Before the Obesity Epidemic
What did the Western world look like before the obesity epidemic? Like this.
The picture is from a popular outdoor pool in the 70’s in Sweden. Not a single obese individual is to be seen.
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- GretchenJanuary 6 2015 2I'd like to see a similar photo from last summer to compare, just in case the fat people stay at home or hide when they see a camera.
I was once standing on a corner in my town waiting for someone, and as people passed me, I thought, "Where are all the fat people?" I saw none. Then I went to a Big Box store (Walmart) and there they all were, pushing carts loaded with plastic junk and carby snacks.
So one photo or experience in one spot doesn't mean much.
- Eddie MitchellJanuary 7 2015 3"Well - I come from Norway, just 'next door' to Sweden. During the seventies I don't recall seeing an obese person more than once - and at the time it was my most shocking experience ever. Turned out to be a tourist."
Love it! That tourist was probably Grizzly Grashow
Reply: #7 - Lori MillerJanuary 7 2015The Swedes are looking a lot less svelte:
The photo is of a cruise; the caption says, according to Google translator, "No RCCL cruise is complete without a magplasktävling . The winner was not the man in the picture , or any of the other wide boys who attended without a perfectly normal plant youngster on a 70-80 kilos."
- Alice RussellJanuary 7 2015We were watching a 70's info commercial for pop rock music CD's of the 70's with Donny Osmond and a female entertainer last week, January 2015, and none of the artists featured were obese. There were lots of artists featured but not only were they not obese but they were lean. Most of the entertainers had abs. I really enjoyed it. I am now fit and lean too but was not always. I also notice that graduation photos of say teachers, nurses, doctors, military.... from the 70's everyone was lean. We are living in a true epidemic! I live in Canada.
- maikaJanuary 7 2015I'm from northern Germany, and too do remember being shocked when I saw an obese person as a child in the early 70ies.
But, people did eat processed wheat/carbs and sugar back then and it was was absolutely common (I rembemer kids eating bread with butter and pure cane sugar on top - not uncommon either)
The main differences I see from back then compared to now are:
People cooked all their meals from scratch, pretty much no exceptions
People ate 3 times a day, maybe one snack that actually was a snack and not a full meal as snacks are these days
No food on the go or fast food restaurants- ready to eat foods/meals weren't available at every corner
No sugary drinks except for regular fruit juices
As much as I am a believer in low carb/no wheat/no sugar - bad carbs are not the problem, we simply eat too much and too often.
- erdokeJanuary 7 2015 2
As much as I am a believer in low carb/no wheat/no sugar - bad carbs are not the problem, we simply eat too much and too often.
I believe it is still high amounts of refined carbs, especially sugary drinks added on top of regular meals that play the biggest role in making someone('s liver) insulin resistant. Of course there are other contributors like consumption of crop oils, lean meats over organ meats and preservatives that add to the low level inflammation.
An official reply to the picture posted above:
Sweden was obviously a poor country back then and most people could not afford to purchase enough calories for overeating. :) - MurrayJanuary 7 2015 7Maika, biology is all about rates. The metabolism is engineered to use insulin as a pulsed hormone. The blood in a body holds about a teaspoon (4-5 grams) of glucose at normal level. So eating several teaspoons of carbs potentially puts the blood sugar into fatal zone. The body goes into triage (as soon as it senses sugar in the mouth) and generates a massive pulse of insulin to clear the sugar. The process is aided of course by physical exercise at the right times which helps increase the rate of sugar clearance from the blood. (Strenuous exercise before eating to clear glycogen in muscles and upregulate insulin receptors on the muscle cells; a good walk or stair ascent afterwards-- the Romans figured that out 2000 years ago, as did the Chinese culture, which has an old saying, he who climbs 100 stairs after every meal lives to 99.)
So occasional binging on sugar with a healthy metabolism is a stress, but is only an insulin pulse. So long as insulin zeros out after the pulse, the metabolism can begin looking to fat cells for energy. So long as insulin is elevated, fat is locked in fat cells.
The problem has been the misguided, politically and ideologically driven fat phobia and food pyramid which advocated reduction of fat and increased carbs. This pushed more and more people to a state where the rate of insulin clearance was slowed to the point where insulin remains continually elevated. This results in loss of energy because sugar gets used up but insulin lags and remains elevated, so store body fat is not available for energy as blood sugar falls. Thus to get energy the person has to snack. They are advised to avoid fat, so they have carbs, which elevates insulin. Thus insulin never zeros out, except after a long sleep. (Note the studies linking long sleep to better weight management.) Chronically elevated insulin appears to be the cause of type 2 diabetes, and most every other chronic disease epidemic we have these days.
So it cannot be inferred from the past practices of occasional carb bingeing that carbs are not the issue. As you observe, three of the meals in a day were typically prepared from scratch, so with traditional levels of fat consumption the rate of carb overloading was not high, insulin typically zeros out and there was little genuine hunger or energy low between meals. These things always have to be examined carefully in context of dietary and cultural practices. Traditional Japanese, for example, eat rice, but the portions are small and much of it is cold rice as in sushi. Cold rice is a resistant starch that has much less effect on blood sugar (and therefore insulin), so it is metabolically much different than bread starch. Comparing across time and culture is always a difficult interpretive endeavour.
Reply: #30 - MikeJanuary 7 2015The picture doesn't surprise me. It was the same for Britain or anywhere else in Western Europe.
What I do wonder about is whether people have *always* been svelte in the past. It seems to me that 18th century gentlemen could be pretty large. I'm going here by old paintings and comments in novels and so on: I've no statistical data on this, and I doubt there is any. But take a look at some of the portraits around from this time, bellies bulging in the flowered waistcoats. David Hume would be a good example. He looks pretty porky. And how about Dr. Johnson? Banting himself would be a case in point, although he comes from a slightly later period.
I have seen sarcastic references in 19th century writings to tables that had had parts cut out of them to accomodate the gut of their 18th-century owner. And the Victorian novelist Robert Smith Surtees has a whale of a time in his novel _Mr. Facey Romford's Hounds_ making fun of 18th-century foxhunting people - Simon Heavyside (who rides at 18 stone) and the Heavyside Hunt. The point of the joke is that modern Masters of Foxhounds, like Romford, ride lighter and go faster.
http://www.rssurtees.com/products-page/r-s-surtees/mr-facey-romfords-...
I don't know for sure, and don't know how one could establish it, but my sense is that some 18th century people could be pretty large, and we only returned to slimness as a norm in the 19th and early 20th century, getting derailed in the second half of the twentieth by "healthy" eating and government "health education" advice. If this be true, it would be interesting to look at how the diet changed in the earlier period. I have a feeling that although it's often the poor who are obsese - a point made by Gary Taubes in refutation of the overeating hypothesis - in the 18th century it was mainly the rich, and specifically rich males at that. Interesting to know what wealthy males of the period were scarfing down - lots of bread and cakes and a heck of a lot of wine, including sweet and/or fortified wines like maderia, sherry and port, I suspect.
IIRC, Paul Johnson has a little on changing eating habits among the wealthy in _The Birth of the Modern_:
http://www.amazon.com/Birth-Modern-World-Society-1815-30/dp/0297812076/
It would be interesting to look deeper into the matter, though. I think we just don't know as much about the past as we sometimes think we do.
- MikeJanuary 7 2015Further to the comments about 18th century gentleman, here's a Gilroy cartoon of the Prince Regent dating from 1792:
http://www.britishmuseum.org/explore/highlights/highlight_objects/pd/...
Well worth a look as revealing contemporary attitudes: what people thought about the Prince's figure and perhaps what they thought caused it - namely, being a "voluptuary".
Wikipedia has a listing of 18th century Swedish people, but I didn't try to find pictures and check them all out. Swedenborg looks fairly slim in the picture I found. But Linnaeus does look on the heavy side in at least some paintings - a hint of a double-chin and a rather bulging waistcoated stomach.
- MurrayJanuary 7 2015 4Mike, your points are good. Linnaeus himself observed that the bread-eating Stockholm Swedes did poorly as they aged, growing stiff and overweight, while the reindeer-eating northerners remained lithe and nimble into their eighties.
Widespread obesity likely hit the well-off first because sugar was a luxury. Much of the 18th century was driven by the dynamics of sugar trade and rise of slavery as a necessary means to the production of sugar for that trade. As a luxury item, it would be the well to do who got sugar first. Another factor was the introduction of potatoes. After famines due to crop failure, the government promoted crop rotation with potatoes as nitrogen-fixing so that fields would not have to go fallow every few years. No one much enjoyed potatoes, so the government really pushed them. The French, ever resourceful regarding cuisine (they make snails a delicacy, after all), invented French fries. But potatoes added carb load and decreased tolerance for processed carbs, which pushed obesity, and early 19th century writers noted the fattening effects of a heavily saccharin and farinaceous diet (I.e., lots of processed carbs). So these class and cultural factors would affect the distribution and frequency of obesity.
- GretchenJanuary 7 2015 1Maika, I lived in Freiburg, Germany, in the early 1960s while going to the Uni there. I was surprised at how many German families were eating in restaurants. I was told it was cheaper than cooking at home. My landlady served supper, and she had a repertoire of three meals, one of which was canned ravioli. At the Mensa, where students ate the noon meal, the biggest section in the divided plate was potatoes, the second was usually cabbage, and the smallest was the meat.
I don't remember any superfat people despite all those potatoes, although I wasn't paying much attention to this sort of thing.
But I think it's dangerous to generalize about how people ate in the past. There were many eating patterns.
- GretchenJanuary 7 2015Look at the photos of Cuba here
http://www.nytimes.com/2015/01/07/world/on-the-open-road-signs-of-a-c...
Interesting that despite the fact that there are almost no working cars there, so people have to walk a lot, and average income is $20 a month, so they're obviously not pigging out on expensive snack foods, there are still overweight people. See photo 10.
They may be drinking a lot of sodas. And probably eating a lot of rice and very little meat.
Reply: #24 - Jo tBJanuary 7 2015 1If I look at my old school photo taken in 1957 there is not a fat girl in the photo (50 students in my class). Look at a class photo today and half of the children will be overweight.
My mother Always cooked simple foods: meat from the butcher potatoes and a vegetable from the green grocer. The supermarkets were just starting to emerge. We Always cooked fresh, nothing out of a tin, a packet, nothing over processed by the food industry.
I recently came across this very enlightening article over Big Food.
http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pm...
Traditional long-established food systems and dietary patterns are being displaced in Brazil and in other countries in the South (Africa, Asia, and Latin America) by ultra-processed products made by transnational food corporations (“Big Food” and “Big Snack”).
So true, so true.All local specialities are being replaced by frankenfoods by the big food companies. Look at the sweet aisles, all the same products whether you are in the UK, Germany, Jordania, USA, etc.
Reply: #25 - EmoryJanuary 7 2015When I was a kid in the U.S.A. back in the fifties and sixties, the "fat kid" in class was the exception. Out of a class of 500 or so, there might be two or three kids who were overweight. Today, the norm is for children to be overweight(overfat).
The same goes for our adults. At beaches and public pools, there were very few overweight people while today, it appears that the majority are overweight or "skinny fat"...with a thin build that has a high percentage of bodyfat.
We used to eat as the Swedes do...three meals per day with few carbs ( a potato or two slices of bread at most). Today, families tend to eat out often and the bulk of those meals are made of tasty, simple carb dishes. In some restaurants, one can order a meal of macaroni and cheese as the main dish..with a few rolls on the side.
We can thank Dr. Keyes for destroying the theory that Mr. Banting correctly wrote during the late 1800s, and the subsequent adoption of high carbs as a "safe" lifestyle by the medical establishment. - EmoryJanuary 7 2015My Mother was Cuban and I grew up eating Cuban food. Lots and lots of carbs. We have empanadas, cuban bread, platanos maduros, yucca, black beans and rice as staples for most meals. It would be unusual for anyone in Cuba to eat roast pork without adding the bread and platanos that go with it.
When I go to a Cuban restaurant, they look at me as if I'm crazy when I ask for an order of pork, onions and a salad.
- EmoryJanuary 7 2015I recall, a few years ago, being absolutely amazed at the cartons of milk with a one year expiration date on the shelves. One has to wonder how much processing a food goes through to expand it's shelf life.
My father always taught us to stay away from any food that was packaged or had ingredients that a kid would have trouble pronouncing. (tetra sodium tyrophosphate....preserves milk) - Mike PollardJanuary 8 2015I was born in 1949 and all through my education you could count the overweight in my schools on the fingers of one hand. I cannot recall one you would call obese.
It has to be the environment, with the finger firmly pointing at sugar as the main culprit. We ate a lot of carbohydrate, mainly potato and white flour (no pasta and rice consumed as a pudding) coupled with a lot of natural saturated fat, yet diabetes(type 1) was something to be pitied as a bad luck thing, and type 2 something I never heard mentioned. Soft drink if you wanted it was delivered by the Corona lorry once a week - something we didn't subscribe to - and sweets were severely limited. We never, never snacked.
Though I now largely follow a LCHF lifestyle I would guess I would do just fine by returning to the diet I enjoyed as a child.
Reply: #28 - ZeppJanuary 8 2015"In this conceptual model, insulin resistance is caused
by hyperinsulinemia and is an appropriate adaptation to the increased need to store fat in adipose tissue without causing hypoglycemia. Thus, insulin resistance is an adaptive response that successfully maintains normal circulating levels of fat and glucose as long as the b-cell is able to maintain sufficiently elevated insulin levels (57). Perhaps the time has come to expand our research focus to carefully investigate the environmental changes that have accompanied the epidemic of obesity and diabetes"Reply: #29 - MurrayJanuary 8 2015Zepp, don't hummingbirds develop fatty liver and hyperinsulinemia every day by eating all that nectar/sugar, to store enough fat to have energy through the night, given their remarkably high metabolic rate? If so, it would seem to be adaptive in that case. For humans, it would mean eating lots of carbs (summer) and then fasting or eating LCHF (winter) until everything normalized again before going back into summer diet. The problem is the Endless Summer.Reply: #32
- MarkJanuary 9 2015Modern dietary advice uses the metric of percentage of total "calories".
Maybe this is simply wrong with respect to sugars. Possibly total mols of glucose or mmol/kg of lean bodyweight is a better metric.
As a MAXIMUM, considering that mammals don't need dietary sugars in the first place. - ZeppJanuary 10 2015Hummingbirds lower there metabolism in the night.. otherwise they shouldnt survive!
However they are another spices and are adopted to that, our problem is that we are adopted to hunt and forage all day long.. and have a very limited storage facility for carbs.
And a very low capasity for denovo lipogenes!
North european bear lives almoste of berrys and ants at autumn and eats about 9000 Kcal a day and much is converted to fat and then it lives on that in hibernation the whole winter!
- Michael RyanJanuary 11 2015It doesn't look so different than the pool at the Luxor in Las Vegas... last time I was there, there wasn't a single overweight person at the pool, and there were several thousand there... it's a bit of a misnomer... yes, we as a country, and world are fatter today, and it's a number of factors, higher caloric intake, not enough actual vegetables, not enough exercise and too much refined foods, mostly heavy in carbs and sugars.
- HenrikJanuary 13 2015 1Ostracizing the obese and condemning employees of soda manufacturers merely sow the seeds of prejudice. Those who are experiencing success on LCHF regimens ought not to proselytize because in doing so they they take on the appearance of glassy-eyed cultists. Offer information yes - but don't judge others harshly because they haven't experienced your version of rapture.
- GigiJanuary 23 2015I believe that how an infant is fed in it's first 6-10 months may have something to do with obestity later as a child and onwards to adulthood.
I am not a scientist but my mother was not encouraged to breastfeed, so she fed me formula, and as early as 3 weeks (to get me to sleep thru night) she mixed it with rice cereal. She thought a chubby baby was a good thing...and also there were very few female athletics when I grew up. I was not allowed to go outside for fear of being molested. So I had literally no physical activity. As young lady I weighed only about 140 pounds, went to college (sit in classes) and tried to start a running regimine, which hurt my knees so I had to stop. Then I got a desk job and went up to 160. After marrying and having a few kids I went up to 180. Now I am in peri-menopause, and hover around 210. The only time a diet "worked" was a year of low-carb, which was extremely difficult. However when I returned to eating my normal diet (semi-vegetarian and all whole grains) the 30 pound I lost, returned in less than a year.
I am considering return to a low-carb or Paleo diet, but it is extremely expensive and difficult to get the entire family to support me on this. Also when I am on the road for work, it's hard to find foods that fit the low-carb/Paleo. I just wish other people would not be so judgemental, it is a life-long problem for some people like me, and those of you who are naturally skinny have absolutely no idea what it is like to live my life in my predisposed-to-be-fat body. - EmoryJanuary 23 2015It doesn't have to be expensive. A LCHF diet is going to be, according to Dr. Jason Fung, about 45 g carbs, 70 gr protein and the rest protein (165lb male). Coupled with Intermittent fasting 2 or 3 times per week can have a significant impact on fat loss and normalizing insulin.
I suggest you have a look.....http://intensivedietarymanagement.com/There are several lectures and blogs to peruse. I wish you the best and keep at it. I've been there.
- TanyaJanuary 23 2015 1I grew up in the 70's in the U.S., and seeing obese people was extremely rare. I remember the first time I ever saw a fat person. I had a friend in kindergarten and when my mom and I were shopping one day, we my friend and his mom at the store. I got extremely shy and started holding onto my mom's arm and hiding behind her, and she couldn't understand why. The reason I was acting strange was because my friend's mom was so obese, I was terrified of her (even though she was very friendly). I was 5 years old, and had never seen such a huge person in my life. (This would have been 1972.) I realize that I see people her size every day now.
- Eddie MitchellJanuary 23 2015A little story for what it is worth. When I was a kid around sixty year ago, it was very rare to see an obese child. I knew a girl her name was Linda and she was what would be classed today as a morbidly obese child. Around 15 years later I got on a bus and a stunningly beautiful slim woman said to me hello Eddie. She obviously realised I did not recognise her, she introduced herself and I was stunned.
Never give up folks, you can get to the weight you want to be, I know it can be very hard, but never give up. Never let anyone tell you what you can't do.
Good luck and health to all.
Eddie
So occasional binging on sugar with a healthy metabolism is a stress, but is only an insulin pulse. So long as insulin zeros out after the pulse, the metabolism can begin looking to fat cells for energy. So long as insulin is elevated, fat is locked in fat cells.
The problem has been the misguided, politically and ideologically driven fat phobia and food pyramid which advocated reduction of fat and increased carbs. This pushed more and more people to a state where the rate of insulin clearance was slowed to the point where insulin remains continually elevated. This results in loss of energy because sugar gets used up but insulin lags and remains elevated, so store body fat is not available for energy as blood sugar falls. Thus to get energy the person has to snack. They are advised to avoid fat, so they have carbs, which elevates insulin. Thus insulin never zeros out, except after a long sleep. (Note the studies linking long sleep to better weight management.) Chronically elevated insulin appears to be the cause of type 2 diabetes, and most every other chronic disease epidemic we have these days.
So it cannot be inferred from the past practices of occasional carb bingeing that carbs are not the issue. As you observe, three of the meals in a day were typically prepared from scratch, so with traditional levels of fat consumption the rate of carb overloading was not high, insulin typically zeros out and there was little genuine hunger or energy low between meals. These things always have to be examined carefully in context of dietary and cultural practices. Traditional Japanese, for example, eat rice, but the portions are small and much of it is cold rice as in sushi. Cold rice is a resistant starch that has much less effect on blood sugar (and therefore insulin), so it is metabolically much different than bread starch. Comparing across time and culture is always a difficult interpretive endeavour.