Gary Taubes โ€” 'Why We Get Fat'

What this video covers

A full-length lecture Taubes delivered at George Brown College in Toronto in 2017, laying out the argument of his book Why We Get Fat for a culinary and health audience. Taubes traces how he came to question the energy-balance account of obesity, tests that account against everyday observations โ€” fat distribution, puberty, animal breeds โ€” and presents his alternative: obesity as a disorder of fat accumulation regulated by hormones, above all insulin.

Key points

  • Taubes describes spending five years researching the primary literature back to the 19th century, and says he approached obesity as a journalist asking why public health had made zero progress against the epidemics of obesity and diabetes.
  • Taubes says US diabetes prevalence rose roughly 700% since 1960, which he argues is incompatible with the claim that medicine understands what causes the disease.
  • Taubes argues the energy-balance hypothesis cannot explain where fat is stored: why men gain fat above the waist, women below it, or why puberty makes boys leaner and more muscular while girls gain fat in specific places โ€” patterns he says are plainly governed by hormones.
  • Taubes uses dairy and beef cattle as an analogy: genes determine whether incoming energy is partitioned into milk, muscle, or fat, and he argues the same fuel-partitioning question โ€” not intake โ€” is the real question in human obesity.
  • Taubes quotes Harvard nutritionist Jean Mayer’s 1954 warning that explaining obesity by overeating merely restates the problem, comparing it to explaining alcoholism by chronic overdrinking.
  • Taubes presents his alternative hypothesis: obesity is a disorder of excess fat accumulation, so the scientific question is what regulates fat accumulation โ€” and on that view, overeating is a compensating effect of getting fat, not its cause.
  • Taubes also argues, citing his book The Case Against Sugar, that sugar can explain the great majority of diabetes โ€” positioning his claim against Rob Lustig’s more modest estimate, which he references from the same event.

Featuring Gary Taubes ยท The Centre for Hospitality and Culinary Arts at George Brown College ยท September 11, 2017 ยท 70,718 views ยท 1:01:25

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