Adipose
There was once a comedian who suggested that the United
States trade its anorexics for
famished Somalians, arguing, "At least the latter will eat!" But
there's a problem in America with eating too much. See here. Please note as
the animation runs that nearly all states run toward red, i.e. their
populations have become increasingly more obese over time. The legend notes
there was no data available for Hawaii
after 2003. Why is this? There's data for Alaska
- whose population by the way hasn't escaped the overall trend apparent nearly
everywhere else in America.
The real answer lies in a question: who wants to go to Hawaii
to study adipose? Nay, people who go to Hawaii
want to see string bikinis, or better yet nude beaches, drink colorful drinks
with little umbrellas, wear strappy sandals and skimpy sundresses, attend luaus
and watch mock sacrifices of virgins in volcanoes. The only fat they want to see
is at the pig roast on the beach. I say there's no fat data for Hawaii
because nobody wants to go to the quintessential place of fun and sun armed with a
caliper and chase after portly Hawaiians trying to measure their BMI . And if
you've ever been to Hawaii you know the natives there are packing plenty.
Obesity is a leading risk factor for Type 2 diabetes, the
most common kind in Americans (you too, Hawaii). This is a correlation not a
cause. Nobody really understands the particular molecular mechanism of why high
fat should
cause glucose intolerance.
The usual biological argument for fat people in
Alaska
is that it has evolved as a brace against long, bitterly cold winters, thus
aiding survival, thus improving reproductive success, yaddy ya. But it's warm
and sunny in the South Pacific! Yet Fijian women are plump as
pot roasts:
Results: The prevalence of overweight and obesity was significantly
different between the cohorts, increasing from 60% in 1989 to 84% in 1998 (p =
0.014). In addition, the age-adjusted mean BMI was significantly higher in 1998
compared with 1989 (p = 0.011). Finally, there were significant between-cohort
differences in multiple measures of body image, which were mostly independent
of BMI.
Discussion: At 84%, the prevalence of overweight and obesity in this
community sample of Fijian women is among the highest in the world. The
dramatically increased prevalence over the 9.5-year period studied corresponds
with rapid social change in Fiji and significant shifts in prevailing
traditional attitudes toward body shape.
Perhaps everyone with a BMI over 25 should trade places with a Somalian for one year. The problem isn't food; it's that the wrong people are eating
it.