Study: people who grow up poor have a harder time regulating their food intake
washingtonpost.com
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Unfortunately the research full report is behind a paywall, and the abstract/summary leaves out a lot of info. However the findings are interesting in linking the dysregulated eating behavior to childhood SES. The details of the full report are needed to clarify some questions, like the demographic composition of the sample populations.
It's been observed for a long time that some minority groups (e.g., black and Hispanic) have higher rates of obesity. The fact that these groups are also over-represented in lower SES population segments could be a factor in the results. It's not clear how such variables were accounted for.
Perhaps a key was the last experiment discussed in the article, where there was reduced response to blood glucose level. Ordinarily increased glucose acts as a feedback signal of nutrient status turning off the drive to keep eating.
Problems with satiety (sense of fullness) are common in obesity, though how it works is incredibly intricate and poorly understood. There are dozens of genetic elements and a vast array of hormones and other body messenger systems implicated, ultimately it involves most every part of the body. No wonder theorizing about causes of eating/metabolic disturbances is frustrating and unsatisfying.
I'll take a stab at it anyway. IMHO nutritional factors should be a major suspect. A big change in diet over the last few decades has been the substantially increased intake of sugars put into processed/convenience foods. Fructose in foods has increased the most and thought to play a prominent role in higher rates of obesity. It's conceivable that early life exposure to high levels of sugars could bring about enduring abnormalities in body systems responsible for metabolic regulation.
Here's an interesting review, more or less reflecting "the state of the art":
Okręglicka K, Health effects of changes in the structure of dietary macronutrients intake in western societies. http://www.ncbi.nlm.nih.gov/pubmed/26024397
The Dutch Hunger Winter studies show quite conclusively that if your mother was literally starving while pregnant with you, and you have access to abundant sources of food, you're more prone to obesity and all the accompanying ailments.
There is evidence that individuals born to mothers overweight during pregnancy will as adults be more likely to have metabolic markers of health risk. IOW maternal over-nutrition can lead to offspring having greater chance of being overweight or having related health problems in early adulthood.
You might be interested in this review article: Amudha Poobalan and Lorna Aucott, Obesity Among Young Adults in Developing Countries: A Systematic Overview http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4796326/
A version with the paper which seems to have supplemental information at the end is available at this link: http://personal.tcu.edu/sehill/SES_Hunger_4_Nov_15.pdf
Just say "disproportionately poor".
Euphimisms suck.
Just say "are bad". :)
So in a sense you are right, consuming more sugar while continuing to have high intake of saturated, trans and n-6 fat is certainly a recipe for producing metabolic disease.
However the level of unhealthful fat intake has been fairly steady in recent decades while the proportion of sugar increased. This is the basis for the focus on reducing sugar intake as a way to improve the health of populations.
It is true that to compensate for the worsen taste with cheap oils in bakery products, the producers add more sugar. However medical experiments that I am aware showed that humans are very bad at converting excessive sugar into fat. The body rather generates heat from extra carbohydrates than converts them to fat for storage unless one eats really way too much of sugar. That level is still well above what is found in a typical current western diet.
Ok, 2 people is not data. But this happened to tens of millions of people. As I understand it, that generation was less obese than later generations.
No sort of unusual relationship with food, especially compared to mine—I grew up with all the food I wanted and I stuff my face with pointless garbage every 30 seconds.
I spent an unfortunate length of time watching my pennies when it came to my foodbudget, in a western country. Being poor sucks but healthy food isn't expensive unless you mean prepared, ready to eat expensive food.
My parents immigrated to the US and in the 70's we ate mostly beans, rice, tortillas, and less desirable cuts of meat. While I recall often feeling hungry, that "poor-man's diet" is relatively healthy. Sodas and snacks have always felt like an unnecessary luxury and yet is likely available in most present day poor households.
Side note: These days I deny myself breakfast until I have 2 to 3 billable hours of consulting completed. I can do this because, paradoxically, feeling hungry is not associated with a distracting obsession for food.
Rural peasants in Mexico, whose diet is mostly tortillas, have short stature and relatively low life expectancy, like rural peasants in most parts of the world, who also get most calories from starchy staple foods.
They aren’t going to provide everything the body needs though, and a more varied diet would be better.
http://www.telegraph.co.uk/foodanddrink/8323035/The-Kitchen-...
While that was true, my father (8th Air Force in England) said the food was still poor and only crew flying the next day got eggs. Steak and tomatoes was the first thing they'd eat arriving back in the states.
> Virtually every part of the globe acquired a taste for Coca-Cola and Spam.
But I don't like spam.
And to add to that: most people's appetite starts to decline sometime in adulthood.
But then starting about 10 years ago the pattern that I have been observing on the streets started to change. Now it is more common to see over-weighted young people from low income families.
In my case, I was abandoned by my biological parents for a three month period as an infant and was mistreated by Aunts and Uncles. I still have fleeting horrible memories of this event.
Eating without regards to health or other consequences is simply a form of addiction, as you are doing it for emotional reasons and not because of hunger.
All sorts of emotional traumas happen to infants and young children in poverty that are far less likely to happen to those in a more financially and, lets face it, emotionally stable environments. Poverty, of course, stresses everyone involved in it.
I am not sure how groundbreaking this research is as it has been well-known for many years that seriously stressing infants causes the brain's reward system to change.
I think this is a property of neural net style memories. Old data isn't "deleted" from the network; instead, new reinforcement makes older memories less accurate. This means memories that were particularly strong can persist for a long time; a lot of "overwriting" with unrelated data is necessary to dilute out a traumatic memory.
This can start at any point in life, but memories that happened in childhood have more time to cause the problems you mentioned.
> "Hill singles out childhood poverty, because she and her team asked participants not only for their socioeconomic statuses as children, but also their current socioeconomic statuses as adults, and, rather incredibly, the abnormal eating patterns only correlated with the former."
What a ridiculous and bizarre taboo it is that causes people to only ever consider psychological explanations of eating behavior and obesity. Could it maybe be that growing up poor changed something to do with adipose tissue or insulin regulation or God knows what? Obviously not, because obesity can only ever be caused by the Sin of Gluttony, which by basic just-world theory must ultimately reduce to a personal choice in some way, even if we pat you on the head forgivingly and talk about your traumatic childhood.
I would ordinarily wonder if the researchers were really this stupid or if it was the journalist, but unfortunately so far as I know most-not-all of academia is also still running on the rule that causal explanations for obesity must be somewhere intermediated by the Sin of Gluttony.
This is not related to LessWrong. A lot of top-level comments here are just that: https://news.ycombinator.com/item?id=3078128
Emotional traumas mentioned by other commenters here may or may not be more prevalent in poorer social circles, but multi-faceted support systems definitely are less prevalent (money=resources of all kinds, especially health services and broader social support through extended connections). What would be really interesting is research on specific methods to fight emotional behaviors resulting from such life experience (i.e. what specific things you can do to [learn how to] regulate your food intake)... Because if there are millions of people with that problem, then actual source of that problem is unimportant at the moment.. unless nobody knows of a way to change thigns for the better and the only hope seems to be in uncovering the actual reasons.
No surprise that stress has a major developmental effect.
Mouse models have shown various kinds of stress (including food stress) causing epigenetic changes that are passed down more than one generation. And in reptiles, temperature conditions (a form of stress) control the male-female split of offspring.
We changed the title to a representative sentence from the article.
In developing countries where the poorest 15% are truly living a bare existence lifestyle (Pakistan, India, Bangladesh) you would never see a poor obese person.
What are the most common kinds of bluff food and do you think anything could be done about it?
What we do know is that animals and humans have a natural ability to balance their diet (by developing seemingly random cravings?) and that this ability is increasingly breaking down in "western civilisation". It is a small jump from that to the idea that market driven "yummy engineering" could be the perfect setup to find the fault lines in our diet balancing instincts.
http://archinte.jamanetwork.com/article.aspx?articleid=57792...
http://www.tandfonline.com/doi/abs/10.1080/08880010590896486
http://www.samj.org.za/index.php/samj/article/viewFile/358/3...
http://www.sciencedirect.com/science/article/pii/00029343829...
Potatoes often cost less than $0.50 a pound.
I think those are very valid comparisons, potatoes are even more nutritious than anything McDonald's sells.
Sure, you have to cook them both for 10 or 15 minutes, which means you have to have a working stove top, but McDonald's is not more affordable than the grocery store, especially if you are buying things that are only comparably nutritious (rather than for flavor or better nutrition or whatever).
Here, the decent groceries are a bit over a mile away, two are a bit closer than the McDonald's, one is a bit further. 2 Subways beat them all.
I guess such a map would have uninteresting regions where it was more of a choice (rural residential lots).
Meanwhile, my local grocery store has 2lbs of chicken thighs for $5. You can add some potatoes and onions for another couple bucks. So for roughly the same price a single person could get 2-4 meals. The difference is that for the second meal the person needs time to prepare.
I'm not sure why the following psychological reasons were offered: formerly poor people lose ability to understand when they are not hungry anymore or that these people have to keep eating because of psychological disorders.
I think really it comes down to this -- people growing up poor (and becoming better off because of better economic conditions) as a group were not taught or concerned about proper nutrition.
What I'd really like to know if the participants knew how to do counting (calorie counting) and how many guys were part of the study. Having only female participants in the first 2 studies is kind of picking very narrow and unrepresentative pool. And females these days count their calories a lot, so it's not surprising they refused to drink soda and instead went for water.
PS: the final study did include men, although didn't state how many.
What does this mean, is it a standard definition in the field? Do they just mean "rich" or something else?
However, whenever there is an abundance of snacks out for eating without any limits, I will go crazy and consume upwards of 2000 calories. I surely would have not been able to regulate my food intake during this experiment, even though I can in general at home.
We had 2 fat kids in my school class.... look around now
https://news.ycombinator.com/item?id=11516590
It just takes a while for us to see them sometimes. You can always email hn@ycombinator.com if there's one we haven't seen yet.
Just like with money, it takes a ton of discipline to make continued long-term minded decisions rather than short-term emotional ones that make you feel good.
Of course, this doesn't apply to everyone. Humans are complicated.
>long-term minded
I'm not sure how I feel about these statements, but they sound awfully indicting, even if there might be some truth to them. Maybe it's their sweeping nature that makes them seem naive/presumptious.
Poor people frequently don't have the luxury of engaging in long-term planning because they are consumed with day-to-day survival. Moreover, being poor itself requires a certain discipline, though not necessarily the kind non-poor people might readily recognize or appreciate.
I know you said that was just a theory, but it's a variation on a too-common theme that I - and many others - find offensive. The experiment specifically involved people who have the same current socioeconomic status. Some had been affluent all their lives, while others had become affluent from poorer beginnings. If self-discipline is what allows some to become richer than others, don't you think those who became wealthy by their own efforts might know a bit more about it than those who had their wealth handed to them? Why, then, would they still exhibit this distinct reaction to offers of food? I don't think your theory has any explanatory power at all.
Where did you see that? I can't find it anywhere in the article, the article the article is based on, or the abstract the article the article is based on references.
It also isn’t a guarantee of success (nothing is). It’s a way of stacking the deck in your favor. It’s really one of the only things you can do if you want to move to a better socioeconomic status.
Frankly, I'm tired of this new pervasive idea that the system will always be against anyone that isn't rich and there's no point in even trying if you are poor. Ironically, this victim menality will continue to keep many people in poverty
We now live in an age of free information. There is free Internet access in almost every library in the country and you can learn many new skills from free video tutorials, college courses, and web pages. There are no more excuses.
But that's not even the point, really. The point is that, even if I were inclined to blame the poor for their own situation as you do, your theory would still have no explanatory value when comparing the previously-poor to the never-poor. Your "theory" is simply counterfactual and illogical. The fact that it's also offensive is just the icing on the cake.
It almost sounds Freudian (probably is), but people who lacked love early in life probably tend to try and get more of it later on, and have a harder time being on their own, often feeling more lonely.
Where do ideas for experiments come from if not somone's unsupported fantasies?
They come from small, modest guesses in accordance with Occam's razor. You have got to be able to distinguish between (1) reasonable hypothesis generation and (2) unhinged fantasies with a thousand moving parts unsupported by data.
The social sciences do not have a good track record when it comes to their unhinged theorizing.
Plus, some fields of social science would do better if they existed merely as a way of giving people more accurate fantasies of how the world works. Better than existing as think tanks for political causes.
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Bostrom goes so far as to say that unless we rule out the possibility that a machine could create a simulation of a human existence, we should assume that it is overwhelmingly likely that we are living in such a simulation.
“I’m not sure that I’m not already in a machine,” he said calmly. http://www.washingtonpost.com/sf/national/2015/12/27/aianxie...
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Even if we rule that out, doesn't the possibility that we are in a simulation still exist? Maybe the creators of the simulation exist in an n-dimensional space, and the reality we experience is a gross simplification of that.
TBH, I find the idea comforting in a weird sort of way, as it gives a structure to everything (e.g. Of course quantum states only collapse when observed - why bother simulating something no one is looking at?).