Study: people who eat and exercise the same as people 20 years ago are fatter
theatlantic.com
theatlantic.com
I think the recent obsession with macronutrients is a big part of the problem. I'm not sure if the macronutrient ratio I eat has changed much from when I was growing up with my grandmother's cooking, with the exception of three failed experiments with low carb diets and a couple of other small experiments.
The thing is that in the 80s, as a kid, I was more likely to be eating traditional American staples, like corn flakes or oatmeal and a banana for breakfast, and a typical meal would include meat, potatoes and a green vegetable. I drank some soda, but also about a quart of milk a day.
Now I tend to eat out 9 times a week instead of 2 and I eat a lot more processed food unless I make a concerted effort not to. I avoid soda for the most part, but on the whole there's a lot more stuff in my diet that my great-grandparents wouldn't have recognized as food. I don't remember the last time I drank milk.
Surely eating home baked bread or a piece of fruit isn't the same as eating a snack bar, eating meat isn't the same as drinking muscle milk, and fatty fish doesn't equate to pork rinds, etc. Macronutrient ratios just don't tell the whole story or even most of it.
Just the types of cooking oil we use has changed a lot.
Look at what goes into cookies now. It used to be butter, now I've seen recipes with canola oil. (if anyone tells you to use canola oil in your baked goods, ignore them and use butter!)
There is evidence that gut bacteria is passed down from generation to generation, we could very well be seeing a delayed effect from public policy and health decisions made around the time the previous generation was growing up. oops.
I am sort of on the fence about processed foods. A lot of canned food was eaten previously, fresh vegetables were not available year round, but a lot of the canning was done at home in glass jars. I am not one to be paranoid, but now all our canned food comes in coated aluminum cans.
We have a few decades of aluminum cans being coated on the inside with BPA. It is know known that BPA can have harmful effects that take a long time to manifest.
The point is, there are a lot of potential culprits, and it is going to take a long time to figure out what state unbridled capitalism has left public health in.
This is something that doesn't get mentioned enough. Your gut bacteria play a large role in your health, and we're going so far as to do fecal transplants to resolve GI tract disorders. I wonder if anyone has done genome sequencing of gut bacteria to determine if its one of the primary causes of America's obesity problems.
"One woman suffering recurrent C. difficile infection was recently successfully treated with this procedure, but interestingly, she also rapidly went from normal weight to becoming obese after receiving the transplant. While the weight gain could be due to a variety of factors, the donor was also overweight, and the recipient had never struggled with her weight before. Researchers are therefore speculating whether something in the transplant could have played a role in her weight gain, and have described the intriguing case in Open Forum Infectious Diseases."
http://www.iflscience.com/health-and-medicine/woman-becomes-...
http://www.nature.com/nature/journal/v457/n7228/full/nature0...
> one of the primary causes of America's obesity
> problems.
As any European who's spent time in the US can tell you, a dramatically simpler explanation is that portion sizes are enormous and many foods are "low fat" which mean they're loaded with sugar.I went back to eating sugar but I can no longer stomach a lot of foods I would happily have eaten before. Everything is so sweet.
I gave up sugar (well, candy, anything that had refined sugar added, most fruit) for four months. I lost a lot of fat quickly, but it was exceptionally hard from a willpower perspective, and I'd get a massive high when I accidentally ate sweetened food. I'd love to give it up again, but my self discipline is currently needed elsewhere...
I suppose it's a bit of an arms race: keep adding sweetness to add a bit more flavour and soon we're escalated so far up the sweetness chain with no commercially viable way to back down.
(There is 1 or 2 cents of sugar in a can of soda!)
One important thing though, I go and buy the sweets I'll eat on that particular day. If you have a habit of buying sweets and have it easily at hand, it's way harder (which goes for every addicting thing there is).
"Fat" was declared the enemy, so highly processed food providers started removing fat. The food tasted bad. So they added in sugar. So now people were eating much more sugar, but still craving fat, and seeking it from other sources. So it became a double whammy.
At the same time, as many products (such as dairy) were being made low-fat, the highly processed food industry needed something to do with all that fat, so it launched the "cheese glorious cheese" campaign, where highly processed cheese (with lots of added salt) was now added to almost every conceivable thing, at low cost (because it was left over from the milk). Cheese went into pizza toppings (extra cheese!), pizza crusts, processed mac n cheese, all kinds of approximations of previous foods. So now, Americans, instead of eating fat where it naturally exists, were instead eating lots of low fat processed food products with sugar to replace the fat, and then eating the fat in other products, with lots of added salt.
The other thing the documentary asserted (well, a physician in the documentary asserted) is that the popular believe that "a calorie is a calorie regardless of source" is incorrect in terms of how the body processes calories from different food sources. A calorie of sugar can lead to weight gain in a way that a calorie from other sources doesn't. Again, this is just what was in the documentary "fed up", I don't know much more about it than that.
Rather than focusing too much on the difference between Europe and the US, I think it might be useful to realize the difference between "big, corporate food" and an almost completely orthogonal supply system. Orange juice and a juiced orange may have almost nothing to do with each other, at this point (depending on the source, of course).
The reason I say this is that I think it would be foolish to count on the atlantic or a national border as safety, instead, think of something that has conquered the US food market (among other markets) and will absolutely expand and conquer new territory when possible.
The biggest thing I've done regarding fruit is getting rid of fruit juice. I don't think fruit itself is so bad, because of the sheer solid mass of the fruit itself. With fruit juice, that's mostly thrown away, and you're consuming what's essentially fructose water, which isn't particularly healthy!
I recall, back in 2004 during summer break, I worked 6 weeks in LA (Universal Studios), and then moved to Maine to work in some resort. Needless to say, those places were continents apart. In those 4 weeks in Maine, I've seen roughly 5 fat people, non obese (also cca 2 black... err african american altogether).
Different attitudes to activities, moving around and sport, different eating habits etc. They all play the game together to produce the result we all can see.
You want to have a real clue what you eat? Either do it yourself, or eat as much raw stuff as possible. Over time, you will get used to it and processed food will taste like a canal cooking.
Safe choice?
Came battered, deep friend and sprinkled with icing sugar.
I mean if a Scot is surprised at what you do to food then you are doing some weird stuff.
[NB I know you can get really good food in the US - but the portion sizes still amaze me].
my specialty nephrology dietician commented when i asked about lo salt products "all the shit they put in it makes it worse" and that is a direct quote
Portion sizes at restaurants are enormous. Tourists eat out way more than locals.
Very interesting, what might come from this line of research, but a lot of first insights really seem promising in furthering the understanding of how we process the things we ingest and what different role different types of colon-microorganisms play in what foods do us good and what not so much.
I don't think that most things in particular are necessarily bad for you, but it might be worth taking a few steps back and switch to less processed foods... I don't think organic makes much of a difference for most foods (aside from berries)... But using oils that have to be heavily refined, perfumed and dyed to make them palatable doesn't make so much sense.
There's also recent studies on the affects of artificial sweeteners on digestion, trans fats and a bunch of other stuff. I think the push towards vegetarianism, low-fat, low-carb, etc as fads combined with industrialization of food has done a lot of harm to the public.
If you're young and relatively healthy, avoid processed/refined foods as much as possible, eat a variety of things and don't consume too many calories on a weekly average, and you should be okay. I'm 40, diabetic, insulin resistant, and wish I'd received that advice when I was younger.
I just think it sucks how much it really costs to actually cook for yourself... over the weekend I made 3 different pots of soup to have this week. I had some chuck roast that I braised in beef broth (store bought), used the roast in a menudo inspired soup (I don't like tripe), the braising liquid was combined with mushrooms and onions for another soup... I used the left over carcase from a roasted chicken to make another broth that I then used to make vichyssoise (sub some potato with cauliflower and parsnips). All told it cost about $160 for everything with about a gallon each of three soups... breakdown to 2-cup servings comes out to just under $7 a serving for a low-gl diet with a variety of veggies... That doesn't count adding other protein in my diet too.
Now make it a family of 4-5 and that budget is too high for families making under 40-60K/year. It's no wonder that boxed mac & cheese, hamburger helper and the like rule the roost at home along with the dollar menu at fast food places. With all the heavily refined, packaged, canned, frozen and just plain overly processed food that we all consume too much of, is it any wonder why we as a society are experiencing the problems we are?
I don't know how well supported it would be, but would really love to see food/nutrition/cooking as a core material in elementary schools... Actually bringing cooking into school lunches with a required prep rotation for all students would go a long way. It would cost more than those programs do today, but is using subsidy trades to turn chickens into chicken nuggets for school lunches really a good thing?
I did home economics in school and I agree everyone should do some.
What's wrong with vegetarianism? I would think it has lots of benefits. It's better for the environment, you don't risk eating very processed meat filled with hormones and additives, from animals often kept in horrible conditions. The meat industry is a textbook example of industrialization, which you consider very harmful. So what's the beef with vegetarianism?
It used to be that meat was luxury and eaten infrequently (once a week). Going back to a similar schedule would save water/energy without depriving people of necessary nutrients.
Everything in moderation.
That seems very expensive for soup, unless you’re buying top end ingredients at a yuppie natural food store.
If I wanted to I could probably have done it for under $30 for a pot of soup (basic chicken no-noodle) for example. I happen to like a variety of flavors and ingredients.
For the vast majority of people, this is convenience, not cost. I can and do make nutritious, tasty, and inexpensive meals. But when I'm tired and not in the mood to cook, chicken nuggets and fish sticks are easier and the kids don't mind them.
As for the other stuff, I have absolutely no idea how you managed to make 3 gallons of soup for $160. I made about 2 gallons of beef stew a few days ago and the total cost would have been under $15 if I bothered to account for all of it.
Or the state public regulation has left public health in, such as the war on fat and the subsidies on corn.
I think what's best is to try to continue research in this area and try really hard to not declare that we've figured it all out yet again and throw the food pendulum in another random direction for the next x years.
I agree that people shouldn't shy away from butter, cookies should be an indulgence and the type of fat shouldn't be a big deal, but canola oil is probably a better choice in general than corn or soy oil (that is, it's better than "vegetable oil").
I cannot access the full text, but this isn't acknowledged in either the Atlantic piece or the abstract. There is no talk about more adipose tissue, less fat-free mass or higher bodyfat.
We cannot distinguish between good weight gain and bad weight gain based on BMI changes alone.
US smoking rates are down about 50% over the last 20 years. (That's overall, I couldn't find any details by cohort.)
http://www.npr.org/2011/06/09/137085989/the-skinny-on-smokin...
Actually there are two parts: it reduces appetite, and also raises the resting metabolic rate, cf. e.g. http://www.ncbi.nlm.nih.gov/pubmed/2773833
basically:
People have been getting fatter, to pathological levels for quite a while. The phenomenon is global. The conventional explanation is too much for and not enough exercise, caloric surplus.
This is not nonsensical. We know that caloric restriction leads to weigh loss. We can also see that various other approaches can result in weight loss. Carbohydrate restriction, for example. But, this doesn't give us a complete (or possibly even relevant) answer.
This requires another 'why' and a 'why now.' All it takes is a small sustained caloric surplus over long periods to reach obesity. People have had access to these calories, in large populations or in pockets for a long time. There have been periods of regional caloric wealth and certainly periods of caloric wealth within subcultures/classes. If caloric surplus is the key idea, why do we have these caloric surpluses today.
There were sedentary workers even in ancient times, certainly in the 20th century. Today's sedentary worker is fatter than yesteryear's. Today's carpenter is fatter than a carpenter in 1972. Why? A carpenter in 1972 had plenty of access to calories, similar physical lifestyle.
IMO, this is an epidemic and we need an explanation that works at epidemic levels. We need to explain the change in populations weight, not differences in individual's weight. The answer to the first is probably different to the second.
"Gut biome" may be an answer. Antibiotics. Parasites are another interesting possibility.
In any case, I don't think it's coincidence that fad diet books and other pop science is so successful. We do not have an answer from science. I don't eves think the right question is usually asked.
Why did we all get so fat?
"[...] in the U.K., average living room temperatures rose from 64.9F/18.3C in 1978 to 66.4F/19.1C in 2008 and bedroom temperatures increased from 59.36F/15.2C to 65.3F/18.5C."[1]
While we could construct modern measures, I doubt we have good measures for all of the micro-tasks in the 1980s..
My point is that that is an assumption, if we choose to believe 1% of the last 30 years of technological innovation in convenience is real then the environments are a better explanation than changes to their inhabitants.
A travel agent in 1980 may walk to work, clean the house without a vacuum, scrub the floor, lift and lug all sorts of heavy devices, reference books, carry and hang laundry, etc... Anyone today has higher odds of having to drive to work, having a roomba and easy surfaces at home, carrying a tablet or just a phone, having no steps in their living area and an elevator at work, not cooking at all by 1980's standards, having a private washing machine, being afraid to walk after dusk...
Then for the 40 hours they actually spend at work, there are various equipment and practices to no longer lift patients frequently in the ER, etc. Many nurses are spending a lot of time reading things, comparing numbers, following (manual?) push carts and entering pill data. A few ER nurses may be doing more exercise now, but the average could look shockingly low to a travel agent from 1980.
I would expect the articles premise if I ran the study. That makes me more suspicious of the outcome; we find what we expect to find when a study can't be perfectly controlled. Swapping the 1980s and 2010s environments is a perfect example of poor control.
http://www.usda.gov/factbook/chapter2.pdf
Two big increases in consumption are in chicken and cooking oils. The average American eats 40 pounds more chicken than their grandparents and 30 additional pounds of fat and oils.
The bulk of these ideas come from Gary Taubes' Why We Get Fat. Here's a summary of the process: http://www.columnfivemedia.com/work-items/infographic-carbs-...
The scary part is that you start secreting insulin just by THINKING about carbs, sugar and so on. I haven't heard people discuss this... but if it's true that insulin is secreted, ADVERTISING could be contributing to obesity. Which is disturbing. I hope I'm wrong.
I'm not super well-informed on this subject, but I would like to be and welcome any thoughts and suggestions and corrections and so on.
You are describing prediabetes and insulin resistance. Excess sugar is probably a contributor, but also probably not the only one.
What you eat is the most important thing. How you exercise is next.
What you do in your leisure time is important too. In the 70s, I don't recall anyone binge-watching Netflix while sitting on a couch. TV just wasn't that great and there were only a few specific times per day or week that were something you might be interested in. I don't remember many people playing video games for hours at a time. Sure some minority of people did but the games just weren't that fun and anyone that played Pacman on the Atari 2600 knows that. Kids played outside more, and throughout the neighborhood not just in their own back yard. Adults socialized outside more. There was no Facebook to spend hours per day sitting and reading. I don't think the 70s had Amazon.com either so people burned more calories walking through stores. I distinctly remember shopping with my parents as a kid and it was exhausting walking through a mall for hours.
I don't see any evidence the study took any of this technological change into consideration.
I don't think they are are enough to explain changes in the population over time though. I don't think habits have changed that much, first of all. Maybe fewer video games were played but fewer people did fun runs and cross fit too. Either way, there definitely were some coach potatoes and office workers in the 70s and there are some now. But our coach potatoes are bigger than our parents'.
answer is - we became lazy, so slowly that many actually think that nothing changed. sample job you mention - carpenter now doesn't do as much physical work as he used do do 500 years ago. the ones who don't use modern approach, they are skinny, muscular athlete-looking types, even if they are 50-60 years old.
most people really have very sedentary lifestyle, and even the same profession got more passive over time. you don't need to run around that much in the office searching for some document, if you have DMS for that. all is electronic, reachable with few clicks/taps. Especially in US, but also generally in 1st world countries, people are using cars all the time. For my parents, the only way to do shopping was to carry 10-20kg shopping bags 500m back home from shop, usually few times a week. These tiny examples stack up.
Add to this crappy oversweetened, junkish food most people are eating, and it couldn't end up any other way. I live practically in France (Geneva), but most colleagues eat fine tasting, buy shitty composition-wise foods. Most countries fare worse on this. A bit of veggie at the plate doesn't make it magically good and healthy.
Also, most people lack any kind of discipline when it comes to food. Spoiling oneself ("treat yourself" bullsh*t), small cheat snacks that somehow don't count to whole food equation, people focused too much on work, and not on their well being.
I could go on and on, but why, its apparent. we are to blame, nobody else. you and I choose every day what we put in our mouth, and how much physical exercise we do. Eat better, less (especially dinner), exercise more and all will be good. But for many people, for some reason this seems to be too-hard-to-succeed challenge in life.
computers in one or other form, albeit amazing, also got us move around much less. people are happy they can regulate lights from their cellphone, rather than getting up and walking those 3 meters...
for example, when was the last time you "ran to the store" to grab something like milk? I wouldn't call that exercise but it's definitely something current generation lost compare to all the previous ones.
Including myself and friends, our weekend preferred activity are changing from going out (to parks, movies etc) to "Netflix and chill".
think about this, "Running" didn't become a thing until the late 70s. People simply didn't do much to stay "fit" before that. You can attribute it to biomes or genetics, but this is just within one or two generation.
What I would find interesting is if we can find data similar to what we record with fitbits, ie. # of steps per day etc. from people 30/40 years ago, and compare to actual fitbit data of today. I'd wager we'd find some interesting correlations.
May I present my broad theory ?
Americans, across a very broad swatch of behaviors, haven't broken away from the social norms and habits of living on a farm.
You (my fellow American) drive a big truck, eat "3 squares" a day, serve HUGE portions, don't specifically exercise and generally overequip and overfuel our entire lifestyle because we can't remember we're not on the farm anymore.
My father grew up on a farm, my wifes grandparents both grew up on a farm, and everyone in their lineage going back ... forever ... were living rural, agrarian, peasant lives. So depending on who you are in the United States, you are perhaps 1-2 generations removed from a radically different lifestyle.
It's going to take more than one generation to become well-practiced at being urban, and a pseudo-rural suburban environment coupled with a TV shouting "YOU CAN NEVER HAVE TOO MUCH TRUCK!@" is not helping ...
These conclusions from a study with 36,000 people out of some 300 million Americans?
> In NHANES I (1971–1975) and NHANES II (1976–1980), in-person interviews were used to obtain self-reported dietary information via a 24-h dietary recall questionnaire that assessed food and beverage intake for weekdays only. In NHANES III (1988–1994), dietary information was obtained through a self-reported 24-h dietary recall using a computer-assisted, automated, interactive method for any day of the week. In NHANES 1999–2002, a multiple-pass computer-assisted dietary interview format was used to collect detailed self-reported information about all foods and beverages that were consumed the day prior to the in-person interview (weekday or weekend). In NHANES 2003–2008, 24-h self-reported dietary recalls were performed twice (3–10 days apart) using an automated multiple pass method.
I'm highly suspect of this one. This seems like an interesting avenue of exploration, but this data seems too weak to make broad claims from.
Background
To determine whether the relationship between caloric intake, macronutrient intake, and physical activity with obesity has changed over time.
Methods
Dietary data from 36,377 U.S. adults from the National Health and Nutrition Survey (NHANES) between 1971 and 2008 was used. Physical activity frequency data was only available in 14,419 adults between 1988 and 2006. Generalised linear models were used to examine if the association between total caloric intake, percent dietary macronutrient intake and physical activity with body mass index (BMI) was different over time.
Results
Between 1971 and 2008, BMI, total caloric intake and carbohydrate intake increased 10–14%, and fat and protein intake decreased 5–9%. Between 1988 and 2006, frequency of leisure time physical activity increased 47–120%. However, for a given amount of caloric intake, macronutrient intake or leisure time physical activity, the predicted BMI was up to 2.3 kg/m2 higher in 2006 that in 1988 in the mutually adjusted model (P < 0.05).
Conclusions
Factors other than diet and physical activity may be contributing to the increase in BMI over time. Further research is necessary to identify these factors and to determine the mechanisms through which they affect body weight.
I would think there is less unstructured physical activity nowadays. Both at home and at work.
Could be nutritional, could be bacterial, could social. Whatever it is, the effect is dramatic.
I think the article mostly applies to America. American food is just fattening
"...eating the same amount of calories, taking in the same quantities of macronutrients like protein and fat, and exercising the same amount as a person of the same age did in 1988 would have a BMI that was about 2.3 points higher."
The study factored in the macronutrients, but that's not all that matters when it comes to food.
People mostly don't know what they're eating. They don't know the calorie content; they don't know the macro / micro nutrient content. They don't know how much they're eating, nor how much they should be eating. Food (and I have nothing to base this on) feels more engineered and feels like it's deceptively marketed (gummy bears being sold as "FAT FREE FOOD!" is a scumbag tactic). We're seeing similar levels of broscience ("Avoid all sugar!") as we saw in the 80s ("Avoid all fat!") and it's probably not helpful.
I'm also interested in what they corrected for. Did they correct for increased prescribing of psychiatric meds? The US has a lot of "off label" prescribing of such meds; prescribing of these meds has increased dramatically since the 1990s; many of them list increased appetite and weight gain as side effects. (And the weight gain is not just a function of increased appetite).
Fluffy article: http://news.discovery.com/animals/fat-pets-obesity-weight.ht...
Nature article: http://www.nature.com/news/2010/101124/full/news.2010.628.ht...
Paper focusing on both lab animals (where diet is strictly controlled), pets, and feral rats living among humans: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3081766/
I lost weight: I went from 340 pounds to 214 pounds in exactly a year, and then bottomed out at 184 eventually (I've been purposely trying to gain muscle lately, which has been causing my weight to meander in the 190s since then).
My caloric intake hasn't changed in a way that can explain such a weight loss. I went from eating 1500-2000 calories a day to 1500-2000 calories a day (as in, no useful change, nothing that can explain 126 pounds in a year, disproportionately more of it towards the start than the end).
Now, what I did change was drop all grains (grains, cereals, pastas, soy, rice), drop refined sugars (I still use coconut and true raw cane sugars (Muscovado, Barbados, or Turbinado) or straight up raw honey; all very sparingly, and corn syrup is banned in my house), dropped seed oils (no more "vegetable", soy, corn, or canola oils; replaced with coconut and olive oil, or leftover bacon fat when I have it), and legumes (I'm allergic to peanuts, and don't care for beans, so the only thing I lost there is peas; soy is a legume, but I include it in with grains due to how it is typically treated culinarily, and thus already banned in my house).
So, given my experience, people are fatter because of reasons that cannot be explained by calories, such as chemicals in the things I quit eating causing unusual weight gain and halting the natural process of us burning endogenous fat. And it isn't like I'm the only person who did this, it is estimated over a million people have tried Paleo or some variant thereof and have significantly lost weight if they were overweight as long as they stuck with the lifestyle.
Side note: I went from 340 to 214 with chronically under-exercising. I still chronically under-exercise to a point, even though I now lift weights and try to go on daily walks. I still don't get the high other people seem to get from exercising. So, you can't use "increased caloric burn" as why I lost so much weight, it just wasn't there.
In any case, congrats on the achievement!
I have had this conversation with people before, and the only thing that would have probably helped here is measuring calories being flushed down the toiled, something that is difficult, expensive, and not really worth it outside of actual scientific studies.
Also, I went from being habitually tired, not sleeping well, and also diagnosed with pre-diabetus, to being full of energy, having a much better mood, sleeping well, and having a sharper mind. Weight loss alone doesn't explain this, my change in diet alone doesn't explain this, but both together increasing and stabilizing my energy levels seems to explain this.
And feeling better leads to a positive reinforcement loop; feeling good about yourself leads you (well, it works on me, at least) to do more things that make you feel better about yourself.
Being fat is much more complicated than calories in minus calories burned.
I bet there aren't. You'll need to cite that claim.
> They will consume the protein in their muscles and organs rather than surrender the fat in their adipose tissue. [...] They lost 60 percent of their body fat before they died of starvation, but still had five times as much body fat as lean mice that were allowed to eat as much as they desired.
It's purely anecdotal, but the fewer grains I eat (I do have some legumes, but try to limit them), the better I do all around. In general if I stay under an estimated glycemic load of 100/day, I loose weight with not other real changes in terms of calories or exercies.
Staying away from soda (Diet Dr Pepper) has been much harder... mostly drink water, but have a soda about every other day. I try to cook about once a week, usually soup that's easy enough to eat during the week and supplement with some meat along with fruit & nuts. It isn't easy, especially the first week... also, it's definitely more expensive avoiding heavily processed foods all around.
But if you take the idea seriously, then the problem is - which ones? For me, I've arrived at the answer, more of less, of "dairy and poultry." The first one, specifically casein(milk) protein, gives me all sorts of small issues if I treat it as a staple - joint inflammation, hayfever, trouble concentrating, elevated heart rate, etc. It may have been responsible for my scoliosis and nearsightedness too, though I'll never know for sure. The second tends to trigger migraines. I've only ever managed to become substantially overweight by consuming a lot of dairy and sugar, and as soon as I cut those out I slimmed down again.
Fortunately I don't have to put my foot down too much to make a compromise. When I have a burger it's always the plainest burger, since all the others have cheese. Nearly any snack food manufactured to taste "addictive" will contain the odious phrase "milk protein", with the exception of some potato chip flavors. The most unavoidable one is pizza, but I can take a hit there occasionally. And I'll default to lower-GI foods like oatmeal where I get the opportunity - although I tried the "avoid grains" strategem a while ago, it was never something that resulted in a _reaction_ like milk, it was more a matter of "after having milk I wanted to eat more."
Now, if I could get my mom to actually try following this plan I would be content. But despite apparently experiencing many similar issues in a more stark, life-impacting fashion, she is far, far too stubborn to give up her 4 AM coffees with milk, her various yogurts, cheeses, etc. She will, in fact, point to the microbiome as a reason to consume those things.
I personally am extremely skeptical of what the Atlantis says the findings of the paper are. I lost 50 lbs while eating a box of pop tarts per day while counting macros. It's anecdotal but that's the basis for my beliefs, and a lot of science supports it.
One issue with health studies is how data is collected. Numerous studies have shown that a huge number of people are incapable of accurately tracking the number of calories they consume per day, and consistently under report their numbers. I believe it, it's hard in today's eat out culture. So...how sure are we that people were consuming the same number of calories?
This is just one issue. There are tons more. If you happen to be in this thread and you are looking for health advice, my recommendation is to head to /r/fitness and read the FAQ.
Also look at the sizes of portions, soda and food packages they have all increased too.
Fast food consumption which is high in sugar and fat has also increased.
Lab rats has shown to be as addicted as cocaine on sugar http://www.forbes.com/sites/jacobsullum/2013/10/16/research-...
Amongst others we blamed cholesterol, we blamed fats, then saturated fats, now we're starting to blame carbohydrates. The problem starts from the reductionist science being applied, coupled with the constant lobbying of the food industry of course. What happens is that nutrition is an incredibly complex subject and nutritionists can only blame what they can currently measure. The result is a whole industry of processed foods that have lost their nutritional value. And for the food industry, that's OK because processed foods are more profitable.
The problem is not naturally occurring sugar. The problem is high fructose corn syrup and (to a lesser extent) sucrose and the current practice of injecting these substances in processed foods, because these sugars are fooling our senses and create addiction. But we are talking about refined carbohydrates. The sugar in fruits is totally fine and in fact there are signs that we don't eat enough fruits. But why stop at sugars? Margarine was certainly a bad idea, as was every other idea that the nutritionists' community ever had.
So really, if you want an enemy, that's certainly processed foods and the weakest cult-like science that human kind ever practised. To this day doctors are still advising patients to avoid saturated fats, even though there's zero evidence of saturated fats provoking cancer or heart disease or obesity. To this day you can see low-fat products, like low-fat milk that's artificially coloured and enriched with powdered milk, being sold because of health claims. Expect to see Omega-3 in bananas.
Probiotics might be helpful here, but in no way are we close to an exact science on the microbiome.
I found a study about how wheat interferes with leptin (the hormone that makes us feel full): http://www.biochemj.org/content/410/3/595
I think I've read several places that the wheat we eat today is significantly different from the wheat people ate in the old days. If I remember correctly, our wheat contains much more gluten, since high-gluten wheat makes bread fluffier etc.
And entertainingly this reckons increasingly industrialy generated wheat is now so devoid of any nutrients, even pigs won't eat it? http://www.grainstorm.com/pages/modern-wheat
Is it just me or is it becoming increasingly more difficult to get the truth on any matter, because you're wading through so many layers of human generated FUD (Fear, Uncertainty and Doubt)?
^ The 3rd paragraph of the article.
Take a 1980 individual that had been eating a bmi23 diet and start feeding them a bmi26 level of calories and they will probably gain weight.
Take a 2015 individual's diet from bmi26 to bmi23 and they will probably lose weight.
I guess a clearer way to say what I am getting at is that bmi is descriptive, not predictive, so a shift in the bmi maintained by a given calorie intake could be explained by a shift in the habits of the population, so that the modern group achieves a given bmi at higher calorie intakes.
^ The previous paragraph to the one I quoted above.
Methods
Dietary data from 36,377 U.S. adults from the National Health and Nutrition Survey (NHANES) between 1971 and 2008 was used. Physical activity frequency data was only available in 14,419 adults between 1988 and 2006. Generalised linear models were used to examine if the association between total caloric intake, percent dietary macronutrient intake and physical activity with body mass index (BMI) was different over time.
Results
Between 1971 and 2008, BMI, total caloric intake and carbohydrate intake increased 10–14%, and fat and protein intake decreased 5–9%. Between 1988 and 2006, frequency of leisure time physical activity increased 47–120%. However, for a given amount of caloric intake, macronutrient intake or leisure time physical activity, the predicted BMI was up to 2.3 kg/m2 higher in 2006 that in 1988 in the mutually adjusted model (P < 0.05).
Conclusions
Factors other than diet and physical activity may be contributing to the increase in BMI over time. Further research is necessary to identify these factors and to determine the mechanisms through which they affect body weight.
^ Copypasta from the referenced medical study: http://www.sciencedirect.com/science/article/pii/S1871403X15...
What I think I'm seeing is a confusion with the conclusions. What they found was:
1988: Daily calories = x, leisure play = y, observed BMI = z
2006: Daily calories = x, leisure play = (1.47 to 2.2)*y, observed BMI = 2.3 + z
The same amount of calories today results in greater BMI.Either the average person's body composition today has a greater percentage of muscle and that's throwing things off, or something else is up with how we live that's making us heavier.
But, we see other studies out in the wild that suggest average fitness is lower, which leads me to think the former solution might not be the case.
eat less meat
First of all b/c its contribution to health is doubtable in general and at current times in particular.
Meat is fine, as long as you don't eat something too industrial.
The bacteria that processes fat (bacterocides) obviously needs fat to survive. By not eating fat you effectively kill your ability to process fat.
The rise in low fat products, coincides with the rise in obesity. One is not the cure for the other -it's the cause of the other.
That aside, moderate exercise has so many positive benefits, why not do a little. I have no idea if it helps lose weight, but working up a slight sweat daily, has helped me greatly over the years. Not so much with weight, but psychologically. Yes--it's been my major drug since 8th grade. (It seems like 8th grade is when society injects those needles of stress, on so many levels?) I do other drugs, but exercise has been my major addiction for years. I don't tell people. I'm actually embarrassed by it.
I've been fat and skinny. When I was fat, I didn't need to exercise as much in order to get the psychological benefits from exercise--in my case, it's always been some kind of cardio.
My point is if you don't feel well, and you don't have any physical reason not to exercise; give it a shot. You don't need to do marathons; just walk(fast, or slow, or run small distances--then walk). Exercise until you work up a good sweat.(I need at least 45 minutes now, but when I was heavier I just needed 20 minutes/daily. That was a hidden benefit from being overweight?) I guarantee after a little while, you will feel better. You might lose weight. You might improve your blood numbers. I can guarantee you will feal better, and will get to like the slight muscle pain the next day. In my case I need to exercise daily. Some people get the psychological boost from just exercising occasionally. I think your occupation plays a role? My father worked construction and was always sweaty. I would never tell him to exercise. You will come to like the slight muscle pain the next day. I've been around people who don't have any pain the next day, but not me. I ache when I arise. Yes, your legs/body will hurt when you wake up the next day. I've never had anyone tell me to be be prepared to hurt the next day, but the hurt becomes a good hurt with time.
I've always hated getting up in the mornings, and don't know if my exercise régime is to blame, but once I get going; I'm glad I worked up a sweat the previous day. (I sugesseted sweating because, in my experience, if I don't sweat profusely; I don't get the same psychological bump. Maybe it's psychosomatic--I am a bit of a Nut?
It's like junk food is a complete mystery for last 20 years, and we don't have a free will and we are not actually choosing what we buy or eat. the fact that sweet stuff is not healthy was known to me as a kid 25 years ago, without all the science. Everybody knew it.
I'll say something many won't like - people got weak, not only physically, but mentally. We cannot handle pain that was common before, we frown upon hard physical work, because its well... hard. We seek professional challenges, but other, more important ones, are often sidelined.
Also, completely agree with you. Doing sports, anything that makes your heart pumping and your body sweating like pig is by far the best thing one can do for his/her health. Regularly/often is the key, the only true key. Unless one is paraplegic, there is no excuse good enough to be valid. But guess what - it's hard :)
The amount of calories in our food tends to go up over 20 years. Doing the same activities consumes the same amount of calories after 20 years.
Thus we would have more caloric surplus, and likely gain more weight than people 20 years ago with less caloric food.
Pretty simple imo.
> A given person, in 2006, eating the same amount of calories, taking in the same quantities of macronutrients like protein and fat, and exercising the same amount as a person of the same age did in 1988 would have a BMI that was about 2.3 points higher.
Go figure, it appears that caloric energy balance isn't the only factor.
A: Pre-Keto, odds are you we underestimating how many calories you were eating. Unless you were tracking every single thing you ate, there is a high probability you just didn't realize how many calories you were consuming.
B: It is super hard to over eat on Keto. It is possible, take lots of liquid calories in (heavy cream can do this easily!), and there are some other real screw ups, but eating 3000 calories of steak is pretty damn hard.
C: What you are reporting is common for people who have a lot of weight to lose. At some point it becomes a lot harder, at first you just have to sort of watch things, then you eventually do have to count calories. (Especially if you want a six pack, holy crap do you have to count calories!)
I'd also second that it's really hard to eat a massive amount of calories on keto. Water loss and perhaps some changes might make you leaner but most likely, over time, you're simply getting a lot less than, I dunno 3000 that isn't hard to do on a sugary diet.
Gaining muscle on keto /is/ hard. You can do it (/r/ketogains can help!) but wow you have to stuff yourself, which is sort of odd for Keto!
Also it's funny how the supplments folks are allowed to sell potassium. There's regulatory issues of having more than 99mg per pill (could damage stomachs or something). So these companies market compounds with potassium that aren't in bio-available forms.[1] "550mg!" people see, making them think they're all set (and hah, pulled one over on terrible government regulators). Nope. Same happens with magnesium. Seems rather misleading, even though they are printing the truth.
1: http://www.amazon.com/Nature-Made-Potassium-Gluconate-Tablet...
On the way out of her office I remembered I hadn't had any potassium for awhile, stopped by the grocery store, picked up some spinach, and a handful later (about a few minutes) the constant headache I'd had for a week straight went away.
So yeah, get your potassium in.
Made a vichyssoise the first time a few days ago (subbed most of the potato with cauliflower and parsnips) and have to say it was about the most filling soup I've ever eaten... had trouble eating the 2-cups I usually do for a "serving" of soup.
If going a more Paleo inspired route, fruit is probably the most easy to over do. I try to stay under a GL of 100/day, being diabetic it's risky for me to stay in keto too much, ketoacidosis is not fun at all.
A room gets more crowded when more people enter than exit. Obviously true.
Neither of these statements tell you why that is happening though, and that is important thing. So, why are people eating more calories? Or, since the articles says they aren't, could the sources of calories matter? (They do.)
People seem to have an idea that every human body can just instantly burn however much fat it needs to burn to meet demand. It seems more likely that there's a limit to how fast the body can burn fat, which for some people is unusually low, and that if there's not enough energy available you'll be forced by thermodynamics to move less, think poorly, and produce less body heat.
If most Japanese citizens eat it, they will absorb calories from it.
There is a gut bacteria common in the Japanese population that extracts calories from this type of seaweed.
"calories in" is that calories that went down your throat. It is calories that your body was able to digest, and "your body" includes many types of bacteria that are unique to each person and also unique to different population groups (meaning that some populations share commonalities in gut flora).
It is possible that certain antibiotics have wipe out some types of gut flora, allowing others to proliferate more. That alone could increase calorie absorption. (Or cause a host of other problems!)
It is possible that having a diet too heavily reliant upon one type of food results in an imbalance of some type. The problem is, this is a brand new area of research and we just don't know yet.
But it is sure as heck known that it is more complicated than "calories in food down the throat".
Actual suspected caloric difference is minimal, after all, well, it is seaweed, not a very dense food stuff. :)
I'm not going to link to antibiotics causing gut flora problems, it is well known and responsible doctors actually can prescribe a nice little compact pill full of gut bacteria that replaces the ones wiped out as a side effect of antibiotics.
The stuff about a biased diet messing up gut bacteria is also hard to find research on (I've read it, but it is a PITA to find again). Basically different bacteria specialize in breaking down different types of food. If you have a diet lacking in some major food group, that stock of bacteria runs low.
Vegans can have this issue if they go back to eating meat. There is typically some tiny supply of the needed bacteria left and the population is restored after awhile, but the initial few hamburgers can be somewhat uncomfortable.
So: hard problem. Not strictly a technical problem, either.
RTFA, please. Paragraph five, specifically.
No but seriously, this is a terrible article.
As soon as you read »…a professor of _kinesiology_ and health science…« you know the statements are coming from people who believe in esoteric pseudoscience.
If your burn more energy than you take in, you lose weight.
Everything else doesn't make sense.
You can get fat by eating 5000 calories worth of paprika every day.
Statements like these only help people who have weight-problems to have an excuse not to do anything about it.
As much as you're not going to fix your health by reading superficial linkbait articles, you also will not do it by taking a smug reductionist view that allows you to dismiss the subtleties of nutrition which still remain frustratingly beyond the reach of conclusive hard science.
No, it's moderated by our fork. It also means being hungry a lot and keeping exact track of your calories, just like poor people need to track their expenses.
(Been there done that with both money and weight)
The »subtleties of nutrition« don't matter if you are huge (BMI > 30) and want to get down to a healthy level. Once you are there you still can optimize and find out what works best for you.
If your overweight is life-threatening you'll want to lose body-fat asap, which you will not achieve if you first try to understand every detail of digestion and nutrition. See it as kind of first-aid.
I know that losing weight is very hard and that the behavioral change is the key, not the unknown details of nutrition. I just wish people (especially my doctors and family) pushed me much earlier to the right behavior.
There are several reasons for this. One promising area of research is gut flora. Someone could have a gut flora that makes it harder to absorb calories. Someone else could have a gut flora that makes it easier to absorb calories.
Here's one paper that links gut flora to anorexia. (Read carefully, they have human samples buried in there) http://www.nature.com/tp/journal/v4/n10/full/tp201498a.html
> Statements like these only help people who have weight-problems to have an excuse not to do anything about it.
No. Statements like this are an effort to help fat people to lose weight by creating treatments that work rather than just yelling judgemental but useless advice at them. "Eat less food" does not work on populations. "Exercise more" does not work across populations.
Of course not but if we stick to the maximum we still can use this value to calculate our intake when we try to lose weight. If the body extracts fewer calories, even better for the weight loss. I'm not talking about people who need to optimize a few % body-fat; I'm talking about BMI > 30.
> Statements like this are an effort to help fat people to lose weight by creating treatments that work rather than just yelling judgemental but useless advice at them
Why is "eat less" judgmental? If somebody wants to stop smoking, would you consider "stop smoking" judgmental?
If you're restricting calories and your body isn't doing a good job of mobilizing energy from fat reserves, then one way or another you'll burn less energy. You'll fidget less, think poorly, turn up the thermostat, lack the motivation to exercise, and if you do get a little exercise you won't be very vigorous about it. No amount of willpower can overcome thermodynamics.
The thinking poorly/lack of motivation part was over two weeks after starting, thankfully.
Restricting your diet is no fun at all, that's why you need to know what your motivation is. (mine is Dad's/Granddad's Diabetes)
http://skepdic.com/kinesiologist.html
thanks for your comment! Unfortunately I can't edit the original post.