3 ms·
Agree that there are a lot of unknowns. Kevin Hall is carrying out some illuminating studies on the issue but, by his own admission, there’s simply not enough f
by KempyKolibri 2y ago
Agree that there are a lot of unknowns. Kevin Hall is carrying out some illuminating studies on the issue but, by his own admission, there’s simply not enough funding to do this at pace or scale.
I think we have some experimental evidence to suggest that at least some of the UPF associations are due to texture - those foods that you can basically inhale without chewing seem to drive higher caloric intake. We also have an incredibly strong signal of mass gain from sugar sweetened beverages which are also easy to consume with minimal effort.
I think it’s likely that cultural and economic factors play into this too. Japan has the same proliferation of UPFs, yet does not suffer the same obesity effects as the West does. There are probably a number of things that play into this: Japan has an incredible children’s food education policy, and they presumably have a different culture around food (many western cultures emphasise a “finish your plate or you’re ungrateful” approach).
I also have an intuition that the rise of two income households raising children is a factor in this. It’s a lot to ask of a couple that they both hold down full time jobs while cooking the kind of meals that used to be the domain of a stay-at-home parent.
Really interesting area to think about in terms of research and policies, but as you say we just don’t have strong evidence at the moment.
In the meantime it’s great that GLP-1 agonists are available to reduce the damage done, but it’s a shame we have to resort to such things in the first place.
- kragen 2y agoWe've had effective weight loss drugs for quite a long time; smoking tobacco and various phenethylamines are well known to work, for example, methamphetamine being the oldest. (I suspect chewing coca may also work.) Unfortunately, those also turned out to have harmful effects which weren't noticed until they had been in use for decades or centuries. It wouldn't be surprising if GLP-1 agonists also turned out to do more harm than good.
- KempyKolibri 2y agoIt’s certainly possible that there are long term side effects from GLP-1 agonists, but we can only go with the data we have. The five year data (which definitely has limitations in terms of the kind of inferences we can draw from it) is suggesting around a 4x reduction in mortality at the 5 year mark in non-diabetics IIRC (https://pubmed.ncbi.nlm.nih.gov/39171569/ https://pubmed.ncbi.nlm.nih.gov/39171569/). The changes in behaviour are also really interesting. Even after cessation of the drug, it seems like many patients keep healthier eating patterns and while they do put on weight, they tend to settle on a lower weight than baseline before intervention. So we should absolutely keep an eye on outcomes as time goes on, but so far the results are overwhelmingly positive. These drugs are saving lives and the new ones in the pipeline look significantly more effective. It’s an exciting time to be alive!