I'd love to have access to the raw data to feed it into R. I'm fairly positive even with Appalachia included there is still going to be a strong positive correlation.
That's not really how averages work, though. You can't just smash two modes of a bimodal distribution together and treat it like a unimodal distribution. I mean, you can, but it generates garbage results.
It's hard to draw that conclusion without knowing what's in either data set. I'm fairly certain that the obesity data would have gender as one of its attributes, and it's also probable that any death statistics would include other vital stats such as height and weight at time of death.
But you're right, it's certainly possible that all of the women in those states are of normal weight and it's only the men who are obese. I'm being a little glib though, it's hard to know without seeing the data.
That doesn't prove anything. We are looking at the delta here. It could very easily be that the correlation breaks down in Appalachia because Appalachia has doubled its very low obesity rate to just a low obesity rate.
Something involving certain forms of resource extraction.
I was working on a theory of grain related herbicides pesticides but I know for a fact coal mining via mtn top removal makes quite an ecological mess.
Another not entirely far fetched idea I'm working on is livestock contamination of drinking water resulting in high constant antibiotic levels leading to more resistant infections in general. Looking at where I know there are poultry plants and dairy farms its not looking good.
Its entirely possible coal tailing contamination of water kills em in Appalachia, factory livestock contamination of drinking water gets em in some rural areas, and pesticide / herbicide contamination of drinking water gets em in some areas. In that case we should in theory be able to track increased death rate by river water flow directions. For whatever reason "some contaminants" are apparently not in the Colorado river basin, but the Mississippi isn't looking good.
Well it's also important to note that they mention female high school dropouts, specifically to measure their access to health care and income opportunities, as well as health behaviors like smoking and obesity.
You need years of life lost stats not just lifetime frequency. My grandmother's heart didn't get her until she was in her 80s. If she had a miracle perfect heart well maybe she would have made a couple more years at most till the kidneys, or the liver, or something else got her. Unfortunately I know of too many women, practically girls really, who get cancer in their 20s or maybe 30s. Without the cancer they'd probably have had another 50 healthy years before the heart disease got em.
Edited to add you hear a lot about people dying of heart disease when they're 30 because its shockingly unusual, usually heart problems kill bluehairs. But cancer always seems to strike someone like my kids friends mom who's only 30something, that unfortunately seems normal for cancer?
Good points. Though I'm thinking the 80 year old dying of heart disease is less common than the 30 year old obese person who is buying death on installment plan
Looks closer to percent urbanization. Migrant farm worker land not looking very blue. My pasty white state matches pretty well with urbanization, not so well with racial variation. This explanation doesn't seem to hold in other areas.
I wonder how well it corresponds to grain related pesticide and insecticide use per county. This seems to work, Los Vegas is not exactly a legendary wheatfield. CA has a lot of agribusiness but not as much grain as Iowa or Montana. Ahh the waving cornfields of Manhattan Island NYC. It seems to match up...
You may be right. That's actually pretty depressing... it means there may be no improvement... just a general worsening being masked by female immigrants.
I wonder if female immigrants were excluded from the populations used in these two studies?
Why people say "obese" they either mean the everyday use of the word "really fat", or they mean (as here) the formal definition of "BMI > 30". There are problems with BMI - we hear about the trained athlete with high muscle mass and very little body fat who has a BMI of 38. Luckily most people are nothing like that trained athlete so BMI is handy for this kind of mass population stuff.
As Mikeb85 says, the map posted by elwell starts at 13.7%, and that lowest band goes up to nearly a quarter of the population at 23.3%!
The average American man is 69 inches tall. He'd have to be 203 pounds to have a BMI of 30. The average American woman is 64 inches. She'd weigh 174 pounds.
Fat shaming is bad, and stupid, and shouldn't be tolerated. But there is a problem with people's shifting perceptions of what "fat" and "obese" mean. People who would have been called fat are now called "shapely" or "curvy".
No, it's not. Obesity is unhealthy and usually the result of bad habits. All the ex-fatties I know think this "fat acceptance" crusade is bad and stupid.
"Obesity is ... usually the result of bad habits."
wrong, usually poor education / bad for profit dietary advice.
Wanna sit around all day and eat while watching TV? Sure go ahead here's a bottomless bag of celery to eat. Or carrots. Or lettuce. Good luck getting fat on that. But if the .com and .gov make a lot of money promoting corn chips, it doesn't matter that corn is terrible for mammals other than fattening up livestock on the farm, there's money to be made, pork those babes up with corn chips. Ditto 2 liters of corn syrup soda, bowls of ice cream, anything with refined sugar added. Get back to me when a disgusting display of gluttony involving grilled chicken ceasars salad results in obesity.
On the other hand if its something that farmers slop their hogs with to fatten them up, like, say, corn products, well, guess what happens if you slop the chicks with corn products?
I don't think its poor education. I think its the lack of caring. I think people realize it isn't healthy to drink a two liter of soda a day, but people still do it. Nutrition for food including fast food is posted everywhere. You have to make cognitive choice to ignore it.
And I think that's because they've convinced themselves that things are never going to get any better.
They're completely and utterly wrong about that. But to get there would involve taking a new approach to getting out of whatever circumstances got them where they are and most will never do so. The few that do will become the next generation's rags to riches stories.
I would strongly disagree in that there's no reason other than ignorance and frankly .gov/.com corruption that we don't treat sugars and grains and grain based products like cigarettes or beer. I don't think the opposite extreme of copying the War On Some Drugs is a great model, throwing street level dealers in prison for selling ice cream to minors is going a bit far. I see no reason that any corn syrup soda should not have a surgeon's general warning stamped on it, "this product is medically proven to fatten, sicken, then kill its users" or similar wording. Its illegal to market cigs and alcohol to kids, especially on TV, why not ban marketing of ice cream to kids? Breakfast cereal is a product designed and manufactured to make people fat, and probably shouldn't exist as currently marketed to kids.
It is, but smoking is unhealthy and usually the result of bad habits. Alcoholism can be as well.
Shame is a powerful thing, one that has it's place. However, most people who deal with removing an emotional or physical crutch will tell you that lots of tough love and harsh words won't do the trick. This is why 'fat shaming' might be fine in the eyes of some, but it's not in the eyes of everyone.
Now, I'm also not for the whole idea of 'fat acceptance', since it's just the opposite extreme of shame. Neither extreme will actually help people become more healthy (in the large and general scale).
As always, the solution is in the middle: lots of love and support, but also unwavering commitment to solving a problem. The carrot and the stick.
I really don't understand this point of view. Everyone makes their own choices. Just because you see something as unhealthy does not really mean you should shame them. How does someone being fat really affect you? There is no reason to not accept fat people in the first place.
When you're related to them and they die young? That's kinda a bummer.
I already am in a socialized medicine system where we all share the costs for everyone, its just run by private sector for profit crooks who skim a huge amount off the top, mostly. So every penny spent on fat dude's insulin so he can keep drinking corn syrup soda is a penny that can't be spent on something I directly care about, like glaucoma (yeah yeah I know just get medical weed, whatever...) or celiac disease or other topics.
But a person can lead an unhealthy lifestyle and not be obese. Obesity is just one of the factors that can cause health problems. Shaming people for being obese (or for any reason) is certainly not going to help them.
I will tentatively agree the shame factor is a mess. It cries out for analogies with shaming people into not drinking and driving, and shaming them into wearing their seatbelts. I'm not sure if those analogies prove my side or yours, but I'm pretty sure they are great analogies for the topic, one way or another.
If you're trying to define a new cultural norm, in this case for eating, you're probably going to roll out a group-think consensus type meme, so not shaming people for being rebels is going to be an issue. This strategy needs a (good) marketing guy. The Apple iDinner, now without love handles. Something like that.
Fat shaming actually increases risk of becoming or staying obese. So although obesity is unhealthy, fat shaming is still bad and stupid since it does not help, and actually hurts.
There are better ways to help people become healthy.
>The present research demonstrates that, in addition to poorer mental health outcomes, weight discrimination has implications for obesity. Rather than motivating individuals to lose weight, weight discrimination increases risk for obesity.
1) You cant say that unilaterally - Fat shaming may very well also prevent skinny people from becoming fat. You can't just look at already fat people.
2) These self reported "weight discrimination" studies have so many biases you really shouldn't take them as fact.
3) The usual correlation =/= causation speech. It could very well be that amount of discrimination also varies with weight (duh) and that those that get a lot of discrimination are already past the point of motivation to change (just one of many alternative theories. This specific example isn't the best by any stretch).
All in all, it just does not make as much intuitive sense that fat jokes (among other things) encourage people to stay fat and this little study is definitely not enough to override occams razor in my opinion.
Did you bother to read the abstract of the source provided? It directly refutes pretty much all of your points including a control group. For your convenience, I've italicized the relevant text:
>Participants were drawn from the Health and Retirement Study, a nationally representative longitudinal survey of community-dwelling US residents. A total of 6,157 participants (58.6% female) completed the discrimination measure and had weight and height available from the 2006 and 2010 assessments. Participants who experienced weight discrimination were approximately 2.5 times more likely to become obese by follow-up (OR = 2.54, 95% CI = 1.58–4.08) and participants who were obese at baseline were three times more likely to remain obese at follow up (OR = 3.20, 95% CI = 2.06–4.97) than those who had not experienced such discrimination. These effects held when controlling for demographic factors (age, sex, ethnicity, education) and when baseline BMI was included as a covariate.
You're conflating two thing. While there is no question that being excessively overweight is bad for your health, that doesn't mean fat-shaming is the best way to remedy the problem, let alone even a good way.
I'm having difficulty elaborating, so an analogy: letting snake venom course through your body after receiving a snakebite is not good. But that doesn't mean cutting off the affected limb is good.
Why do you assume the opposite of "fat shaming" is "fat acceptance"? Especially when I talk about the distortions of language caused by people's shifting perceptions?
Fat shaming doesn't help fat people lose weight. It just makes them feel bad about themselves. It may well make some people eat more. It polarises the debate, and pushes some people into the fat acceptance camps.
Fat shaming is harmful.
Note that fat shaming is different from being honest about body weight.
I read somewhere (long ago and I can't remember where) that the rate of heart disease increased in women the same time more women worked outside their homes. Add that to obesity, education and all the other options the article and commenters have mentioned. Issues like this isn't often one or two things, its many that build up.
As some suggested a correlation with obesity, I'd like to highlight another correlation.
Recent findings showed that obesity can be an side-effect of stress. [There is a genetic component to it, such that people who can compensate detrimental effects of stress to the brain, become obese as a side-effect. People who can't, don't become obese but have detrimental effects to their brain. They're fucked both ways. :-( But this is merely a second hand recitation of what I heard a scientist say. Grain of salt, blah blah.]
Nevertheless, the biggest source of stress is socio-economic stress. It's way more stressful than any "direct" stress.
Ladies now smoke as much as men do. In my country young women smoke now more than men. You don't smoke to be a man anymore(stupid male reason), now you smoke for getting slim, or looking "sophisticated" or any other stupid female reason.
Females now work as hard as men. In the past they had to raise the family only, now they raise the family and work with all the crap of working(stress), they eat the same fast food shit that males do(obesity), they sleep as bad as men do.
Females now use hormones for not getting pregnant, breast and ovary's cancer incidence has gone up.(they survive more years through).
Perhaps dying younger is simply that being educated and joining the workforce entails thinking more. Low grade, high-volume thinking requires persistent states of arousal, not dissimilar from stress, and ultimately causing stress. The symptoms are reduced immune activity, increased blood pressure, poor digestion, etc. The health risks of chronic overwork (heart attack, stroke) do seem to be the same as those of excess hedonism (heart attack, stroke). The double whammy is that people who work too hard tend to 'play hard' during their off-duty hours. They think of it as necessary and well-earned relaxation, which is why they do it, but it isn't quite the same thing. Drinking, smoking and other drugs merely produce more arousal, though it is interpreted as being pleasant because the ego is not threatened. I think the foregoing ideas are why some religious traditions have specified a day of complete rest, which breaks the cycle somewhat
Obesity and lack of activity. It's easy to see for us outsiders that are used to other sizes. Where I am in Europe, a typical woman has a body not that far from the fashion world's ideals which Americans often call skinny bitches, "anorectic" or similar derogatory terms. Look at pictures of Americans 40 years ago. Most were slender. Now, many if not most could use different eating habits.
This is a flaw in their statistics. Just eyeball the map, and you can see the red counties are in areas of remote/economic depravation. Over the course of 100 years, you are getting "the thin end of the gene pool" as others move out. So, your baseline samples are not the same. Also the gene-pool will be more startified by education as time goes on (ie, its more "common" to have edu degrees), so as the weaker become educated again only the weakest do not. So their is instability in the relationship between the proxy variables for "class" and success and the genetic ones. This article is a good example why researchers (and reporters) need to be boots on the ground and understand what they are dealing with. None of this would be surprising to anyone who hase been to many of the remote rural areas flagged in red here.
Obesity is up. As we move away from a labor economy fewer people work on farms and factory, we eat the same number of calories, or more, and do less.
More women are in the work place, and that's stressful... Job related stress shortens lives. Sure in the old nuclear family where mom stayed home and raised the kids that was stressful too, but with nannies and day care we still have people in that role, and now you have more single moms doing work and home on their own.
Ethnic diversity due to an increase in the number of immigrants from developing nations. We have a lot more people from countries that had much shorter life spans than the US. Enough to move the numbers. Like it or not while Asia has people who live the longest the average is much shorter than those from Europe, and Mexico and Central America are much shorter still.
There's a chronological problem with your theoretically logical idea where the farm worker collapse started near the turn of the last century (1900) and smoothly over the decades pretty much anyone who was leaving the farm had left by 1970 but fatness indicators like number of diagnosed diabetes patients didn't start expanding (sorry for pun) until late 1990s (about 20 years after an explosion in corn syrup consumption in the USA, surely just a coincidence). So there is a 90 to 20 year gap depending how you want to run the numbers to explain, why the workers are already gone but not sick yet.
There's also a numerical hole where at peak we're talking about 10 million or so american farm workers leaving the farm over the 1900s, but 1/3 or so of 400 million aka over 100 million getting fat. If 10 million changed jobs and 10 million got fat, even if we don't have data to prove its the same 10 mil my spidey sense would tingle, but you're off by a factor of ten.
Also the point of the article graph is rural Montana is not the place to be if you're a woman aspiring to be old, but rural Montana never had quite the same industrial production as NYC or the WWII aircraft plants in WA. So thats a geographic issue.
The problem with your theory about short lived Mexicans is my general lifetime knowledge about where you'll find illegals living maps pretty decently with where people are actually living longer. Its as though immigrants were not exposed to certain industrial or agricultural toxins in the 3rd world that we expose our own kids to. For example no one in New Mexico (well, there's an accurate name) can speak English anymore, but the article map show's they're ridiculously healthy compared to, say, pasty white rural northern Wisconsin where I'm pretty sure they have a hunting season for illegals. Which is interesting.
(edited to add, I liked your post a lot, because it used logical thinking to come up with apparently reasonable falsifiable hypothesis, which is awesome, keep on doing it. Problems need theoreticians and experimentalists to solve them, just one isn't going to do it alone. Theoreticians do need thick skin since 90% of their theories aren't going to work and its nothing personal)
I said farm and Factory. We also drive more and walk less, we are a much less active people than we were.
I didn't say illegals, but people of Indo and Asian descent have shorter lives for the most part compared to Caucasians.
I'm not saying my presentation of facts was perfect, but I can dig around there are plenty of studies (and I hate studies as opposed to experiments) that these observations were pulled from.
My point was really that there are lots of reasons, and likely it isn't "just one", but they aren't "unknown".
I'm not saying that exercise isn't the cause of shorter life-spans, and there is certainly data to support it, but comparing maps alone is kind of silly. There are a lot of maps that look like that.
"Silly" was perhaps a strong word. My point was that there are a lot of heat maps of the US that have a similar distribution, and those similarities could very well be due to a spurious relationship.
The hard statistical challenge is your voting theory is pretty much a proxy for urban/rural. So you'd need some sneaky statistics to find the rare areas where you can separate the two closely matched data sources. Rephrased, I bet if you ran correlation coeff for urban/rural ratio vs both voting and death rates I bet they'd match up about the same and the coeff between urban/rural and death would be higher. Or I could be totally wrong and you're right. But what I am pretty sure I'm correct about, is this experiment would be the logical second step after your theory.
> The most shocking study, published in August 2012 by the journal Health Affairs, found that life expectancy for white female high-school dropouts has fallen dramatically over the past 18 years. These women are now expected to die five years earlier than the generation before them—a radical decline that is virtually unheard of in the world of modern medicine.
High school graduation rates are up substantially over that time period, especially for women, so the category of "high school dropouts" probably represents a narrower pool of women today than 18 years ago.
At the risk of losing some of the karma I've built up every time I deconstruct Google's hiring practices, here goes:
High Fructose corn syrup and subsidizing horrible nutritional choices is at least partially to blame for the obesity epidemic. However, there is an element of personal choice and free will here. Ironically, one side of the political fence here will not acknowledge the former and the other side refuses to acknowledge the latter.
If you choose to squander what little free time you have from your minimum wage job on sitting in front of a TV instead of burning an extra 500-1000 calories per day, you will get fat, and you will most likely die young, and that's the cost of watching TV instead of exercising. For god's sake, at least squander that time on Khan Academy or coursera.
That said, this is a valid choice IMO. It's easy to forget how much life sucks for the bottom 80% when you're earning a salary in the top 5%. I can completely understand why someone with no perceived prospects for life ever getting any better would choose to numb themselves with food, TV, and alcohol. And that is a national disgrace.
But from my perspective, I always had a burning motivation to prove myself and stand out from the people who dismissed me as not worth the effort. Similarly, I am regularly astounded at the different outcomes I see from immigrants who arrive here with nothing, and become millionaires within a generation. The solution IMO (and there may not be one) is to figure out how to instill that kind of passion in a higher proportion of the population (and that may not be what the corporatocracy really wants because then they might start asking some really uncomfortable questions).
You are greatly oversimplifying people's decisions about how to spend their time.
I am not trying to defend laziness. I am just drawing to draw your attention to some of the factors you are not considering here.
People often watch TV while doing things like cooking dinner or housework, which aren't compatible with serious exercise.
People often watch TV at hours of the day where outdoor exercise is impractical or at least inconvenient.
The decision of how to spend time isn't binary: TV or exercise. People with many family responsibilities have less free time. People who can't afford to buy time by paying for their oil changes, plumbing, etc. have less free time.
It should be telling that many people who do get regular exercise get up very early to exercise before starting their normal daily activities. Even people who make exercise a priority have a hard time fitting it into a normal schedule.
You two are going to get really confused at the net results of my treadmill being in front of the TV, just far enough back to not affect the use of the kinect. Although I acknowledge that's probably so weird it makes "standing desks" look mainstream. Do I want to watch Dr Phil today? Well, is it Really worth a 3 mile walk? It certainly cuts down on casual TV watching.
One datapoint that might help you both is minimum wage jobs are often physically exhausting. While I was a starving student I stacked 80 pound bags of water softener salt on pallets... four hours per day. Even for a big weightlifter dude thats pretty rough. When I went home to do homework I (correctly) felt no need for further exercise. But even a retail clerk drone is at least standing 8 hours per day, even if not lifting much. At another drone job I figured I walked (pretty fast) at 4 mph about half the 8 hour shift, that's 16 miles of walking every day.
There probably are minimum wage jobs where you sit all day, but stereotypically sitting around is a problem for highly paid workers. At this instant the only minimum wage / entry level job I can think of involving sitting all day is call center, and those are organized around churn and burn them to get an annual turnover ratio exceeding 1.0 to keep labor costs low (fire everyone before annual review day, and not only do you get to skip giving reviews, but you never have to pay over starting wage).
Confused? Not at all. I personally watch really godawful action movies on my spin bike on a regular basis. And if you're on your feet all day, by all means, eat what you want, you're going to need it! But don't lump yourself in with the couch potatoes. Physics doesn't lie.
I wear a fitbit and I can burn ~3,000 calories a day just walking around the office and doing household chores. If I exercise on top of that, it's 3,500 to 4,500 calories.
Housework isn't cardio, but it burns plenty of calories. I've measured it.
And who needs to exercise outdoors? You can frickin' walk up and down stairs if you have to. It's a question of priorities.
I work exercise into my daily routine and if anyone gets in the way of that, I streamroll through them or work around their existence. I have often suggested the 5 mph scrum - everyone walks at 5 mph and if they're out of breath, the meeting is over.
Finally, before it gets mentioned, having kids is a choice. If you're making minimum wage in your 20s or earlier, it's probably a bad one, but even then, it doesn't seem to stop immigrant families who simply pool together their resources and collaborate better than Agile, Kanban, Extreme Programing or any other MBA-induced methodology of the month(tm).
>at least squander that time on Khan Academy or coursera.
Is that squandering? I know when I worked minimum wage, I would get home from work completely drained. These jobs tend to be draining either mentally or physically (dealing with bad customers, on your feet all day, yelled at by managers, etc). Watching TV is a way to turn off your brain when it has been overworked. Studying and learning new things just taxes your brain further.
Learning any skill is not "squandering", and the suggestion completely misses the point of watching TV. It's really hard to better yourself, even harder when you're out of energy. That puts you at risk for a major breakdown or other stress-related injuries. Watching TV while eating fast food has its dangers, but it's easy and it's comforting. Exercising or learning when your brain has already shut down is a waste of time as best and just as dangerous as obesity at worst.
In my solipsistic personal and 100% anecdotal experience, making room for something philosophically 90+ degrees away from your day job is a learnable skill. I've frequently coped with ghastly day jobs (including my brief stint at Google except that it was a ghastly day job with great food) by working on something technical into the late hours of the night.
Health is a mess, and we're further advanced than ever in history. Education is a mess, and every person has all the knowledge of the world literally in their pocket.
My own opinion on things like diet, weight, exercise, is pretty simple.
1) Eat relative to your activity level. If you're sedentary, eat less. If you're active or an athlete, eat more.
2) Eat good food. If you don't recognize it as something that comes out of the ground or directly from an animal, don't eat it. There are a few exceptions (oils, vinegar, fermented products). Either way, you should know where it's coming from and how it's handled.
If you do these two things, you should be alright. And IMO, the only things you should be drinking are: water (lots), beer (slightly less), wine (even less), milk (a little), juice (a little less).
Any time I see people drinking pop as a 'beverage' and not a treat I just shake my head...
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[ 5.9 ms ] story [ 119 ms ] thread(Aside -- the stark contrast in obesity between Colorado and Kansas is surprising.)
But you're right, it's certainly possible that all of the women in those states are of normal weight and it's only the men who are obese. I'm being a little glib though, it's hard to know without seeing the data.
I was working on a theory of grain related herbicides pesticides but I know for a fact coal mining via mtn top removal makes quite an ecological mess.
Another not entirely far fetched idea I'm working on is livestock contamination of drinking water resulting in high constant antibiotic levels leading to more resistant infections in general. Looking at where I know there are poultry plants and dairy farms its not looking good.
Its entirely possible coal tailing contamination of water kills em in Appalachia, factory livestock contamination of drinking water gets em in some rural areas, and pesticide / herbicide contamination of drinking water gets em in some areas. In that case we should in theory be able to track increased death rate by river water flow directions. For whatever reason "some contaminants" are apparently not in the Colorado river basin, but the Mississippi isn't looking good.
Heart disease just can't compete, even though it would benefit a lot more people, simply because it also affects men.
Edited to add you hear a lot about people dying of heart disease when they're 30 because its shockingly unusual, usually heart problems kill bluehairs. But cancer always seems to strike someone like my kids friends mom who's only 30something, that unfortunately seems normal for cancer?
Just a very casual observation, may be completely wrong.
I wonder how well it corresponds to grain related pesticide and insecticide use per county. This seems to work, Los Vegas is not exactly a legendary wheatfield. CA has a lot of agribusiness but not as much grain as Iowa or Montana. Ahh the waving cornfields of Manhattan Island NYC. It seems to match up...
Everything from construction to tech.
You may be right. That's actually pretty depressing... it means there may be no improvement... just a general worsening being masked by female immigrants.
I wonder if female immigrants were excluded from the populations used in these two studies?
As Mikeb85 says, the map posted by elwell starts at 13.7%, and that lowest band goes up to nearly a quarter of the population at 23.3%!
NHBLI have a nice chart here. http://www.nhlbi.nih.gov/guidelines/obesity/bmi_tbl.htm
The average American man is 69 inches tall. He'd have to be 203 pounds to have a BMI of 30. The average American woman is 64 inches. She'd weigh 174 pounds.
Fat shaming is bad, and stupid, and shouldn't be tolerated. But there is a problem with people's shifting perceptions of what "fat" and "obese" mean. People who would have been called fat are now called "shapely" or "curvy".
People do not recognise obesity any more.
No, it's not. Obesity is unhealthy and usually the result of bad habits. All the ex-fatties I know think this "fat acceptance" crusade is bad and stupid.
> No, it's not.
Yes it is.
> Obesity is unhealthy and usually the result of bad habits.
Shaming isn't therapy for bad habits, and "usually" wouldn't justify it even if it was.
> All the ex-fatties I know think this "fat acceptance" crusade is bad and stupid.
And...so what?
wrong, usually poor education / bad for profit dietary advice.
Wanna sit around all day and eat while watching TV? Sure go ahead here's a bottomless bag of celery to eat. Or carrots. Or lettuce. Good luck getting fat on that. But if the .com and .gov make a lot of money promoting corn chips, it doesn't matter that corn is terrible for mammals other than fattening up livestock on the farm, there's money to be made, pork those babes up with corn chips. Ditto 2 liters of corn syrup soda, bowls of ice cream, anything with refined sugar added. Get back to me when a disgusting display of gluttony involving grilled chicken ceasars salad results in obesity.
On the other hand if its something that farmers slop their hogs with to fatten them up, like, say, corn products, well, guess what happens if you slop the chicks with corn products?
They're completely and utterly wrong about that. But to get there would involve taking a new approach to getting out of whatever circumstances got them where they are and most will never do so. The few that do will become the next generation's rags to riches stories.
Shame is a powerful thing, one that has it's place. However, most people who deal with removing an emotional or physical crutch will tell you that lots of tough love and harsh words won't do the trick. This is why 'fat shaming' might be fine in the eyes of some, but it's not in the eyes of everyone.
Now, I'm also not for the whole idea of 'fat acceptance', since it's just the opposite extreme of shame. Neither extreme will actually help people become more healthy (in the large and general scale).
As always, the solution is in the middle: lots of love and support, but also unwavering commitment to solving a problem. The carrot and the stick.
I already am in a socialized medicine system where we all share the costs for everyone, its just run by private sector for profit crooks who skim a huge amount off the top, mostly. So every penny spent on fat dude's insulin so he can keep drinking corn syrup soda is a penny that can't be spent on something I directly care about, like glaucoma (yeah yeah I know just get medical weed, whatever...) or celiac disease or other topics.
If you're trying to define a new cultural norm, in this case for eating, you're probably going to roll out a group-think consensus type meme, so not shaming people for being rebels is going to be an issue. This strategy needs a (good) marketing guy. The Apple iDinner, now without love handles. Something like that.
There are better ways to help people become healthy.
>The present research demonstrates that, in addition to poorer mental health outcomes, weight discrimination has implications for obesity. Rather than motivating individuals to lose weight, weight discrimination increases risk for obesity.
Source: http://www.plosone.org/article/info:doi/10.1371/journal.pone...
All in all, it just does not make as much intuitive sense that fat jokes (among other things) encourage people to stay fat and this little study is definitely not enough to override occams razor in my opinion.
>Participants were drawn from the Health and Retirement Study, a nationally representative longitudinal survey of community-dwelling US residents. A total of 6,157 participants (58.6% female) completed the discrimination measure and had weight and height available from the 2006 and 2010 assessments. Participants who experienced weight discrimination were approximately 2.5 times more likely to become obese by follow-up (OR = 2.54, 95% CI = 1.58–4.08) and participants who were obese at baseline were three times more likely to remain obese at follow up (OR = 3.20, 95% CI = 2.06–4.97) than those who had not experienced such discrimination. These effects held when controlling for demographic factors (age, sex, ethnicity, education) and when baseline BMI was included as a covariate.
http://www.iub.edu/~k536/images/patho/bmimortality.jpg
Edit: this also looks relevant http://protonsforbreakfast.wordpress.com/tag/mortality/
I'm having difficulty elaborating, so an analogy: letting snake venom course through your body after receiving a snakebite is not good. But that doesn't mean cutting off the affected limb is good.
Fat shaming doesn't help fat people lose weight. It just makes them feel bad about themselves. It may well make some people eat more. It polarises the debate, and pushes some people into the fat acceptance camps.
Fat shaming is harmful.
Note that fat shaming is different from being honest about body weight.
Recent findings showed that obesity can be an side-effect of stress. [There is a genetic component to it, such that people who can compensate detrimental effects of stress to the brain, become obese as a side-effect. People who can't, don't become obese but have detrimental effects to their brain. They're fucked both ways. :-( But this is merely a second hand recitation of what I heard a scientist say. Grain of salt, blah blah.]
Nevertheless, the biggest source of stress is socio-economic stress. It's way more stressful than any "direct" stress.
Trying to find some of the relevant resources:
* http://www.cdc.gov/nchs/data/databriefs/db50.htm shows correlation between socio-economic status and obesity
* http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831158/
Linkage between obesity and some dopamine pathways are also known since 2001.
My own speculation: The location where mortality of women is highest produce the highest socio-economic stress to women.
Additional speculation: This ought to happen in high or in low income areas and may be linked with income inequality within the community.
Ladies now smoke as much as men do. In my country young women smoke now more than men. You don't smoke to be a man anymore(stupid male reason), now you smoke for getting slim, or looking "sophisticated" or any other stupid female reason.
Females now work as hard as men. In the past they had to raise the family only, now they raise the family and work with all the crap of working(stress), they eat the same fast food shit that males do(obesity), they sleep as bad as men do.
Females now use hormones for not getting pregnant, breast and ovary's cancer incidence has gone up.(they survive more years through).
It seems that hormonal birth control slightly elevates the risk of breast cancer, but reduces the risk of ovarian cancer by a larger percentage (https://en.wikipedia.org/wiki/Hormonal_contraception#Effects...).
Obesity is up. As we move away from a labor economy fewer people work on farms and factory, we eat the same number of calories, or more, and do less.
More women are in the work place, and that's stressful... Job related stress shortens lives. Sure in the old nuclear family where mom stayed home and raised the kids that was stressful too, but with nannies and day care we still have people in that role, and now you have more single moms doing work and home on their own.
Ethnic diversity due to an increase in the number of immigrants from developing nations. We have a lot more people from countries that had much shorter life spans than the US. Enough to move the numbers. Like it or not while Asia has people who live the longest the average is much shorter than those from Europe, and Mexico and Central America are much shorter still.
There's also a numerical hole where at peak we're talking about 10 million or so american farm workers leaving the farm over the 1900s, but 1/3 or so of 400 million aka over 100 million getting fat. If 10 million changed jobs and 10 million got fat, even if we don't have data to prove its the same 10 mil my spidey sense would tingle, but you're off by a factor of ten.
Also the point of the article graph is rural Montana is not the place to be if you're a woman aspiring to be old, but rural Montana never had quite the same industrial production as NYC or the WWII aircraft plants in WA. So thats a geographic issue.
The problem with your theory about short lived Mexicans is my general lifetime knowledge about where you'll find illegals living maps pretty decently with where people are actually living longer. Its as though immigrants were not exposed to certain industrial or agricultural toxins in the 3rd world that we expose our own kids to. For example no one in New Mexico (well, there's an accurate name) can speak English anymore, but the article map show's they're ridiculously healthy compared to, say, pasty white rural northern Wisconsin where I'm pretty sure they have a hunting season for illegals. Which is interesting.
(edited to add, I liked your post a lot, because it used logical thinking to come up with apparently reasonable falsifiable hypothesis, which is awesome, keep on doing it. Problems need theoreticians and experimentalists to solve them, just one isn't going to do it alone. Theoreticians do need thick skin since 90% of their theories aren't going to work and its nothing personal)
I didn't say illegals, but people of Indo and Asian descent have shorter lives for the most part compared to Caucasians.
I'm not saying my presentation of facts was perfect, but I can dig around there are plenty of studies (and I hate studies as opposed to experiments) that these observations were pulled from.
My point was really that there are lots of reasons, and likely it isn't "just one", but they aren't "unknown".
I'm not saying that exercise isn't the cause of shorter life-spans, and there is certainly data to support it, but comparing maps alone is kind of silly. There are a lot of maps that look like that.
And indeed, I suspect the resemblance between your map and mine is not a coincidence either.
High school graduation rates are up substantially over that time period, especially for women, so the category of "high school dropouts" probably represents a narrower pool of women today than 18 years ago.
High Fructose corn syrup and subsidizing horrible nutritional choices is at least partially to blame for the obesity epidemic. However, there is an element of personal choice and free will here. Ironically, one side of the political fence here will not acknowledge the former and the other side refuses to acknowledge the latter.
If you choose to squander what little free time you have from your minimum wage job on sitting in front of a TV instead of burning an extra 500-1000 calories per day, you will get fat, and you will most likely die young, and that's the cost of watching TV instead of exercising. For god's sake, at least squander that time on Khan Academy or coursera.
That said, this is a valid choice IMO. It's easy to forget how much life sucks for the bottom 80% when you're earning a salary in the top 5%. I can completely understand why someone with no perceived prospects for life ever getting any better would choose to numb themselves with food, TV, and alcohol. And that is a national disgrace.
But from my perspective, I always had a burning motivation to prove myself and stand out from the people who dismissed me as not worth the effort. Similarly, I am regularly astounded at the different outcomes I see from immigrants who arrive here with nothing, and become millionaires within a generation. The solution IMO (and there may not be one) is to figure out how to instill that kind of passion in a higher proportion of the population (and that may not be what the corporatocracy really wants because then they might start asking some really uncomfortable questions).
I am not trying to defend laziness. I am just drawing to draw your attention to some of the factors you are not considering here.
People often watch TV while doing things like cooking dinner or housework, which aren't compatible with serious exercise.
People often watch TV at hours of the day where outdoor exercise is impractical or at least inconvenient.
The decision of how to spend time isn't binary: TV or exercise. People with many family responsibilities have less free time. People who can't afford to buy time by paying for their oil changes, plumbing, etc. have less free time.
It should be telling that many people who do get regular exercise get up very early to exercise before starting their normal daily activities. Even people who make exercise a priority have a hard time fitting it into a normal schedule.
One datapoint that might help you both is minimum wage jobs are often physically exhausting. While I was a starving student I stacked 80 pound bags of water softener salt on pallets... four hours per day. Even for a big weightlifter dude thats pretty rough. When I went home to do homework I (correctly) felt no need for further exercise. But even a retail clerk drone is at least standing 8 hours per day, even if not lifting much. At another drone job I figured I walked (pretty fast) at 4 mph about half the 8 hour shift, that's 16 miles of walking every day.
There probably are minimum wage jobs where you sit all day, but stereotypically sitting around is a problem for highly paid workers. At this instant the only minimum wage / entry level job I can think of involving sitting all day is call center, and those are organized around churn and burn them to get an annual turnover ratio exceeding 1.0 to keep labor costs low (fire everyone before annual review day, and not only do you get to skip giving reviews, but you never have to pay over starting wage).
I wear a fitbit and I can burn ~3,000 calories a day just walking around the office and doing household chores. If I exercise on top of that, it's 3,500 to 4,500 calories.
And who needs to exercise outdoors? You can frickin' walk up and down stairs if you have to. It's a question of priorities.
I work exercise into my daily routine and if anyone gets in the way of that, I streamroll through them or work around their existence. I have often suggested the 5 mph scrum - everyone walks at 5 mph and if they're out of breath, the meeting is over.
Finally, before it gets mentioned, having kids is a choice. If you're making minimum wage in your 20s or earlier, it's probably a bad one, but even then, it doesn't seem to stop immigrant families who simply pool together their resources and collaborate better than Agile, Kanban, Extreme Programing or any other MBA-induced methodology of the month(tm).
Is that squandering? I know when I worked minimum wage, I would get home from work completely drained. These jobs tend to be draining either mentally or physically (dealing with bad customers, on your feet all day, yelled at by managers, etc). Watching TV is a way to turn off your brain when it has been overworked. Studying and learning new things just taxes your brain further.
Learning any skill is not "squandering", and the suggestion completely misses the point of watching TV. It's really hard to better yourself, even harder when you're out of energy. That puts you at risk for a major breakdown or other stress-related injuries. Watching TV while eating fast food has its dangers, but it's easy and it's comforting. Exercising or learning when your brain has already shut down is a waste of time as best and just as dangerous as obesity at worst.
Don't underestimate yourself.
Health is a mess, and we're further advanced than ever in history. Education is a mess, and every person has all the knowledge of the world literally in their pocket.
Personal responsibility.
1) Eat relative to your activity level. If you're sedentary, eat less. If you're active or an athlete, eat more.
2) Eat good food. If you don't recognize it as something that comes out of the ground or directly from an animal, don't eat it. There are a few exceptions (oils, vinegar, fermented products). Either way, you should know where it's coming from and how it's handled.
If you do these two things, you should be alright. And IMO, the only things you should be drinking are: water (lots), beer (slightly less), wine (even less), milk (a little), juice (a little less).
Any time I see people drinking pop as a 'beverage' and not a treat I just shake my head...