Why is no one talking about getting healthy?

6,633 Views | 81 Replies | Last: 4 yr ago by KidDoc
tysker
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bigtruckguy3500 said:

waitwhat? said:

Aggie_Boomin 21 said:

Once you involve metabolisms, anabolisms, and hormones it gets less simple than an equation


No, it doesn't. Only people that make money off this or that are trying to make excuses for not being able to lose weight say so.

It is literally physics. There is a certain amount of energy that is required for you to live. That's your BMR. It doesn't change based on feeling. It is based on your actual body and the energy required to sustain it.

If you right now raise and lower your right arm, it will require the same amount of energy regardless if you've eaten 3000 calories or 1000 calories. If you lose weight and your arm becomes lighter then it will require less energy to make that movement.

People make this more difficult than it really is because there is money to be made. Nobody wants to admit that they stay fat because they don't have the will power to lose it, so they pay others to convince them that it's not really their fault.

You doctors supporting this narrative should be ashamed.
This is wrong.

Yes, calories in - calories out = weight gain or loss. However different people burn calories differently, different people metabolize calories differently, different calories are metabolized differently than other calories. Some people have high rates of futile cycling in the body, some people have none. We've hooked people up to respirators and had them do the same exertional activities (treadmil at a certain incline and certain speed), and we see that some people just burn more energy doing the same activities compared with others.

I'm a firm believer that most people that say they can't lose weight and they've tried everything, either are sneaking food without realizing it, not counting their calories correctly, or do indeed have a metabolic disorder. But you are over simplifying it quite a bit.
The bold part is the biggie imo. We just don't appreciate the number of calories are in our day-to-day foods which is doubly problematic when those calories are sugars. Portion sizes are huge and side dishes are more likely to be breads and starches than fruits and vegetables.
HotardAg07
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Hate to interrupt the conversations on why fat people are fat, but I did want to point out that the single biggest predictor of your survival of COVID is age, which is not something people can control.


I just think it would be incorrect to suggest that the victims of COVID are largely victims of their own laziness.
tysker
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HotardAg07 said:

Hate to interrupt the conversations on why fat people are fat, but I did want to point out that the single biggest predictor of your survival of COVID is age, which is not something people can control.


I just think it would be incorrect to suggest that the victims of COVID are largely victims of their own laziness.


From 8,000 covid positive cases from last year...
" Populations The study included adult patients who had SARS-CoV-2 testing at YNHH between March 1 and April 30, 2020"

This research probably shows we should have locked down elder care facilities and nursing homes instead of concerts, bars, restaurants and schools.
94chem
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I'll just add that when the government tried to "help," with the support of doctors, they told us to avoid salt, fat, and cholesterol. They were 0 for 3 on that. Wow. Oh four three. Nada. They should build a monument to that embarrassing failure right on top of the food pyramid, and pour 8 -10 eight ounce glasses of water over it every day as a drink offering.

Headed out for 4 miles. See y'all later.
94chem,
That, sir, was the greatest post in the history of TexAgs. I salute you. -- Dough
94chem
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I'm back. Think I'll have some peanuts, eggs, and a V-8.
94chem,
That, sir, was the greatest post in the history of TexAgs. I salute you. -- Dough
94chem
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HotardAg07 said:

Hate to interrupt the conversations on why fat people are fat, but I did want to point out that the single biggest predictor of your survival of COVID is age, which is not something people can control.


I just think it would be incorrect to suggest that the victims of COVID are largely victims of their own laziness.


Somebody needs to explain why the fats got prioritized over 45 - 49 year olds.
94chem,
That, sir, was the greatest post in the history of TexAgs. I salute you. -- Dough
eidetic78
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Unfortunately, this analysis did not break any comorbidities down within age groups.

I think the main conclusion from that figure is that people acquire comorbities over time.

Age itself is not the risk factor for covid mortality. Age is simply highlighting that the average health of people declines over time. I'd guess that the more unhealthy of a lifestyle one lives, the greater the odds of both collecting comorbidities as well as collecting more severe comorbidities.

I think for most people, our personal lifestyle choices can directly and significantly impact the "how soon and how quickly" our seemingly inevitable health decline progresses.
Alta
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Getting healthy actually requires people to do something.
htxag09
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As someone who spends a crapton of time (yes, that's a scientific word) on the local (Houston) running and biking trails, I can tell you that the traffic on said trails is at least double what it was before COVID. Sure, a lot of that may just be people being bored and wanting to get outside, but it's still people being active. So I'd say that people are getting the word and trying to be more active/healthy.

Sure, some lazy people are using it as an excuse to lock up inside even more, but not sure how you change people like that. As already stated, the obesity problem is a large and complex problem and will take a complete societal change to fix. Yes, bottom line is eat less and be more active. I'd also say it's pretty straightforward to say eat less sugar and processed foods. And, yes, I 100% agree with the docs that person A is different than person B. Person A may lose weight faster than person B, doesn't change the fact that person B can still be a lot healthier by simply eating less and being more active.
hph6203
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waitwhat? said:

You said nothing of substance besides you're apparently jacked. Congratulations.

Everyone talking about "calories" and how they're burned still don't understand what they're talking about. Calories are a unit of energy. Calories are not little beads or something inside your food. Yes, your body processes different foods differently, and some foods take more energy to break down than others. But it doesn't change that your body requires a certain amount of energy to sustain itself and can't lower that without shutting down organs, nor will it artificially increase its energy requirement just because there's more energy to be used.

There are some very rare instances of disorders affecting energy use and expenditure, but they're rare. The vast majority of us process foods very similarly. Genetics plays a role is where fat gets stored, but not how much energy your body requires to perform some general function.

Stop misunderstanding what a calorie is and the whole process of weight gain and loss becomes much easier to understand, besides the anomalies. I say this, again, as someone who has lost a lot of weight simply by eating less and moving more.

It's a matter of will power. Anything else (99% of the time) is an excuse.
What they're saying is that metabolisms vary even at a given height/weight/age and they can vary pretty significantly. They're not saying it's not, generally speaking, calories in - calories out, but that given a certain weight a person who has lost weight will have a lower metabolic rate as their body fights to regain its lost stores of energy. Your body will also release more hunger signals to try to get you to eat more to regain stores of energy.

In other words a fat person, generally speaking, has to have more will power and eat fewer calories to maintain a certain weight than a person that was never fat to begin with, which is why fat people generally lose weight and then gain it back (like you did), because that will power fight is hard to maintain. Eventually if you hold out long enough your body will relent and allow you to have a new set weight with less will power, but it takes time.

I'm 6'3" 185 lbs, never weighed more than 212 and to lose 17 lbs it took absolutely no effort on my part and did it in 3 months. By no effort I mean I spent no time thinking about what I should eat and no time exercising. I sat on my skinny ass and lost weight, because 212 was an abnormal weight for me and 185 is normal for me. I've been as low as 170 lbs in the last couple of years and I popped right back to 185.

It's why I don't look at fat people and think they're lazy ass people that eat too much. It takes no effort for me and they have probably tried time and again to not weigh 300 lbs. I think they should try to lose the weight because it's a battle that can be won and is worth winning, but I'm not skinny and they're not fat because of a drastic difference in will power. They have a body that likes being fat, I have one that likes being skinny.


As far as the topic at hand. Every time I go to the doctor she tells me to eat healthier and get more exercise. There's not a dearth of people saying to get healthy. Maybe with respect to COVID in the media, but "lose weight" is not as easily actionable as "stay away from other people". And shouting my skinny ass has to stay home, because your fat ass can't put the fork down isn't an effective means of solving the problem.
Phat32
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People are conditioned to think that in order to be fit, you have to have abs showing and eat like Tom Brady. That sounds hard, so they just don't do it at all.

Another thing to consider is that eating healthy can be very expensive or, in some areas, not even available.
wbt5845
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Thank you for the docs who weighed in (pardon the pun). Your insight is great.

So FWIW - I have posted a few times elsewhere about my weight loss journey. To prove my bona fides, here's about 4 years worth of work...



"Eat less, move more" is essentially correct. But it's kinda like saying:

sin (30 degrees) = 1/2

It's technically correct, but means little to some without a basis in trig. Saying "eat less, move more" to someone submerged in today's unhealthy society is borderline cruel.

For me, I don't try to lose weight. I have found a much simpler path forward is "strive to be healthy". Turn all your daily decisions about what passes your lips, what actions you take, the things your think - all geared towards "what is it that will be more healthy". THEN learn about healthy stuff.

I've lost about a hundred pounds by NOT trying to lose weight but by simply trying to be healthy and then LEARNING what is healthy. Cut out sugar, cut out processed food. Shop the perimeter of the store. Get up and move at work periodically. Start weight training. Eat at a SLIGHT calorie deficit over a long period of time (like years, bro). Fast sometimes.

If you want guidance, I'd start with The Obesity Code by Dr. Jason Fung. It's one of the best health books I've ever read.

When this whole thing came down a year ago, I would have suggested people hit the walking and running trails every day and start eating simple, whole foods. Instead we cleaned out the toilet paper and binged Netflix.
KidDoc
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Great discussion on this thread and generally civil. Odd thing to happen these days!
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