The science of obesity: what do we really know about what makes us fat? An essay by Gary Taubes

@article{Taubes2013TheSO,
  title={The science of obesity: what do we really know about what makes us fat? An essay by Gary Taubes},
  author={Gary Taubes},
  journal={BMJ : British Medical Journal},
  year={2013},
  volume={346}
}
  • G. Taubes
  • Published 16 April 2013
  • Philosophy
  • BMJ : British Medical Journal
The history of obesity research is a history of two competing hypotheses. Gary Taubes argues that the wrong hypothesis won out and that it is this hypothesis, along with substandard science, that has exacerbated the obesity crisis and the related chronic diseases. If we are to make any progress, he says, we have to look again at what really makes us fat 
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References

SHOWING 1-10 OF 25 REFERENCES

OBESITY: ITS PATHOGENESIS, ETIOLOGY AND TREATMENT

Endogenous obesity is endogenous merely in the sense that in the creation of such a disproportion a fall in the rate of oxidation in the body plays a role.

Endogenous Obesity—A Misconception

Excerpt The physician who prescribes a low calorie diet to reduce the weight of his obese patients frequently deals with subjects who fail to lose weight during the period of observation. And the w...

Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet.

The absence of biologically significant weight loss (2 to 4% after 2 years) highlights the fact that energy restriction and weight loss in themselves may minimally affect metabolic outcomes and that lifestyle changes must incorporate physical activity to optimize the reduction in the risk of chronic disease.

The Banting Memorial Lecture 1965: Some Current Controversies in Diabetes Research

This presentation presents the presentation of data on insulin and growth hormone-secretory responses to glucose loading in obese and nonobese diabetic and nondiabetic subjects and a discussion of the interrelationships among the peptide hormones, glucose and free fatty acids in blood.

Dietary Treatment of Obesity

Success of any diet therapy depends on many factors other than the diet itself, which is often a minor consideration, so one can speculate on the maximum amount of weight loss which can be achieved 1.

DISEASES OF METABOLISM AND NUTRITION: REVIEW OF CERTAIN RECENT CONTRIBUTIONS

Interest has been shown in the past year in the early alterations in normal physiologic processes which occur before these gross pathologic changes have become manifest in states of marked deprivation of vitamins.

Obesity and its treatment; with particular reference to the use of anorexigenic compounds.

Excerpt In spite of the frequent enlightening discussions in social and scientific circles on factors contributing to the development of obesity and on the treatment of this condition, there are still no clear guidelines on how to treat this condition.

Comparison of weight-loss diets with different compositions of fat, protein, and carbohydrates.

Low-calorie diets result in clinically meaningful weight loss regardless of which macronutrients they emphasize, and improved lipid-related risk factors and fasting insulin levels.

Comparison of the Atkins, Zone, Ornish, and LEARN diets for change in weight and related risk factors among overweight premenopausal women: the A TO Z Weight Loss Study: a randomized trial.

The Atkins diet, which had the lowest carbohydrate intake, lost more weight at 12 months than women assigned to follow the Zone diet, and had experienced comparable or more favorable metabolic effects than those assigned to the Zone, Ornish, or LEARN diets.

Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet.

BACKGROUND Trials comparing the effectiveness and safety of weight-loss diets are frequently limited by short follow-up times and high dropout rates. METHODS In this 2-year trial, we randomly…