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Reality is always more complicated than you think.

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jake-head-shot.jpgJake Young is a MD/PhD student at Mount Sinai School of Medicine focusing in Neuroscience. He is due to graduate in 2032. He received a BS and a MS in Biological Sciences from Stanford University -- where he spent most of his time drinking heavily and building vegetable catapults instead of learning information that would now be eminently useful. When he is not failing terrifically to perform his sworn duties, he enjoys watching bad movies, ethnic food, and running.

Pure Pedantry is a blog about science -- social sciences and otherwise -- as well as academic and scientific culture. No one can live on science alone, so I also like to dwell on pop culture, periodically explore the humanities, and indulge in other types of geeky goodness.

Jake is joined periodically by two wonderful guest bloggers: Kara Contreary and Kate Seip. See the About Page.

DISCLAIMERS: 1) Jake Young is not a licensed physician (yet). He is merely a medical student. The information published on this site is not intended for use in medical decision making. Please seek advice from a licensed, medical professional before making any health decisions. 2) The opinions expressed are my own or those of my co-bloggers. They do not represent the views of SEED magazine or the educational establishments we currently attend.

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An Unequivocal Statement about the Causes of Obesity

Category: Obesity and Heart Disease
Posted on: December 6, 2007 11:53 AM, by Jake Young

Now that is pretty clear. This is from Miller and Silverstein in Nature Clinical Practice. It is in reference to childhood obesity:

There has been much debate about the cause of the current epidemic of obesity. Most experts agree that the increased prevalence of childhood obesity cannot be blamed on changes in either the environment or genetics alone. Environmental changes (i.e. nutrition and lifestyle) are, however, likely to be primarily responsible for the current epidemic, because it is not possible for the gene pool to change in less than one generation.

The authors go on to present some genetic caveats, and I noted before that obesity genetics is a complex subject.

However, purveyors of the belief that obesity is primarily genetic -- read: out of the patient or the doctor's control -- will always have to contend with the huge increases in childhood and adult obesity in a single generation. Whatever the genetic background, the cause of this increases is a change in environment, and the cure will be a change in environment.

I encourage you to read the whole review. It is really good, and I think it is free to the public..

Comments

What "huge increases in childhood and adult obesity in a single generation"? Perhaps, before rushing to untenable solutions, one should first accurately define the "problem" or question critically (skepticism) if there really is one at all.

Posted by: Rene | December 6, 2007 3:52 PM

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