Americans believe obesity is the
biggest health threat in the nation today – bigger even than cancer. But though
research shows that diet and exercise are insufficient solutions, a majority
says fat people should be able to summon the will power to lose weight on their
own. The findings are from a nationally representative survey of 1,509 adults
released on 1 November by the National Opinion Research Center at the
University of Chicago, an independent research institute. The study, funded by the
American Society for Metabolic and Bariatric Surgery, found that concerns about
obesity have risen. Just a few years ago, in a more limited survey, cancer was
seen as the most serious health threat. Researchers say obesity, which affects
one-third of Americans is caused by interactions between the environment and
genetics and has little to do with sloth or gluttony. There are hundreds of
genes that can predispose to obesity in an environment where food is cheap and
portions are abundant. Yet three quarters of survey participants said obesity
resulted from a lack of will power. The best treatment, they said, is to take responsibility
for you, go on a diet and exercise. Obesity specialists said the finding went
against evidence about the science behind the disease. It’s frustrating to see
doctors and the general public stigmatizes patients with obesity and blames
these patients, ascribing attributes of laziness or lack of willpower. Among the
survey participants, 94% had tried to lose weight with diet or exercise, to no
avail. A quarter of those people said they had tried five to nine times, and
15% said they had tried more than 20 times. Trying 20 times and not succeeding –
is that lack of willpower, or a problem that can’t be treated with willpower.

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