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OBESITY: WHAT GOES WRONG?
It is unlikely that there is any one cause for obesity. In some obese people overeating is the obvious explanation; alcohol abuse is another common cause. A gram of alcohol provides nearly twice as many Calories as a gram of starch. In the background there is sometimes an occupational hazard (being a cook, an expense-account businessman, a house-bound mother). But it is all too easy to ascribe obesity to gluttony, sloth or both. This is a floral attitude, not a scientific one (and probably confined to thin moralizers too!).
Social factors are important. Women and girls from underprivileged homes are especially prone to obesity. Emotional factors play an obvious part. Depression can lead to increase or loss of appetite. Childhood obesity is commoner in only children, in the children of older mothers and in one-parent families. A child can all too easily be taught that food is comforting. Lack of exercise is certainly important: fat people are less active than thin ones. Even if the inactivity has not been shown to cause the obesity there is no doubt that it helps perpetuate it. The man who used to walk a mile a day, and then gives this up, will gain about 6 lb each year thereafter (unless he starts to eat less).
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