Obese Man to Sue NHS for letting him get fat.

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Re: Obese Man to Sue NHS for letting him get fat.

Post by JimC » Mon Jan 10, 2011 11:05 pm

Coito ergo sum wrote:
“To return to the average weights of the 1970s, we would need to reverse the increased food intake of about 350 calories a day for children (about one can of fizzy drink and a small portion of French fries) and 500 calories a day for adults (about one large hamburger),” Swinburn said. “Alternatively, we could achieve similar results by increasing physical activity by about 150 minutes a day of extra walking for children and 110 minutes for adults, but realistically, although a combination of both is needed, the focus would have to be on reducing calorie intake.”
Swinburn B. Increased energy intake alone virtually explains all the increase in body weight in the United States from the 1970s to the 2000s. 2009 European Congress on Obesity; May 6-9, 2009; Amsterdam, the Netherlands. Abstract T1:RS3.3.
True, although the exercise part has benefits beyond burning up calories...

(he said hypocritically, not being one for much exercise... :shifty: )
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Re: Obese Man to Sue NHS for letting him get fat.

Post by epepke » Tue Jan 11, 2011 2:06 pm

Yes, we shit calories.

I wonder how it's possible to consume 20,000 calories per day. That would be 2.2 kg of pure fat, or about 5 kg. of pure carbohydrates. When I was bodybuilding, I tried to eat 4500 calories per day, and it was not easy, nor was it inexpensive.

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Re: Obese Man to Sue NHS for letting him get fat.

Post by Cunt » Tue Jan 11, 2011 2:15 pm

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Re: Obese Man to Sue NHS for letting him get fat.

Post by epepke » Tue Jan 11, 2011 7:18 pm

Cunt wrote:Hi there, epepke! Nice to see you again!
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Re: Obese Man to Sue NHS for letting him get fat.

Post by Meekychuppet » Wed Jan 12, 2011 10:52 am

Coito ergo sum wrote:
maiforpeace wrote:
Coito ergo sum wrote:
maiforpeace wrote:He tried to commit suicide three times...wouldn't that be a flag the guy needed some therapy or counselling?
It's not clear to me from the article that he was not provided therapy.
This would be the argument that would seem to me to be the crux to his lawsuit...that he didn't get the psychological counselling he needed, whether in general and for the suicide attempts.

While I don't disagree that he ate way too many calories, I am going to start taking issue with your claims (which you have made numerous times in the McDonald's thread) that the key to losing weight is simply eating less calories or burning more calories. I can't go into great detail now as I am still reading the book, but there was, and is some good science that shows this is not the case.

Why We Get Fat: And What to Do About It
I would love to know what the argument is that says If you eat fewer calories than you need you can physically gain weight. I mean - it's physics, chemistry and biology. Bodies don't grow via magic. A person can only grow if the body takes in food. Your body uses food for fuel - it chemically burns the food in the stomach/digestive tract and the energy is delivered to the cells. Excess energy that is not burned by the body, used to make non-fat cells, crapped out, sweated out, cried out, spit out or pissed out is stored as fat.

There is no way to gain weight - no way - if the body intakes fewer calories than it needs to maintain itself. It's a physical impossibility.

The body just can't create fat out of nothing. If it doesn't go in a person's mouth, it can't become fat. What am I missing?

One pound of fat is the equivalent of 3500 calories. To gain a pound of fat, you must consume 3500 calories in excess of the calories required to maintain your weight. To lose a pound of fat you must create a calorie deficit (preferably over time, such as a 4 days to one week) equal to 3500 calories.
That "maintenance point" differs person-to-person dependant upon your height, weight, age, general activity level, and muscle composition. While a maintenance requirement may be 1800 calories per day for one individual, it may be 2800 calories per day for another Our bodies do not discriminate against excess calories from fatty sources, versus excess calories from nutritional sources. Excess is excess! It is most recommended that intake consist of healthy sources because a body requires certain amounts of specific nutrients found in those healthy sources.
You don't gain wght per se. It's when people starve themselves to lose weight. The body defends itself by converting calorie intake almost exclusively in to fat, rather than metabolising muscle as well. The short term result is that the person gains fat when they do eat. It is misleading to say they gain weight, as that is usually down to the inevitable post starvation binge. What they do gain is considerable fat mass as a percentage of total calories.
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Re: Obese Man to Sue NHS for letting him get fat.

Post by Coito ergo sum » Wed Jan 12, 2011 1:36 pm

Meekychuppet wrote: You don't gain wght per se. It's when people starve themselves to lose weight. The body defends itself by converting calorie intake almost exclusively in to fat, rather than metabolising muscle as well. The short term result is that the person gains fat when they do eat. It is misleading to say they gain weight, as that is usually down to the inevitable post starvation binge. What they do gain is considerable fat mass as a percentage of total calories.
I haven't advocated "starvation." But, to lose weight, you do need to take in fewer calories than go out. That doesn't mean starving. It means a few hundred calories less going in than go out. The almost violent resistance (by some, not you) to this concept may partly explain the obesity rate. If people have convinced themselves that the amount they put in their mouth doesn't bear a causal relationship to the amount that winds up on their hips and thighs - we have a serious, fundamental issue that has to be overcome before the obesity rate will start to drop.

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Re: Obese Man to Sue NHS for letting him get fat.

Post by mistermack » Wed Jan 12, 2011 2:14 pm

Coito is perfectly right about calories in and out. It's bleedin obviously true.
(Although I still haven't had an answer about whether some people actually utilise less of their food than others, and exctrete more calories).

But the practical problem is how to achieve a long-term negative calorie equation.
Less in than out. And Coito hasn't got an answer to that, or he would be a multi millionaire of the diet industry.

Food is an incredibly addictive substance. It's the reason our brains have those circuits that facilitate addiction. If we didn't have them, we would have been extinct by now. Our ancestors wouldn't have eaten enough in times of plenty to get them through times of famine.
Now we have permanent times of plenty, but we still have the addictive tendency to keep eating. ( some of us ).

The thing that makes the food addiction the hardest to control is that cold turkey is not an option. You can't simply give up, fight the withdrawal symptoms for a month, and "get clean". You have to eat.

Addictions work on the mind, they actually change what you think. You can be very determined to control it, but then the addiction takes over, and does your thinking for you. It comes up with reasons why a little will do no harm. etc. etc.
It also makes you listless when you have a calorie deficit, so you're even less likely to burn calories.
And unlike cigarettes, or even heroin or crack cocaine, with food that never leaves you.

So while it's perfectly true that just taking in less calories than you put out will make you lose weight, it's not an answer. It's the mechanism. If you could answer how to make that achieveable, for someone with a strong addiction, then you could claim to have an answer. ( as many do ).

And to top it all, what works for some people doesn't work for others.
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Re: Obese Man to Sue NHS for letting him get fat.

Post by Millefleur » Wed Jan 12, 2011 2:35 pm

I love food, fucking bastarding nommy calories. :sighsm:
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Re: Obese Man to Sue NHS for letting him get fat.

Post by Coito ergo sum » Wed Jan 12, 2011 2:45 pm

mistermack wrote:Coito is perfectly right about calories in and out. It's bleedin obviously true.
(Although I still haven't had an answer about whether some people actually utilise less of their food than others, and exctrete more calories).
I answered it before. Yes, of course they do. There is a statistical spread from a norm, like most everything else. Shitting is one way to get calories out, to some degree. If you can shit them without digesting them and getting them into the blood stream then they are out without becoming fat. Very difficult to control that, though - might be a bit easier to leave that factor alone, put down the cream puff, and go for a jog.
mistermack wrote:
But the practical problem is how to achieve a long-term negative calorie equation.
Less in than out. And Coito hasn't got an answer to that, or he would be a multi millionaire of the diet industry.
Of course I have an answer to that:

1. Calculate your estimated daily basal metabolic rate.
2. Keep track of your calories in by taking note of the calorie content of all food and beverage intake
3. Consume fewer calories per day than your basal metabolic rate for the day.
4. Keep track of estimated calories burned exercising per day with a calorie-tracking device.
5. Figure your estimated caloric deficit by adding the calories burned via exercising to the caloric deficit from eating less than your basal metabolic rate.
6. Adjust as you go along, keeping track week by week how the exercise and weight loss is going. Recall that you'll be working with estimates, and you may need to tweek calories in down a bit, or exercise up, depending on how you're doing.
7. Generally speaking, you want to lose about 1 pound to a maximum of 2 pounds a week for healthy weight loss. For a man, don't go below 1400 calories a day caloric intake and for a woman don't go below about 1200 calories a day caloric intake to avoid undereating and depriving the body of necessary nutrients and energy to operate.
8. Take in calories via healthy foods in a good carb/fat/protein balance, so that your body gets useful compounds, plenty of vitamins, and all that.
9. Drink plenty of water - maybe about 8 glasses of water a day, give or take. Water is essential to the body.

This is, of course, not rocket science, and is just about exactly the same thing, maybe using different verbiage that amounts to the same thing, that a trainer or a nutritionist will tell you.

For me - I would add while dieting a multivitamin. Generally speaking I think vitamins are woo, but during dieting the reduction in calories might make it more likely to not get enough of needed vitamins and minerals, and they generally can't do anything bad to you.

As tricks and tips to achieve the calorie reduction - stop eating between meal snacks, except those that are factored into the daily food intake. If you eat a snack bar or something at 3pm, then that should be added to your daily total.

It's not to imply that this has to be done with mathematical precision. Once you start paying attention and trying to keep a good estimate of your daily caloric intake, it can become second nature. You can know by looking at food about how many calories are in it, roughly. That's usually good enough.

Is this stuff really news to anybody?
mistermack wrote:
So while it's perfectly true that just taking in less calories than you put out will make you lose weight, it's not an answer. It's the mechanism. If you could answer how to make that achieveable, for someone with a strong addiction, then you could claim to have an answer. ( as many do ).
I never claimed to know how to make people eat right. That doesn't change what it means to eat right.

There is no one way to motivate people, and some people may simply refuse to do the right thing, for one of a myriad reasons.

However, I would say that to use your addiction analogy - the first step is usually to acknowledge that one has a problem. A person needs to not only acknowledge that they are overweight, but also that they eat too much. Until a person is willing to recognize that they do, in fact, eat too much, then they will not stop eating that much. That just stands to reason - if I don't think I'm eating too much, then why would I stop eating so much?

That's where this resistance to the calories in/calories out thing is so frustrating to me - because it is a basic refusal to acknowledge the problem Yes - of course it is hard - and I've never claimed it is easy. It's one of the most difficult things for a human to do, losing a lot of weight. But, that doesn't change the fact that people are overweight, for the most part, because they eat too much.
mistermack wrote:
And to top it all, what works for some people doesn't work for others.
The mental mechanisms that motivate someone to eat less can be different - but what does work for everyone is that if your basal metabolic rate is 2000, and you eat a regular diet, except cut the calories down to 1500, and you'll lose weight. Or, do you dispute that? Don't change the facts on me - assume the metabolic rate stays at an average of 2000 per day...and assume we have perfect calorie calculation at 1500 per day - I think you will agree that for almost everybody, that would work to reduce weight.

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Re: Obese Man to Sue NHS for letting him get fat.

Post by mistermack » Wed Jan 12, 2011 3:05 pm

Coito, do you have a link for shitting calories? I'm not saying it's of any use, I'm just curious how some bone idle people eat so much and stay thin.

Of course I don't dispute calories in/out is 100% the only mechanism.
I'm saying what works for some people to control that, doesn't work for others.

And I think you're wrong to address it as a motivation problem. It's an addiction problem. Who could be more motivated than someone who weighs three hundred kilos, and is having his stomach stapled?

But addiction doesn't just defeat motivation, it actually changes your thinking, it takes away your free will, it makes decisions for you, even though at the time you think it was you that decided to break your diet. It's very like a cancer, iit's part of you, but it's working against you.

So I still say, all that stuff about weighing your food etc. is just window dressing.
It's a mechanism. Not an answer. Of course it would work, if you had an answer to addiction.
And that's a very different thing to motivation.
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Re: Obese Man to Sue NHS for letting him get fat.

Post by Coito ergo sum » Wed Jan 12, 2011 3:25 pm

mistermack wrote:Coito, do you have a link for shitting calories? I'm not saying it's of any use, I'm just curious how some bone idle people eat so much and stay thin.
The reality is, we don't know how "bone idle" they are, unless we are privy to their every moment. Even they are idle, they may not eat as much as you think. And, even if they eat as much as you think, they may have metabolic rates that are higher.

But, I don't really have a link - but, 50 to 60 percent of poop consists of gut microbes. Since gut microbes consist of fat and protein, at least half of poop contains calories. People absorb about 80 percent of calories consumed. In addition, each gram of gut microbes (dry weight) represents 5 kcal of energy that does not get absorbed into the bloodstream. Instead, that heat diffuses into the body.
mistermack wrote:
Of course I don't dispute calories in/out is 100% the only mechanism.
I'm saying what works for some people to control that, doesn't work for others.


I agree. But, whatever they do, they have to not eat as much as goes out.
mistermack wrote:
And I think you're wrong to address it as a motivation problem. It's an addiction problem. Who could be more motivated than someone who weighs three hundred kilos, and is having his stomach stapled?
Most people aren't that guy. Most people are just "overweight" - not morbidly obese. And, even among obese, there are those who just aren't motivated.

It's not right to call all weight problems an "addiction" problem. An addiction is a pathology, and a diagnosable one. Just because someone is overweight, doesn't mean they are addicted. Now - I am willing to be that most morbidly obese folks do have some form of psychological issue, whether it be addiction or some other disorder. Clearly, it's not always mere motivational issues. I've never suggested that is was just motivation.

The reality is, it can be a motivational problem, and for most people it is a motivational problem. 65% of Americans are overweight - they're not all undiagnosed food addicts.
mistermack wrote:
So I still say, all that stuff about weighing your food etc. is just window dressing.
It's a mechanism. Not an answer. It would work, if you had an answer to addiction.
And it's a very different thing to motivation.
.
In the case of people with an addiction, yes, you are right. That raises the difficulty of controlling behavior to a new level. But, it doesn't erase free will. It also doesn't mean that everyone who eats is an addict. That's a gross overstatement. Food addiction is a psychological disorder, and one that is not suffered from by the majority of overweight people. Or, at least, there is no evidence that most overweight people are food addicts. Because some overweight people are food addicts does not mean the whole problem is one of addiction.

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Re: Obese Man to Sue NHS for letting him get fat.

Post by mistermack » Wed Jan 12, 2011 3:38 pm

Coito ergo sum wrote:In the case of people with an addiction, yes, you are right. That raises the difficulty of controlling behavior to a new level. But, it doesn't erase free will. It also doesn't mean that everyone who eats is an addict. That's a gross overstatement. Food addiction is a psychological disorder, and one that is not suffered from by the majority of overweight people. Or, at least, there is no evidence that most overweight people are food addicts. Because some overweight people are food addicts does not mean the whole problem is one of addiction.
I'll just disagree then. I think it IS an addiction problem, in the majority of cases.
It may be to very different degrees, just as cigarette smoking is.

You can be a light smoker. You're still slightly addicted. You seem to view addiction as all or nothing. Not so. It goes from nearly nothing to all-encompassing.
To say that the majority lack motivation is to misunderstand addiction completely.
When your need for a fix changes your thinking, it's an addiction problem. Most overweight people have the motivation to eat less, till they get hungry.

ps, I know shit must have SOME calorific value. It's just whether some people shit significantly more calories than others.
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Re: Obese Man to Sue NHS for letting him get fat.

Post by Cunt » Wed Jan 12, 2011 3:47 pm

mistermack wrote:Coito, do you have a link for shitting calories? I'm not saying it's of any use, I'm just curious how some bone idle people eat so much and stay thin.

Of course I don't dispute calories in/out is 100% the only mechanism.
I'm saying what works for some people to control that, doesn't work for others.

And I think you're wrong to address it as a motivation problem. It's an addiction problem. Who could be more motivated than someone who weighs three hundred kilos, and is having his stomach stapled?

But addiction doesn't just defeat motivation, it actually changes your thinking, it takes away your free will, it makes decisions for you, even though at the time you think it was you that decided to break your diet. It's very like a cancer, iit's part of you, but it's working against you.

So I still say, all that stuff about weighing your food etc. is just window dressing.
It's a mechanism. Not an answer. Of course it would work, if you had an answer to addiction.
And that's a very different thing to motivation.
.
Got a tough one for you, mistermack. Could you please define 'addiction'?

You keep talking about it, but how does one know if they are 'addicted'? Is it diagnosable (by independant observers)? Or is it just asserted by those who claim to suffer from it?

What coito ergo sum says IS the answer. If a person ignores the answer, that doesn't change what the answer is.
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Re: Obese Man to Sue NHS for letting him get fat.

Post by Coito ergo sum » Wed Jan 12, 2011 3:55 pm

mistermack wrote:
Coito ergo sum wrote:In the case of people with an addiction, yes, you are right. That raises the difficulty of controlling behavior to a new level. But, it doesn't erase free will. It also doesn't mean that everyone who eats is an addict. That's a gross overstatement. Food addiction is a psychological disorder, and one that is not suffered from by the majority of overweight people. Or, at least, there is no evidence that most overweight people are food addicts. Because some overweight people are food addicts does not mean the whole problem is one of addiction.
I'll just disagree then. I think it IS an addiction problem, in the majority of cases.
Any clinical evidence of that?
mistermack wrote: It may be to very different degrees, just as cigarette smoking is.
Sure - but, food is not the same as cigarettes/nicotene, which is an addictive substance and has been shown to be an addictive substance scientifically. Tomatoes have not.
mistermack wrote:
You can be a light smoker. You're still slightly addicted. You seem to view addiction as all or nothing.
I don't view it as all or nothing.
mistermack wrote:
Not so. It goes from nearly nothing to all-encompassing.
To say that the majority lack motivation is to misunderstand addiction completely.
I didn't say the majority of addicts simply lack motivation. I said the majority of overweight people were not addicts.
mistermack wrote: When your need for a fix changes your thinking, it's an addiction problem. Most overweight people have the motivation to eat less, till they get hungry.
.
Everyone has the motivation to eat less, until they get hungry. That's the hard part. Just because it is hard doesn't mean it's an addiction.

Historically, addiction has been defined as the physical and psychological dependence on psychoactive substances (for example alcohol, tobacco, heroin and other drugs) which cross the blood-brain barrier once ingested, temporarily altering the chemical milieu of the brain. Eating is not an addiction in the way nicotene and alcohol and heroin are addictions.

Over eating can be a "behavioral addiction." A behavioral addiction is a "recurring compulsion condition" whereby a person engages in a specific activity despite harmful consequences to the person's health, mental state, or social life. Most overweight people don't fit that description, particularly those who aren't extremely overweight.

These things are mental disorders - and if someone is suffering from them, then they need psychiatric treatment to treat the addiction. Most people who are overweight don't need that - they need discipline and motivation. That doesn't mean Rosie who weighs in at 19 stone isn't addicted - it means that the majority of overweight people aren't addicts.

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Re: Obese Man to Sue NHS for letting him get fat.

Post by epepke » Wed Jan 12, 2011 4:03 pm

mistermack wrote:ps, I know shit must have SOME calorific value. It's just whether some people shit significantly more calories than others.
.
Probably. There are a number of variables, such as how fast food goes through the intestines, how much bacteria are there, how much enzymes the pancreas produces, and what foods are eaten.

I still don't know how anyone manages to consume 20,000 calories per day. That would be around 5 pints of liquefied lard, which seems to me rather a lot.

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