Book excerpts on our “obesogenic” environment
Monday, November 2nd, 2009I was recently reading an excellent book, Physical Activity and Obesity (2000), edited by Claude Bouchard of the Pennington Biomedical Research Center at Louisians State University, and wanted to include some excerpts here. The book is a collection of essays by experts in exercise science and sports medicine. From it I’ve gathered that as a society we’ve underestimated the role that lack of physical activity plays in our current obesity epidemic. Instead, we’ve tended to focus on our food intake.
“The war on muscular work has been a remarkable success,” Bouchard comments (p. 14). But that success comes at with significant costs. Here is an excerpt from Mr. Bouchard’s introduction:
Even though individuals bear responsibility for maintaing healthy weights, national surveys in developed countries and the compendium of data around the world by the International Obesity Task Force indicate that programs with a focus on individuals are not enough…. What is needed is a series of major policies aimed at transforming our environment and the way we live. Indeed, nothing short of a paradigm shift has any chance of success in the efforts to curtail the increase in the number of people who are chronically in positive energy balance. City planning, building codes, mass transit systems, car use, safe footpaths and cycling paths, pedestrian-only city centers, school schedules and programs, and the media are among the areas that will require transformations if we are to attenuate the impact of the current “obesogenic” environment.
The challenge is enormous. Evolution has endowed humans with complex regulatory systems of appetite and satiety as well as with physiological and metabolic characteristics determining basal metabolic rates and food- or cold-induced thermogenesis. The recent past in affluent societies reveals that these biological systems cannot cope well in an environment in which palatable foods are abundant and energy expenditure of activity is low. In particular, the lesson from the last decades is that it seems to be extremely difficult and perhaps impossible for a large fraction of sedentary individuals to regulate food and caloric intake to be in balance at low levels of daily energy expenditure. The energy expenditure from physical activity is thus too low for most people to be able to eat normally without having to be on caloric restriction diets from time to time or having to be constantly restraining their food intake. It has been estimated that the current deficit of energy expenditure from physical activity compared to that of the recent past ranges from about 300 to 800 kcal/day. If this range of estimates is close to the true values, it implies that adults would have to add one to three hours of brisk walking every day to their current daily regimen to be in energy balance at a normal body weight level. This is a major public health challenge indeed! (15-16)
Another essay in the book – “The Cost of Obesity and Sedentarism in the United States,” by Graham A. Colditz and Anna Mariani, addresses the tremendous health-related costs associated with lack of physical activity:
The sum of obesity (7% of health care costs) and of inactivity (2.4% of health care costs) is here used to estimate the total direct costs of inactivity. Overall, a minimum of 9.4% of all direct costs incurred in delivering health care in the U.S. is attributable to insufficient energy expenditure…. Note that these are conservative estimates. (60-61)
Note also that these latter numbers do not include indirect costs such as lowered worker productivity




I’m the lead organizer for Walk to School Day here in Northfield, Minnesota, again. It promises to be a fun event, as usual!