Obamacare Calorie Count Rules Ushered In
scientificamerican.com
scientificamerican.com
Something very unfortunate happened to my metabolism in my 30s... do enjoy it while you can :)
BTW back when I weighed around 300 lbs. I remember buying a box of Little Debbie's peanut butter snacks for the exact reason you stated (and eating it all). Major calorie density for cost. That became a sort of pornographic activity for me, building up energy stores outside of any real energy-risk context.
No one eats a grass-fed steak and goes into a downward spiral.
Tons of people spiral out of control if they consume even small amounts of junk food.
WHAT you eat matters more than HOW MUCH you eat long term.
Calories matter, but different foods affect your body differently!
Women in the 1950s were mostly lean and did almost no exercise.
Look around at the people who are the most physically active today (day laborers/construction workers). They’re active all day, and yet most are still overweight.
It’s not about activity, it’s about consuming quality food to fix your hormone levels.
I'm quite interested in such.
I think it is combination of both increased calorie intake and somewhat reduced physical work thus caloric demand - mostly sitting (in car, at work) instead of walking or standing.
Having food be more palatable and caloric plays into this too but seems secondary.
I great book for you to checkout is Wired to Eat by Robb Wolf — it talks about how different foods affect insulin differently while also including the nuance of differences between people, as well as a way to test your personal response to certain foods to determine your optimal macronutrient intake.
Otherwise diabetics with insulin replacement wouldn't go fat - but instead even controlled type 2 diabetes is highly linked to obesity. (Both ways!) Likewise type 1 diabetics are somewhat more likely to be obese despite tight control on insulin levels.
Here's a very interesting but not quite in depth study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4159079/
Unless it is one of those scalping Springer research books there is really no way for it to match latest research...
And just do you know, most books are made to sell and this one does not strike me as a technical (enough) one. Though it is well written (based on the preview), I would not trust the conclusions. It really tries to sell a paleo diet which is an instant red flag because we do not have good evidence for efficacy of any diet, even less so for so-called paleo.
Nutrition science is finally starting to move fast beyond preconceptions hopefully.
What is your theory for why the entire western world is suddenly obese? Why were people not obese even 70 years ago?
When you're that obese, food is an addiction in the literal sense. There is a ghrelin/dopamine feedback loop at work and it is not at all fun to break that. People are lured in by these schemes because the addict part of their mind is desperate for excuses not to stop eating. I know how this feels, because I fucking lived it. You wouldn't believe the things you can convince yourself of as an addict. Not to mention that lowered blood sugar is directly correlated with decreased willpower.
It's calories. We know it's calories. We know we shouldn't eat so many calories. That's not the hard part.
Increasing base metabolism is known to not work as it does not suppress the appetite or fix reward loop. Though thyroid therapy may be needed for some cases.
Dopamine uptake inhibitors exist but they have other side effects, petty bad. (Among them addiction.) SSRI make the problem worse, as do certain antipsychotics.
Direct appetite suppressants have not been invented yet though you can cheat some with special diets. (Well there are some but they're not stable and pain to inject. Could be done like insulin injections but somehow not considered cost effective and unsafe as ghrelin has additional functions.)
Having accurate data on food contents (including caloric) is vital but insufficient.
Most people I’ve found have simply been given terrible dietary advice (like eat high carb, low fat), which doesn’t work for the vast majority of people (because it elevates insulin levels, making them hungrier), and then they’re blamed later for not sticking to the program.
It’s completely ridiculous, it’s like putting a faithful man in a whorehouse and forcing him to ingest 4 doses of ecstasy. Sure it’s still his fault if he cheats, but are we going to pretend that the context doesn’t matter?
Ecstasy and whorehouses are a poor plan for fidelity, high-carb low-fat is a poor plan for fat loss.
Losing large amounts of weight is plenty hard enough without having to wade through misinformation.
Fiber is a double edge sword, some people do great with more, some people do terrible with more — it’s highly dependent and the only way to know is experiment. The book Health Gut, Healtby You by Dr. Ruscio is the most up to date book on gut health.
In general I agree. There is a major confounder that the best source of fiber are raw vegetables which have other beneficial properties - but most studies of it tended to use something much simpler than actual fiber combinations found in foods.
We do not know nearly enough about how diet impacts gut microbiome, nor how the environment does. It is really hard to study anyway.
Chocolate pound cake is the clear winner (not counting items that are just ingredients like cooking oil etc.): 900kcal/99¢! (~1.09 after tax where I live)
Can we please talk about sugar? It's objectively worse than just "fat" as not all fats are created equal and certain kinds are actually really important.
1. Sugars are extremely important to your basic biological functioning.
2. Their extreme importance is the reason they taste good.
Sugar (and carbs) aren't intrinsically crucial as a macronutrient. They're calorically dense, which is important when calories are scarce. When calories are plentiful, their importance wanes.
[1]https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-h...
It’s fine to eat 250g of carbs, though that seems high if you’re trying to be as far from obese as possible without being unhealthy.
It’s not fine to eat 250g of sugar. You’ll likely get diabetes.
Also not all carbs are made the same. Eating bread is not the same as eating sweet potato, as suprising as that may seem. Few carbs are good for you and you should make a concious decision about which ones to eat. Not to mention everything that usually gets added to carb-heavy food as those tend to be highly industrialized. Due to their convenience factor they’ve effectively replaced home-cooked carbs.
But perhaps most importantly, carbs have been showed to be linked to Alzheimer’s Disease though this isn’t yet mainstream knowledge:
https://www.ncbi.nlm.nih.gov/m/pubmed/15082091/
The cynical in me thinks “big food” must be trying really hard to hide this fact from society.
Either way, I think this thread has run its' course. I will probably not respond anymore but I'll leave with this: I agree sugars should also be talked about, we generally consume way too many in a day but I take issue with ranking basic nutritional building blocks because they are all important and we would be in trouble if we took one out. But have a great day, always good to have a little internet back and forth.
It is one of those things where we do not know any safe dose.
and Mcdonalds for instance... https://mcdonalds.co.nz/sites/mcdonalds.co.nz/files/Nutritio...
which is great if you care about it. But generally if you care about such things you have a pretty good idea for most foods anyways. Though, there are a few foods that it's not entirely obvious there's lots of sugar in them.
https://www.fda.gov/downloads/Food/GuidanceRegulation/Guidan...
If you show exactly how much extra sugar and corn starch you're consuming, it's much harder to get fat by accident.
dextrose, maltodextrin, pretty much anything that's -ose or dex-, corn starch, corn syrup, added sugar, wheat, rye, barley, oats, corn, legumes, dairy.
I cut all of those and ended up losing weight without exercising. YMMV.
A decent rule of thumb is that if a 5yo can pronounce all the ingredients, it's probably ok.
Now, there are easy wins from sugars - particularly if you are drinking lots of regular soft drinks, you can reduce your calorie intake relatively easily by cutting them out, but everyone's diet is different.
That's not quite true. High sugar intake results in an insulin spike, which in turn results in more fat being stored than would be had you eaten the same number of calories in the form of e.g. protein. Sugar also results in more net calories per calorie as it takes very little energy to digest.
From a behavioral perspective (this matters!), sugar does not leave you feeling full. You can talk calories all day, but when it comes to weight loss you have to factor in how people actually work. A full person is less likely to overeat than a hungry one.
California's Proposition 65 is a great example of how detail and context matter. The carcinogen warnings are so ubiquitous that they've become meaningless if not counterproductive.
Don't overlook the fact that people aren't stupid. A sugar label for soda or ice cream has little value. A sugar label for a burger bun is almost equally useless in terms of epidemiological impact because of the relatively minimal amount, especially once you consider how it would effects the signal/noise ratio of all mandatory disclosures taken together.
You also have to consider other avenues for messaging. What was most effective in reducing smoking (directly or indirectly--i.e. shifting the culture): labels on cigarette packs, early interventions, or public marketing campaigns. I would argue the latter.
Of course, this can be mitigated if the food has a negative feedback cycle. I'm that way with shellfish, after a certain amount it becomes nasty tasting. Same with a good steak, after I've eaten enough I can't imagine shoving more down. But with pizza, I always go back for that second or third slice.
As a Norwegian, when I visited Boston in 1999 for an Allaire dev conference I saw more grossly fat / obese people in the _hour_ spent switching flights at Newark airport than I had in my (then) home country in the preceding year. I was really taken aback.
There's clearly a lot of things the US is not doing right on many, many levels. This could help chip (sorry) away at that.
So far, though, the hardest part is estimating how many calories are in something, and how much of something I'm eating.
Limit starchy carbs and treats to one meal after your workouts.
People love to downvote me on this thread but that advice is essentially what people pay me thousands of dollars to get them lean.
'It’s not up to the government to influence what people eat — that should be left up to each individual,' he said."
I wonder if he has the same 'feels' about legalizing all illegal drugs? Seems most conservatives only support laws that fit their 'narrative'.. I'm obese, I sit and code all day, and I don't think people 'should' do lsd/weed/heroine/etc... but I don't think they should go to jail if they end up in the rat-trap of addiction. It's a mental health issue, and the distribution lines should be only ones policed imho..
But why is the DEA not government overreach for enforcing 'possession' but listing calorie counts so people can purposefully limit intake is?
People were lean long before calorie counts were readily available, the problem people have is NOT lack of awareness of the number of calories in their food.
The problem is philosophical — if you think all edible substances qualify as “food,” you’re never going to lose weight and keep it off.
If you think you should only be consuming whole foods the VAST majority of the time, then you will lose weight and keep it off relatively effortlessly.
Certain foods generate more heat while being digested (like protein) than others (like sugar and white flour).
Consuming 100 calories of protein results in fewer calories digested than consuming 100 calories of sugar.
It’s exhausting. It’s monotonous. It’s inaccurate. It’s impossible to do unless you’re eating at chain restaurant all the time.
And we are not robots where ONLY calories matter.
In the short term people can willpower themselves to do almost anything.
In the long term WHAT we eat has a bigger affect than HOW MUCH we eat.
Different foods affect our hormones differently.
You can’t eat 1,200 calories of sugar a day and expect to feel satiated from your diet, you will feel starving all the time.
You can eat 1,200 calories of protein/veggies/healthy fat and feel satiated from your diet.
Hormones drive our long-term hunger levels, and foods affect our hormone levels.
People before the 1950s were almost all lean and they had no calorie counts.
People have all the calorie counts they can stand today and most people are overweight in the West.
The difference is people eat WAY more junk food now than they did before the 1950s, it wasn’t even available back then.
I've lost over 15KG/35 pounds since the start of the year doing nothing but CICO - it's not incorrect to say that Calories is the king when it comes to how to lose the weight.
For everything else you are saying, it's not wrong either - anybody who starts CICO pretty quickly discovers that "Yes I can eat anything, but my god I will be hungry at 7pm if I used all my Calories on KFC and Donuts" - but don't keep saying simply that "Counting calories is not going to work".
Edit to add: and my wife and I have done this all with cooking home made meals at least 5-6 nights a week. It only takes a minute to enter a recipe in a calculator app.
To be clear the population of people on HN is a self-selecting, techie group of ppl. Most people cannot do CICO long term. And even if you can you’ll realize it doesn’t work the leaner you get, quality becomes increasingly important at that point.
All mammals, including humans, have the ability to naturally regulate their energy balance when they eat the foods they evolved to eat.
If your goal is to lose weight tracking calories is by far the most important factor in achieving that goal.
You can’t just say eat meat and veggies and expect people to lose weight without enforcing a caloric restriction.
The fact that’s is more easily achieved by saying that you can eat 3 chicken breasts a potatoe and a bucket of kale a day than 5 large cookies, isn’t exactly ground breaking nor does it have anything to do with what humans evolved to eat because we’ve been eating processed sugar for far longer than we were eating meat.
In fact scratch my first comment that started this I would rather see a menue that is at or over your daily caloric requirement which magically makes you lose weight.
Also, where’s the evidence for people consuming processed sugar longer than meat?
Never seen that claimed before.
Even if that doesn't pan out, it certainly makes life easier for the millions who do count calories.
Maybe that's not the problem but it could be part of a solution. Don't underestimate gamification and feedback loops.
What type of awareness are we talking about? I imagine a progress bar telling you precisely where you are for the day and the week, now you have to consciously break the ceiling if you want to eat too much.
But if your focus is calories, and not the quality/source if your food, then you’re not solving the REAL problem which is distorted hormone levels affecting how full you feel. Junk food causes you to be hungrier than you should be.
Look around, no other mammal is overweight other than humans, and most humans weren’t overweight until junk food wasn’t invented.