USA Obesity Epidemic - how fast it happened!!! 25 years!

I'm sure arguments can be made both ways...the obese person who dies of a heart attack at 50 would likely use less health care than a healthy weight person who lives to 88 but nickel and dimes the system for their last 6 years.
 
People who buy annuities tend to be people that think they're going to live a long time, and people who are already older. This is already a known fact - self-selected population - and they tend to be right on average. So, I don't think you're going to see better annuity pricing.

Probably right about annuities. Any other Advantages?
 
Is it practical to measure our calories accurately enough that we could, for example, reduce our caloric consumption by 100 calories a day?

I think the idea that most human beings can measure and control their caloric consumption to within 100 calories a day is a myth. My 2¢.
 
Is food a smaller percentage of the budget today than it was, say, 50 years ago? I suspect it is - much less, and even lesser compared to 100 years ago. In a lot of other countries, food takes a higher % of the budget than in the US and therefore is less plentiful. I suspect this is a combination of higher US incomes, and food getting somewhat cheaper in the US due to our incredible (best in the world) distribution system.

We got richer, overall, so we could afford a lot more food, and the food got relatively cheaper.
 
Hard to say. Some types of diseases like lung cancer or brain cancer kill so quickly that the treatments do not last long, even though expensive. On the other hand chronic diseases can last a long time, and cause complications when a person comes down with something else. Not all obese people die of heart attack or a stroke.

I happened to stumble across a blog of an obese woman who struggled for a long time before death at 60. It was scary. She said her obesity and diabetes were caused by other medical problems she had that were under-treated, and that she knew about good nutrition but was limited by her finances. She could be right, but it was a scary story. She was seeing 4 or 5 specialists at a time, including a shrink. Nobody was able to help her. As I said, it was scary when she suffered for a hernia for a long time, and no surgeon dared touch her.
 
I'm sure arguments can be made both ways...the obese person who dies of a heart attack at 50 would likely use less health care than a healthy weight person who lives to 88 but nickel and dimes the system for their last 6 years.
Yeah - I tend to believe it averages out. Obesity definitely shortens lives.
 
Is it practical to measure our calories accurately enough that we could, for example, reduce our caloric consumption by 100 calories a day?

I think the idea that most human beings can measure and control their caloric consumption to within 100 calories a day is a myth. My 2¢.

I never measure nor weigh my food intake. I do step on the scale every day. If I am above my target weight, I try to eat less, or eat food that I know is low in calories.

My wife does not even weigh herself. She eats so little! But she was pre-diabetic, and I have been trying to tell her to eat less carb, or the better carb. Her fasting glucose is down from 107 to 92, the last time we checked.
 
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Doesn't take much. The difference of 100 calories per day will cause a ten pound weight gain every year!

That's a extra coke, beer, handful of nuts or chips.
This is what convinces me that the people who suggest that something in our diet throws off homeostasis - just a bit - are right. I went through the typical male scenario - +1 pound/year for 40 years. But then I dumped all that weight and am stable at my reduced weight for 4 years. Was I somehow just happening to pick the wrong foods with precisely 10 calories/day of excess and now I just happen to be able to avoid those specific 10 calories a day (or even 100 calories/day)? Certainly not consciously. There is no way in the annals of science that we can count our calories that precisely. First, we can't precisely know how many calories we need. Far too many variables of weight, activity, and metabolism. Second we can't figure out the calories in our meals to a 10 or 100 calorie/day precision - again too many variables.

No, there is some biological mechanism through which our bodies maintain homeostasis (through appetite it would seem) and something in our western diet throws that off enough to drive weight up. How else can some of us simply change what we eat and throw off decades of imbalance while paying little to no attention to how much we eat? How can we add back small percentages of "bad" stuff with little effect until we reach a threshold where, sure enough, the scale starts inching up again?
 
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Y
Now there are legitimate reasons to not eat Twinkies/chemicals and exercise, but weight loss is almost exclusively calories in - calories out. And we are bombarded with high calorie snack/food opportunities all day, every day. Advertising works, otherwise they wouldn't do it.

So many are so sure about something that is much less than sure. One highly motivated professor who manages to lose weight on a Twinkie diet in no way proves anything.

Personally, I do not care what people think or what they do. It would be nice if more people were healthy and we saved some money as a society, but I won't hold my breath on that, or on many other social habit improvements.

People on this very site have testified that all they did was cut way down on carbs and they lost enough weight to be normal weight, and kept it off for years. People have also done well counting calories. I don't get paid to work through this, and I know how to keep my blood sugar good, and I don't need to lose or even pay any attention to controlling weight.

So good luck anyone on your personal plan, but I would at least question it if I were bouncing around weight-wise,''

Ha
 
Low Sugar Kit Kat bar??

This may help explain why people are so confused over diet and health:

Weighty Matters: New Reduced Sugar Kit Kat Bars And The Risks of Overly Simplistic Dietary Demons

We appear to be seeing a replay of the low-fat fiasco but this time with sugar. Make a few minor changes and BINGO! the new food is healthier for us! Not really, IMHO.

Nestlé is promoting their new bar on the basis of its reduced sugar content, and its packaging also infers it's "healthier" than before with it's large shout out to having "extra milk and cocoa".

As to the bar itself?

It contains 4 fewer calories than the Kit Kat bar it's replacing along with 0.7g less sugar.
 
I think two factors have come into play. The first is laziness. People no longer want to spend the time necessary to prepare a proper meal. They want things fast and they want them yesterday. As a result they are prepared to eat cardboard pizza or greasy deep fried chicken w/ fries.

The second could be the increase in homes with two working parents. No time, pick something fast up on the way home.
The two parents working could well be the factor that meant little time to prepare proper meals. It might not be some generic "laziness".

A big part of a stay-at-home wife's role was meal prep. Prep lunches for kids and husband to take to school/work. Even when kids left home, prepping lunches for hubby still to take to work.

Two parents working, juggling picking up kids from school and after school actives. They are exhausted! No wonder they don't have time to prepare proper meals.

In fact, I bet a lot of folks here on this forum are eating way, way better now that they have retired. We eat almost exclusively at home when we're not traveling, and I spend quite a bit of time on grocery shopping and food prep. It was way tougher when I was working. Weekends were a mad catch-up of trying to prepare some meals and grocery shop. And we didn't have kids!

Should we criticize households of two working parents? Some felt they needed a second job to make ends meet. Some wanted a career, not just be a stay-at-home mom or dad. Should we criticize single parents who work - they kind of have to, don't they? Whatever made households decide en mass that it was better, economically, for both adults to work definitely had an impact. But that change was well under way before 1985, because by 1998, 73% of mothers with children older than one year worked and 52% of them worked full time. In 1976, 33% of married couples with children were both employed at at least part time. This became a majority by 1998. But in 1975, 47% or mothers with children under 18 were already working outside the home.
According to a new Census Bureau report, based on data from 1998, both spouses were employed at least part time in 51 percent of the married couples with children, compared with 33 percent in 1976.
from 2000 Now a Majority: Families With 2 Parents Who Work - The New York Times

In 1975, 47% of mothers with children under 18 were working outside the home.
http://www.pewsocialtrends.org/2015/12/17/1-the-american-family-today/
 
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Is it practical to measure our calories accurately enough that we could, for example, reduce our caloric consumption by 100 calories a day?

I think the idea that most human beings can measure and control their caloric consumption to within 100 calories a day is a myth. My 2¢.

The data do not support the level of accuracy(+-10%IIRC).
I feel you can over time.

At least when we were losing it happened at the rate we choose. i.e. a 250 calorie per day deduction in intake resulted in ~.5 lb per week loss.
 
Expenses: oh yes, eating well is more expensive.

I don't care if you are on the Pritikin diet or the Atkins, it is gonna cost you more. Oh, please don't tell me you live on 10 lbs bags of brown rice (Pritikin) or bowls of lard (Atkins). Sure, maybe you can save money that way. But come on.

I'm talking about those good wholesome whole foods which cost a bit more. Good, fresh produce, maybe even from your local farmer.

When we threw away most of our processed foods a few years ago, and went with things like natural peanut butter, fresh veggies, etc., our costs went up. I know because like many of the LBYMers here, I tracked everything on Quicken. Our grocery bill went up about 20%.

I do think this is just one of the many factors.
 
If you take in 500 calories a day more than you burn, you will gain about a pound a week. Burn 500 calories more a day than you take in and you will lose about a pound a week.
 
I'm sure arguments can be made both ways...the obese person who dies of a heart attack at 50 would likely use less health care than a healthy weight person who lives to 88 but nickel and dimes the system for their last 6 years.

I saw some reference saying obesity only reduces life expectancy a couple years....here's a study:

https://www.sciencedaily.com/releases/2009/03/090319224823.htm

So I'm thinking the hit on health care is pretty high considering the time of use isn't much shorter.
 
So many are so sure about something that is much less than sure. One highly motivated professor who manages to lose weight on a Twinkie diet in no way proves anything.

Personally, I do not care what people think or what they do. It would be nice if more people were healthy and we saved some money as a society, but I won't hold my breath on that, or on many other social habit improvements.

People on this very site have testified that all they did was cut way down on carbs and they lost enough weight to be normal weight, and kept it off for years. People have also done well counting calories. I don't get paid to work through this, and I know how to keep my blood sugar good, and I don't need to lose or even pay any attention to controlling weight.

So good luck anyone on your personal plan, but I would at least question it if I were bouncing around weight-wise,''

Ha

I meant it as an approachable story but here you go, a Harvard clinical trial showing calorie reduction works regardless of composition:

https://www.hsph.harvard.edu/news/press-releases/diets-weight-loss-carbohydrate-protein-fat/

Cut out carbs? Nah, they cut out calories: Why Do Low-Carb Diets Cause Weight Loss?

Dr. Oz and his crew are all out to sell you the latest gingo-acai-miracle fruit weight loss book/drink/plan, and people keep chasing it, drives me nuts.

And yes, I was perfectly cognizant that when I got crammed into a Director position and switched to fast food lunches instead of lower calorie packed lunches I wasn't doing myself favors. But don't let my personal failings cloud the facts, see logical fallacy: Ad hominem.
 
But since I went part time seven months ago I'm down 30 pounds! I hope to keep it off this time.
 
This is what convinces me that the people who suggest that something in our diet throws off homeostasis - just a bit - are right. I went through the typical male scenario - +1 pound/year for 40 years. But then I dumped all that weight and am stable at my reduced weight for 4 years. Was I somehow just happening to pick the wrong foods with precisely 10 calories/day of excess and now I just happen to be able to avoid those specific 10 calories a day (or even 100 calories/day)? Certainly not consciously. There is no way in the annals of science that we can count our calories that precisely. First, we can't precisely know how many calories we need. Far too many variables of weight, activity, and metabolism. Second we can't figure out the calories in our meals to a 10 or 100 calorie/day precision - again too many variables.

No, there is some biological mechanism through which our bodies maintain homeostasis (through appetite it would seem) and something in our western diet throws that off enough to drive weight up. How else can some of us simply change what we eat and throw off decades of imbalance while paying little to no attention to how much we eat? How can we add back small percentages of "bad" stuff with little effect until we reach a threshold where, sure enough, the scale starts inching up again?
That's what I think. Humans didn't evolve eating the same calories every day. It was more like feast and famine. Our bodies regulated our appetite, fat storage, energy production/expenditure, etc.
 
It's true that our life expectancy has increased in spite of the huge rise in obesity since 1985.

I think most of our life expectancy rise has been due to plummeting infant mortality (yay, vaccines and antibiotics!), I had seen some numbers saying white female(?) life expectancy had begun to decline? I heard one major factor was opioid overdose.
:eek:
 
I think most of our life expectancy rise has been due to plummeting infant mortality (yay, vaccines and antibiotics!), I had seen some numbers saying white female(?) life expectancy had begun to decline? I heard one major factor was opioid overdose.
:eek:

Middle class white people life expectancy has declined, attributed to suicides and opioid abuse. But that's a subset of the population.
 
I meant it as an approachable story but here you go, a Harvard clinical trial showing calorie reduction works regardless of composition:

https://www.hsph.harvard.edu/news/press-releases/diets-weight-loss-carbohydrate-protein-fat/

Cut out carbs? Nah, they cut out calories: Why Do Low-Carb Diets Cause Weight Loss?

Dr. Oz and his crew are all out to sell you the latest gingo-acai-miracle fruit weight loss book/drink/plan, and people keep chasing it, drives me nuts.

And yes, I was perfectly cognizant that when I got crammed into a Director position and switched to fast food lunches instead of lower calorie packed lunches I wasn't doing myself favors. But don't let my personal failings cloud the facts, see logical fallacy: Ad hominem.
Thus reminds me of dueling banjos in Deliverance. There are studies all over the place, indicating whatever. They mostly reflect the bias of the study authors or sponsors. My only conclusion is that it is clearly not an easy thing to settle. For one obvious thing, results may be far different among individuals acting on their own and an organized experiment with highly motivated investigators, support groups, etc. Something that people on this board often say is that a lower carb meal plan finds them hungry less often. I would imagine that if people can be made to eat the same number of calories on all these different diets, their weight would be the same. I am not sure, but I think that most fans of low carb diets in and out of the academy likely would concede that if different groups eat carefully controlled equal calories, weight results will be basically equal. If there is a difference based on macronutrients it is more likely to be due to the diets' effects on one's ability to limit calorie intake. From the hArvard paper that you cited: Another important finding was that participants who regularly attended counseling sessions lost more weight than those who didn’t. Dieters who attended two thirds of sessions over two years lost about 22 pounds of weight as compared to the average weight loss of 9 pounds. “These findings suggest that continued contact with participants to help them achieve their goals may be more important than the macronutrient composition of their diets,” said Sacks.

In any case, as I said, nobody pays me to argue about this, so everyone should just take his/her choice.

Ha
 
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Is it practical to measure our calories accurately enough that we could, for example, reduce our caloric consumption by 100 calories a day?

I think the idea that most human beings can measure and control their caloric consumption to within 100 calories a day is a myth. My 2¢.

I think we can. Both Myfitnesspal and Fitbit have enormous food databases set up that you can read barcodes on almost everything and track what you are eating. Really amazing. We don't eat out very often so aren't estimating (probably underestimating) restaurant meals.

Measuring/tracking what we eat is pretty standardized and easy to diy, but measuring the energy we use is almost impossible imo. I just did a session on the elliptical at my gym and the machine says I used 152 calories, but Fitbit gives me only 96. I'm actually glad FB errs on the conservative side.

I know for myself when I disregard the rules for a healthy diet and exercise (Chicago winters do that to me) that my weight hits a certain level and never goes above that. When I remember to watch diet and increase activity (Chicago midspring through midautumn :LOL:), it is very easy for me to hit my lower setpoint and very difficult to go beneath that.

I wonder if so-called setpoints like this are programmed both genetically and by childhood diet and activity behaviors, which doesn't bode well for most of our youth.
 
> Another important finding was that participants who regularly attended counseling sessions lost more weight than those who didn’t.

Sounds like another example of the Hawthorn Effect. People respond to attention.
 
...If there is a difference based on macronutrients it is more likely to be due to the diets' effects on one's ability to limit calorie intake...

That's the key! Most posters here recognize this, I believe.

A large chicken egg has 78 calories. An 8-oz glass of soda has 80 calories.

I know for sure 2 eggs will keep me satiated for a while. Two glasses of soda? Pfttt...
 
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