Honest question: What I don't get about the "obesity is genetic" is, why is the obesity rate climbing? Are obese people proliferating at a quicker pace than before? Are the genes responsible dominant?
The genetic argument for obesity is that in areas of occasional famine, it made evolutionary sense to horde food in your gut, particularly fatty food. Until very recently in human history, there just wasn't that much fatty food for your average citizen to horde. Now there is, particularly because food corporations have realized over time that the fattier the food, the more of it they sell, and those previously advantageous genes are running amok. Not everyone has those genes because in places of plenty, those genes aren't that advantageous.
I'd agree that that isn't an entirely convincing argument. But I do think it's part of the story.
Heroin harms us because of our genetic makeup, yet we don't talk about how heroin-induced illness has genetic causes. We simply try to keep people away from heroin.
And actually, we do talk about the genetic basis for opioid addiction. I recall one doctor suggesting that a small percentage of the population are born addicted to opioids from birth whereas most people will have greater difficulty developing opioid addiction.
Plus, a major health issue with heroin is the shit product being sold. Attempts to restrict access makes it more dangerous to use.
Honest answer: Yes. Overweight females are more fertile (IIRC fertility reaches a maximum at around 30 BMI) and are more likely to decide to have children due to societal factors (they are less likely to be employed and have lower mean household income). Until recently, the second factor did not exist (the societally accepted role of women was to bear children), and the first factor was limited by affluence -- bearing more children doesn't help you genetically if the extra children die of starvation.
The above (horribly politically incorrect) comments notwithstanding, the environmental pressure in favour of "overweight" genes is a tiny fraction of what would be required to cause the observed surge in obesity over the observed timescale. We're looking at a change in environment, not a change in genetics.
Yeah, some people burn calories at an easier/faster rate by just living (they have a fast metabolism), but it's a known fact that walking x miles will burn y calories, so you eat proportionally to your caloric expenditure.
Any obese person that argues otherwise is ignoring physics, and is just not trying. My gut feeling (sorry!) is that these obese individuals playing the genetic card are confusing their hunger for their metabolism. It is shown that obese individuals get hungry sooner and that hunger is present longer even after eating (it's a hormone that causes hunger), but this is still preventable.
I am not arguing that it's not as simple as the 500 calorie deficit going 100% towards fat reduction, but I don't see how it is possible to not lose weight like this. Weather or not the exercise builds muscle, it will reduce mass.
So you're saying "you're fat, that's your problem, you should just eat less." The issue is that eating less causes its own problems, and for some people those can seriously outweigh the benefits of being thinner. For some people, their ability to metabolize fat is so retarded that what you suggest really isn't feasible. They will likely starve to death before they get rid of their fat.
These people are, of course, rare, but the same issue exists in lesser values for other segments of the population.
You can gain or lose 25 pounds next month easily and without any ill effects of any kind. Try it.
I would like to see any sort of evidence that it is possible for some people to have very little ability to metabolize fat. I think the body type argument is a rounding error when it comes to obesity.
Visit Asia. There are incredibly few obese people, and most people are probably too thin. Why? Caloric intake and expenditure.
I am not a doctor, but I'd still be willing to wager that the health benefits of going on a diet/exercise regimen, thus losing weight, FAR outweigh any potential downsides to dieting. Seriously, how can you say "oh, overweight people might be harmed by diet restrictions and exercise" when for 99% of the cases out there this simply isn't the case?
There is no way to lose weight besides caloric intake being less than caloric expenditure. By saying "you are making yourself weaker and more vulnerable to disease" you are effectively saying (though probably not meaning) "you should not slim down". Trying to drop 25 pounds in a week is pretty insane, but a well balanced 1-2 year plan, approved by a doctor, will go a long ways towards health and not against it.
The linked article specifically talked about a case where the woman's doctor told her there are genetic reasons for her obesity.
Also, there is a limit to where losing weight is an unquestionably good idea. I certainly have enough excess body fat that no one wants to see my bare chest. That said, I'm not clinically speaking overweight, and I have very low blood pressure, and I'm fairly active. I certainly would benefit from cardio (as would most people) but focusing on fat rather misses the point, which is primarily keeping arteries clean and your heart strong. This is actually quite possible for an obese person.
In short, the way to lose weight is by burning more calories then you consume. But the difficult part is finding out how to do so in a healthy and sustainable weight. The means for doing so will vary from individual to individual.
Getting from being obese to an average weight is much harder than maintaining an average weight. Once you get yourself into an obese condition you've got a difficult road back out.
Though I agree with your basic argument - if you eat less than you burn you will lose weight. The tricky part is that your body can vary what it burns to some degree (your metabolism can speed up and slow down), so it's not entirely obvious how much you are burning.
When western Europeans showed up in the New World, they brought alcohol with them. Suddenly large percentages of the Native Americans were alcoholics.
We know now that some people carry genes that process alcohol better than other people. We also know (and have known) that people who never drink never become alcoholics. Furthermore, we know that when an addictive substance is introduced to a organism there is a point past which the organism will continue to consume the substance at the expense of personal well-being, including up to death. That is, chronic physical addiction.
These people were acting in an unchanged manner -- a normal manner -- but their environment changed.
Should we have berated the Native Americans for being so susceptible to alcohol? Use societal and moral pressure to tell them what lousy choices they have made? Were the NA that lived before alcohol introduction "better" (well) than those who lived after it who were addicted (sick)?
Before we knew about the dosing thing, were those people sick? Or now that we know that a the amount of lifetime exposure that triggers alcoholism in NAs is much less than others, could we call any particular experience with alcohol a bad decision? If I need 4 beers to become an alcoholic, and you need 40 thousand, yet neither of us know which number we have, is going out for a beer in college something society should tell us is bad?
These are complex issues for which simple words that have thousands of years of baggage behind them like "disease" aren't going to work. My opinion is that if the individual makes decisions that he/she knows with greater than a 50% certainty will cause eventual long-term bodily harm, then the consequences are not a disease -- it's a personal choice. Even though it may have attributes of a disease. But I don't think the rising number of obese people is due to a huge number of people making informed choices with probable negative consequence. You eat a few high-carb meals in your teens and now subconsciously you are craving an insulin fix that makes you overeat. I eat a hundred times more high carb meals and I do not have the same condition. When we went out for fish and chips at 21, were either of us committing some sort of purposeful act to get fat? I don't think so, yet one of us now has a lifelong condition. So without any change in our behavior, environmental conditions contribute to changing the way our bodies and minds work. So yes, these people are sick -- in some sense of the word. (forgive the over-broad use of the carb model here. It is incidental to the argument)
However society "dumbing down" illnesses to be everything from shyness to immaturity is also not going to work, because "illness" has this huge social stigma: you are broken, we have an obligation to fix you. Sorry, but I don't need to be fixed for everything I have that you might find as an illness. Some of these things I might enjoy, and some of these things I might feel a personal need to struggle with as a way of understanding the human condition. And I object at people telling me that I "should" do something or another in order to conform to some ever-tightening standard of normality. In addition, I am beginning to suspect that the eventual result here is a homogenized population -- an idea I find so abhorrent that I would rather give up medicine altogether as a species. (I understand this is a radical position) So in that sense, the word "sick" is not correct at all.
It's a small point but this isn't true. Native Americans had beer and liquor extending back beyond written history.
Here's an example: http://en.wikipedia.org/wiki/Pulque
There are many more, and the effect on Pre-Colombian society is also documented.
I think this pervasive myth is derived from unconscious euro-centric moralizing.
The first accounts of American and European contact are quite interesting, for anyone interested I recommend the accounts of Cabeza de Vaca: http://en.wikipedia.org/wiki/%C3%81lvar_N%C3%BA%C3%B1ez_Cabe...
Only certain native groups had alcohol prior to European contact. As far as I know, the Inuit did not, and alcohol is still a devastating problem. Also, hard liquor is a different level entirely. Europeans in Europe had a hard time dealing with it at first.
I think alcoholism among Native Americans has more to do with genocide and poverty than culture shock.
Most indigenous Americans were exposed regularly to very strong entheogens, including alcohol. Precedent that may of been lost after several generations of European cultural decimation, granted.
The Inca used "regular" liquor by imbibing and rectal absorption, arguably leading to a similar level of drunkenness.
Again I think alcoholism among Native Americans falls along class lines, the same for every ethnic demographic in America.
I would find such an activity invigorating, doubtless, but this bit of data doesn't do a thing to eliminate "culture shock." (Unless we can find a historical account of how smoothly such an innovation was adopted by Inca society, and even then, this should be met by much skepticism.)