obesity

The End of Overeating: Taking Control of the Insatiable American Appetite

admin — Sat, 14 Aug 2010 08:00:00 +0000

Obesity and the health issues that accompany it have long been a subject of intense discussion in the Western world, where the abundance of super-cheap and highly processed foods has been linked to many health disorders. David Kessler’s The End of Overeating is an important addition to the books written on the subject. Kessler has the background to take on this complex subject, having served as commissioner at the US Food and Drug Administration. He is also a man who has grappled with weight issues, giving him a more personal interest in the topic.

One of the biggest strengths of The End of Overeating (and the reason I called it an important book) is that Kessler articulates convincingly a position on obesity that moves it away from the issue of individual control and choices ("if you’re fat, you have no willpower, and you really ought to control yourself"). While for a large part of America calorie intake is outpacing calorie absorption, he acknowledges that it’s not as simple as "having the willpower to say no." Kessler also acknowledges that a small percentage of obese people are obese due to other medical reasons and that "hypereating" is not restricted to obese people.

Kessler advances his position by taking a close look at the food and restaurant business, and how it gets consumers to eat larger portions, eat more often, eat at any place, eat at more locations, eat more indulging foods, and eat mind-blowing combinations of fat-sugar-salt that make us want to, well, eat some more. He also goes to some length to explain how overeating can become a habit by conditioning and by altering the stimulus-reward circuits in the brain. By indulging in high calorie foods, which offer a temporary but pleasurable sensation, we are primed to remember those sensations the next time we come across the same stimulus.

If all this sounds esoteric, think of a food experience that you particularly crave—perhaps a burger at a particular fast food joint or a particular brand of chocolate—and think about how hard it is to turn away from the treat it promises. That is what Kessler is talking about, and The End of Overeating helps us to understand why we don’t just ’say no’. The first three sections—"Sugar, Fat, Salt," "The Food Industry," and "Conditioned Hypereating Emerges"—are all about dissecting the problem, and are the strongest parts of the book.

One quibble is that Kessler sometimes stops short of covering an individual’s story in sufficient detail, preferring to move on to the next of numerous chapters. One also suspects Kessler would have done well to stop with his thorough analysis of the problem rather than extend the book to offering solutions as well. The sections "The Theory of Treatment," "Food Rehab," and "The End of Overeating" are somewhat disappointing in their generality when compared with the rigorousness of the first half of the book. While there are a few useful suggestions, they don’t go beyond what common sense suggests, nor are they buttressed with any studies or other information on their efficacy. They also veer dangerously close to the "you can stop eating if only you try" approach that Kessler disses in the first half.

Despite these drawbacks, The End of Overeating is an interesting read for anyone who has struggled with weight or with the expectations of desirability in an increasingly appearance-conscious world. Those of us living in India can already see the wholesale import of Western brands and lifestyles into what was a slower and more wholesome way of eating. For us, it may be the "Beginning of Overeating," but that is no reason we shouldn’t be better prepared.

A longer review can be found at Apu's World

Written by: Aparna V. Singh, August 14th 2010

Food Politics: What Everyone Needs to Know

admin — Sat, 07 Aug 2010 16:00:00 +0000

By Robert Paarlberg

Oxford University Press

As an ethically and environmentally aware feminist vegetarian, I view food and politics as ineluctably joined. Robert Paarlberg’s Food Politics: What Everyone Needs to Know challenged some of my basic ideas about hunger, famine, and the scope of issues contained by the term food politics, yet the book ignores some of the ways in which food is always simultaneously personal and political.

Food Politics covers a wide range of topics connected to the way we eat as well as to our food’s impact on the world around us at local and global levels. Paarlberg examines population growth, food costs, politics of chronic hunger and famine, farming technologies, food aid, obesity, environmentalism, agribusiness, fast food culture, organic and local food, GMOs, and the overarching structures that govern the world food system. At times Paarlberg oversimplifies complex problems, especially in his chapters “The Politics of Obesity” and “Agriculture, the Environment, and Farm Animals.” Moreover, although he supports his points with statistics and logical arguments, he frequently flattens alternative positions, sometimes inconsistently. For example, he suggests that vegetarianism has little global impact on the food supply in one context yet acknowledges the consumption of less red meat as a better way to reduce the environmental impact of food than eating local produce.

Paarlberg recognizes the significance of women’s labor in third-world farming systems. He addresses the political disenfranchisement of women in these economies when he depicts the problem of chronic undernutrition in “poor and hungry communities” where women are prevented from political action because they are, first, overextended by their duties as farmers and as caregivers for the children and elderly and, second, their socially marginalized status. Feminists doubtless know this and would like to see Paarlberg push his points further, as I wanted him to, but his attention to the gendered politics of undernutrition is significant.

Paarlberg considers the work of Rachel Carson and Frances Moore Lappé in dialogue with Michael Pollan and Eric Schlosser, but he dismisses Frances Moore Lappé’s as a “young countercultural food activist.” Although Lappé was young when she published Diet for a Small Planet, she has created The Small Planet Institute and established a rich, innovative series of books, videos, teaching aids, and other resources about the politics and environmental impact of food. Although he supports some of Lappé’s points, he does so in a way that shifts their focus—he implies that her actions are good, but not for the reasons upon which she bases them, which is a partial, uneven, and reductive way to treat an argument.

The greatest flaw of Food Politics is Paarlberg’s oversimplification of other groups’ and individual’s claims. He provides useful and even groundbreaking information but only by suspending these fundamental components of food politics in a way that does not allow for the inextricability of belief or ideology from the way we eat.

Written by: Emily Bowles, August 7th 2010

The Fat Studies Reader

admin — Fri, 19 Mar 2010 16:01:00 +0000

Edited by Esther Rothblum, Sondra Solovay

NYU Press

The Fat Studies Reader is a collection of groundbreaking essays in this interdisciplinary field. The book is divided into six sections that include a historical overview of fatness, fat studies in health and medicine, social inequality, discrimination in popular culture, and embracing fatness.

The Fat Studies Reader argues that size-ism is unacceptable and that fat phobia exists both in popular culture and in the medical industry. The writers assert that instead of “combating obesity” and medicalizing fatness, our culture should recognize that people can be healthy or unhealthy at all weights. Being fat should not be seen as a personal failing, and oppression and ridicule of fat people should not be acceptable in popular culture.

As a graduate student who has done quite a bit of reading in the field of public health and diet-related chronic disease, I admit to being somewhat skeptical about the nonchalant attitude some of the writers have toward the relationship between obesity and health, particularly in Paul Ernsberger's essay “Does Social Class Explain the Connection Between Weight and Health?” Ernsberger argues that the widespread belief that being poor puts one at risk for obesity is wrong, and makes a somewhat astonishing claim that “a stronger case can be made for converse: fatness is impoverishing.” Ernsberger’s argument counters abundant research that has shown the relationship between low socioeconomic status, obesity, and diet-related diseases.

Even though I disagreed with many of the essays in the “Fat Studies in Health and Medicine” section, I found much of interest in this volume. The essays about portrayals of fatness and race in popular culture were particularly instructive. The Fat Studies Reader is very likely to challenge readers’ preconceptions, regardless of the open mindedness they may bring to the book. Exploring unexamined assumptions is a very important accomplishment of this collection.

Written by: Liz Simmons, March 19th 2010