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Over the last several posts I have discussed a few aspects of obesity that I think are important in understanding the condition. There is no doubt that obesity is a multi-factorial issue in adults—I’ve always contended that. But I do not feel that way when it comes to kids, because children often do not have the same mental factors, which I believe play such a strong role in chronic obesity (the factor most involved in the I-just-can’t-seem-to-lose-weight-no-matter-what-I try-syndrome). More on this in a future post.

But we already defined obesity—a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health problems—so the question should now be: How has obesity become epidemic? How have so many people gained weight to such degree as to be detrimental to their health? The numbers today are harrowing–in the U.S. no state has a prevalence of obesity less than 20%, with some states having 30% or more of their population obese.

This is a fairly new phenomenon, as the numbers in the U.S. have gone through their most dramatic increase only over the last twenty years. This is one reason I do not buy into the genetic or hormonal-cause theories. Gene pools just don’t change that quickly, especially not with regard to a trait that has neither survival nor reproductive advantages.

One major benefit we are experiencing as a result of the current obesity epidemic is that we have learned quite a bit about human physiology, particularly with regard to changes in autonomic function. What is particularly interesting is to see how the body responds to an extreme change in condition—in this case, excess weight gain. Once again, we see the incredible intelligence inherent in the human body. The body responds to a perceived stress in a very predictable way: It tries to reestablish balance, and it does so through the autonomic nervous system (ANS).

These observations have some in the field excited that they have now found the true underlying cause of obesity. However, ANS changes, and their associated hormonal imbalances, are not the cause of obesity. Neither are emotional or economic stressors the cause of obesity. While these issues are very likely factors in the long-term maintenance of obesity—the reason why “weight stays relatively constant”—they are not, in and of themselves, what causes obesity. Taking in more energy (calories) than we use is the primary cause of obesity. And this phenomenon is predominantly due to one or more of the following factors:
  • Eating more than is needed (we’ve all done this at one time or another, so it shouldn’t be too hard to conceptualize how it could happen repeatedly, over time, leading to a form of conditioning)
  • Eating nutritionally-poor foods (more than occasionally)
  • Chronic inactivity

Yes, hormonal issues like hypothyroidism can cause weight gain, so can medication side-effects, and genetics probably leaves some people more susceptible than others. But these factors are not responsible for the 20-30% obesity rates in the U.S. No way.

So, once again, how has obesity become epidemic in the U.S. and other western societies? As far as I can see obesity is a consequence of prosperity. When food is abundant, when we do not have to grow, hunt, trap or kill our own food sources, when high-energy foods (not in vibrancy, but calories: think pizza) is just a phone call away, 24-7, what do you think is going to happen? Poor nations don’t have obesity epidemics. Oh they may have obese people…but not an epidemic. Think about it. Obesity is mostly a condition of abundance.

Obesity is also a consequence of population growth. The more mouths we have to feed in rich, industrialized nations, the more we have to manufacture foods that will preserve long-term storage, transport and shelf-life. Simple as this: To feed millions of people, foods are tweaked to prevent their perishing, and as a result we get chemically- and preservative-laden foodstuff, as well as the now prevalent yet highly controversial genetically-modified organisms (GMOs). Ingesting these food-like substances, as I like to call them, in large quantities or over long periods can lead to excessive weight gain.

Sorry to the foolish skeptic, but sodas do cause weight gain. It is no surprise to me that obesity has run concurrently with both American power and prosperity in the world, but also with the explosion of the food industry, particularly in the development of processed  foods (and junk food, and fast food, and soda consumption…)

As I’ve hinted in a previous post, I also believe a very strong mental component is involved in the obesity epidemic. No doubt the psychological makeup of society is contributing to this massive inflation. The coddling of the obese—by searching for an it’s-something-outside-of-you cause—is no small factor in making obesity an epidemic. Next post, I will discuss weight loss and what I think is a better approach to decreasing the prevalence of obesity in modern society.

Here’s something you don’t hear everyday–a New Jersey woman vying to be fattest in the world.  You got it right–who cares about being phat when you can be fat?

According to recent reports, Donna Simpson, 42, of Old Bridge, New Jersey is seeking to be the largest woman in the world.  She does insist, however, that she’s not likely to reach her goals.

“I’d love to be 1,000 pounds,” she said. “It might be hard though. Running after my daughter keeps my weight down.”

Simpson admits that she’s a bit of an attention seeker, contacting Guinness World Record officials to be categorized as “biggest woman ever to give birth,” as she was 532 pounds when she gave birth to her daughter Jacqueline in 2007.

Although Guinness does not currently have that category available, they are thinking of creating it specifically for Simpson.  She’ll have a hard time getting into the records as fattest living woman as of now, though.  The biggest woman ever recorded was Rosalie Bradford, of Auburndale, Fla., who weighed 1,199 pounds in 1987.  The U.K. based Guinness outfit denies encouraging her to gain more weight, saying that it simply records freakish people and their undertakings.

Here is why I love this story: It is no secret that I refrain from pushing the “you must lose weight” agenda.  My simple life philosophy is that you must either change the aspect of your life that no longer serves you or love it, plain and simple.  Far too many people strive for what society, or some other outside authority, tells them they must strive for; yet, it’s not really in their heart to do so.  These people then board the hamster wheel of life, running in circles trying so hard to fulfill their false desires.  Phucket!  Just love your weight and your food, like Ms. Donna Simpson does.  She’s got a man (“He’s a real belly man, she says, “and completely supports me.”), kids, and a website, where adoring fans pay to watch her eat.  Shoot, what the hell else is there? 

Love who you are, live your dream, and let the world know about it.  Otherwise, change what you no longer value.  Just stop bitching about it while running your ass ragged on the freakin’ hamster wheel.



A message that I try to get out in my book, The Six Keys To Optimal Health, is that exercising for purely aesthetic reasons is a sure to lead to frustration and disappointment for many. It’s the best way to guarantee an abandoned physical fitness program when things don’t turn out the way you’ve fantasized. I think a much better approach is to exercise for the myriad of physiological or health benefits you will surely enjoy if only you can keep up the effort.

I think what happens is that people want to lose weight and “get ripped.” Nothing wrong with either of these desires. But what happens when it doesn’t occur over night, or in a few months? Well, many people end up frustrated, and say, “This isn’t working.” They then come up with all kinds of implausible excuses why it’s not working for them: genetics, slow metabolism, or the old, “I work out all the time, but I never seem to lose weight.”

Well here’s good news this week out of the University of Michigan: Fat metabolism speeds up in just one exercise session. That’s right! Just one workout and fat burning increases. This lowers your chance of developing insulin resistance–the hallmark of type 2 diabetes–and increases your ability to burn fat in the future. How? Exercising increases the ability to store fat in the muscle tissue as triglycerides, which makes it available for quick energy; much quicker than the fat filled adipose tissue we store around our bellies, butts and hips.

So even if you find that you “never seem to lose weight” no matter how much you exercise, just know that despite what seems to be slow going, you’re doing yourself a great physiological and health service by working out regularly. If what you say about working out all the time is true, then you might need to be honest with yourself and cut the calories you’re ingesting everyday in the form of food, booze or soda. But you can be sure that your metabolism is working faster and burning fat more efficiently if you are exercising. And even if that’s the most you get out of it, you are still doing your body a world of good.

If I had to guess the lazy man’s ultimate fantasy, I would have to say that it’s probably a “lose weight while you sleep” program. How does that sound? Do absolutely nothing and shed pounds while you snooze. Ooh, I like the sound of that: Losing weight while sleeping. Well, now your dreams can become reality. So says a study out of Europe showing that lack of sleep can lead to weight gain. Hey, that’s not the same thing. I know, but I had to get your attention somehow.

According to French scientists, sleep deprivation has an effect on two principle appetite-controlling hormones, grehlin and leptin. Grehlin makes people hungry, slows metabolism and decreases the body’s ability to burn body fat, and leptin, a protein hormone produced by fatty tissue, regulates fat storage. In the study, sleep deprived people (only four hours sleep two nights in a row) showed an 18% loss of the appetite-cutting leptin and a 28% increase of appetite-causing grehlin. The people also showed about 25% increased hunger. according to lead author, Karine Spiegel, this translates into an additional 350 to 500 kilocalories a day, “which for a young sedentary adult of normal weight could lead to a major amount of added weight.”

Add to this a second study which discloses that children who lack adequate sleep (and those who watch more television, but that’s another story) have double the chance of being overweight, raises the chances of later anxiety and depression. Looking at 915 children in Massachusetts, researchers at the Harvard Medical School found that those who slept less than 12 hours a day in the first two years of life were twice as likely to be overweight at age 3 than children who slept longer.

These stories bring out two predominant thoughts for me: First, when it comes to weight management, it really is all about lifestyle choices. It’s not solely about genes or foods–it’s about how we choose to live our lives. I push the principle that sleep is absolutely necessary to a well-functioning mind and body. I see the effects of sleep deprivation every day in my patients, and I’ve got plenty of my own experience, and I know, it’ll kill you.

But it will also lead to poor energy utilization and, as a result, more weight gain. Think about it: You don’t sleep, you are tired, your body get discombobulated and starts using your stored energy rapidly to keep you going. You secrete the appetite-stimulating hormone, grehlin–your body’s way of saying, “more food, more fuel”. The hormonal imbalance leads you to crave foods heavy in fats and sugars–foods that are high in energy and efficiently stored as fat. And on your way to the bulge.

The second predominant thought is that losing weight for the long-term isn’t often correlated with following a particular fad diet. It really is about the lifestyle changes one makes, like:

  • eating healthy, wholesome foods
  • exercising regularly
  • getting sufficient sleep
  • getting rid of pain that prevents exercise–try chiropractic, it rocks!
  • balancing one’s perceptions

These are the true tricks to trimming down. It’s not rocket science, but it can be hard work. I tell you though, it is worth the effort. Start today by getting enough sleep, and your lazy fantasies can become reality. Isn’t it great to know that not all healthy habits are a pain in the rear?

Want to know one simple habit that can reduce snacking, increase activity, and help you lose weight? Eating breakfast regularly is what: A study conducted at the University of Minnesota School of Public Health showed that teenagers who ate breakfast regularly had lower body mass index (BMI) relative to their breakfast-skipping peers. And they weighed about five pounds less on average too. Nice.

Although conducted on teens, I believe we can extrapolate the the research finding to adults as well; I mean, the conclusions make sense. According to Mark Pereira, lead author of the study, breakfast eaters probably have better control of their appetites throughout the day, and they are less likely to pick up sugary snacks, like doughnuts, muffins, or scones–items many of us grab on our run through Starbucks.

Think about this for a minute: Who’s more likely to gain weight–people who eat an early morning meal or people who skip it? Duh. It all has to do with blood sugar. Let yours get too low–easy to do if you don’t get fuel first thing in the morning–and your body will surely convert much of your first meal into fat. But guess what? It’ll be the least of your worries. That volatility in blood sugar concentration can lead to diabetes. Diabetes+weight gain/obesity=big problems.

Don’t do it to yourself: Eat a hearty breakfast. Skipping any meal, in my opinion, is a poor dietary practice; but breakfast, especially, should be eaten every day. If the risk of disrupting your blood sugar isn’t enough to get you noshing first thing in the morning, then the thought of packing on the pounds unnecessarily should. In a culture and society prosperous enough for us to even have this choice, we should never take our early morning meal for granted–breakfast truly is the most important meal of the day.

The American Medical Association has said it wants fast-food restaurants to post nutritional factson their menus as a means to combat obesity. These facts should include calories, grams of fat, grams of saturated fat, and grams of trans fat in each fast food item.You probably already know how I feel about this notion if you’ve read my June 18th post, Barking up the Wrong Tree. Not only do I think it’s ludicrous to penalize fast-food chains (what about pizza parlors, ice cream shops, candy stores, Chinese restaurants and burger stands, like Fat Burger and every other junk food supplier?), it ain’t gonna do diddly if people don’t value there health to begin with.

“No, you’re wrong Campos. People will make better choices if they can see how many calories they’re consuming.” Poppycock! This information has been on food packaging for years at our country’s biggest supplier of junk food – the good ol‘ fashioned grocery chain. That’s right, the American institution known as the grocery store is the largest pusher of junk food in the world, and they’ve been advertising calories and fat counts for ever. It hasn’t stopped people yet from stuffing their faces full of Dinty Moore Beef Stew. And neither will it help people choose between the Double Quarter Pounder and the MacSoy Melt.

I find it especially hysterical that the AMA is promoting this idea. Wait. I’ve got a better idea. Why don’t fast-food restaurants include this information on the back of their receipts in technical language and with the smallest print the human eye can distinguish – just like they do with prescription medications? That’ll at least put them up to par with the medical/pharmaceutical industries as responsible informers.

And here’s another good idea: why not have medical offices post the number of deaths associated with adverse drug reactions (also see here) and unnecessary surgeries (and here, and here) in their waiting rooms so that people know just what they’re in for. Think the AMA will push for that kind of responsible advertising anytime soon?

More links on unnecessary surgeries:
Life Extensions Magazine,
Dr. Joeseph Mercola
New York Times

Google unnecessary surgeries or adverse drug reactions and get blown away.

Copyright © 2013 Dr. Nick Campos - All Rights Reserved.