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I wonder what the reaction will be if it turns out obesity isn't just about 'fatty has no self-control'
by panzagl 12y ago
I wonder what the reaction will be if it turns out obesity isn't just about 'fatty has no self-control'
- api 12y agoIt would be the death of yet another piece of Calvinist moralist BS -- along the same lines as "the poor are just lazy," etc.
- chez17 12y ago>To treat ongoing CDI-related diarrhea problems, the woman received a fecal transplant from her overweight but healthy daughter, via colonoscopy. One possible situation is that she was eating poorly but didn't gain weight due to diarrhea and when she had healthy stool she gained the weight. Also, 'fatty has no-self control' is a way to stifle opposition to your opinion. Ther is no need for that. The laws of physics apply to all people. Burn more calories than you take in, you lose weight. Clearly there will be factors that determine how many calories you burn (perhaps someone burns them much slower than the average person), but as far as I've read magic isn't real yet. The laws of the universe still apply to everyone. I've yet to see anyone eat well and exercise and not maintain a healthy weight. Ever. Not once.
- CaveTech 12y agoAnd it's important to note that while she wasn't considered obese previously, her BMI was 26, which is considered overweight.
- morganvachon 12y agoBack when I was going through cancer, my weight dropped to around 130 pounds on a 6'4", large build frame. Obviously, I looked like Death himself and I was seriously underweight. However, even when I got back up to my normal 210 pounds and I still looked a bit too skinny, the chart showed me as being "overweight" at a BMI of 26. So I'd take that "overweight" indicator with a grain of salt. If this woman is on the tall side or has broad shoulders and hips, that BMI of 26 could mean she appears athletic or even skinny, and she can certainly be healthy with that misleading number.
- Mz 12y agoMy ex husband was career military. When he was on recruiting duty, every single year they had some annual conference. Every single year, there were insurance reps there or something. Everyone in the office would get told they were "overweight" according to the (civilian) insurance reps height and weight charts. All of these people had to a) pass their PT test and b) meet weight. In the military, if your weight is too high for the chart, they tape-test you to check if you are actually fat or not. Bodybuilders in the military often cannot meet the weight requirement, but they pass the tape-test with flying colors. tldr: have an upvote for agreement.
- CaveTech 12y agoBMI isn't perfect, but it takes height into account. You can actually work back words with her weight and BMI to calculate that her height is less than 5'1". BMI is pretty accurate most of the time unless you're an athlete. Women putting on far less muscle on average than men, it's far more likely that she was actually overweight...
- Symmetry 12y agoBMI is pretty accurate for heights that were common in 19th century Belgium. It assumes that people's weights ought to go up as the square of their height but as Galileo pointed out back in the day you would expect a person's weight to go up as the cube of their height. This means that tall people will tend to have higher BMIs all things being equal and short people lower BMIs. Which actually suggests that the woman might have been overweight if she was only 5'1" despite what her BMI said.
- dragonwriter 12y ago> BMI is pretty accurate for heights that were common in 19th century Belgium. It assumes that people's weights ought to go up as the square of their height but as Galileo pointed out back in the day you would expect a person's weight to go up as the cube of their height. My understanding is that BMI doesn't "assume" anything about what weight "should" do, its instead a measure which has been empirically shown to have a useful (though rather loose) correlation to risks related to various health conditions, particularly cardiovascular conditions. (Mostly, AIUI, it serves as a proxy for a host of other measures, which together are more accurate but more involved to gather.) The cube-of-height scaling you refer to is what you would expect if taller people were exactly like smaller people but linearly scaled equally in all dimensions -- but that's neither empirically what taller people are built like nor are taller people whose weight relates to that of shorter people that way on average as healthy in the areas BMI is used a risk measure for as the shorter people.
- maratd 12y ago> The laws of physics apply to all people. Yes they do. Ever consider this possibility? Your body is immensely complex, can rid itself of toxins, pathogens, and other invaders ... but is not able to discard excess calories it doesn't need? To the point of making you sick and immobile? That makes sense to you? That our body doesn't have a regulation mechanism? Or perhaps it's more likely that it works in some people and is broken in others. Yes, starving yourself will always work. So will increasing exertion. But so will fixing that regulation mechanism. Just because we don't know how is hardly enough reason to discard the possibility.
- Zergy 12y ago> Your body is immensely complex, can rid itself of toxins, pathogens, and other invaders ... but is not able to discard excess calories it doesn't need? To the point of making you sick and immobile? That makes sense to you? That our body doesn't have a regulation mechanism? Umm.... You are aware that this state of a ton of food being very easy to procure is a recent development right? For a vast majority of the body's evolution food as very rare which resulted in being able to conserve energy optimally being ideal. Evolution is a sum of the entire species past, why are you thinking it makes sense for the body to self regulate its self to a six pack?
- korethr 12y agoOf course the body has a regulation mechanism related to energy intake and usage. However, that doesn't mean that mechanism can't be overwhelmed or made to work in non-optimal ways. Yes, your body can purge itself of toxins. But despite this, intake toxins faster than your body can purge itself of them, those toxins will still cause damage. Why should this not apply to the body's energy regulation mechanisms as well?
- maratd 12y agoYes, I completely agree. It is entirely possible that by consuming poor quality food (rotten, junk, infested with parasites/chemicals/etc.) the regulation mechanism is overwhelmed or broken. It is also possible it's through a genetic defect. An environmental toxin. A virus or bacteria. A bazillion other alternatives that our level science cannot detect or explain. My point is that when you see an obese person, the response shouldn't be lazy/stupid/eat less/diet/exercise more. It should be sick/needs research/treatment. Simple over-eating should be 100% regulated by our bodies and the excess material discarded. It should NOT be a problem. But it IS. Something is poisoning us. Rather than blaming the sick, we should find out WHAT that is.
- freyr 12y ago> I've yet to see anyone eat well and exercise and not maintain a healthy weight. Ever. Not once. I too had never, ever met an overweight person who ate well and exercised. Not even once! Until I did meet one. Your anecdotal absence of proof is not proof of absence. The vast majority of overweight people may eat poorly and not exercise, but that doesn't exclude other possibilities. In my case, I eat junk food and lead a sedentary lifestyle, and yet I'm lean and muscular. Care to explain?
- paulhauggis 12y agoThis may be the case, but it's the exception to the rule and shouldn't be used by every person overweight who just give up on discipline because they think it's useless.
- bashinator 12y agoYou met a person who burned more calories than they consumed, and yet didn't lose weight?
- freyr 12y ago> You met a person who burned more calories than they consumed, and yet didn't lose weight? No, as I said, I met an overweight person who consistently ate well and exercised (a college roommate). I have no idea how many calories they burned. By comparison, I ate much more and exercised much less and had very low body fat. Again, I have no idea how many calories I burned. And that's exactly point. That is to say, given the tremendous variation in almost every aspect of human physiology, is it plausible that there exist outliers whose bodies burn calories at markedly different rates? I don't know, but without more evidence, I'm hesitant to declare it impossible.
- matwood 12y ago> No, as I said, I met an overweight person who consistently ate well and exercised (a college roommate). I have no idea how many calories they burned. By comparison, I ate much more and exercised much less and had very low body fat. Again, I have no idea how many calories I burned. Typically when I'm told this either by people wanting to lose or people wanting to gain I just ask them to write down everything they eat for week. Guess what we learn at the end of the week? They really had no clue what they were eating. The skinny people were barely crossing 1500 cals and the overweight people were 2500-3000 and had zero idea. The other fun fact here is that food wise both of those are not very far away. A couple sweets or sugary sodas each day and you can easily cross over. While there are likely exceptions and extremes (thyroid issues), the vast majority have zero clue about how much they really eat. This is why things like Weight Watchers work so well for many people. You get X points/day. Foods are worth differing amounts of points and when you hit zero stop. People quickly learn what foods are 'free' (veggies, most fruit) and load up on those and then plan the non-free foods to maximize taste/fullness/whatever.
- dragonwriter 12y ago> Burn more calories than you take in, you lose weight. Wrong. Exercise burns calories, but also promotes muscle formation. Forming muscle, pound per pound, takes less calories than burning fat produces. So you can have a calorie deficit while gaining more weight in muscle than is lost in fat. Depending on exercise patterns, precise nutrition, and other factors, a calorie deficit can result in: Weight loss and decrease in body fat % (net weight loss disproportionately from fat), Weight loss with no change in body fat %, Weight loss and increase in body fat % (weight loss from disproportionately from muscle), Weight gain and decrease in body fat % (weight loss from fat offset by greater weight gain in muscle.) (I don't think there is any way for a calorie deficit to result in weight gain and increase in body fat % simultaneously, but I may be overlooking something.) Additionally, changes in absorption, metabolic efficiency, and other factors can make what is assumed to be a calorie surplus based on food/exercise logs into a deficit or vice versa; both the "in" and "out" side of calories in vs. calories out are, absent a lot of detailed measurement most people aren't undergoing even in inpatient medical settings, a lot more approximate and have a lot more bundled assumptions than people tend to think.
- rhino369 12y agoYou are just vastly oversimplifying a complex issue. It's like telling a drug addict to stop after 2 beers. Or teliing black kids to study more for school. How about telling people to stop having kids out of wedlock. Simple, just don't to it! SOLVED!Debt issues? Just make more than you spend. Just eat less, conservation of energy man. Science YO! argument is essentially the abstinence solution for STDs. Normal people aren't a healthy weight because they sit there and resist hunger all day. Their body keeps it in check. Finding out why obese people don't keep their diet in check would be a huge help in fighting obesity. Don't get me wrong, I'm sure for a lot people poor impulse control is part of it, but it clearly isn't the whole story.
- radicaledward 12y agoI believe in many cases it is well documented that obesity isn't caused by a lack of self-control. However that knowledge is simply not accepted by the general population. I would guess that it is difficult for people to accept this for the same reason that rich people have difficulty accepting that poverty is commonly not the fault of the poor. We may even be able to generalize these problems to all forms of victim blaming.
- Zergy 12y ago> I believe in many cases it is well documented that obesity isn't caused by a lack of self-control. Please show me the documentation because nearly everything I have read is to the contrary. More specifically I am interested if there are cases where someone eats less than their TDEE and doesn't lose weight or a case where eating at TDEE is unhealthy for some reason.
- UnoriginalGuy 12y agoI have no idea what TDEE is, I assume you mean BMR[0]. Also your post is highly confusing, your first sentence suggests you have evidence that it is all about self control (none provided) but then you say "more specifically" you're talking about BMR/TDEE which is a calculation of your total calorie burn for the day and has nothing to do with the mental elements of obesity/weight gain. [0] http://en.wikipedia.org/wiki/Basal_metabolic_rate http://en.wikipedia.org/wiki/Basal_metabolic_rate
- Zergy 12y agoPlease don't be condescending when you don't know the basic terminology for the topic being discussed especially when the info is a Google search away. TDEE (Total Daily Energy Expenditure) = BMR + Energy expended in a day. It is very clear concept. Have the self control to master the mental elements and eat less calories than your TDEE and you lose weight. My question do you have research/evidence that disputes this? In my opinion as long as the truth is that being overweight is caused by eating more food than you need, the mentality of "fatty has no self control" is reasonable. It was certainly true of me 40lbs ago.
- dragonwriter 12y ago> I wonder what the reaction will be if it turns out obesity isn't just about 'fatty has no self-control' Since the scientific evidence for a variety of metabolic conditions, etc., contributing to obesity has been overwhelming for a long time without dispelling the popularity of this attitude, I'm going to say the correct answer is "people who are emotionally attached to the idea of 'fatty has no self-control' will continue to ignore the scientific evidence."
- UnoriginalGuy 12y agoThere won't be one. Bigotry cannot be fought with facts. While some forms of obesity have been linked to physical health and or genetic factors, even if you discount that the remaining research has suggested it is a mental health disorder not that dissimilar from e.g. alcoholism, exercise addiction, sex addiction, drug addiction, smoking, and so on. Essentially food causes pleasure centres in the brain to fire, these make people feel less depressed, tired, or just happier in general. So food is often used to treat depression, which unfortunately as the person gains weight can cause both tiredness, lethargy, and depression to grow, so they need even more food to fight it (rinse, repeat). But all this won't change perception, because perception isn't about facts. For example, homophobes don't hate gay people for any logical reason that you can fight with facts and evidence, it is deeper than that. You have to deal with the core of their hate, which is often self-hate, or fear. Ultimately these are people picking on others with a mental health issue. It only makes the depression worse. But they rationalise their bullying as "helping" (even if there is evidence that it hurts, not helps), but really this all comes from a core of self-hate or fear, rather than any logical part.
- morganvachon 12y agoI'm curious what your opinion of diabetes is then; is that simply a "food addiction" too?
- UnoriginalGuy 12y agoI literally don't understand what it is you're asking me. Type-2 diabetes is a disease. One which has both genetic factors (e.g. some families get it more than other families) and non-genetic factors (e.g. unhealthy food consumption, heavy sugary food consumption). Food addiction is a mental health issue that causes people to over-consume foods. These foods are often chosen to give the best "buzz" (so often high in sugar, high in salt, etc). Having a food addiction, if untreated, could increase a person's likelihood of getting type-2 diabetes. In the same way that having a heroin addiction could increase someone's likelihood of having a stroke or heart attack.
- 12y ago
- Red_Tarsius 12y agoThere may be special factors we haven't discovered yet, but a lot of people are overweight simply because they don't have the money or will to consume decent food. imho the article is awful. There was 1 case study and it happened by accident. The title is just giving another excuse to people who are struggling with self-discipline.
- emodendroket 12y agoI don't get this attitude. Like, is the problem with obesity really that people don't feel bad enough about it? I don't think that's it.
- Red_Tarsius 12y ago@emodendroket I didn't fat-shame anyone. I'm struggling with self-discipline myself, like most of the planet. What I'm saying is that many (there a few exeptions) people I met could lose weight by eating healthy food in moderation and not sitting around all day. It takes time, it takes effort and, unfortunately, it takes money to afford anything other than junk food. There's nothing inherently wrong with being fat, sometimes people prefer to focus on other things. However, if you want to change, I have the duty to encourage you toward a healthier path. Sugar coating things – i.e. "you can do nothing about it" – doesn't help.
- deleted 12y ago[deleted]
- emodendroket 12y agoIt doesn't matter if that idea is disproven; moral shaming has seemingly unlimited appeal.