Nobody is Doomed to be Fat
All Diets Fail, So Why Even Bother?
It’s Not You, It’s Your Environment
“Researchers say obesity, which affects one-third of Americans, is caused by interactions between the environment and genetics and has little to do with sloth or gluttony.”
“Obesity results from a combination of causes and contributing factors, including individual factors such as behavior and genetics. Behaviors can include dietary patterns, physical activity, inactivity, medication use, and other exposures. Additional contributing factors in our society include the food and physical activity environment, education and skills, and food marketing and promotion."
It’s Not You, It’s Your Genes
“What’s increasingly clear from these early findings is that genetic factors identified so far make only a small contribution to obesity risk—and that our genes are not our destiny: Many people who carry these so-called “obesity genes” do not become overweight, and healthy lifestyles can counteract these genetic effects.”
Obesity Isn’t That Bad, After All…
“After 20 years, approximately one-half of healthy obese adults were unhealthy obese, and only 10% were healthy nonobese. Healthy obese adults were nearly 8 times more likely to progress to an unhealthy obese state after 20 years than healthy nonobese adults… The natural course of healthy obesity is progression to metabolic deterioration.”11
What About Bariatric Surgery?
Aren’t You Being a Little Harsh?
- No one should be shamed, mocked, or ridiculed for their weight or health. Shame is rarely a good motivator and often makes it harder to change.
- Everyone deserves informed autonomy; the choice to decide whether or not change is worth the cost.
- Everyone deserves respect and dignity, not bias and discrimination.
- No one has to meet an arbitrary beauty standard to be happy.
- Some people will be overweight or obese through circumstances entirely outside of their control or due to life challenges that would overwhelm most mere mortals.
1. US Department of Health and Human Services. "Reducing tobacco use: A report of the surgeon general." National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health (2000).
2. Cummins, Steven, Ellen Flint, and Stephen A. Matthews. "New neighborhood grocery store increased awareness of food access but did not alter dietary habits or obesity." Health Affairs 33, no. 2 (2014): 283-291.
3. Elbel, Brian, Alyssa Moran, L. Beth Dixon, Kamila Kiszko, Jonathan Cantor, Courtney Abrams, and Tod Mijanovich. "Assessment of a government-subsidized supermarket in a high-need area on household food availability and children’s dietary intakes." Public Health Nutrition 18, no. 15 (2015): 2881-2890.
4. Dubowitz, Tamara, Madhumita Ghosh-Dastidar, Deborah A. Cohen, Robin Beckman, Elizabeth D. Steiner, Gerald P. Hunter, Karen R. Flórez et al. "Changes in Diet after Introduction of a Full Service Supermarket in a Food Desert." Health Affairs (Project Hope) 34, no. 11 (2015): 1858.
5. Dubowitz, Tamara, Madhumita Ghosh-Dastidar, Deborah A. Cohen, Robin Beckman, Elizabeth D. Steiner, Gerald P. Hunter, Karen R. Flórez et al. "Diet and perceptions change with supermarket introduction in a food desert, but not because of supermarket use." Health Affairs 34, no. 11 (2015): 1858-1868.
6. Hobin, Erin, Heather Lillico, Fei Zuo, Jocelyn Sacco, Laura Rosella, and David Hammond. "Estimating the impact of various menu labeling formats on parents’ demand for fast-food kids’ meals for their children: An experimental auction." Appetite 105 (2016): 582-590.
7. Rising, Camella J., and Nadine Bol. "Nudging Our Way to a Healthier Population: The Effect of Calorie Labeling and Self-Control on Menu Choices of Emerging Adults." Health Communication (2016): 1-7.
8. Lee, Morgan S., and Joel Kevin Thompson. "Exploring enhanced menu labels’ influence on fast food selections and exercise-related attitudes, perceptions, and intentions." Appetite (2016).
9. Flegal, Katherine M., Brian K. Kit, Heather Orpana, and Barry I. Graubard. "Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis." JAMA 309, no. 1 (2013): 71-82.
10. Blüher, Matthias. "The distinction of metabolically ‘healthy’ from ‘unhealthy’ obese individuals." Current Opinion in Lipidology 21, no. 1 (2010): 38-43.
11. Bell, Joshua A., Mark Hamer, Séverine Sabia, Archana Singh-Manoux, G. David Batty, and Mika Kivimaki. "The natural course of healthy obesity over 20 years." Journal of the American College of Cardiology 65, no. 1 (2015): 101-102.
12. Finkelstein, Eric A., Justin G. Trogdon, Joel W. Cohen, and William Dietz. "Annual medical spending attributable to obesity: payer-and service-specific estimates." Health Affairs 28, no. 5 (2009): w822-w831.
13. Schauer, Philip R., Bartolome Burguera, Sayeed Ikramuddin, Dan Cottam, William Gourash, Giselle Hamad, George M. Eid et al. "Effect of laparoscopic Roux-en Y gastric bypass on type 2 diabetes mellitus." Annals of Surgery 238, no. 4 (2003): 467-485.