NancyLebovitz comments on Critiquing Gary Taubes, Part 1: Mainstream Nutrition Science on Obesity - Less Wrong

13 Post author: ChrisHallquist 25 December 2013 06:27PM

You are viewing a comment permalink. View the original post to see all comments and the full post content.

Comments (99)

You are viewing a single comment's thread. Show more comments above.

Comment author: NancyLebovitz 27 December 2013 03:48:23AM 2 points [-]

I think it reflects very little. Let's see how cutting down on saturated fat works out for you. Even if it works out well (best wishes), you've got a weird metabolism, so what works for you is not a lot of information about what works for people in general.

Comment author: Eliezer_Yudkowsky 27 December 2013 05:27:00AM 8 points [-]

"Cut out saturated fat" is the stereotypical horrible purely-made-up bad-science zombie-study opposite-of-smart advice of exactly the sort Gary Taubes was criticizing. It's one of the worst possible bits of advice you could give someone. It's probably not my comparative advantage to go into at length here, browsing paleo blogs (and I do recommend Perfect Health Diet despite the name) would fill you in.

Comment author: NancyLebovitz 27 December 2013 05:53:22AM 4 points [-]

Sorry, I clearly misunderstood your point.

On the other hand, I'm not sure what your point was. Would you be willing to expand on what you meant?

Comment author: jaime2000 28 December 2013 01:20:22AM *  11 points [-]

ChrisHallquist claims that Taubes is attacking a misrepresentation of what mainstream nutrition experts actually believe. Eliezer met an endocrinologist, and she just happened to spout horrible advice of the kind Taubes attributes to the mainstream. This is more likely to happen in worlds in which Taubes is correct about such advice being widespread among the mainstream than in worlds in which Taubes is exaggerating the spread of such advice.

Comment author: hyporational 27 December 2013 05:55:48AM 0 points [-]

It's one of the worst possible bits of advice you could give someone.

Really? Is it that saturated fat is actually good for you, or that it isn't necessarily bad? Would you recommend more saturated fat to a thin healthy person who has no trouble with their food intake?

Comment author: James_Miller 27 December 2013 05:31:14PM *  4 points [-]

Yes, Paleo people and the Perfect Health Diet book would recommend that most Americans consume more healthy saturated fats such as the kind in butter from grass-fed cows. I put such butter in my morning coffee.

Most Americans get about the optimal amount of calories from protein, so if you cut out most sugar you have to replace the calories from somewhere else and the Perfect Health Diet suggests they come from healthy fats.

Comment author: EHeller 27 December 2013 06:23:10PM 2 points [-]

You know of any evidence replacing those calories with saturated fat is better for you then replacing them with (cis) polyunsaturated fats?

Comment author: James_Miller 27 December 2013 06:51:34PM 2 points [-]

It's in the book the Perfect Health Diet.

Comment author: hyporational 27 December 2013 06:56:35PM 1 point [-]

What makes it a reliable source compared to others?

Comment author: James_Miller 27 December 2013 07:03:41PM 1 point [-]

From what I can tell, yes, although I'm an economist not a life science person.

Comment author: hyporational 27 December 2013 07:23:19PM 3 points [-]

I think you misread my question.

Comment author: James_Miller 27 December 2013 07:39:41PM 4 points [-]

Sorry I did. It has the look and feel of science. It takes evolution as a starting point, basically as a source of Bayesian priors. It has lots of scientific citations. It uses probabilistic reasoning where the authors admit they are guessing at what is healthy. It uses marginal analysis assuming diminishing and then negative returns to eating any given nutrient. I've listened to one of the authors on several podcasts and he seems very knowledgeable when answering questions. The paleo community seems to have a high opinion of the book.

Comment author: brazil84 28 December 2013 07:50:10AM 2 points [-]

Really? Is it that saturated fat is actually good for you, or that it isn't necessarily bad? Would you recommend more saturated fat to a thin healthy person who has no trouble with their food intake?

I think this is an important question and I would refer you to the concept of "nutritionism" as described by Yoni Freedhoff, a Canadian obesity researcher. He defines it as "the notion that specific properties of foods are sufficient to make them healthy"

I've been thinking about this stuff a lot, and it occurs to me that a lot of diet thinkers are guilty of the sin of nutritionism.

To illustrate, everyone knows that doughnuts are unhealthy, but one can ask why exactly they are unhealthy.

Is it that they contain a lot of fat?

Is it that they contain a lot of carbohydrates?

Is it that they contain a lot of sugar?

Is it that they are heavily processed and not what cavemen would have eaten?

It's dangerous to answer these questions incorrectly. If you assert that muffins are unhealthy because they contain a lot of fat, it won't be long until someone shows up with low fat muffins and people start pigging out on them.

Perhaps the most extreme example of nutritionism is diet soda. It contains, no fat, no carbohydrates, and no calories. So you would think people could easily achieve significant and lasting weight loss success by switching from regular soda (and juice) to diet soda. But it doesn't seem to work.

Comment author: hyporational 28 December 2013 09:08:23AM *  4 points [-]

Let's make this a bit more complicated by adding a few questions. By nutrients I will refer to both micro- and macronutrients. You may allow this to refer to indigestible substances and artificial flavors as well.

Is it that they replace healthier food?

  • They contain a lot of calories and contain few micronutrients compared to macronutrients.
  • They might taste better than other foods, and might make healthier foods taste bland in comparison.

Is it that they regulate appetite differently?

  • They might taste better than other foods, and people would eat them past satiety because they enjoy their taste.
  • Different nutrients might regulate satiety differently.
  • Different flavors might regulate satiety differently, and this is relevant to zero calorie artificial flavors.

Is it that they regulate digestion differently?

  • The effectiveness of absorbing different nutrient ratios might vary in different portions and timescales.
  • Different nutrients might regulate different digestive excretions differently.
  • Different flavors might regulate different digestive excretions differently.
  • Different nutrients might regulate the effectiveness of enterohepatic circulation differently.
  • Different nutrients might lead to different bacterial normal flora in the gut.

Is it that they regulate metabolism differently?

  • Different nutrients might be inherently different in how effectively they can be used to store fat.
  • Different nutrients might regulate the efficiency of metabolism differently through increasing or diminishing thermogenic waste metabolism.
  • Different flavors might regulate metabolism differently, either directly through taste or through hormonal changes from digestion, and this again is relevant to zero calorie artificial flavors.

Is it that they regulate where the fat is stored?

  • The fat might be stored evenly, abdominally or in the proximity of different vital organs.
  • Fat stored in different locations in the body might have different health effects.

Is it that they regulate physical activity differently?

--

  • Does one's body composition affect how these questions are answered and are there other important individual differences?
  • How interconnected are these questions and in where exactly are the relevant nodes?
  • Are there nodes where many of these questions can be answered at once?
  • Does the fact that different diets lead to different results in weight loss allow us to make accurate assessments of which nodes are affected, or is our level of understanding of the human body inadequate for that?

I'm sure people can add even more relevant questions to this bunch, and I would be interested to read them.

Comment author: brazil84 28 December 2013 02:56:38PM 0 points [-]

Yes those are good questions. In answering them, I think one should keep in mind that nobody has ever invented an effective diet doughnut. This suggests to me that it's not a matter of adding some nutrients to the doughnut recipe; that the problem is inherent in the doughnut.

By analogy, one can look at the attempts to create a non-addictive morphine. Which resulted in heroin. Oops! Probably it is impossible to create a non-addictive morphine because the analgesic aspect of morphine is exactly what makes it addictive.

Although AFAIK there is not scientific consensus on this point, I'm pretty confident it's a similar problem with foods like doughnuts. They just make you feel too good. And that screws up something in your brain.

Comment author: hyporational 28 December 2013 03:09:31PM *  4 points [-]

Opiates are relatively non-addictive if their use is regulated intelligently, which for some reason all people can't reliably do themselves. I think the same might make sense for certain foods. I can eat a doughnut every once in a while just fine, but if I started binging them it might be difficult to stop. Same applies to nicotine, caffeine, alcohol, video games and movies for me too.

Comment author: brazil84 28 December 2013 07:07:29PM 0 points [-]

Opiates are relatively non-addictive if their use is regulated intelligently, which for some reason all people can't reliably do themselves.

The question of what is or isn't addictive and why is important but it's a little beside the point. I am happy and perhaps eager to discuss addiction in the context of dieting and obesity, but at the outset we need to agree on a definition of "addiction."

My point in bringing up heroin is that it's basically impossible to separate the good aspects (analgesic) and bad aspects (addictiveness) of morphine because both qualities are the result of the same mechanism. Analogously, it's (in my opinion) impossible to separate the good aspects (tastiness) and bad aspects (fatteningness) of foods like doughnuts because both qualities are evidently a result of the same mechanism.

Actually I am tempted to go further than that and hypothesize that in both cases a big part of the problem is the part(s) of one's brain which process pleasurable experiences.