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Re:How long til we're all on Ozempic? by llamaimperative on Friday October 11, 2024 @02:57PM (#41812339)
GP isn't talking about self-control, they're talking about the fact we've created a system that requires obscene amounts of self-control if you wish to maintain physical health.

People in the 50s weren't slimmer because they had ironclad determination to stay such.

Re:How long til we're all on Ozempic? by squidlogic on Friday October 11, 2024 @03:23PM (#41812643)
In my experience fitness is less about self control or will power and more about creating routines that lead to fitness.

For example, I have a routine of going to a group fitness class at my gym in the morning. I don't need to summon willpower, I just have a morning routine that involves doing x thing at y time. No thought required.

Given the abundance of options for fitness classes and meal plan services, you really can just put this on auto-pilot and have a lifestyle that is healthier than 99% of your peers.

Re:How long til we're all on Ozempic? by ethbr1 on Friday October 11, 2024 @03:43PM (#41812886)
> Given the abundance of options for fitness classes and meal plan services...

This is part of what's fucked up about modern American lifestyles.

We shouldn't be promoting layering healthy behaviors (fresh foods and exercise) on top of our default lives -- we should be doing a better job of engineering our environment to make those things the default for all people.

F.ex. what if we highly taxed automobile entry into urban cores and shopping districts?

Re:How long til we're all on Ozempic? by jim-jim-jim on Friday October 11, 2024 @04:19PM (#41813312)
Every yuppy feels compelled to remind you they go to the gym, expecting a pat on the head for being a responsible citizen, when it's really a sign of a dysfunctional lifestyle. Cordoning off a discrete slice of time to "be healthy" is pathetic imo. I'd much rather just be healthy. Gorillas don't work out.

But because I live in suburban Australia and eat the same pesticide laden slop as everybody else, I too have a gym membership.

Re:How long til we're all on Ozempic? by hooverd on Friday October 11, 2024 @05:00PM (#41813688)
Gorillas can also digest cellulose.
Re:How long til we're all on Ozempic? by tsimionescu on Saturday October 12, 2024 @02:32AM (#41816940)
> Cordoning off a discrete slice of time to "be healthy" is pathetic imo.

What does this actually mean to you? Walking or even running is certainly not comparable to going to the gym, so what, should we lift heavy weights as part of our regular jobs to keep up our upper body muscle mass?

Re:How long til we're all on Ozempic? by ethbr1 on Sunday October 13, 2024 @09:55AM (#41828052)
The results I've seen, and please correct me if my knowledge is wrong / outdated, are that modest physical activity (i.e. not gym, but more than our sedentary lifestyles) regularly nets most of the health benefit.

Ergo, we don't need to turn our jobs or built environment into Ninja Warrior.

We just need to build it to encourage that modest amount of activity.

Re:How long til we're all on Ozempic? by ryukafalz on Friday October 11, 2024 @04:06PM (#41813152)
Right. Design our cities so that getting around while getting exercise is safe and easy. And restaurants/etc should give you healthy portion sizes by default, not rely on your self-control to stop eating. And so on...
Re:How long til we're all on Ozempic? by llamaimperative on Friday October 11, 2024 @03:28PM (#41812696)
Unfortunately we know that simply convincing people to change their behavior is very, very, very fucking hard. Individuals can and do pull it off, yes, but we're talking about a society level change that needs lots of people to succeed at this.

It is empirically and demonstrably ineffective as a solution.

Re:How long til we're all on Ozempic? by nightski on Friday October 11, 2024 @04:24PM (#41813363)
Nothing "needs" to happen. People don't have to live how you want them to.
Re:How long til we're all on Ozempic? by llamaimperative on Friday October 11, 2024 @04:42PM (#41813515)
Thanks for your insight. What are you even doing here having a conversation if one person has no legitimate bearing on another?

Obviously no one is talking about a treadmill concentration camp here, good lord.

Re:How long til we're all on Ozempic? by justinator on Friday October 11, 2024 @03:30PM (#41812725)
Habits are great, but I'm in great shape because what I do is fun. When it's not fun I called it "training" and that's usually for some huge goal that'll at least be fun to look back at 10, 20 years down the line to marvel that I did a thing.

I guess what I want to express is habits are one step closer to a lifestyle change and that's what keeps one ultimately healthy (mentally, too). We can't have nightmare commutes to soul-sucking jobs to continually have people addicted to looking at screens and think that there's no fallout. Adding, "but now there are drugs!" isn't an advancement.

Re:How long til we're all on Ozempic? by skeeter2020 on Friday October 11, 2024 @04:00PM (#41813092)
Routines help because they reduce the impact and uniqueness of the good behaviour. Another approach is to do things that have high positive pay-off but include health benefits you wouldn't target but get "for free". Example: I ride my bike to work because it's awesome, faster and makes me feel superior. That I get exercise and help out the earth is a side effect; I'd probably still ride my bike if it was unhealthy and produced more CO2
Re:How long til we're all on Ozempic? by elijaht on Monday October 14, 2024 @03:00PM (#41840707)
There is still a certain degree of willpower involved in routines. I wakeup every morning and workout, and every morning I have to fight my brain to get out of bed. I've been doing that for 10 years.

That being said - I do feel like reducing the amount of willpower needed is the key. I love junk food, but if I never buy it at a grocery store it's much easier to cut it out. If I have no chips in the house I could still get some at the corner store, but I need to be much less disciplined than if the chips were in my pantry

Re:How long til we're all on Ozempic? by nextos on Friday October 11, 2024 @03:06PM (#41812457)
Exactly, good systems do not rely on willpower. They rather make obvious habits effortless.

Deviating from the mean is hard. Bad food and sedentarism are the norm.

Re:How long til we're all on Ozempic? by xcskier56 on Friday October 11, 2024 @04:16PM (#41813288)
Traveling from a fairly walkable, but still car dependent midwestern city to NYC and also Europe in the last few months, it's amazing how much our living environment contributes. My first day in NYC and Europe I put in about 14k steps and at least according to my phone, one of those days I burned 750 cal just walking around to various places. Just by living my life I was WAY more active.

Making the good choice the easy/only choice is the only way to solve this problem long-term (without drugs)

Re:How long til we're all on Ozempic? by atrettel on Friday October 11, 2024 @09:38PM (#41815621)
I agree. I lived in West LA for a few years and noticed that I was just walking around a lot more than in previous locations. I measured it to be typically 5 to 10 miles per day (I don't recall the number of steps but I recall getting close to 30k/day on some days). And I wasn't going out of my way to go walking --- it just happened because I walked to work, to get groceries, to visit friends, to go to the movies, etc. To me, the best long-term answer is also to change the environment to be more amenable to walking.
Re:How long til we're all on Ozempic? by Scoundreller on Friday October 11, 2024 @03:42PM (#41812874)
> They rather make obvious habits effortless.

I wouldn’t call taking the stairs in a pre-elevator world “effortless”, rather it was just the only option.

I also think better food handling/storage/treatment/blah means we absorb & retain more of the calories that we consume.

Re:How long til we're all on Ozempic? by ethbr1 on Friday October 11, 2024 @03:45PM (#41812906)
The vast majority of accessible American foods these days are over-processed, poor quality ingredients with fancy marketing on the boxes. (And stories about how the brand was started by a grandmother a century ago...)
Re:How long til we're all on Ozempic? by jsrcout on Friday October 11, 2024 @03:14PM (#41812568)
Agree. "Defaults matter".
Re:How long til we're all on Ozempic? by barrkel on Friday October 11, 2024 @07:19PM (#41814889)
The amount of food you eat isn't a habit. And I don't know what it is that makes people obese, but I don't think it's simply "bad food" as in the stereotype of bad food.

It seems clear enough to me that there is something - something - in the ecosystem that messes up the body's weight / energy homeostasis and we haven't identified the culprit. It might be a food additive, but it could be something to do with artificial light in the evening or plasticizers in our plastic products or who knows what.

Just my pov as non-overweight person who doesn't exercise (other than flipping my four year old around), doesn't walk or run long distances (but a 5 mile walk every couple of months doesn't phase me), eats very few fruits and vegetables, generally eats mostly meat, pasta, bread, cheese, cream and potatoes, and ends up in a fast food outlet maybe once a week on average.

Re:How long til we're all on Ozempic? by pas on Saturday October 12, 2024 @04:33PM (#41822311)
recommended reading about the environmental factor hypothesis

https://www.lesswrong.com/posts/NRrbJJWnaSorrqvtZ/on-not-get...

it doesn't have to be just habit, but cultural/learned factors likely play a huge part.

each generation eats more, gets bigger, obesity runs in the family, (many obesity associated genes are mostly expressed in the brain ... the typical cursed environment-gene interaction), portion sizes got bigger, it became normal to gulp down a lot more sugar, etc.

Re:How long til we're all on Ozempic? by jrflowers on Friday October 11, 2024 @03:29PM (#41812717)
> People in the 50s weren't slimmer because they had ironclad determination to stay such.

People in the 50s (in the US) had, among other things, fistfuls of benzedrine.

Edit: here is a link for the skeptical folks https://www.smithsonianmag.com/history/speedy-history-americ...

Re:How long til we're all on Ozempic? by mtlmtlmtlmtl on Friday October 11, 2024 @04:19PM (#41813315)
Amphetamine(which is what benzedrine was) is pretty overrated as a weight loss drug in the general population. It causes a short window of reduced appetite and probably increased catabolism(due to increased heart rate) which peters out after a couple weeks on the same dose. That leads to a short period of rapid weight loss that pretty much grinds to a complete halt, after which regaining the lost weight is quite typical.

On the other hand, if like me, you have ADHD and weight issues, it could be more helpful. Because it could treat your ADHD enough to help you actually establish and follow a structured diet and exercise regime. Especially if your ADHD includes impulsivity. The last time I was on lisdex treatment, I lost about 5kg from the initial boost, a lot of it was probably water weight. Then I managed to cut about 30kg later with calorie counting and regular cardio.

So the physical effects themselves are largely a pisstake.

Re:How long til we're all on Ozempic? by llamaimperative on Friday October 11, 2024 @03:30PM (#41812727)
Whatever, set the clock to the 1820s. Or the 1400s. Or the 1200s. Or 200 BCE, I don't care.
Re:How long til we're all on Ozempic? by viraptor on Friday October 11, 2024 @03:40PM (#41812853)
Do we really have enough information about their daily habits, food availability, ability to survive, etc. from those times? Once you go before easy refrigeration and distribution, you get people dying from famine in bad years. It's going be to be hard to make any actionable lessons from those times that still apply now.
Re:How long til we're all on Ozempic? by llamaimperative on Friday October 11, 2024 @04:43PM (#41813532)
Yes we know that 50%+ of the population was not obese.
Re:How long til we're all on Ozempic? by viraptor on Friday October 11, 2024 @05:46PM (#41814109)
https://academic.oup.com/past/article/239/1/71/4794719

> James Nye, for example, was one of a family of eleven children raised in rural Sussex in the 1820s and recalled how the ‘the young ones’ in his family went ‘very short of food’. Despite his mother’s best efforts, he rarely had more than ‘half a bellyful’ at mealtimes, and ate scarcely anything other than bread.

> Following the harvest failures of 1816, for example, John Lincoln’s entire family was forced to undergo severe privations. His two children succumbed to disease very easily — their quick deaths from measles were likely owing in part to prior malnourishment.

You can't be obese if you don't have food.

Re:How long til we're all on Ozempic? by llamaimperative on Saturday October 12, 2024 @12:22AM (#41816386)
The 90s?
Re:How long til we're all on Ozempic? by jrflowers on Saturday October 12, 2024 @12:58AM (#41816541)
>Whatever, set the clock to the 1820s. Or the 1400s. Or the 1200s. Or the 1990's or 200 BCE, I don't care.

I think they may have taken your prompt and thought about the 1820s, 1400s, 1200s or 200 BCE. Did you mean to direct people to discuss the 1990s by listing the other 4 eras?

Re:How long til we're all on Ozempic? by llamaimperative on Saturday October 12, 2024 @01:43AM (#41816724)
I mean to say Homo sapiens has existed for 300,000 years. They have not been 70%+ overweight or obese for most of those years. All the way until the 90s, obesity rates have been WAY lower, even in food-abundant societies.
Re:How long til we're all on Ozempic? by jrflowers on Saturday October 12, 2024 @01:57AM (#41816792)
What is your point? I mentioned drug availability in the 1950s and you dismissed it with an arbitrary list of other time periods. Someone else mentioned food scarcity in a period you mentioned, and you shifted the discussion to the 1990s (and now the past 300,000 years ???).

It seems like you do not want to discuss any factors relating to obesity in history at all, yet you keep engaging in this topic anyway. It is impossible to have a conversation where one side discusses facts like drug availability or food scarcity and the other says “no think about something else” as a canned response.

What do you think is the cause of the increased level of obesity? What do you think is the solution, if any?

Re:How long til we're all on Ozempic? by llamaimperative on Sunday October 13, 2024 @03:36PM (#41830871)
My point is that people's health has been rapidly deteriorating over the last 30-50 years especially. Your attempted explanation is essentially, "in every prior period, there was a different period-specific thing that was preventing these health outcomes."

It seems far, far more likely to me that right now is the aberration – in fact we know today is aberrant on several dimensions that are presumably related to obesity, so that's where we should look.

Big, system-wide changes like what we're experiencing are almost always both multicausal and overdetermined.

The causes here are:

1. Production of cheap, extremely palatable, ultra-high caloric density foods (mitigable). Note: This is not the same thing as saying "people used to be thin because they were starving." It is absolutely possible to feed a country amply and not yield the low price/great taste/horrible nutrition profile that dominates the American diet today.

2. Increase in sedentary time due to shift from physically intensive professions (not very solvable), car-centric urban planning (solvable), and the dominance of ass-in-chair leisure activities (probably mitigable)

3. The science is early on this but there's good reason to look further into endocrine-disruptive chemical poisoning (mitigable). We are finding these compounds absolutely everywhere we look and we should be very open to the possibility we are mass-poisoning people and damaging their metabolism: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10003192/

Re:How long til we're all on Ozempic? by varjag on Friday October 11, 2024 @04:55PM (#41813642)
1820s? Oh yes a ton.
Re:How long til we're all on Ozempic? by viraptor on Friday October 11, 2024 @05:48PM (#41814130)
Yeah, I meant before that. The records for the earlier years mentioned were not really kept that well for every segment of population.
Re:How long til we're all on Ozempic? by golergka on Friday October 11, 2024 @03:37PM (#41812814)
They didn't have that much food available.
Re:How long til we're all on Ozempic? by jrflowers on Friday October 11, 2024 @03:38PM (#41812832)
I didn’t bring up the 1950s, you did. (???)

It is a useful and topical period to discuss in a thread about ubiquitous weight loss drug usage.

Re:How long til we're all on Ozempic? by kemitche on Friday October 11, 2024 @05:52PM (#41814177)
So, eras of food scarcity?
Re:How long til we're all on Ozempic? by llamaimperative on Saturday October 12, 2024 @12:22AM (#41816384)
The 90s?
Re:How long til we're all on Ozempic? by jrflowers on Saturday October 12, 2024 @12:58AM (#41816547)
>Whatever, set the clock to the 1820s. Or the 1400s. Or the 1200s. Or the 1990's or 200 BCE, I don't care.

I think they may have taken your prompt and thought about the 1820s, 1400s, 1200s or 200 BCE. Did you mean to direct people to discuss the 1990s by listing the other 4 eras?

Re:How long til we're all on Ozempic? by presentation on Friday October 11, 2024 @06:54PM (#41814677)
Or choose a country with a low obesity rate today and analyze that.
Re:How long til we're all on Ozempic? by screye on Friday October 11, 2024 @03:52PM (#41812999)
Your point is correct. But 50% of people in 50s also smoked cigarettes, a known appetite suppressant.

So yeah, culture driven lower portion sizes + meds driven lower appetite is a well-tested combination with known positive outcomes.

Re:How long til we're all on Ozempic? by mlyle on Friday October 11, 2024 @03:19PM (#41812611)
> People in the 50s weren't slimmer because they had ironclad determination to stay such.

No. They lived in an overall healthier environment. But they were also subject to much greater social pressure to stay slim and could endure fairly intense social judgment and stigmatization for weights that we consider normal (particularly women).

Re:How long til we're all on Ozempic? by kps on Friday October 11, 2024 @03:38PM (#41812829)
> They lived in an overall healthier environment.

They lived in a different environment. The universal appetite-reduction drug was nicotine, and the common methods of administration had a number of undesirable side effects.

Re:How long til we're all on Ozempic? by mlyle on Friday October 11, 2024 @03:40PM (#41812846)
Yup. Don't forget that using amphetamines for the same purpose was socially accepted/considered a worthwhile tradeoff.
Re:How long til we're all on Ozempic? by Scoundreller on Friday October 11, 2024 @03:43PM (#41812888)
And ample availability of calorie-free barbituates instead of just calorie-rich (and appetite-stimulating) ethanol
Re:How long til we're all on Ozempic? by listenallyall on Friday October 11, 2024 @03:59PM (#41813080)
"Overall healthier environment". Meaning, food was relatively scarce. No Starbucks, Dunkin Donuts, convenience store on every corner. Coca-cola was not available in 2-liter bottles or in 24 packs of cans. No Costco-sized mutlipacks of anything.

In the 1950s, malnutrition was a serious issue that many people in poor areas died from. When was the last time someone died because they didn't have access to food? Obviously, the other side of that coin is that food being so plentiful, people eat much, much more than ever before.

Re:How long til we're all on Ozempic? by llamaimperative on Saturday October 12, 2024 @01:53AM (#41816774)
Starvation was not a major issue in the US in the 1950s.

Food abundance is good, but it is not the answer to this question. For example, in America today the richest locations tend to be the most physically fit.

Re:How long til we're all on Ozempic? by listenallyall on Saturday October 12, 2024 @07:55AM (#41818458)
That's kind of the point. Poor people today have no problem obtaining and consuming enormous quantities of food, and jave high obesity rates as a result. Unlike prior eras, being rich doesn't provide an advantage when it comes to accessing food (as opposed to housing, leisure time, luxury items, etc)
Re:How long til we're all on Ozempic? by llamaimperative on Sunday October 13, 2024 @03:39PM (#41830892)
So rich people just have better eating habits bred into them genetically...?
Re:How long til we're all on Ozempic? by llamaimperative on Friday October 11, 2024 @03:25PM (#41812664)
Then why are people scrambling for Ozempic? If it were true that "people think being fat is totally fine or desirable now" then this wouldn't be a blockbuster drug.

Weak thesis.

Re:How long til we're all on Ozempic? by adventured on Friday October 11, 2024 @03:32PM (#41812755)
Both things are true.

There was a far more vicious shaming culture 50-70 years ago about things like being obese. And culturally it's still looked down upon to be obese, it's just not as acceptable to be vicious about it (and of course sometimes people still are).

Today however there is a lot more "always on" pressure: social media is a huge component to social, social acceptance, socializing, social learning & sharing, getting to date people, et al. That's a form of individually focused media pressure that didn't exist back then. And sure you can turn it off, not partake, but there are usually serious consequences especially for younger people.

That's the context.

Re:How long til we're all on Ozempic? by soulbadguy on Friday October 11, 2024 @03:41PM (#41812867)
Non sense... There were not a particularly big stigma about being obese 50 or 70 years ago. Socially stigma were more about gender roles, sexuality etc...etc...
Re:How long til we're all on Ozempic? by adventured on Friday October 11, 2024 @04:01PM (#41813093)
There was a huge stigma about being obese 50-70 years ago. It was wholly unacceptable for children, young persons and women in particular. Exclusively older men were allowed to be obese culturally without being shamed about it.

As recently as the 1980s movies were overloaded with jokes about fat people, it was extremely common. That's stigma in action culturally.

Re:How long til we're all on Ozempic? by soulbadguy on Friday October 11, 2024 @05:47PM (#41814122)
The 80's were 40 years ago... I am not sure where you get your reference from... Jokes about fat people and stigma about being fat aren't the same thing
Re:How long til we're all on Ozempic? by llamaimperative on Friday October 11, 2024 @04:44PM (#41813540)
I didn't say it isn't true that people were shamed more often in the past, I said it has little to no explanatory power of the current health crisis because obviously there is no lack of desire from people to be slimmer.
Re:How long til we're all on Ozempic? by mlyle on Friday October 11, 2024 @05:30PM (#41813947)
I think it's a little bit of a silly thought to think that just because people want to be slimmer now, they want to do so just as much as they would have facing harsher social pressures in the 1950's.
Re:How long til we're all on Ozempic? by llamaimperative on Saturday October 12, 2024 @12:23AM (#41816390)
How big were the health food, gym, and fitness industries in the 50s?

Answer: literally non-existent.

Re:How long til we're all on Ozempic? by mlyle on Saturday October 12, 2024 @12:58AM (#41816549)
How big were the 'crash diet' and 'smoke cigarettes to stay thin' and 'use amphetamines to stay thin' industries?

Indeed, we have the inception of Weight Watchers at the start of the next decade, replacing far crazier things like the cabbage diet being used en masse.

Yes, it was easier in some ways to live a healthier life; one reason why was the rampant social policing of each other's weight.

Re:How long til we're all on Ozempic? by llamaimperative on Saturday October 12, 2024 @01:50AM (#41816764)
The prevalence of dedicated dieting or weight loss efforts has increased over time. The success of those efforts has decreased over time.
Re:How long til we're all on Ozempic? by mlyle on Saturday October 12, 2024 @03:48AM (#41817255)
> The prevalence of dedicated dieting or weight loss efforts has increased over time.

Perhaps, perhaps not. But you'd expect that if there's many different causes making weight gain more common and only one is changes in social pressures (as I've already stipulated in each post).

And, likewise, as stipulated above: overt social stigma is not the only reason why people might prefer to be of a lower weight.

> The success of those efforts has decreased over time.

Well, one reason for this is that we've reduced the use of obviously harmful but effective weight loss techniques like cigarettes and stimulants. The 1950s were the era of the rainbow diet pill clinic, where you'd walk in and get a personalized cocktail of amphetamines and thyroid drugs and laxatives and diuretics to help you control weight.

Re:How long til we're all on Ozempic? by golergka on Friday October 11, 2024 @03:36PM (#41812806)
They smoked.
Re:How long til we're all on Ozempic? by golergka on Friday October 11, 2024 @03:36PM (#41812800)
> a system that requires obscene amounts of self-control if you wish to maintain physical health

That's million years of evolution with food scarcity and modern capitalist world which created unprecedented abundance of food (and other things). And before you compare it to Europe — europeans still smoke much more than americans. Tobacco is also just a chemical that decreases effects of obesity, just in a different form.

Re:How long til we're all on Ozempic? by soulbadguy on Friday October 11, 2024 @03:42PM (#41812875)
So that's your explanation ? European are slimmer because they smoke more ??
Re:How long til we're all on Ozempic? by adventured on Friday October 11, 2024 @04:11PM (#41813214)
Which Europeans?

Countries in Europe with approximately the same obesity problem as the US:

Poland, Croatia, Romania, Britain, Hungary, Georgia, Slovakia, Chechia, Ireland, Greece.

And of course New Zealand, Australia, Canada are all in the same boat as well.

Those are all over 30% obesity and climbing (Romania is 38%, nearly at the US levels). The US is of course the leader of the pack, however it's all the same fundamental problem.

Re:How long til we're all on Ozempic? by Scoundreller on Friday October 11, 2024 @08:54PM (#41815422)
My running theory is that there’s more weight-discrimination in Europe, so you’re just less likely to see the overweight/obese in customer-facing positions.
Re:How long til we're all on Ozempic? by golergka on Friday October 11, 2024 @05:29PM (#41813939)
Different European countries have different circuimstances, just like their counterparts, american states. But if we're talking about all of Europe and US, then yes, this is the main reason.
Re:How long til we're all on Ozempic? by soulbadguy on Friday October 11, 2024 @05:53PM (#41814178)
Source ?
Re:How long til we're all on Ozempic? by jamil7 on Sunday October 13, 2024 @06:24AM (#41826765)
Where are you getting this data from? Nicotine is an appetite suppressant but so is caffeine. I find it hard to believe that smoking alone is the reason for the difference.
Re:How long til we're all on Ozempic? by merry_flame on Tuesday October 15, 2024 @12:38PM (#41850378)
Lol, crazy theories require real proof. Netherlands: 10% obesity rate, 12% smoking rate.
Re:How long til we're all on Ozempic? by danbolt on Friday October 11, 2024 @04:39PM (#41813494)
Yeah, they had nicotine!
Re:How long til we're all on Ozempic? by bsder on Friday October 11, 2024 @05:30PM (#41813952)
> People in the 50s weren't slimmer because they had ironclad determination to stay such.

Well, heights increased dramatically for a couple decades so what that meant was that many people in the 1950s were starving. In the 1930s, people died of starvation even in the US.

I don't really think that we want to go back to starving our population just to be thin, thanks.

Re:How long til we're all on Ozempic? by llamaimperative on Saturday October 12, 2024 @01:45AM (#41816734)
No one is proposing that, obviously
Re:How long til we're all on Ozempic? by presentation on Friday October 11, 2024 @06:53PM (#41814666)
Living in Japan has made it clear to me that cultural attitudes towards food make all the difference. It’s not like there’s a dearth of delicious things here, but obesity rates are more or less a rounding error.
Re:How long til we're all on Ozempic? by Schiendelman on Friday October 11, 2024 @07:32PM (#41814952)
There's a confounding factor to your theory: people in Japan are dramatically less likely to use a car for door-to-door travel. The amount of walking a Japanese person does burns a huge number of calories that most people in the US simply don't burn.
Re:How long til we're all on Ozempic? by presentation on Friday October 11, 2024 @09:25PM (#41815559)
I don’t buy it, putting aside the fact that there are many public transit-heavy countries with obesity problems, the amount of calories you burn from walking is a drop in the bucket, you can wipe out a full day of city walking with a small portion of French fries.

Diet is a way bigger factor in weight control than activity, unless you’re a pro athlete burning thousands of calories a day from exercise because you’re working out nonstop as your job.

You should still walk for general health, but not for weight loss.

EDIT: this report from Time about Japanese food culture rings true.

https://time.com/6974579/japan-food-culture-low-obesity/

Re:How long til we're all on Ozempic? by unlikelytomato on Friday October 11, 2024 @09:29PM (#41815581)
This is certainly true. Others will quote that exercise is not an effective mechanism to maintain healthy weight with 40 studies to back it. The goalposts seem to move a lot in this domain. Nevertheless, there is a ton of evidence of people in various behavior patterns that do not have such obesity issues in their society. It's wild to me how many people reach a conclusion of helplessness given that fact. The real kicker is that we aren't talking about one population being 5-10 lbs too heavy. We are taking about a difference between healthy weight and pervasive obesity. It's wild that such a delta is normalized
Re:How long til we're all on Ozempic? by cthalupa on Saturday October 12, 2024 @06:38AM (#41818123)
Exercise is good for a variety of reasons. It will burn some additional calories. But most scientists that specialize in metabolic research believe that the constrained total energy expenditure model and metabolic adaption are at least broadly true. You can't exercise out of a bad diet - and it's difficult even if you believe in a fully additive energy expenditure model.

Diet is the overwhelming deciding factor when it comes to weight gain.

Re:How long til we're all on Ozempic? by elijaht on Monday October 14, 2024 @02:56PM (#41840664)
Only have the anecdata of being in both Tokyo and NYC, but obesity rates are clearly higher in NYC than in Tokyo. I'm not convinced that relative obesity in Japan vs US is primarily due to walking differences.

As another commenter posted, the amount of walking even a highly active person does is fairly negligible wrt weight loss/gain. As another anecdote - my ambient walking milage is 5 miles/day and I run an additional 20-30 miles a week and still maintain an obese BMI