Obesity: England’s most pressing healthcare challenge?
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- Опубліковано 28 вер 2024
- Obesity is one of the biggest public health challenges facing the UK. In this new film, RCP special adviser on obesity Professor Rachel Batterham OBE meets leading experts and patients to consider what needs to be done to take meaningful action on this complex problem.
The documentary explores the latest science on how and why people develop obesity and the most recent available treatments. It considers obesity through the lens of health inequalities: how some groups are more affected than others, and how reducing stigma and elevating the patient voice are crucial in tackling the issue.
If it was genetics, the percentage of overweight and obese people would be the same as in 1970. It is the changed diet since the 1980s that causes this. Too much processed food with high sugar and high carbs.
It is both. Those who have the genetic predispositions are more susceptible to the negative changes/increased food availability in our environment.
@@lukehannanutrition - yes - it's called gluttony
@@peterpisspotty3052 said by everyone who doesn’t actually understand obesity.
@@lukehannanutrition - I've just lost 11 stone - I understand obesity
@@peterpisspotty3052 congrats on your weight loss. But that’s like saying “I recovered from cancer so now I’m an oncologist” - it doesn’t make you an expert.
It's not genes that make us struggle with our weight; it's weight that makes us struggle with our jeans.
Well said
good one
Lmao
😂
Silly boy. Love puns........
I never saw ANYONE laughing at fat people at the gym at all. Never ever! It's quite the opposite true; we encourage them to stay and fight the fat together. Most people in the gym are friendly, but have also their earphones in. Gym is for your training routine, not for flirting or looking (good or bad at others). At least this is my experience.
1) most people don’t need to go to a gym- walking every day is enough. 2) look at the size of the arse on him/her is a favourite Aussie comment.
In my experience I've never seen anything other than support and encouragement given to people who need it in the gym. I do wonder whether some of these experiences are perceived. In general people couldn't care less about looking or laughing at others in the gym, they're too busy concentrating on their own workout 🤔
We respect their effort in fact that’s just another excuse to not do anything. These guys are addicted to food
@@janeswinbank5872 you can work out not in a gym if you don’t like nany countries have good structure for exercise at streets they are just finding some excuse
Gym rats are happy people. It’s people who don’t exercise that are nasty. I try never to miss a work out.
The moment genetics are brought up as a focal point was the moment this whole documentary breaks apart.
Yes genetics are a part of the problem, but look at film of people in the 50’s they are much thinner, so you can’t tell me every one’s genetics have changed.
I too gave up at that point and started studying the weights of the experts lecturing us in this rubbish film..
I immediately stopped watching. It’s obvious nonsense. I’m of the silent generation (before baby boomers} and the change in my lifetime is astonishing.
Hormones such as insulin and leptin have a huge impact on weight. That old insulin resistance is a tough nut to crack!
3 words 'What The Health'
When I tried to "lightly" discuss nutrition and weight to someone who is overweight, I get a lot of pushback. "Oh I eat vegetables, and oatmeal, and I don't eat rice because of the arsenic". As a nurse, I have never had to take care of a patient with arsenic poisoning . Meanwhile I watch them eat foods with ingredients you can't pronounce.
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@@MintyJazz3 Thanks for the heads up!!
Blaming genetics for the obesity problem is such a cop-out. Our supermarkets are atrocious: packed to the brim with nutritionally-deficient, ultra-processed rubbish. As a society, we simply eat too much of the wrong things, and we eat much too frequently. Obesity is a problem with elevated insulin. Minimise your carbohydrate intake, focus on fats and proteins for satiety, and watch the weight fall off.
100% agree. See my comment posted just now.
I'm afraid you are wrong to blame carbs. It's processed carbs, which also come with fat. As for protein, we certainly don't need any more of it. It's fibre the majority of people are lacking, not protein.
All food is good but just eat less and always keep watch how much you daily eat.
@@sadenbrick … all food is not good …highly processed foods are loaded with bad oils and bad sugars. Right now, in our fridge we have popsicles that boast “no added sugar.” But reading the ingredients list shows three other forms of sugar. All under other names: sucrose, fructose, etc.
@@shirleymason7697 it's all good and natural, unless of course it contains artificial flavors or some other unusual ingredients. Main problem with obesity is overeating. Yes some stuff can make us more craving and even addicted, but overall we live life of plenty and that can be dangerous just as being poor without access to enough food. Of course not all food is equal and it's true that junk food is worse then wholesome food, but even then obesity won't go away if you are vegan or eat only organic food. Anyways, obesity is a terrible disease and what I found that works best against it is fasting and eating less. With fasting you give body time to process all the food and eating only when truly hungry, but never to the point of satisfaction or feeling full.
This person seems to be absolutely determined to avoid blaming sugar and carbs that we were told was the healthiest diet since 1977.
That dr. Farooki is a propagandist paid by fast food conglomerates. Genetic predisposition is nonsense. Stop eating and drinking junk.
What do you mean by carbs? Vegatables are carbohydrates. Shall we not eat them?
Carbs - bread and flour based products. Verges are ok but keto advises against potato
@@paultoomer2213 Carbs alone are not always bad in themselves. But Carbs are transformed into sugar in the body. (Keato or Low-Carb diets limits Carbs, especially processed Carbs, to shift the body away from relying on Carbs & Sugar for energy.)
But, Carby products in peoples diets have increased a lot in the last 20-30 years and they are a lot more processed now. Like pasta, baked treats, chips and white bread now have ingredients that make them faster to create. (taking out many of the healthy parts of bread, making it white, fast & processed.)
"Normal" food is now seen as fried, processed, bread, fast and full of Carbs and added sugar. And we eat way too much of it for what our bodies need.
@@MJ-qb5ph You forgot Pasta & Rice they're the worst Carbs, especially in terms of portion size. I'm Type 2 Diabetic and I attended a Diabetes Understanding Course years ago in a Health Centre in a predominantly Muslim area, and the Muslims in attendance were shocked at how much smaller the rice and potato portions need to be and mixing Naan & Chapattis & Rotis Samosas etc. They were really shocked. However the most shocking thing was the nurse practitioner who was teaching the course who actually said on front of everyone that I wouldn't know about Indian Cuisine an indirect dig at me just because I'm white, she therefore assumed I wouldn't know, she was greatly wrong and because she repeatedly singled me out like this over the course sessions, I reported her for racism and bigotry.
In the past few days, I’ve watched two separate neighbours get their breakfast delivered by Just Eat type service. Both were midweek, not a Sunday treat for example. The ability to order junk food to our door any waking moment is not helping at all. After the mp who made comments about peoples inability to manage cooking fresh food from scratch and often on a budget, I really paid attention to the cost and time I took to prepare home made burgers and jacket potatoes with a lovely filling for the beach. The total cost was around £7 and there was enough to feed 5 people with amazing feedback. This was most significant from moody unadventurous (with food at least) teenagers who commented how much better than McDonalds or any takeaway it all was.
Neighbors
@byronchavarria4954 - only Americans can think this is the only way to write it…. Bigheaded…. 🤦🏼♀️
I think it's a few factors: abundance of cheap high carb food; abuse of alcohol being completely normalised; lack of walking (which doesn't tend to make you hungry unlike heavy exercise) and lack of stigma. Stigma is not always a bad thing.
I don't think there's lack of stigma
Let's say, there are different kinds of "stigma." People should NOT be shamed, bullied, and laughed at. They SHOULD feel that they have a serious health problem and that this problem negatively affects the entire society (massive health expenditures). There is "good shame" (realistic responsibility) and "bad shame" (social dominance)
A huge issue is the convenience of food in the modern world and that humans will tend to take the easy choice.
I was bordering on clinically obese a few years or more ago, I started exercising more, but stayed overweight for a long time.
What really changed things for me were two ideas, one that you can either pay up front now with pain and suffering from exercise and eating well and get that payment back with interest in better health and life quality. Or you can enjoy yourself now by eating what you like, relaxing on the sofa watching TV, avoiding effort, and you're going to pay for it with high interest in bad health and eventually an early death. Either way, you've got to pay. I choose to pay up front with pain and effort, running an average of over 10km per day now, and when I can also going to the gym. I'm now incredibly lean, to the point that I'm one of the rare individuals for whom BMI doesn't apply, because it puts me as over weight when I have visibly lean musculature.
The other idea that I embraced is "doing the hard thing". If you want to be better than average then you have to work hard for it, there are no short cuts...
Unfortunately most people want an easy way to achieve their goals. Weight lose drugs like ozempec or whatever don't deal with the problematic behaviour of choosing the easy option of avoiding exercise and the effort of making healthy meals and eating well.
Also, this video is awful. The host is a twit, talking about "living with obesity" and "lived experience", and even worse is talk of genes for obesity. There is no such thing as genes for anything, gene expression is highly influenced by the environment which includes other genes. The woman hosting this "documentary " seems like the type who wishes to understand and help obese people and avoid putting the responsibility on them. But obese people need to take responsibility for their own health.... And if they don't, they'll eventually pay for it, in both money and serious health problems.
and lack of personal responsibility, its all about rights,
You forgot too much plant shit and the lack of red meat and other healthy animal food...
Lived in Scotland for my masters and was shocked how the majority of people (not just Scots but also English) were massively obese but after visiting Tesco I wasn't really surprised anymore. There are bargains on sweets and crisps constantly through the shop. Asta was even worse because they sold a lot in xxl packages. Waitrose was only marginally better then Tesco. I always felt like patting on my back when I ended up without anything sweet after shopping. The temptations in all those stores is massive and most people are not disciplined enough to simply pass them by. Also, the majority of the food sold fell under the heading of superprocessed junk food. Stuff that only needs to be warmed up of which Pizza is just one of them.
I only shop at M&S, waitrose and sometimes morrisons for that reason. There are certain things like matcha tea, grass fed meat and no added sweetener/sugar foods I can get from there. When I stopped buying snacks/unnecessary foods it was the same as shopping at tesco or asda
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I have to agree with you. How many people who really try to manage their weight stand behind someone's trolley in the supermarket and it is loaded to the gunnels with fizzy drinks, crisps, ready to go meals and so on. I think part of the solution is getting to the kids when they are young. Born just 7 years after the war, my mother didn't work and we had a cooked meal every day (and I was a very difficult eater, made to sit in front of a now cold, congealing meal and then sent up to bed without food). I seem to remember drinking my first coca cola well into my twenties because I just wasn't brought up on it and that means it was like it didn't exist. Then we were allowed out to play all day in the holidays, so we were running around, climbing trees etc. We also sat at the table to eat, never on the sofa.... (no eating between meals and certainly not in front of the newly acquired television). I am not saying this is the only cause, but I am agreeing that self discipline (deferred gratification) is acquired in relatively early childhood and I am so grateful that happened for me (and many others because that WAS the norm). That early acquired discipline has stayed with me throughout my life and has enabled me to eat a whole packet of biscuits from time to time etc without ballooning.
Australian supermarkets are just as bad $2 off if you buy 3 etc. Ive never fallen for it because I don't want 3.
Some of our seasonal veggies are cheaper sometimes but thats rare. It's only the garbage that's cheap.
It's the same way here in the US. When I was obese I could easily get thousands of calories of junk food cheaply. Even "buy one get one free" on the worst food. And even worse when we lived in a "food desert".
There are no obese people, in a famine. I was obese three years ago. Now I'm not, and am the strongest version of myself, so far. I ate less, and moved more. And it worked. Stop telling people that they are powerless to make a difference. For most people, that's simply not true.
If most people can do what you did why are most people overweight? Clearly there's more to it. In a famine the population has no choice, the food is NOT THERE to be consumed, so the onus is on the powers that be to control what the public consumes. Why do you think Americans are so fat? Because they equate eating as much as they want with 'freedom' & plenty.
Anyone obessed should lose weight by default because of inflation. How can anyone pay the difference in price to stay obsessed? I don't even eat until I'm full sometimes because of how expensive food cost
Losing weight is easy, just eat less. You don't need to change your genes, just your mental attitude. Anyone can do it, if I promise a million pounds for each stone a person loses, most people would easily lose weight irrespective of their genetics.
@@Jtzist Excellent point.
@@sidstovell2177 it's like gas prices. If someone 1 year ago always put $40 in the tank and it filled the tank and still use that $40 they would have to pay the difference in order to be full. That would then cause the consumer to either cut back on gas or other things in order to get that same fi ll up. Yet obsessed people can still do this. That's why I see obsessed people as people who are wealthy. Because if they weren't they would lose weight by default of inflation
A friend of mine from Thailand came to see me recently and was shocked at the size of people here in the UK. I said it was due to all the processed and fast food we have in this country.
Yes, all the processed and fast food consumed in massive amounts. These people consume over 2,000 calories for breakfast. They need to stop right there, but no; lunch, tea, dinner, snacks, a little midnight snack before bed. You're talking close to 9,000 - 10,000+ calories. That's why they are gigantic and unhealthy.
So we should be taking dietary advice from overweight doctors who never mention sugar or processed food. Who is financing these guys?
agreed
Nobody, they are just trying to justify what they want to believe. No bribes required.
LOL Yeah I noticed that too. It must be her genes!!!!!!!
Who do you think?
By stopping eating junk food, soda, fruits juices, processed foods, and come back to NORMAL food made with raw ingredients.
The responsibility of fast food companies and food manufacturers is enormous in the global obesity crisis. Of course there is also everyone's responsibility, no one is forced to eat these products that are very harmful to health
Once heard someone say that rejecting/laughing at a fat person at the gym is the equivalent of doing so to a sick patient in a hospital. I remember how terrifying it was to take that first step and feeling like my body isn’t the “right” kind to even be inside a gym and that I’d be laughed out. Been consistently working out for 4 years now and been to gyms all over Europe, some in very rough areas and have come to the conclusion that most people that go and have experience are supportive to people of all sizes and happy to help. Taking that first step and actually joining a gym was by far the hardest part of my journey, but something that everyone will be proud of themselves for doing.
Gyms didn’t exist before.
The regulars at the gym would be very enthusiastic and proud of an obese person’s progress. They’d all feel invested.
Mate I'm a skinny runner and every time I see a bigger person out jogging I always have huge respect, way more so than for a fellow skinny person. Glad you have had a generally positive experience with others in gyms, I hope that is generally the case for others too. well done keeping up the hard work!
That’s nice to hear. I’ve lived in the UK. They hate fat people and feel entitled to shout out insults. For such “proper” people , they are incredibly rude.
@@lizzie1897 that’s where I live, I’m very sorry to hear that that was your experience.
"Your genes may load the gun but it's your diet/lifestyle that pulls the trigger"
the finger is sugar coated
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I'd say genes load the gun and environment pulls the trigger.
I was obese when I lived in a food desert, now I'm a healthy BMI.
One of the problems is the type of food that a lot of people eat and portion size has been getting bigger and bigger
Look at the macro break down of the people you know who are overweight. In nearly all cases the diet is high fat, high carb, and very little protein. Combine that with a complete sedentary life style and it is why the issues for the most part exists as it currently does. Individuals need to make the life style change required to change this on an individual level.
And and the price of food has been getting bigger and bigger too. Wouldn't inflation cause people to cut back on food?
Ordinary dinner plates are the platters of decades ago. I have both, so can compare.
People need to be properly educated on health and nutrition. Genetics play a very small part it is a personal responsibility to look after your health
The personal responsibility it the big one. Most people want other people to fix this issue for them, when it comes down to the individual.
I think that people at a genetic disposition for obesity in combination with the ease in obtaining ultra processed foods and convenience foods. Also mental health plays a very real role in affecting weight
This is partly true, but most people don't actually have the education needed to take personal responsibility and fast food is deliberately made to be addicting.
79%+ of overweight people in the US don't come from everyone deciding to get fat, they come from predatory "food" companies, environments that discourage healthy eating and exercise (and movement in general) and terrible education surrounding food and nutrition.
Putting it down solely to personal responsibility is letting people that are deliberately killing millions to make a profit off the hook.
They just find something to blame to not held accountable
Sadly all the advice is wrong.
Did he really say that there has been too much emphasis on personal responsibility?
Brilliant! It's not my fault my kids are fat - the doc said so.
Yeah that makes me so mad. The perfect answer to personal responsibility. It's like saying "well, god said I could". Well, if the doctor says that, it's written in stone.
80 % nutrition - 20 % sport/exercise
Deal
Unfortunately yes. Ilove doing Sports, but I also love eating and I really enjoy junk food from time to time.
The answer is simple go back to basics and look into human evolution.
Eat very little to no carbs as carbohydrates are not an essential nutrient to ingest. Your body will make enough glycogen to survive
Eat mainly animal fat and protien.
Eat only when hungry and to satiety.
Do NOT eat little and frequently so you can stop spikes in insulin production give it a rest.
Do NOT eat seed or vegetable oils you can run a truck on it why put it in our bodies.
Do NOT have sugar or sweetners.
Resistant training is best.
Cholesterol is not the issue carbs is.
you got it !..... but reading the comments here people still don't get it
It’s fibre people are lacking and causing poor gut health and thus the body just stores it instead of digesting it properly. Fibre iodine to regulate the thyroid which controls metabolism
@@PTSTEH20 that is so not true. Do read about it in The Fibre menace and watch what Zoe Harcombe says. Oh and follow the carnivore community to understand the truth about fibre. That includes me I haven’t eaten any fibre any plants or plant products at all in the last 6months. I believe I am one of the healthiest fittest 43 year old females in town.
Yes , Great 100 % Gratitude for the comment, No to carbs is totally for fatigue
I solved my obesity issue when I started eating fermented foods not pickled and stopped eating pasteurised milk and cheese , only fermented cheese and yogurt, more than half of us is made of bacteria, so it have a great Impact on us .also lack of sunlight especially near infrared in the morning and evening when the uv is below 3 which penetrates deep recharges mitochondria and start repairing all the organs , even sitting outside in the shade is very good u will take about 40 percent NIR by reflection on surfaces
Genetics don't change to that extent in a single generation. Also, if genetics played such a huge role barbaric surgery wouldn't be so successful in the short term.... it works by making it physically impossible for people to over eat. That's a physical limitation which indicates behavioral issues. Sidenote- there is a significant percentage barbaric surgery doesn't work for long term because they continue to over eat and eventually stretch out their stomach over a period of years and then regain weight because they continue to over eat. Obesity can largely be credited to hyper palatable cheap foods, behaviors/self soothing with foods, and obesity being more socially acceptable. By saying it's mostly genetics, you are giving away thr power to fix it because it will always be something out of your control aka out of your responsibility. i.e. external locus of control. It's damaging and only makes the crises worse.
Wow I am so impressed with your
profile and person. I also admire your humor here and your beauty caught my attention. I don't usually write in the comments section, but I think you deserve this addition. If you don't mind i will love us to be good friends and i will like us to talk and get to know more about each other..Thank you
That's how they thought bariatric surgery would work, originally. But then they discovered that it actually worked by altering the gut hormones and developed the new medications that do the same thing. You might want to update yourself with the research that has been conducted in the last 50 years.
When parents quit cooking, because both worked, nobody provides healthy meals for children. Everybody comes home tired and they opt for ready meals.
Wow I am so impressed with your
profile and person. I also admire your humor here and your beauty caught my attention. I don't usually write in the comments section, but I think you deserve this addition. If you don't mind i will love us to be good friends and i will like us to talk and get to know more about each other..Thank you
Tim Spectre of Zoe is the best source of research. Whatever the government says will solve your problems, do the opposite.
Why do we never see what people with this problem actually eat? Every person I know who is overweight eats junk food, a high percentage of processed food, eats large portions and regularly snacks. Including myself I know three people who eat a maximum of three nutritious meals a day, rarely if ever snack and regularly exercise. We three are our ideal weight and have toned bodies. We are each of different ethnic backgrounds. I know and have known people who yoyo between different weights when they try different diets or exercise regimes. I suspect it would be revealing to see what each of the subjects in this program eats during the day. I will also add that when I'm at a supermarket a person's size almost always (possibly always) corresponds to the food they have in their basket. For the record I have been obese and am now my ideal weight with a BMI under 20. Lost 5 stone and 8" off my waist. 90% or more of this is down to the food I eat. Maybe the other 10% is down to weight training. I'd like to suggest it is closer to 100% food. Took me 5 years through research on UA-cam and books.
Tell 3rd world countries about the genetics that the western diet blame fat gain on. If I overeat, I gain weight. If I go into a deficit, I lose weight. Weird how that happens.
There's 6 siblings in my family....we're all different shapes and sizes.
When I was a child 50 years ago you hardly ever saw over weight people...probably because food was prepared and cooked at home instead of take away...People sat around watching telly less than they do now ....and there was no Internet to sit playing ridiculous usless games for hours on end instead of running and playing outdoors...there didn't seem to be access to so much cheap sweet rubbish....we had a treat occasionally so I 100% disagree that it's genetics.
Yes Great
Nobody went running 50 years ago. Nor did they go to the gym. That is a fantasy.
I also don't buy in to the "genetics is a cause of obesity theory." That's unproven, and is mostly based on statistical studies and not clinical trials. Bad science in a nutshell. We are no different genetically to our ancestors from 50, 60 or even 100 years ago who did not have an obesity problem. Something else is driving this effort to focus on genetics, and I think the finger should be firmly pointed towards the agroindustry who want us to keep consuming the crap they are feeding us.
You do not "suddently" find yourself obese like that young woman seems to imply.She was overweight as a child and now extremely overweight at 30.She did not need to know her BMI, all she needed to do was look in a mirror.
She never said she became suddenly 28 stone, only that the issue had persisted for so long that she is now 28 stone. She said she was overweight as a child, its just no one had really sat down with her and told her you are very very obese and unhealthy (her BMI). Society normalises fat bodies, and so people who are fat sometimes don't realise how fat/unhealthy they are. Many people are ignorant as to basic things such as what your BMI might be if you are that size.
I lost six stone, 3 rocks,one brick and a bunch of gravel and I’m still ten pebbles overweight!
That's awesome though, hope you meet your target :)
Love your comment - try adding some 6mm grit to your diet, I think it may shift that ten pebbles of excess weight. LOL.
I wasn't overweight or fat before but when I went vegan, for ethical reasons, I lost 10kg.
Even without thinking about it my diet became significantly more nutritious and less calories dense.
I went from 65kg to 55kg. I'm female and 5 ft 7.
I started with lots of meat subistutes etc which are fairly processed but after a while I didn't even fancy them.
No cheese, no chocolate, no ice-cream just because they're not vegan.
Now chickpeas, lentils, tofu, tempeh and lots of vegetables.
Looked at the cooked breakfast menu the other day.
Vegan 'full english': 350 calories
Classic full english: 1150 calories.
I'm always satiated and satisfied. Thank God I went vegan.
u ever count calories ?
@@cloudycloud4171 no, I just eat when I'm hungry and until I'm full
@@cloudycloud4171 not good for diabetics
Well done , I’ve been veggie for 40 years . Lots of vegetables. It’s the best diet .
When one eats crap they will be fat, when one eats sensibly they'll be healthy, when one exercises they also be healthy. I'm 58 & weigh 54kg. Never been fat & had twins 22 years ago. I was 50kg when I became pregnant. I don't eat crap
You must have good genes.
I recently spent three days in hospital in South Australia for a small procedure. The hospital food was largely sugary carbs. They served sickly sweet "orange juice" that was more sugar than orange. If even hospitals can't get nutrition advisors into their kitchens to formulate healthy menus, how can people from lower socioeconomic areas with poor understanding of problems with processed food be expected to learn and cope with trying to change their eating habits?
Has the DNA of the people of UK changed recently? It's not the DNA, but the food habits that has changed. The high carb diets, the Big pharma cos and the Big Food companies are responsible for this epidemic. The people who lays down dietary guidelines with conflict of interest in job and paid by the Pharma and food cos are responsible for the disaster
I've lost 23kg by not eating carbs. Doing 10k steps and not eating high fat products like McD, KFC, and Coke drinks.
Fat is healthy but of course if above calories required you put on weight. I have high fat everything like butter. It is carbs not fat.
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profile and person. I also admire your humor here and your beauty caught my attention. I don't usually write in the comments section, but I think you deserve this addition. If you don't mind i will love us to be good friends and i will like us to talk and get to know more about each other..Thank you
Obesity IS NOT due to health inequality. It is due to cowardice and ignorance, in the Health establishment, politicans and greedy food producers. There may be some who are fat because of hormonal problems or genes but this cannot explain the fact that obese were less than 5% in the 1970s on a lowish carb intake and a highish fat intake. Then, the populations of Anglophone countries went from obtaining most of their calories from fats to obtaining them from carbohydrates for three main reasons.
1. The cowardice of the health establishment in the face of the bullying and manipulative Ancel Keys who imposed his view that fat, especially saturated fat, was the cause of CVD. He was no expert and was contradicted by lots of studies but the health establishment were cowards and didn't tell him to p**s off. Simple carbs are converted rapidly into glucose by insulin that shuts down the use of fat and converts that not used in exercise, which is most of the time, into fat. Once the simple carbs are used we are hungry again. Do this three or five times a day and we get fat. Cutting calories per meal doesn't work. We just reduce our metabolism to compensate and the lack of glucose, to which we are adapted, makes us hungry so we cannot sustain it.
2. This coincided with a fall in cooking at home so people became reliant on ready meals, a godsend for the food producers.
3. Food producers mass produced vast quantities of cheap, easy, simple carbs like white bread, pasta, pizza, rice, fruit juices, chips. 50% of the populatoin get 50-70% of their food intake from low nutrient, cheap, easy, simple to cook and eat simple carbs that carry any flavour easily. Yet they are low nutrient, rapidly turned into fat and increase inflammation leading to obesity, diabetes and CVD. Virtually every non-raw food has sugar added in some form.
The only fats we should avoid are transfats [illegal almost everywhere now], and seed oils because of they heat treatment that makes them inflammatory. Other than that, animal fats, butter, olive oil, chocolate, avocado, nuts, etc are all fine but sugar free.
So. the way to get slim and stay slim is:
1. Minimise sugar [it is difficult to entirely eliminate it] in all its forms. Sweets, biscuits, honey, syrups, cakes, alcohol, fruit juice, etc. Have them for monthly treats only. Have sugar free eveything. Eat nuts and sugar free chocolate for snacks. Learn some keto recipes. Minimise simple carbs, always use whole grains, chickpeas and lentil for the kids or yourself if you must. Learn some leafy recipes made with olive oil or butter. Don't have sweets, crisps, icecream or biscuits in the house.
2.After a week or two of adjustment, if you want to lose weight for an occasion skip breakfast, dinner or a whole day. Skipping is far easier if you are fat adapted because your body can use your fat for energy.
3. Fat and protein is far far more satisfying than carbs. You could not eat more than 700 calories at a sitting of steak and salad and a glass of wine and then not be hungry till breakfast, then have eggs with ryvita and butter. You could put away 3000 calories of pizza, wine and dessert - and it all goes to fat.
3. Keep moving. walk whenever you can, fast.
It works and is sustainable for the rest of your life.
Hi Robert - I have T2D and have researched the dietary advice/information that has been published by "Experts" and "The Establishment" from the 1950''s to the present day. Your comments sum up perfectly the conclusions that I have reached.
I reflect on how many people have suffered from chronic illness and/or premature death, lives blighted by this false information which still persists today. The actions of all those involved in this deception are criminal. All the best - Terry
Take control of your OWN HEALTH....they (the system) don't care about you ! Don't believe me ..go out for half an hour and take a look around*
One of the biggest problems I see is that yo-yo dieting through terrible organisations (promoted by the NHS) does not educate people. Take for example Slimming World where food is moralised into syns and exercise is portrayed as bad. Nobody is actually educating people on calories, TDEE, nutrient-dense foods or helping them understand energy balance. Once you start to realise that calories really matter and that weighing food is essential to kick start that knowledge, that's when progress is made. Intuitive eating is all well and good, if you have learned to recognise the body's cues. It's a multi-faceted problem driven by many factors. Subsidising sport and fruit and veg would be a great way to start but the Government needs to realise that by removing PE from curriculums and selling playing fields they have exacerbated this problem. When you compare the amount of sports kids from private schools do Vs kids from state schools, it's staggering. All of these small changes contribute over time. Although we must acknowledge that exercise is NOT a good way to lose weight.
it's not genetics it's what they are putting in their mouths
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Strangely, genetics did not affect peoples weight previous to 1980!
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What people inherit is unhealthy eating practices from their families. Fat children almost always have fat parents. There are some island communities where for centuries, they were slim and ate a healthy diet of fish, fruits, and vegetables. Then, they got McDonald’s and KFC and so forth and now these communities have abandoned their traditional diet for fast food and voila! Rampant obesity and related diseases. The same thing is happening in Dubai and India, where their traditional healthy diet is abandoned for delicious fast food - and you’ve guessed it, now there are children with Type-2 Diabetes and teens needing WLS. Genes might play some role, but that can be overcome with a healthy diet and joyful movement and self-control.
Access to cheap, convenient junk food plays such a huge part in the pandemic of obesity worldwide today. I was born in 1951 when supermarkets did not exist. We went to the butcher, greengrocer, bakery, fishmonger and general store for dairy products, soap etc. A side of beef would last a family of 6 for 3 days. Our plates were piled with fresh buttered cabbage and potatoes and I cannot ever remember eating snacks in between meals. Processed food is so full of sugar, salt and additives to allow a longer shelf life, containing no roughage and most importantly, they are ADDICTIVE!! That's where the problem lies, not genetics!
The modern foods are addictive, but not to everybody, those who are affected need extra effort, a lot of it.
If you are obese and looking to lose weight, eat less and move more. If that didnt work, eat even less and move even more. Repeat until the the desired weight is achieved. The obesity problem isnt as complicated as they make it out to be. All these so called health experts just need their salaries and stay relevant. Ultimately you are in control of what you're putting in your mouth. If you are consuming less calories than you're burning, it physically makes no sense for you to retain the weight. And this genetics bs has been debunked years and years ago oh please!
Brought up in the 50s - never even saw a fast food place until I was 22
Look at a person who has been lean all their life. Ask yourself how likely it is that they will become obese. Now look at a person who has been overweight most of their life, just how likely is that they will become & more importantly STAY lean? As well as genetics, behaviours are LEARNED from an early age. If you have not learned how to eat moderately & healthily & applied that learning for YEARS you will likely NEVER eat moderately & healthily save for short term diets which you will resent.
I was fat my entire life until I woke up and lost the weight at 28. Humans do have free will.
It wont end until the Government acts because the NHS is overwhelmed with the cost implications of the multiple-issues because of obesity. In the same way that the NHS was spending millions on smoking-related diseases..now rather under control.
Think that being overweight will effect, all joints and muscles; hearts; immunities and diabetes.. a massive cost.
Dr Jason Fungs Low carb diets and fasting is the answer. Carbohydrates a big problem and avoiding fat in our diets a big issue.
I live in Southport and there is more squabbling over cycle and bike lanes than obesity. We want to exercise and are told cars rule.
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Almost not a word about food quality and poor eating habits, really? Instead, more 'studies', more treatments, more medication when it is too late. Where is the credibility? The medical profession are salivating at this, and Chris Witty is a prime example of a technocrat who thinks technical interventions are the solution.
Here in Australia, when you visit a supermarket, the small bottles of Pepsi are literally more expensive than the biggest two litre bottles. McDonald's and KFC always make their upsized meals better value than the regular sized offering.
A 7/11 store...........one bottle of 1-25 litre Coke is $4-50, but it's $6-50 for two bottles when purchased together.
Now, with this type of criminal behaviour occuring in major retail chains, how will anyone get the message that smaller portions is the better option for health and wellness?
It's called economy of scale
thats not economies of scale. its a dirty trick to make our monkey brains spend more money than we otherwise would
I’m sorry - can someone explain to me, if this all came down to genetics why was there hardly any obesity before 1965? Didn’t we have genetic influences before then? I prefer the hypothesis that the rise in process food consumption, distribution and advertising coupled with massive excessive carbohydrate intake has something more to do with it. Cut the carbs right out (they are not an essential macronutrient) and diabetes and obesity can be controlled. There are so many scientists and Drs advocating this approach now. Processed carbohydrate foods are addictive. Real food (meat, fish, poultry, vegetables) are not.
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Not a single overweight child on our school photos from the 50s and 60s in quite a deprived area. No pizzas or sweet yogurts in the shops then. Nowadays a packed of ham eg generally has about 5 different types of sugar in it.
In the end it is very simple… calories in versus calories out. Not all calories are equal, that is true.
cut out sugar, carbs and processed food and you will lose weight
A lot of people seem to be missing the point. Nobody denies that a highly processed diet is bad. However, some people are far more vulnerable to obesity than others - and this vulnerability is genetic. There is very strong, continuously growing evidence, that the genetic variants a person inherits, and the numbers of copies of genes that a person inherits, may massively raise their risk of obesity.
We accept easily that people can inherit genes for coeliac disease. As long as these people don't eat gluten, they're fine. We accept that some people inherit genes that make them vulnerable to breast or prostate cancer. In the same way, some people inherit genes that make them vulnerable to obesity. When these genes interact with a standard western diet, the person balloons.
What a complete cop out. It’s about carbs, cheap food like products, physical activity and cynical money oriented big business. I lost 7 stone reversed my need for insulin, blood pressure and other meds by going ketogenic - why cut yourself open to fix a simple dietary fix. The medical profession is letting people down apart from a small minority of practitioners who understand like David Unwin. It’s not about genetics.
The genetic component of obesity has been really overblown. Its all the fast sugars and super refined ingredients that is the main driver. So why is this documentary not talking about this??
I am not obese, but I don't have an athletic looking body either. I am slim but a bit podgy around the sides. Up until I was 23 I was this way. At the age of 23 I lost a few stone. All of this time I noticed people would stare at me whenever I ran to the surf. Now bearing in mind I am male and 6 ' 3''. and quite an animated kind of person. However people would still usually give a good stare at me running to the surf. It's never bothered me, because I am focused on the waves my mental state/ drive. It is funny how people stare, but it has never bothered me. Just goes to show how some people's perspectives are just that, and only their own.
The British watches Papa Pig as a child and enjoys sugar butter loaded cake and all sorts of sweets called 'treats'. The weather doesn't help to be active either. The NHS is a joke, you never get a single health check up until you fall ill and go to hospital. Serious health issue like a cancer found when it's too late. Very poor health care overall.
Obviously those welfare benefits in the Wirral are very generous if most of the population can afford to eat to bursting point at every meal - no one is starving there
Something someone else pointed out: Everytime there is a story of "I have to go without food to pay bills" in our newspapers, the person in question is always; at the very least, overweight.
I've taken an interest in those stories since hearing that, and I've yet to find one that bucks the trend.
It,s not that simple. Obesity is actually malnutrition. Look at JRF work on poverty, food and deprivation. If you never had a proper meal, never had enough cash, always lived on bits, you would be forever hungry. Cheap sugary food fills for a moment. Can,t afford to cook food that kids won,t eat. Can,t afford to waste it. Get locked into a dreadful cycle… I,m not making an excuse. But need to start that conversation and really see what,s going on…. Take care rushing to judgement. Teach some cookery classes.
@@seang2700 Even assuming that is correct, you cannot gain weight without calorie input.
This is so annoying. I'm one of those people who everyone says can "eat what I like". But it's not true, in the past when I eat too much over a long period then I gain weight just like anyone else. I've never found any study showing that given the same amount of food, that one person gets obese while the other stays healthy, why are they getting this so wrong?
A half hour film and there's absolutely nothing about how people are meant to lose weight. I hope they aren't being told to eat less and cut back on fat. High carb low-fat diets are why we have an obesity epidemic in the first place. There are also contradictions. We are told that the problem lies with genetics and simulatneously that there is high obseity in deprived areas. - the genes are no different there than in affluent areas. Neither are the genes different now than they were 50 years ago. The difference is that we have been advised to eat in a way which is bad for our health and makes it practically impossible to lose weight. It's a mistake which has cost many people their lives,
Most folks are dealing with food addiction. You can’t solve what you don’t acknowledge.
genetics isnt the main driver. this is simply false. its all about calories in and calories out, which could help to explain the supposed family link as the unhealthy habits are likely to be passed on within families. this isnt to say that its all abour personal responcibility, as this will never work as a widespread solution. manufacturers and supermarkets need to take responcibility.
Yet another reason to go vegetarian. Vegetarians (and vegans especially) are less prone to obesity
What a bs. Do you know why? because they are aware of that what they are eating - mostly they are 'richer' than the normal overweight person. Overweight scale is mostly poor and not a good school graduate ;)
But you can eat easy the same things as you would as a Meat eater ;)
Think of Fries/Chips. If they are done in Vegetable Oil they are vegan. Ketchup is vegan as well.
Crisps/Chips are mostly Vegan as well.
Other cookies ect. are now aviable in a Vegan variation as well.
Burgers are aviable in Vegan as well in Burger King...
Ouu and think of alcohol. Many calories and mostly vegan as well. (Beer, wine and Cider if not clearifed with Gelatin they are completly Vegan. Vodka, Gin, Rum ect everything Vegan)
Coke/Cola the same thing: Vegan and much sugar in it = many calories.
I'm Vegetarian since I am 14 years old ( now almost 10 years) and believe me, I can eat easy up to 3'000kcal a day, only Vegan - since 3 years I have Vegan days as well. And because I can eat a lot I'm struggeling with my weight as well. I'm not very overweight, but there are now again 3KG too much on the scale. So my BMI is right now over 25 again :/
True, as long as you take the term literally, and mostly eat vegetables.
We are a country dominated by services with many millions working in offices, shops and food outlets.Many get into a car outside their home each morning, then sit in an office all day often eating biscuits, cake and chocolate, then get into their cars and go home to eat a simply prepared meal often in the microwave, finishing the day sitting in front of the TV with an alcoholic drink washed down with crisps or similar high calorie foods.It Is therefore hardly surprising that after forty years or more of such nutritional abuse to our bodies many end up with heart disease,high blood pressure, Type 2 diabetes, as well as colon, bowel, liver ,pancreatic and other life- shortening cancers.
"They" don't want to know the truth Bill. The food industry and the different govt groups wouldn't make enormous profits if they listened to you.
I mean... Claiming people are not responsible for their obesity is quite absurd. I mean absolving a glutton is a quick way of encouraging more people to follow his/her footstep. Before we even start fighting that problem we need to agree that the bottom line is: obesity is wrong, you need to stay fit, if you don't you failed. No excuses.
Than again, the fact so many people are obese cannot be just ignored. We need some government's programs to fight it, even if person is not capable of that.
Genetics: rubbish. When I was a schoolboy fifty years ago, in a school of about one hundred , there was never more than one overweight pupil.
Ditto sixty years ago.
I think genetics plays a part, but is not the full picture. I would investigate processed food and the food environment and the lack of fiber in the diet. The consumption of flour, sugar and how they effect hormones are a large part of the problem.
Wrong (imo) processed foods, no one cooks anymore, people can’t blame genetics. When I was in school it would be very unusual for anyone to be overweight
Who can take weight reduction advice from a doctor/dietitian who is fat and clearly can't control their own weight.
Channel 4 used to have these obesity shows, about 400 lb people on the Dole for being Obese....that was a decade ago.
One of the reasons people put on weight is sugar there is sugar in everything in the supermarket and people get addicted then get diabetes
It's not all genetics! Walk into any supermarket and we find that 95% of the foods are highly processed that contain huge amounts of calories for a small serving. Real natural foods such as meats, fruits and veg has less taste and pleasure appeal than modern junk foods that have been designed to be addictive, attractive and convenient to the consumer. Junk food is cheap and often on discounts or offers making people far more likely to eat them. If someone is fat they are eating too much of the wrong foods compared to the amount of energy they are burning.
Genetics is just the excuse they spit out at every chance they get.
@@angelwings1 I totally agree.
They should have to show in supermarkets this aisle can lead to obesity, high processed food aisle, fat aisle etc, perhaps have body composition scales at the entrance , then a print out of foods that can help address a persons weight problem, and a big sign saying your choice, take responsibility and if you have obesity related health issues you van pay surcharge to offset the 5 billion it is costing the NHS, that could also be a banner hanging everywhere. And health staff should lead by example, apparantley health care staff are the highest percentage of fat and obese
If it's all about genes why, during the 50's and 60's , wasn't there an obesity pandemic ?
Have our genes changed or are we eating more junk food, snacking more and walking less ... ?
If people are dumb enough to eat themselves to death, let them!! I don't see why my tax should pay for their greed and stupid life choices!! 😡
What changed in the 1980s? Market deregulation and neoliberal economic policy. Simple. People are fat because unhealthy food is cheap and easy, and healthy food is expensive and difficult. Other factors like misery in the workplace, higher stress and complexity of modern life, and the breakdown of people living as families in communities to herds of individuals also played a role. The only answer to obesity is direct regulation of large food corporations' products, subsidise healthy organic food, and state-owned health food shops on every street in the land that sell real food - not 'food-like products' ...
Genetics only play a exsteamly small role the main thing that impacts your health is your diet and the exercise you do and if you are a drinker or smoker then that will also impact your health
OMG you must not call people fat you might hurt their feelings and you will have the cops banging on your door for hate crime
hahahahahaha. I don't lie in Britain but I don't think the police should be involved after someone says "FAT"!!
The NHS is truly negligencent in their approach to obesity and treating those with a high BMI . Disgusting!
Genetics? Perhaps it's the way families eat ie more processed or fast foods as opposed to home cooked, healthy food. That was my problem.
Losing weight and improving health dramatically is EASY if you do so correctly. In a nutshell, don't eat grains or anything made of flour, don't eat things that have added sugars, don't eat fruits naturally high in sugar or fruit juice, don't each high starchy vegetables like potato or corn, and don't consume processed seed or "vegetable" oils. One should also avoid very high oxalate plant products like spinach, some greens, almonds, Brazil nuts, etc. Also not a bad idea to avoid the plant products that very high in lectins. This info is super easy to find here on UA-cam. And even just 2 really intense circuit-training weight workouts per week for say an hour each can help build significant muscle. And the family GP is likely a horrible place to look for dietary and exercise advice. The age old advice of eat less/"moderate" calories is meaningless most of the time once a person has already become a carb addict. The person's fouled up hormones have to be fixed through diet, not simply eating less food, before the person will have the capacity to be successful.
why are high oxalate plant products bad for you?
Education is key to empowering individuals to make informed choices about their health
Zero mention of diet culture and restriction driving binge eating
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Just walk 10 km daily no matter what. You will never be fat.
I grew up in the 1960's- Birmingham, and there were NO obese children or adults (apart from the odd chubby one) Everyone was slim, because from children- we ate fresh food every day (and we lived in dire poverty, so no excuse about not affording good food!) - there were hardly any processed foods or junk food restaurants. We also played many physical games outside every day. Now, I see a lot of obese adults and children, children who are fed loads of junk-food and lie in their rooms on their devices. Obesity started in America, with the rise of junk-food restaurants, parents got too lazy to cook their children healthy, fresh foods, because it's too easy to pull up to a hatch and get cheap junk food instantly. Many parents now, just use phone apps to have junk-food delivered to them and their children. So, I don't believe that 'genetics' are causing this whatsoever!
If you know the underlying biology, telling people with obesity to just change lifestyle is like telling Alzheimer patients to do more crosswords to train the brain.
Jamie Oliver pointed out the true facts contributing to obesity - lack of cooking skills, junk food.He challenged the UK gov. and achieved the introduction of the healthy cooked school lunches that started in 2009.He also investigated and presented the fresh- cooked- from scratch - diets of the poor, working people of Italy,and presented his observations in his books and documentaries- Food Revolution.
This seems like pandering to me. Where is the accountability? People dont just gain weight from thin air. You're consuming way more than you need to. Simple.
Yes, people are consuming excess fatty foods, and almost no fruit (and little fibre). When they consume carbs, the carbs are doused in fat, and then they moronically blame the carbs for their weight gain, and try to calorie restrict and eat amounts appropriate for a toddler, and eventually give up because, shockingly, that's not enough food and it's a miserable, natural way to live. If people eat the right food, calorie counting becomes unnecessary. It's not hard and the info is out there, but people are obsessed with fruitless (sometimes literally) fad diets.
@@venus_envy I think it depends on the person. For me personally, restricting what I eat is not ideal. I dont like it. There's nothing wrong with fast fast with a mix of healthy ones once in the while. The most important thing is the I know how much calories I consume a day (Fat and all). The body will burn it off within 24 hours given that your eating within your daily recommends allowance in calories. Everybody is different. You just have to know what works for you.
It always comes down to indulgence vs. discipline. Ever notice the way people have now fetishised indulgence in society? It's cool indulge in "decadent" treats.
But what causes this "excess" consumption? People with obesity consume to the same feeling of satiety and satisfaction as us lean people do without much thought, except their setpoint is set higher. It is a disease and we see people on medications that adress this lose a lot of weight and keep it off if they continue the medication.
Long term results of people on the best diets and exercise programmes with counselling etc. but without medication are 4% bodyweight down long term. That is simply not enough to reverse other health complications caused by obesity. With new medications WITHOUT LIFESTYLE CHANGE the weight loss is 17% with medication currently on the market and it could soon be 22% with some combined therapies. This is almost as good as metabolic surgery with 29%, but that one is obviously a big decision and you can't perform surgery on all who need it and it requires more sacrifice on the patient side.
The medication is literally just a small injection once a week from a pre-prepared pen, so it is very doable.
it's really not that simple and if you'd ever studied nutrition you'd realise this
People eat to get dopamine, serotonin or endorphin responses due to stress, anxiety, depression. Leptins and grehlins are on, off switches for hunger and many people have an imbalance of those.
Due to processed, refined, pretend foods, this has destroyed the regulating hormones in our body.
Short term weightloss is easy, maintaining weightloss year in year out is the battle. No one can live on a perpetual diet especially when their bodies can't turn white fat cells into the burning energy brown fat cells.
Are the hormones, lack of brown fat cells, lack of the satiety switch, genetic or just damaged?
"Eat less and move more" is a simplistic ideology, not taking into account the individual. It can be unachievable long term for many people, who quite frankly could view it as insulting, since their bodies are driven by complex, multifactorial issues.
I've gone from 18 stone to 22 stone during the pandemic (I am 6 foot but it's still a lot). I'm tired all the time and I can't be bothered exercising, I've tried to reduce eating but I just get hungry and end up back to square one. Think the government is to blame as so many are like me now a days.
Why blame the government? They don’t control what or how much a person eats.
Don't give up hope. Learn about the keto diet or intermittent fasting and eat consciously instead of unconsciously, so you are aware of what you are putting into your body at all times. In theory, no one else but you puts food in your mouth, right?
Yes you are right however I think adverts are also to blame as they tempt you and it's now so easy to order from deliveroo etc. I work from home and the last thing I want to do is cook in the home so we go out a lot for meals or order takeaways as its just easier. Sadly it's a perfect storm for gaining weight. Will look at keto though thanks!
You are meant to feel like that most of the time. Grow up and eat less. X
@@hhuodod2209 easier said than done. I have put on more weight since I wrote the comment last year but this is due to soaring inflation meaning I can no longer afford healthier foods and hscinf to rely more on frozen type of foods which are naturally not as healthy.
Part of the problem now is junk food is even more exsesable because it's even easier to order with these new companies like just eat and Uber eats
Obesity is fuelled by refined by refined carbohydrates, unnatural vegetable oils refined using petrochemicals and sugar. It can easily be reversed like type 2 diabetes by eating whole foods i.e. meat, fish, eggs, cruciferous vegetables. Exercise is largely irrelevant to body weight but has great benefits for the mind. Exercising, eating 3 square meals a day will never lead to prolonged weight loss because Insulin drives fat storage and following these socially conditioned mealtimes most people always have insulin in their bloodstream and cannot loose weight. Skip breakfast, have an omelette for lunch and a couple of pork chops 3-4 hours later. You will never feel hungry and you will burn excess body fat. I went from 240 lbs to 160 pounds using this method. i don't count calories and eat as much as I want
Very little to do with genetics, genetics load the gun maybe in some people, lifestyle pulls the trigger. Eat a whole plant based diet, basically eat as much as you want and lose weight, apply some will power.
I am a lifestyle medicine educator and not once did I anyone mention that
"some families are just fat and some other families are slim but they eat whatever they want" what a load of BS! Are they just going to blame it ALL on genetics and not even mention Eating HABITS and the TYPE of food that those families eat together? Genetics is not this prison that determines your body fat-content for your whole life! Yes it is a small part of how your looks, grows and adapts to the environment it is in. It's the same with the tendencie to have some addictions that are carried over through a family line. But that only tells you in you are more prone to get an addiction to sometime or not. It is then up to you to decide how you deal with life and if you are going to choose a different path!
Genetics are NOT the only factor in how much fat your body stores! What you do with your life, and body, is up to you.
Eating processed food that is designed to make you more hungry and addicted to it, is how the food industry is making us fat and to buy & consume more of their food.
Is this video a joke? The first thing you talk about is the contribution of genetics? That's such a minor effect compared to the role of increased sugar and carbs in everyone's diet, and the complicity of the government in allowing food advertising to be literally everywhere. Stop the false narrative that consumerism = happiness and you'll have tackled the obesity epidemic. You don't need a doctor to tell you that smh
No mention of diet and the sugar/highly processed food issue. Genetics may play a part but you also need to consider the change in diet over the last 40 or 50 years and the effect that this has had.
For most people, it is not about genetics! Such a cop out to say that. It is attributable to a lack of education about diet/cooking at home and school, combined with supermarkets packed with junk, processed food, too much boozing and a car-based society (where few people walk anywhere or do any physical work). One of the problems with the NHS is that it has not got the time or money to sort this out. Who can even get an appointment to see a GP in a reasonable time-frame? Diet is key and that starts at home.