A little more obsessed eating plan
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Even a recent Lancet study, which suggested the officially healthy body mass index of 25 was indeed optimal for health, still showed that increases in risk are minor for the moderately chubby. I’ve seen meta-studies that suggest all-cause mortality is lowest in people who are actually slightly overweight.
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We should be less obsessed by weight in itself anyway. The study is encouraging for diabetes treatment, but it is not even close to being evidence that sustainable weight loss is achievable for most people. Since the results after two years were significantly worse than those after one, we don’t yet know whether even these gains are sustainable. While 35.6% of participants were in remission after two years, only 11.4% had maintained a 15kg weight loss. More importantly, the success heralded was in remission of type 2 diabetes, not weight loss. It’s not just that the trials were highly controlled and participants had serious health conditions and so were highly motivated. The apparent success of the soup-and-shakes strategy in trials is no vindication of old-school calorie-counting. So a serious anti-obesity strategy would require the government to take on the food industry’s promotion of highly processed foods. They are also slimmer when they eat more home-cooked meals. We don’t yet know exactly what makes a difference, but we have lots of evidence that people get fatter when they eat more highly processed foods, especially refined carbohydrates. How we metabolise our food depends on what kind of food it is, not just how much energy it contains. So all the time the dieter is congratulating themselves on their weight loss, their body is wondering what the hell is going on, and doing all it can to reverse it.Įvidence is mounting that body weight is not determined purely by calorie intake. Deprive it of calories and it starts to burn fewer of them, and tries to horde away any excess as fat.
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The human body is such a homeostatic, self-regulating system. Instead, nature favours organisms that can adjust their energy expenditure in accordance with what is available. The simple energy-in-energy-out model treats the body as though it were a machine, always burning its fuel in the exact same way. The reasons for this are complicated, but the basic principles are clear enough. But my case is an example of a well-established fact: the vast majority put back on all the weight they lose when dieting, or even more. Twelve months later I was at least as heavy as I had been before. So it was deeply disturbing when I could not stop my lost weight piling back on with a vengeance. When I hit my target weight I was careful not to go back to old habits. Feeling hungry most of the time had made me grumpy, irritable – and obsessed by the next meal. Several years ago I carefully cut back on my eating, and sure enough, the kilos fell away. I learned this through bitter experience. But as a strategy for weight loss it has a basic and fatal flaw: it doesn’t work. It seems as pure and virtuous as Mom and apple pie (well, maybe minus the pie). Today saw a more targeted soup-and-shakes weight-loss plan aimed at people with type 2 diabetes.Ĭommon to both initiatives is the advice to exercise more and eat less. At the end of July it launched its anti-obesity strategy, boosted by evidence that Covid-19 hits overweight people hardest.
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I t seems fitting that a government lacking in substance is now urging the nation to lose some of its own.