The Obesity Epidemic

by Vianesa on May 18, 2013

Is obesity the number one health problem in America today?

Researchers cite the dilemma; obesity is not just about the numbers, but the linkage to other chronic diseases that affects the overall quality of life. Overweight and obese persons have been shown to be at a greater risk for chronic and fatal diseases such as Type II diabetes, congestive heart failure, eating disorders, stroke, and other mental disorders.

Childhood obesity will affect over 1/3 of children if current trends continue.

Adult obesity has increased by 50% per decade during the 1980s and 1990s. Today, 2/3 of adults are overweight or obese, and the morbidly obese population has increased at the fastest rate.

Life expectancy has also declined as a result of obesity, and public health officials believe it could exceed levels of ischemic heart disease and cancer. Unfortunately, the medical treatment for obesity has been unsuccessful, despite the funding and attention given to this public health dilemma.

Childhood obesity

According to Professor Olshansky from the University of Illinois’s School of Public Health,

the biggest threat to life expectancy will come from America’s most vulnerable group: children.

And, according to Olshansky,

when obese children reach early and late adulthood, they face a higher risk of death, and with the published dangers that childhood obesity represents, there is still much public apathy; diet and exercise do not seem as important. This is especially apparent in schools.

Grave risks to being overweight such as poverty, poor nutrition, and an “eat more” culture were largely ignored until Let’s Move! (First Lady Michelle Obama’s initiative to lower the incidence of childhood obesity in a generation) became a movement that redefined wellness in America.

However, despite all the research on obesity, researchers still do not know how to reverse fatness.

Inflated and unscientific claims

According to Professor William Reveille,

the unscientific claims about overweight and obesity derive from scientists and doctors largely funded by the weight-loss industry. Instead of addressing the complications regarding fatness, this group has inflated claims about the consequences of the obesity epidemic.

Reville notes,

adult obesity has doubled, and tripled in children, but the predicted deaths from ischemic heart disease and stroke have not occurred; in fact, the underweight category have been shown to be more at risk for premature death.

And, according to Reville,

weight gain is complicated by the increased use of diabetic drugs, and that more attention should be paid to recommending people exercise more as a preventive measure for becoming overweight.

Authors’ Conclusion

As a former fitness trainer, communication scholar, and certified nutritionist, I believe that it is in the interest of the weight loss industry to espouse outrageous claims based upon shoddy science.

I also believe many experts have their own fear and loathing of overweight people and food which “Shapes” their argument. As I began to study food, I learned of the problems that existed in mainstream nutrition and the habit of viewing food in its macro- and micro-nutrient parts.

I see three overarching problems in our weight-obsessed culture:

1. The speculation and ambiguous studies that became gospel after the publication of Senator McGovern’s 1977 Dietary Goals

2. Medicalization of obesity

3. Diet gurus

Senator McGovern’s 1977 Dietary Goals linked the consumption of meat, dairy, and poultry to heart disease using ambiguous studies. It was unprecedented and was expected to have the same health-changing benefits like that of the 1964 report from the Surgeon General about smoking.

The medicalization of obesity has led to bariatric surgery becoming a large, growing market that “cashes in” on Americans’ fear of fat. In the history of dieting, physicians have done great harm by recommending amphetamines, starvation diets, and liquid protein fasts, all in the name of helping people to lose weight.

Finally, the media’s obsession with weight aptly contributes to the $35 billion weight loss industry. Witness the enormous success of shows like Biggest Loser and the Celebrity Fit Challenge; shows who have turned trainers like Jillian Michaels (marketing employee) and Tony Horton (struggling comedian) into overnight fitness and diet gurus who demand multi-million dollar sponsorship offers and product endorsements.

The weight loss industry bets on failure by marketing the same starvation diets and intense, unnecessary workout programs for an underserved population: overweight adults who fail an average of two diets a year. Clearly, the “Experts” are doing something wrong.

Resources
Campos, P. (2005 October 7). The obesity myth: The “war on fat” is a witch-hunt masquerading as a public health initiative. Spiked Essays. Retrieved from http://www.spiked-online.com/articles/0000000CADA2.htm

Fraser, L. (1997). Losing it: America’s obsession with weight and the industry that feeds on it. NY: Dutton

Kalb, C. (2010, March 22). Culture of corpulence. Newsweek, vol unknown, 42-48.

Life Insurance International (2006). Medical insurance: Obesity, a rampant silent killer. Life insurance international ProQuest (2006, February 4).

McDougall, J. (Retrieved November 14, 2012). George McGovern’s legacy: The dietary goals for the United States. Retrieved from http://www.drmcdougall.com/misc/2012nl/oct/mcgovern.htm

McNamara, M. (Retrieved Oct 26, 2012). Diet industry is big business. Retrieved from http://www.cbsnews.com/8301-18563_162-2222867.html

Morrill, A. C. & Chinn, C. D. (2004). The obesity epidemic in the United States. Journal of public health, 25(3/4), 353-366.

Olshansky, S. J., Passaro, D. J., Hershow, R. C., Layden, J. (2005). A potential decline in life expectancy in the United States. New England journal of medicine, 352(11), 1138-1145.

Reville, W. (2006). Being a little overweight should not exercise us too much. Irish times, 172-177.

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The Politics of Obesity

by Vianesa on May 11, 2013

Obesity relates to a body mass index (BMI) of greater or equal to 30 and is considered the number one health problem in America1. Obesity is complex; difficult to treat due to environmental, physical, and psychological imbalances2.

Americans lead in the proportion of the total population that would be considered overweight1.

If this rate continues, 40% of said population will be considered obese which is why researchers believe America has an obesity epidemic1.

Additionally, childhood obesity will befall over 1/3 of all children1.

The Beginning of the Obesity Epidemic

Obesity’s roots are tied to three political winds3:

1. The desire to make food cheaper during the Nixon administration circa 1973

2. HFCS introduction into the American diet

3. U.S. Department of Agriculture (USDA), American Medical Association (AMA), and American Heart Association’s (AHA) call to lower dietary fat in 1982 due to the correlation of low density lipoprotein (LDL) correlation with cardiovascular disease (CVD)

The theory that dietary fat raises LDL and in turn causes CVD was never tested, however American policy makers, nutritionists, scientists, and others based their nutrition guidance on a flawed study which showed dietary fat—not sugar to be the problem in the American diet3.

This led to nutritional dogma; a low-fat lifestyle, which opened the door to thousands of different, processed foods. To make food palatable to the consumer, sugar had to be added since fat was removed or reduced3.

Iron Triangle of Government, Media, and the Food Industry

An iron triangle is a closed, mutually supportive relationship that exists between government agencies, special interest groups, and legislative committees with jurisdiction over an area of government policy4.

In other words, the government issues guidelines on how Americans should eat, the food industry creates products to meet the need of Americans’ innate taste for sweet, sour, bitter, and salty; and the media reports on new food products based upon how well the product fits into a healthy diet.

Understanding how these three entities work together is the basis for understanding why America is experiencing an obesity epidemic.

The Food Environment

Nutrition health advocates have labeled the food environment “toxic”, but the toxicity is a direct response to three actors:

1. Eaters; who want tasty food

2. The government; who need to provide affordable food

3. Food industry shareholders; who are most interested in profit

Tasty food, high in fat, sugar, and sodium is cheaper and more widely available = toxic mix for obesity

The food industry also has advocates in the American Dietetic Association (ADA). The ADA, the association that should educate, inform, and inspire American eaters, collaborate with large food companies such as Hershey’s, General Mills, Coca-Cola, and Pepsi for industry conferences and research5. Laws put in place such as the Dietetics/Nutrition Act criminalize the giving of nutritional advice by unlicensed persons are political and troublesome5.

One can assume that these laws are to protect the common good, but the truth is,

The threat of competition in the dietetic and nutrition realm threatens the interests of the food companies.

So…What Can We Do?

Treating obesity is a complex and comprehensive act that requires a thorough understanding of biochemistry—not nutritionism4. Pharmacological and biotechnological advances have been excellent at treating comorbid factors like heart disease, diabetes, etc., but dismal at helping the obese population lose weight6.

The Role of Government

Governmental food and nutrition policies helped to change the way Americans eat more so in the last 50 years than any other time in history7.

30% of the population who qualify as obese affect the remainder of the population in the following ways3:

• Government already “pays” twice (corn subsidies and health expenditures)

• Threat to national security (Army consistently talks of issues with
meeting recruiting goals due to obese candidates)

• 50% increase in health insurance premiums

Suggestions for policy initiatives that may work to reverse the obesity epidemic in America include:

1. Focus on prevention instead of treatment

2. Changes to government agencies which provide nutritional guidelines

3. Policy initiatives with controls on advertising and marketing of processed food to children

Conclusion

The “toxic” food environment is a byproduct of the iron triangle that exists within our government and key actors from the food industry, food science, and the media. It requires the consumer to navigate through the confusing food environment and reductionist science that passes for nutrition guidelines. The politics of obesity is a firestorm that makes the solution to our public health concern fraught with peril.

Resources
1. Morrill, A. C. & Chinn, C. D. (2004). The obesity epidemic in the United States. Journal of public health, 25(3/4), 353-366.
2. Thompson, J. K. (2004). Handbook of eating disorders and obesity. NJ: Wiley
3. CTVsantacruz. (Retrieved 2013, January 15). Sugar: The bitter truth. Retrieved from http://www.youtube.com/watch?v=0z5X0i92OZQ
4. Johnson, P. M. (Retrieved 2013, January 15). Iron triangles. Retrieved from http://www.auburn.edu/~johnspm/gloss/iron_triangles
5. LeVaux, A. (Retrieved Oct 26, 2012). How a corrupt dietitians’ group has taken over nutrition advice in America. Retrieved from http://www.alternet.org/personal-health/how-corrupt-dietitians-group-has-taken-over-nutrition-advice-america
6. Howard, C. (2012, December 15). Special report: Obesity. The economist, 405, 3-16.
7. Pearlstein, E. & Kenner, R (Producers), Kenner, R. (Director). (June 12, 2009). Food Inc. United States: Participant media.

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