Hope you're having a super day? I've just come across this great post by the talented, well-read and extremely intelligent, Carrie Dennett (MPH, RDN).
This post highlights some very interesting points and is a great read to get a holistic understand of the obesity battle going on in the States (yet is relevant universally).
Click here to read The Obesity Debate: Part 1.
Click here to read The Obesity Debate: Part 2.
Note: I've copied and pasted her article as it needs to be read in its entirety.
The Obesity Debate: Part 2
In the first article, "Patchy progress on obesity prevention," the authors note that in the 2011 Lancet series, the globalization of food systems that promote overconsumption of high-calorie, low-nutrient foods and beverages was identified as the major driver of increasing obesity rates around the world.
Since then, strategies to address obesity have mostly focused on trying to change people's behavior rather than changing the food and physical activity environments.
The article points out one of the dichotomies I mentioned Tuesday: one faction places the responsibility (blame?) on individual people and their choices, while the other faction places the responsibility on environmental and social factors. The authors assert that both positions have merit because:
- People have some responsibility for their health.
- Environmental factors can affect the ability of people to exercise personal responsibility.
- The food environment delivers large amount of unhealthy foods to people.
- This, in turn, affects food preferences and sustains or even increases the demand for unhealthy food.
Biological vulnerabilities
- Low-nutrient, high-calorie foods are highly appetizing and are processed in ways that make it hard for our bodies to regulate how much we eat and how much we weigh.
- Many foods are high in salt, sugar, fat, flavor enhancers and caffeine, which increases their "reward value," while being low in fiber and protein, which would normally help us feel satisfied and slow absorption of sugar into our bloodstreams.
- When we try to lose weight, we experience changes in brain chemistry, metabolism and hunger/fullness hormones. This can make weight loss difficult!
- Then, when we regain the weight (then lose, then gain, then lose, then gain) we feel like a failure because we failed to lose weight and keep it off.
- These feelings of failure make us more susceptible to promises of quick weight loss results, including the claims from weight loss products that have little-to-no regulation.
- The food industry designs their "food-choice architecture" to promote consumption of foods of low nutritional quality, which have the highest profit margin. This includes the serving size of containers, where items are placed in the supermarket, product pricing and promotional strategies.
- We have a strong tendency to stick with "default options." This is why the default option in many restaurants is large portions with side orders included, all of which promotes overeating.
- Despite wanting smaller portions, most people rarely deviate from the status quo by asking for less food!
- High-calorie, low-nutrient foods tend to be inexpensive, and many people are on a budget.
- Quick and convenient (but less healthy) ready-to-eat foods are appealing to household where women work all day.
- The modern food environment exploits these vulnerabilities (the need for quick and/or cheap food).
But first, I am humbly requesting that you watch this video from Center for Science in the Public Interest (CSPI), on "Anatomy of a Supermarket Purchase." It's almost 11 minutes long, which, yes, I know is long for a video, given our decreasing attention spans, but I managed to watch the whole thing and was glad that I did (it really does have nice animations throughout: you won't be watching a "talking head"). If you think you are in full control when you walk into the supermarket, think again. Knowledge is power!