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    Why Fat People Don't Lose Weight. The Diet Delusion
    By Richard Mankiewicz | March 12th 2010 07:10 AM | 12 comments | Print | E-mail | Track Comments
    About Richard

    I used to be lots of things, but all people see now is a red man. The universe has gifted me a rare autoimmune skin condition known as erythroderma...

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    Who says science journalism is dying when it seems to be gloating about slaying one sacred cow after another: chiropractic, homoeopathy and now... dieting.

    The internet is bursting to the seams with weight loss programs, slimming advice, nutrition counselling, fitness regimes, low fat, low carb, low salt, low sugar, low motivation diets. It's enough to drive one to drink, except that it would also make you fatter...or would it?

    The diet industry has been around long enough to see that it sells hopes and mirages - and makes a ton of cash doing so - yet none of these diets can claim long-lasting success. It seemed like just a matter of time for someone to shout out that the Emperor has no clothes and that dieting is a huge waste of time and energy. Being overweight has nothing to do with eating too much, it has nothing to do with exercising, it also has nothing to do with calories!

    Gary Taubes has dissected the weight-loss industry in his book called The Diet Delusion (in the UK) and Good Calories, Bad Calories (in the USA). If you haven't read the book and want to speed learn about all the false claims made by nutritionists then I suggest watching his video. It's about an hour long and includes a split screen with Taubes in one and the obligatory Powerpoint in another. It isn't light-weight!

    If even that strikes you as too long then David Colquhoun has kindly copied out Taubes' 10 point synopsis.

    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 behaviour.

    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.”

    Apart from the information Taubes has put together, what he really hates about the weight-loss industry is the widespread lack of real scientific research with random samples and all the checks and balances that you don't find in an advertising campaign.

    In which case, what other industries can we debunk and throw on the scrapheap of human follies? Pharmaceuticals anyone?

    Comments

    Gerhard Adam
    Sorry, but the points Taubes makes are nonsense and easily disproven.

    The most obvious problem is that gastric bypass surgeries do work (as does starvation), and consequently it is clear that weight loss occurs because of reductions in food intake.

    Secondly anyone that has ever stepped in a gym knows that exercise and calorie burning works and will have an effect.  This becomes even more apparent when the body is severely stressed and the effects of particular nutrients become critical to perform certain functions.

    Thirdly, if you don't believe the evidence from regular dieting, just look at your pet dog.  Too much dog food .... fat dog.  Reduce dog food ... thinner dog.  There's nothing magical here because the dog is actually a perfect example because it is easy to control the food intake to see precisely what results occur.  This applies to every other animal I've ever seen.  It is no coincidence that domesticated animals tend to be the most likely to have weight problems.  Why?  Because they don't have to consume calories to acquire their food, as a result they suffer from the same problems as their human owners.

    In the absence of a real hormonal problem (which the majority of people do NOT have), the problem of weight gain and weight loss is what it has always been.  Too much food with too little activity.  Everything else is marketing.
    jtwitten
    Are you really comparing dieting to chiropractic and homeopathy? Even if dieting theories are completely bunk, they are at least based on misguided thinking about things like metabolism etc. that actually exist. Whereas chiropractic is based on the completely fabricated concept of innate intelligence and homeopathy on the concept that a dilution of substance until no molecules of it are left is more powerful than the original*.

    *Given your opinions on the potential effects of vanishingly small electromagnetic fields, I would be interested in your opinion on homeopathy.
    jtwitten
    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.
    Wait, what? Better nutrition actually has effects on a child's height, one. Second, how in thermodynamic hell can one consume fewer calories than one uses and not lose weight, without dying?

    Also, don't hate on the obese. Most adults maintain their weight within about a 10 pound range. Most of us are just hanging tight where we are. Where we are may not be good for our health. The people who are trying to change their weight are trying to do something very hard that the vast majority of us are not doing.
    Josh Witten

    Excellent comments; it is amazing how people so willfully ignore the obvious. At its root, excess fat accumulation must always be related to too many calories in, not enough out. How else could it possibly work? If I have a base metabolic rate of 2,000 calories (i.e. the calories I burn just staying alive), and I consume anything equal to or less than 2,000 calories, then it should be impossible for me to gain excess fat unless one of the following happens:
    - My body is retarded, and diverts those calories to be stored as fat instead of performing the absolute basic functions of staying alive. And then, one storing this fat, refuses to release it for use as energy. Eventually, I would die.
    - My body starts to convert lean tissue into adipose tissue for some mysterious reason, and just keeps it there. Eventually, I would die (and turn into blob in the process).

    In other words, excess fat does not just appear out of the ether and enter your body.

    Josh, The body obviously has an innate intelligence - otherwise you'd probably forget to breathe while you're sleeping. It seems that this is just what may have happened to you a time or two or three.

    What planet do you live on where the body takes direction from the conscious and awake mind - and not innate intelligence to maintain functions?

    Check out dynamics systems theory and then the body - every cell in the body must know what's going on with every other cell. Maybe you believe in a Cartesian model. That's why western medicine is failing us! America gets unhealthier every year. - pills don't work for getting to the root of the health challenge in patients.
    To think any other way is just plain illogical.

    This article is completely false and has been disproved time after time. A sedentary lifestyle and overeating do not lead to obesity and obesity is excess fat accumulation? What?! How does the excess fat accumulation happen? There are so many ignorant people out in the world reading this article thinking, this is great!

    Here's the real deal. People are lazy. They don't want to change their lifestyle including becoming more active and eating healthier. If they'd get up and move for 45-60 minutes a day and stop eating so much processed food, the fat would come off, rather quickly I might add. Also, if people would also eat what they are SUPPOSED to eat, approx. 2000 calories a day give or take some depending on height, activity, BMR, whatever, and if those calories are lean meats, VEGETABLES, again the fat would come off. People also need to grow up and eat things that are good for them instead of being an immature child and saying that they don't like the way whatever tastes.

    Hank
    He's saying that diet claims miss a link in the chain, not that food won't cause obesity.  Obviously every study throughout the history of diet studies has shown that people who consume fewer calories than they burn will lose weight - obviously we now know weight is not the goal.   If I lose 5 lbs. of muscle and add 5 lbs. of fat, my weight is the same but my appearance and health are not, since muscle is more dense than fat.

    The good news is people do eat healthier than they did 40 years ago, even if obesity is way up.   Like 'average life span' statistics, obesity stats are misleading the way they are used and constantly agonizing over a subset of people who won't take care of themselves is pointless.
    Want more no-nonsense, independent science? Buy Science Left Behind
    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.

    This is why Asian people are so sickly and obese. It's all the rice they eat.

    5. Obesity is a disorder of excess fat accumulation, not overeating, and not sedentary behaviour.

    And that is why everyone at the gym is obese, and people that sit on the couch and eat Twinkies are lean and strong.

    What we see here is "Dream something up, sell lots of books."

    It's not so hard: Find people that look the way you want to look (or live like you want to live), and emulate them. If you go to an "eat 'til you puke" buffet, what do the people look like there?
    If you go to a park and see people exercising there, what do they look like?

    This works for me: eating in moderation and doing CrossFit.
    I prefer a vegan diet, but that isn't a requirement.

    Here's my best solution:

    How's about they wire their mouths shut so they can only fit peas and Justin Bieber's shlong in dere.

    If that doesn't work LOL....... coffee, apples, coffee, apples, coffee, apples, coffee...... then punch yer head through some drywall for good measure.

    All of Taubes points are true and scientifically proven. However, it is not true that all diets or weight loss programs are bogus. There are programs that follow these scientific principles. I lost over 100 pounds long over 10 years ago following these principles Taubes discusses long before he discussed it. I have helped many others do the same at using the eyou diet.

    Gerhard Adam
    5. Obesity is a disorder of excess fat accumulation, not overeating, and not sedentary behaviour.
    Of course .... therefore it follows that death is merely a failure to live long enough.
    I was 240 now 195 six months later.... started riding my bike and taking a home made sandwich vs McD's to work. So, it's not difficult AT ALL! I worked with a fella in the service on the "Fat Boy" program who claimed his medical condition made him fat, while eating a box of KFC. Sorry fat folks, you can't claim a magic fat disease anymore... we're on to your BS!