Book cover of The Obesity Code by Jason Fung

Jason Fung

The Obesity Code

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“What if everything you thought you knew about weight gain and obesity was wrong?”

1. Genetics Significantly Affect Obesity

Obesity is often blamed on lifestyle choices, but genetics play a larger role. Studies with adopted children have shown no link between their weight and the weight of their adoptive parents. This indicates that environmental factors like food habits and upbringing have limited influence on obesity in children.

Albert J. Stunkard's research corroborates this. In 1986, he studied adopted children in Denmark and compared their weights to their biological and adoptive parents. The findings were clear: there was no correlation with adoptive parents, but a strong link with biological parents. Children of obese biological parents were genetically predisposed to obesity.

By 1991, Stunkard quantified the effect of genetics: 70% of a person’s likelihood of becoming obese was determined by genetic factors. This overturns the belief that obesity is solely a lifestyle disease and highlights how biological inheritance shapes our weight profiles.

Examples

  • Stunkard’s studies in Denmark showed no weight correlation between adopted children and adoptive parents.
  • Biological children of obese parents were significantly likelier to develop obesity regardless of upbringing.
  • Stunkard’s follow-up study found genetic factors played a 70% role in obesity risk.

2. Treating Obesity Requires Addressing Energy Usage

Obesity isn’t just about eating too much; it’s about how the body uses energy. While calorie intake has increased historically, it doesn’t directly cause obesity. For instance, U. Ladabaum's study revealed that between 1990 and 2010, calorie intake in America stayed stable while obesity rates rose continuously.

Scientists have also debunked the idea that calories are automatically stored as fat. Calories serve various functions, like sustaining body heat, muscle growth, or aiding brain activity. Depending on one’s physiology, calories might convert into muscle or fat, diversifying energy usage from person to person.

Therefore, obesity is more about energy distribution than consumption. Some people generate fat from excess calories while others develop muscle or burn off calories more effectively due to differing metabolic processes.

Examples

  • The Mortality and Morbidity Report showed a 250-calorie increase per day per person in the U.S., yet that alone didn’t explain obesity trends.
  • U. Ladabaum’s study: No rise in calorie consumption from 1990 to 2010, yet obesity continued to rise.
  • Energy use varies: Calories contribute to heat, metabolism, and concentration alongside fat storage.

3. Calorie Restriction Decreases Metabolism – Not Weight

Drastically cutting calories doesn’t lead to sustainable weight loss. Studies demonstrate that reducing calorie intake forces the body to conserve energy by lowering the metabolic rate. This was first seen in a 1919 study where participants cut calorie consumption by about 30%. Their energy expenditure dropped similarly, negating significant weight loss.

In the 1940s, Ancel Keys researched starvation effects. His subjects reported physical fatigue, feeling cold, and reduced concentration. These effects came from a 40% drop in metabolic rates, including slowed heartbeats and reduced brain activity.

This metabolic slowdown demonstrates why dieting often fails as a long-term solution. Bodies compensate by conserving energy, making calorie restriction an ineffective tool for sustained weight management.

Examples

  • Carnegie Institute's 1919 study: Energy expenditure fell by the same percentage as calorie reduction.
  • Ancel Keys discovered a 40% decrease in metabolic rates and impaired brain activity in a calorie-restricted diet.
  • Subjects on strict diets experienced slowed heartbeats, lethargy, and reduced body heat.

4. Insulin Drives Obesity

High insulin levels play a central role in obesity. Insulin regulates blood sugar levels, but excessive insulin triggers hormonal imbalances. L. C. Kong’s research in 2013 revealed that 75% of effective weight-loss strategies involved lowering insulin production. Additionally, medications that increased insulin led to weight gain, while those reducing insulin supported weight loss.

Insulin may also disrupt the hormone leptin, which tells the brain when to stop eating. In obese individuals, leptin levels often fall, even after meals. Without these vital "stop" signals, overeating continues. This disrupts natural checks and balances, setting off a cycle of weight gains.

Though the exact mechanisms remain under investigation, studies consistently link insulin imbalances to obesity, emphasizing the need to control insulin for weight management.

Examples

  • Kong’s 2013 study linked 75% of weight-loss success to lower insulin levels.
  • Drugs that raise insulin levels cause weight gain, while those reducing insulin encourage weight loss.
  • Obese individuals show low leptin levels after eating, complicating their ability to recognize when they’re full.

5. Snacking Can Escalate Insulin Resistance

Regular snacking causes frequent insulin spikes, keeping insulin levels constantly elevated. This correlates with insulin resistance, where cells stop responding to insulin and sugar remains in the bloodstream. A person experiences ongoing hunger as cells demand more sugar, reinforcing poor eating habits.

Oprah Winfrey’s diet struggles reflect this cycle. Losing weight but regaining it echoes the difficulty insulin-resistant individuals face as heightened sugar demands overwhelm willpower. To break the cycle, extended fasting between meals (4-5 hours) allows insulin levels to decrease temporarily.

Constant snacking disrupts this rhythm, contributing to insulin resistance and, eventually, weight gain, making meal spacing essential for long-term weight control.

Examples

  • Persistent snacking elevates long-term insulin levels, creating insulin resistance.
  • Insulin resistance tricks brains into demanding more sugar, promoting overeating.
  • Minimizing snacks creates regular periods of low insulin, stabilizing blood sugar levels.

6. Poverty Correlates With Obesity Due to Refined Diets

Obesity disproportionately affects disadvantaged communities due to dependence on cheap, processed foods filled with refined carbohydrates. For example, 50% of adults in Pima Native American communities are obese. Historically healthy farmers and hunters, the Pima adopted a diet of refined sugars and grains after losing access to their land.

Government subsidies worsen the problem. In the U.S., producers of corn, sugar, and wheat receive outsized support, making refined carbs inexpensive. Meanwhile, healthy fruits and vegetables remain less affordable, pushing lower-income families toward cheaper but less nutritious options.

This economic imbalance explains why obesity is heavily concentrated in poorer states and communities.

Examples

  • 50% of Pima adults are obese due to their reliance on refined carbohydrates from colonial disruptions.
  • 2011 U.S. Public Interest Research Group: 29% of subsidies go to corn, contributing to cheap processed foods.
  • Cheaper refined carbs push low-income families toward unhealthy diets, driving obesity rates.

7. Most Dietary Fats Aren’t Harmful

Contrary to popular opinion, ingesting fat doesn’t lead to obesity. Early studies, like Harvard’s 1948 research, found no link between dietary fat and high cholesterol. Yet the belief persisted, blaming fats instead of investigating other factors like sugar or insulin resistance.

Today, we know fats are mostly harmless. Saturated fats, though once vilified, aren’t inherently bad. However, modified trans fats, like hydrogenated vegetable oils, are very damaging. They raise bad cholesterol, reduce good cholesterol, and dramatically increase the risk of heart disease.

Avoiding modified trans fats while including natural fats is a safer approach for long-term health.

Examples

  • Harvard's 1948 study found no connection between heavy fat consumption and cholesterol levels.
  • A Dutch study showed increased consumption of trans fats raised heart disease risk by 23%.
  • Modified trans fats are artificially saturated for longer shelf lives, not for health benefits.

8. Sugar is a Major Driver of Obesity

Sugar fuels obesity by raising insulin levels and causing insulin resistance, particularly due to fructose, a component of sugar. Fructose overload burdens the liver, converting it into fat and triggering resistance. High-fructose corn syrup intensifies this issue since it contains concentrated fructose.

Cutting sugar significantly reduces the risk of obesity and related disorders. Yet sugar hides in everyday foods, making it critical to read product labels. High fructose corn syrup in snacks, sodas, or processed foods worsens the problem by heightening the risk of insulin-related weight gain.

Examples

  • Fructose uniquely strains the liver, escalating fat storage and insulin resistance.
  • Regular sugar combines glucose and fructose, but high-fructose corn syrup contains only the problematic fructose.
  • Avoiding sugary drinks and snacks directly lowers aberrant insulin production.

9. Coffee Has Surprising Health Benefits

Coffee is commonly misunderstood, but it offers health advantages. It contains antioxidants that slow cellular aging and magnesium that supports healthy bones and cardiovascular function. A 2005 study showed coffee’s positive components often outweigh its negatives.

Further studies link moderate coffee consumption to a lower risk of diseases like type-2 diabetes and Alzheimer’s. While drinking coffee in excess isn’t advisable, it may support metabolism and contribute to weight stability when consumed in moderation.

Examples

  • 2005 study linked coffee with antioxidant and magnesium-related benefits.
  • 2008 and 2012 research suggest coffee reduces risks of type-2 diabetes and neurodegenerative diseases.
  • Including coffee alongside a balanced diet may help stabilize energy use and aging.

Takeaways

  1. Avoid snacking between meals and try intermittent fasting to reduce insulin levels.
  2. Eliminate sugar and high-fructose corn syrup from your diet to lower the risk of insulin resistance.
  3. Incorporate natural dietary fats into your meals while avoiding modified trans fats for better overall health.

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