Is Obesity A Choice? (Science Explained)



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33 thoughts on “Is Obesity A Choice? (Science Explained)

  1. A few more thoughts after reading many of the comments

    I’ve noticed two recurring bits of pushback:

    The first argument goes something like this: “Sure, these factors all show that not being obese is HARDER for some people, but that doesn’t mean it isn’t still a choice. Hard choices are still choices.”

    I’ve noticed this coming mostly from people who are either currently in good shape, or used to be obese but have since lost a lot of weight. While this life change IS commendable and I have a huge amount of respect for anyone who has done it, to me, this feels similar to those who have gotten rich telling poor people that they are poor because of their poor choices. “I am not poor anymore. You can be not poor anymore too, if you make the right choices.”

    Obviously, no one is denying that people CAN change their lives around, and work their way to success. And no one is arguing that people have no control over their lives. But people who fall for this argument are usually blinded by survivorship bias. OF COURSE people who got out of poverty will attribute their success to their hard work. OF COURSE people who lost weight will attribute their success to their good food choices. But what about the people who worked hard just as hard as you did, but didn’t get out of poverty? What about the people who made just as many good food and exercise choices, yet remained overweight? We don’t hear from those examples as much.

    Saying that obesity is still a choice, even if it is harder for some people, is like saying poverty is a choice, even if it is harder for some people. Even though being poor is technically a matter of spending more $ than you make, there are simply too many contributing factors to shift the blame entirely to the individual for their “choice” to be poor. Similarly, even though being obese is technically a matter of eating more calories than you expend, there are simply too many contributing factors to shift the blame entirely to the individual for their “choice” to be obese.

    Maybe we’re speaking past one another and merely debating the semantics of the phrase “a choice”, but even still, it doesn’t seem like a good phrase to use.

    Let me try a few examples that I left out of the video:

    If you get a tattoo on your body, that is 100% your choice. If you get cystic fibrosis (a genetic disease) that is 100% not your choice. If you have the “right genes”, you get cystic fibrosis. As I see it, because obesity has both controllable behavioral inputs (like making healthy food choices) and uncontrollable genetic and environmental factors (like your baseline hunger and childhood diets), it must sit somewhere in between those two extremes. But because the phrase “a choice” implies a simple, binary decision and places the onus entirely on the individual, it can’t be the best way to describe a multi-factorial condition as complex as obesity. It just doesn’t fit.

    The second argument I’ve been hearing is that "weight loss is so simple, though: It’s just calories in, calories out."

    On the surface, this is true. But again, it is the same as saying: “getting rich is simple: just make more dollars than you spend!”

    Humans are not robots. Telling people to “just eat less” or to “put the fork down” isn’t effective most of the time. It CAN work, just like telling people to “just work harder” CAN make some people rich. But it just isn’t the answer most people need to hear. If you build up the discipline to put the fork down today, you might pick it up twice as much tomorrow. The development of obesity is complex physiologically, psychologically, socially and politically, and there are thousands of researchers who have dedicated their entire lives to understanding it and how to address it. If it were as simple as “putting the fork down”, obesity wouldn’t be the enormous multi-disciplinary riddle that it is today. Hope that makes sense!

  2. I have to be honest, I was one of the kind to say that being fat was a choice. This video has entirely changed my perspective on it. Thanks Jeff, you're making people like me a better person, and that, beyond fitness or whatever, is the most important thing on this planet.

  3. I believe it absolutely is a choice. I strength train 5x a week and do brisk walking 6x a week. Is it easy? No. But I push myself. Fat people don't have that discipline

  4. I hit late 30s and my appetite just dropped off the chart and basically dropped 20 pounds easily after decades of trying for prolonged periods of time to: eat less, eat better, low carbs, balanced diet, intermittent fasting, 4-6 small meals, do more cardio, do more volume, just walk, just lift weights, etc – 11-37 whatever I did i was always hungry, never seemed to lose that 20 pounds I wanted to drop and then it just changed seemingly overnight.

  5. Environmental factors are huge. Whenever I go home to visit my family all they do is eat and they exercise at all. It is very easy to fall back into that when you are around them. I am having better fitness results living far away from my family and friends.

  6. If you are reading this and are fat trying to start losing weight you can do it it’s possible no matter your condition. I’ve lost 60lbs of fat put on quite a bit of muscle too. I did all this post 2 spine surgeries, without starving myself, and with BPD.

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