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Neuroscience Explains Why Dieters Rarely Lose Weight (nytimes.com)

HughPickens.com writes: According to a new study, the chance of an obese person attaining normal body weight is 1 in 210 for men and 1 in 124 for women, increasing to 1 in 1,290 for men and 1 in 677 for women with severe obesity, suggesting that current weight management programs focused on dieting and exercise are not effective in tackling obesity. Now neuroscientist Sandra Aamodt writes in the New York Times that "in the long run dieting is rarely effective, doesn't reliably improve health and does more harm than good". And according to Aamodt, the root of the problem is not willpower but neuroscience.

Metabolic suppression is one of several powerful tools that the brain uses to keep the body within a certain weight range, called the set point. The range, which varies from person to person, is determined by genes and life experience. When dieters' weight drops below it, they not only burn fewer calories but also produce more hunger-inducing hormones and find eating more rewarding. If someone starts at 120 pounds and drops to 80, her brain rightfully declares a starvation state of emergency, using every method available to get that weight back up to normal. This coordinated brain response is a major reason that dieters find weight loss so hard to achieve and maintain. According to Aamodt dieting can actually lead to weight gain because dieting is stressful. Calorie restriction produces stress hormones, which act on fat cells to increase the amount of abdominal fat. Such fat is associated with medical problems like diabetes and heart disease, regardless of overall weight.... Aamodt recommends mindful eating -- paying attention to signals of hunger and fullness, without judgment, to relearn how to eat only as much as the brain's weight-regulation system commands.

2 of 381 comments (clear)

  1. I hate this "neuroscience explains" stuff by umafuckit · · Score: 5, Interesting

    As a neuroscientist, I always feel a bit bad when I see headlines like "neuroscience explains X". It usually doesn't and here also it doesn't really (although that's not say the work is without merit, the blurb in the summary seems reasonable). However, neuroscience obviously doesn't tell us why people are getting so fat in the first place. This matters because it affects how to handle weight loss. I accept that different people may have different "natural weights", but this doesn't explain the steadily increasing obesity levels. Something is clearly changing with our relationship to food. Maybe it's increasing sugar levels. Maybe it's that fewer people cook and that encourages over-eating. Maybe it's increasing portion sizes. Perhaps all of those. The point is that there is a driving force to increasing obesity in the population at large, and as an overweight individual you are fighting against it (whatever it is). So if you want people to start losing weight then I reckon you need to understand very well why they're gaining it at such unprecedented levels. The food industry is, in general, not helping to clarify the issue.

  2. Re:The real reason? by vel-ex-tech · · Score: 5, Interesting

    I wasn't sure if I saw that story posted here or on the other site. Must have been the other site. It was a fascinating read at the very least.

    I also found that it seemed to be somewhat fatalistic and depressing. Humans want to fight against nature and remake the world as they think it should be. It seems like in the ultimate "joke's on you" moment, the very nature of people's bodies has started turning against them all over the developed world. At least this human still wants to fight against nature, to figure out what the answer must be, confident there must be an answer to be had. I don't have funding, and I doubt I'd have the first clue of what to do to figure it out. Debuggers are my thing, not microscopes.

    I'm one of the lucky ones--that person everybody seems to know who can eat whatever they want and never gain a pound. Well, not so much as when I was younger and every weekend meant a trip to the arcade to play DDR. I wish I knew why or even how. There are better people in the world who deserve whatever it is about my body that would make gaining a hundred lbs or so if I need to for some reason seem as daunting to me as losing a hundred lbs and keeping it off is for many people I know. One person in particular whose struggles with their weight has turned into a full blown mental illness and utter despair, compounding the problem by wrecking the best tool they have to work through the problem: their brain. Damn shame. And here I am helplessly posting to Slashdot and cussing out ACs like that'll make a difference.

    It's not to say that exercise isn't a factor, but I begin to wonder if the mentality of "head to the gym, stress the body to its breaking point for an hour or two, then back in the chair" isn't part of the larger problem. Maybe that works for cheetahs, just not so well for humans.

    I think the best thing that people could work towards is a slower, more relaxed pace of life. Everybody is so tense and constantly on edge. Every little problem that comes up is the zomg sky is falling end of the damned world. We seem so completely detached from the essence of living, at least in an agricultural sense: preparing for the growing season, working the earth when plants will grow, harvesting in fall (along with the requisite fall feast), and spending the time of year when little if anything grows with loved ones, safe and confident that enough wood has been gathered and chopped and enough food has been stored away to last until the cycle is complete when spring returns.

    In a hunter-gatherer sense: the Earth provides. There will always be enough. Don't horde and don't be greedy. Don't take more than you need.

    I feel we've created a culture where everybody is driven like they're being chased down by a lion day after day after day after day. It's not really about the act of eating--that's not what I mean by don't take more than you need--, but it's about the endless 24/7 life-and-death brink-of-the-edge reality that is life in the "developed" world.

    First world problems. Literally.