A Big Fat Crisis: The Hidden Forces Behind the Obesity Epidemic--and How We Can End It

A Big Fat Crisis: The Hidden Forces Behind the Obesity Epidemic--and How We Can End It

by Deborah Cohen

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A Big Fat Crisis: The Hidden Forces Behind the Obesity Epidemic--and How We Can End It by Deborah Cohen

Obesity is the public health crisis of the twenty-first century. Over 150 million Americans are overweight or obese, and across the globe an estimated 1.5 billion are affected. In A Big Fat Crisis, Dr. Deborah A. Cohen has created a major new work that will transform the conversation surrounding the modern weight crisis. Based on her own extensive research, as well as the latest insights from behavioral economics and cognitive science, Cohen reveals what drives the obesity epidemic and how we, as a nation, can overcome it.

Cohen argues that the massive increase in obesity is the product of two forces. One is the immutable aspect of human nature, namely the fundamental limits of self-control and the unconscious ways we are hard-wired to eat. And second is the completely transformed modern food environment, including lower prices, larger portion sizes, and the outsized influence of food advertising. We live in a food swamp, where food is cheap, ubiquitous, and insidiously marketed. This, rather than the much-discussed "food deserts," is the source of the epidemic.

The conventional wisdom is that overeating is the expression of individual weakness and a lack of self-control. But that would mean that people in this country had more willpower thirty years ago, when the rate of obesity was half of what it is today! The truth is that our capacity for self-control has not shrunk; instead, the changing conditions of our modern world have pushed our limits to such an extent that more and more of us are simply no longer up to the challenge.

Ending this public health crisis will require solutions that transcend the advice found in diet books. Simply urging people to eat less sugar, salt, and fat has not worked. A Big Fat Crisis offers concrete recommendations and sweeping policy changes-including implementing smart and effective regulations and constructing a more balanced food environment-that represent nothing less than a blueprint for defeating the obesity epidemic once and for all.

Product Details

ISBN-13: 9781568584720
Publisher: PublicAffairs
Publication date: 01/06/2015
Edition description: First Trade Paper Edition
Pages: 272
Product dimensions: 5.50(w) x 8.90(h) x 0.80(d)

About the Author

Deborah A. Cohen, MD, is a senior natural scientist at the RAND Corporation. Cohen received her BA at Yale University, MPH in epidemiology from the UCLA School of Public Health, and her MD from the School of Medicine, University of Pennsylvania. She has served on several advisory panels for the National Institutes of Health (NIH) and was a Fulbright Senior Scholar in Brazil. She lives in Santa Monica, California.

Table of Contents



Chapter 1. It’s Not Your Fault
Chapter 2. The Limits of Self-Control
Chapter 3. The Overwhelmed Brain
Chapter 4. Eating Is Automatic


Chapter 5. Abundant and Cheap
Chapter 6. A Food Desert? Try a Swamp
Chapter 7. Marketing Obesity


Chapter 8. A Plea for Change: We Are All in This Together
Chapter 9. A Safer Food Environment
Chapter 10. The Supermarket of the Future
Chapter 11. Fit and Fat: What About Physical Activity?
Chapter 12. In the Meantime: What Individuals Can Do
Chapter 13. Conclusion

Appendix: Healthier Meal Guidelines for Adults and Children
Frequently Asked Questions

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