CURRENT An imprint of Penguin Random House LLC 375 Hudson Street New York, New York 10014 penguin.com Copyright © 2016 by Sandra Aamodt Penguin supports copyright. Copyright fuels creativity, encourages diverse voices, promotes free speech, and creates a vibrant culture. Thank you for buying an authorized edition of this book and for complying with copyright laws by not reproducing, scanning, or distributing any part of it in any form without permission. You are supporting writers and allowing Penguin to continue to publish books for every reader. LIBRARY OF CONGRESS CATALOGING-IN-PUBLICATION DATA Names: Aamodt, Sandra. Title: Why diets make us fat : the unintended consequences of our obsession with weight loss / Sandra Aamodt, Ph.D. Description: New York, New York : Current, an imprint of Penguin Random House LLC, [2016] | Includes bibliographical references and index. | Description based on print version record and CIP data provided by publisher; resource not viewed. Identifiers: LCCN 2015048708 (print) | LCCN 2015048518 (ebook) | ISBN 9780698186668 (ebook) | ISBN 9781591847694 (hardcover : alk. paper) Subjects: LCSH: Weight loss—Psychological aspects | Weight gain. | Food habits—Psychological aspects Classification: LCC RM222.2 (print) | LCC RM222.2 .A225 2016 (ebook) | DDC 613.2/5—dc23 LC record available at http://lccn.loc.gov/2015048708 Neither the publisher nor the author is engaged in rendering professional advice or services to the individual reader. The ideas, procedures, and suggestions contained in this book are not intended as a substitute for consulting with your physician. All matters regarding your health require medical supervision. Neither the author nor the publisher shall be liable or responsible for any loss or damage allegedly arising from any information or suggestion in this book. Version_1 For Elizabeth Contents Title Page Copyright Dedication Introduction Part One The Trouble with Diets The Diet Roller Coaster 1 Willpower Runs Out 2 How Diets Lead to Weight Gain 3 The Weight of Beauty 4 Our Brains Fight Weight Loss 5 Part Two Why We Gain Weight Early Life and Adult Weight 6 Stress, Shame, and Stigma 7 When Calories Don’t Count 8 Blame Your Ancestors 9 Follow the Money 10 Part Three A Better Way Eat with Attention and Joy 11 Sleepwalking Through Dinner 12 Healthy Is Better Than Thin 13 Change Your Lifestyle, Change Your Health 14 Good Habits Beat Good Intentions 15 Acknowledgments Notes Index Introduction S everal years ago, my husband and I visited friends who had two teenage daughters. Both girls were smart, beautiful, and well loved, but only one was thin. Her sister had started gaining weight at puberty, and their parents couldn’t figure out what to do. They’d tried talking to her about portion control and exercise. They’d tried cooking her special food. Nothing slowed her progression from skinny child to voluptuous woman. Their well-meaning concern was making the situation worse. She was reluctant to sit down for meals with the family—and ate almost nothing when she did. But her father told me that food was disappearing from the refrigerator in the middle of the night, and her weight gain continued. Rather than making her thin, her parents’ anxiety was pushing her toward an eating disorder and increasing her odds of gaining more weight. I understood her feelings because I was that teenage girl myself several decades ago, hating myself because I couldn’t satisfy my culture’s expectations for my body. Because I grew up to be a neuroscientist, I also knew about the biology behind her struggles. Considerable evidence shows that dieting— willfully eating less to lose weight—rarely works in the long run, while its unintended side effects do a lot of harm. When I discovered this evidence, after three decades of losing the same fifteen pounds again and again, it transformed my relationship with food. At first I wasn’t sure that changing my approach would work for me, so I tried an experiment. As my New Year’s resolution in 2010, I vowed to go an entire year without dieting or weighing myself and to exercise every day. I was so pleased with the results that I’ve maintained all three habits ever since. My weight used to bounce around a fifty-pound range as I starved or binged my way through the first half of my adult life, but now it remains stable even though I don’t worry about calories anymore. And the research suggests that my experience is typical. If diets worked, we’d all be thin by now. Instead we have enlisted hundreds of millions of people into a war we can’t win, fighting not against an external enemy but against our own bodies. In the United States, 108 million people went on a diet last year—and half of them were within the normal weight range when they started. Yet research shows that dieters almost always regain their lost weight within a few years, no matter which diet plan they follow. In fact, they often regain more weight than they’ve lost. On average, people who go on a diet end up heavier five years later than people of the same initial weight who didn’t diet. Many people are convinced that unless they control their appetite, they will gain weight, get sick, and die young. This common belief gets it backward. Dieting often makes people fatter and less healthy in the long run because it impairs their ability to recognize hunger, which increases vulnerability to emotional eating and food marketing. Research suggests that the resulting cycle of repeatedly losing weight and gaining it back is no better for health than maintaining a higher weight with a healthy lifestyle. Fitness can overcome most of the health risks associated with obesity and also help prevent future weight gain, but only if people don’t quit exercising when they discover that it isn’t making them lose weight. By understanding how the brain regulates weight, we can stop struggling to defeat this control system and learn how to let it help us instead. Just as the body needs a certain amount of sleep, the brain has a body weight range that it prefers and will defend for each individual. The brain’s weight-regulation system will maintain a stable, healthy weight for most people, if it is allowed to do its job without interference. This system mainly operates beneath conscious awareness, influencing hunger and activity in many ways and also changing metabolism by modifying the amount of energy that muscles burn. Lasting weight loss is hard to achieve because when dieting makes a heavy person thinner, the brain responds exactly as it would if a thin person were starving. The result is a powerful mechanism to keep body weight within a certain range. The belief that dieting will control weight is not only mistaken but also dangerous. I wrote this book because I’ve seen too many healthy children turn into diet-obsessed teenagers who are headed for a lifetime of weight cycling and struggles with food. Parents often unwittingly contribute to these problems by hassling kids about their weight or by setting an example of constant anxiety around meals. With the help of a good therapist, our friends’ daughter found a better way to relate to food. I want us all to do that, for our children and for ourselves. Our obsession with weight loss hasn’t made us thin or healthy, so it’s time to try another way. If dieting has failed you, that’s not because you’re a failure but because your brain is working correctly. To find out what to do instead, read on. Part One ________
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