4 ms·

I don't actually think self-control is the answer because I think we should consider the effects on brains in sugar/fat to be like effects of other drugs on the

I don't actually think self-control is the answer because I think we should consider the effects on brains in sugar/fat to be like effects of other drugs on the brain, especially because we know shit like childhood trauma and poverty predisposes people to obesity.

wincy 4y ago
Passing regulation assumes we actually know what’s best for everyone. I lost 80 pounds eating Johnsonville Beddar Cheddar Sausages and sauerkraut every day for six months, definitely something that’s “too fatty”.
- slothtrop 4y ago
  Losing weight is not the only metric for optimal health.
  - claytongulick 4y ago
    It's probably the biggest one. I was CTO for a healthcare network. Weight loss was the primary focus for population health - because the data massively supports this. SDOH [1], falls prevention and other stuff, while important, take a far backseat as far as overall health impact. [1] https://health.gov/healthypeople/priority-areas/social-determinants-health https://health.gov/healthypeople/priority-areas/social-deter...
    - slothtrop 4y ago
      CVD is a leading cause of death and remains a risk even without excess weight; one needn't discount everything other than weight as "falls prevention and other stuff".
      - claytongulick 4y ago
        > one needn't discount everything other than weight as "falls prevention and other stuff". I didn't. And yes, CVD is a huge issue. Obesity directly contributes to it, independent of other factors [1]. Which is why most population health stuff is targeted at weight loss. From a population health standpoint, it has the biggest impact with well understood interventions. FWIW, I helped deliver CMS certified DPP programs that were funded by private payers. Their data was clear on all this. [1] https://www.ahajournals.org/doi/10.1161/CIR.0000000000000973 https://www.ahajournals.org/doi/10.1161/CIR.0000000000000973

wincy 4y ago

Passing regulation assumes we actually know what’s best for everyone. I lost 80 pounds eating Johnsonville Beddar Cheddar Sausages and sauerkraut every day for six months, definitely something that’s “too fatty”.

slothtrop 4y ago
Losing weight is not the only metric for optimal health.
- claytongulick 4y ago
  It's probably the biggest one. I was CTO for a healthcare network. Weight loss was the primary focus for population health - because the data massively supports this. SDOH [1], falls prevention and other stuff, while important, take a far backseat as far as overall health impact. [1] https://health.gov/healthypeople/priority-areas/social-determinants-health https://health.gov/healthypeople/priority-areas/social-deter...
  - slothtrop 4y ago
    CVD is a leading cause of death and remains a risk even without excess weight; one needn't discount everything other than weight as "falls prevention and other stuff".
    - claytongulick 4y ago
      > one needn't discount everything other than weight as "falls prevention and other stuff". I didn't. And yes, CVD is a huge issue. Obesity directly contributes to it, independent of other factors [1]. Which is why most population health stuff is targeted at weight loss. From a population health standpoint, it has the biggest impact with well understood interventions. FWIW, I helped deliver CMS certified DPP programs that were funded by private payers. Their data was clear on all this. [1] https://www.ahajournals.org/doi/10.1161/CIR.0000000000000973 https://www.ahajournals.org/doi/10.1161/CIR.0000000000000973