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12 new of 41 responses total.
slynne
response 30 of 41: Mark Unseen   Jul 4 03:22 UTC 2007

Gina Kolata, a science writer for the NYT, has recently written a book
that examines some of the science of obesity. Her book is called
_Rethinking Thin_. The link below is to an interview with her on NPR's
Talk of the Nation.

http://www.npr.org/templates/story/story.php?storyId=11606653

mary
response 31 of 41: Mark Unseen   Jul 4 12:00 UTC 2007

I listened to the podcast and found it interesting.  Thanks for the link.

If you accept her analysis I guess what you're left with is whether to 
give up and assume you're statistical fate or see if you can indeed be one 
of the (rare) folks who can lose weight and keep it off, long term.

If you despise eating fewer calories than what you burn then I can see how 
you might be better off not trying to lose weight.  

But for a whole lot of people it's more uncomfortable giving up than not.
Good thing for those who finally find some success with weight control.
slynne
response 32 of 41: Mark Unseen   Jul 4 14:02 UTC 2007

Sure. It is a good thing for some people who find some success with
weight control. Anyone who can lose weight and keep it off without
suffering from any symptoms of starvation is certainly doing what works
best for them and that is great. It is great when people win the lotto
too but buying a losing ticket doesnt mean that a person is a failure
either even if the success rate for losing weight is much higher than
the success rate for winning the lotto. 

Seriously, I have no objections to choices people make about their own
bodies. I am very pro-choice in every sense of the word that people get
to make decisions about their own bodies even if I personally think that
they are making unhealthy decisions. Mostly I think that people tend to
know their own bodies. 

But I also think that a lot of the discrimination against fat people is
rooted in a deeply held cultural belief that fat people can easily diet
and lose weight and that the failure to lose weight is due to fat people
having less will power or being more lazy than everyone else. If
something has a 95% failure rate, that says something! 

I suspect too that a lot of people are uncomfortable with their weight,
not because of how it makes their bodies feel but because of the way
that fat people are treated in our culture. Fat people are discriminated
against in many many different ways. Fat people are constantly given
messages, even from medical professionals who should know better, that
they just need to lose some weight and that they could lose weight if
only they werent lazy people with no self discipline. People constantly
get confused and see obesity as a behavior when it is not a behavior and
probably doesnt even reflect different behavior than that of thinner
people. And, of course, I also think that the actual health risks of
obesity are hugely exaggerated. I think that getting rid of our negative
cultural ideas about fat and fat people can help people make better
decisions about if they want to try to lose weight or not. 



furs
response 33 of 41: Mark Unseen   Jul 4 15:33 UTC 2007

the things that *is* hard about weight loss for me is I'm not sure I'll
ever feel I've totally won the battle and sit back and relax.  It'll be
a constant thing for me to monitor and I just hope I can stay motivated.
 But I am ok with that.  I'd rather have to constantly monitor it than
to gain weight back.  I've done that before, and I don't like it.  So
this is what works for me.
mary
response 34 of 41: Mark Unseen   Jul 4 15:45 UTC 2007

I've been thinking some of why my anecdotal evidence of friends being 
able to lose weight and maintain their loss is somewhat at odds with 
your statistics.  I mean, I sure have more friends who have effectively 
maintained weight loss than friends who have hit the lottery jackpot.

Some of it may be that they had serial-dieted without success.  But 
along they way they'd learned some of what didn't work.  So they stopped 
dieting and instead shifted to adapting long term weight loss behaviors 
- habits for a lifetime.  If a researcher collected a group of dieters - 
they wouldn't be counted.  They're not attending Weight Watchers or 
counting carbs or stocking their freezer with Jennie Craig. They've 
learned from "diets" and moved on, finding a degree of success.  I'm not 
sure research is capturing their weight loss success.

But I agree with you that obese people face discrimination and that for 
some, many even, significant change is not under their control for lots 
of reasons.    
mary
response 35 of 41: Mark Unseen   Jul 4 15:46 UTC 2007

(Jeanne slipped.)
furs
response 36 of 41: Mark Unseen   Jul 4 16:16 UTC 2007

I completely agree with the discrimination, and it's sad.  The think
that irritates me about it is that there are people who make lots of bad
choices in their lives (like drinking, smoking, drugs, etc.) that don't
effect they way they look, yet some day their actions will result in
some sort of consequence most likely.  So they bitch about fat people
when it is only because of the way they look and it is hypocritical.

I worked with this guy and he hated me because I was fat.  I was so
appalled by him, but I was always really nice to him.  I finally asked a
coworker why he was so mean to me, and he told me.  I was just
flabbergasted.

It's very sad.
slynne
response 37 of 41: Mark Unseen   Jul 4 17:43 UTC 2007

resp:34 It may be the case that people like your friends who arent on
official diets are not reflected in any studies. Certainly they or
people like them wouldnt be included in studies of specific diets. But
it could also be the case that they have been included and that it is a
coincidence that you happen to know people who have lost weight and kept
it off for years. Or maybe not so much of a coincidence...I can recall
reading of one study that showed that socio-economic class was a factor
in sustained weight loss with people in the higher socio-economic
classes more likely to lose weight and keep it off. There are also
studies that show a correlation between income and weight. There
certainly is a connection in the public psyche. I imagine that you
probably know more people in the higher socio-economic classes than in
the lower ones. 


There might have been studies though that show that making permanent
lifestyle changes yields more success than going on a diet with the idea
that the diet is temporary or at least I remember reading that and
somehow got that idea in my head. It was one of the main reasons I
stopped going on diets. I would think to myself,"is this something you
want to do for the rest of your life?" and for me the answer is pretty
much always "no," But obviously for your friends, the answer was
different. 

Which kind of leads into furs's comment in resp:33. Most likely, furs,
you will need to monitor your weight for most of the rest of your life.
If doing that is ok with you, and it sounds like it is, then clearly you
have made the right choice. 

The hypocritical health concern made by people with plenty of unhealthy
habits always bugs me too. The employment discrimination does as well.
Also the discrimination in health care. And all of the thousand messages
everyone in our culture is bombarded with every day that being fat is
not ok and that fat people are bad people. 
slynne
response 38 of 41: Mark Unseen   Jul 5 02:56 UTC 2007

Just in case anyone was in doubt about the nature of fat hatred in our
country, consider the following essay. Apparently fat people are
responsible for pretty much everything that is wrong in our country. Or
rather 

"The fat on our bodies is simply the external manifestation of the fat
that infects the national spirit the corruption of our most sacred
institutions, the incompetence of our public servants, the erosion of
our civil liberties and the apathy that weighs us all down like a double
Whopper with cheese."

http://www.newsreview.com/sacramento/Content?oid=344915

cmcgee
response 39 of 41: Mark Unseen   Jul 5 19:40 UTC 2007

From today's Dean Ornish column in Newsweek
http://www.msnbc.msn.com/id/19617152/site/newsweek

"A new study published this week in the prestigious journal Nature
Medicine looked at the effects of stress on weight gain in mice.
Investigators reported that chronic emotional stress turns on a peptide
(chemical messenger) called neuropeptide Y, which is found in body fat.
 This hormone increases appetite, especially for carbohydrate-rich
foods. It also causes your body to convert these calories into belly
fat, a double whammy.

What's especially interesting is that chronic stress alone didn't have
much effect on weight gain in only two weeks, nor did a high-fat,
high-sugar diet. However, combining both together was especially toxic
and markedly increased abdominal fat deposits in only two weeks.

When the researchers blocked the effects of neuropeptide Y, it reduced
stress-induced visceral (belly) fat by 50 percent "without any
discernible effect on food intake, which remained as increased as it
was" according to the investigators.

In other words, they ate the same amount of food, didn't exercise more,
yet their belly fat decreased by half when the effects of neuropeptide Y
were blocked. This is amazing stuff."

----------------
First time I've seen research that begins to explain why some people
might not be able to lose weight even by eating fewer calories.  
slynne
response 40 of 41: Mark Unseen   Jul 5 20:55 UTC 2007

Yeah, that stress research has been ongoing. It is nice to see that it 
continues. I have heard it as a possible explanation for some of the 
differences in weight among people of different socio-economic classes. 

There is also some research that suggests that belly fat increases 
certain hormones that in turn cause a person's body to become resistant 
to insulin (aka type 2 diabetes). So if a drug could be developed that 
prevented the belly fat, it might also be something useful in treating 
diabetes. 

There really has been a lot of research in this subject because, let's 
face it, there is a huge economic insentive here. Can you imagine how 
rich a drug company would be if they actually could develop a drug that 
caused people to lose weight without the terrible side effects of 
current and past weight loss drugs?
denise
response 41 of 41: Mark Unseen   Jul 6 18:54 UTC 2007

[Lots of interesting stuff posted here since I was here last... I'll 
have to come back and check out some of the links and such sometime 
soon when I have more time to read and think about it, then post 
comments.]
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