We don't need a complicated explanation, the simple factual explanation for Americans being the fattest people in the world is, they eat more calories than anyone else.
We don't need a complicated explanation, the simple factual explanation for Americans being the fattest people in the world is, they eat more calories than anyone else.
That's not an answer, though. Or at least not a root cause.
Why are American portion sizes bigger?
Why do I need to eat more American food to be satiated?
In China, I'm regularly taken out to banquets, where people stuff themselves until they can't eat anymore. I do too. I still lose weight. Other places, we feast too. I'm then full for a long time.
In the US, I'm back to hunger pangs a lot more quickly.
What does it mean to engineer satiety? An example is Doritos, they are a food which has been very effectively engineered to compel more consumption without making you full. More consumption and less satiety equals more revenue. Lots of American junk food is engineered with this principle in mind.
A roast duck with some rice and vegetables or something at a banquet will have much better satiety per calorie than Doritos and Hot Pockets, or most typical fast food meals, probably even fast casual meals etc.
That's very insightful.
What I don't quite understand, though, is the lack of satiety even from American food not engineered like this. There's a big difference between basic foods like meats and vegetables between the industrial crops of the US and ones from local farms in less industrialized countries.
My hypothesis -- with zero evidence -- is that industrial foods are lower on some nutrient my body needs, and my body wants to eat to get enough.
Protein is notably declining across staples. Protein is not substitutable like carbohydrates. Meaning that your body will trigger you to eat until you get enough protein. Conversely, if you have an abundance of protein and the various micronutrients or vitamins your body can happily convert protein to carbohydrates via ketogenesis. One can subsist on a nearly complete protein diet so long as nutrient deficiencies causing diseases like scurvy are addressed. The same is not true of fat or carbs.
But portion sizes are very small. Workers doing heavy construction work will have a large bowl of pho for lunch. That's like 400-500 calories. They are super lean and muscular.
3,600 calories per day is the maintenance weight for 350lbs man who exercises 1-3 days per week.
Depending on distributions there’s some wiggle room, but if the average calorie consumption were anywhere near that high you’d expect to be average weight to be about 150 lbs more than it is.
That's why kids who grow up eating unhealthy can look healthy for a while, but eventually they look like their parents. And once the body is out of buffer, any extra calory goes straight into storage
Basal metabolic rate does go down with age, but basal metabolic rate and total energy expenditure are mostly stable between 20-60. The basal metabolic rate of a 60 year old is about 120 calories less than that of a 20 year old. And actual maintenance calories are 200-300 lower for people with low to moderate exercise.
What happened is that the kid is either eating more, or is exercising less.
A normal 20 year old who isn’t an exercising a significant amount can’t regularly eat 3600 calories and maintain a healthy weight. That is to say, the average 20 year old with a healthy BMI who exercises 1-3 times per week will gain somewhere around 2 lbs per week eating 3600 calorie per day. They’ll gain less over time if they don’t start eating more as they get closer to 350lbs because their maintenance weight will go up.
And despite individual variation in BMR, I haven’t heard any evidence that some people have the ability to significantly ramp up their metabolism in response to consuming more calories.