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Obese Americans now outnnumber overweight Americans.

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It's pretty hard for the average person to go up against a team of highly paid, highly skilled psychologists that tailor make advertisements to make people feel certain happy emotions and crave products on top of needing to go against a team of highly paid, highly skilled bio-chemists who have perfectly engineered the food to be as addicting and "feel good" as possible.

It's basically a huge uphill battle against people who are far better armed than you are and have certain tricks and techniques to appeal to things you may not even fully be able to control.
 
After losing weight through diet and exercise, it's not even about the environment tripping you up. Sure, that's a factor, but the biggest problem is the physiological changes that occur whenever someone goes below their set-point. Hormones will change in a fashion that appetite becomes markedly increased and adaptive thermogenesis causes the body to become much more efficient at utilizing energy, so a person who has lost a significant amount of weight needs to eat 20%+ less calories than a person of the same weight who hasn't lost weight in order to maintain their reduced weight.

If you take an person who normally weighs 250 lbs and reduce their weight to 200 lbs (they're now only overweight instead of obese), and you take another person who normally weights 150 lbs and reduce their weight to 120 lbs (they're now underweight after having a normal BMI), both will exhibit the same starvation like response. They both lost 20% of their baseline weight -- just because the former person is still overweight doesn't mean their response to weight loss from his set-point is any different. This has been demonstrated in numerous experiments.

The problem is once obesity occurs, changes in the hypothalamus and an increase in the number of fat cells ensure that it will be extremely difficult for that obese person to ever maintain a normal weight without drastic interventions, such as bariatric surgery.

Set point is one theory among many re: the nature of overweight and obesity, and I've seen some argue that one's set point can adjust over time to a new weight if the diet is kept consistent and exercise engaged in regularly.
 
Set point is one theory among many re: the nature of overweight and obesity, and I've seen some argue that one's set point can adjust over time to a new weight if the diet is kept consistent and exercise engaged in regularly.

I honestly don't know why AnAnole harps on that point so much. There seems to be something there, for sure, but at most it's probably a temporary setback for some that can be conquered with consistency. It's pretty unlikely that the cause of 'rebounds' is anything but people lapsing in consistency when it comes to their diet.
 
I honestly don't know why AnAnole harps on that point so much. There seems to be something there, for sure, but at most it's probably a temporary setback for some that can be conquered with consistency. It's pretty unlikely that the cause of 'rebounds' is anything but people lapsing in consistency when it comes to their diet.

Think again.

http://www.nejm.org/doi/full/10.1056/NEJMoa1105816

"One year after initial weight reduction, levels of the circulating mediators of appetite that encourage weight regain after diet-induced weight loss do not revert to the levels recorded before weight loss. "

and

"The evidence presented in this paper provides novel insights into the nature of weight loss and associated compensatory changes. Further, it suggests that multiple redundant mechanisms have evolved to maintain body weight and thereby counteract a reduction in caloric intake. This redundancy may in part explain the high degree of failure and weight regain observed following weight loss through lifestyle intervention [20]. In this context, it is noteworthy that low-dose leptin replacement monotherapy has been shown to reverse many of the neurologic, hormonal, and behavioral adaptations that promote weight regain, despite the heterogeneous etiologies underlying weight regain [92–94]. "

It's basically a fact that permanent alterations in physiology once obesity has been sustained make it extremely difficult to lose weight and maintain a normal weight. You can't just delete 80 billion extra fat cells and you can't restore neurons involved in appetite regulation that have been damaged by inflammatory processes that accompany obesity. Saying that these changes alterations aren't permanent in a vast majority of obese people is like saying that global warming isn't happening or evolution isn't real.

I'll let Rudolph Leibel, one of the top obesity researchers in the world, explain:

https://www.youtube.com/watch?v=2i_cmltmQ6A
 
What about raising wages? I mean, I'm no socioeconomic expert or whatever, but we started getting a lot faster once inflation began to rise faster and higher than wages.

Oh sure, there are tons of ways to help the situation but it'll always be much harder to be healthy than it will be to be obese. Unless we are living on the Enterprise or something with food replicators.
 
Oh sure, there are tons of ways to help the situation but it'll always be much harder to be healthy than it will be to be obese. Unless we are living on the Enterprise or something with food replicators.

You have realized that the human genome needs to be altered to make obesity difficult. We need GMO humans ASAP!
 
I honestly don't know why AnAnole harps on that point so much. There seems to be something there, for sure, but at most it's probably a temporary setback for some that can be conquered with consistency. It's pretty unlikely that the cause of 'rebounds' is anything but people lapsing in consistency when it comes to their diet.

I imagine a lot of people who lapse in consistency do it because they stop seeing results and it gets frustrating. I lost 70 lbs and then got stuck at near my current weight for 2 years because what was working before no longer had any effect and I was still out of shape enough that the extra effort to push past my current barrier just wasn't there and I caused myself injuries and chest pains trying to do the same old thing only "harder" on top of eating better and less.

It was infuriating when some weeks I'd give up and eat whatever the fuck I wanted and I'd not gain weight or even lose some temporarily.

The next 18 pounds I lost to get to where I am now have been the hardest thing in the world for me. I had to basically discard everything I had done in the past and pretend it didn't exist anymore, find a new routine a new diet and work for every tiny loss on the scale so much harder than seemed reasonable. If in another 20 or so lbs I hit another road block what then? Can you not see how how demotivating it can be to stop getting results when you're still putting the same effort in? It is so easy to turn to food for comfort because you stop thinking about the future and your health and think about " if I put x in my mouth than I am guaranteed a result of enjoyable flavour."

All that said I have no idea what the optimal solution to growing obesity rates is. I know what's currently working for me but that may not work for others and " better to try and fail than not try at all" is not a good outlook where weight is concerned considering how big of an impact emotions play in it.
 
Wages and other factors will play a part and have a chance to be changed over time.

Personal factors can be changed right away if you are determined enough.
 
Think again.

http://www.nejm.org/doi/full/10.1056/NEJMoa1105816

"One year after initial weight reduction, levels of the circulating mediators of appetite that encourage weight regain after diet-induced weight loss do not revert to the levels recorded before weight loss. "

and

"The evidence presented in this paper provides novel insights into the nature of weight loss and associated compensatory changes. Further, it suggests that multiple redundant mechanisms have evolved to maintain body weight and thereby counteract a reduction in caloric intake. This redundancy may in part explain the high degree of failure and weight regain observed following weight loss through lifestyle intervention [20]. In this context, it is noteworthy that low-dose leptin replacement monotherapy has been shown to reverse many of the neurologic, hormonal, and behavioral adaptations that promote weight regain, despite the heterogeneous etiologies underlying weight regain [92–94]. "

It's basically a fact that permanent alterations in physiology once obesity has been sustained make it extremely difficult to lose weight and maintain a normal weight. You can't just delete 80 billion extra fat cells and you can't restore neurons involved in appetite regulation that have been damaged by inflammatory processes that accompany obesity. Saying that these changes alterations aren't permanent in a vast majority of obese people is like saying that global warming isn't happening or evolution isn't real.

I'll let Rudolph Leibel, one of the top obesity researchers in the world, explain:

https://www.youtube.com/watch?v=2i_cmltmQ6A

It takes time, but you can lose the fat cells.

There may be a point of no return depending on certain circumstances, but it is entirely possible to go from obese to fit and keep off the fat.

I don't have time to go into the study and video you linked (although I did watch it once a long time ago) right now, but I would be very curious to see what kind of diets were used to induce the weight loss in the people observed.
 
I read the article... and are they seriously using the BMI to say who's overweight/obese?

By these guidelines, bodybuilders are overweight/obese.
 
I read the article... and are they seriously using the BMI to say who's overweight/obese?

By these guidelines, bodybuilders are overweight/obese.

Do you really think that bodybuilders make up any significant percentage of the population?
 
I read the article... and are they seriously using the BMI to say who's overweight/obese?

By these guidelines, bodybuilders are overweight/obese.

It's still a decent guideline. The world isn't overflowing with bodybuilders after all.

Edit: damnit Zefah
 
Sorry but that's impossible. Being obese requires sitting on your ass and eating, nothing more.

You credit being healthy as a sign of work. You already work your entire life. In my mind a person doesn't want to work twice as hard if they're already struggling to get by. There has been a change in companies with exercise equipment and private chefs, but that doesn't mean everyone does it. I've seen posters that tell you how much you're walking when you use the steps or how many calories you spend and so forth. There are pills, drinks, labels on food, etc. etc.

They've made being fat a lot more fun than trying to get thin. IMO it's causing more of a problem.

It's turning into being a PSA that everyone stays quiet for and that's it. I think the next generation of people might change a few things. The best we can do lower the average. I don't think obesity will ever go away.
 

That study looks like it is a complete mess.

They have no control, they have no idea what these peoples healthy baseline should be. Rather it looks like the group was returning to prediet baseline #'s on all of the hormonal markers, as was their weight.

There are other studies involving with accurate TDEE measurements that show the difference between previously overweight/obese and historically normal weight control participants was differentiated by the regular exercise that the control group did and the overweight group didn't.

Sustained weight loss is about habit replacement.
 
That study looks like it is a complete mess.

Well, that's kind of the norm for most nutrition/obesity studies, unfortunately. Sadly, it doesn't stop people from pasting abstracts as if they are the final word on a topic in forum discussions such as these.
 
That study looks like it is a complete mess.

They have no control, they have no idea what these peoples healthy baseline should be. Rather it looks like the group was returning to prediet baseline #'s on all of the hormonal markers, as was their weight.

There are other studies involving with accurate TDEE measurements that show the difference between previously overweight/obese and historically normal weight control participants was differentiated by the regular exercise that the control group did and the overweight group didn't.

Sustained weight loss is about habit replacement.

What are you talking about? What control? A control group would be another group that has the same baseline characteristics of the intervention group, but doesn't lose weight. There would be no point in making a comparison to such a group. The intervention group had their baseline characteristics measured and then measured following 1 year of sustained weight loss. There are a number of other similar studies that show the exact same phenomena -- losing weight causes changes in hormones that can only be restored to their baseline state by regaining the weight. We even know that there is a master hormone, leptin, which has a downstream effect on all of these other hormones. Tightly controlled metabolic ward studies have shown that replacing leptin, which drops during weight loss, can reverse almost all of the metabolic alterations that take place during weight loss. Just because you don't want something to be a fact doesn't mean it isn't.

Obesity is a lot more complex than you think.

http://joe.endocrinology-journals.org/content/early/2014/07/25/JOE-14-0358.full.pdf
 
Obesity is a lot more complex than you think.

And yet you attempt to boil it all down to your personal boogeyman--leptin.

We even know that there is a master hormone, leptin, which has a downstream effect on all of these other hormones. Tightly controlled metabolic ward studies have shown that replacing leptin, which drops during weight loss, can reverse almost all of the metabolic alterations that take place during weight loss. Just because you don't want something to be a fact doesn't mean it isn't.

Link? You are stating these things as if they are indisputable facts. They must be some pretty comprehensive and air-tight studies to have convinced you such.

Anyway, I had a chance to read the conclusion of the study you were linking:

"Caloric restriction results in a rapid, profound reduction in circulating levels of leptin28,29 and energy expenditure30 and an increase in appetite.15 Other effects of diet-induced weight loss include increased levels of ghrelin14 and reduced levels of peptide YY31 and cholecystokinin.13"

I mean, no shit? Starve yourself and your body responds by trying to discourage energy expenditure and increasing appetite in order to encourage consumption of the nutrients it needs.

Again, I really want to see the composition of the diets used to induce weight loss.

This is another reason why I have such a problem with the focus on calories regardless of source. We know that different diet compositions have wildly different effects on satiety and a variety of hormones.
 
It's pretty hard for the average person to go up against a team of highly paid, highly skilled psychologists that tailor make advertisements to make people feel certain happy emotions and crave products on top of needing to go against a team of highly paid, highly skilled bio-chemists who have perfectly engineered the food to be as addicting and "feel good" as possible.

It's basically a huge uphill battle against people who are far better armed than you are and have certain tricks and techniques to appeal to things you may not even fully be able to control.

Healthy food can be just as good. Nobody is forcing you to buy inhealthy food and all you need is a couple weeks max to lose the sugar "crave".
 
Healthy food can be just as good. Nobody is forcing you to buy inhealthy food and all you need is a couple weeks max to lose the sugar "crave".

Nobody is forcing you, but people with a lot more knowledge about how your body and emotions work, than you have, are using that knowledge to influence you and your emotions.
 
Do you really think that bodybuilders make up any significant percentage of the population?

With such an obvious flaw, why is it still being used? BB may not represent a large portion of the population, but the point still stands. This system doesn't differentiate muscle from fat. Which is a pretty egregious error.
 
I started dieting and I am so fucking hungry, but freedieting.com is a pretty good site.

I try to eat 1700 calories a day but it's a mad struggle...I'm thinking of going up to 2000 and just exercising more if I can do it.
 
With such an obvious flaw, why is it still being used? BB may not represent a large portion of the population, but the point still stands. This system doesn't differentiate muscle from fat. Which is a pretty egregious error.

Convenience over accuracy and a bigger headline.

Maybe the best proxy for overweight and obese would involve waist size.
 
I started dieting and I am so fucking hungry, but freedieting.com is a pretty good site.

I try to eat 1700 calories a day but it's a mad struggle...I'm thinking of going up to 2000 and just exercising more if I can do it.
Honestly, it depends on how much you want to lose.

I don't believe in strict dieting. I believe in eating what you want, but doing it sensibly. Spacing out meals and snacks. Switching out certain foods for others. Learning to enjoy a wide variety of foods so that you have more options. Eating enough that you have energy for exercise. Working out when you don't have the energy only makes it even less fun.

Speaking of fun, make exercise engaging. My way to do it was by listening to music. Not just that, but also using exercise as a way to discover new music.

For general weight loss/maintenance, there are some things that are just flat out EASY calorie-cutters. For one, stop drinking calories. A glass of soda or even juice is a mini meal's worth of calories but it's all sugar and is not particularly satisfying. Also, reduce alcohol intake as well.

I don't know. I feel like people shouldn't have to make too many sacrifices to lose weight. They should just moderate and get in some exercise when possible, even as light as an hour walk a day (to start, at least). Simple stuff. Shift your lifestyle so that you're satisfied by foods and activities that are better for you.
 
This shit is fucking tragic, and like most things that are tragic in the United States, we put the burden on individual citizens to address the tragedy rather than accepting that literally everyone in the country who isn't an affluent city dweller with a decent home-work balance and good social attachments is going to find it almost impossible to actually have a healthy lifestyle.

Yeah, sure, you can get a standing desk (if you have a job that lets you have on/if you can afford it), and shuffle you ass to a gym four times a week, and buy healthy food on a regular basis, but if you looked at the statistics, I doubt you'd find more than a scant number of individuals that have been able to sustain that discipline in the long run. I mean, good for that small part of the population, but you'd think if we actually cared about one another rather than just caring about enforcing some kind of personal responsibility dogma, we'd actually want to work together to create a world that taps into our psychological predispositions to encourage a healthy lifestyle through wholistic, macro-level social policy.

But no, we leave that lifestyle structuring work up to the marketers, employers, politicians, and lobbyists of the world who all represent the particular, cynical interests of particular parties rather than the citizenry as a whole.

In short, fuck everything.
 
Honestly, it depends on how much you want to lose.

I don't believe in strict dieting. I believe in eating what you want, but doing it sensibly. Spacing out meals and snacks. Switching out certain foods for others. Eating enough that you have energy for exercise. Working out when you don't have the energy only makes it even less fun.

Speaking of fun, make exercise engaging. My way to do it was by listening to music. Not just that, but also using exercise as a way to discover new music.

For general weight loss/maintenance, there are some things that are just flat out EASY calorie-cutters. For one, stop drinking calories. A glass of soda or even juice is a mini meal's worth of calories but it's all sugar and is not particularly satisfying. Also, reduce alcohol intake as well.

I don't know. I feel like people shouldn't have to make too many sacrifices to lose weight. They should just moderate better and get in some exercise when possible, even as light as an hour walk a day. Simple stuff. Shifting your lifestyle so that you're satisfied by foods and activities that are better for you.

I do an often labor intensive outside job 10 hours a day, lift weights Wednesday at the gym, and trail/road bike with group on weekends and it still isn't good enough. I just need to junk fast food. Cutting sugar drinks is a struggle, I already drink tons of water at work and I get sick of it even with bottled water. How about some zero cal flavored water recommendations? Just an alternative.
 
I was obese last year at 220 lb; I had to start wearing XL shirts, this was right before I decided to start dieting. (A couple fuckups with alcohol at parties helped that decision come faster.)

It took me three months to drop 20 lb, which put me back in L territory. Another 3 months put me 20 lb. down into M territory. In January, I started a bulk; I got up to 192 lb., edging between M and L territory, and I'm back on a cut again right now.

I do not understand how it is so difficult for people to make a small lifestyle change. I really don't. I understand there's a small subset of people that it is difficult for- i.e., I imagine someone stuck in a wheelchair might have a harder time- but for everyone else who is able to do it, it just seems like they don't care.

I don't know. I guess this article is just making me sad. Media allows us to worship anyone with a great body, and everyone pays attention to the media, but we now have more obese people than overweight people? I'm flummoxed.
 
It's really sad how many people can't control their diet. Just stop eating crap and you'll be ok, you don't even have to exercise. It's easier for them to delude themselves and think that they're "curvy" and "big and beautiful" than stop eating.
 
What are you talking about? What control? A control group would be another group that has the same baseline characteristics of the intervention group, but doesn't lose weight. There would be no point in making a comparison to such a group. The intervention group had their baseline characteristics measured and then measured following 1 year of sustained weight loss. There are a number of other similar studies that show the exact same phenomena -- losing weight causes changes in hormones that can only be restored to their baseline state by regaining the weight. We even know that there is a master hormone, leptin, which has a downstream effect on all of these other hormones. Tightly controlled metabolic ward studies have shown that replacing leptin, which drops during weight loss, can reverse almost all of the metabolic alterations that take place during weight loss. Just because you don't want something to be a fact doesn't mean it isn't.

Obesity is a lot more complex than you think.

http://joe.endocrinology-journals.org/content/early/2014/07/25/JOE-14-0358.full.pdf

A hormone doesn't necessarily MAKE one do any particular thing, though.

A friend of mine was obese, and per his own admission, he still "thinks like a fat kid" - dotes on food, reminisces about meals eaten, that sort of thing - but channels those impulses in healthier ways, such as by learning a few easy-ish yet tasty and healthful dishes he can keep coming back to, planning elaborate meals in advance so he always has tasty food to look forward to, and making desserts with xylitol and white whole wheat flour, rather than sugar and refined flower, which approximates the taste of more decadent desserts fairly well but sidesteps most of the worst problems.

Now, not every person has the time to spend planning and executing elaborate meals, but still, the point is that even with non-voluntary things like imbalanced hormones and persistent cravings and impulses, that doesn't obviate personal culpability in the long run.
 
Reading through this thread it's easy to see why obesity rates are climbing. People are so used to being around overweight people that they can't even recognize an unhealthy body type when they see it.

In Canada , the government has been running a PSA about how even though most parents would say that their child is a perfectly healthy body weight, childhood obesity/overweight rate has hit %30 and is trending up.

Even in this thread there are examples of people who are clearly overweight, but don't want to shed the pounds because they feel they would become too skinny.

The government needs to do something to crack down on this like the way they did with smoking. I don't think the obesity epidemic is going to sort itself out anytime soon.
 
Yeah, sure, you can get a standing desk (if you have a job that lets you have on/if you can afford it), and shuffle you ass to a gym four times a week, and buy healthy food on a regular basis, but if you looked at the statistics, I doubt you'd find more than a scant number of individuals that have been able to sustain that discipline in the long run. I mean, good for that small part of the population, but you'd think if we actually cared about one another rather than just caring about enforcing some kind of personal responsibility dogma, we'd actually want to work together to create a world that taps into our psychological predispositions to encourage a healthy lifestyle through wholistic, macro-level social policy.

But no, we leave that lifestyle structuring work up to the marketers, employers, politicians, and lobbyists of the world who all represent the particular, cynical interests of particular parties rather than the citizenry as a whole.

This is pretty much where I am on this issue, albeit as a UKer. I'm going to try again to improve my weight after reading this (I actually have a BMI of 22, but I know I'm overweight, and that's even with cutting out fizzy drinks completely for over two years), but whether I make a successful change or not, I know that across much of the developed world we're actively making our diets worse with few-to-no macro-level changes being mooted at all. In many ways the problem is analagous to "the tragedy of the commons".
 
Reading through this thread it's easy to see why obesity rates are climbing. People are so used to being around overweight people that they can't even recognize an unhealthy body type when they see it.

In Canada , the government has been running a PSA about how even though most parents would say that their child is a perfectly healthy body weight, childhood obesity/overweight rate has hit %30 and is trending up.

Even in this thread there are examples of people who are clearly overweight, but don't want to shed the pounds because they feel they would become too skinny.

The government needs to do something to crack down on this like the way they did with smoking. I don't think the obesity epidemic is going to sort itself out anytime soon.
Government involvement absolutely needs to happen. There should be PSAs and warning labels on unhealthy food products, in the vein of cigarette deterrents. Private incentives like insurance discounts are obviously not enough. The issue is clearly not going to be overcome by sheer force of will alone. Like any other animal, humans will overeat and become chronically ill if supplied a diet of unhealthy foods. It is a part of our biology.
 
It's really sad how many people can't control their diet. Just stop eating crap and you'll be ok, you don't even have to exercise. It's easier for them to delude themselves and think that they're "curvy" and "big and beautiful" than stop eating.

its so easy. so very easy yup, ok
 
Yup, I dropped 20 lb over the summer and dropping 10 lb this month. I just stop eating mcflurries/ice capps and exercise/walk a lot more and lose the weight. Not really all that bad.

But... what? Come on, man. You just posted "It's really sad how many people can't control their diet." and yet here you are admitting that you were overweight (probably still are considering the rate you're dropping pounds). Have some damn sympathy.
 
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