“‘Society’ Must Change If Fewer People Are Going To Be Fat.”

by Little Miss Attila on January 6, 2010

That seems to be the message in this Shari Roan piece in the Los Angeles Times.

The vast majority of overweight and obese Americans will not lose sufficient weight — and obesity won’t be prevented — without major changes in society, say the authors of a thoughtful, although bleak, commentary published today in the Journal of the American Medical Assn.

The piece, by Martijn B. Katan of the University of Amsterdam, and Dr. David S. Ludwig of Children’s Hospital, Boston, should not deter people who have resolved to eat healthier and exercise more in the new year. However, it points out some hard truths about weight loss and American’s obesity epidemic.

For example, the authors explain, when an individual reduces food intake and his or her body size diminishes, so does the amount of energy needed to maintain and move it. “Therefore, additional weight loss can only be achieved by a more severe diet or a more arduous physical activity routine,” they write. “Most individuals do the opposite: After having achieved some weight loss, they resume their original diet and exercise habits. Consequently, weight gain recurs rapidly.”

The second problem: It takes just a small energy imbalance (taking in more calories than burned) to cause a hefty weight gain over time. For example, they say, drinking 1 ounce of a soda and walking one minute less per day create a temporary energy surplus of about 13 calories a day. Over 28 years, however, that would produce a 35-pound weight gain. Some studies have shown the average American today consumes about 500 calories per day more than they did in the 1970s…..

“Studies show that even the most motivated, thoughtful, strong-willed people have a hard time losing weight when huge portions of cheap, tasty, convenient food are available at every turn of the road, and when walking and other forms of exercise are superfluous or impossible.”

One wonders, of course, what force might be—or become—strong enough to separate us from the crunchy snacks we like to unwind with at the end of the day. Hey, I know! Let’s try . . . government! The state is unrivalled as a change agent; in fact, it’s done wonders for the North Koreans, who seem to keep their weight down beautifully. In fact, those who come into contact with tourists appear to be at an almost healthy weight—they are merely slender, as opposed those who indulge in the concentration-camp chic widely sported in the Nork countryside.

A nation of ectomorphs: don’t dream it—be it.

And, here’s Rin, berating the United States in an email to me over our putative “food insecurity” problem:

[P]overty is clearly rising in America. Food banks, soup kitchens, and shelters cannot keep up with requests for charity. “Food insecurity,” a polite way of saying there isn’t enough food in the house for everyone, has doubled in the last 10 years. Almost one quarter of all children in America live in homes with at least some “food insecurity.” “Very low food security” has more than doubled since 2000.

Talking to statists is crazy-making: on the one hand, the state should ensure that every household, no matter how badly run, has enough food in it. On the other hand, we must slash the calories available to the average American—expecially among the poor, who are terribly vulnerable to obesity. Got it?

That was why I stopped listening to NPR: at the time, gasoline prices were rising, and half of the NPR stories were about how hard it was on working people that gas prices were going up. The other half pushed the need to conserve energy. And either the writers of the first set of stories never talked to the writers of the second set of stories, or no one at NPR realized the fundamental rules of economics, and understood that if fuel prices went up, people would figure out how to use less of it. Somehow, the government was expected to create a skeleton key intervention that would simultaneously decrease the cost of fossil fuels, and decrease the rate at which people used them.

Likewise, if we tinker enough with the food supply, “we” (and by “we,” of course, I mean government, which sucks the money out of 7-11 clerks’ paychecks for the Greater Good) should be able to simultaneously eliminate “food insecurity” (understocked pantries) and obesity at the very same time.

Thanks to Margaret for the tip; I’m going to go slash my wrists.

{ 12 comments… read them below or add one }

Charlie Martin January 6, 2010 at 2:32 pm

I’ve gotta buy a new gun.

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retriever January 6, 2010 at 2:33 pm

Smacking my lips over the last of my husband’s Enstron’s toffee candy (found his stash, a Christmas present.) Must be the State’s fault I am a greedy pig….Save me from myself!!

On the pantry question, our family is trying that January Pantry Challenge: to eat only what we currently have in the pantry or fridge and freezer and cupboards, buying only a few essential additional things like milk and coffee (without which our household would grind to a halt). To save money, clear out shelves, set a good example to extravagant kids, and perhaps have some cash at the end to give to people who need it.

As a general rule, I only do “greenie” things if they save me money (for example, my kids wore cloth diapers, line-dried). My clean diesel car gets over 40 mpg. My clothes from the thrift shop.

I still get furious in the supermarket when I see hugely fat able bodied people loading their carts up and paying with food stamps, then behind them is some scrawny and frail old person, carefully counting out their money for cat food and some sparse food items. The old people would die rather than sponge off their neighbors, but the neighbors would be glad to help them.

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Charlie Martin January 6, 2010 at 2:35 pm

The worst part is not even the science is very good. The basic notion here is right: if you consumemore calories than you expend, you will eventually gail weight. But look at the figures they offer: people going 500 calories a day over expenditures. That’s 3500 Cal — 1 lb — a week. 52 lbs a year. A thousand pounds between 20 and 40. If this is the full story, where are all the 1000 lb 40 year olds?

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Little Miss Attila January 6, 2010 at 2:47 pm

But, Charlie, society must change. Society . . . change. Then it . . . better. Changed. Um.

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Little Miss Attila January 6, 2010 at 2:52 pm

Also, I’m very worried about the growing problem of Gun Insecurity in America: larger and larger numbers of people are having trouble budgeting for their annual/semiannual gun purchases.

I demand Gun Stamps!

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Charlie Martin January 6, 2010 at 3:36 pm

I demand Gun Stamps!

Sign me up.

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Gregory January 6, 2010 at 7:16 pm

Charlie: The fatter you are, the more you burn, because the more inefficient your basic metabolic processes are.

btw, whatever happened to Bookworm? Did she get her DNS hijacked, or is it a problem on my end?

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Darrell January 7, 2010 at 5:08 am

No, Gregory, it’s not you–
So — my blog will henceforth be at WordPress. You can find it by clicking here. I’m struggling to figure out how to transfer all my data — my stat counter, my Ecosystem information, my everything. So, if you’ve done this before, and you have advice, please send me an email at Bookwormroom@gmail.com.

http://bookwormroom.blogspot.com/

***
I remember the good old days when Rin was telling us how well Medicare/Medicaid worked, and citing those as examples of how the government can do better than the free market. Now we hear the horror stories of how many months/years hospitals/providers wait for payment and we might reach a time when no one accepts patients under these programs. Until they are forced to. (One of the last to drop was the non-profit Mayo Clinics, after being cited by Obama as being aboard the government-run healthcare express train.) I guess “non-profit” and “tremendous losses” are two different things.
Rush’s cardiac cath, which cost him $3000 would get the hospital $75 in Illinois under Medicaid. And they’s have to wait 6mo-1yr for that. And bill multiple times. And maybe get rejected.

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John January 7, 2010 at 5:51 am

Talking to statists is like giving instructions to the guards at Swamp Castle:

“It’s all very simple. Freedom means doing as you like, as long as you don’t hurt other people.”

“Do whatever you like, as long as you don’t hurt the government.”

“No, no, no…”

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Darrell January 7, 2010 at 10:04 am

Graegory, go here instead.

http://www.bookwormroom.com/

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Darrell January 7, 2010 at 10:05 am

And Gregory, too.

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Gregory January 7, 2010 at 5:01 pm

Oh, the blog blew up. Okay, that happens, I guess.

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