Barry Popkin: Why the World Is Fat

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To me the summary points of the piece make a lot of sense - people and organizations tend to focus on just one thing according to their own self-interest.

As an Adult Diabetic whose lost 10% of his body weight and is now exercising very regularly, and strenuously, I apply the basic principle mentioned at the end - calories in calories out - that's fundamental and if you don't get your waistline to half your height then you're going to have health challenges especially diabetes.

BUT, I also eat a variety of fruit - because of the single minded focus on sugar and then that carried over to fructose people tend to avoid fruit like the plague because they fear fructose.

I also come in as obese on the BMI scale, which I monitor but I understand its flaws and don't worry about where it pegs me - I track the trend of the measurements in relation to other things that I am doing with food and exercise.

I also eat plenty of "fatty foods" in good solid whole fat "healthy" foods - what I call healthy foods at least - meat, milk, full cream yogurt, olive oil, etc etc. I rarely eat junk food, but I do eat lost of good fats.

I eat plenty of vegetables - mostly cooked as that aids digestion and releases things that are important - of course how they are cooked is important in order to not waste nutrients.

I have excellent good cholesterol to bad cholesterol ration, although my total cholesterol is above the optimum point - I don't panic about that I focus on the good cholesterol.

The point I am making is that while you DO have to change your lifestyle and attitude to improve your condition - be that weight and/or diabetes for example - you don't have to become some kind of food but if you have overall simple objectives to guide your choices.

http://www.diabetorati.com

Walter Adamson 7:06AM January 27, 2009

When I first started delivering mail in the late 1970's, the children on the route were always outside in the summer playing with their dogs, shooting hoops, riding bikes, etc. By the end of the 90's however, the yards were mostly empty. What was the next generation of kids doing? Some of them who ventured out to collect the mail were incredibly enthusiastic about ...their new video games and the high scores they'd spent hours each day achieving. Coincidence?

Patricia Branson of NC 12:30PM January 21, 2009

I don't know why our government feels it's necessary to have nutritional guidelines in the first place. First off, they are very politically motivated. We know that by lowering dairy intake and red meat we can lower heart disease and diabetes in this country, but the dairy farmers and cattle ranchers and their lobbyists won't hear of that.

No government in this history of the world has had dietary suggestions as detailed as ours. Yes, they have them in France, Spain, China, and other countries, but they followed suit after the U.S. came out with their guidelines. China, in it's thousands of years of history never before recommended Chinese people to drink X numbers of cups of water, eat X servings of fruits and vegetables each day and to eat X number of calories per day.

Third, even if you did come up with a set of guidelines that was not politically motivated a one size fits all approach doesn't work. People are different and we live different lifestyles. Michael Phelps eats way more calories than the average american because he burns way more calories per day than the average american. You expect Michael Phelps to follow the nutitional guidelines and eat 2-3 servings of fruit, 2-3 servings of meat, poultry, fish, and dried beans each day?

Nutrition is very complex. A person may consume what a nutritionist considers way too much cholesterol by eating lots of eggs, cheese, croissants and so forth, but if that person does a lot of exercise and burns those calories off, and eats smaller portions than the average person, it doesn't matter.

In the past there have been tribes that subsisted almost entirely on meat. That's right, no veggies. However, research showed that the meat they ate came from animals that subsisted entirely on eating vegetation. That was how they got their B-vitamins.

White Lotus of CA 12:29PM January 18, 2009

Some people don't realize that they are getting bigger until they don't fit into their clothes. Therefore I say stop catering to the health esteem and make the public realize that they are unhealthy by not changing the size of clothes. personally it gets on my nerves when I shop for clothes.

K Smith of KS 12:22PM January 18, 2009

Have we been fooled? We have been taught for decades to avoid fat and eat lots of carbs (fruit, vegetables, whole grain bread). The result: endemic obesity. The problem is that this diet is based on very weak scientific evidence. Could it be that carbs increases the insulin level, which in turn helps the body to store energy as fat? There is enough evidence for this to make the health authorities in Sweden advise diabetics to eat less carbs.

I decided to try out low carb food, which means I didn't have bread, pasta or rice for lunch. To my amazement I didn't get the "post lunch coma", the drowziness at roughly 1.p.m, anymore. Then I tried out this crazy idea to cut the carbs to a minimum and adding large amounts of saturated fat. A couple of days later my pregnant-looking belly was gone. My stomach ailings as well. My weight is slowly decreasing each week. I eat bacon and eggs, whipped or sour cream, meat with fat on, salmon, olive oil and butter. No bread, pasta, rice, potatoes or cereals. The best part: I never get very hungry or craving. I'll check my cholesterol in a month or two. Many people who eat like I do experience lower cholesterol and all in all better health. I feel free, no longer a slave to my appetite. I get to eat lots of great food AND lose weight AND without restraining myself. Reading tip: "Good calories, bad calories" by Gary Taubes, Jimmy Moore's blog "http://livinlavidalowcarb.com/blog/".

Kerstin 9:23AM January 18, 2009

The world is not going from malnourished to obese because people are switching from nonfat milk to full fat milk. Full fat milk is about as natural as it gets in the supermarket. The child who eats a Pop Tart, Cheetos, and a Diet Coke for lunch has gained nothing but corn syrup, artificial sweetener, and partially hydrogenated oils. A child who gets a carton of whole milk with his lunch gets protein, calcium, and fat-soluble Vitamin D. Yes, there's some fat in there, but maybe those extra calories will keep him from grabbing a candy bar later, unlike the kid with a belly full of carbonated Nutrasweet.

Claire of CA 7:07PM January 17, 2009

The world has changed a lot since we were the hunters and gatherers our DNA would like us to be. Now we're out and about all the time, rarely near our own pantries. Even if we wanted to stock and prepare only healthy food at home all the time, we're not home most of the time, so we're at the mercy of what's out where we are. While away from home, we very rarely have the option of eating something healthy and low in calories. As a result, we have, and get used to, a high calorie, high fat (and therefore tasty!) diet. Once we're home, it's hard to "downshift" into something with less calories and fat, because it also means less taste.

I'm an overweight man, and I'm not making excuses for myself, but it is what it is. People rarely eat at home anymore, so they're at the mercy of what's available, and what's available to us is making us fat. A small percentage of the restaurants around are healthier than, say, Burger King, but they're also more expensive, and therefore (especially in today's economy!) less likely to be patronized.

Comments like "reduce your meat", "reduce your fat", "increase your vegetables", while correct, aren't really helpful when what's really being said is "do something that is more and more difficult every day because of what's available to to". If we truly want the American Public to be thinner and healther, then we'll figure out a way to get tasty and *healthy* food as readily available as the Big Mac. Maybe we need a Government grant to get McTofu on every corner :-)

Kyle Davis of TX 11:48PM January 16, 2009

"Popkin suggests cutting out caloric drinks, such as nondiet colas..."

So-called "diet" sodas are even worse than their sugared counterparts. They make you hungry and they initiate a similar hormonal response in the body as sugared drinks do. Besides that, they contain excitotoxins. "Diet" soda manufactures should be sued for false advertising. Ironically, Dr. Pepper comes the closest to the truth when they advertise Diet Dr. Pepper as "Nothing Diet About It".

Unsweetened tea and water. You have no business drinking anything else if you value your health.

Reduce your meat consumption, increase your raw vegetable intake - especially with nutrient-dense greens like kale, eliminate processed grains and eat nothing that contains added chemicals. This is how your body was meant to eat through evolution. If you can't get passed that, I have little empathy for you and your diseases.

Jeremiah of TX 9:21PM January 16, 2009

I am curious how "overweight" and "obese" are being defined here.

Often, people use the BMI as a one-shoe-fits-all indicator, but that system has a number of flaws. For one, it does not account for the obvious differences between fat distribution in men and women. At my optimum weight, when I had a job that involved constant physical activity and was eating fish and vegetables for most dinners, I still was "overweight" according to the BMI (I am a woman, BTW). The BMI suggested a target weight that I had never seen since the very beginnings of high school... and I was never a fat child. It would have been foolish indeed to use their system without qualification.

Scientific American, among others, have written on some of the errors being made regarding the "fat panic." Of course, none of this is to say that obesity does not exist... but the terms in use need to be better defined before an insightful dialogue can take take place.



Katherine Hobson: Great points. I'm going to blog soon on some suggested methods for determining whether your body fat is problematic or not. Stay tuned! If you want to know when a new blog is up, follow me on Twitter; username is khobson.

anon of DC 11:09AM January 13, 2009

This is Katherine Hobson. Here's a response from Dr. Popkin about his board memberships, etc.:

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I was on the scientific advisory group advising the board of Danone a decade ago. We started funding some medical school nutrition education programs and preschool education programs. Right now I am a co-investigator on a grant from Nestle's Water USA to study the health benefits of water.

Over the decades I have gotten grants to write papers from a number of food groups--national beefgrowers assoc, presented at a conference of NCI and the better produce assoc.

But I do not consult with any company--ever, period. I just write papers on topics I want. I do the same for UNICEF, WHO, US state dept, DHHS, NIH.

99% of all my grant funds have come from NIH in the past 20 years.

------------------

I should have asked him when I did the original piece. Now you know!

Katherine Hobson of NY 1:18PM January 12, 2009

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