Obese Good Quotes

Some people when they see cheese, chocolate or cake they don't think of calories.

But diet and exercise are not fifty-fifty partners like macaroni and cheese. Diet is Batman and exercise is Robin. Diet does 95 per cent of the work and deserves all the attention; so, logically, it would be sensible to focus on diet. Exercise is still healthy and important—just not equally important. It has many benefits, but weight loss is not among them. Exercise is like brushing your teeth. It is good for you and should be done every day. Just don’t expect to lose weight.

The supermarket shelves have been rearranged. It happened one day without warning. There is agitation and panic in the aisles, dismay in the faces of older shoppers.[…]They scrutinize the small print on packages, wary of a second level of betrayal. The men scan for stamped dates, the women for ingredients. Many have trouble making out the words. Smeared print, ghost images. In the altered shelves, the ambient roar, in the plain and heartless fact of their decline, they try to work their way through confusion. But in the end it doesn’t matter what they see or think they see. The terminals are equipped with holographic scanners, which decode the binary secret of every item, infallibly. This is the language of waves and radiation, or how the dead speak to the living. And this is where we wait together, regardless of our age, our carts stocked with brightly colored goods. A slowly moving line, satisfying, giving us time to glance at the tabloids in the racks. Everything we need that is not food or love is here in the tabloid racks. The tales of the supernatural and the extraterrestrial. The miracle vitamins, the cures for cancer, the remedies for obesity. The cults of the famous and the dead.

There is something about the act of studying an unclothed body, as an artist does, that allows a person to appreciate it as pure form, regardless of the kinds of traits traditionally regarded as imperfections. In a figure drawing class, an obese woman's folds of flesh take on a kind of beauty. You can look at a man's shrunken chest or legs or buttocks with tenderness. Age is not ugly, just poignant.

This is the ancient secret. This is the cycle of life. Fasting follows feasting. Feasting follows fasting. Diets must be intermittent, not steady. Food is a celebration of life. Every single culture in the world celebrates with large feasts. That’s normal, and it’s good. However, religion has always reminded us that we must balance our feasting with periods of fasting—“atonement,” “repentance” or “cleansing.” These ideas are ancient and time-tested. Should you eat lots of food on your birthday? Absolutely. Should you eat lots of food at a wedding? Absolutely. These are times to celebrate and indulge. But there is also a time to fast. We cannot change this cycle of life. We cannot feast all the time. We cannot fast all the time. It won’t work. It doesn’t work.

This is the ancient secret. This is the cycle of life. Fasting follows feasting. Feasting follows fasting. Diets must be intermittent, not steady. Food is a celebration of life. Every single culture in the world celebrates with large feasts. That’s normal, and it’s good. However, religion has always reminded us that we must balance our feasting with periods of fasting—“atonement,

Even short commutes stab at your happiness. According to the research,* commuting is associated with an increased risk of obesity, insomnia, stress, neck and back pain, high blood pressure, and other stress-related ills such as heart attacks and depression, and even divorce. But let’s say we ignore the overwhelming evidence that commuting doesn’t do a body good. Pretend it isn’t bad for the environment either. Let

His weight makes him a social pariah. It reduces the likelihood he’ll remarry. It has grave implications for his health. But it isn’t evil. Just like all that exercise of yours has nothing to do with being good. I know you think it does. It makes you feel good, and feel good about yourself, and feel superior to people who slob around all day. But it’s mostly a waste of time that doesn’t do anything for anybody else but you.

When a woman understands the uniqueness of the female brain—how to care for it, how to make the most of its strengths, how to overcome its challenges, how to fall in love with it, and ultimately, how to unleash its full power—there is no stopping her. In her personal development, at work, and in her relationships, she can bring the best of herself to her family, her community, and her planet. By contrast, a woman who is not caring optimally for her brain, who is not giving it the full range of nutrients, exercise, sleep, and emotional support that it needs, is squandering her most valuable resource. If you are not taking good care of your brain, you are at a significantly higher risk of brain fog, memory problems, low energy, distractibility, poor decisions, obesity, heart disease, cancer, and diabetes.

Be courteous, kind, and forgiving. Be gentle and peaceful each day. Be warm and human and grateful, And have a good thing to say. Be thoughtful and trustful and childlike, Be witty and happy and wise. Be honest and love all your neighbors, Be obsequious, purple, and clairvoyant. Be pompous, obese, and eat cactus. Be dull and boring and omnipresent. Criticize things you don’t know about. Be oblong and have your knees removed. Be sure to stop at stop signs, And drive fifty-five miles an hour. Pick up hitchhikers foaming at the mouth, And when you get home get a master’s degree in geology. Be tasteless, rude, and offensive. Live in a swamp and be three-dimensional. Put a live chicken in your underwear. Go into a closet and suck eggs.

...the presence of others has become even more intolerable to me, their conversation most of all. Oh, how it all annoys and exasperates me: their attitudes, their manners, their whole way of being! The people of my world, all my unhappy peers, have come to irritate, oppress and sadden me with their noisy and empty chatter, their monstrous and boundless vanity, their even more monstrous egotism, their club gossip... the endless repetition of opinions already formed and judgments already made; the automatic vomiting forth of articles read in those morning papers which are the recognised outlet of the hopeless wilderness of their ideas; the eternal daily meal of overfamiliar cliches concerning racing stables and the stalls of fillies of the human variety... the hutches of the 'petites femmes' - another worn out phrase in the dirty usury of shapeless expression! Oh my contemporaries, my dear contemporaries... Their idiotic self-satisfaction; their fat and full-blown self-sufficiency: the stupid display of their good fortune; the clink of fifty- and a hundred-franc coins forever sounding out their financial prowess, according their own reckoning; their hen-like clucking and their pig-like grunting, as they pronounce the names of certain women; the obesity of their minds, the obscenity of their eyes, and the toneless-ness of their laughter! They are, in truth, handsome puppets of amour, with all the exhausted despondency of their gestures and the slackness of their chic... Chic! A hideous word, which fits their manner like a new glove: as dejected as undertakers' mutes, as full-blown as Falstaff... Oh my contemporaries: the ceusses of my circle, to put it in their own ignoble argot. They have all welcomed the moneylenders into their homes, and have been recruited as their clients, and they have likewise played host to the fat journalists who milk their conversations for the society columns. How I hate them; how I execrate them; how I would love to devour them liver and lights - and how well I understand the Anarchists and their bombs!

Though obesity surely is a public health problem, by the standards of history it’s a good problem to have.

What I tried to make clear in Good Calories, Bad Calories was that nutrition and obesity research lost its way after the Second World War with the evaporation of the European community of scientists and physicians that did pioneering work in those disciplines. It has since resisted all attempts to correct it. As a result, the individuals involved in this research have not only wasted decades of time, and effort, and money but have done incalculable damage along the way. Their beliefs have remained imperious to an ever-growing body of evidence that refutes them while being embraced by public-health authorities and translated into precisely the wrong advice about what to eat and, more important, what not to eat if we want to maintain a healthy weight and live a long and healthy life.

Poor children face staggering challenges: increased risk of low birth weight, negative impacts on early cognitive development, higher incidents of childhood illnesses such as asthma and obesity, and greatly reduced chances of attending college (only about nine out of every one hundred kids born in poverty will earn a college degree). On top of this, poor children deal with greater degrees of environmental hazards from pollution, noise, and traffic, as well as other stressors harmful to their well-being. In a competitive and global knowledge-based economy, a nation's most valuable resource is its children. And yet we are reckless with this treasure.

If, in recommending that Americans avoid meat, cheese, milk, cream, butter, eggs, and the rest, it turns out that nutrition experts made a mistake, it will have been a monumental one. Measured just by death and disease, and not including the millions of lives derailed by excess weight and obesity, it’s very possible that the course of nutrition advice over the past sixty years has taken an unparalleled toll on human history. It now appears that since 1961, the entire American population has, indeed, been subjected to a mass experiment, and the results have clearly been a failure. Every reliable indicator of good health is worsened by a low-fat diet. Whereas diets high in fat have been shown, again and again, in a large body of clinical trials, to lead to improved measures for heart disease, blood pressure, and diabetes, and are better for weight loss. Moreover, it’s clear that the original case against saturated fats was based on faulty evidence and has, over the last decade, fallen apart. Despite more than two billion dollars in public money spent trying to prove that lowering saturated fat will prevent heart attacks, the diet-heart hypothesis has not held up.

good luck and please do read those books, watch The Office, and believe in the people who disagree with you…Lying is a disgusting habit, and it flows through the conversations here like it’s our own currency. The cultural disease here is what we should be curing before we try to tackle obesity…I mean no ill will towards you, since you believe in what I was doing and hoped I would succeed at Theranos. I feel like I owe you this bad attempt at an exit interview since we have no HR to officially record it.

In some of the early northern European paintings, Christ looks like you flushed him out from under a bridge, but in Sunday-school books and the sorts of pictures they sell at Christian supply stores, he falls somewhere between Kenny Loggins and Jared Leto, always doe-eyed and, of course, white, with brown—not black—hair, usually wavy. And he always has a fantastic body, shown at its best on the cross, which—face it—was practically designed to make a man's stomach and shoulders look good. What would happen, I often wonder, if someone sculpted a morbidly obese Jesus with titties and acne scars, and hair on his back? On top of that, he should be short—five foot two at most. "Sacrilege!" people would shout. But why? Doing good deeds doesn't make you good-looking.

We have nothing against playing video games; they have many good features and benefits. Our concern is that when they are played to excess, especially in social isolation, they can hinder a young man's ability and interest in developing his face-to-face social skills. Multiple problems, including obesity, violence, anxiety, lower school performance, social phobia and shyness, greater impulsivity and depression, have all been associated with excessive gaming. The variety and intensity of video game action makes other parts of life, like school, seem comparatively boring, and that creates a problem with their academic performance, which in turn might require medication to deal with attention deficit hyperactivity disorder (ADHD), which then leads to other problems down the road in a disastrous negative cycle...

The most widely used measure of these implicit attitudes is the Implicit Association Test (IAT), developed by Tony Greenwald, Mahzarin Banaji, and my UVA colleague Brian Nosek.14 You can take the IAT yourself at ProjectImplicit.org. But be forewarned: it can be disturbing. You can actually feel yourself moving more slowly when you are asked to associate good things with the faces of one race rather than another. You can watch as your implicit attitude contradicts your explicit values. Most people turn out to have negative implicit associations with many social groups, such as black people, immigrants, obese people, and the elderly.

Even if these researchers do see the need to address the problem immediately, though they have obligations and legitimate interests elsewhere, including being funded for other research. With luck, the ideas discussed in Good Calories, Bad Calories may be rigorously tested in the next twenty years. If confirmed, it will be another decade or so after that, at least, before our public health authorities actively change their official explanation for why we get fat, how that leads to illness, and what we have to do to avoid or reverse those fates. As I was told by a professor of nutrition at New York University after on of my lectures, the kind of change I'm advocating could take a lifetime to be accepted.

Obesity research is almost solely funded by the weight-loss industry. Conducting studies is expensive, and government funds don’t even begin to cover them all. Luckily, our good friend the diet industry is there to give millions to studies aiming to prove that fat is killing us, meaning that in turn their sales go through the roof as we all run, terrified, to our nearest weight-loss group.

The Parable of the Cow”: Two cows were discussing the latest nutritional research, which had been done on lions. One cow says to the other, “Did you hear that we’ve been wrong these last 200 years? The latest research shows that eating grass is bad for you and eating meat is good.” So the two cows began eating meat. Shortly afterward, they got sick and they died. One year later, two lions were discussing the latest nutritional research, which was done on cows. One lion said to the other that the latest research showed that eating meat kills you and eating grass is good. So, the two lions started eating grass, and they died. What’s the moral of the story? We are not mice. We are not rats. We are not chimpanzees or spider monkeys. We are human beings, and therefore we should consider only human studies.

And the good news is that there is no inevitable end to this process. The more people are drawn into the global division of labour, the more people can specialise and exchange, the wealthier we will all be. Moreover, along the way there is no reason we cannot solve the problems that beset us, of economic crashes, population explosions, climate change and terrorism, of poverty, AIDS, depression and obesity.

This includes drugs, alcohol, environmental toxins, obesity, hypertension, diabetes, heart disease, sleep apnea, depression, negative thinking patterns, excessive stress, and a lack of exercise or new learning. 3. Consistently do good behaviors that help your brain. Adopt a great diet, learn new things, exercise, develop accurate thinking habits, work on stress management, and take some simple supplements to nourish your brain.

Numbers written on restaurant bills within the confines of restaurants do not follow the same mathematical laws as numbers written on any other pieces of paper in any other parts of the Universe. This single fact took the scientific world by storm. It completely revolutionized it. So many mathematical conferences got held in such good restaurants that many of the finest minds of a generation died of obesity and heart failure and the science of maths was put back by years.

Numbers written on restaurant checks within the confines of restaurants do not follow the same mathematical laws as numbers written on any other pieces of paper in any other parts of the Universe. This single statement took the scientific world by storm. It completely revolutionized it. So many mathematical conferences got held in such good restaurants that many of the finest minds of a generation died of obesity and heart failure and the science of math was put back by years. Slowly,

Six out of ten adults are living with a chronic illness. About 50 percent of Americans will deal with mental illness sometime in life. Seventy-four percent of adults are overweight or have obesity. Rates of cancer, heart disease, kidney disease, upper respiratory infections, and autoimmune conditions are all going up at the exact time we are spending more and more to treat them. In the face of these trends, American life expectancy has been declining for the most sustained period since 1860.

One of the biggest health problems facing America's poor is obesity. You know you live in a good place when overeating is a problem. Most of the 6 billion people in the world live short, brutal, miserable lives; 1 billion people try to survive on just a dollar a day. They would love to have the lifestyle of America's poor. Ninety-seven percent of American families our government classifies as 'poor' have color televisions and half own two. Seventy-five percent of poor people have cars and nearly half own their own homes.

As every close observer of the deadlocks arising from the political correctness knows, the separation of legal justice from moral Goodness –which should be relativized and historicized- ends up in an oppressive moralism brimming with resentment. Without any “organic” social substance grounding the standards of what Orwell approvingly called “common decency” (all such standards having been dismissed as subordinating individual freedoms to proto-Fascist social forms), the minimalist program of laws intended simply to prevent individuals from encroaching upon one another (annoying or “harassing” each other) turns into an explosion of legal and moral rules, an endless process (a “spurious infinity” in Hegel’s sense) of legalization and moralization, known as “the fight against all forms of discrimination.” If there are no shared mores in place to influence the law, only the basic fact of subjects “harassing other subjects, who-in the absence of mores- is to decide what counts as “harassment”? In France, there are associations of obese people demanding all the public campaigns against obesity and in favor of healthy eating be stopped, since they damage the self-esteem of obese persons. The militants of Veggie Pride condemn the speciesism” of meat-eaters (who discriminate against animals, privileging the human animal-for them, a particularly disgusting form of “fascism”) and demand that “vegeto-phobia” should be treated as a kind of xenophobia and proclaimed a crime. And we could extend the list to include those fighting for the right of incest marriage, consensual murder, cannibalism . . . The problem here is the obvious arbitrariness of the ever-new rule. Take child sexuality, for example: one could argue that its criminalization is an unwarranted discrimination, but one could also argue that children should be protected from sexual molestation by adults. And we could go on: the same people who advocate the legalization of soft drugs usually support the prohibition of smoking in public places; the same people who protest the patriarchal abuse of small children in our societies worry when someone condemns a member of certain minority cultures for doing exactly this (say, the Roma preventing their children from attending public schools), claiming that this is a case od meddling with other “ways of life”. It is thus for necessary structural reasons that the “fight against discrimination” is an endless process which interminably postpones its final point: namely a society freed from all moral prejudices which, as Michea puts it, “would be on this very account a society condemned to see crimes everywhere.

Once a habit has been encoded, the urge to act follows whenever the environmental cues reappear. This is one reason behavior change techniques can backfire. Shaming obese people with weight-loss presentations can make them feel stressed, and as a result many people return to their favorite coping strategy: overeating. Showing pictures of blackened lungs to smokers leads to higher levels of anxiety, which drives many people to reach for a cigarette. If you’re not careful about cues, you can cause the very behavior you want to stop.

About 74 percent of U.S. adults are overweight or obese, and 93.2 percent have metabolic dysfunction. These numbers sound high until you realize how many levers of modern society are stacked against our mitochondria and metabolism: too much sugar, too much stress, too much sitting, too much pollution, too many pills, too many pesticides, too many screens, too little sleep, and too little micronutrients. These trends—with trillions of dollars behind them—are causing epidemic levels of mitochondrial dysfunction and underpowered, sick, inflamed bodies.

Many irreligious societies like Canada, Denmark, and New Zealand are among the nicest places to live in the history of our kind (with high levels of every measurable good thing in life), while many of the world’s most religious societies are hellholes.87 American exceptionalism is instructive: the United States is more religious than its Western peers but underperforms them in happiness and well-being, with higher rates of homicide, incarceration, abortion, sexually transmitted disease, child mortality, obesity, educational mediocrity, and premature death.

Strong emotional feelings don't just go away overnight. In fact, they may never go away. The fears of feeling disliked, or that I wasn't going to fit in, all quickly bubbled up to the surface. but it was the choices I made when I was faced with challenges that really mattered. I had to continually tell myself that I was always in control. If someone was pressuring me to do something that I knew was not good for me, I had the power to simply say no. No one can ever take that power away from me. If someone was upset or didn't like me for saying no, that was someone that I really didn't need in my life.

A primary goal of food science is to create products that are more attractive to consumers. Nearly every food in a bag, box, or jar has been enhanced in some way, if only with additional flavoring. Companies spend millions of dollars to discover the most satisfying level of crunch in a potato chip or the perfect amount of fizz in a soda. Entire departments are dedicated to optimizing how a product feels in your mouth—a quality known as orosensation. French fries, for example, are a potent combination—golden brown and crunchy on the outside, light and smooth on the inside. Other processed foods enhance dynamic contrast, which refers to items with a combination of sensations, like crunchy and creamy. Imagine the gooeyness of melted cheese on top of a crispy pizza crust, or the crunch of an Oreo cookie combined with its smooth center. With natural, unprocessed foods, you tend to experience the same sensations over and over—how’s that seventeenth bite of kale taste? After a few minutes, your brain loses interest and you begin to feel full. But foods that are high in dynamic contrast keep the experience novel and interesting, encouraging you to eat more. Ultimately, such strategies enable food scientists to find the “bliss point” for each product—the precise combination of salt, sugar, and fat that excites your brain and keeps you coming back for more. The result, of course, is that you overeat because hyperpalatable foods are more attractive to the human brain. As Stephan Guyenet, a neuroscientist who specializes in eating behavior and obesity, says, “We’ve gotten too good at pushing our own buttons.” The modern food industry, and the overeating habits it has spawned, is just one example of the 2nd Law of Behavior Change: Make it attractive. The more attractive an opportunity is, the more likely it is to become habit-forming.

I liken modern scientists to conquistadors. They have no idea what they're dealing with, but they're going to conquer it, whatever it is --- all in the name of God. Now, don't get me wrong, I'm not opposed to scientific discovery and exploration. I love this stuff. What I despise is reckless disregard for how little we know. We create trans fats with nary a question about whether they're good for us or not. We develop a food pyramid with carbohydrates on the bottom and thirty years later we realize it created an obesity and type 2 diabetes epidemic. It should give us all pause that we would be a much healthier nation if the government had never told us how to eat.

So, if one were to restrict dietary fats, then one must increase dietary carbohydrates and vice versa. In the developed world, these carbohydrates all tend to be highly refined. Low Fat = High Carbohydrate This dilemma created significant cognitive dissonance. Refined carbohydrates could not simultaneously be both good (because they are low in fat) and bad (because they are fattening). The solution adopted by most nutrition experts was to suggest that carbohydrates were no longer fattening. Instead, calories were fattening. Without evidence or historical precedent, it was arbitrarily decided that excess calories caused weight gain, not specific foods. Fat, as the dietary villain, was now deemed fattening—a previously unknown concept. The Calories-In/Calories-Out model began to displace the prevailing “fattening carbohydrates” model.

But overprotection is just one part of a larger trend that we call problems of progress. This term refers to bad consequences produced by otherwise good social changes. It’s great that our economic system produces an abundance of food at low prices, but the flip side is an epidemic of obesity. It’s great that we can connect and communicate with people instantly and for free, but this hyperconnection may be damaging the mental health of young people. It’s great that we have refrigerators, antidepressants, air conditioning, hot and cold running water, and the ability to escape from most of the physical hardships that were woven into the daily lives of our ancestors back to the dawn of our species. Comfort and physical safety are boons to humanity, but they bring some costs, too. We adapt to our new and improved circumstances and then lower the bar for what we count as intolerable levels of discomfort and risk. By the standards of our great-grandparents, nearly all of us are coddled. Each generation tends to see the one after it as weak, whiny, and lacking in resilience. Those older generations may have a point, even though these generational changes reflect real and positive progress. To repeat, we are not saying that the problems facing students, and young people more generally, are minor or “all in their heads.” We are saying that what people choose to do in their heads will determine how those real problems affect them. Our argument is ultimately pragmatic, not moralistic: Whatever your identity, background, or political ideology, you will be happier, healthier, stronger, and more likely to succeed in pursuing your own goals if you do the opposite of what Misoponos advised.

Some people live longer than they ought to by any known measures. As Jo Marchant notes in her book Cure, Costa Ricans have only about one-fifth the personal wealth of Americans, and have poorer health care, but live longer. Moreover, people in one of the poorest regions of Costa Rica, the Nicoya Peninsula, live longest of all, even though they have much higher rates of obesity and hypertension. They also have longer telomeres. The theory is that they benefit from closer social bonds and family relationships. Curiously, it was found that if they live alone or don’t see a child at least once a week, the telomere length advantage vanishes. It is an extraordinary fact that having good and loving relationships physically alters your DNA. Conversely, a 2010 U.S. study found, not having such relationships doubles your risk of dying from any cause.

In retrospect, the influential figures in the clinical investigation of human obesity in the 1970s can be divided into two groups. There were those who believed carbohydrate-restricted diets were the only efficacious means of weight control—Denis Craddock, Robert Kemp, John Yudkin, Alan Howard, and Ian McLean Baird in England, and Bruce Bistrian and George Blackburn in the U.S.—and wrote books to that effect, or developed variations on these diets with which they could treat patients. These men invariably struggled to maintain credibility. Then there were those who refused to accept that carbohydrate restriction offered anything more than calorie restriction in disguise—Bray, Van Itallie, Cahill, Hirsch, and their fellow club members. These men rarely if ever treated obese patients themselves, and they repeatedly suggested that since no diet worked nothing was to be learned by studying diets.

Then came the Scientific Revolution and the idea of progress. The idea of progress is built on the notion that if we admit our ignorance and invest resources in research, things can improve. This idea was soon translated into economic terms. Whoever believes in progress believes that geographical discoveries, technological inventions and organisational developments can increase the sum total of human production, trade and wealth. New trade routes in the Atlantic could flourish without ruining old routes in the Indian Ocean. New goods could be produced without reducing the production of old ones. For instance, one could open a new bakery specialising in chocolate cakes and croissants without causing bakeries specialising in bread to go bust. Everybody would simply develop new tastes and eat more. I can be wealthy without your becoming poor; I can be obese without your dying of hunger. The entire global pie can grow.

The strongest evidence yet was published in 2010. In a painstaking long-term study, much larger and more thorough than anything done previously, an international team of researchers tracked one thousand children in New Zealand from birth until the age of thirty-two. Each child’s self-control was rated in a variety of ways (through observations by researchers as well as in reports of problems from parents, teachers, and the children themselves). This produced an especially reliable measure of children’s self-control, and the researchers were able to check it against an extraordinarily wide array of outcomes through adolescence and into adulthood. The children with high self-control grew up into adults who had better physical health, including lower rates of obesity, fewer sexually transmitted diseases, and even healthier teeth. (Apparently, good self-control includes brushing and flossing.) Self-control was irrelevant to adult depression, but its lack made people more prone to alcohol and drug problems. The children with poor self-control tended to wind up poorer financially. They worked in relatively low-paying jobs, had little money in the bank, and were less likely to own a home or have money set aside for retirement. They also grew up to have more children being raised in single-parent households, presumably because they had a harder time adapting to the discipline required for a long-term relationship. The children with good self-control were much more likely to wind up in a stable marriage and raise children in a two-parent home. Last, but certainly not least, the children with poor self-control were more likely to end up in prison. Among those with the lowest levels of self-control, more than 40 percent had a criminal conviction by the age of thirty-two, compared with just 12 percent of the people who had been toward the high end of the self-control distribution in their youth.

Many irreligious societies like Canada, Denmark, and New Zealand are among the nicest places to live in the history of our kind (with high levels of every measurable good thing in life), while many of the world’s most religious societies are hellholes.87 American exceptionalism is instructive: the United States is more religious than its Western peers but underperforms them in happiness and well-being, with higher rates of homicide, incarceration, abortion, sexually transmitted disease, child mortality, obesity, educational mediocrity, and premature death.88 The same holds true among the fifty states: the more religious the state, the more dysfunctional its citizens’ lives.89 Cause and effect probably run in many directions. But it’s plausible that in democratic countries, secularism leads to humanism, turning people away from prayer, doctrine, and ecclesiastical authority and toward practical policies that make them and their fellows better off.

The “remarkable sodium and water retaining effect of concentrated carbohydrate food,” as the University of Wisconsin endocrinologist Edward Gordon called it, was then explained physiologically in the mid-1960s by Walter Bloom, who was studying fasting as an obesity treatment at Atlanta’s Piedmont Hospital, where he was director of research. As Bloom reported in the Archives of Internal Medicine and The American Journal of Clinical Nutrition, the water lost on carbohydrate-restricted diets is caused by a reversal of the sodium retention that takes place routinely when we eat carbohydrates. Eating carbohydrates prompts the kidneys to hold on to salt, rather than excrete it. The body then retains extra water to keep the sodium concentration of the blood constant. So, rather than having water retention caused by taking in more sodium, which is what theoretically happens when we eat more salt, carbohydrates cause us to retain water by inhibiting the excretion of the sodium that is already there. Removing carbohydrates from the diet works, in effect, just like the antihypertensive drugs known as diuretics, which cause the kidneys to excrete sodium, and water along with it. This

Why, for example, do people gorge on high-calorie food that is doing little good to their bodies? Today’s affluent societies are in the throes of a plague of obesity, which is rapidly spreading to developing countries. It’s a puzzle why we binge on the sweetest and greasiest food we can find, until we consider the eating habits of our forager forebears. In the savannahs and forests they inhabited, high-calorie sweets were extremely rare and food in general was in short supply. A typical forager 30,000 years ago had access to only one type of sweet food – ripe fruit. If a Stone Age woman came across a tree groaning with figs, the most sensible thing to do was to eat as many of them as she could on the spot, before the local baboon band picked the tree bare. The instinct to gorge on high-calorie food was hard-wired into our genes. Today we may be living in high-rise apartments with over-stuffed refrigerators, but our DNA still thinks we are in the savannah. That’s what makes some of us spoon down an entire tub of Ben & Jerry’s when we find one in the freezer and wash it down with a jumbo Coke. This ‘gorging gene’ theory is widely accepted. Other theories are far more contentious. For

One of my colleagues in Duke, Ralph Keeney, noted that America's top killer isn't cancer or heart disease, nor is it smoking or obesity. It's our inability to make smart choices and overcome our own self-destructive behaviours. Ralph estimates that about half of us will make a lifestyle decision that will ultimately lead us to an early grave. And as if this were not bad enough, it seems that the rate at which we make these deadly decisions is increasing at an alarming pace. I suspect that over the next few decades, real improvements in life expectancy and quality are less likely to be driven by medical technology than by improved decision making. Since focusing on long-term benefits is not our natural tendency, we need to more carefully examine the cases in which we repeatedly fail, and try to come up with some remedies for these situations. For an overweight movie loved, the key might be to enjoy watching a film while walking on the treadmill. The trick is to find the right behavioural antidote for each problem. By pairing something that we love with something that we dislike but that is good for us, we might be able to harness desire with outcome - and thus overcome some of the problems with self-control we face every day.

HUNGER AND OBESITY The change in diets around the world is also creating a global obesity epidemic—and in its wake a global diabetes epidemic—even as more than 900 million people in the world still suffer from chronic hunger. In the United States, where many global trends begin, the weight of the average American has increased by approximately twenty pounds in the last forty years. A recent study projects that half the adult population of the United States will be obese by 2030, with one quarter of them “severely obese.” At a time when hunger and malnutrition are continuing at still grossly unacceptable levels in poor countries around the world (and in some pockets within developed countries), few have missed the irony that simultaneously obesity is at record levels in developed countries and growing in many developing countries. How could this be? Well, first of all, it is encouraging to note that the world community has been slowly but steadily decreasing the number of people suffering from chronic hunger. Secondly, on a global basis, obesity has more than doubled in the last thirty years. According to the World Health Organization, almost 1.5 billion adults above the age of twenty are overweight, and more than a third of them are classified as obese. Two thirds of the world’s population now live in countries where more people die from conditions related to being obese and overweight than from conditions related to being underweight. Obesity represents a major risk factor for the world’s leading cause of death—cardiovascular diseases, principally heart disease and stroke—and is the major risk factor for diabetes, which has now become the first global pandemic involving a noncommunicable disease.* Adults with diabetes are two to four times more likely to suffer heart disease or a stroke, and approximately two thirds of those suffering from diabetes die from either stroke or heart disease.† The tragic increase in obesity among children is particularly troubling; almost 17 percent of U.S. children are obese today, as are almost 7 percent of all children in the world. One respected study indicates that 77 percent of obese children will suffer from obesity as adults. If there is any good news in the latest statistics, it is that the prevalence of obesity in the U.S. appears to be reaching a plateau, though the increases in childhood obesity ensure that the epidemic will continue to grow in the future, both in the U.S. and globally. The causes of this surge in obesity are both simple—in that people are eating too much and exercising

After a series of promotions—store manager at twenty-two, regional manager at twenty-four, director at twenty-seven—I was a fast-track career man, a personage of sorts. If I worked really hard, and if everything happened exactly like it was supposed to, then I could be a vice president by thirty-two, a senior vice president by thirty-five or forty, and a C-level executive—CFO, COO, CEO—by forty-five or fifty, followed of course by the golden parachute. I’d have it made then! I’d just have to be miserable for a few more years, to drudge through the corporate politics and bureaucracy I knew so well. Just keep climbing and don't look down. Misery, of course, encourages others to pull up a chair and stay a while. And so, five years ago, I convinced my best friend Ryan to join me on the ladder, even showed him the first rung. The ascent is exhilarating to rookies. They see limitless potential and endless possibilities, allured by the promise of bigger paychecks and sophisticated titles. What’s not to like? He too climbed the ladder, maneuvering each step with lapidary precision, becoming one of the top salespeople—and later, top sales managers—in the entire company.10 And now here we are, submerged in fluorescent light, young and ostensibly successful. A few years ago, a mentor of mine, a successful businessman named Karl, said to me, “You shouldn’t ask a man who earns twenty thousand dollars a year how to make a hundred thousand.” Perhaps this apothegm holds true for discontented men and happiness, as well. All these guys I emulate—the men I most want to be like, the VPs and executives—aren’t happy. In fact, they’re miserable.  Don’t get me wrong, they aren’t bad people, but their careers have changed them, altered them physically and emotionally: they explode with anger over insignificant inconveniences; they are overweight and out of shape; they scowl with furrowed brows and complain constantly as if the world is conspiring against them, or they feign sham optimism which fools no one; they are on their second or third or fourth(!) marriages; and they almost all seem lonely. Utterly alone in a sea of yes-men and women. Don’t even get me started on their health issues.  I’m talking serious health issues: obesity, gout, cancer, heart attacks, high blood pressure, you name it. These guys are plagued with every ailment associated with stress and anxiety. Some even wear it as a morbid badge of honor, as if it’s noble or courageous or something. A coworker, a good friend of mine on a similar trajectory, recently had his first heart attack—at age thirty.  But I’m the exception, right?

The proof that the One Stone Solution is political lies in what women feel when they eat “too much”: guilt. Why should guilt be the operative emotion, and female fat be a moral issue articulated with words like good and bad? If our culture’s fixation on female fatness or thinness were about sex, it would be a private issue between a woman and her lover; if it were about health, between a woman and herself. Public debate would be far more hysterically focused on male fat than on female, since more men (40 percent) are medically overweight than women (32 percent) and too much fat is far more dangerous for men than for women. In fact, “there is very little evidence to support the claim that fatness causes poor health among women…. The results of recent studies have suggested that women may in fact live longer and be generally healthier if they weigh ten to fifteen percent above the life-insurance figures and they refrain from dieting,” asserts Radiance; when poor health is correlated to fatness in women, it is due to chronic dieting and the emotional stress of self-hatred. The National Institutes of Health studies that linked obesity to heart disease and stroke were based on male subjects; when a study of females was finally published in 1990, it showed that weight made only a fraction of the difference for women that it made for men. The film The Famine Within cites a sixteen-country study that fails to correlate fatness to ill health. Female fat is not in itself unhealthy.

It's not that we're dumb. On the contrary, many millions of people have exerted great intelligence and creativity in building the modern world. It's more that we're being swept into unknown and dangerous waters by accelerating economic growth. On just one single day of the days I have spent writing this book, as much world trade was carried out as in the whole of 1949; as much scientific research was published as in the whole of 1960; as many telephone calls were made as in all of 1983; as many e-mails were sent as in 1990.11 Our natural, human, and industrial systems, which evolve slowly, are struggling to adapt. Laws and institutions that we might expect to regulate these flows have not been able to keep up. A good example is what is inaccurately described as mindless sprawl in our physical environment. We deplore the relentless spread of low-density suburbs over millions of acres of formerly virgin land. We worry about its environmental impact, about the obesity in people that it fosters, and about the other social problems that come in its wake. But nobody seems to have designed urban sprawl, it just happens-or so it appears. On closer inspection, however, urban sprawl is not mindless at all. There is nothing inevitable about its development. Sprawl is the result of zoning laws designed by legislators, low-density buildings designed by developers, marketing strategies designed by ad agencies, tax breaks designed by economists, credit lines designed by banks, geomatics designed by retailers, data-mining software designed by hamburger chains, and automobiles designed by car designers. The interactions between all these systems and human behavior are complicated and hard to understand-but the policies themselves are not the result of chance. "Out of control" is an ideology, not a fact.

Economics today creates appetites instead of solutions. The western world swells with obesity while others starve. The rich wander about like gods in their own nightmares. Or go skiing in the desert. You don’t even have to be particularly rich to do that. Those who once were starving now have access to chips, Coca-Cola, trans fats and refined sugars, but they are still disenfranchized. It is said that when Mahatma Gandhi was asked what he thought about western civilization, he answered that yes, it would be a good idea. The bank man’s bonuses and the oligarch’s billions are natural phenomena. Someone has to pull away from the masses – or else we’ll all become poorer. After the crash Icelandic banks lost 100 billion dollars. The country’s GDP had only ever amounted to thirteen billion dollars in total. An island with chronic inflation, a small currency and no natural resources to speak of: fish and warm water. Its economy was a third of Luxembourg’s. Well, they should be grateful they were allowed to take part in the financial party. Just like ugly girls should be grateful. Enjoy, swallow and don’t complain when it’s over. Economists can pull the same explanations from their hats every time. Dream worlds of total social exclusion and endless consumerism grow where they can be left in peace, at a safe distance from the poverty and environmental destruction they spread around themselves. Alternative universes for privileged human life forms. The stock market rises and the stock market falls. Countries devalue and currencies ripple. The market’s movements are monitored minute by minute. Some people always walk in threadbare shoes. And you arrange your preferences to avoid meeting them. It’s no longer possible to see further into the future than one desire at a time. History has ended and individual freedom has taken over. There is no alternative.

But here’s the dilemma: Why is “how-to” so alluring when, truthfully, we already know “how to” yet we’re still standing in the same place longing for more joy, connection, and meaning? Most everyone reading this book knows how to eat healthy. I can tell you the Weight Watcher points for every food in the grocery store. I can recite the South Beach Phase I grocery shopping list and the glycemic index like they’re the Pledge of Allegiance. We know how to eat healthy. We also know how to make good choices with our money. We know how to take care of our emotional needs. We know all of this, yet … We are the most obese, medicated, addicted, and in-debt Americans EVER. Why? We have more access to information, more books, and more good science—why are we struggling like never before? Because we don’t talk about the things that get in the way of doing what we know is best for us, our children, our families, our organizations, and our communities. I can know everything there is to know about eating healthy, but if it’s one of those days when Ellen is struggling with a school project and Charlie’s home sick from school and I’m trying to make a writing deadline and Homeland Security increased the threat level and our grass is dying and my jeans don’t fit and the economy is tanking and the Internet is down and we’re out of poop bags for the dog—forget it! All I want to do is snuff out the sizzling anxiety with a pumpkin muffin, a bag of chips, and chocolate. We don’t talk about what keeps us eating until we’re sick, busy beyond human scale, desperate to numb and take the edge off, and full of so much anxiety and self-doubt that we can’t act on what we know is best for us. We don’t talk about the hustle for worthiness that’s become such a part of our lives that we don’t even realize that we’re dancing. When I’m having one of those days that I just described, some of the anxiety is just a part of living, but there are days when most of my anxiety grows out of the expectations I put on myself. I want Ellen’s project to be amazing. I want to take care of Charlie without worrying about my own deadlines. I want to show the world how great I am at balancing my family and career. I want our yard to look beautiful. I want people to see us picking up our dog’s poop in biodegradable bags and think, My God! They are such outstanding citizens. There are days when I can fight the urge to be everything to everyone, and there are days when it gets the best of me.

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The educated class knows the value of good health to quality of life and is willing to pay for it. The poor are more likely to trap themselves in a culture of smoking, poor nutrition, obesity, drugs, and only sporadic attention from a physician.

Abundant data support the importance of biodiversity in health, and its loss causes various inflammatory conditions, including asthma, allergic and inflammatory bowel diseases, type 1 diabetes, liver disease, obesity, and much more.

I’m talking serious health issues: obesity, gout, cancer, heart attacks, high blood pressure, you name it. These guys are plagued with every ailment associated with stress and anxiety. Some even wear it as a morbid badge of honor, as if it’s noble or courageous or something. A coworker, a good friend of mine on a similar trajectory, recently had his first heart attack—at age thirty.

Because sugar has no nutritional value and is something that brings pleasure, many nineteenth-century Americans identified it as a source of various societal maladies. Victorian medical advisers and reformers alike, preoccupied with personal respectability and good conduct, believed that sugar was slightly addictive and would lead to other vices, such as gambling and drinking. In the late twentieth century people blamed hyperactivity, obesity, attention deficit disorder, diabetes, and other debilities (especially among children) on sugar consumption.

Gary Taubes, Why We Get Fat: And What to Do About It (New York: Anchor Books, 2010). For an expanded discussion of Taubes’s arguments, see Good Calories, Bad Calories: Fats, Carbs, and the Controversial Science of Diet and Health (New York: Anchor Books, 2008). It includes a helpful summary of Taubes’s conclusions (p. 454): 1. Dietary fat, whether saturated or not, is not a cause of obesity, heart disease, or any other chronic disease of civilization. 2. The problem is the carbohydrates in the diet, their effect on insulin secretion, and thus the hormonal regulation of homeostasis—the entire harmonic ensemble of the human body. The more easily digestible and refined the carbohydrates, the greater the effect on our health, weight, and well-being. 3. Sugars—sucrose and high-fructose corn syrup, specifically—are particularly harmful, probably because the combination of fructose and glucose simultaneously elevates insulin levels while overloading the liver with carbohydrates. 4. Through their direct effect on insulin and blood sugar, refined carbohydrates, starches, and sugars are the dietary cause of coronary heart disease and diabetes. They are the most likely dietary causes of cancer, Alzheimer’s disease, and the other chronic diseases of civilization. 5. Obesity is a disorder of excess fat accumulation, not overeating, and not sedentary behavior. 6. Consuming excess calories does not cause us to grow fatter, any more than it causes a child to grow taller. Expending more energy than we consume does not lead to long-term weight loss; it leads to hunger. 7. Fattening and obesity are caused by an imbalance—a disequilibrium—in the hormonal regulation of adipose tissue and fat metabolism. Fat synthesis and storage exceed the mobilization of fat from the adipose tissue and its subsequent oxidation. We become leaner when the hormonal regulation of the fat tissue reverses this balance. 8. Insulin is the primary regulator of fat storage. When insulin levels are elevated—either chronically or after a meal—we accumulate fat in our fat tissue. When insulin levels fall, we release fat from our fat tissue and use it for fuel. 9. By stimulating insulin secretion, carbohydrates make us fat and ultimately cause obesity. The fewer carbohydrates we consume, the leaner we will be. 10. By driving fat accumulation, carbohydrates also increase hunger and decrease the amount of energy we expend in metabolism and physical activity. For a fascinating discussion of the role of fat in a healthy diet, see also Nina Teicholz, The Big Fat Surprise: Why Butter, Meat and Cheese Belong in a Healthy Diet (New York: Simon & Schuster, 2014).

Obesity, eating disorders, and chemical dependency on food are three distinct and very different diseases -- and demonstrate different behaviors around food. We can categorize the corresponding behaviours of these conditions as problems that occur within the normal eating, emotional eating, and food addiction spectrums. Obesity is entirely a physical problem: a result of eating too many calories while expending too few... Normal eaters simply eat too much... Normal eaters represent a large proportion of the obese. They can regulate their obesity by learning how to change the circumstances that foster poor willpower: better sleep, stress management, improving social skills, and changing a toxic good environment are only a few of the modifications that can be made... Certainly, people suffering from eating disorders and food addiction can also be obese, but their primary condition is not obesity. In their cases, obesity is just another symptom of their emotional disturbance or their food addiction. The underlying emotional trauma that drives the bulimic to stuff himself needs to be addressed first before the physical aspects of obesity can be seriously addressed; likewise, the sugar that is propelling the addictive overeater needs to be removed first before tackling any weight issues.

Obesity as Moral Philosophy Utilitarianism determines morality on the basis of the greatest good for the greatest number. The Catch-22 is we must at times offend the greatest number of people for progressive ideas to emerge that will eventually serve our greatest good. Utopias fail not because of their flawed philosophy but because of our childish impatience and refusal to be offended in the name of progress. Despite our refusal, progress can explain why 70% of all Americans today are obese. So, as I see it, if you're going to wind up fat anyway, you might as well live in an Utopia that distributes free snacks.

despite the depth and certainty of our faith that saturated fat is the nutritional bane of our lives and that obesity is caused by overeating and sedentary behavior, there has always been copious evidence to suggest that those assumptions are incorrect, and that evidence is continuing to mount.

The Paleo diet is about eliminating carbs Going along with the “caveman” image, many people mistakenly think that Paleo eating is all about tearing into endless plates of meat and nothing else. This is not true. On a Paleo eating plan, carbs are usually kept below 100 or 150 grams per day, which is actually ample. The kind of carbs is more important, and Paleo eaters get their carbohydrates from starchy vegetables, nuts and seeds instead of the empty calories from bread, rice or pasta. Paleo dieters will occasionally fast and put their bodies into ketosis, but this is not automatically a very low carb plan and has very little in common with the infamous Atkins diet. The Paleo diet is not practical Many people reel in horror at the thought that you could stay alive without grains. The truth is grains, especially wheat, are nutrient poor and usually only serve to disrupt blood sugar and insulin levels, promote fat storage and increase over time allergies, obesity and even the initial stages of type II diabetes. Grains contain phytates and other plant proteins that damage the intestinal lining and lead to leaky gut syndrome and a host of other complaints, not to mention overweight. A diet rich in empty carbohydrates is nutrient deficient, fattening and even addictive, if white sugar plays a big role. You can eat as much fat as you like on the Paleo diet Partly true. Again, it’s not so much the quantity but the quality of the fat in question. While eating fat has been shown again and again not to make you fat, it’s also important to choose the right kinds. Butter, good quality animal fats, avocado, coconut and olive oil as well as the fat found in eggs and good quality dairy are excellent for the health in every way. Avoid refined, deodorized and hydrogenated oils such as sunflower, cottonseed or canola oil. These are incredibly toxic to the body and high in inflammation causing Omega 6 fatty acids. Dairy is forbidden on the Paleo diet Always a point of debate, whether to eat dairy or not comes down to a matter of personal choice. Some of us possess the enzymes to properly digest milk, other do not. The only way to test for your own sensitivity is to experiment and listen to your body. If lactose is a problem, eat cultured dairy like yogurt, kefir and cheese. If milk forms a good part of your diet, be sure that you’re getting hormone free, grass fed milk from a quality source and don’t binge on milk as it’s also quite high in carbohydrates. If fat loss is your main goal, eliminate dairy until your goal weight is reached.

The most dramatic of these animal obesity models is known as hypothalamic obesity, and it served as the experimental obesity of choice for researchers from the 1930s onward. It also became another example of the propensity to attribute the cause of obesity to overeating even when the evidence argued otherwise. The interpretation of these experiments became one of a half-dozen critical turning points in obesity research, a point at which the individuals involved in this research chose to accept an interpretation of the evidence that fit their preconceptions rather than the evidence itself and, by so doing, further biased the perception of everything that came afterward.

The idea that obesity in humans is caused, as it is in animals, by a defect in the homeostatic maintenance of energy distribution and fat metabolism—that we overeat because we’re getting fat, and not vice versa—barely survived into the second half of the twentieth century, although the evidence has always supported it.

This homeostatic hypothesis effectively vanished from the mainstream thinking on human (as opposed to animal) obesity with the coming of World War II. The war destroyed the German and Austrian community of clinical investigators, who had done the most perceptive thinking about the causes of obesity and had a tradition of rigorous scientific research dating back two hundred years.

An entire generation of young researchers and clinicians effectively started the study of obesity from scratch after the war. They did so with little concern for whatever understanding had been achieved before they arrived, and so they embraced a hypothesis of causation that flew in the face of much of the evidence.

These latter two propositions—that insulin regulates fat deposition and carbohydrates regulate insulin—have never been controversial, but they’ve been dismissed as irrelevant to obesity, given the ubiquitous belief that obesity is caused by overeating. That, I will argue, was a mistake.

What may be the single most incomprehensible aspect of the last half-century of obesity research is the failure of those involved to grasp the fact that both hunger and sedentary behavior can be driven by a metabolic-hormonal disposition to grow fat, just as a lack of hunger and the impulse to engage in physical activity can be driven by a metabolic-hormonal disposition to burn calories rather than store them.

We have thrifty metabolisms when we are undernourished and so need to use efficiently every calorie we consume, and we have spendthrift metabolisms when we’re overnourished, so as to avoid excessive weight gain and obesity. Our cells may have a certain maximal or ideal capacity for metabolizing nutrients, but the amount that they actually metabolize is ultimately determined by the quantity and perhaps the quality of the nutrients delivered in the circulation.

the association between heart disease, obesity, and diabetes. If heart disease is caused by high-fat diets, as is commonly believed, then so are obesity and diabetes, since these diseases appear together in both individuals and populations. But there is no evidence linking obesity to dietary-fat consumption, neither between populations nor in the same populations.*91 And, of course, if dietary fat is not responsible for heart disease, then it’s unlikely that it plays a role in obesity and diabetes.

By perceiving obesity as an eating disorder, a defect of behavior rather than physiology, and by perceiving excessive hunger as the cause of obesity, rather than a symptom that accompanies the drive to gain weight, those investigators concerned with human obesity had managed to dissociate the perception of hunger and satiety from any underlying metabolic conditions.

After the publication of Banting’s Letter on Corpulence in 1863, physicians would routinely advise their fat patients to avoid carbohydrates, particularly sweets, starches, and refined carbohydrates, and this practice continued as the standard treatment of obesity and overweight through the better part of the twentieth century.

In the century before the medical community began prescribing fat-restricted, carbohydrate-rich diets for weight loss, one point of controversy was whether carbohydrates should be avoided because they are uniquely fattening or perhaps even cause obesity—as

One observation made repeatedly through the 1960s was that the obese favor carbohydrates, and that these constitute the great proportion of all calories they consume. Though the obese did not appear to eat more calories, on average, than the lean, they did consume more carbohydrates.

Though the traditional response to the failure of semi-starvation diets to produce long-term weight loss has been to blame the fat person for a lack of willpower, Bruch, Rony, and others have argued that this failure is precisely the evidence that tells us positive caloric balance or overeating is not the underlying disorder in obesity.

In 1966, they published Diabetes, Coronary Thrombosis and the Saccharine Disease, a book in which they argued that all the common chronic diseases of Western societies—including heart disease, obesity, diabetes, peptic ulcers, and appendicitis—constituted the manifestations of a single, primary disorder that could be called “refined-carbohydrate disease.

he considered dental cavities the chronic-disease equivalent of the canary in the mine. If cavities are caused primarily by eating sugar and white flour, and cavities appear first in a population no longer eating its traditional diet, followed by obesity, diabetes, and heart disease, then the assumption, until proved otherwise, should be that the other diseases were also caused by these carbohydrates.

It is also possible that obesity, diabetes, and heart disease all share a single, underlying cause.

The new diet inevitably included carbohydrate foods that could be transported around the world without spoiling or being devoured by rodents on the way: sugar, molasses, white flour, and white rice. Then diseases of civilization, or Western diseases, would appear: obesity, diabetes mellitus, cardiovascular disease, hypertension and stroke, various forms of cancer, cavities, periodontal disease, appendicitis, peptic ulcers, diverticulitis, gallstones, hemorrhoids, varicose veins, and constipation. When any diseases of civilization appeared, all of them would eventually appear.

Fat Americans: They Don’t Know When They’re Hungry, They Don’t Know When They’re Full,” as a New York Times headline suggested in 1974. By that time, obesity, like anorexia, was categorized as an eating disorder, and the field of obesity therapy had become a subdiscipline of psychiatry and psychology. All these behavioral therapies, call them what you may, were in fact aimed at correcting failures of will. Every attempt to treat obesity by inducing the obese to eat less or exercise more is a behavioral treatment of obesity, and implies a behavioral-psychological cause of the condition.

there is no scientifically justifiable reason—or evidence—to assume that the obese are any more defective in character or behavior

overeating and sedentary behavior could not explain the prevalence of obesity and diabetes in modern societies,

studying many obese people in great detail and following them over a long period of time, I have come to the conclusion that…overeating, though it is observed with great regularity, is not the cause of obesity; it is a symptom of an underlying disturbance…. Food, of course, is essential for obesity—but so is it for the maintenance of life in general. The need for overeating and the changes in weight regulation and fat storage are the essential disturbances.

All those who have insisted (and still do) that overeating and/or sedentary behavior must be the cause of obesity have done so on the basis of this same fundamental error: they will observe correctly that positive caloric balance must be associated with weight gain, but then they will assume without justification that positive caloric balance is the cause of weight gain. This simple misconception has led to a century of misguided obesity research.

Obese patients who try to reduce their weight by semi-starvation, as Rony noted, will always be fighting what he called their “spontaneous impulses of eating and activity.” Once they give in to these impulses, which is effectively preordained, they will get fat again.

In fact, the evidence was clear, but it was difficult to reconcile with the assembled experts’ preconceived notion—the dogma—that obesity is caused by gluttony and/or sloth.

nutritionists and cardiologists seeking uncomplicated answers found Keys’s mathematical approach easier to imagine than Pennington’s complex idea about a hormonal disorder. Yet, as we’ve seen, a good deal of evidence contradicts the idea that dietary fat causes obesity, just as there was ultimately little evidence for the role of fat in heart disease.

To attribute obesity to ‘overeating,’” as the Harvard nutritionist Jean Mayer suggested back in 1968, “is as meaningful as to account for alcoholism by ascribing it to ‘overdrinking.

This transformation is all the more remarkable because the medical authorities behind it were concerned with heart disease, not obesity. They presented no dramatic scientific data to support their beliefs, only ambiguous evidence, none of which addressed the efficacy of low-fat diets in weight loss.

Obesity levels in the United States remained relatively constant from the early 1960s through 1980, between 12 and 14 percent of the population; over the next twenty-five years, coincident with the official recommendations to eat less fat and so more carbohydrates, it surged to over 30 percent. By 2004, one in three Americans was considered clinically obese.

Most studies comparing normal and overweight people suggest that those who are overweight eat fewer calories than those of normal weight.” Researchers and public-health officials nonetheless insist that obesity is caused by overeating, without attempting to explain how these two notions can be reconciled.

This doubling of the proportion of obese Americans is consistent through all segments of American society, although obesity remains more common among African Americans and Hispanics than among whites and other ethnic groups, and most common among those in the lowest income brackets and poorly educated. Children were not exempt from this trend. The prevalence of overweight in children six to eleven years old more than doubled between 1980 and 2000; it tripled in children aged eleven to nineteen.

excess weight and obesity, like all diseases of civilization, are caused by the singular hormonal effects of a diet rich in refined and easily digestible carbohydrates. The fattening of our adult years, after all, is not just associated with chronic diseases of civilization, it is a disease of civilization, and so it, too, may be a symptom of an underlying disorder. In this hypothesis, it is the quality of the calories consumed that regulates weight, and the quantity—more calories consumed than expended—is a secondary phenomenon.

Does carbohydrate cause arteriosclerosis? Certainly it does if taken in such excess as to produce obesity, but except in this manner no one would attribute any such function to it…. Is a persistent [high blood sugar] a cause of arteriosclerosis in diabetes? It very likely is a cause because it is an abnormal condition and any abnormal state would tend to wear out the machine. ELLIOTT JOSLIN, “Arteriosclerosis and Diabetes,” 1927

The belief in physical activity as a method of weight control is relatively new, however, and it has long been contradicted by the evidence. When Russell Wilder of the Mayo Clinic lectured on obesity in 1932, he noted that his patients tended to lose more weight with bed rest, “while unusually strenuous physical exercise slows the rate of loss.” “The patient reasons quite correctly,” Wilder said, “that the more exercise he takes the more fat should be burned and that loss of weight should be in proportion, and he is discouraged to find that the scales reveal no progress.

Feinstein examined the efficacy of various obesity treatments in a lengthy review in the Journal of Chronic Diseases, he dismissed exercise in a single paragraph. “There has been ample demonstration that exercise is an ineffective method of increasing energy output,” Feinstein noted, “since it takes far too much activity to burn up enough calories for a significant weight loss. In addition, physical exertion may evoke a desire for food so that the subsequent intake of calories may exceed what was lost during the exercise.

obesity is also associated with poverty, and even extreme poverty, and that should be a compelling argument against physical inactivity as a cause of the disease. Those who earn their living through manual labor tend to be the less advantaged members of societies in developed nations, and yet they will have the greatest obesity rates.

dreadful science can pass for seminal research in the field of obesity.

Species adapt to their environment over successive generations. Those that don’t, die off. When food is abundant, species multiply; they don’t get obese and diabetic.

It was Newburgh, a professor of medicine at the University of Michigan, who then killed off von Noorden’s hypothesis of endogenous obesity once and for all, and with it any explanation for obesity that didn’t blame it on simple gluttony and sloth.

The statement that obesity is accompanied by an imbalance between energy intake and energy output—calories in over calories out—is a tautology.