Interesting to read all the victim-blaming in this thread. Sure everyone of us became overweight because of poor nutrition and lack of exercise. But why did we eat the wrong things and too much? Discarding social, psychological, environmental, cultural and genetic factors and just saying that obesity is a question of personal responsibility is oversimplifying a complex issue that does not explain:
- What causes people to have poor appetite-control? Why are some people not able to feel the fullness and continue eating, while others feel full and stop eating?
I can personally testify that quitting smoking contributed to my overweight. I was very active When I went to Medical School. I also smoked a pack of cigarettes a day. Of course I quit .... and gained 20 pounds. Those 20 pounds put so much strain on my knees that I got a meniscus problem that have prevented me from running ever since ... And yes put a lot of weight on (Since I was not able to run 50-70 miles every week anymore).
More than anything I think that crazy starvation diets cause more people to become even more overweight longterm than they would otherwise have been.
In my biochemistry book and physiology book I read the "The biochemical dogma of obesity". A positive calorie balance will cause weight gain and a negative calorie balance will cause weight loss.
But the words:
-98 percent of all people trying loosing weight by eating less and exercising more will fail to loose weight and even gain more in the long term perspective.
are etched in my mind.
And yet treatment of obesity is still based on the "the biochemical dogma of obesity" and the answer every obese person gets is to eat less and exercise more (Knowing perfectly well that 98 percent will fail to loose weight and even gain more by doing that!!!).
Yes it is my personal responsibility to do something about my overweight. Since I know what to eat I actually eat about twice as much as what I ate before I became overweight ( I eat about 3,5 pounds of food every day now and probably gets 3 times the amounts of essentials nutrients than I did before. I am sure it causes my appetite control to improve since healthy foods are not depleted of nutrients, like the foods I used to eat. And yes I have begun to exercise and build my body instead of tearing it down, by following the "Eat less and exercise more" philosophy.
I think what most overweight people need is education about correct nutrition and exercise
and support to make those long term changes of habits that resulted in overweight.
Claiming that it is all a matter of personal responsibility is

and it is victim-blaming and seeing overweight as some sort of character flaw.
I worry very much when I see morbid obese people jumping up and down in some stupid tv-program, by some drill instructor working over the stupid lazy fat and irresponsible persons. I can almost hear their joint cartilage being destroyed ...
And what about eating disorders? Depressions? and medications that causes weight gain, because some medications alter peoples metabolism and appetite regulation?
Obesity is a much complex issue and complex issues do not have easy solutions. Many individual factors need to be taking into account. I live in Europe, but often comes to America ... Seeing how most people live it is no wonder that obesity has become such a huge problem in America: