Obesity and how it's being addressed?

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It's so easy to point out food that people should be eating and blame personal preferences for being overweight. And hey, a lot of times it is. But, you also have to look at it from multiple viewpionts. From a public health standpoint, you need to consider the availability of these foods. In the surrounding area of my college, there is an extremely high incidence of obesity. Why? Because of the food deserts-areas in which they only food available is packaged and there is a small amount of produce available. Many of these people work two or three jobs, are single parents, and don't have access to a car. On top of that, their nearby grocery stores only sell boxed and convenient foods. If stores have produce, its mostly rotten and in bad quality. What are people supposed to do? Either spend 10 dollars getting healthy food for a day or packaged food that could feed their family for a week? I don't think we can truly help patients if we don't understand these underlying factors and help improve them first.

This! There are so many underlying factors in the obesity epidemic and it isn't as simple as "they chose to become fat because they were too lazy to change their bad habits." Many of these people don't have the resources to eat healthily. If someone is a single parent working multiple minimum wage jobs, when they get home to feed their kid dinner and sleep and only have four hours before their next shift, is it easier to spend a few minutes heating up some frozen food or an entire hour making a meal? When will they have time to go to the grocery store and would it be even worth it if there's a corner store conveniently selling processed foods right down the street? And when that child grows up thinking that eating a hot pocket every night is completely normal, how do we change those eating habits? Even if we try to educate that child in school, how do we make sure he can actually make those correct choices, either monetarily or in his ability to get there?

Many of us are fortunate enough to have options available to us, but a staggering number of us don't. Obviously trying to improve access to fresh foods for impoverished people solves only a small part of the complex obesity problem but I think it's a part of the underlying issue. Unfortunately, I don't really think this is something that doctors can address outside the capacity of a concerned citizen--it's a problem for politicians and policy makers. :/
 
This! There are so many underlying factors in the obesity epidemic and it isn't as simple as "they chose to become fat because they were too lazy to change their bad habits." Many of these people don't have the resources to eat healthily. If someone is a single parent working multiple minimum wage jobs, when they get home to feed their kid dinner and sleep and only have four hours before their next shift, is it easier to spend a few minutes heating up some frozen food or an entire hour making a meal? When will they have time to go to the grocery store and would it be even worth it if there's a corner store conveniently selling processed foods right down the street? And when that child grows up thinking that eating a hot pocket every night is completely normal, how do we change those eating habits? Even if we try to educate that child in school, how do we make sure he can actually make those correct choices, either monetarily or in his ability to get there?

Many of us are fortunate enough to have options available to us, but a staggering number of us don't. Obviously trying to improve access to fresh foods for impoverished people solves only a small part of the complex obesity problem but I think it's a part of the underlying issue. Unfortunately, I don't really think this is something that doctors can address outside the capacity of a concerned citizen--it's a problem for politicians and policy makers. :/


Everybody has their own story of how they became overweight.
 
You know, physicians may not have extensive training in fitness and sports nutrition, but they have the scientific knowledge of physiology and especially biochemistry to learn- in a scientific way- about fitness and sports nutrition.

The biggest problem with exercise science is the science.... real science in the field is hard to come by. You have to sift through a lot of junk fad diets and exercise programs that claim a biochemical basis in order to find real science. Even the exercise phys faculty of my school, all of whom have PhD's, each have their own philosophy. Prof. Marathon Runner swears by distance running, while a colleague insists that distance running is counterproductive to loosing weight, etc.

I think an internist or an FP who took the time to learn about the real biochemistry of fitness, or maybe even do a fellowship in Sports Med, would have a great opportunity to help a lot of people by tailoring fitness programs to individuals.
 
The biggest problem with exercise science is the science.... real science in the field is hard to come by. You have to sift through a lot of junk fad diets and exercise programs that claim a biochemical basis in order to find real science. Even the exercise phys faculty of my school, all of whom have PhD's, each have their own philosophy. Prof. Marathon Runner swears by distance running, while a colleague insists that distance running is counterproductive to loosing weight, etc.
I've had a personal trainer for a short time, and he would tell me stuff (such as I should eat something with alot of protein 30-minutes after exercising because your metabolism is different), and I actually gave a "huhhh" face because I am confused about how that can possibly work. "Doesn't it have to go through your stomach first, before being absorbed? and that can take awhile" "trainer - "Well, there are certain types of proteins that work faster and go through your system faster." me- "I need evidence of this."

At GNC, I bought a protein shake powder and this sales rep tells me "Oh no, you need this type of protein - for women. It will make you leaner. That protein will bulk you up" (In my head - ummmm protein is protein. And I will only bulk up if I start shooting myself with testosterone, silly man)

Of course the above could make logical sense - and if it does to you, please explain it to me.

Regardless, I love exercise science.
 
On a related note, here is what will replace the food pyramid.

ba-USDA_MY_Plate_0503560997_part6.jpg
 
That's silly. First off - all the diary i get doesn't come in a cup. Secondly - most people's protein on plate is 3xs that. haha
 
I've had a personal trainer for a short time, and he would tell me stuff (such as I should eat something with alot of protein 30-minutes after exercising because your metabolism is different), and I actually gave a "huhhh" face because I am confused about how that can possibly work. "Doesn't it have to go through your stomach first, before being absorbed? and that can take awhile" "trainer - "Well, there are certain types of proteins that work faster and go through your system faster." me- "I need evidence of this."

At GNC, I bought a protein shake powder and this sales rep tells me "Oh no, you need this type of protein - for women. It will make you leaner. That protein will bulk you up" (In my head - ummmm protein is protein. And I will only bulk up if I start shooting myself with testosterone, silly man)

Of course the above could make logical sense - and if it does to you, please explain it to me.

Regardless, I love exercise science.

I bet the protein he wanted you to get was more expensive?

Anyway, can anyone with any biochem experience tell me how proteins are processed in the body? I heard somewhere they were broken down to the amino acids so they can be reassembled by ribosomes into peptide chains... that makes sense to me at least, because all proteins aren't going to be the same across species. Maybe different protein supplements have different relative concentrations of different amino acids?
 
Yeah, unless you accidentally picked up one of those weight-gain shake tubs, I've got my money that the salesperson was trying to hustle you for a bigger sale.

lol ilikepancakes. I don't think I can do it 24 hours straight. 😛
 
I bet the protein he wanted you to get was more expensive?
Yeah, unless you accidentally picked up one of those weight-gain shake tubs, I've got my money that the salesperson was trying to hustle you for a bigger sale.
he said it was the same exact brand as the one I was buying - but rebranded by GNC and that this was a "women's version" that he always recommends to women that come in. Apparently, rumor is that if they sell a GNC brand item, they get a commission. What he was trying to sell me was like 20 scoops - vs my 30 scoop. And only a dollar less. So yes, more expensive. Same exact calorie/protein intake though. I pretty much told him that I would take the cheaper item and bulk up.
Anyway, can anyone with any biochem experience tell me how proteins are processed in the body? I heard somewhere they were broken down to the amino acids so they can be reassembled by ribosomes into peptide chains... that makes sense to me at least, because all proteins aren't going to be the same across species. Maybe different protein supplements have different relative concentrations of different amino acids?
I think you are correct. But I don't think one certain type of AA makes you bulk or tone up more than another. Hormones play an important role in that. Most protein shakes that I buy atleast have a good 15-20 AAs in them (atleast all the essential ones) - I try to be complete as I am a somewhat vegetarian.
 
Anyway, can anyone with any biochem experience tell me how proteins are processed in the body? I heard somewhere they were broken down to the amino acids so they can be reassembled by ribosomes into peptide chains... that makes sense to me at least, because all proteins aren't going to be the same across species. Maybe different protein supplements have different relative concentrations of different amino acids?

I believe protein must be broken down into it's amino acid components in order to be absorbed into the body. Otherwise, you get an allergic reaction.
 
A fat doctor telling a person to lose weight is really hypocritical. Don't see how really overweight people feel like they should be an MD

How is it hypocritical? A doctor is supposed to encourage healthy lifestyles for their patients. Why would a physicians own personal life negate the legitimacy of their advice/knowledge?

My mother is an internist and she's overweight. And while I nag her incessantly about her weight I know she is a good doctor. I take offense to the notion that she has no right to promote healthy diets due to her own personal life.
 
I don't think it's necessarily hypocritical for an overweight physician to recommend losing weight to a patient, but I'd be willing to be that it will be perceived as hypocritical by many patients. I think there's an expectation that doctors, who essentially deal in the business of health, remain healthy themselves... probably like how a barber with a poor haircut or a mechanic who drives a run down clunker fail to inspire confidence in their abilities.
 
I don't think it's necessarily hypocritical for an overweight physician to recommend losing weight to a patient, but I'd be willing to be that it will be perceived as hypocritical by many patients. I think there's an expectation that doctors, who essentially deal in the business of health, remain healthy themselves... probably like how a barber with a poor haircut or a mechanic who drives a run down clunker fail to inspire confidence in their abilities.
I had a student dentist that had a chipped front tooth cleaning my teeth once. It was weird, and I was screaming in my head the entire time "Dude, your going to be a dentist! Have that capped. You need a PERFECT Smile"

edit: I am a horrible person.
 
I don't think it's necessarily hypocritical for an overweight physician to recommend losing weight to a patient, but I'd be willing to be that it will be perceived as hypocritical by many patients. I think there's an expectation that doctors, who essentially deal in the business of health, remain healthy themselves... probably like how a barber with a poor haircut or a mechanic who drives a run down clunker fail to inspire confidence in their abilities.

+1 👍
 
A fat doctor telling a person to lose weight is really hypocritical. Don't see how really overweight people feel like they should be an MD

...the ****? This post makes no sense.
 
I think one of the problems when it comes to obesity is that we are open to cater to it. If you become fat you have zero issue in finding in clothes that fit. We have infinite amount of x's I'm our sizes. This kind of helps the people to feel comfortable no matter what size they might be. If sizing was more of an issue than maybe people would think twice before increasing their size. I guess our advances in medicine and medical equipment also is a factor, since you are still able to somewhat live "normally".

Not trying to say that what we are doing is necessarily a bad thing, but iin indirect sort of way we are kind of make it okay to be obese since if you are you will still be able to live your life almost the same as those who are not obese.
 
What? Yeah! Make the fatties run around naked. That'll learn 'em.

FTR, at least as far as women are concerned, a lot of the cute stuff stops becoming available around size 16, let alone the fact that it's really designed for people at least a few sizes below that. That is one of the big motivators for me to get back on my diet after I have this kid.
 
How is it hypocritical? A doctor is supposed to encourage healthy lifestyles for their patients. Why would a physicians own personal life negate the legitimacy of their advice/knowledge?

My mother is an internist and she's overweight. And while I nag her incessantly about her weight I know she is a good doctor. I take offense to the notion that she has no right to promote healthy diets due to her own personal life.

If I sit here and smoke..... While telling you how bad smoking is for your health .... You don't find that hypocritical? Really?
 
In my opinion, something that would help would be for restaurants to be required to publish nutritional info on their menus. How many times does something that appears to be healthy turn out to be horrible for you? That would at least help those who want to make the effort to lose weight, and it would also make those who are overweight see the true consequences of what they eat.

I'm overweight, and I'm trying to get rid of the extra weight. It's a matter of making more healthy choices in your life, and I don't know how people are going to learn that except through personal willpower. In my opinion, what we need to do is make it easier for those who are trying to change their lives. If a person won't make losing weight a goal, nothing we can do.
 
In my opinion, something that would help would be for restaurants to be required to publish nutritional info on their menus. How many times does something that appears to be healthy turn out to be horrible for you? That would at least help those who want to make the effort to lose weight, and it would also make those who are overweight see the true consequences of what they eat. .
Starting soon all chains of 20+ restaurants will be required to post the calorie count on their menu for all items. You can already get nutritional information for many chains online -- I remember looking up Champps and nearly going into shock. Even a house salad is tooooo much. [Keep in mind that the calories posted are often 10-20% less than in reality]

I believe a big reason for obesity in the US is due to a growing number of people going out to eat AlOT and not realizing how many calories they are putting into their body during just one meal.
 
Starting soon all chains of 20+ restaurants will be required to post the calorie count on their menu for all items.

True. I've already seen calories posted at Au Bon Pan and Starbucks and I doubt I'll ever grab a snack there again.

On the other hand, there is considerable obesity among those who are too poor to afford restaurant foods. Soft drinks are one issue in that community, and another is consumption of high fat comfort foods and snacks.
 
Do they still have those commercials about how high fructose corn syrup is the same as regular sugar? Total lie, as we know.

Is it accepted as common knowledge that high-fructose corn syrup is really worse than sucrose? I was under the impression that claim hadn't been sufficiently substantiated yet.
 
True. I've already seen calories posted at Au Bon Pan and Starbucks and I doubt I'll ever grab a snack there again.

On the other hand, there is considerable obesity among those who are too poor to afford restaurant foods. Soft drinks are one issue in that community, and another is consumption of high fat comfort foods and snacks.

Well, among the poor, there isn't as many options available. A poor person won't pay much attention to nutritional content, but rather how much something costs. For the most part, junk food is cheaper than healthy food, with things like dollar meals at McDonalds, etc. Soft drinks fit in with the junk food, so people will look to buy that since it's what they're accustomed to.
 
Well, among the poor, there isn't as many options available. A poor person won't pay much attention to nutritional content, but rather how much something costs. For the most part, junk food is cheaper than healthy food, with things like dollar meals at McDonalds, etc. Soft drinks fit in with the junk food, so people will look to buy that since it's what they're accustomed to.

I don't know how many real "ghettos" you've been around.... But the one I lived in had extremely skinny people. They live off gas station doughnuts and beer.

It's not about being poor. It's about a society that just has WAY too much and little self control.
 
I don't know how many real "ghettos" you've been around.... But the one I lived in had extremely skinny people. They live off gas station doughnuts and beer.

It's not about being poor. It's about a society that just has WAY too much and little self control.

To be perfectly honest, I wouldn't necessarily consider a skinny person who lives off doughnuts and beer to be much healthier than an overweight person. They just don't gain as much weight, but are still living an unhealthy lifestyle. Economics definitely does influence the situation somewhat, you have to admit.

But I see your point and definitely agree with your second point. With mega-sized meals, larger soda sizes and things like that, obesity definitely isn't going away.
 
To be perfectly honest, I wouldn't necessarily consider a skinny person who lives off doughnuts and beer to be much healthier than an overweight person. They just don't gain as much weight, but are still living an unhealthy lifestyle. Economics definitely does influence the situation somewhat, you have to admit.

But I see your point and definitely agree with your second point. With mega-sized meals, larger soda sizes and things like that, obesity definitely isn't going away.

Those skinny people are possibly even less healthy then obese ones. Economics can definitely play a factor. Education is required but these people are usually apathetic. I just don't think it's a poor/rich thing as much as it is a willpower thing.
 
Beer and doughnuts is an alcoholic diet and those folks tend toward scrawny.

The poor have about $5/person/day including food stamps so they are not blowing their dough on Happy Meals or dollar menus -- that's actualy rich folks' food in the ghetto. Their food choices are driven by habits and access; there are many neighborhoods that do not have supermarkets and the residents of the area have corner stores that sell alcohol, and packaged foods with a long shelf life and very little if any perishable food (fruits, vegetables, fresh milk, fresh meat).
 
Beer and doughnuts is an alcoholic diet and those folks tend toward scrawny.

The poor have about $5/person/day including food stamps so they are not blowing their dough on Happy Meals or dollar menus -- that's actualy rich folks' food in the ghetto. Their food choices are driven by habits and access; there are many neighborhoods that do not have supermarkets and the residents of the area have corner stores that sell alcohol, and packaged foods with a long shelf life and very little if any perishable food (fruits, vegetables, fresh milk, fresh meat).
Sounds like the BP that my mom used to work at when I was little. We had left over chicken and potato skins so much, that I now hate those foods lol. That was probably a factor in me being overweight, but hey, at least I'm healthy now. 🙂
 
If I sit here and smoke..... While telling you how bad smoking is for your health .... You don't find that hypocritical? Really?

If you were a doctor, which I reckon you aren't, I for one would not appreciate you smoking right in front of me as your patient. Doctors are human beings too with a variety of flaws. That does not make their medical advice any less legitimate and if you are too immature to understand that then there is no point in us engaging each other.

Would it be nice if doctors held themselves to a higher health standard? Of course. Does it happen? I'd venture to say not really. When going with my mom to work related gatherings for her hospital there are just as many doctors getting drunk, over eating, and puffing on cigars outside as the rest of the population in that age group.

Tell me how being a smoker yourself inhibits your ability to understand disease processes? It doesn't. Keep your personal life just that, personal.
 
I think one of the problems when it comes to obesity is that we are open to cater to it. If you become fat you have zero issue in finding in clothes that fit. We have infinite amount of x's I'm our sizes. This kind of helps the people to feel comfortable no matter what size they might be. If sizing was more of an issue than maybe people would think twice before increasing their size. I guess our advances in medicine and medical equipment also is a factor, since you are still able to somewhat live "normally".

Not trying to say that what we are doing is necessarily a bad thing, but iin indirect sort of way we are kind of make it okay to be obese since if you are you will still be able to live your life almost the same as those who are not obese.

Not only is this incredibly insensitive but it's also extremely shortsighted and foolish. If the threat of heart attacks and diabetes won't encourage a healthier diet then why would a lack of clothing do so? You clearly do not understand how obesity effects people on an emotional/mental level. Eating for many overweight people is an addiction and it is foolish to assume it is merely a lack of self control.

Your idea is impractical on a business level as well. The manufacturers of clothing could care less about the health of who buys their products as long as they are buying. Why would they intentionally lower their profit margins to employ some foolhardy plan to encourage diet and exercise? It makes no sense on multiple levels.
 
True. I've already seen calories posted at Au Bon Pan and Starbucks and I doubt I'll ever grab a snack there again.

On the other hand, there is considerable obesity among those who are too poor to afford restaurant foods. Soft drinks are one issue in that community, and another is consumption of high fat comfort foods and snacks.
While I agree with you here, obseity is not just a poor person or food desert epidemic -- everyone in the US is getting bigger. And while many poor people maybe can't afford to eat out, in the area I grew up in - fast food or hole in the wall restaurants were soooo much cheaper compared to buying and preparing the food yourself (time is money). Even comparable to frozen food meals prices. Many people go out to eat because it is "cheaper" than eating in.
 
If the threat of heart attacks and diabetes won't encourage a healthier diet then why would a lack of clothing do so?
Look at tobacco use as example. The side-effects didn't help encourage quitting, yet with the recent prices hikes, to a lot of people smoking has become unaffordable. Similar can be said about the cigarette manufacturers, they "could care less about the health of who buys their products as long as they are buying".

Are people quitting smoking because of the health effects? Not necessarily. Are they doing so because it's a financial inconvenience, most likely.

Don't understand why the same reasoning can't be applied to my original example about clothes. If sizing is an inconvenience then a person would be more likely to do something about it...mostly because it would be rather unacceptable due to issues with society's view on nudity.


You clearly do not understand how obesity effects people on an emotional/mental level. Eating for many overweight people is an addiction and it is foolish to assume it is merely a lack of self control.
Isn't an addiction a symptom of lack of one' self control though?

Also, no one is forcing these people to eat in large quantities and or food that is bad for them. Yes, you can say that they might be suffering from some emotional/metal issues, but that doesn't mean that eating their way to obesity was the only coping method they had. Basically, it's a silly excuse.

I don't understand what is the point of excusing these people from what they do to their bodies. I could understand if it was a handful of people that were obese, but the numbers that are obese are large. And also, this is one of the reasons we are not getting anywhere with this "obesity epidemic", because their is always someone like you saying that "It's not their fault!". So are we suppose to just sit on our hands and do nothing about this?

Just because the obese might be offended, that's their problem. We are not so easy going with people with other addictions. Do people worry about the emotional/mental issues of an alcoholic? I personally don't think I have heard, "He/she is an alcoholic because of mental/emotional issues, rather than lack of self-control".

If obesity is an addiction, we should approach "treating" it like any other addiction. We are not afraid to call out other addicts for their wrong doing, why should obesity be treated any nicer?

Don't feel like proof-reading what I said, so whatever.
 
Look at tobacco use as example. The side-effects didn't help encourage quitting, yet with the recent prices hikes, to a lot of people smoking has become unaffordable. Similar can be said about the cigarette manufacturers, they "could care less about the health of who buys their products as long as they are buying".

Are people quitting smoking because of the health effects? Not necessarily. Are they doing so because it's a financial inconvenience, most likely.

Don't understand why the same reasoning can't be applied to my original example about clothes. If sizing is an inconvenience then a person would be more likely to do something about it...mostly because it would be rather unacceptable due to issues with society's view on nudity.


Isn't an addiction a symptom of lack of one' self control though?

Also, no one is forcing these people to eat in large quantities and or food that is bad for them. Yes, you can say that they might be suffering from some emotional/metal issues, but that doesn't mean that eating their way to obesity was the only coping method they had. Basically, it's a silly excuse.

I don't understand what is the point of excusing these people from what they do to their bodies. I could understand if it was a handful of people that were obese, but the numbers that are obese are large. And also, this is one of the reasons we are not getting anywhere with this "obesity epidemic", because their is always someone like you saying that "It's not their fault!". So are we suppose to just sit on our hands and do nothing about this?

Just because the obese might be offended, that's their problem. We are not so easy going with people with other addictions. Do people worry about the emotional/mental issues of an alcoholic? I personally don't think I have heard, "He/she is an alcoholic because of mental/emotional issues, rather than lack of self-control".

If obesity is an addiction, we should approach "treating" it like any other addiction. We are not afraid to call out other addicts for their wrong doing, why should obesity be treated any nicer?

Don't feel like proof-reading what I said, so whatever.

I can almost guarantee that the tobacco companies have fought the extreme inflation of ciagarette prices tooth and nail. The prices are going up to do more and more taxing; I'm sure from a business standpoint they would not allow this to happen if they had control.

I cannot see it ever being feasible that the government increases taxes on plus sized clothing. I will admit there are various points of your argument that are well thought out and I have no answer for so I suggest we respectively agree to disagree.
 
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