Chapter Fourteen THE MYTHOLOGY OF OBESITY Flashcards

1
Q

How did Mark Nathan Cohen define an academic discipline?

A

A group of scholars who had agreed not to ask certain embarrassing questions about key assumptions.

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2
Q

What is critical to the success of any scientific enterprise according to Claude Bernard?

A

The ability to make accurate and unbiased observations.

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3
Q

What can distort the explanation of observations in scientific inquiry?

A

Incorrect or incomplete initial observations.

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4
Q

What hypothesis has dominated the science of obesity for the last sixty years?

A

Overweight and obesity result from excess calorie consumption and/or inadequate physical activity.

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5
Q

What contradiction is noted regarding overweight individuals’ calorie consumption?

A

Many fat people insist they eat no more than lean individuals, yet they remain overweight.

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6
Q

What percentage of Americans were classified as obese in the 1960s and early 1970s according to NHANES?

A

12–14 percent.

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7
Q

What trend occurred in obesity rates from the 1980s to the turn of the century?

A

Obesity rates rose by 8 percent in the 1980s and another 10 percent by the turn of the century.

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8
Q

Which demographic groups show higher obesity rates in the United States?

A
  • African Americans * Hispanics * Lower income brackets * Poorly educated individuals.
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9
Q

What term did psychologist Kelly Brownell coin to describe American culture’s impact on obesity?

A

Toxic environment.

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10
Q

What is the primary factor attributed to the rise in obesity rates since the 1970s?

A

Increased calorie consumption.

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11
Q

What did NHANES report about calorie consumption changes from 1971 to 2000?

A

Men increased their calorie consumption by 150 calories per day; women by over 350 calories.

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12
Q

What did the USDA report about the American food supply’s caloric content from 1971 to 1997?

A

It increased from 3300 calories per day per capita to 3800 calories.

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13
Q

What was the conclusion of Roland Weinsier regarding obesity and fat intake?

A

The reduction in fat intake did not prevent the progression of obesity in the population.

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14
Q

What contradiction exists regarding physical activity and obesity during the obesity epidemic?

A

Americans were no less active at the end of the 1990s than at the beginning, despite rising obesity rates.

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15
Q

What was the estimated revenue of the health-club industry in 2005?

A

$16 billion.

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16
Q

What did the NHANES studies reveal about obesity among socioeconomic groups?

A

Obese women were six times more common at the lowest socioeconomic level than at the highest.

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17
Q

What does the Pima Indians’ case illustrate about obesity?

A

Obesity and overweight had been evident a century ago, prior to the nutrition transition.

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18
Q

Fill in the blank: The standard explanation for obesity among the Pima is that they have succumbed to _______.

A

prosperity and the toxic environment of American life.

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19
Q

True or False: The obesity epidemic is a recent phenomenon that began only in the last few decades.

A

False.

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20
Q

What did Marion Nestle conclude about the food and entertainment industries’ role in obesity?

A

They turn people with expendable income into consumers of aggressively marketed foods that are high in energy but low in nutritional value.

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21
Q

What has been the trend in obesity rates globally since 1980 according to the WHO?

A

Obesity rates have risen three-fold or more in some areas.

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22
Q

What dietary factors are suggested to reduce obesity in the Pima population?

A

A diet with less fat and more starch

NIH authority suggests that traditional dietary habits may help reduce unhealthy weight.

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23
Q

When did obesity among the Pima become evident?

A

A century ago, during the transition from relative abundance to extreme poverty.

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24
Q

Who studied the Pima tribe and reported on their obesity in the early 1900s?

A

Frank Russell and Aleš Hrdlika.

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25
What contrast did Frank Russell observe about the Pima?
A degree of obesity that contrasted with the conventional image of 'tall and sinewy' Indians.
26
What was a significant dietary change for the Pima after the arrival of settlers?
The introduction of foods like sugar, coffee, and canned goods.
27
What was the Pima diet primarily composed of in the mid-1950s?
Mainly beans, tortillas, chili peppers, and coffee.
28
What percentage of calories in the Pima diet came from fat in the mid-1950s?
24 percent.
29
What was the trend of obesity among Pima children by the early 1950s?
More than 50 percent could be described as obese by their eleventh birthday.
30
What did Peter Bennett attribute to the high rates of diabetes among the Pima?
The amount of sugar consumed, representing 20 percent of their calorie intake.
31
Fill in the blank: Obesity in the Pima was described as a result of inadequate _______.
[nutrition].
32
What was a common observation about obesity in impoverished populations?
Obesity frequently coexists with malnutrition and undernutrition.
33
What percentage of adult women were reported obese in Charleston, South Carolina in 1959?
Nearly 30 percent.
34
True or False: In Jamaica, high rates of obesity were first reported in the early 1960s.
True.
35
What was a staple of the Sioux diet on the reservation?
Grease bread, fried in fat and made from white flour.
36
What did the University of Chicago report about the living conditions of the Sioux?
Most lived in one-or two-room shacks; 40 percent of children lived without toilet facilities.
37
What was the common diet among the Sioux, according to the early 1920s study?
Grease bread, oatmeal, potatoes, beans, and canned milk.
38
What percentage of the calories in the diet of the Zulus living in Durban, South Africa, were reported to be from fat?
Not specified, but the obesity rate was 40 percent among adult females.
39
What was suggested as a reason for the high frequency of obesity in impoverished societies?
The difficulty in accessing traditional, healthier foods.
40
How did the diet of the Pima change with the introduction of government rations?
They began consuming large quantities of refined flour, sugar, and canned fruits high in sugar.
41
What was the conclusion about obesity in the Pima population by the late 1950s?
Obesity and diabetes prevalence continued to rise.
42
What was the living condition of the Pima in the mid-1920s?
Living on reservations and relying on government rations to survive in a state of poverty ## Footnote The poverty level was unimaginable by today's standards.
43
How is obesity in Africa characterized in relation to prosperity?
Obesity in Africa is not associated with prosperity.
44
What did Rolf Richards observe about obesity in Jamaica in the 1970s?
He noted a high frequency of obesity despite the impoverished society.
45
What are common disorders in the first two years of life in Jamaica?
Malnutrition and subnutrition, accounting for almost 25% of pediatric ward admissions.
46
At what age does obesity begin to manifest in the female population of Jamaica?
From the 25th year of life.
47
What is the thrifty gene hypothesis?
It suggests that certain populations are genetically predisposed to store fat efficiently during times of feast and famine.
48
Who initially proposed the thrifty gene hypothesis and when?
James Neel in 1962.
49
What is the evolutionary advantage of thrifty genes according to the hypothesis?
They allow individuals to survive during periods of starvation by efficiently storing fat.
50
What did Jared Diamond explain about thrifty genes in 2003?
They would lead to obesity and diabetes in modern environments with abundant food.
51
According to Kelly Brownell, how is the human body described in relation to calorie conservation?
An exquisitely efficient calorie conservation machine.
52
What did Neel speculate about diabetic genes and their evolutionary advantages?
They might provide an exceptional ability to use food efficiently and convert calories into fat.
53
What was the initial observation about diabetes prevalence in the Pima?
Diabetes appeared to be a relatively recent phenomenon after access to Western foods.
54
What conclusion did Neel reach by 1982 regarding obesity and diabetes in Westernized populations?
High rates were linked to overindulgence in high sugar content foods.
55
What did Neel suggest as possible biological factors for obesity in the presence of refined carbohydrates?
Tendency for the pancreas to oversecrete insulin or insulin resistance.
56
Who was among the first to invoke thrifty genes in obesity research in the late 1970s?
Jules Hirsch of Rockefeller University.
57
What was Hirsch's primary goal in his research?
To establish that humans evolved a homeostatic system to regulate weight.
58
What is the prevailing opinion among anthropologists regarding hunter-gatherer diets?
They provide a varied and extensive diet, minimizing the risk of simultaneous nutritional resource failure.
59
What observation did Richard Lee make about the !Kung Bushmen during a drought?
They survived easily on abundant high-quality foods without much effort.
60
What did anthropologists report about health and nutrition before and after the adoption of agriculture?
Health and nutrition declined with the adoption of agriculture.
61
What is the contradiction highlighted by the thrifty gene hypothesis regarding European ancestry?
There is a uniquely low occurrence of Type 2 diabetes among Europeans.
62
What does the survival of species depend on according to George Cahill and Albert Renold?
The ability to store adequate yet not excessive amounts of energy in the form of fat.
63
Fill in the blank: The thrifty-gene hypothesis implies that humans are evolutionarily adapted to survive extreme periods of _______.
famine.
64
What do George Cahill and Albert Renold suggest about the total amount of fat stored in the body?
It should be kept sufficiently large to allow for periods of fasting while being small enough to preserve maximum mobility.
65
What is the thrifty-gene hypothesis?
It implies that humans are evolutionarily adapted to survive extreme periods of famine, allowing for excess fat accumulation without negative consequences.
66
What major objection did Nancy Rothwell and Michael Stock raise against the thrifty-gene hypothesis?
Most wild animals are very lean and this leanness persists even with adequate food supply.
67
What evidence did Paul Zimmet provide to support the thrifty-gene hypothesis?
The Israeli sand rat develops metabolic syndrome, including diabetes and obesity, when provided with an abundant, high-calorie diet.
68
What did Knut Schmidt-Nielsen's experiments with sand rats suggest about obesity and diabetes?
The abundance of food was not the relevant factor; the composition of the diet was more significant.
69
What was the diet composition of the Purina Laboratory Chow used in Schmidt-Nielsen's experiments?
49.4% digestible carbohydrates, 23.4% protein, and 3.8% fat.
70
What did John Brobeck report about rhesus monkeys on Purina Monkey Chow?
They became fat and mildly diabetic on a diet containing 15% protein, 6% fat, and 59% digestible carbohydrates.
71
What do hibernators do to prepare for periods of famine?
They accumulate enormous fat deposits during periods of feast.
72
How do hibernating ground squirrels manage weight gain and loss?
Their weight gain, maintenance, and loss are genetically pre-programmed and resilient to variations in food availability.
73
What happens to ground squirrels if a portion of their fat is surgically removed?
They will restore the lost fat within months.
74
How does the type of fat in animals and humans vary?
The fat in limbs is less saturated than the fat around organs, accommodating different environments.
75
What adaptations do desert animals have regarding fat storage?
They do not store fat subcutaneously to avoid inhibiting heat loss and cooling.
76
What was the conclusion about the evolutionary adaptations of fat storage?
Fat storage is well suited to both internal and external environments to maximize benefits while minimizing risks.
77
True or False: The thrifty-gene hypothesis holds up under scrutiny.
False.
78
How is obesity defined in the context of the body mass index (BMI)?
A BMI of 30 or higher.
79
What was the average weight gain of Americans from 1991 to 2000 according to obesity statistics?
An average weight gain of seven to ten pounds.
80
What did the USDA report about fat consumption trends from 1977-78 to 1989?
Average total fat consumption decreased for men from 113 grams to 96 grams and for women from 73 grams to 62 grams.
81
What was the increase in sales of sporting equipment from 1987 to 2004?
From $21.9 billion to $52 billion.
82
Fill in the blank: Ground squirrels will gain weight through the summer at the same rate whether they’re in the _______ or in the laboratory.
wild.
83
What is a potential dietary factor contributing to obesity and diabetes in the Israeli sand rat?
A carbohydrate intake greater than that occurring in the natural diet.
84
What percentage of middle-aged monkeys in captivity are reported to be obese?
Approximately 60%.