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| Obese teens going for a walk |
By Frank Bruni, The New York Times, April 16, 2012
What if we have it
backward? What if the 310-pound man trying to jam into the middle seat and the
225-pound woman breaking into a sweat only halfway up the stairs aren’t the
undisciplined miscreants of modern American life but the very emblems of it?
What if fatness, even obesity, is less a lurking danger than a likely
destiny, and the surprise isn’t how many seriously overweight people are out
there but how few?
Those are among the unsettling questions raised, at least implicitly,
by “The Weight of the Nation,” an ambitious multiplatform project that takes
the full measure of our girth, its genesis and its toll.
A book with that title will be published next week by St. Martin’s
Press, and it boils down information from a more sweeping, ambitious, four-part
documentary to be shown next month on HBO, which produced it with input from
the Institute of Medicine, the Centers for Disease Control and Prevention and
the National Institutes of Health. HBO will also make the
documentary available on many Web sites, including the network’s
own.
Distilling many decades of research, “Weight” chronicles how we’ve
eaten our way into disease and sometimes despair. About two-thirds of American
adults now qualify as overweight or obese, according to
the C.D.C.
But here’s the scariest (and trickiest) part, which deserves much more
attention than it has received and must be factored into our response: we may
be doing nothing more or less than what comes naturally to us. Our current
circumstances and our current circumferences may in fact be a toxically perfect
fit.
Following in the heavy footsteps of “The Omnivore’s Dilemma,” “The End
of Overeating,” “The End of Food” and much else, “The Weight of the Nation”
makes an especially persuasive case that gluttony isn’t Americans’ problem.
Agriculture and abundance are.
Over the last century, we became expert at the mass production of
crops like corn, soybeans and wheat — a positive development, for the most
part.
We also became expert at feedlots for livestock and at processing
those crops into salty, sweet, fatty, cheap and addictive seductions. This has
downsides.
Densely caloric and all too convenient food now envelops us, and many
of us do what we’re chromosomally hard-wired to, thanks to millenniums of
feast-and-famine cycles. We devour it, creating plump savings accounts of
excess energy, sometimes known as love handles, for an imagined future shortage
that, in America today, doesn’t come.
“We’re simply not genetically programmed to refuse calories when
they’re within arm’s reach,” said Thomas A. Farley, New York City’s health
commissioner, when I spoke to him recently. He is one of dozens of leading
physicians, academicians and public-health experts who appear in “The Weight of
the Nation.”
John Hoffman, an executive producer of the documentary, told me:
“Evolutionarily, there was no condition that existed when we were living with too
much fat storage. We’ve only known a world of plenty for maybe 100 years. Our
biological systems haven’t adapted to it.”
This is probably summed up best by Michael L. Power and Jay Schulkin
in their book “The Evolution of Obesity.” “We evolved on the savannahs of
Africa,” they write. “We now live in Candyland.”
Our systems aren’t just rigged to gorge. They’re also rigged in many
cases to rebound from weight loss and put pounds back on, as Tara Parker-Pope
explained in a cover story for The Times’s Sunday magazine
last year. So we’re fighting against that bit of nature, too.
Then there’s this: the battle is perpetual and maddeningly nuanced.
“When it comes to smoking or drinking, people generally have to go cold turkey,”
notes David Altshuler, an endocrinologist and geneticist, in the documentary.
“But fundamentally we have to eat.”
Every meal is a surrender that can be only partial, a feat of
calibration. “We underestimate how hard it is to change your behavior not once
— not for a week or a month until you’re cured — but to change it every day for
the rest of your life,” says Altshuler.
If we’re going to wage a successful war against unhealthy weight gain
and obesity, we need to understand all of that. We need to stop vilifying obese
people, who aren’t likely to be helped by it.
And we need to rethink and remake our environment much more thoroughly
than we seem poised to do.
The kind of consciousness-raising and corporate prodding being done by
Michelle Obama — laudable as it is — won’t be nearly enough. Neither will the
extra green space for exercise that cities like Nashville have commendably
created, or New York City officials’ admirable exile of sugary sodas from
public school vending machines.
These important steps, plus others under consideration, are just the
start. Let’s move, yes. But let’s do it a whole lot faster, because what we may
be trying to hold back is a near inevitable tide.
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