This book was written for the general reader, a health care
provider, a counselor, a person struggling with their own or
anothers obesity, in short, someone who wants a deeper
understanding than is likely to be provided by newspapers and
magazines. It was not written for scholars and scientists who have
their own sources of information. Certain words and ideas which may
not be familiar to everyone are explained in an appendix. Another
appendix is provided for persons who are interested in the
mathematical basis of some measurements. The text is a critique of
the scientific evidence concerning the origins, consequences,
prevention and treatment of obesity. The evidence is found in a
difficult literature which must be approached with skepticism but
recognizing that there are established if sometimes painful truths.
Among the painful truths is the fact that much of what is
published, especially in the popular media, but also in
professional publications, is false, arguably fraudulent,
disingenuous, or mistaken. There can be no doubt that the subject
is, from a scientific perspective, difficult. The physiological
systems which regulate body composition and size are complex,
incompletely understood and not easily studied in humans. In
laboratory animals it is possible to control many important
variables, genetics, gender, age, dietary intakes, physical
activities, type of data obtained, and duration of observation. In
humans there are serious limitations on the quality of control of
these variables. It should not be forgotten that laboratory mice do
not voluntarily smoke tobacco or drink alcoholic beverages.
However, the importance of this subject cannot be overestimated.
The prevalence and rise in obesity is appalling. The cost in human
misery and economic resources is heart breaking. Only by developing
an evidence-based, validated, confirmed and penetrating scientific
understanding of obesity can present trends be reversed.
General
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