Taubes - Chapter 05 - Why Me? Why There? Why Then? - POSTED ON: Jan 01, 2011
Taubes says
“Where on our bodies we get fat, and even when it happens, are important questions”
He says we’ve known since the 1930s that there is a large genetic component in obesity, That body types run in families. similarities in body types between parents, children, and siblings are "as striking as facial resemblance".
Taubes gives examples to show that genes that determine relative adiposity don’t have to do with appetite or physical activity, but rather, what the body does with its calories. He points out how men and women fatten differently.
“when boys become men, they become taller, more muscular, and leaner …when a girl enters puberty as slender as a boy, and leaves it with the shapely figure of a woman, it’s not because of overeating or inactivity, even though it’s mostly the fat she’s acquired that gives her that womanly shape and she had to eat more calories than she expended to accommodate that fat.”
Taubes talks about how animals are bred for different fat content. He talks about a disorder known as Lipodystrophy, where a person’s fat distribution moves over time. Like thin on top half and obese on bottom half. He says they didn’t lose fat on their upper bodies because they underate, or gain fat on their lower half because they underate, and asks:
“But why is it that when fat loss and fat gain are localized like this— --when the obesity or extreme leanness covers only half the body, or only a part and not all—they clearly have nothing to do with how much the person ate or exercised; yet when the whole body becomes obese or lean, the difference between calories consumed and expended supposedly explains it? “
Taubes talks about how HIV drugs cause a loss of fat in some body areas and a gain of fat in other body areas, and says
“If we can’t blame..(this)…on calories-in/calories-out, maybe we shouldn’t blame ours, either.”
I think most everyone knows Genetics is involved in obesity, and body types running in families is something I’ve observed all my life.
I hadn’t really tried to connect the puberty issue with the obesity issue, although . of course I realized sex hormones are responsible for the different fat distributions that occur then.
The extremely thin on top and extremely fat on bottom, and the HIV drug changing fat distribution was interesting, and I think that it is Obvious that no one could really blame calories-in/calories-out for the specific examples Taubes uses in his chapter.
Comparing those examples with ordinary obesity is interesting, and is a different way to think about those issues.
I am content with the way my fat is distributed on my own body, I would just like to have less of it. That is also how I felt when I was fat I like my personal body shape, I like my small waist and larger hips. I never wanted to be tall and willowy, or have big breasts and small hips. I just wanted to keep my same basic hourglass shape….without the fat, and preferably get my bottom half to be able to wear the same size as my top half… This is something, by the way…that I have achieved ...and that I work to maintain.
Taubes’ point seems to be that genetics plays a large part in how much Fat we have, and the places where our Fat is distributed. Also that hormones play a large part in where and when Fat is distributed on males and females at puberty.
This IS the norm for everyone.
Taubes also discusses the fact that there are diseases and treatments of diseases that also influence how much fat one has and where it is distributed on one’s body.
Pretty much all morbidly obese people ---like on the Biggest Loser -- look similar, when they are that fat. But what I’ve observed is that fat people do carry their weight in different places, for example some fat women have almost skinny legs and arms with barrel chests and shoulders; some have enormous round bellies with smaller chests and hips, and some have large breasts and small hips, and others have large hips and small breasts, Others have a giant hourglass shape, some top heavy, and some bottom heavy.
All of these body types can be very fat, but with fat distributed differently on their bodies. The way this fat is distributed is due to their genetics.
I think here Taubes is trying to get us to think about the fact that fat accumulation is influenced by more factors than just what we eat and how much we exercise.
Taubes - Chapter 04 - Twenty Calories a Day - POSTED ON: Jan 01, 2011
Taubes begins with the Theory that 1 lb of fat = 3500 calories. Based on this, one only needs to overeat an average of 20 calories a day to gain 2 lbs a year, and get from a lean 25 year old to an obese 50 year old.
20 calories is less than a bite of a hamburger, 3 potato chips, or 3 small bites of an apple. He says that under this Theory..
"One or two bites or swallows to many (out of the hundred or two we might take to consume a day’s worth of sustenance) and we’re doomed.
If the difference between eating not too much and eating too much is less than a hundredth of the total amount of calories we consume, and that in turn has to be matched with our energy expenditure, to which we are, for the most part, completely in the dark, how can anyone possibly eat with such accuracy?
To put it simply, the question we should be asking is not why some of we get fat, but how any of us avoids this fate.”
Taubes quotes a leading 1936 US authority on nutrition and metabolism, who said
"We do not yet know why certain individuals grow fat. Perhaps it would be more accurate to say that we do not know why all the individuals in this over-nourished community do not grow fat. …..there is no stranger phenomena that the maintenance of a constant body weight under marked variation in bodily activity and food consumption.”
Taubes surmises--perhaps we maintain our energy balance by watching the scale or how our clothing fits, but he points out that animals don’t do that.
He asks
“if eating in moderation means we consciously err on the side of too little food, why don’t we all end up so lean that we appear emaciated.? The arithmetic of calories-in/calories-out doesn’t differentiate between losing and gaining weight; it says only that we must match calories consumed to calories expended.”
Taubes ends the chapter with
"Surely something else is determining whether we gain fair or lose it, not just the conscious or unconscious balancing act of matching calories consumed and expended.”
I’ve discussed my own experience with this in posts above, Taubes’ brings up interesting points, and I cannot help but agree with them, although I don’t feel at all certain that I’m going to totally agree with his end result.
Taubes - Chapter 03 - Elusive Benefits of Exercise - POSTED ON: Jan 01, 2011
Taubes points out the common weight-loss instruction:
“eat less and exercise more”
is exactly what we would do in order to make ourselves hungry. His issue isn't whether exercise should be part of a healthy lifestyle, but
“whether it will help us maintain our weight if we’re lean, or lose weight if we’re not.”
He says the answer to this question appears to be no.
Taubes talks about how the poorer people are, the fatter they’re likely to be. And, the poorer they are, the more likely they are to work at physically demanding jobs.
He talks about how the “exercise explosion” and “fitness revolution” has occurred at the same time as the “obesity epidemic”. Taubes discusses the dismal state of the major research regarding the connection between exercise and weight loss, and how that research has never provided proof that such a connection exists. He specifically mentions a study published in 2006 based on thirteen thousand habitual runners, that found
“all these runners tended to get fatter with each passing year, even those who ran more than forty miles a week – eight miles a day, say, five days a week. “
“faith in the belief that the more calories we expend, the less we’ll weigh is based ultimately on one observation and one assumption. ….The observation is that people who are lean tend to be more physically active than those of us who aren’t ….the assumption is “that we can increase our energy expenditure (calories-out) without being compelled to increase our energy intake (calories-in).”
The authors of the August 2007 guidelines published by the American Heart Association and the American College of Sports Medicine said:
“It is reasonable to assume that persons with relatively high daily energy expenditures would be less likely to gain weight over time, compared with those who have low energy expenditures. .....So far, data to support this hypothesis are not particularly compelling”
Taubes says,
“the idea that we get fat because we’re sedentary, and we can get lean or prevent ourselves from fattening further by upping our energy expenditure is at least a century old.
and
“if persons have been thinking about this idea for more than a century, and trying to test it for decades, and they still can’t generate compelling evidence that it’s true, it’s probably not".
My understanding is that the Biggest Losers devote from 6 to 8 hours a day to heavy exercise, along with greatly reducing their calorie intake. I’m certain that there is a massive inadvertent reduction of their carbohydrate intake also, due to their severely restricted calories. They certainly visibly increase their fitness, and they do lose weight.
During my lifetime, I have belonged to Gyms many times, and participated in the activities they provide, but I greatly prefer exercising at home. I don’t have to travel that way, and this type of exercise it is a better fit for my personal preferences.
A few years ago, I began to believe that:
Exercise is for Fitness; (not weight-loss) Nutrition is for health; (not weight-loss) Lower-Calorie Food Intake is the key for weight-loss/maintenance. Currently, due to Taubes’ writings, I’m entertaining the possibility that Nutrition, MIGHT be a issue in weight-loss after all.
Regarding the issue of exercise and weight-loss/maintenance I came to same conclusion as Taubes due to my own experience and previous study.
I’ve done a great deal of study about the Scientific Research on which the current Theories of weight-loss, calories, exercise etc. are based. Due to my Research I am now going with the Theory that no one really knows much about what happens within the bodies of the healthy "formerly obese" when they reach "normal" weight and maintain a very large weight-loss for more than 3 years. In other words, at this time I am an Experiment of One.
Within my own Experiment of One, I’ve experimented a great deal with Low-Impact Exercise, and minor Strength Training. My personal exercise equipment is set up in a corner of my family room in front of an extra TV, VCR, and DVD player.—with long-corded headphones. I have a treadmill, free-style Gazelle, and stationary bicycle, resistance bands, small dumbbells, a stability ball, a step, a WII, a polar wristband and chest band monitor, several pedometers, a BodyBugg, along with an IPOD and numerous exercise DVDs and Videos. All of this exercise equipment has been in regular use, and is still ready for my use today, if I choose to use it. During the past 6 years, I’ve spent lengthy periods of time exercising 1 to 2 hours a day, 5 to 7 days a week; short periods exercising from 4 to 5 hours a day 5 to 7 days a week; short periods of time exercising 30 minutes a day 3 to 4 days a week; and short periods of time where I did no exercise at all. As part of this I did step-training and interval training. I’ve spent long periods of time counting my daily steps, and averaging above that 10,000 number. I believe my record high for one day was a bit above 40,000 steps… …and I don’t run or jog.
The point is, My data indicates that….while this exercise did make my body “more fit”, it did little to build muscle, and accomplished little or nothing for weight-loss. The following information is one example of the personal data to which I refer.
At the beginning of 2009, I purchased a BodyBugg which is allegedly the most accurate scientific measurement of individual energy on the market today. Biggest Loser Contestants wear it. I wore it continually 24/7 for 6 months. I slept with it, and took it off only for the shower and spa.
As a result I learned a great deal about my own exercise energy expenditure, ...in that according to the "charts" etc. my personal exercise calorie burn is quite high. According to those charts, based on calories-in/calories-out I should have lost about 20 lbs during the 6 months ... ..combining my exercise with my food intake calories...
It simply did not happen. My food intake records were extremely accurate, My activity records were based on BodyBugg calculations, but in actuality my weight stayed the same. Those "extra earned exercise calories" did absolutely nothing to make me lose weight.
I bought the BodyBugg with Display Unit. It came with 6 months free online access, and I used both the Display and the Online info. I used it from the Beginning of February through July, and then stopped using it for quite some time. I replaced it with a new BodyBugg, then did a couple more experiments for shorter time periods…two to three months.
While I was using it, I also made my own personal charts of the info, and even though I’ve chosen not to renew my BodyBugg online access, I have my total information stored on my computer.
Re food input, BodyBugg's online function has a food intake entry section similar to DietPower – which is my ongoing computer food journaling tool, but I found it extremely limited and chose to use it by simply putting my DietPower daily calorie total into my online BodyBugg chart.
Just like DietPower, the BodyBugg uses the Harris/Benedict Formula for one's BMR, or starting point. However, while DietPower assumes you are entering your food accurately and drops your Metabolism rate when you don't lose weight as expected,
BodyBugg assumes you are NOT entering your food accurately. It will not adjust your BASIC Metabolism Rate very much lower than Harris/Benedict and basically tells you that you are cheating by eating too much if your body doesn't follow the Harris/Benedict Formula. The BodyBugg Coach kept telling me that BodyBugg shows that my Exercise Activity is GREAT and that my FOOD records MUST be wrong, that I MUST be cheating with food or making food recording errors. However, I know that my DietPower daily food intake logging records are as consistent and accurate as anyone's could possibly be.
What I found valuable about BodyBugg was the fact that it measured my own body's ACTUAL activity rate and then translated that data into calorie numbers….. (which were inaccurate for me personally because they continued to be based on the Standard Harris/Benedict Formula) … and I was then able to use my own math skills to turn those BodyBugg personal numbers into a actual "activity factor percentages' numbers.
What I learned during that 6 months, was a confirmation that my exercise pattern is a great deal of exercise for my own body, and when translated shows that I have a very HIGH "activity factor percentage". After that the formula breaks down. My exercise and food intake together do not cause the "EXPECTED" weight-loss. In other words, at my current NORMAL weight, exercise makes me "fit", but does not result in related weight-loss.
I thought that BodyBugg would motivate me to exercise even more than I already did. For the first five months it was motivating, but when I learned the truth about my Exercise, it had the Reverse effect. I found the Actual Facts very discouraging, and the for 3 months immediately following, (fall of 2009) I began exercising less than I did in the 3 or 4 years BEFORE I got the BodyBugg. My result was that I became less Fit, but didn’t weigh Heavier.
My muscle mass is NOT larger. I think it must have something to do with my body's being and holding at a NORMAL weight after a very large weight loss.
There is really no Current Scientific Knowledge about what or why this is happening in my body. Would the same thing apply to others? I don't know. I can only share my own information. Before I reached "Normal" weight, the standard scientific rules calories-in/calories-out seemed to basically apply to me. However, the longer I have maintained at this Normal weight, the less those rules seem to apply. My body seems to be breaking all the known "Scientific Rules" in order to get me to regain weight. Here at the beginning of my 6th year of Maintenance, I would like to believe that someday, my body's process will "Normalize" to be more like those who have never gained and lost weight, and that my body's MR and calorie needs will stop dropping lower and lower.... no matter what I eat or how much exercise I do. but I have little effort to support such a belief. At this time, I do believe that Taubes is correct about exercise. I am certain that while exercise works to make me fit, and provide other health benefits, exercise does little or nothing to help me, personally, lose weight or to maintain my weight-loss.
My own experience is that I am more hungry after exercise, and after exercise I very much crave sweet and starchy foods.
For me, the only food-related benefits of exercise are…, that it might make me avoid fattening foods to keep from wasting my hard work, and that during the time that I’m busy doing exercise, I’m not eating.
Taubes - Chapter 02 - Elusive Benefits of Undereating - POSTED ON: Jan 01, 2011
In this chapter, Taubes’ focus is on “the elusive benefits of undereating”. and says:
“Of all the reasons to question the idea that overeating causes obesity, the most obvious has always been the fact that undereating doesn’t cure it.”
The chapter begins with a research project started in the early 1990s. Twenty thousand women were told to eat a low-fat diet, with lots of fruits, veggies and fiber, and received regular counseling to help them stay on the diet.
They weren’t told to eat less, but they ate 360 less calories a day which was about 20% less than the charts gave as their daily weight-maintenance requirement. But, after 8 years of this, the women lost only an average of 2 pounds each, and their waist measurements increased, suggesting that they lost muscle, not fat.
Taubes quotes some Experts who in 1959 studied all the medical literature for research results on dieting and found those results were
“remarkably similar and remarkably poor”.
A 2007 review analyzed all the diet trials since 1980 and found the same thing. Taubes says that the reality of this doesn’t keep Authorities from recommending that people undereat to lose weight. He quotes from medical textbooks that say..
”Dietary therapy remains the cornerstone of treatment, and the reduction of energy intake continues to be the basis of successful weight reduction programs”
But then later the same textbooks go on to say that the results
“are known to be poor and not long-lasting”.
He points out that if a you are stranded on a desert island and starved for months on end, you will waste away, whether you were fat or thin to begin with. But
“Try the same prescription in the real world, though, and try to keep it up indefinitely—try to maintain the weight loss —and it works very rarely indeed, if at all.”
Taubes says this isn’t surprising.
“most of us who are fat spend much of our lives trying to eat less. If it doesn’t work when the motivation is …decades of the negative reinforcement that accompanies obesity---. social ostracism, physical impairment, increased rate of disease— can we really expect it to work just because an authority figure in a white coat insists we give it a try?.”
“the fat person who has never tried to undereat is a rare bird. If you’re still fat…that’s a good reason to assume that undereating failed to cure you of this particular affliction, even if it has some short-term success at treating the most conspicuous symptom—excess adiposity.”
Taubes notes that until the 1970s, the medical term used for low-calorie diets was “semi-starvation” diets; and the medical term for very low-calorie diets was “fasts”. He says that experts say a diet has to be something we can follow for life – a lifestyle program, but asks
“how is it possible to semi-starve ourselves or fast for more than a short time?"
Taubes ends the chapter by saying
“undereating isn’t a treatment or cure for obesity; it’s a way of temporarily reducing the most obvious symptom. And if undereating isn’t a treatment or a cure, this certainly suggests that overeating is not a cause.”
Personally, I have to agree with Taubes here. I’ve spent my entire life losing and re-gaining weight, a few times involving 100 lbs, several times 50 lbs, and many times 10 to 20 lbs. Until the present time I always regained all my lost weight and more.
For the past 5 years I’ve been able to maintain my current weight by “semi-starvation”, which, as I’ve shared before, takes a lot of Effort, Focus and Acceptance. I’ve learned that I cannot trust my body to tell me what or how much to eat. Without conscious monitoring, the default choice of my body is always to “overeat”.. meaning …take in more energy than my body can use…and store it as fat.
It is true that “undereating” hasn’t “cured” my obesity, it has only relieved me of the symptom of being fat. Every day, my reduced obese body still wants me to eat far more than it can use up.
It’s a problem that I deal with every day. Is low-carb a solution? I don’t know. However…..I do know a great many Ways-of-Eating that are NOT solutions.
In Chapter 2, Taubes uses the pre-1970s medical term ---“semi-starvation” when he refers to “undereating” or dieting.
I've been thinking more about this question as applied to me personally. I think there can be little doubt that my current, maintenance, eating-lifestyle is one of "semi-starvation".
My body wants me to eat far more than it can use, which, of course, would result in weight-gain. Since previously in my lifetime, I've regained more than 100 lbs more than once, and 20 to 50 lbs more times that I can count, I know this to be a True Personal Fact, and according to the applicable Research it is true for the majority of those who are "Reduced Obese".
In fact, I strongly identify with the subjects of that famous Keyes’ Starvation experiment. The last part of that Study showed that when the semi-starved men were allowed to again eat as they wished, they had insatiable appetites, yet never felt full. Even five months later, some continued to have dysfunctional eating, although many, after regaining their lost weight, also regained some normalization of their eating. So....how have I lived with this "semi-starvation" long-term - - for more than the past six consecutive years, and how do I plan to continue to live with it for the rest of my life? I’ve found it necessary to Accept my own eating Realities, and to be personally Accountable to myself for what I eat. I’ve chosen to treat “Dieting”, and the issues surrounding it as a Hobby, finding enjoyment and personal fulfillment in dealing with the issues… learning more about them, reading the latest diet books, sharing experiences and ideas with others.
Throughout my lifetime I have always had Hobbies. Some of these are ....building stained glass windows, building and collecting miniatures, gardening, cooking, sewing, Play station RPG games, and many others. Dieting is another one of these Hobbies.
Now that I’ve retired from my law practice, I have much more free time to spend on my Hobbies, and so I’m currently doing that. I will be talking more about Dieting as a Hobby here on my personal thread,
Reading about new Concepts and trying them out, is part of my ongoing Hobby. It is part of my Lifestyle, and it helps me live with “semi-starvation” long-term. Of course….. if there is a way to maintain my current normal weight, without the hunger and cravings of semi-starvation, I want to know about it, and I want to make it part of my life.
Taubes - Chapter 01 - Why Were They Fat? - POSTED ON: Jan 01, 2011
This Chapter is filled with Examples that refute the Theory that it is our "improved prosperity" or "toxic environment" that has created the obesity epidemic.
Taubes says facts show that being fat is often associated with poverty rather than merely with prosperity. Examples of connections to poverty, obesity, and high carbohydrates are:
Pima Indians in Arizona Sioux Indians, in South Dakota 1951 Naples, Italy 1959 Charleston, So Carolina 1960 Durban, So Africa 1961 Naura, the South Pacific 1961-63 Trinidad, West Indies 1963 Chili 1964-65 Johannesburg, So Africa 1965 Cherokee Indians in No Carolina 1969 Ghana, West Africa 1970 Lagos, Nigera 1971 Rarotonga, the South Pacific 1974 Kingston, Jamica 1974 Chili (again) 1978 Native American Tribes in Oklahoma 1981-83 Mexican Americans in Starr County, Texas
In all of these studies, a large percentage of these populations were poor, many were physically active doing manual labor, but were also fat.
2005 New England Journal of Medicine article by Benjamin Caballero, at Johns Hopkins University tells of his experience in Brazil, of seeing starving children together with their fat mothers.
Taubes points out that this poses a challenge to the current "conventional wisdom
"If we believe the mothers were fat because they ate too much, and we know their children are thin and stunted because they're not getting enough food,
we're assuming that the mothers' were willing to starve their children so they could overeat.
This goes against everything we know about maternal behavior."
Chapter 1 is filled with examples of times and places where a large percentage of the population were Obese, even though they were very poor and had no access to our present “Toxic Environment.”
A great many of those Obese people were physically very active doing hard manual labor. It was noted that there were instances in those populations, like in Brazil, where while the majority of poor children were thin and malnourished, as poor adults…and still malnourished…they became obese.
Taubes asks about the people he used as Examples….
”Why were they fat?”
They were physically very active, and there was little food available to them.
The facts in those cases show that a simple explanation of…. “calories-in/calories-out”….doesn’t answer this question about those people.
Taubes noted that all of these Obese populations had something in common, in that the majority of their nutrition came from carbohydrates.
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