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...thousands of books published on obesity, body weight is the result of a pretty simple equation: calories taken in vs. calories expended. Over the past few decades, the entire American environment has become much more obesogenic, or obesity-supporting. Think of the ever increasing supply of fast-food outlets, where meal sizes have ballooned, or the fact that simple physical activity has been largely eliminated from the daily lives of children, who ride in cars where their grandparents might have walked and entertain themselves with an array of sedentary electronic pastimes that didn't even exist a generation...

Author: /time Magazine | Title: It's Not Just Genetics | 6/12/2008 | See Source »

...recent visit to Children's Hospital, 38-year-old Rachel (who, like many parents at this and other weight-loss clinics, prefers to use first names only with outsiders in order to protect her child's identity) listened to the changes she'd have to make in her 4-year-old son's diet and seemed a little daunted. "I'm still trying to process it all," she said a few days later. But Rachel's child is more fortunate than many of Ludwig's patients. The family lives in Brookline--in fact, right next to a Whole Foods store...

Author: /time Magazine | Title: It's Not Just Genetics | 6/12/2008 | See Source »

...obesogenic environment is responsible for our national weight problem, how can we fix our surroundings so we fix our health? "We have to realize that we're not going to get anywhere in getting people to eat healthy and be more physically active until we create an environment that supports that," says James Hill, director of the Center for Human Nutrition at the University of Colorado Health Sciences Center...

Author: /time Magazine | Title: It's Not Just Genetics | 6/12/2008 | See Source »

...Health Improvement, the state in 2004 began tracking the BMI of more than 400,000 children, sending home confidential health reports to parents. BMI is an imperfect metric since it often mistakes a stocky or muscular kid for an obese one, but as a quick way to spot weight problems it can reveal a lot. Officials also eliminated junk-food vending machines in all elementary schools--a policy that's becoming more common around the U.S.--and added half an hour of daily physical education to the school curriculum. The plan has had its critics, but Thompson knows that without...

Author: /time Magazine | Title: It's Not Just Genetics | 6/12/2008 | See Source »

Perhaps it's American to take caveat emptor as our creed, to let the junk food we so clearly love flow freely into the marketplace--and if you can't be bothered to hunt up some vegetables or take a jog now and then, your weight problems are your own. But if that philosophy seems harsh when we're dealing with adults--not to mention blind to the enormous health-care costs that will burden the nation--it's positively heartless toward children. An Oglala Sioux on the reservation, a first-generation Hispanic American in L.A., a poor white...

Author: /time Magazine | Title: It's Not Just Genetics | 6/12/2008 | See Source »

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