Dashel
Blackwing Lair Raider
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Interview with Gary Taubes:
http://thebrowser.com/interviews/gary-taubes-on-dieting
http://thebrowser.com/interviews/gary-taubes-on-dieting
and another quote on the Nurses Study:In your book you argue that conventional wisdom started going down the wrong track in the 1940s and 50s. Is that why a lot of the books you?re recommending are quite old?
Yes. Before World War II in Europe, there were two general themes that were running through nutrition and obesity science. One was that the refinement of food ? particularly the refinement of carbohydrates and sugars ? was causing major health problems. Obesity and diabetes were the most obvious results, but there was a general decay of health in populations that ate diets rich in refined grains and sugars. The other was that clinicians studying obesity had come to believe it was foolish to think obesity was caused merely by people consuming more calories than they expended. They thought it was a hormonal, enzymatic disorder, just like any other growth disorder. If you have gigantism, when people grow far too tall, or dwarfism, when they don?t grow to a normal adult height, it?s to do with grown hormones and growth hormone receptors.
These researchers argued that what was true of vertical growth disorders was almost as surely true of horizontal growth disorders ? obesity, in other words. All we have to do is fully understand which hormones and enzymes regulate fat accumulation and fat tissue, and we?ll know what causes obesity. Then in the 1960s, long after this European school had evaporated, it became clear that the hormone regulating fat accumulation was insulin. We secrete insulin primarily in response to the carbohydrate content of our diet. This fit perfectly with the pre-World War II observations that populations that ate refined carbohydrates had obesity, diabetes and other chronic diseases, and populations that didn?t eat these foods didn?t. That?s the story I?m telling in my books.
This could help explain something that I?ve never fully understood ? that some people who are quite seriously overweight don?t actually eat very much.
Yes, they don?t necessarily eat any more than lean people do. One of the things I try to do in Why We Get Fat is to argue against the concept of overeating as the cause of obesity, and one of the arguments I use is that no one can even define what overeating is. We know, for instance, that [Olympic swimmer] Michael Phelps eats 12,000 calories a day. But he?s obviously not overeating, because he?s not obese. The whole concept of overeating can?t be defined, unless you know the person is obese. There?s a circular logic to it. I can eat 3,000 calories of food and be perfectly lean, and my twin brother can eat 3,000 calories and be obese. The question is why? What?s happening in his body that?s making him fat, while the same 3,000 calories don?t make me fat?
What about the counterevidence?
One caveat is observational studies, where you identify a large cohort of people ? say 80,000 people like in the Nurse?s Health Study ? and you ask them what they eat. You give them diet and food frequency questionnaires that are almost impossible to fill out and you follow them for 20 years. If you look and see who is healthier, you?ll find out that people who were mostly vegetarians tend to live longer and have less cancer and diabetes than people who get most of their fat and protein from animal products. The assumption by the researchers is that this is causal ? that the only difference between mostly vegetarians and mostly meat-eaters is how many vegetables and how much meat they eat.
I?ve argued that this assumption is na?ve almost beyond belief. In this case, vegetarians or mostly vegetarian people are more health conscious. That?s why they?ve chosen to eat like this. They?re better educated than the mostly meat-eaters, they?re in a higher socioeconomic bracket, they have better doctors, they have better medical advice, they engage in other health conscious activities like walking, they smoke less. There?s a whole slew of things that goes with vegetarianism and leaning towards a vegetarian diet. You can?t use these observational studies to imply cause and effect. To me, it?s one of the most extreme examples of bad science in the nutrition field.