Obesity has assumed epidemic
proportions in many countries in the world. In the United States, two-thirds of
adults are overweight, one-half of whom are obese. Obesity is the leading
preventable cause of death worldwide and has been strongly linked to such diseases
as type 2 diabetes and heart disease. In 1962, James Neel, a prominent research
medical geneticist at the University of Michigan Medical School, proposed the
thrifty gene hypothesis, which sought to explain the tendency of certain ethnic
groups (such as Native Americans) to have obesity and diabetes. With additional
evidence about mechanisms underlying diabetes, the differentiation between type
1 (insulin-dependent) and type 2 (non-insulin dependent) diabetes, and
alternate theories about factors leading to obesity, Neel revised his original
thrifty gene hypothesis in 1998 to be more general, and not diabetes-specific.
Fat was not always viewed negatively;
in fact, it was perceived to confer certain advantages, including serving as a
depot for the long-term storage of energy. Throughout much of human history,
famine, unfavorable climatic conditions, or the absence of prey made the supply
of food for the hunter-gatherer problematic. Humans evolved complex
physiological and genetic systems (such as Neel’s thrifty gene) to protect
against starvation and preserve body fat. In addition, body fat keeps
individuals warmer in the cold, both by serving as insulation and by emitting
heat when burned. Such a situation would have been beneficial when early humans
left the warm climes of Africa and migrated to colder climates—in particular,
northern Europe. Fat also provides physical protection, as is seen in pregnant
women, who add layers of fat to keep their fetus warm and protected.
The thrifty gene theory has been
subject to challenge. In particular, scientists have been unable to find proof
or even evidence for its existence. In its stead, simple, commonsense
explanations for obesity have been offered: over the past century,
energy-saving devices have largely reduced the need for heavy manual labor.
Virtually all experts agree that the contemporary prevalence of obesity is the
result of our relative lack of physical activity and the abundance and
consumption of attractive, unhealthy food choices.
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