What the Hadza Have

Toward the end of 2017, Vox.com updated a comprehensive article titled, “Why you shouldn’t exercise to lose weight, explained with 60+ studies.” The problem is that for years, the public has been on the receiving end of this message: “As long as you get on that bike or treadmill, you can keep indulging — and still lose weight.” Is it a valid message? No. But as the old philosophers used to say, cui bono? Who benefits? Authors Julia Belluz and Javier Zarracina name several parties:

[…] fitness gurus, celebrities, food and beverage companies […] public health officials, doctors, and the first lady of the United States.

They also mention gyms, tracking device manufacturers, sports drinks peddlers, and the creators of workout videos as entities who benefit from the pervasive belief in an inaccurate concept. The lead author consulted more than 60 studies and interviewed nine researchers who specialize in nutrition, exercise, and obesity. The consensus was,

This message is not only wrong, it’s leading us astray in our fight against obesity.

In 2017, obesity researcher Kevin Hall published a study in the journal Obesity that followed up on 14 people who had lost weight via The Biggest Loser TV show. Following up on these contestants six years later, Hall found…

[T]he people who lost the most weight on the show weren’t necessarily the people who did the most exercise — instead, it was the people who ate the least.

As they continued on with their lives, however, some of the former contestants did manage to keep their weight down, and accomplished that by exercise — either 80 minutes daily of moderate exercise, or 35 minutes of more strenuous effort.

The Tanzanian mystery

Another scholar whose expertise was tapped was Herman Pontzer, an anthropologist who traveled to Tanzania to see what was going on with the Hadza, described as one of Earth’s few remaining hunter-gatherer tribes. It was a perfect fit, because, he said, “They’re on the high end of physical activity for any population that’s been looked at ever.”

On the other hand, it was a very small, preliminary study that included only 30 subjects. Still, the observations were enough to bring up an intriguing question. Namely, how were these extremely fit and constantly mobile people only burning as much energy as sedentary Westerners who spend their days staring at electronic screens? But there it was:

While the hunter-gatherers were physically active and lean, they actually burned the same amount of calories every day as the average American or European, even after the researchers controlled for body size.

But we have been raised to expect the exact opposite. Calorie burn supposedly is a function of lifestyle activity. Pontzer developed a couple of theories about this unexpected result:

[T]he Hadza were using the same amount of energy as Westerners because their bodies were conserving energy on other tasks. Or maybe the Hadza were resting more when they weren’t hunting and gathering to make up for all their physical labor, which would also lower their overall energy expenditure.

One thing was obvious — the Hadza culture did not encourage or reward overeating, which probably had a lot to do with their lack of any real need to burn off fat. For years, one researcher after another has reported that weight, once added to the body, is very difficult to banish with exercise. The absolute preferred method of maintaining a normal weight is to never gain extra weight in the first place.

The expression “hardwired” has been used, with the implication that some bodily processes are so deeply entrenched, to assume that we can “hack” them is very presumptuous. Whatever is going on with energy expenditure, and with the failure of previous energy balance theories to explain everything, it is very arrogant of us to think we can easily figure it out.

Your responses and feedback are welcome!

Source: “Why you shouldn’t exercise to lose weight, explained with 60+ studies,” Vox.com.10/31/17
Image by Christoph Borer/CC BY-ND 2.0

Exercise Tales

Aaron Gouveia had been heavy all his life and hated how he looked as an adult. Yet somehow, he had picked up the false impression that only parents of girls need to worry about eating disorders and body dysmorphia issues and suchlike. But his four-year-old child was a boy, Will. So, what could possibly go wrong?

As a professional writer, Gouveia appreciated the language, its uses and misuses, and even felt confident that he had a way with words. All he wanted was “to get healthy, go to the gym and live longer to enjoy life with my son.” What he got instead was a big surprise — himself doing something “stupid and potentially harmful.” It started with an ordinary, even banal conversation, transcribed here:

Me: “OK buddy, I’ve gotta go to the gym for a run.”
Will: “Dada, why do you run?”
Me: “Because I’m too fat. So I run so I can get skinny like you.”

When Gouveia returned home, Will was running around like crazy. Eventually, the little boy explained, “I’m getting fat, so I needed to run like you, Dada.” After this incident, the child’s parents noticed that he did not like to be around them with his shirt off. He would stand on the bathroom scale in imitation of his father, and seemed preoccupied with “unhealthy body issues and an obsession with weight.” Gouveia wrote,

I thought I was setting a positive example by showing him that it’s important to exercise and be fit. I never meant to scare him or make him feel bad about himself, but I also failed to realize that by talking about myself negatively, it affects him too. To the point a 4-year-old had to exercise to avoid feeling fat.

Shrouded in history

The prevalent idea is that “fight or flight” is the basic choice an animal makes when threatened. If we go along with that proposition, then strenuous exercise is a perfect combination of those two solutions. Exercise is a useful and effective displacement behavior. Take running, for instance, which is pure flight.

In the old days, running made people happy because it enabled them to escape from dangerous predators. Now, if we run, the body helps the brain endure stress because it sends the same chemical message: “We are outrunning the monster. We are leaving the threat behind and getting away. Every second, we are farther from danger and closer to safety.” Well, of course, runners get high!

When a person puts on boxing gloves and hits a bag, that exercise is pure fight, and as long as the person is conscious, the brain gets the message it loves to hear: “We are beating the stuffing out of this enemy right now.” Other forms of exercise comprise different combinations of fight and flight, with documented positive effects, including stress relief. A tennis player who powerfully returns a serve is a hero who chases a large marauding animal from the village, at least internally.

What could be more rewarding than overcoming or outrunning an enemy? Nothing! Consequently, many people love to exercise because they are in very close communication with their own reward systems, and recognize a good thing when they feel it.

Your responses and feedback are welcome!

Source: “My 4 Year-Old Thinks He’s Fat,” Medium.com, 09/21/20
Image by woodleywonderworks/CC BY 2.0

March to a Different Drummer

We have already discussed Alaisdair Wilkins, who had lost 100 pounds in a year, and the team of writers who analyzed his success. As mentioned, the consensus was, “He found what worked for him.

In 2015, people were talking about a meta-study published in the Journal of the American Medical Association. The question was, “Which diet works best?” and the answer was, “None.” After examining the academically respectable breakdowns of 59 different dietary schemes, the meta-study authors said that “practicality reigned”:

There were no major differences between the diets, and success was completely dependent on what the individual could adhere to.

This confirms what Wilkins had also indicated: People need to find what works for them. We know that he basically lost the weight by walking an uphill treadmill for an hour a day. Writing for Vox.com, he elaborated:

I moved out of my parents’ house and away from their immaculately stocked refrigerator, and also meant the place where I worked all day was located more than a 10-foot walk from where I slept…

He also wrote,

Basically, after convincing myself that I was a failure — a belief in which I saw my weight as both cause and effect — I’ve removed the limitations that I once placed on myself, and it’s because I lost 100 pounds.

But then, having ruminated on various things in the sentences that preceded that one, he disparaged himself for having written them because…

[…] everything I’ve just written perpetuates our noxious, damaging cultural narrative on weight and obesity. Ours is a culture that simultaneously incentivizes people to gain weight and stigmatizes them when they do…

And why is that? Why, as previously mentioned, is “diet versus exercise” such an irritatingly persistent discussion? Because of emotional issues and, even more important, because of financial issues. Professionals in the fields of nutrition and physical fitness deserve to make a decent living, of course. But it is regrettably recognized by society at large that weight loss, whether via exercise, diet, or other means, is a major industry.

Where does Wilkins weigh in?

On the exercise-versus-diet question, he personally found it much easier to “hop on a treadmill” and watch a movie, than to reduce his food portions — at least in the beginning — although that changed. Wilkins ignored advice about the “best” way. He took the trouble to get to know himself, what he could tolerate, what he could live with, what he was able to commit to. He did it his way, not as an arbitrary choice made from blind contrariness, but because, when he had done the inner work, a way showed itself to him.

Your responses and feedback are welcome!

Source: “Exercise vs. Diet: Which Is More Important for Weight Loss,” LifeHacker.com, 01/05/15
Source: “I lost 100 pounds in a year. My ‘weight loss secret’ is really dumb,” Vox.com, 01/01/16
Image by Elvert Barnes/CC BY-SA 2.0

Diverse Opinions on Exercise

We are tracking the history of exercise advocacy through the past few years. In 2015, Indoor Extreme Sports (Long Island) was in the news. Kids could “be the game,” playing versions of laser tag or paintball that are strenuous and challenging, but with fewer consequences than previous entrepreneurs had offered. For instance, there is no messy actual paint to clean up. The picture on this page, by the way, is of a traditional indoor paintball facility.

Getting back to Indoor Extreme Sports, founder Ryan Chin told the press,

Simulating a gaming experience, Indoor Extreme Sports […] offers kids many options for active recreation… We have developed game play at our facility that mimics those of today’s most (video game) popular titles. We always try to develop adrenaline-pumping activities.

It sounds expensive, and of course, it is. All kinds of fancy costumes and equipment are involved, and special effects. The teams probably cost as much to deploy as a regular army. For customers, the financial experience is much closer to a day at a major theme park than a fast-food lunch.

Chin had worked two decades as a commodities trader, but changes in the industry phased him out. In other words, he was a businessman first, scouting for the next big thing. Did he find it?

Yes, because either he or others have started similar businesses in other locations, hosting children’s birthday blowouts and corporate events. No, because the pandemic came along. In either case, games of this genre are definitely not playable by a child at home. Although Chin’s company originally talked about “getting kids off the couch,” there is very little here for the average kid. We all need something we can do at or near home, every day.

Who needs the exercise?

Contemporaneously, The New York Times published a story with the straightforward title, “To Lose Weight, Eating Less Is Far More Important Than Exercising More.” Journalist Aaron E. Carroll mentioned these points:

A 2011 meta-analysis […] looked at the relationship between physical activity and fat mass in children, and found that being active is probably not the key determinant in whether a child is at an unhealthy weight.

From 2001 to 2009, the percentage of people who were sufficiently physically active increased. But so did the percentage of Americans who were obese. The former did not prevent the latter.

The debates about diet versus exercise, and about diet and/or exercise, in relation to obesity, might cease if only there were not so many financial issues and emotional issues involved on all sides.

Your responses and feedback are welcome!

Source: “Indoor Extreme Sports: Getting kids ‘off the couch’,” SILive.com, 04/23/15
Source: “To Lose Weight, Eating Less Is Far More Important Than Exercising More,” NYTimes.com, 06/15/15
Image by Markus Tacker/CC BY-ND 2.0

Genetics, Environment, Inclination, and Destiny

Astonishing as this might seem, the debate about exercise has been going on for decades. After all the years and all the studies, and all the documented personal experience, one might think that by now, consensus would have been reached on the usefulness of exercise as a weight-loss tool. But no. Some people are firmly convinced that exercise is the only savior; others believe it makes no difference, and a very large number is still thoroughly confused.

Once in a while, fate provides the perfect opportunity for research. Thanks to life’s well-known randomness and weirdness, looking at nature’s matched sets enables scholars to make interesting conclusions of various kinds.

Curious Scandinavians

For years, Finland has been collecting statistics from identical twins and compiling them in the FinnTwin16 database. When the volunteers are 16 years old, they sign up to answer a batch of questions, then periodically fill out the questionnaires again every few years.

Heredity has a lot to do with how people’s bodies respond to exercise, and the amount of endurance capacity they have, as well as how much they enjoy sweating. Some people have never in their life experienced a “runner’s high” and have no desire to.

Scientists wanted to zero in on genetically identical pairs of males in their twenties, who had grown up with similar patterns of physical exertion. For the purpose of this study, each pair needed one twin who had exercised regularly in adulthood, and one who, hampered by work or family obligations, had not done so. These were surprisingly difficult to find. Set after set of male twins, even though living apart, adhered to remarkably similar exercise patterns.

In this case, the diet was not a major concern, which is just as well, because even among the relatively few pairs who exercised differently, food choices did not vary enough to be significant. Eventually, the scholars settled on 10 sets of twin brothers, whose exercise habits had diverged mostly within the past three years. Journalist Gretchen Reynolds explained,

The scientists invited these twins into the lab and measured each young man’s endurance capacity, body composition and insulin sensitivity, to determine their fitness and metabolic health. The scientists also scanned each twin’s brain.

The sedentary twins had lower endurance capacities, higher body fat percentages, and signs of insulin resistance, signaling the onset of metabolic problems.

The twins’ brains also were unalike. The active twins had significantly more grey matter than the sedentary twins, especially in areas of the brain involved in motor control and coordination.

At the University of Jyvaskyla, research team leader Dr. Urho Kujala noticed a common thread in each pair of twins, no matter what their genes dictated, and regardless of what their early training and habituation had entailed. In the realm of individual behavior, none of the influences is guaranteed to “take.” Apparently, it is not carved in stone that either heredity or environment can rule uncontested. Genetics and environment can both foster tendencies, but neither factor inevitably signals destiny.

Your responses and feedback are welcome!

Source: “One Twin Exercises, the Other Doesn’t,” NYTimes.com, 03/04/15
Image by Lily Ballard/CC BY 2.0

Bikes and the Built Environment

In 2015, hard looks were being taken at the realities of everyday life, with the intention of inducing more motion in children — preferably in ways that fit in with customary life. In many locales, transportation to and from school became a hot topic.

In Mother Earth News, F. Kaid Benfield noted that…

As recently as 1973, some 60 percent of school-age children walked or biked to school. I’m told that, today, the portion is about 13 percent. All this while we have a serious problem with childhood obesity, which has more than doubled in children and tripled in adolescents in the past 30 years, according to the National Centers for Disease Control.

A case in idyllic Saratoga Springs, NY, drew media attention. A 12-year-old boy rode his bike to school,

a) along a dedicated bike trail
b) accompanied by his mother on her bike
c) on National Bike to Work Day.

On arrival, they were greeted by the security detail and the school administrators and told in no uncertain terms that students were not allowed to ride bikes to and from school.

The journalist asked questions, and the plot thickened. This particular family was fortunate to live adjacent to a designated bike trail, but students lived all over the district, so it definitely would not be safe for them to bike to school even if they were willing to. If a student was hurt, the school might face legal liability. Everyone must be subject to the same rules, so, therefore, the only acceptable modes of transport were parental car and school bus.

Benfield added,

The problem is the school’s location, completely isolated from its community instead of placed within the community where walking and bicycling would be a much more convenient and common choice.

There are a lot of cities in the United States, and far too many of them suffer from schools being built in the wrong locales. On top of a toxic waste pit is not the only bad place for a school. Maybe schools should be where students can get to them under their own steam. Certain factions want to see this taken more extensively into consideration before future plans are made.

Insisting on car or bus transport is based on safety of course, but Benfield adds that in any given year, about a quarter of a million children were hurt in motor vehicle accidents, and for kids from two to 14 years of age, the leading cause of death was MVAs,

Just in case any reader is in a position to influence such matters, the writer also goes into a great amount of detail about the 11 things to keep in mind when a new school is being planned.

Another culture

In the same time frame, Odense, Denmark’s third-largest city, was the exact opposite. Cars were forbidden in school zones, and the very large majority of children walked or rode skateboards back and forth. Even five-year-olds rode their bikes. By the time they reached Grade 3 or 4, class groups would go on field trips by bike. Odense had well over 300 miles of bike paths, an incalculable benefit for the residents and also a tourist attraction.

The school principal gave journalist Matt McFarland answers that might surprise some. Lars Christian Eriksen said that biking affects the child’s character, and seemed more impressed by brain stimulation than by the difference this vigorous exercise made on the muscles and bones.

Your responses and feedback are welcome!

Source: “Getting to School Shouldn’t Be So Hard,” Mother Earth News, February 2015
Source: “This Danish City Is So Bike-Friendly Even Kindergartners Ride To School,” NDTV.com, 02/24/16
Image by DieselDemon/CC BY 2.0

Exercise and Its Weight-Loss Reputation

Over the last decade, there has been a lot of debate about the efficacy of exercise to achieve weight loss. Take 2014, for instance. Many different voices chimed in on the importance of exercise, and what should be done about making it more available to the young. (This was, needless to say, during the Obama administration, when the First Lady adopted childhood obesity as her issue.)

In mid-year, this optimistic announcement was made (courtesy of journalist Claire Moser):

Mayors from across the country unanimously passed a resolution this week supporting new public parks and outdoor recreation programs to promote healthy urban areas and combat childhood obesity. The bipartisan resolution adopted at the annual meeting of the U.S. Conference of Mayors.

Possibly some industrious reporter has followed up on how that turned out.

In Denmark, Dr. Jens Christian Holm conveyed his method to almost two thousand patients, which enabled 70% of them to maintain a normal weight. All they had to do was change their lifestyles and habits in 20 different ways — and not small ways. How did exercise fit into this? Christopher Lane wrote,

[T]he program urges a dramatic reassessment (including by family members) of what children are eating and how much physical exercise they actually are getting.

Dr. Holm charmingly refers to “activities and inactivities.” In the realm of family obesity prevention therapy, motivation has always been a problem, but the method advocated by Dr. Holm reportedly works, and is a program that “families have really embraced.” These sentences from the cached version of his webpage explain:

We know that the fat mass is defended by an ingenious hormonal regulatory system, and that the fat tissue defense can vary from person to person. This means that some people will lose weight easier and faster than others…

For some, the body can be relentlessly proficient in maintaining the fat mass, but remember, there are no alternatives or magical tricks.

A Forbes.com interview yields another worthy Dr. Holm quotation:

First you need to understand obesity as a chronic disease like asthma, diabetes, epilepsy. And then you know to make chronic treatment. Then you need to understand that weight loss is not the most important thing. The most important thing is weight maintenance.

Your responses and feedback are welcome!

Source: “Want To Tackle The Childhood Obesity Epidemic? Then We Need To Build More Parks,” ThinkProgress.org, 06/25/14
Source: “Tackling Childhood Obesity: What Works, What Doesn’t,” PsychologyToday.com 11/10/14
Source: “Has A Doctor From Denmark Solved Childhood Obesity?,” Forbes.com, 04/13/15
Image by Juliane Schultz/CC BY-SA 2.0

Coronavirus Chronicles — The Troubled History of “Move More”

In the previous post, we looked at two different situations where advisors in positions of trust could be accused of peddling false hope to the public.

Case #1: Many authorities still believe that exercise is not, in every instance, connected with weight loss, and hold other beliefs that seem contrary to both common sense and actual experience. Yet the pro-exercise faction grows daily. A lot of people exercise and never lose weight. Is it immoral and unethical to advise people to exercise, when its usefulness cannot be guaranteed?

Case #2: A popular TV personality was publicly scolded for recommending a plant extract as a weight-loss miracle cure that would work for all body types — truly a prototypical “silver bullet.” Although the doctor apparently did not directly profit from the sales, there were still grounds for criticism. People were buying the product in good faith, a.k.a. false hope.

Is one more wrong than the other? It could be argued that even if people do not lose weight from exercise, it is good for the body and brain in several ways. In other words, barring accidents, exercise can’t hurt.

But what if the plant extract doesn’t hurt, either? What if it becomes recognized as a vital health-enhancing supplement for some previously unrecognized reason? Is that enough justification to keep it on the market, as long as the manufacturer promises not to promote it as a weight-loss answer? How could the merchant be sure of the buyer’s motive? Would customers need to sign a waiver, stating that they did not believe the product to be a weight-loss product, and would not use it as such?

The changing lens of history

Close as conjoined twins, obesity and COVID-19 are always meddling in each other’s business and doing each other favors. Obese people are more likely to get the virus, and anyone who has a bad case or a long-lasting case of the virus becomes so debilitated, they can’t bring themselves to exercise, or find the strength to get their hands on fresh produce, or to prepare a healthful salad. In many cases, they literally cannot do anything useful or approaching the requirements for a normal life. If they have been convinced that neither fresh vegetables nor exercise will help, the situation worsens. What should people believe about exercise?

While the New York Post has never been accused of superior journalism, it does get into an awful lot of people’s heads, so maybe attention should be paid to what it has been saying. In mid-2014, that was a piece by Susannah Cahalan titled “America rejoice! Being fat may actually make you healthier.” It was a review of a “science-based anti-diet book” authored by cardiologist Carl J. Lavie. Such a book might be called, by some, another item that gives people false hope — for example, they might erroneously conclude that it is better to be overweight.

Dr. Lavie’s book is called The Obesity Paradox. He acknowledges that obesity is a risk factor of epidemic proportions, but cites evidence that with some disease processes, extra fat can be an advantage, depending on which part of the body it resides in, and how much time a person spends getting less than minimal exercise.

In other words, sedentary life is a short life. He makes a very convincing case against sitting, which is right up there with smoking and opiate addiction (and COVID-19) as a ruthless killer. Cahalan explained the doctor, and then quoted him:

[I]n general, when body fat increases, often so do muscle mass and strength, necessary in battling chronic disease. This leads to the essential divide between being “fat and being fat and fit.” He cites two studies, one out of Canada and one conducted by the American Cancer Society, which both say unequivocally that the more you sit, no matter your age or weight, the sooner you’ll die.

“If you have to choose between being fat or fit, go for fit, even if it means being heavier.”

Your responses and feedback are welcome!

Source: “America rejoice! Being fat may actually make you healthier,” NYPost.com, 04/05/14″
Image by Jonas Bengtsson/CC BY 2.0

Coronavirus Chronicles — The Ups and Downs of “Move More”

Does exercise achieve weight loss? Belief in the doctrine of “move more” comes and goes, and it is interesting to follow the progress of the idea through time, and through individuals who have very strong convictions based on personal experience.

Because of the current pandemic, all kinds of things are getting twisted. With fitness-related businesses closed, even people who fervently believe in exercise are often unable to do the things they need to do for their bodies. Or maybe they set up a home gym, and make so much noise it creates misery for the people in six neighboring apartments, who can’t escape because the libraries are closed. So are the coffee shops, but it doesn’t matter anyway because they are too broke to hang out. Or maybe sick.

A very small proportion of COVID-19 victims are hospitalized. Most suffer at home, with inadequate resources. The last thing they need is track-and-field activities going on upstairs. Another demographic is in trouble, too — people who have finally decided to get serious about taking care of themselves. Unfortunately, they came to that realization at a point in history where it is very hard to transform good intentions into action.

History of exercise beliefs

Anyway, in mid-2013, a belief was current that exercisers are wasting their time because they just get hungrier and eat extra. In response, journalist Liz Neporent declared the proposition “Exercise won’t help you lose weight” to be a myth, and here is why. She consulted James Hill, of the Anschutz Health and Wellness Center, who is discriminating about the studies he references. This quotation is relevant:

In the first place, many studies don’t use a high enough dose of exercise to promote weight loss. And secondly, exercisers do tend to compensate by eating more, but not enough to make up for all of the calories they burn up in exercise. They still create a negative energy balance…

Hill administers the National Weight Control Registry, which “tracks the health habits of thousands of people who have lost an average of 60 pounds and kept it off for at least two years.” What do most of those subjects have in common? More than 90% reported exercising for at least an hour per day.

It is not just about the basic energy in – energy out equation. Lack of exercise, says Hill, leaves a body vulnerable to metabolic defects, which make weight loss more difficult, and thus indirectly causes obesity, in addition to being generally bad for health.

Another aspect to consider

In the same approximate time frame, media celebrity Dr. Oz got in trouble for something he had done a couple of years before. On his popular TV show, he touted the green coffee extract as a “magic weight loss cure for every body type.” Now, that is what we call a sweeping generalization! Specifically, this product was said to reduce body fat by 16% in only 22 weeks, achieving a 17-pound weight loss.

Eventually, Dr. Oz was called before the Senate to explain himself to a consumer protection subcommittee. Apparently, he did not profit from recommending the substance, but in the eye of Chairperson Sen. Claire McCaskill, giving people false hope in a miracle cure was even more objectionable than making money from the product would be.

Your responses and feedback are welcome!

Source: “6 Weight Loss Myths Debunked,” ABCNews.go.com, 07/02/13
Source: “Dr. Oz Grilled In Congress, Admits Weight Loss Products He Touts Don’t Pass ‘Scientific Muster’,” HuffPost.com, 06/17/14
Image by Frankie Leon/CC BY 2.0

Coronavirus Chronicles — 5 Pounds, 20 Times

Alasdair Wilkins, has not, as far as we know, been a victim of COVID-19. But his life experience might prove very helpful to people who have gained unwanted pounds due to being cooped up and unable to get enough exercise to use up the calories they have taken in.

Over the course of a year, Wilkins lost 100 pounds, and the mental attitude he allowed himself to be guided by could be just what others need, because experience has shown that he does know what he is talking about. The authors of a diatribe.org article about Wilkins wrote,

We often hear, “Eat less, move more” as the core advice for weight loss. Unfortunately, that makes the behavior change sound so much easier than it is.

Wilkins addresses diverse topics, many of them of interest to parents. What should parents do, who want to be truly supportive, rather than performative? He says:

Let the person losing weight set the terms of engagement.

What does this mean, in real-life terms? An old joke asks, “How many psychologists does it take to change a lightbulb?” The answer is, “Only one, but the lightbulb has to really want to change.”

The same thought may be expressed in other ways. Most people, if they stop to think about it, can spot examples in their own lives. If someone says, “I plan to lose 10 pounds by June 1st,” there is nothing to be gained by prodding the aspiring weight-loser to more lofty heights of ambition. “Why not dream big, and go for 20 pounds?” or any remark of that type, will not add any needed element to the dialogue.

The first rule of self-help is that the subject has to buy into it. If a friend or relative can simply validate a positive statement of intent, without adding to it, judging, or “helping,” that would be a good thing. People who wish to help a person escape from obesity also have a second guideline. The team that wrote about Wilkins also noted the most useful bit of information about him:

He found what worked for him.

What worked for him was baby steps. He just wanted to feel better, and banished thoughts of end-goal numbers from his mind. He avoided thinking about the total poundage he needed to lose, saying, “I did lose 100 lbs, but I think it’s more correct to say I lost 5 lbs 20 times over.” He said:

I was lucky that I hit upon the right strategy pretty quickly, but I think it was really powerful to build a positive, sustainable experience rather than think about weight or goals from the outset… The takeaway from my experience is not “people should do what I did,” unless what we’re defining what I did as “finding what worked for me.”

Wilkins’s “move more” activity was one hour per day on an uphill treadmill, while watching movies. What about the “eat less” component? Wilkins says,

In terms of organizing my approach and building a sustainable routine, diet was something that happened incidentally along the way. Exercise was what I focused my attention on and where I drew a lot more strength and sense of accomplishment.

He also emphasizes that nobody should suffer from the delusion that they will “get over” obesity:

Obesity is a lifelong condition, and my weight is something I’ll be working to maintain probably for the rest of my life.

Your responses and feedback are welcome!

Source: “How Did Alasdair Wilkins Lose 100 lbs in a Year?,” Diatribe.org, 10/5/15
Image by Marcu Ioachim/public domain

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Profiles: Kids Struggling with Weight

Profiles: Kids Struggling with Obesity top bottom

The Book

OVERWEIGHT: What Kids Say explores the obesity problem from the often-overlooked perspective of children struggling with being overweight.

About Dr. Robert A. Pretlow

Dr. Robert A. Pretlow is a pediatrician and childhood obesity specialist. He has been researching and spreading awareness on the childhood obesity epidemic in the US for more than a decade.
You can contact Dr. Pretlow at:

Presentations

Dr. Pretlow’s invited presentation at the American Society of Animal Science 2020 Conference
What’s Causing Obesity in Companion Animals and What Can We Do About It

Dr. Pretlow’s invited presentation at the World Obesity Federation 2019 Conference:
Food/Eating Addiction and the Displacement Mechanism

Dr. Pretlow’s Multi-Center Clinical Trial Kick-off Speech 2018:
Obesity: Tackling the Root Cause

Dr. Pretlow’s 2017 Workshop on
Treatment of Obesity Using the Addiction Model

Dr. Pretlow’s invited presentation for
TEC and UNC 2016

Dr. Pretlow’s invited presentation at the 2015 Obesity Summit in London, UK.

Dr. Pretlow’s invited keynote at the 2014 European Childhood Obesity Group Congress in Salzburg, Austria.

Dr. Pretlow’s presentation at the 2013 European Congress on Obesity in Liverpool, UK.

Dr. Pretlow’s presentation at the 2011 International Conference on Childhood Obesity in Lisbon, Portugal.

Dr. Pretlow’s presentation at the 2010 Uniting Against Childhood Obesity Conference in Houston, TX.

Food & Health Resources