Live data from Hacker News

More than 73% of American adults are overweight or obese

diabetes.co.uk

151–160 of 217 posts

Re: More than 73% of American adults are overweight or obese

#151

Isn’t it strange how the only way to eat healthy food in America is to cook it yourself? Every fast food restaurant is unhealthy. Most sit down restaurants are unhealthy. I can pay someone to change my oil, I can pay someone to cut my grass, but for some reason cooking healthy food, the most essential service, is difficult to find. Why has our economy failed us in this sector specifically?

Usually, healthier cooking doesn't taste as good. Most of the food industry is focused on providing the best tasting food so people will buy them. How do you make food taste good? Add a lot of fat and/or carbs, which are the macro nutrients that are calorie dense. There doesn't seem to be much demand in healthy food services.

Actually healthy food can taste really good. But a true great tasting healthy meal must be fresh and it is relatively hard to prepare, making it expensive.

Most Americans have negative feelings about vegetables because the average American gets vegetables that are either old or have been frozen or have been bred or genetically modified for long shelf life and thus bad taste. There are a million of children's stories about how gross broccoli is or brussels sprouts or peas, but all of these things can taste amazing if you get the right fresh ingredients and prepare them well.

Food is bulky and it goes bad quickly. This makes it challenging to have a long supply chain in food. The answer of modern industry to this challenge is to have a long supply chain anyways but to change food so that it does not go bad for a long time. This involved making food taste bad and then adding a bunch of refined sugar to mask the bad taste. This also involved replacing vegetables (which go bad quickly) with meat (which tends to last a while when refrigerated).

The cheapest way to get a food to taste ok is to add refined sugar to it. This is also a very cheap way to make food last longer and thus make it cheaper for it to be delivered to you from far away.

I am writing all this because there is an important lesson here many Americans do not get. The problem is the supply chain. To solve the problem we need to drastically change the supply chain. We Americans seem to have this fatalistic belief that healthy food tastes terrible, so it is better to enjoy life and eat great tasting food rather than suffer, so lets eat all these sugar covered processed meat products and die young. Unfortunately, usually the result is you get fat and miserable, so you do not get to enjoy life much.

But this is not true. Healthy food can taste much better than your sugar covered processed food. Sure if you get the salad at McDonalds, it will taste even worse than their horrible burgers. But if you go to a good locally sourced organic restaurant you can have better tasting food than all the harmful food you tell yourself "oh this is so bad for me but i might as well eat it because it tastes good and life is short". Of course that organic restaurant will be very expensive. This is because organic locally sourced food is a niche product with low volume high cost supply chain.

If we radically change the supply chain, we can all eat great tasting healthy food for a reasonable price. It will never be as cheap as processed food (it is hard to compete with a food item that can stay on a shelf for months at room temperatures without going bad); but it is possible to get good food to a more reasonable price. And of course even if you pay a little more for healthy food you will save ten times that in hospital bills.

Unfortunately this is a difficult task. Even the more popular companies that aim to revolutionize food tend to try to operate within the existing supply chain. Thus, for example, the "revolutionary" beyond meat aims to supply vegetarian burgers that are designed to neatly replace meat burgers in the supply chain without any change of the supply chain itself. As a result beyond meat burgers last a long time and do not taste very good.

But it is possible and it can be done.

Re: More than 73% of American adults are overweight or obese

#152

In the US there are many highly processed foods with little fiber and added sugar. Nutrition fact labels can be very misleading. e.g.: showing nutrition facts per certain some arbitrary amount of weight, or having multiple servings per container, which is misleading if it's an individual serving container. e.g.: Oreo serving size is 2 cookies. Who opens a pack of oreos only to eat 2 of them? nobody. Many occupations…

Something I've realized in recent months is that restaurant portions are insane . Even if you're not eating a cheeseburger - heck, even if you're eating a salad (assuming it has more than just lettuce) - the sheer amount of food you get in a single entree at most restaurants means that even a reasonable type of meal will end up being two or three times the calories it would be if you made it at home. The alternative…

For the last ten years, my spouse and I always split an entree when we eat out. We order one entree and ask for an extra plate. The portions are perfect, and eating out is much more affordable.

Re: More than 73% of American adults are overweight or obese

#153

Earlier quoted context omitted.

Usually, healthier cooking doesn't taste as good. Most of the food industry is focused on providing the best tasting food so people will buy them. How do you make food taste good? Add a lot of fat and/or carbs, which are the macro nutrients that are calorie dense. There doesn't seem to be much demand in healthy food services.

I disagree that there isn’t much demand for healthy food services. I think the real problem is that healthy food just doesn’t have as high of profit margins as unhealthy food. A satisfying healthy meal will be primarily meat based, which is expensive. A satisfying unhealthy meal will contain lots of carbs and fat, which is cheap.

> A satisfying healthy meal will be primarily meat based, which is expensive.

Indian, vegan and vegetarian food would like a word.

I've had some stellar salads.

Re: More than 73% of American adults are overweight or obese

#154
post #15

Earlier quoted context omitted.

My understanding is this is precisely backwards: using BMI to gauge your own health is inaccurate, but using it to analyze populations is the intended purpose.

As the country gets more fit, and that fat turns into muscle, what happens to the BMI? It either gets higher or stays the same, right? Certainly a good measure to perpetuate a crisis.

Let's cross that bridge when we get there.

In the meantime, I more regularly see the people whose BMI is highly correlated with their body fat percentage; and, one of those requires a scale and a number that doesn't change after your early 20s. The other one requires a tape measure, calipers or an immersion pool.

Re: More than 73% of American adults are overweight or obese

#155
post #63

Earlier quoted context omitted.

> Yes, everyone realizes this already, and nobody who is in that position is going to be mislead into thinking they are obese. No, but someone who works out the numbers and realizes that the BMI doesn't match them well, or their circumstances well, realizes it calls the study and what it represents into question. Using controversial metrics because they are easily available is counter-productive in the long run, beca…

The measurements don't have to be precise to show a trend, relation, or infer a number of valid results. If someone calls the study into question based on using imperfect methods, rather than using those methods incorrectly... That's their opinion, but it's not useful.

They don't have to be precise to show a trend, but there needs to be some assurance that the measurements affects subgroups similarly and a measurement of how it affects those subgroups to infer a number of valid results.

How does BMI accuracy scale with age? How does it scale with different ethnic groups? How do these interact? How do you infer an accurate number without knowing these variables and accounting for them and the relative sized of those cohorts?

If the measurements to create the BMI were taken from a statistically valid cross section of the current makeup of Americans, then I would have no problem. But how was the BMI generated? When? With what type of participants?

This article itself notes that Asians experience relatively more problems at a lower BMI. Without knowing what the BMI is tuned to, how an we interpret how it applies to a cross section of Americans for a singular study?

As a measurement of similar studies seeing a change over time, I agree it's less problematic (but could still be affected by trends in physiology over time, possibly from immigration).

Re: More than 73% of American adults are overweight or obese

#156
post #87

In the US there are many highly processed foods with little fiber and added sugar. Nutrition fact labels can be very misleading. e.g.: showing nutrition facts per certain some arbitrary amount of weight, or having multiple servings per container, which is misleading if it's an individual serving container. e.g.: Oreo serving size is 2 cookies. Who opens a pack of oreos only to eat 2 of them? nobody. Many occupations…

>Nutrition fact labels can be very misleading. e.g.: showing nutrition facts per certain some arbitrary amount of weight, or having multiple servings per container, which is misleading if it's an individual serving container. The worst are chocolate bars, a serving is three squares. I don't know anyone who has just three squares, two year olds included.

[deleted]

Re: More than 73% of American adults are overweight or obese

#157

Earlier quoted context omitted.

False! Unhealthy people are great for saving money. Health care costs are disproportionately skewed towards end of life care. People who are unhealthy die younger and more quickly. Edit: Here you go. https://www.nytimes.com/2008/02/05/health/05iht-obese.1.9748...

Nonsense. You just move the years of suffering and high health care expenses to a younger age.

But you still have less years overall of high health care expenses, don't you?

Re: More than 73% of American adults are overweight or obese

#158
The Biden administration is going to try to advance a Medicare for All healthcare system. If the government wants to control the skyrocketing cost of healthcare, it can do well by addressing the root causes of health problems rather than structuring creative contracts with healthcare providers and pharmaceuticals. Even something as progressive as "incentivize healthy living" is very difficult when every legislator is lobbied nonstop by a long line of vested interests. Obese Americans create billions of dollars of financial opportunity. Think about the financial losses that people would experience if the mind and habits of every American were to change today. Healthcare, pharmaceutical, insurance, finance, food, academia, government agencies and administration -- all have a stake in keeping America the way it is.

Just as America is focusing resources on a Green New Deal, so too does it need to focus on a Lean New Deal. This doesn't seem to be on the agenda for the first term, though.

Re: More than 73% of American adults are overweight or obese

#159
post #87

In the US there are many highly processed foods with little fiber and added sugar. Nutrition fact labels can be very misleading. e.g.: showing nutrition facts per certain some arbitrary amount of weight, or having multiple servings per container, which is misleading if it's an individual serving container. e.g.: Oreo serving size is 2 cookies. Who opens a pack of oreos only to eat 2 of them? nobody. Many occupations…

>Nutrition fact labels can be very misleading. e.g.: showing nutrition facts per certain some arbitrary amount of weight, or having multiple servings per container, which is misleading if it's an individual serving container. The worst are chocolate bars, a serving is three squares. I don't know anyone who has just three squares, two year olds included.

My wife and I eat a dark chocolate bar by the square. A single bar can last us a month or more.

Re: More than 73% of American adults are overweight or obese

#160
post #136
post #48

Fringeing overweight, it has taken me years to remove 10kg and keeping it off is a constant battle. I used to be as thin as a rake. Folks, its a mostly one-way ratchet. If you put a one-way walk into any system, and let it run free, what direction do you think things will trend, even if the pace of movement is a crawl?

You can lose 10 kg in 20 days of not eating anything but electrolytes, so it's definitely not one-way ratchet. It's just difficult to do so. Once you eat anything with calories, you disrupt your 100% fat burn and it makes you totally miserable as the body switches over to energy preservation, while with 100% fat burn you feel plenty of energy.

When I weigh myself daily, I realize I can fluctuate over 5kg just depending on if I've shat, been fasting for 24 hours, and/or consumed much water that day.

I wouldn't start counting score until you have a few months of data to average.

All of those "lose 10 pounds in two weeks!" magazine programs just have you emptying your poop chute where you get immediate results. Because they never try to scale to 20 pounds in four weeks or 30 pounds in six weeks.

Post reply on HN