Quotulatiousness

June 22, 2015

QotD: Obesity

Filed under: Health, Quotations, USA — Tags: — Nicholas @ 01:00

The most maddening example of this is, of course, the case of thin people, or folks who could really stand to lose ten pounds, lecturing the obese on how stupid they are for letting themselves get fat. […]

As a friend who really struggles with his weight points out, the author seems not to understand that for people with a weight problem, weight loss often involves both: you’re tired and miserable and overweight, and also, you’re spending a huge amount of mental energy counting calories and making time for exercise.

Moreover, this really underplays the amount of mental energy we’re talking about. When you talk to people who have successfully lost really large amounts of weight as adults — amounts that bring them from the really risky “super-obese” category into something more normal — you find two things. First, that most of them don’t keep it off, unless they have bariatric surgery, in which case, 50 percent of them keep it off. And second, that the people who are keeping the weight off without surgery are going to extreme lengths to maintain their weight loss, lengths that most of us would probably find difficult to fit into our lives: weighing every ounce of food they consume, counting calories obsessively, exercising for long periods every day, and constantly battling “intrusive thoughts of food.”

It’s not quite fair to say that most of the public health experts I’ve seen talking about obesity are thin people brightly telling fat people that “Everything would be fine if you’d just be more like me!” But it’s not really that far off the mark, either. In the words of another friend who struggled with his weight, and got quite testy when I suggested weight loss was easy, “You’ve hit the pick six in the genetic lottery, and you think you earned it.”

Megan McArdle, “Dinner, With a Side of Self-Righteousness”, Bloomberg View, 2015-03-27.

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