Friday, May 24, 2019

Weight Loss and Diets

In America the news media tell us that we are in the midst of an obesity epidemic. This is clearly a discipline issue. As in most cases about the dimension of discipline, the answer is simple to understand and hard to do. Apparently though, and typically, a great number or people think there is some easy path to weight loss.

That’s why Americans buy about 5 million diet books every year. Millions are looking for that magic answer and presumably going back to buy a second and third book as each particular formula invariably fails them. Hundreds of different diet books are listed on Amazon, many labeled as best sellers. I found from another source a list of the ten best books on the Ketogenic diet. How many books do we need on a diet described as an “extreme form of low-carbohydrate diet” originally used to treat epilepsy in children a century ago. But today, by way of “celebrity endorsement it has become a popular weight-loss fad diet, but there is no evidence of any distinctive benefit for this purpose, and it risks causing a number of side effects.The British Dietetic Association named it one of the ‘top 5 worst celeb diets to avoid in 2018’.” 

This article in the Guardian from earlier in the year challenges these diet programs with all their accompanying hype by presenting five myths about weight loss. The thrust of the argument is that people tend to misjudge the dangers of their condition as well as their personal progress toward their goals.

People can hugely misjudge their calorie intake, and overweight people have a strong tendency to grossly underestimate the calorie content of their food (by about 47%). Those who believe they are fat but healthy, according to the writer, are deluding themselves. Being overweight is inherently unhealthy. “Their risk of becoming ill was eight times higher than that of the healthy group with normal weight. The risks include, but are not limited to: diabetes, cardiovascular disease, cancer, sleep apnea, arthritis/joint problems, fertility problems, asthma, back pain, incontinence, gout and stroke.”

The BBC reinforces the seriousness by proclaiming in this headline “Obesity-related cancers rise for younger US generations, study says.”

The other side of the problem has to do with the fact that people also misjudge other factors including: how many calories they burn through exercise, how overweight they are, that the extra weight doesn’t slow them down or that they can blame it on genetic differences. (See last Friday’s comments.) 

The most reliable advice comes from people not trying to sell books or diet programs, for example, advice from the book, The Cure for Everything, which I also referred to last Friday. Exercise is necessary and healthy, but it does little toward weight loss without a change in eating habits. (This is backed up by over 60 independent studies.) It’s not about a diet, in the popular sense of the word, but in a lifestyle choice. To make good choices the author recommends paying close attention to what you eat, either by calorie counting or any other method. This “forced self-monitoring…causes you to eat less, which is the only way to lose weight” (p. 54). The tendency to give yourself special treats for being successful or to treat the whole exercise as a temporary “diet” yields only temporary results – an outcome familiar to so many. It’s all about portion size.

This certainly seems Spartan and the opposite of fun, but simple-to-understand-and-hard-to-do is the hallmark of discipline. Unfortunately, the search for magic answers continues; but doing the same thing repeatedly and expecting a different outcome is the mark of insanity. Quoting from the book one more time: “If you see the word detoxify, cleanse, supplement or metabolism associated with a product or process, be suspicious. Someone is trying to sell you something that likely does not work and, in fact might be harmful” (p. 92). (I would add celebrity endorsements to the list of warning signs.)

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