The science of obesity: what do we really know about what makes us fat?

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The science of obesity: what do we really know about what makes us fat?

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Old 04-18-2013, 12:01   #1
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Default The science of obesity: what do we really know about what makes us fat?

The science of obesity: what do we really know about what makes us fat? An essay by Gary Taubes | BMJ

The history of obesity research is a history of two competing hypotheses. Gary Taubes argues that the wrong hypothesis won out and that it is this hypothesis, along with substandard science, that has exacerbated the obesity crisis and the related chronic diseases. If we are to make any progress, he says, we have to look again at what really makes us fat

Since the 1950s, the conventional wisdom on obesity has been simple: it is fundamentally caused by or results from a net positive energy balance—another way of saying that we get fat because we overeat. We consume more energy than we expend. The conventional wisdom has also held, however, that efforts to cure the problem by inducing undereating or a negative energy balance—either by counselling patients to eat less or exercise more—are remarkably ineffective.

Put these two notions together and the result should be a palpable sense of cognitive dissonance. Take, for instance, The Handbook of Obesity, published in 1998 and edited by three of the most influential authorities in the field. “Dietary therapy,” it says, “remains the cornerstone of treatment and the reduction of energy intake continues to be the basis of successful weight reduction programs.” And yet it simultaneously describes the results of such dietary therapy as “poor and not long-lasting.”1

Rather than resolve this dissonance by questioning our beliefs about the cause of obesity, the tendency is to blame the public (and obese patients implicitly) for not faithfully following our advice. And we embrace the relatively new assumption that obesity must be a multifactorial and complex disorder. This makes our failures to either treat the disorder or rein in the burgeoning epidemics of obesity worldwide somehow understandable, acceptable.

Another possibility, though, is that our fundamental understanding of the aetiology of the disorder is indeed incorrect, and this is the reason for the lack of progress. If this is true, and it certainly could be, then rectifying this aetiological misconception is absolutely critical to future progress.

(Long Article - Read it on the link)

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Old 04-18-2013, 18:03   #2
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Long article, makes me dizzy ha ha just bookmarked it for later reading.

There are many variables but before going into that, those variables won't affect every person in the same way. There are some individuals that won't get fat no matter how much they eat, they can get very low impact on their bodies. We have some sort of programming in our bodies and that's very difficult to get around.

But there is something that affects us all the same: stress. Cortisol makes the body accumulate fat around the belly, but that's not the exact description: it makes you accumulate fat around vital sensitive organs that are not behind bones or protected by them.

There is a documentary called Why Are Thin People Not Fat about diff people involved in an experiment, eating all they can non stop. Some get fat, some stay the same. Actually pretty interesting.

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Old 04-18-2013, 18:55   #3
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So interesting. Unfortunately watching the videos made me hungry and crave sweets, even though i was eating lunch while watcing and was full after eating!. Now I could use some chocolate. Beware the videos!
Amazing how images can cause hunger, imagine having it right there in front of you in real life. Would be incredibly hard to resist right now!

Ok off to work so that my brain can move on to something else!

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