The Global Obesity Epidemic

Might one consider that we older people tend to let ourselves become fat, not only because of biological changes- but perhaps in part because our susceptibility to the peer pressure of fat shaming (among other social pressures) is either diminished, or simply becomes too difficult to acquiesce to.


Feel free to consider it, but remember that all age groups are growing obese, not just "we older people." When you say "that we older people tend to let ourselves become fat" instead of simply saying that we older people tend to become fat, you make your bias obvious: We are in control of not 'letting ourselves go'.

Or, as a corollary, does greater social tolerance for obesity produce more obese individuals?


Do you have any reason to think so? Do you have any reason to think that the social tolerance for obesity has increased?

children as young as three exhibit anti-fat attitudes.
Discrimination against fat people is so endemic, most of us don’t even realise it’s happening (The Conversation, May 9, 2018)


Results: Overall, the data indicate that a wide range of media - from television shows to books, newspapers, and the internet - portray overweight and obese individuals in a stigmatizing manner.
Weight bias in the media: a review of recent research. (PubMed, Feb. 2010)


Are there fat jokes? (Does-the-Dog-Die? website with many examples of recent movies with fat jokes)
 
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This Dr. Georgia Ede person has my attention:

Obesity: Stop Shaming, Start Understanding

We now understand that obesity is usually an external, visible clue to an internal, invisible metabolic disorder called insulin resistance.

Insulin resistance is primarily the result of years of eating ultra-processed foods loaded with refined carbohydrates and vegetable oils that our bodies simply aren’t designed to handle: sugar, flour, fruit juice, cereal, and foods made with soybean oil and other unnatural fats. Unfortunately, for complicated political reasons, many of these same products are officially recommended in our U.S. Dietary Guidelines, so we’ve been taught to include them in a healthy diet. These modern non-foods, which have only been widely available to human beings for a handful of decades, contribute to unnaturally high insulin levels, oxidation, and inflammation, which slowly destroy cells from the inside out.


Dr. Ede claims to follow a carnivore diet..
 
Here is another good article; this one from Dr. Peter Attia

Is ditching meat a “game-changer” for your health?

Vegans and vegetarians are probably some of the most health-conscious people on the planet. This also means that when you compare these people to the general U.S. population, avoiding meat is but one of a myriad of differences between them. Observing differences in health outcomes is relatively easy. Determining the cause of those differences is virtually impossible.

The problem with using the Standard American Diet (SAD) as a control group.
What often happens, either in the volumes of observational epidemiologic studies that get cranked out every day or, less commonly, in films like this, is that a vegan or vegetarian diet is compared to the SAD, with the SAD as stand-in for a “meat-based” diet, as if the only difference between the two diets is one eschews animal foods. Take a look below at the top 10 sources of Calories in the U.S. diet circa 2010. You tell me, that even if you think meat is a problem, tell me that meat is the only problem with this list.

  • Grain-based desserts (cakes, cookies, donuts, pies, crisps, cobblers, and granola bars)
  • Yeast breads
  • Chicken and chicken-mixed dishes
  • Soda, energy drinks, and sports drinks
  • Pizza
  • Alcoholic beverages
  • Pasta and pasta dishes
  • Mexican mixed dishes
  • Beef and beef-mixed dishes
  • Dairy desserts

I don’t think anyone would look at this list and question why Americans are so overweight and so sick. (By the way, there is not one item on this list that I do not absolutely love, except for #4. So I’m completely empathetic to the plight of anyone reading this who also craves these foods. They make up our default food environment and until that changes, we’re in for a rough ride, as a society.)
 
Try reading things that aren't mass media reports of fad diets.

Many universities, governments, aid agencies have studied diets of different nations, cultures, tribes, regions, islands.

Cross-sectional international dietary cohort meta-studies, in other words, not just contrasting extreme US fads against the US SAD nor looking for mere correlations to sell headlines.

These international studies have isolated many different individual foods, nutrients, micronutrients, macronutrients, vitamins, and food groups. Eg, local or global diets that isolate or eliminate starches, or red meat, or pork, or seafood, or processed food, or Vitamin A, or Vitamin E, or green vegetables, etc, etc.
 
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Here is another good article; this one from Dr. Peter Attia

Is ditching meat a “game-changer” for your health?


Cutting out (or reducing considerably) 1, 4, 6 and 10 would probably improve your health considerably. They don't contain meat, but they do contain an awful lot of sugar and other carbs. The animal products in two of them, i.e. dairy, are probably not the problem. The sugar is. Reducing the sugar in the recipes (and/or replacing it with stevia) could also be an option, as could making the grain-based desserts whole-grain based.
2, 5, 7 and probably 8 contain a lot of carbs, but of the slow type. And again, switching to whole grain would make a difference, as would eliminating artificial trans fats.

1. Grain-based desserts (cakes, cookies, donuts, pies, crisps, cobblers, and granola bars)2. Yeast breads
3. Chicken and chicken-mixed dishes
4. Soda, energy drinks, and sports drinks5. Pizza
6. Alcoholic beverages7. Pasta and pasta dishes
8. Mexican mixed dishes
9. Beef and beef-mixed dishes
10. Dairy desserts
 
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We now understand that obesity is usually an external, visible clue to an internal, invisible metabolic disorder called insulin resistance.

Yup. The gene seems to be the IRS-1 gene, "Insulin Receptor Substrate #1 " 40% of ALL ethnicities have it. And most of the side effects of T2DM are caused by the excess insulin acting as a growth hormone. "Insulin-like Growth Hormone", IGF1 to be exact. I turned diabetic 40 years ago. Recently had an eye bleed. Seems they are caused by excess growth of arteries in the eye. Treatment might be one of the chemo drugs that prevent artery growth in tumors. Hmm, carpal tunnel and trigger fingers are common in diabetics, cause is not related to sugar levels. Hmm, can you say "Growth of tendons"? Clogged Arteries are more common too- growth of artery walls, scar tissue, etc? See where I am going?

No wonder studies have show that obesity is pretty harmless if you are NOT diabetic. Of course if you are not diabetic you also lack the "ravenous appetite" aspect of that gene, so are less likely to be obese either. Diabetics have pot bellies, non-diabetics have hips and love handles. Hmm, that explains on of the measurements used to calculate the health risks of excess weight- waist measures less than 80% of hips is good. Pear shaped is good, apple shape is bad.
 
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Cutting out (or reducing considerably) 1, 4, 6 and 10 would probably improve your health considerably. They don't contain meat, but they do contain an awful lot of sugar and other carbs. The animal products in two of them, i.e. dairy, are probably not the problem. The sugar is. Reducing the sugar in the recipes (and/or replacing it with stevia) could also be an option, as could making the grain-based desserts whole-grain based.
2, 5, 7 and probably 8 contain a lot of carbs, but of the slow type. And again, switching to whole grain would make a difference, as would eliminating artificial trans fats.

That is Dr. Attia's point. He is a Keto guru.

I've been cooking in beef shortening, lots of fried meals. And beef daily. Butter as required- pancakes etc. I had a NSTEMI heart attack in April. My LDL was 88. I knoiw thy want it under 100, I may have been near the lower limit.
 
That is Dr. Attia's point. He is a Keto guru.

I bet his point isn't also that slow carbohydrates are actually essential brain food.

I've been cooking in beef shortening, lots of fried meals. And beef daily. Butter as required- pancakes etc. I had a NSTEMI heart attack in April. My LDL was 88. I knoiw thy want it under 100, I may have been near the lower limit.

Don't you also exercise a lot?
 
Not sure what your point is.


Of protein, fat and carbohydrates, carbohydrates are the only one that is not essential to human health.

Directly no, our liver breaks doewn fats a proteins to make sugar.

BUT, feeding the necessary biomes of our guts? Yup.

Most of our calories? Nope. But even Peter Attia eats umm 50 grams of carbs per day.
 
It's really hard, if impossible, to eat and go Zero carbs. I don't count carbs while I avoid most sources.

I'm just pointing out, that the idea that " quality " carbs are an essential part of a healthy diet is nonsense..
 
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It's really hard, if impossible, to eat and go Zero carbs. I don't count carbs while I avoid most sources.

I'm just pointing out, that the idea that " quality " carbs are an essential part of a healthy diet is nonsense..



It's not nonsense, though I sympathise that it conflicts with methods with which you've had weight loss success and improvement in certain health markers.




Sent from my iPhone using Tapatalk
 
It's really hard, if impossible, to eat and go Zero carbs. I don't count carbs while I avoid most sources.

I'm just pointing out, that the idea that " quality " carbs are an essential part of a healthy diet is nonsense..
Zero is not really possible, but very low, under 30 grams is very much sustainable, there are entire diabetic forums devoted to the subject. My carbs come from things like peppers, onions, and tomatoes.
 
Ever heard if MOTS-C ? It is the output of a gene, MT- RNR1 https://en.wikipedia.org/wiki/MT-RNR1

It's a peptide released from mitochondria when the mito runs out of energy. It up-regulates the nuclear genes, so controls energy. Lowers serum glucose, fat metabolism.... It probably accounts for the advantages of exercise. https://www.cell.com/cell-metabolism/fulltext/S1550-4131(18)30518-7 One thing it does is lessen the purine cycle, of which I have a bad gene, AMPD-1 deficiency. Sounds like a silver bullet for me.

It can have exogenous sources- exercise in a pill? A REAL fat burning pill? Well, an injectable so far. $350/month, but kind of experimental. But there is a company working on surrogate as a patented biologic, company is CohBar, product is CB4211. I'll bet is a GMO-produced biologic, with a copyright protection that never runs out. Price will be "all the insurance companies will pay". It'll work out to $100,000/qaly. My HMO probably pays about $300/month for my insulin. But that may not be the only company working on it, competition will lower the price. I eagerly await our GMO Overlords.
 
Everyone wants a magic pill instead of just following a healthy life style..

Indeed, because wanting to do things the easy way is exactly how most of us became overweight.


No, not at all! You are as wrong as you could possibly be.
You both base your assumptions on what has been done to you: You are placed in circumstances where "just following a healthy lifestyle" requires an extra effort: It is something you have to force yourself to do in addition to the efforts required by ordinary capitalist life: In addition to working, transporting yourself to and from work, doing the ordinary household chores and cooking, you also have to make an extra effort to stay fit.

Now, if you are a wealthy person, you don't really have to concern yourself with any of that stuff: You have employees to do the household chores, the cooking, the driving etc., and you have plenty of time and energy to play tennis, golf, do horseback riding (whatever!) because you live an easy life of plenty, and you sure as hell don't want to eat the **** that presents itself to you on the supermarket shelves. Your chef takes care of the healthy as well as delicious meals for you. All you have to do is eat them.

You don't even have to know about any of that stuff: Bill Gates Is Adorably Terrible at Guessing the Cost of Everyday Groceries (Vice, Feb. 23, 2018)
You are free to let your mind be occupied with much more interesting stuff, you don't dream of magic pills, you lead a healthy lifestyle because it's fun, and you stay slim until (at least) the ripe old age of 64: I´ll do the running! – Federer teams up with Bill Gates for charity (Sports Ration, March 6, 2018)
And you tend to outlive poor people by 10 to 15 years! The Gross Inequality of Death in America (The New Republic, May 10, 2019)

The living conditions of these guys encourage them to move around, be active, enjoy themselves physically as well as mentally. They don't have to force themselves to go to a stinking gym to do exercises. Their surroundings invite them to move around:

They lead healthy lifestyles because they are free from the pressures of ordinary working-class lives, i.e. poverty, that make people fantasize of magical solutions and make them blame themselves for every little thing that's wrong with their lives instead of focussing on the actual causes.


ETA: I'm no Bill Gates, I'm about the same age, but I don't want a magic pill. Everyone doesn't.
 
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You guys make it sound as if a treatment for a genetic variation is cheating.
 
It isn't cheating, obviously, but if exercise is the solution to the problem, then exercise! (I.e. in my version, have people live in an environment that encourages exercising!) And give the pill to people who can't exercise, for instance paraplegics.
The problem with pills in general is like the attempts to turn food into medicine: Yes, you may discover that a certain kind of food is good for people, and immediately big pharma tries to find the one ingredient that's at play and forgets about all the other important micro nutrients that people will lack if they get the one-ingredient pill instead of proper food.
Why resort to insulin when people can be cured by exercising and losing weight? Make your city bicycle friendly. Save insulin for type 1 diabetics who don't have the option of being cured in this way.
 

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