How do you let someone know that it's not okay to be fat... but nicely

Another reason why so many become overweight these days is the fact that society discourages, if not, outright forces children from performing physical activities. Instead we force them to remain sedimentary for most of their childhood with things like grade school and other useless activities.

For sure. I’d imagine if coal mines were back in the game kids would be a lot more healthy.

To reiterate what Sin said, when it comes to being overweight, only one thing matters, which is number of calories taken in. If you want to lose weight(and I have lost substantial weight myself), you need to count calories. Gimmicks like avoiding carbs, eating “5-6 small meals a day”, will only work if you keep the calorie content down. And its when people follow the gimmicks without counting calories that they fail to lose weight.

As for why our sociey is overweight(and I know this is going off topic), its because food companies put huge calorie contents in everyday food. People aren’t really eating actual greater masses of food than they did say 50 years ago; the difference is what we do eat has huge calories.

And I think genetics plays a huge role; which is not to say that those with bad genetics have an excuse, they simply have to work harder.

Genetics has little to do with it. I’m sorry to put it this way Curtis, but I’m a lot better placed than you to make that statement.

This.

My friend likes to go to restaurants and eat huge portions of everything. It makes him feel proud and manly if he is capable of eating an entire animal (like a chicken).

And this.

I have several friends that like to go to all you can eat places and have eating contests. The majority of them aren’t fat because they’re also exercise fiends. One has been gaining weight because he’s “too lazy” to go to the gym. In reality he equates exercise with pure muscle strength. If he can lift more than someone then he’s in shape. He considers cardio workouts to be girly exercises and a blow to his masculinity.

If they’re female ask:

So when is the baby due? :smiley:

:kissy:

You’re confusing your vagina with your anus again. I hear you make that mistake alot. Also, how would you know what a thin girl is capable of seeing?

Just be honest and explain that there are no kitchens on Mars.

I don’t get what you mean when you say you tagged three girls, though.

That never happened. I never wanted to hook up with with that girl. Especially since she had a baby and her vagina is probably all yucky. And I did not spend all day every day on the computer. Some days I was hung over, and it was raining. so I stayed in a little bit. and in the mornings I would go in the chat a little before going to some place like ueno or tokyo or even that giant porn dungeon and anime fag hq Akihabara.

o snap.

Is your specialty genetics or something to do with genetics? Or you mean I may be biased for being overweight at one point?

I’m doing an MD and a PhD and the vast majority of my research has been in molecular biology, so yes, I’m much better informed about the relationship between genes in disease.

And yes, you may very well be biased.

That’s nothing. I know guys who mistake their mouth for an asshole, on a count of all the shit that comes out of it.

How do you explain studies like this:

Genes Take Charge, and Diets Fall by the Wayside
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LinkedinDiggFacebookMixxMySpaceYahoo! BuzzPermalinkBy GINA KOLATA
Published: May 8, 2007
Correction Appended

It was 1959. Jules Hirsch, a research physician at Rockefeller University, had gotten curious about weight loss in the obese. He was about to start a simple experiment that would change forever the way scientists think about fat.

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Fred R. Conrad/The New York Times
Jules Hirsch, a research physician at Rockefeller University, conducted a simple but groundbreaking experiment on obesity nearly 50 years ago, changing the way scientists think about fat.

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Gina Kolata answered readers’ questions about this article. Read her answers.
Obese people, he knew, had huge fat cells, stuffed with glistening yellow fat. What happened to those cells when people lost weight, he wondered. Did they shrink or did they go away? He decided to find out.

It seemed straightforward. Dr. Hirsch found eight people who had been fat since childhood or adolescence and who agreed to live at the Rockefeller University Hospital for eight months while scientists would control their diets, make them lose weight and then examine their fat cells.

The study was rigorous and demanding. It began with an agonizing four weeks of a maintenance diet that assessed the subjects’ metabolism and caloric needs. Then the diet began. The only food permitted was a liquid formula providing 600 calories a day, a regimen that guaranteed they would lose weight. Finally, the subjects spent another four weeks on a diet that maintained them at their new weights, 100 pounds lower than their initial weights, on average.

Dr. Hirsch answered his original question — the subjects’ fat cells had shrunk and were now normal in size. And everyone, including Dr. Hirsch, assumed that the subjects would leave the hospital permanently thinner.

That did not happen. Instead, Dr. Hirsch says, “they all regained.” He was horrified. The study subjects certainly wanted to be thin, so what went wrong? Maybe, he thought, they had some deep-seated psychological need to be fat.

So Dr. Hirsch and his colleagues, including Dr. Rudolph L. Leibel, who is now at Columbia University, repeated the experiment and repeated it again. Every time the result was the same. The weight, so painstakingly lost, came right back. But since this was a research study, the investigators were also measuring metabolic changes, psychiatric conditions, body temperature and pulse. And that led them to a surprising conclusion: fat people who lost large amounts of weight might look like someone who was never fat, but they were very different. In fact, by every metabolic measurement, they seemed like people who were starving.

Before the diet began, the fat subjects’ metabolism was normal — the number of calories burned per square meter of body surface was no different from that of people who had never been fat. But when they lost weight, they were burning as much as 24 percent fewer calories per square meter of their surface area than the calories consumed by those who were naturally thin.

The Rockefeller subjects also had a psychiatric syndrome, called semi-starvation neurosis, which had been noticed before in people of normal weight who had been starved. They dreamed of food, they fantasized about food or about breaking their diet. They were anxious and depressed; some had thoughts of suicide. They secreted food in their rooms. And they binged.

The Rockefeller researchers explained their observations in one of their papers: “It is entirely possible that weight reduction, instead of resulting in a normal state for obese patients, results in an abnormal state resembling that of starved nonobese individuals.”

Eventually, more than 50 people lived at the hospital and lost weight, and every one had physical and psychological signs of starvation. There were a very few who did not get fat again, but they made staying thin their life’s work, becoming Weight Watchers lecturers, for example, and, always, counting calories and maintaining themselves in a permanent state of starvation.

“Did those who stayed thin simply have more willpower?” Dr. Hirsch asked. “In a funny way, they did.”

One way to interpret Dr. Hirsch and Dr. Leibel’s studies would be to propose that once a person got fat, the body would adjust, making it hopeless to lose weight and keep it off. The issue was important, because if getting fat was the problem, there might be a solution to the obesity epidemic: convince people that any weight gain was a step toward an irreversible condition that they most definitely did not want to have.

But another group of studies showed that that hypothesis, too, was wrong.

It began with studies that were the inspiration of Dr. Ethan Sims at the University of Vermont, who asked what would happen if thin people who had never had a weight problem deliberately got fat.

His subjects were prisoners at a nearby state prison who volunteered to gain weight. With great difficulty, they succeeded, increasing their weight by 20 percent to 25 percent. But it took them four to six months, eating as much as they could every day. Some consumed 10,000 calories a day, an amount so incredible that it would be hard to believe, were it not for the fact that there were attendants present at each meal who dutifully recorded everything the men ate.

Once the men were fat, their metabolisms increased by 50 percent. They needed more than 2,700 calories per square meter of their body surface to stay fat but needed just 1,800 calories per square meter to maintain their normal weight.

When the study ended, the prisoners had no trouble losing weight. Within months, they were back to normal and effortlessly stayed there.

The implications were clear. There is a reason that fat people cannot stay thin after they diet and that thin people cannot stay fat when they force themselves to gain weight. The body’s metabolism speeds up or slows down to keep weight within a narrow range. Gain weight and the metabolism can as much as double; lose weight and it can slow to half its original speed.

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Gina Kolata answered readers’ questions about this article. Read her answers.
That, of course, was contrary to what every scientist had thought, and Dr. Sims knew it, as did Dr. Hirsch.

The message never really got out to the nation’s dieters, but a few research scientists were intrigued and asked the next question about body weight: Is body weight inherited, or is obesity more of an inadvertent, almost unconscious response to a society where food is cheap, abundant and tempting? An extra 100 calories a day will pile on 10 pounds in a year, public health messages often say. In five years, that is 50 pounds.

The assumption was that environment determined weight, but Dr. Albert Stunkard of the University of Pennsylvania wondered if that was true and, if so, to what extent. It was the early 1980s, long before obesity became what one social scientist called a moral panic, but a time when those questions of nature versus nurture were very much on Dr. Stunkard’s mind.

He found the perfect tool for investigating the nature-nurture question — a Danish registry of adoptees developed to understand whether schizophrenia was inherited. It included meticulous medical records of every Danish adoption between 1927 and 1947, including the names of the adoptees’ biological parents, and the heights and weights of the adoptees, their biological parents and their adoptive parents.

Dr. Stunkard ended up with 540 adults whose average age was 40. They had been adopted when they were very young — 55 percent had been adopted in the first month of life and 90 percent were adopted in the first year of life. His conclusions, published in The New England Journal of Medicine in 1986, were unequivocal. The adoptees were as fat as their biological parents, and how fat they were had no relation to how fat their adoptive parents were.

The scientists summarized it in their paper: “The two major findings of this study were that there was a clear relation between the body-mass index of biologic parents and the weight class of adoptees, suggesting that genetic influences are important determinants of body fatness; and that there was no relation between the body-mass index of adoptive parents and the weight class of adoptees, suggesting that childhood family environment alone has little or no effect.”

In other words, being fat was an inherited condition.

Dr. Stunkard also pointed out the implications: “Current efforts to prevent obesity are directed toward all children (and their parents) almost indiscriminately. Yet if family environment alone has no role in obesity, efforts now directed toward persons with little genetic risk of the disorder could be refocused on the smaller number who are more vulnerable. Such persons can already be identified with some assurance: 80 percent of the offspring of two obese parents become obese, as compared with no more than 14 percent of the offspring of two parents of normal weight.”

A few years later, in 1990, Dr. Stunkard published another study in The New England Journal of Medicine, using another classic method of geneticists: investigating twins. This time, he used the Swedish Twin Registry, studying its 93 pairs of identical twins who were reared apart, 154 pairs of identical twins who were reared together, 218 pairs of fraternal twins who were reared apart, and 208 pairs of fraternal twins who were reared together.

The identical twins had nearly identical body mass indexes, whether they had been reared apart or together. There was more variation in the body mass indexes of the fraternal twins, who, like any siblings, share some, but not all, genes.

The researchers concluded that 70 percent of the variation in peoples’ weights may be accounted for by inheritance, a figure that means that weight is more strongly inherited than nearly any other condition, including mental illness, breast cancer or heart disease.

The results did not mean that people are completely helpless to control their weight, Dr. Stunkard said. But, he said, it did mean that those who tend to be fat will have to constantly battle their genetic inheritance if they want to reach and maintain a significantly lower weight.

The findings also provided evidence for a phenomenon that scientists like Dr. Hirsch and Dr. Leibel were certain was true — each person has a comfortable weight range to which the body gravitates. The range might span 10 or 20 pounds: someone might be able to weigh 120 to 140 pounds without too much effort. Going much above or much below the natural weight range is difficult, however; the body resists by increasing or decreasing the appetite and changing the metabolism to push the weight back to the range it seeks.

The message is so at odds with the popular conception of weight loss — the mantra that all a person has to do is eat less and exercise more — that Dr. Jeffrey Friedman, an obesity researcher at the Rockefeller University, tried to come up with an analogy that would convey what science has found about the powerful biological controls over body weight.

He published it in the journal Science in 2003 and still cites it:

“Those who doubt the power of basic drives, however, might note that although one can hold one’s breath, this conscious act is soon overcome by the compulsion to breathe,” Dr. Friedman wrote. “The feeling of hunger is intense and, if not as potent as the drive to breathe, is probably no less powerful than the drive to drink when one is thirsty. This is the feeling the obese must resist after they have lost a significant amount of weight.”

I know it’s just an example but you use it every time. I think that despite the similar calorie levels, subway would be a much better choice than McDonalds in terms of a balanced “meal”. A Big Mac is mostly meat and bread, with very little vegetables, which is the opposite of what an ideal meal should be (according to the food guide of Canada). Subway you at least have the choice of filling it to the brim with vegetables.

Vegetables 3:1 Meat (Subway) seems a lot more healthy than Vegetables 1:3 Meat (McDonalds).

I know McDonalds has salad options, but comparing salads to sandwiches isn’t very fair. That said McDonalds is cheaper than Subway so depending on the Subs you could probably get a salad and a cheap burger for the same price as one of the more expensive subs at Subway. And again, even though I’m basing this off of my personal Subway preferences (lots of vegetables), at least the option is there for everyone as opposed to a cheap burger at McDonalds.

I have the feeling this thread is going to be closed soon…

When’s the baby due?

Rawr, real cool, Charle.:thud:

vs cals expended.

You’re a pretty smart dude Sin, but every time I’ve heard you talk about nutrition and weight loss your views have been pretty simplistic and contrary to a whole lot of what’s being observed about people in the real world. It’s cool that you have an MD and all, but I can’t say I trust you about health the way I would about tumors. There’s more to putting on weight than the number of calories you eat and more to losing it than just exercise. Calories come in different forms and which ones you choose to eat DOES make a difference. And as for the inheritance thing… one of your favourite books is The Blank Slate right? You should know better than to underestimate the role of inheritance. Not that it’s solely responsible for obesity or anything, but you’re treating it like a non-factor when you probably shouldn’t be. Size and weight are more than just behavioral. There are many different body types and they all exist for a reason. It’s more complex than just “fat people should stop eating” :confused:

Hades: I never said the solution was that fat people should stop eating. I stated that the problem with people becoming and staying fat was a calorie management problem. I explicitly stated the main reasons driving the calorie management problems: socio-cultural norms leading to specific expectations and behaviors. I never denied the difficulties and complexities of shedding weight.

Curtis dropped a bomb of different kinds of information that go all over the fucking place. Here’s a hint: if you want to make a statement, make excerpts. If reading your articles has made you so smart, then by all means, teach us what it taught you. None of us are interested in reading your wall of text.

The first part of Curtis’ stupidly large post is more about endocrinology than genetics. It has to do with energy management and biochemical perceptions of norms and this is all mixed with a massive confound, which is putting people back in their natural state. If people were fat before and you put them back where they were, are they going to be fat again?

The second part tries to talk more about epigenetics; epigenetics have been linked to all different kinds of problems and if you understand epigenetics, you don’t understand epigenetics. Its a fairly new and complex field. The reason obesity is not genetic is that if you go back a few generations for all the people who are overweight or obese, the parents of obese parents didn’t tend to be obese. Otherwise, 2/3 the US wouldn’t be overweight without overweight people having massively outreproduced the people who weren’t overweight. Which they didn’t do. The issue probably has something to do with biochemical programing influencing development while the baby’s in the womb. Nevertheless, this doesn’t change the basic tenets of thermodynamics: FAT DOESN’T APPEAR OUT OF NOWHERE. FAT NEEDS TO BE MADE FROM SOMETHING. THERE ARE ONLY SO MANY THINGS IT CAN BE MADE FROM.

Jsyk, half my lab works on mesenchymal stromal cells, the precursors to fat cells. I’m helping a friend actually do a study on the use of a novel compound to kill fat cells. So I know quite a bit about how this all works :stuck_out_tongue: