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  #1   ^
Old Tue, Jul-27-10, 04:21
Hutchinson's Avatar
Hutchinson Hutchinson is online now
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Default How to Prevent Obesity -- Stop Eating

How to Prevent Obesity -- Stop Eating
By George Lundberg, MD, Editor-at-Large, MedPage Today

Quote:
We all know that obesity is a huge and growing (no puns intended) problem in the U.S. and most other developed countries.

The proven harmful consequences of obesity to the individual and the public health, as well as to the national treasuries, are devastating. The solutions are both simple and complex.

For most adults who are of normal weight (BMI under 25), simply maintain your normal weight. If you are overweight (BMI 25 to 30), consider this a wake-up call and ACT NOW, before you become obese. STOP EATING.

I did not say fast; I did not say starve. I said Stop Eating too much; stop eating high calorie snacks between meals, stop eating everything on your plate; stop eating such large portions; stop eating desserts; stop routinely eating bread and butter; stop eating three full meals a day when two are enough; stop eating fats and refined carbohydrates when you can eat fresh fruits and vegetables and complex carbohydrates.

And while you are at it, STOP DRINKING alcohol and sugary drinks.

And for those of you who are already obese (BMI over 30); too bad, but not too late -- - to avoid becoming morbidly obese. STOP EATING even more often and for longer periods than your merely overweight brothers and sisters.

Obviously, regular significant exercise is also important; and for some, a surgical gastric intervention can help.

When I did an editorial like this called "How to stop the obese from becoming 'obeser,'" in Medscape on Dec. 17, 2004, it did not solve the problem; the problem just got worse.

And, a lot of obese people got really angry at me for hurting their feelings. But I don't really care that much, as long as we did get some people to adjust their eating and drinking behavior.

STOP EATING and DRINKING EXCESSIVELY and STAY HEALTHY.

That's my opinion. I'm Dr George Lundberg, At Large for MedPage Today.


How to Prevent the Obese From Becoming "Obeser" -- Stop Eating here is his previous article in the same vein. Clearly over the last 6 yrs he hasn't learnt anything new or paid any attention to the replies he got last time round.

If only he could consider what is driving people to eat more than he thinks is sensible it would be a start. If he considered how different foods impact on metabolic rate it may also lead him to possible solutions.

Simply telling people to stop eating as much didn't work when he said it in 2004 and it won't make any difference, now particularly for those people already eating a low fat calorie restricted carbohydrate rich diet.
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  #2   ^
Old Tue, Jul-27-10, 04:32
g-didi g-didi is offline
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That is, in my opinion, a very weak article. Not helpful at all - telling people to stop eating seems to be more of a move I see from people who have never had a weight issue and are quick to judge others instead of attempting to actually help solve the problem. I would hate to have this fellow as my Doctor. OP is right, this fellow has obviously not looked any further than the fat person in front of him as to why they are fat, what they are eating etc.... It really is not as simple as "stop eating".
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  #3   ^
Old Tue, Jul-27-10, 04:59
Hutchinson's Avatar
Hutchinson Hutchinson is online now
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Plan: Dr Dahlqvist's
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Default

Quote:
Originally Posted by g-didi
It really is not as simple as "stop eating".
Indeed I've replied to the section "Add your knowledge" but it's a moderated board and as George Lundberg, MD, is the Editor-at-Large ~ MedPage Today it may not be published.
However it doesn't take that long to register on the site and perhaps if more people explain their experiences it may help (though past experience is not very encouraging).

If you are registered you can also rate this report It may be worth at least doing that.
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  #4   ^
Old Tue, Jul-27-10, 08:06
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KarenJ KarenJ is offline
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Plan: tasty animals with butter
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Quote:
George Lundberg, MD, helps shape the coverage of clinically relevant news at MedPage Today as Editor-at-Large. Dr. Lundberg also serves as president of the Lundberg Institute, and is a consulting professor of pathology and health research policy at Stanford University School of Medicine. He is a member of the Institute of Medicine (IOM) and serves on the Board of Directors of the Friends of the National Library of Medicine. Dr. Lundberg's editorial work is marked by his distinguished 17-year stint as Editor-in-Chief of the Journal of the American Medical Association (JAMA) and its Archives publications. Most recently he served as Editor-in-Chief of The Medscape Journal of Medicine, the original open-access general medical journal, and Editor-in-Chief of eMedicine at WebMD.


He could start his education by reading his own journal. People like this only serve to reinforce my belief that we are, in many ways, still in the dark ages of medicine. To say something so idiotic, simplistic, dogmatic, and wrong as "stop eating" to an obese person is like telling someone that their toe fungus was caused by kissing a boy.
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  #5   ^
Old Tue, Jul-27-10, 08:48
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leemack leemack is offline
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Plan: atkins/groves/no grains
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Quote:
Originally Posted by KarenJ
He could start his education by reading his own journal. People like this only serve to reinforce my belief that we are, in many ways, still in the dark ages of medicine. To say something so idiotic, simplistic, dogmatic, and wrong as "stop eating" to an obese person is like telling someone that their toe fungus was caused by kissing a boy.


I agree about the treatment of the obese being in the dark ages of medicine and certainly in years to come may be condemned in the same way that the treatment in years past of people with mental health problems is today.

The obese are villified, given treatment regimes that don't work due to a lack of medical understanding of the conditions, and finally are actively encouraged to undergo barbaric life threatening surgery to try and cure the obesity (gastric bands, gastric bypass- which in many cases, although the weight is lost, can cause a lifetime of side effects and misery). I hope in 50 or 100 years people will look back and ask why, with the amount of info on low carb, high fat diets, the obese continued to get bad advice 'eat less, starve yourself thin, eat grains and lots of fruit' and then blamed for continuing to gain weight or failing to lose.

The problem with many doctors and scientists is they are all too often far too attached to their hypotheses. Dr lundberg is an example of this, his hypothesis appears to be that the obese are fat because they are greedy and lacking in self control, he ignores any research that contradicts his hypothesis. A good scientist (which all doctors should aspire to be) has a hypothesis, but when presented with good evidence to the contrary will consider their hypothesis disproved.

Its sad if he is so scared of his hypothesis being disproved that he would prevent alternate points of view being made on a site that he edits.

Lee
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  #6   ^
Old Tue, Jul-27-10, 09:19
Hutchinson's Avatar
Hutchinson Hutchinson is online now
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Plan: Dr Dahlqvist's
Stats: 205/152/160 Male 69
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Quote:
Originally Posted by leemack
Its sad if he is so scared of his hypothesis being disproved that he would prevent alternate points of view being made on a site that he edits.

Lee

Interesting to see the first comment to appear is in favour of his approach.
Quote:
Dr Marcy Street - Jul 27, 2010
This is a great video and message. Straight, direct and to the point. I hope that it impacts a large audience. I would like to have permission to use this in my practice. Although it is focused on skin cancer and anti- aging, I address weight all the time in my consultations. Do you recommend a safe "diet" or long term "new habits" for patients to follow to reduce and/or maintain a healthy weight? Thank you.

I'll bet my reply won't appear.
Be helpful if some others here presented the case for a greater understanding of the factors that drive overeating, low metabolism, fat storage

Omega 6 is a potential driving force
Stephan sets out the argument here.
Have Seed Oils Caused a Multi-Generational Obesity Epidemic?

If we are breeding a new generation of people being born genetically programmed to grow obese we need to recognize that fact and then identify the cause, rather than simply blame the victims and hector them for lack of self control.
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  #7   ^
Old Tue, Jul-27-10, 10:27
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costello22 costello22 is offline
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Plan: Low carb
Stats: 250.4/217.6/150.4 Female 5'6"
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Quote:
When I did an editorial like this called "How to stop the obese from becoming 'obeser,'" in Medscape on Dec. 17, 2004, it did not solve the problem; the problem just got worse.


lol... What a dope!
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  #8   ^
Old Tue, Jul-27-10, 10:52
Hutchinson's Avatar
Hutchinson Hutchinson is online now
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Plan: Dr Dahlqvist's
Stats: 205/152/160 Male 69
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Progress: 118%
Default

Pleased to say they have published my comment.

gys de jongh - Jul 27, 2010 is worth reading.

Far too many comments supporting him though.
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  #9   ^
Old Tue, Jul-27-10, 12:55
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TheCaveman TheCaveman is offline
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Plan: Angry Paleo
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Doctor, it hurts when I do this.

Then, don't do that.
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  #10   ^
Old Tue, Jul-27-10, 15:47
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Seejay Seejay is offline
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Plan: Optimal Diet
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I wonder what that doctor's track record is with patients and that advice.
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  #11   ^
Old Wed, Jul-28-10, 10:55
kindke kindke is offline
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Plan: my own
Stats: 278/217/185 Male 5 feet 11 inches
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Telling people to eat less is akin to telling people to stop having sex, or telling people not to sleep as much, etc.

I use to think will power could trump anything but I now know how wrong I was. People are primarily controlled by thier hormones.

When you eat a meal and you dont get the ghrelin blunting satiety of it, you continue eating.

Lean people get the ghrelin blunt and so stop eating, obese people dont get the hormone response they need to tell them they are full.

There's thousands of studies all over pubmed showing extreme hormone differences in lean compared to obese people. Yet we have morons like the speaker thinking its all about will power.
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  #12   ^
Old Wed, Jul-28-10, 10:58
kindke kindke is offline
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Plan: my own
Stats: 278/217/185 Male 5 feet 11 inches
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Also, I lost the study but there is atleast one reference out there showing how sugary drinks are more addictive than cocaine ( in rats ).

It is very hard to give them up.
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  #13   ^
Old Wed, Jul-28-10, 11:02
K Walt K Walt is offline
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Plan: PP
Stats: 210/170/170
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Want to be taller?

Just increase your height. Duh.
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  #14   ^
Old Wed, Jul-28-10, 11:49
mathmaniac mathmaniac is online now
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Plan: sugarbusters
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It's the basic message of WW. You don't have to stop eating - as long as you recognize limits. When you see yourself approaching a limit, stop.

Yeah, duh. It IS common sense. That doesn't mean, however, that telling people this will enlighten them or inspire them to do just that.

That's why WW groups get together and discuss how watching the limit worked that week. It does work. Of course it does. For the years that WW has been computerizing its records, the basic data supports all of it.

Is it easy? NO.
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  #15   ^
Old Wed, Jul-28-10, 14:41
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Seejay Seejay is offline
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Plan: Optimal Diet
Stats: 272/259.5/122 Female 62 inches
BF:
Progress: 8%
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Quote:
Originally Posted by mathmaniac
That's why WW groups get together and discuss how watching the limit worked that week. It does work. Of course it does. For the years that WW has been computerizing its records, the basic data supports all of it.
In their "computerizing its records," does WW include dropout rates? Proper tests of a protocol include finding out who it works for, who it doesn't, and what explains the difference. I was a member about 5 times and every time they changed the program, there was no mention of trials of the new program and it was the members who were the field trials.

Last edited by Seejay : Wed, Jul-28-10 at 14:56.
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