’d like to hear.
I have not seen any points that you have raised other than fat people are in denial and your proof is your own experience.

As to studies I can only ask "where have you been for the past two decades?"

Palo Alto Medical Foundation

Obesity is a result of many factors. Although it was once thought that a lack of will power—eating too much—and a lack of physical activity caused obesity, it is now recognized that family influence, genetics (including your basal metabolic rate, or BMR), and cultural and psychological factors all contribute to becoming obese.

Alvarado Hospital Medical Center
  • Children adopted at birth show no correlation of their body weight with that of their adoptive parents, who feed them, and teach them how to eat. They show an 80% correlation of their body weight with their genetic parents, whom they have never even met.
  • cal twins, with the same genes, show a much higher similarity of body weights, than do fraternal twins, who have different genes.
  • Certain genetic populations, such as the American Indians of the Southwest, have a very high incidence of severe obesity. They also have a markedly increased incidence of diabetes and heart disease.
  • Mice can be bred, which are very obese (they look like little powder puffs). This is the result of a defect in a single gene, called the ob gene, which is associated with the ability to make a hormone, called leptin. The problem in humans is much more complicated genetically, with over 100 genes involved in some aspect of obesity.
  • Another hormone has recently been discovered, called ghrelin, which stimulates appetite in normal persons. Persons who lose weight by dieting have persistently elevated ghrelin levels, urging them to eat more. Persons who undergo a gastric bypass have a decrease in ghrelin levels by about 77%, indicating one mechanism of how the operation reduces appetite.

You keep mentioning science (without citing any) to support your claim...
Sorry, I had assumed that you had picked up a newspaper a few times in the last two decades.

...but I'm not sure what your claim is.
That the subject of this thread is idiotic and presumptuous in the face of facts.

You stated earlier that you don’t want to be considered “disabled.” Well, you seem to be arguing both sides of the coin. Is obesity something beyond one’s control that qualifies for a disease or disability, or something else?
I see no value in calling obesity a disease or disability. To what end? I eschew political correctness and I see zero value in it. Why not simply call it obesity and treat it as a condition. As to science there is tons of it. How anyone could get through life without seeing it is beyond me. I understand that since I'm overweight I'm more likely to know but damn, this stuff is in the news all of the time.

It's like you asking me to prove the world is round.

Link found between obesity and brain receptors

Brain scans show that obese people, just like drug addicts, have fewer receptors for dopamine, a neurotransmitter that helps produce feelings of satisfaction and pleasure.

The finding at the Brookhaven National Laboratory has prompted scientists to theorize that one reason people overeat is to stimulate the dopamine "pleasure" circuits in the brain, just as addicts do by taking drugs.

"This is the first scientific contribution that the addictive pathways are deficient in the obese and it may explain their cravings," said Dr. George Blackburn, an associate professor of nutrition at Harvard Medical School.

What Causes Obesity?

The balance between calorie intake and energy expenditure determines a person's weight. If a person eats more calories than he or she burns, the person gains weight (the body will store the excess energy as fat). If a person eats fewer calories than he or she burns, he or she will lose weight. Therefore the most common causes of obesity are overeating and physical inactivity. At present, we know that there are many factors that contribute to obesity, some of which have a genetic component:
How much science would you like?
 
RandFan said:
What is the point to your post? You make these claims and then say you don't know. Why did you bother in the first place.
My first post was prompted by a claim that the obese were “disabled.” I stated that there is no clear evidence that the condition can be explained by medical factors alone (as contrasted with lifestyle choices and societal conditions) and therefore should not be termed a disability in the classic sense of the term. At one end of the spectrum, there is someone who is fat due solely to the fact that they are fantastically lazy and don't care, and at the other end, there is someone who leads a fastidiously healthy lifestyle but suffers from a medical condition that has left them obese. In between, the majority consist of a mixture of the two. I claimed that I was not an expert in the field, but I stated my opinion based on what I do know. Are people allowed to have opinions, or is questioning what you consider gospel taboo? I never discounted any of the medical findings that anyone raised, but instead noted things like the rise in obesity corresponds to the rise in sedentary lifestyles and high-fat foods – things that genetic causes do not fully explain. I don’t believe I stated anything more than should be intuitive to most reasonably knowledgeable people.

RandFan said:
This is great if you will apply it consistently. If you do it makes your original statement moot.
Um, I was applying your own capricious standards to your own statements to show the flaws in your analysis. Guess you missed that subtle tactic, quotations and all.

RandFan said:
Brain scans show that obese people, just like drug addicts, have fewer receptors for dopamine, a neurotransmitter that helps produce feelings of satisfaction and pleasure.
Can behavior alter brain scans when people perform routines they like (like say, play golf)? If you have fewer receptors for dopamine, does that mean that you will be either obese or a drug addict? If not, why not? Also, you state that you don’t consider obesity a disability, but you’re comparing obesity to drug addiction. Is drug addiction a disease/disability?

You felt compelled to highlight the following:
At present, we know that there are many factors that contribute to obesity, some of which have a genetic component.

Do you think I’m arguing with that quote, especially after I stated “In no way am I disparaging those who have legitimate health issues because of obesity caused by medical conditions”? No. I’m merely pointing out that since “some” of the factors that contribute to obesity are genetic, then “some” of the factors are also linked to lifestyle. Do you dispute this point?

RandFan said:
How much science would you like?
Post all the medical causes for obesity you like. There is plenty of science that shows that the obese tend to be less active, more sedentary, and eat more. Maybe all of those actions are medically based too (perhaps being an a$$hole will be found to be a medical condition). Assuming genetic predisposition for obesity is static throughout the world, genetics cannot explain why the United States is leading the world in fat. Period. Want some science? Here’s what the WHO says on the subject:

The rising (obesity) epidemic reflects the profound changes in society and in behavioral patterns of communities over recent decades. While genes are important in determining a person's susceptibility to weight gain, energy balance is determined by calorie intake and physical activity. Thus societal changes and worldwide nutrition transition are driving the obesity epidemic.

Economic growth, modernization, urbanization and globalization of food markets are just some of the forces thought to underlie the epidemic. As incomes rise and populations become more urban, diets high in complex carbohydrates give way to more varied diets with a higher proportion of fats, saturated fats and sugars. At the same time, large shifts towards less physically demanding work have been observed worldwide. Moves towards less physical activity are also found in the increasing use of automated transport, technology in the home, and more passive leisure pursuits.


Your citation stated the following:
Certain genetic populations, such as the American Indians of the Southwest, have a very high incidence of severe obesity.

But, according to the American Obesity Association:
Ethnic groups in many industrialized countries appear to be affected by obesity as a result of modernization and urbanization. Genetic predisposition for obesity is suggested to be a factor that only becomes apparent after exposure to a more Western lifestyle.

Here's what else they had to say:
The American Obesity Association:
Environmental and behavioral changes brought about by economic development, modernization, and urbanization have been linked to the rise in global obesity. Developed countries have high obesity rates, food deprivation is unusual, and physical activity levels have decreased greatly. Lower income households are reported to feature diets composed of foods that tend to be high in calories and fat - contributors to overweight and obesity - since vegetables, fruits and whole grain cereals are more expensive.

* Developing countries have lower obesity rates… people who live in these areas are limited in their ability to provide enough food, have little access to public transportation and engage in moderate to heavy manual labor.

* Obesity is relatively uncommon in African and Asian developing countries, although when present, it is more prevalent in urban than in rural populations (in the U.S., almost 50% of African American women are obese).

* Many South-East Asian countries are presently undergoing a "nutrition transition" involving a shift in the structure of diet, decreased physical activity and rapid increases in the prevalence of obesity.

* Modernization, the growth of industry and technology, was introduced over 50 years ago in the Western world. Modernization has led to an abundance of food (particularly high caloric intake) and a decrease in overall physical activity, contributing to increased rates of obesity.

* Urbanization and population growth in large cities is associated with changes in diet (more reliance on non-traditional foods) and a more sedentary lifestyle

* Obesity rates have risen threefold or even more in some parts of North America, Eastern Europe, the Middle East, the Pacific Islands, Australasia and China since 1980. Changes in food processing and production and in agricultural and trade policies have affected the daily diet of hundreds of millions of people.

* The number of women entering the job market has increased with economic development, and contributed to an increased dependence on convenience foods and the use of labor saving devices such as microwaves.



Does any of this contradict my comments on this issue from above?
 
zultr said:
Does any of this contradict my comments on this issue from above?
I believe so.

And I agree with all of the data you provide. If I moved to Africa where there was little food and I had to physically work hard just to survive then I would loose weight. There is no question about that. Likewise if an alcoholic moved someplace where there was no alcohol then he would cease to be an alcoholic.

Let's look at your original post that started all of this.

This thread is about denial - this nation has perfected it. See, we're not obese because we're lazy and eat crappy food, we're obese because we're "disabled." Or because our metabolisms are too slow. Or because our genes predispose us to obesity. Horsesh!t. When I leave this country, the only fat people I see are Americans on vacation. Since we are a nation of immigrants, primarily of European and African descent, how is it that we've evolved some kind of fat genes that bypassed our European and African breathren? We haven't. We just eat more than they do.
Of course you then hedged your bet.

Edited to add

Obesity is similar to substance abuse and I don't deny that many people have problems and may need treatment. However, I'm not comfortable granting the same "disease" or "disability" status to a group that includes those with cerebral palsy or cancer, as well as those who can resolve their conditions with behavior modification.
Now it seems that you are arguing both sides of the issue.

Are we more sedentary? Yes.

Do we eat more? Yes.

Let me ask you some questions.

Everyone that I have ever known to be fat has lost lots of weight only to put it back on again.

Do you have any studies to show that people are in fact in denial?

You note that the diet industry is big business in America, does this not belie the fact that Americans are in denial?

Isn't the lifestyle that Americans enjoy relatively new in terms of evolution? Is it possible that after thousands of years of evolution we are predisposed to eat as many calories as possible and expend no more energy than is needed to survive?

Is it possible that Americans have more opportunity to be sedentary and eat more and therefore evolution is working against us?

If people around the world were given the same opportunities to conserve energy and consume as many calories as possible wouldn't the statistics be different?

Does contempt for lazy and fat Americans solve anything?
 
Many Parents Clueless About Children's Weight
NEW YORK (Reuters Health) - As many as half of all children in middle school may be overweight or at risk of being overweight, according to the results of a new U.S. study. However, the results of a study from the UK indicate that many parents do not see a problem.

"Parents are unaware that their children are overweight or obese," study author Alison N. Jeffery of Derriford Hospital and Peninsula Medical School in Plymouth told Reuters Health in an interview.

What's most troubling is that "most were unconcerned" about their children's weight, said Jeffery, who is a senior research nurse on the study.

The results of both the US and UK studies were presented Friday at the annual meeting of the American Diabetes Association in Orlando.

About a third of obese girls and about half of obese boys were considered to weigh "about right" by their parents, Jeffery's team found in a study of 300 children and their families.

Moreover, a third of mothers and half of fathers who were overweight or obese themselves considered their own weight to be "about right."
 
TAILGUNNER said:
I weight trained and lead a very physical life as such in my prime so to speak i went in at 16 stone of good muscle but even then in clinical terms i was obese given my height of 5'10"(my ideal weight being 11 and a half stone:jaw:), since an accident i cannot lead the life i once did as such my weight is plus half a stone (not bad really i still swim) but i eat the right foods and still have semi decent muscle size but for the flak i get off my doctor you'd think i'd spent my life not moving and being fed lard

yes there are some real porkers who risk serious problems but on the whole any government figures should be taken with a pinch of salt(healthy low salt and not too much if you please)as i for one know that i make up a percentage of my countries national figures for obesity and i know its not justified

Sorry TG - I've seen a picture of you and you *are* a tub of lard. ;)
 
Weight

If I'm at a fast food restaraunt, I get panicky and depressed if I don't order enough to gorge (or well-fill) my stomach.

That's why I always have to laugh at weight loss drugs that work on reducing your hunger. It isn't about hunger per-se. It's about filling yourself with enough food so you can be calm. The drug makers just don't get it.

And what's the status on speed-like weight loss drugs used in Europe. Is it true they're banned here (in the US) because an adict might get ahold of them illegally, not because they're not safe and effective? (Actual knowledge of the situation requested, not "educated guesses".)
 

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