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By Summer Clark - March 19, 2024

For years, the finger-pointing at obesity has been ongoing, with society quick to label it as a simple issue of too much food, too little exercise, or no willpower. But what if I told you it's not that simple? What if I told you obesity is not your fault?

Understanding Obesity: Beyond Willpower

Past research suggested that obesity was solely a willpower issue, neglecting the multitude of factors that contribute to weight gain. Yet, studies have proven that the human biology has not adapted to the challenges by agricultural evolution, and our modern environment bombards us with cues to over-consume.

The Nutrition Research Center at the Loma Linda University School of Public Health (LLUSPH) has recently taken a deep dive into what the root causes of obesity are, uncovering a complex interplay of sociocultural, environmental, epigenetic, genetic, physiological, and behavioral factors that contribute to the disease.

Biological factors, such as hormonal mechanisms like ghrelin and glucagon-like peptide-1, metabolic adaptations, and increased hunger signals, can work against efforts to maintain a lower weight.

The Role of Environment and Lifestyle

When managing obesity, the environmental influences play a more significant role in shaping eating habits and lifestyle choices. The capitalist availability of high-carb/sugar foods, combined with social pressures and stress, can undermine willpower and lead to overeating and weight regain.

Psychological factors, including emotional eating driven by unprocessed trauma, cravings, and psychological triggers, may lead to episodes of overeating, further complicating weight management efforts.

Other unhealthy lifestyle patterns, such as poor sleep and excessive screen time, also contribute to weight gain. These habits, if left unchecked, can overpower mere willpower and make it challenging to maintain weight loss.

A Holistic Approach to Obesity

In addition to these factors, it's crucial to acknowledge the pervasive stigma surrounding obesity and its profound impact on mental health. Many individuals with obesity face discrimination and judgment, which can exacerbate stress, anxiety, and depression, further complicating efforts to manage weight.

Moreover, socioeconomic factors play a significant role in shaping the 41.9% obesity rates tracked from 2017-2020. Lower-income communities often lack access to affordable, nutritious foods and safe spaces for physical activity, making it challenging to maintain a healthy lifestyle.

It's crucial to recognize obesity as a disease rather than a simple matter of willpower. A holistic approach to obesity treatment is essential, addressing not only diet and exercise but also mental health, social support, and environmental factors. Every individual's journey to managing obesity is unique. Encouraging self-compassion and perseverance can help individuals stay motivated on their health journey.

Shifting the narrative around obesity requires a comprehensive understanding of its complex causes and the recognition that blaming individuals for their weight is neither fair nor effective. By addressing the systemic factors that contribute to obesity and promoting empathy and support, we can create a healthier, more inclusive society for all.

The Nutrition Research Center is investigating pharmaceutically assisted lifestyle changes in the fight against obesity. Stay tuned to this blog for ongoing updates and new findings as studies progress, providing valuable insights and answers.

For those looking to explore more about weight management programs and support, Loma Linda University Health offers comprehensive services designed to assist individuals on their journey to optimal health. To learn more about these opportunities, visit LLUH's Center for Health Promotion's Weight Management page.

To learn more about our programs at LLUSPH and advance your career in supporting others in their journey to optimal health, visit our programs.

This should not be misconstrued as medical advice. Seek medical advice from a physician. Dr. Warren Peters, associate professor and director of the Metabolic Obesity Research Clinic, was interviewed for this blog post. 
 

Author: Summer Clark, MA

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Physician Interviewed: Warren Peters, MD, MPH, FOMA

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