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- Alex Hutchinson (@sweatscience)
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A few years ago, I had a long and interesting interview with Gary Taubes, the author of “Good Calories, Bad Calories”, for a piece I wrote in the Ottawa Citizen. He had a lot of interesting things to say, but the claim that stuck with me was that “calories in minus calories out” is an overly simplistic way to think about weight loss.
To think about obesity as simply consuming more calories than you expend is naïve and even meaningless [he said]. The idea that we get fat because we overeat doesn’t tell us why we overeat. If you think about it, both overeating and sedentary behaviour are behaviours, so in effect that takes the physiological disorder of excess fat accumulation and blames it on behaviour. I quote Susan Sontag in the book, who says, basically, that anytime you blame a disease on behaviour or psychology, it just tells you how little you know about the underlying mechanisms of the disease.
That’s all very well as a philosophy, but I had trouble wrapping my head around the physiology. After all, the equation of calorie deficit is so simple, how could it be wrong? An interesting piece by Tara Parker-Pope in the New York Times is what made me think about that interview. As she writes:
Numerous scientific studies show that small caloric changes have almost no long-term effect on weight. When we skip a cookie or exercise a little more, the body’s biological and behavioral adaptations kick in, significantly reducing the caloric benefits of our effort… As a recent commentary in The Journal of the American Medical Association noted, the “small changes” theory fails to take the body’s adaptive mechanisms into account.
The article does a good job of explaining this slippery idea — it’s worth a read. It also made me go back and re-read the transcript of my interview with Taubes. Here’s another excerpt that is more clear to me now than it was to me at the time: Continue reading “Why weight loss isn’t just “calories in minus calories out””