What I’m Reading: The Fattening Of America
Table of contents for Book Reviews - 2008
- What I’m Reading: The Blind Watchmaker
- What I’m Reading: Good Calories, Bad Calories
- What I’m Reading: The World Without Us
- What I’m Reading: In Defense of Food
- What I’m Reading: The Revolution Will Not Be Microwaved
- What I’m Reading: Everything I Want To Do Is Illegal
- What I’m Reading: Holy Cows and Hog Heaven
- What I’m Reading: The Fattening Of America
- What I’m Reading: Wild Fermentation
- What I’m Reading: The Road To Immunity
- What I’m Reading: The Farmer And The Grill
Last night, I finally finished The Fattening of America by Eric Finkelstein and Laurie Zuckerman. It was basically about how the economy is geared to making people fat, the detriments of obesity on the nation, and the benefits to the economy of obesity. Finkelstein uses his Uncle Al and Cousin Carl as exemplars of a typical obesity-promoting lifestyle. Uncle Al is a lawyer, climbing the ladder at his firm, making money hand-over-fist, but working long hours, eating restaurant foods constantly, and getting little exercise other than a weekly round or two of golf. Cousin Carl is living paycheck to paycheck, eats poorly due to lack of money, and also gains too much weight.
Throughout the book, he uses economics to show how both Uncle Al and Cousin Carl are maximizing utility as they have determined utility to fit their lives. For Uncle Al, having a high-powered career is more important than being healthy and therefore, it is expensive for him to maintain a healthful diet and exercise regimen. To engage in exercise and fix his own meals would take too much time away from the law firm. Cousin Carl has similar problems with needing to work to be able to support himself and having little money to spend on high quality foods.
There was only one tidbit that jumped out at me in the book of major interest. Did you know that the lower income brackets are not the most overweight? According to the data from studies he used, it’s actually the middle class that has the highest rate of obesity across all races and genders, with the rich and the poor having about equal probability of being obese. There are quite large differences between the races and genders though, as black women are more likely to be obese than white women at pretty much any income level and all women are more likely to be obese than men.
It all basically boils down to technological advances making it more expensive to be thin than to be fat. Unhealthful foods made of cheap are cheaper than produce, grass-fed meats and poultry. Our jobs are rarely physical, so we have to pay both time and money to go to a gym. It’s easier to hit McDonald’s for a quick meal after an exhausting, stressful day of work than it is to go home and cook up a proper meal of meat and vegetables. And then there are all of the businesses that benefit from our ever-expanding waistlines: diet plans, gyms, over-sized casket and wheelchair makers, pharmaceuticals, and the list continues. The weight loss industry is nearly $50 billion per year and showing no signs of slowing.
Finkelstein devotes a chapter or two to discussing the benefits to employers of a more fit workforce and some of the programs that companies are instituting to help their employees stay in shape. From weight rooms to cash incentives to maintain a certain weight or hit certain exercise targets, employers have put many different kinds of programs in place to try to make it less costly in economic terms for their employees. Unfortunately, there’s no solid proof showing that they work.
Finally, he ended with some practical advice on how to lose weight. I was dreading that chapter, figuring it was going to be the same politically correct garbage of “eat less fat, watch your calories, etc.” But he didn’t go there. It was more high-level stuff like “Avoid food in pretty packages,” “avoid added sugar,” that kind of thing. Pretty decent information, but it’s the same information we’ve been hearing for years that is obviously not getting through to people. Perhaps a different way of putting the message together is in order.
I thought he placed too much emphasis on genetics, which most of us understand are not a road map to your life, but become expressed only when the proper environment for their expression exists. Remember that phenotype is what your body does with your genotype and is truly what you are. He also didn’t really separate the differences between weight and health, irritating the heck out of me when he said he waits for the day that he can drink sweet tea and eat cookies without worries about gaining weight. Of course, one can be at a “normal” weight and still be quite unhealthy.
My final rating of this book is a 6 out of 10. It’s well-written and well-researched, but it doesn’t bring much to the party that most of us here don’t already understand. It took me several weeks longer to get through the book than it should have just because it wasn’t all that enthralling and most of the stuff, I already understood.
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- Other Stuff You'll Enjoy:
- What I’m Reading: Last Child In The Woods
- What I’m Reading: Good Calories, Bad Calories
- New Weight Loss Drug
- Obesity in 2032
- More Fast Food = More Body Weight
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Filed in Obesity and Disease 5 Comments so far
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Skyler Tanner on 12 May 2008 at 12:57 pm #
Scott,
Your mention of phenotype reminds me of an article written by my friend Dr. Doug McGuff and the limited number there really are:
http://ultimate-exercise.com/phenotypes.html
Best,
Skyler
Debs on 12 May 2008 at 4:03 pm #
Even when workplaces do try to keep employees healthy, they often go about it in the same well-intentioned yet misguided way that most mainstream health sources approach eating a healthy diet. My workplace at a “health fair” recently, at which you could get a few tests done, sign up for services, and so forth. The people doing the cholesterol and blood glucose tests handed me an American Heart Association flyer about keeping your cholesterol low. Almost every single thing on it was wrong - no mention of reducing sugar at all, and it was all about cutting out egg yolks, not eating cholesterol, not eating organ meats, eating more vegetable oil and vegetable spray, and so forth. It was atrocious.
Food Is Love
Scott Kustes on 15 May 2008 at 9:40 am #
Skyler, good article. Thanks
Debs, I concur. My old employer rolled out a Heart Healthy Lunchroom last Feb. You can see my take on it here. It’s a shame that even good intentions have unintended consequences and the prevailing dogma is what is pushed so often. I suppose that’s why we’re all here trying to fight the good fight.
Cheers
Scott
Anna on 15 May 2008 at 3:45 pm #
The workplace issue is one that I am wrestling with, too, though it is my husband’s workplace that is the issue, as I am an unpaid (but happy) slave in the home :-). Creeping, nay, skyrocketing healthcare costs are a huge issue each year as his not-for-profit biomedical research institute struggles to construct an attractive benefits package for the employees. I have no argument with them giving a small discount on health insurance premiums to non-smokers (and smokers who complete a smoking cessation program even if they don’t manage to quit), but I can see that “healthy” diet and lifestyle suggestions are probably lurking right around the corner in their attempt to slow health insurance premium increases. Despite this institute’s cutting edge position on important basic and biomedical research, I fear the diet and health advice they will dispense will inevitably be very mainstream (and wrong) and sourced from the usual suspects (same thing from the medical insurance provider’s diabetes education campaign in which I am enrolled). So I have been thinking about finding a constructive way to either respond to misguided, ineffective, and perhaps even erroneous suggestions or to direct them in a better direction. Any suggestions are appreciated.
Do you think this book would be a good one to recommend to the benefits person in the HR dept?
Scott Kustes on 16 May 2008 at 10:47 am #
Anna, this could be a decent book for an HR person to read because he discusses why most workplace wellness programs fail. Specifically, gyms are often used mainly be people that were already going to the gym and given that employees typically move jobs every 5 years or less, employers have little incentive to invest in major measures. The problem is that I don’t think he really ran through what does work. It will show the benefits person that the companies providing the wellness solutions are probably not achieving the results they claim to be, but I’m not sure it’s going to put them on the right path either. That’s a tough nut to crack.
Cheers
Scott