The Largest Man in the World

This is, unfortunately, not a joke. Morbid obesity is becoming completely normal in the US.

Who knows where this will end? If we just keep repeating the failed and simplistic “calories in calories out” dogma it won’t be pretty.

More about the free updates that people get.

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“I was constantly fatigued and eating” 24
A New Toy Measuring Blood Ketones 148
Why are Asian Rice Eaters Thin? 289
Yet Another Example of the “Dangers” of an LCHF Diet 33
Dropped Ten Dress Sizes with LCHF! 93
The Dreamfields Pasta Fraud 261
Boring TV Shows Might Increase the Risk of Obesity 15
What Happens If You Eat 5,800 Calories Daily on an LCHF Diet? 178
School Refuses to Serve Food that Keeps Student Healthy 43
Fruit is candy 154
Losing Weight Long Term on LCHF 54
Lose Weight by Cutting Down on Dairy Products and Nuts 102
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51 Comments

Top Comments

  1. mezzo
    I don't eat calories. They taste horrible. I eat food.
    Read more →
  2. Will
    Obesity will keep increasing in the US. Nobody in the main stream media will ever say anything negative about eating loads of carbs as most of the advertising comes from carb rich foods.
    Stuff like soda is NOT food at all period. Processed food full of HFCS is NOT food.
    Unless people understand this they will keep saying oh...low carb is too restrictive... yeah right it is... it restricts you to FOOD. I wish people at least knew the truth. If they continue to eat crap then I have no problem with it. However, in america people keep saying that obesity is some super complex problem that has no cure or has some genetic factors etc or that it is all about exercise. If you eat the SAD diet then only 8 hours of exercise a day might just help you. If you eat LCHF you will drop to your normal weight with little or no exercise. I am not surprised at how high obesity is. I am surprised at how resilient the human body is because judging by the crap people eat... obesity rates should be 100%.
    Read more →

All Comments

  1. Will
    Obesity will keep increasing in the US. Nobody in the main stream media will ever say anything negative about eating loads of carbs as most of the advertising comes from carb rich foods.
    Stuff like soda is NOT food at all period. Processed food full of HFCS is NOT food.
    Unless people understand this they will keep saying oh...low carb is too restrictive... yeah right it is... it restricts you to FOOD. I wish people at least knew the truth. If they continue to eat crap then I have no problem with it. However, in america people keep saying that obesity is some super complex problem that has no cure or has some genetic factors etc or that it is all about exercise. If you eat the SAD diet then only 8 hours of exercise a day might just help you. If you eat LCHF you will drop to your normal weight with little or no exercise. I am not surprised at how high obesity is. I am surprised at how resilient the human body is because judging by the crap people eat... obesity rates should be 100%.
  2. Funderaren
    The problem when people focus on calories, is that they avoid eating calories during the day, and are extremly hungry at the end of the day and finish with a large pizza.

    I have a coworker that wanted to lose weight, he avoided eating during the day and bought 1 pound of candy on his way home.

    That didnt help him.

  3. no words...
  4. Will
    @peter..
    vegetables have carbs too.. i wasnt talking about veggies..
    by carbs i meant grains... pasta/bread etc..
    can you eat some bread and be thin... absolutely...
    however it is sub optimal to do so... why not just stick with meat and veggies...
    grains have been consumed since the last 10000 years.. not enough time for humans to fully adapt to them...
  5. mezzo
    I don't eat calories. They taste horrible. I eat food.
  6. Yoly
    Is about real food if you are young or you haven’t damage your metabolism by a lifetime of SAD eating of sugar, HCFS, grains, etc. Most people when they reach a point of having trouble with weight or age is because they are already having metabolic, addiction, hormonal problems and carbohydrates intolerance. Real food will be an improvement from SAD but it will not help much with their other health problems.
  7. FrankG
    Our societal norms clearly have become deranged and it is going to take a societal change to address these issues.

    I just watched Part 2 of The Men Who Made Us Fat -- they come so close and yet still miss the mark...

    at around 12 minutes in we meet Psychologist Professor Anthony Sclafani of New York: who for his study, needed some laboratory rats to overeat and have rapid weight gain. This was not happening (or not fast enough) on various high-fat rat chows (as it ought to have, based on the conventional wisdom) so he sent his graduate student to the supermarket to get "foods that people like to eat".... "chocolate-chip cookies and candy and milk"... "they started to overeat immediately".

    They were surprised at how fast the overeating and weight gain was among all the rats... noticing increased weight within the first day.

    Armed with this stunning observation we are then told throughout the rest of the show how it is increased portion size and calorie-density (both in large part due to fast food marketing initiatives) that has lead to the obesity epidemic.

    What?!?

    Did the rats start to eat because they were offered larger portions? No!

    Which is more calorie-dense... sugar -- at 387 calories per 100 grams--, or butter -- at 717 calories per 100g ?

    It is not so much the quantity of the food... it's the quality! Poor quality food (often high in sugar and/or refined starches) sets up a condition where we are not satisfied, so we keep coming back for more.

  8. Mirchy
    Hi!

    I came across this documentary on YouTube today, it is worth to look at. It is The Sugar Trap from 1986 http://www.youtube.com/watch?v=5OcH9K_RvYk , it contains the same message as dr. Lustig preach nowadays about sugar.

    It is sad that this was well known back then, as it is today, but people are still in denial, companies are also well aware of addiction to sugar and they follow producing high sugary stuff all in the name of profit. I really hope that this will end soon, before people gets sicker and even more morbidly obese, new generation has to have a chance to live in more friendly food environment!

  9. Tia
    This is the link to watch the second part of BBC documentation "The Men Who Made Us Fat" mentioned above: http://www.youtube.com/watch?v=TAOZ5HcMp9E&feature=relmfu
  10. Mark
    Paleo + Crossfit = weight loss and health
  11. Vicki
    I don't eat grain, and don't have a problems any longer. But if I don't limit carbohydrate, I put on weight again. So for me, carbs are most definitely a problem. Is it bc I followed the BS in "Prevention Magazine" for so long - could be - not sure. At the beginning of my weight loss journey, I too relied on processed "low carb" foods, and that worked for a time (including diet soda - ugh!). Now I find I have to be even more strict and these foods have worked their way out of my diet. The next steps for me will be limiting alchohol and caffeine - I think both have been given a free pass by the LC community, but for me, I think I am now very sensitive to both, and ANYTHING that keeps me from feeling my best is a dealbreaker. I would advise that before you start bashing people who are trying to help others, that you be a bit more sensitive. Having gone through IMMENSE stress the last year of my life, I think cortisol is a huge factor, and I know Jimmy's been there.
  12. FrankG
    I think it was Dr Mary Vernon in her interview with Dr Eenfeldt where she says something like "the pioneers get the arrows, while the settlers get the land"... in this case I see Jimmy Moore as one of those ground-breaking pioneers who has taken more than his fair share of arrows for his efforts... meantime the settlers amble along later and act as if they thought up the whole thing first ;-)

    There is no need to point at individuals and point out what you might perceive as their failings. Any of us who have struggled over many years, or decades, with significant obesity can tell you that there is NOTHING you can say which is worse than the self-guilt with which we have subjected ourselves -- wrongfully subjected as it now turns out.

    I recently started with a new Endo (my previous, an excellent Doctor, died of old age) -- she just looks at me as I appear now... a moderately overweight middle-aged man with Type 2 Diabetes etc... she has not seen or lived through, the incredible improvement in my health over recent years.

    In much the same way you might feel justified to judge Jimmy (you aren't!) by comparing him to a young lean man... compared to who he was at his heaviest, he is so much better than that.

    I don't reasonably expect to ever get back the physique or health that I enjoyed in my early 20's but I'm happy with where I am today... not that it is really anybody else's business but my own ;-)

  13. jake3_14
    I'm upset that Dr. Eenfeldt created this post. Everyone already knows that obesity is at epidemic proportions in the U.S. He didn't need to post such a derogatory, mocking post just to reinforce that point. The sniping in the comments is also unhelpful; it doesn't further understanding of the problem, nor does it create a constructive atmosphere for figuring how to help our families and friends — those we're most likely to be able to influence — improve their eating.

    Based on the results people are achieving, it's clear that both a low-carb and a moderate-carb approach to eating works for large groups of people who try it, but they might be different groups of people. Can't we accept that there might be multiple ways to eat for health, depending on your biochemistry, your gender, your age, your eating history, and your medical condition? There's precious little methodologically sound science on which to claim that a single dietary paradigm applies equally well to everyone.

  14. Suzie
    Dr. Eenfeldt,
    I know we Americans have an abundant number of "people of size" (new politically correct term I ran across yesterday), but I feel you pick on us specifically even though there are lots of oversized people elsewhere too. I grew up as a "fat" kid (that was the term then) and was bullied terribly. Sometimes your posts remind me of those days. Post something from somewhere else more often or find something positive to say about Americans once in awhile.

    And to those who bash Jimmy Moore - until you walk in someone else's shoes you shouldn't judge them so much. Just leave him alone and mind you own business.

  15. Jen
    Yet another "look at the disgusting, fat, ugly, stupid Americans" post.

    By the way, the "diabesity" epidemic is worldwide. It is accelerating in parts of the world not previously known for obesity, such as China. The world is becoming full of fat, sick, infertile people. Some would see this as a good thing: the planet cleansing itself of the cancerous human species. I view it as a disaster, and unless we figure out what is really causing this and stop it, worldwide economic and civilizational collapse will be the result.

  16. Kim
    Yeah, what's with all the Jimmy Moore bashing? That's not what this blog is about. Besides, Jimmy has done more to bring info. and knowledge to the LC and paleo communities about diet and nutrition than just about anyone. He repeatedly uses himself in food experiments and has exposed false claims from so-called LC products. Jimmy is a very open and honest guy who shares his struggles with everyone. How sad that some people esxploit that criticise him at every opportunity.
  17. Darlene
    One thing I think is being ignored is that obesity, morbid or otherwise is now socially acceptable. "Real women have curves" is something I hear and see everywhere. I always want to reply "Yes and obese women have folds, bulges, shortness of breath and type II diabetes." but it's amazing how hard you will get shot down if you say something like that! Exercise, intelligent food choices and self control is how you keep and maintain a healthy weight. Key exercise: put down the fork!
  18. moreporkplease
    I'm really so over the so-called "Paleo" movement. It's so clear that it's become just another way to hate fat people. The attacks against Jimmy Moore are just disgusting.

    For a concept supposedly based on evolution and human genetics, Paleo followers don't actually act on their pretended beliefs. Instead of attacking Jimmy for being fat - oh, and a successful internet entrepreneur - a person who actually believed in evolution and genetics would ask "what's the deal with Jimmy's genes?"

    While the effed-up USA health system makes it dangerous to talk about your genetics openly lest you lose your insurance, it's clear Jimmy has duff mitochondria and metabolic flaws. And has always had them, since birth.

    What Paleo peeps should be doing is asking Jimmy: what's your SNPs for the methylation cycle? Do you share those known flaws in A1298c etc? I'll bet you steak to doughnuts that like about 15% of Americans, Jimmy has this genetic flaw.

    Once we know that, we can direct Jimmy to better treatment. And by the way, Jimmy's lost a lot of weight recently. He's dropped 20 in the last month alone just from following the advice in Volek's latest book. Low carb is one of the keys to working around your bad mitochondria, but there are other key portions too beyond that, as the Yale researcher Dr. Yasko has clearly proven.

    The science in this area is moving rapidly. We have to keep up instead of just bashing Jimmy out of jealousy. :)

  19. I deleted a couple of posts bashing Jimmy Moore, something he certainly do not deserve.

    Regarding this being another "negative" post on Americans in particular: You are leading the world, both in bad and good ways. That's why I can't stay away. Quite a few of my biggest heroes are Americans and some of them figure on this blog frequently.

  20. Linda
    I am amazed by some of the comments. But it seems that some individuals have taken their true beliefs about their health and well being and have turned into hostile zealots. There is no reason to bash anyone that is seeking the truth to weight loss and management. Thank goodness for Jimmy Moore and all of the others that have brought people like Dr. Dayspring, Gary Taubes, Dr. Phinney, and all of the other pioneers to my notice. I have lost 90 plus pounds in large part to these people that have challenged conventional wisdom and the barbs and arrows that have been leveled by some here on this page. I am not finished with my health goals but thanks, in large part to the work of dedicated persons trying to solve metabolic syndrome, insulin resistance, and the rest, I am able to live a healthy life.
  21. Jen
    Andreas, enough with the anti-American linkbait posts. I, like Dr. Feinman (who has you on his blogroll!), have had enough of them. They are lame, insulting, and unbecoming.

    They are also completely transparent, as you clearly built the English version of your blog to build your brand - complete with your cartoons of yourself - in America.

    I'm sure you enjoy your paid speaking gigs, cruises and plane rides. And I'm sure this parade which you have run to the front of will make you quite rich before you're through. But you don't have to act like a dick in the process.

    People seem to like you. No one was unkind enough to mention that your AHS talk added nothing at all. I mean that literally -- I don't believe that anyone in that room heard anything in that talk they didn't already know. That's a little embarrassing, when even Tucker Max brought new ideas to AHS.

    I don't think you realize how easy it is to lose goodwill.

    At least keep it on the Swedish side.

  22. Barb
    Thank you FrankG, Linda, Moreporkplease and Doc for putting into words what I wanted to say, but was unable to verbalize. There were some meanspirited posts here earlier, and I wasn't sure where they were coming from.

    I live in the south, and the number of seriously obese people here is probably higher than in many spots. Seeing someone as heavy as the cop in the picture is a normal everyday ocurence. I cannot imagine that any of these people is happy weighing as much as they do. It's hot enough here without carrying around an additional 100 (or more) pounds. Everything is harder when you are obese. I remember well the frustration of constantly shopping, trying to find clothes that 'didn't make me look fat'. When it finally sunk in that it wasn't my clothes, it was the extra 45 lbs that I was carrying around that made me look fat, I did something about it.

  23. Jenny
    I can agree with some of you that the message has been repeated two or three times too many, but I feel that some of you are taking this post the wrong way.
    Doc hasn't said anything about the blame being put on the obese - quite the other way around. Obese and overweight are not to blame for their weight problems. They are just following the advice that they've received from media. How many of you have actually heard about how to eat lchf or lowcarb in school, tv or in any other medium? It's all on the web, only on the web. How many of you have been taught by someone else than yourself or close friend about the additives to sugary food?
    If nothing is done about this, it will continue, hence why obesity will become normality in the US.

    My personal belief is that the dietary advice you get in school (I'm a teacher, duh!) should reflect (in an unbiased way ofcourse) all of the different ways to eat - and not just the one that the government said we should eat.

  24. Wade Henderson
    Leave it to some to take a message and run well past science...

    from Will above...
    "vegetables have carbs too.. i wasnt talking about veggies..
    by carbs i meant grains... pasta/bread etc..
    can you eat some bread and be thin... absolutely...
    however it is sub optimal to do so... why not just stick with meat and veggies...
    grains have been consumed since the last 10000 years.. not enough time for humans to fully adapt to them"

    So having any carbs is "sub-opitmal"... Only veggies and meat are optimal

    Grains have only been consumed (according to his science) for the past 10,000 years.
    Gosh, I never new all the billions of people who have lived through recorded history, and essentially 99.9% of them have all lived with "sub-optimal" nutrition.
    Now, in the year, 2012, we have seen the light, and for "optimal" nutrition, we entirely eliminate all grains. After all, we're brilliant, we have science.

    I'm sure all the millions and millions of folks in the world who live slender healthy lives on diets that include grains, should just eliminate them, so they also can be "optimal".

    One thing I'll say about Jimmy Moore, is that he isn't afraid to have guests on that give reasonable science that doesn't fit in lock-step with the mindless unwavering dogma that so many feel the need to express.
    Its a big world out there, billions of people, many living and eating healthy in other ways.
    They don't even have access daily meat. I guess they can't be "optimal".

  25. Nothing wrong with being Obese if that person chooses so! It's only when people remain obese when they try to lose weight due to hearing the tired old low fat dogma.
  26. Kaido
    Couple days ago I saw documentary "Fathead" and there where pretty ok looking guy who said his BMI is over 30 so he is considered as obese by todays standards. I was like maybe we are somewhat harsh to people, guy looks normal, some bodyfat, sure, but shouldn't obese be something more fatty?
    Then later that day I read article, where was written: "In 1966 the proportion of people with a BMI of over 30 (classified as obese) was just 1.2% for men and 1.8% for women."
  27. NS
    Doc,

    The comments here have for whatever reasons turned into somewhat of an anti-Jimmy Moore rant and a bizzare poltical and cultural defense of US lifestyles. I think most reasonable people are not moved by this kind of silliness and appreciate your efforts and sincerity of your blog. That said, I trust you would agree that half-truths are far more insidious than whole lies and that people with 'agendas' are less than sufficiently concerned about honesty and accuracy. Are you familiar with the work of Dr. Thomas Dayspring? He seems to be a very prominent and pioneering lipidologist. According to his research - and he is as enthusiastic and adament as heart-attack-proof-yourself-Essylstein - one simply CANNOT have a "cardiac event" if one's LDL lipoprotein number is low enough, generally 1000 or under. Irrespepctive of whether the particles are small or large, as the numbers increase, so does one's risk for CVD. And to get to safe levels of 1000 or under, he strongly advocates LC or LCHF and/or statin/niacin therapy. What's quite surprising however is that Jimmy Moore's NMR test results show that he has LDL lipoprotein levels over 2200!! This is extreme high risk according to Dayspring - anybody over 1600 needs aggressive treatment. I wonder whether you could explain this at all. I also wonder why nobody else seems to have noticed this and why Mr. Moore has not been more forthcoming and open about this issue.

    Thank you.

    (Dayspring and Taubes)
    http://www.youtube.com/watch?v=an6L9VY0v8A

    (JM's NMR results)
    http://livinlavidalowcarb.com/blog/liposciences-nmr-lipoprofile-test-...

  28. moreporkplease
    Hi NS

    "I also wonder why nobody else seems to have noticed this and why Mr. Moore has not been more forthcoming and open about this issue."

    But Jimmy has been open about it. That's how come we all know his number, and also his high fasting blood glucose number. Jimmy's clearly pre-diabetic and highly insulin resistant with metabolic syndrome. He admits that himself. He thought he was eating correctly, but clearly he wasn't, and he has corrected that somewhat with Dr. Volek's book.

    Does Jimmy need to do more? Certainly; he admits that. Does Jimmy need metformin? He's tried metform before and the side effects made him ill. Could Jimmy benefit from niacin and silymarin? Definitely.

    So what else is left for anyone to be "more forthcoming" about? Have you published your history of fasting blood sugar, weight, calories, and lipids on the net, NS?

  29. Suzie
    I noticed the same thing about Jimmy's lipids. Lipid science appears to be changing according to Dr. Dayspring. It seems to be all about particle number now. Jimmy's particles are large and fluffy not small and dense. From what I gather, the thinking when he had his lipids measured was that large fluffy was good. Also he had a zero calcium score on a heart scan which I would think was good. So, at the time, he probably thought all was good. After interviewing Dayspring, he may have second thoughts or not. If he wants to discuss it with the world, that's fine. If not, it's none of anyone's business. Science is always changing something - how many times do you think you know something and then "they" decide it's just the opposite?
  30. NS
    @Suzie

    Thank you, that is exactly the point. Dayspring is absolutely adament that LDL lipoprotein number is the KEY measure, irrespective of size or other factors. If this is in fact true, then JM's NMR results are indeed surprising and sobering since he follows LCHF pretty strictly. And consequently it is not just his problem but ours as well. Dayspring uses Tim Russert's demise despite stellar cholesterol numbers at the time to highlight the desperate need to focus on total LDL lipoprotein numbers. Borrowing from him, ".....if you don't have enough of the lipoproteins carrying the cholesterol into your arteries, you CANNOT have a cardiac event."

    Incidentally, no one is attacking JM personally. But as science reveals new truths, people obviously have a responsibility to change their positions and be honest. JM's blood profile IS our business since HE has made it so. Who would bother following anything he had to say unless that information had some kind of influence/consequence on THEM as well?? We are all in this boat together and when we see something that doesn't add up, we have a right/duty to speak up about it.

  31. Suzie
    NS,
    Dayspring also said that a low carb diet was the way to minimize triglycerides, which minimizes VLDL which reduces LDL. I think Jimmy must have some kind of issue with his metabolism like being APO E4 or something (just speculation). Those people can have a problem with saturated fat which can lead to very high cholesterol. That would not affect the rest of us (who don't have APO E4), nor reflect badly on the LCHF diet. It would go to show that people are different and it is a good idea to know how your body responds to different diets. I actually agree with you to some degree that Jimmy should bring up the issue since he was telling people that big fluffy LDL is not bad.
  32. NS
    Yes Suzie,

    We are in agreement. LC is definitely the way to go to lower triglycerides, particularly if your ratio is bad when compared with HDL. Taking JM at his word and assuming his diet in fact accords with LCHF, his numbers are worrying; perhaps we are all in need of more statin therapy, as governments have recommended. To the extent that he may have particular genetic issues, there is not much we can do about that. However, to the extent that the problem MAY be LCHF-related, this is for sure quite a significant issue for all of us. Incidentally, I really don't understand how this issue failed to make it into the discussion during JM's recent interview of Dayspring.

    Doc, any thoughts on this? What do you make of Dr. Dayspring's lipoprotein assertions? Do you use NMR or APO testing with your patients or is that something that's not done yet in Sweden? Dayspring insists that these will be the "standard" in the future and that current lipid profiling is pretty useless, apart from HDL/triglyceride numbers.

    Thanks for your efforts.

  33. moreporkplease
    Poor Dayspring! He's had the world's shortest 15 minutes of fame until his ideas about advanced testing and particle count were just destroyed by JAMA.

    Please read: Lipid-Related Markers and Cardiovascular Disease Prediction JAMA. 2012;307(23):2499-2506 - this concluded that replacement of total cholesterol and HDL-C with apolipoproteins or their ratios was not associated with improved cardiovascular (CV) risk prediction.

  34. Jen,

    I'm sure you enjoy your paid speaking gigs, cruises and plane rides. And I'm sure this parade which you have run to the front of will make you quite rich before you're through. But you don't have to act like a dick in the process.

    I'm not very interested in getting rich, I'm interested in making change. If you don't believe me consider this: I have made ZERO dollars so far from this blog, my international talks or YouTube-videos. Everything is commercial free.

    People seem to like you. No one was unkind enough to mention that your AHS talk added nothing at all. I mean that literally -- I don't believe that anyone in that room heard anything in that talk they didn't already know. That's a little embarrassing, when even Tucker Max brought new ideas to AHS.

    Too bad you didn't like it. I guess I'll just have to comfort myself with the fact that it's by far the most viewed talk from AHS (over 150,000 times as of now) and that Boyd Eaton, the father of the Paleo movement, thought it was the best talk of the conference.

  35. Jen
    Then I owe you an apology.

    I will say that I would be glad if you took fewer shots at Americans. Americans used to be thin, until the doctors joined forces with the politicians, who are themselves in league with the sugar and grain conglomerates.

    Ever since, we've had nothing but condescension -- which is not helpful.

  36. Jen,
    No worries!

    I apologize if some of my posts seem condescating to ordinary Americans. That's not my intention. I think most obese people in the western world are simply victims of bad advice and a toxic (high-sugar-and-starch) food environment.

  37. Bill42
    Hi Doc,

    It would be interesting to know the nationality of "Big Joe", the Largest Man in The World (1903), and what he used to eat.

    I'll bet it wasn't LCHF....

    I'm sure countries other than the US had obesity back then.

  38. Bill42
    OK, it appears "Big Joe Grimes" was from Cincinnati....
  39. FrankG
    I really don't see this as just another "bash the USA" post. I saw it as reflective of how our values have changed.

    Like it or not the USA has enjoyed superpower status since it took over from the UK following WWII. Its policies have global reach... food policies, foreign policies, even foreign aid has an affect on what and how the rest of the World eats.

    That superpower status is no longer as strong as it was: with the China, India and other Asian countries fast outpacing "The West". BUT China etc... are still modelling their food production policies and eating guidelines on the USA. Big Mac and Coca Cola are literally everywhere... as is cheap corn. It seems that as countries develop they want to eat more like the US!

    Coca Cola apparently has a better supply chain into remote African villages than do medicines... http://www.ted.com/talks/melinda_french_gates_what_nonprofits_can_lea...

    The cheap, subsidised USA export corn often comes with economic ramifications for those developing countries which cannot compete to grow their own food... this can lead to a poverty cycle and even poorer quality eating choices... all as a result of USA policies.

    Perhaps then we can talk about massive multinational USA based such as Monsanto and their growing strangle-hold on the Worlds agriculture.

    I don't mean to be harsh and I have nothing personal against the fabulous folks from the USA... several of whom I count as friends, but this is really not a case of "unless you live in the US, mind your own business" ;-)

  40. Laura
    I really don't think this (or any psot on this site) was intended to insult Americans in any way. It seems to me it is just making the point that something that was very unusual extraordinary almost a circus attraction in the past (and really it does not matter where big Joe is from) it is much more common on our streets today. That policeman happens to be American but he could be from anywhere.
    It is a photo that is making the rounds at the moment as I have seen it on other sites. America is leading on obesity but also on the counterattack and has really motivated people to question their food choices. Not only the image is not judgemental of a nation but it also not making any judgment on the individuals it portrays....shame that things are taken so badly..reading teh posts in this particular thread is like walking on a battle field after the battle.

    I for one had previously made a comment on Jimmy Moore unusual large size in a recent photo of him (not knowing anything about him or how big he was etc) and even Mary VErnon or Loren Cordain don't seem as slim as one would expect. I understand that even on the strictest paleo/lchf one is only as thin as one can be especially at these times of incredible food abundance and I msut admit weight has been creeping on me also: I have put on an icnredible 12 pounds in less than 3 months even though I am strict paleo. After three months of blissful steady weight (Jan to March) I was faced with stress (health problems in the family) and probably added new paleo foods such as nuts especially whole coconut and some dark >70% chocolate and avocados for comfort and here I am. Probably my colleagues to whom I have advertised my new life style quite liberally also think I should be thinner but it can happen to the best of us really. So I feel bad for criticising others when you never know where this journey will take you. I am now seriously trying to get into ketosis so we shall see if I can re-set the system again and lose the recently gained weight. Each time I am a little bit stricter. But I am determined! :-)

  41. mezzo
    Nuts are an excellent food but they are very nourishing - and I find it quite easy to eat quite a lot of them within a short time. Some people up their metabolism when they eat more than the need. Other - me among them - obviously do not. If I eat more than I need, my body converts it to fat. I may not like this but there it is. Unfortunately eating paleo is no guarantee for a slim body. Neither is LCHF or Low-Carb.
  42. PJ
    Doc, I do share the American bashing sentiments of some of the commenters here. Though I understand the basis of "why Amercians are obese", the continuing posts using this phrase makes it sound like we're the only ones that have a large obese population and that the world obesity problem is all our fault. It's getting a little tedious to open your blog and see, yet again, "Why Americans Are Fat". sigh.

    Are there no obese people in Sweden? Do they become obese from different causes? Is it possible that anyone in the world that is obese may be obese for the same reasons? Regardless of what country an obese person may reside, they are obese because they believed those in authority.

    You stated that the US has been the leader in things both good and bad. What does that say about the countries/governments that knowingly accepted and disseminated the bad advise? Did they not know the advise was bad or does everyone just blindly follow what the US does, good, bad or indifferent? Or was the dollar amount offered by corrupt, greedy companies high enough for other governments to look the other way and decide to put their populations at risk?

    Who would you say holds more responsibility . . . the heroin manufacturer or the heroin dealer/distributor?

    Just saying.

  43. FrankG
    @PJ: I'd suggest that the majority of the decisions which have led the much of the World into an obesity epidemic, were based on profit margin. That is not to suggest some evil global conspiracy, nor is it discounting some good intentions along the way; such as feeding the hungry in developing countries.

    Just because we can do something -- like grow vast monocultures of genetically modified dwarf wheat or corn -- does not mean that it is necessarily the right thing to do, especially in regard to our health and the health of the ecosystem.

    Sometimes we need to stop and think rather than just barging on... except that it seems the heads-down, forward-rush position is good for business.

  44. Ulf-jansson
    there is still some hope for america :)
    http://www.youtube.com/watch?v=2GeST1H2p1M
  45. Laura
    Mezzo
    Indeed!..yes that is the other thing it is very hard for me to stop eating nuts once I start..really this happens a lot with food of plant origin. I wonder why.
    I am intrigued by teh possibility ( mentioned in previous post) that different fats are differentially fattening. SOme evidence for this comes from an experiment in rats done in Switzerland some time ago (reference Metabolism 1995 vol 44 p273-279). They placed some lab rats on a calorie restricted diet until they got thin then divided them into groups and fed them diets rich in a certain type of fat (Nut oils, animal lard, dairy fat etc)unique to each group and looked how long it took to the rats to regain body weight and how much of that weight came back as body fat versus lean mass. It turns out that at least in rats nut oils (polyunsaturated fats) are the most fattening. Animal fats (which are a mixture of PUFA, MUFA, and SATs) are less fattening. So the more saturated the fat the less fattening so cononut oil and even cocoa bean butter should be the least fattening....if the same applies to humans (although I do expect this to be somewaht species specific) then this could explain why nuts are fattening more than animal fats....I shall continue investigate this as I think it is important! Nuts availability would have been very limited and very dependent on season and latitude and possibly knowledge of the trees their edibility..so I think nuts must be the hyperpalatable food of the paleo and for me best avoided...sigh!
  46. Overweight British women were in for a bad rap yesterday on the BBC news website: http://www.bbc.co.uk/news/health-18570445

    I looked at the comments and was unappy to see (a) the usual rude way that people talk about overweight people; (b) the sad comments by people who can't lose weight. I left a comment referring people to this site and said that there are lots of people who comment here who have had great results from this diet, so let's hope some of them look at it.

    BTW I do find it very unpleasant when people argue their point by being downright rude; it's fine to disagree but not fine to be offensive. Fortunately, it doesn't happen much here.

    I think Andreas is doing a great job on the site and with all the speaking he's doing to raise awareness. I for one have forwarded that link to the AHS lecture to many people.

  47. Diane
    I thought the message in this post was simply that what was once unusual has become commonplace and that we should be alarmed that what we are doing as a nation is not working. I don't see it as fat people bashing at all. I look at the picture I feel alarmed at our way of life and how it is harming us, and since we do lead and other nations follow, I feel alarmed at how our way of life is harming everyone it touches.
  48. Wade Henderson
    Going by the posts and that photo, one might arrive at the wrong conclusion.

    Take a look at the following from a news investigation that studied public records of police height and weight.

    -------------------------------------------------------------------------------------------------
    Thirteen percent of the over 550 Sacramento (Cal) Police offcers were either obese or morbidly obese.

    The highest BMI we found for a Sacramento Police officer was 37 -- that officer is five-foot-nine and weighs 250 pounds.
    ----------------------------------------------------------------------------------------------------------
    Meaning 87% of the officers had a BMI under of 29.9 or less.

    I might add that a few of the muscle types can have a BMI over 30 and still be extremely fit.
    The football player types.
    Thus, I doubt that more than 10% are actually both obese and unfit.

    Granted, 1 in 10 is too high, but the stereotype seems to have gotten out of hand here.

    BTW, many police officers do mostly desk duty in the later years of their career.

  49. Jazzical
    I didn't read all comments, but I saw alot of carbphobia and Atkins mentality. I believe it does work, being low carb, but I'm very sure that it is NOT healthy. Excess fat and proteins are the direct/indirect cause or all kinds of diseases. People just have to understand that they should get natural carbs, no refined sugar, and no grains either, except maybe rice, but no pasta, donuts, etc.. There's a lifestyle called 80/10/10 (80% carbs, 10% protein, 10% fat) and that will make all the carbphobics running away screaming, but it seem to work too, and possibly better (I haven't been following it myself tho', but doing my own combination of various diets) ...I think it's because when people eat excess protein and fats, then it's possibly true that extra carbs on top of that will make them gain weight.... but the 80/10/10 seem to be restricting themself to the minimum amount of protein and fat that the body needs, so it like the body just use all th excess carbs as direct energy, not being stored as fat.. some may say they are nonstop sugarrush ;) but that's probably not true, since natural fruit sugars, eaten whole, doesn't mess up insulin etc.. just don't drink soda, no candy, etc.. only real whole foods.. raw foods.. that might be important too.. cooked food is like predigesting the food, so that you can eat more ...basicly if you HAVE to cook a food before you eat it, then you should think about not eating that food at all...
  50. chuck
    Did anyone notice the old guy looks healthier is many ways than the young guy?

    Check the thighs and the size of the gut. They have very different metabolisms with the young guy having more of a sugar driven metabolic syndrome and the older one looking more like the glycogen is stored in muscle.

    I think the old guy is more unique and really a special case and the young cop reflecting the current epidemic

  51. Hunter
    Big Joe Grimes was 6'4" and weighed 754 pounds. Not common. He was so large that he died at the age of thirty-four when a carriage he was riding in buckled under his weight and gashed his leg.
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