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Paul Robinson's Rants

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Diseases of Affluence

The article I link to above is striking. I am very much overweight and have been half my life. I listen out for compelling arguments to help win over my subconscious into letting me eat less and more healthily. I did not consider previously the answer might simply be moving to a non-Western diet. From the article:

Here is our normal: 40 percent of North American adults have metabolic syndrome. The syndrome is caused by being fat, even at levels North Americans would not recognize as abnormal. Obesity prompts the receptors that insulin acts upon to become numb to its effects. As we grow fatter, and insulin resistance proceeds, higher and higher levels of insulin are necessary to get the sugar out of the blood. Eventually, overt diabetes may supervene, as it has for 8 percent of North American adults, a tenfold increase since the turn of the last century. But even prior to the development of diabetes, metabolic syndrome insidiously eats away at the bodies of those it affects.

Metabolic syndrome’s elevated insulin level is why we order a second Whopper; getting fatter, cruelly, stimulates our appetite. It is also why high blood pressure is more common among Westerners, too, and why our cholesterol panels are more alarming. Ultimately and especially, it is why heart attacks are almost unknown among traditional peoples like the Pashtun, while half of us will spend our last minutes with the impression that a large kitchen appliance is sitting on our chests.

Afghans die through causes that are widely considered avoidable—war being chief among those, but also tuberculosis, complications of childbirth, measles, meningococcus and polio. This fact is revealed conclusively by the life expectancy in Afghanistan, the lowest in the world: thirty-nine. Westerners are made ill by diseases the Afghans avoid—even among the very elderly, traditional peoples do not suffer cardiovascular disease—while the Afghans perish from diseases we are too rich to tolerate.

Filed under diet obesity health afghanistan medical essay