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Why We Eat (Too Much)

The New Science of Appetite

4.2 (3,235 ratings)
24 minutes read | Text | 9 key ideas
Amid the cacophony of diet fads and weight loss myths, Dr. Andrew Jenkinson's "Why We Eat (Too Much)" emerges as a beacon of truth and clarity. Drawing from two decades of surgical experience and groundbreaking scientific insights, Jenkinson dismantles the misconceptions that have long shackled our understanding of metabolism and appetite. Through vivid case studies and a journey across disciplines—from anthropology to pharmacology—this book reveals the intricate dance between our genes, hormones, and food. Forget starving your way to health; Jenkinson offers a revolutionary perspective that empowers readers to nourish their bodies intelligently, breaking free from the relentless dieting cycle. For anyone seeking a transformative understanding of weight loss, this is not just a book—it's a revelation.

Categories

Nonfiction, Self Help, Psychology, Health, Science, Food, Audiobook, Medicine, Nutrition, Diets

Content Type

Book

Binding

Hardcover

Year

2020

Publisher

Penguin Life

Language

English

ASIN

024140052X

ISBN

024140052X

ISBN13

9780241400524

File Download

PDF | EPUB

Why We Eat (Too Much) Plot Summary

Introduction

Have you ever wondered why some people can eat whatever they want without gaining weight, while others struggle despite their best efforts? The traditional explanation that weight management is simply about "calories in, calories out" turns out to be dramatically oversimplified. Our bodies don't operate like simple bank accounts where deposits and withdrawals of energy follow predictable mathematical rules. Instead, they function as sophisticated biological systems with powerful regulatory mechanisms that actively defend against weight changes. The science of weight regulation reveals that our bodies maintain a preferred weight range, or "set-point," through complex hormonal and metabolic adaptations. When we try to lose weight through dieting, our bodies fight back by slowing metabolism, increasing hunger hormones, and decreasing satiety signals - often for years after weight loss. Understanding these biological mechanisms explains why traditional diets typically fail in the long term and points toward more effective approaches that work with our physiology rather than against it. By exploring the roles of hormones like insulin and leptin, the impact of food quality versus quantity, and how factors like sleep and stress influence our weight, we can develop strategies for sustainable weight management that don't require constant hunger or deprivation.

Chapter 1: The Set-Point Theory: How Your Body Defends Its Weight

Imagine your body has an internal thermostat that regulates your weight much like a home thermostat controls temperature. This biological thermostat, known as your "set-point," works tirelessly to maintain your weight within a predetermined range. When your weight drops below this range, powerful biological mechanisms activate to increase hunger and decrease metabolism. Conversely, when your weight rises above this range, your body increases metabolism and reduces appetite. This explains why most people maintain relatively stable weights over long periods despite not counting calories. Your set-point is primarily controlled by your hypothalamus, a small region in your brain that receives signals from hormones circulating in your bloodstream. These hormones, including leptin (produced by fat cells) and insulin, communicate information about your energy reserves. When functioning properly, this system creates a remarkable balance - you eat when hungry and stop when satisfied, maintaining your weight without conscious effort. This explains why many naturally thin people aren't exercising extraordinary willpower; their bodies simply defend a lower set-point. The set-point theory explains why dieting typically fails long-term. When you drastically reduce calories, your body doesn't recognize that you're trying to fit into smaller jeans - it perceives a potential famine and activates ancient survival mechanisms. Studies show that after significant weight loss, metabolism can slow by up to 20-30% beyond what would be expected from the smaller body size alone. Simultaneously, hunger hormones increase dramatically while satiety hormones decrease. These adaptations can persist for years after weight loss, making maintenance extraordinarily difficult. Your set-point isn't fixed for life but can gradually shift over time. Factors that can raise your set-point include chronic stress, poor sleep, certain medications, environmental toxins, and most significantly, the consumption of highly processed foods. Conversely, improvements in diet quality, stress management, sleep, and physical activity can gradually lower your set-point over time. This explains why some people gain weight during stressful life periods or when moving to countries with different food environments. Understanding the set-point theory revolutionizes how we approach weight management. Rather than fighting against powerful biological forces through willpower and restriction, effective strategies focus on gradually lowering the set-point itself. This means prioritizing food quality over quantity, managing stress, improving sleep, and finding enjoyable forms of movement - approaches that work with your biology rather than against it. While this process takes longer than crash dieting, it creates sustainable changes without triggering the biological adaptations that doom traditional diets to failure.

Chapter 2: Metabolic Adaptation: Why Diets Eventually Fail

When you drastically reduce calories to lose weight, your body doesn't celebrate your commitment to health - it panics. From your body's perspective, a significant calorie reduction signals potential starvation, triggering a sophisticated cascade of metabolic adaptations designed to prevent weight loss and promote weight regain. This biological response explains why approximately 95% of diets fail in the long term, with most people regaining all lost weight within 1-5 years. The most dramatic evidence of metabolic adaptation comes from a landmark study following contestants from "The Biggest Loser" television show. Six years after their dramatic weight loss, researchers discovered that contestants' metabolisms remained suppressed by an average of 500-700 calories per day compared to people of similar size who hadn't lost weight. This meant they had to eat significantly less than others just to maintain their weight, creating a biological environment virtually guaranteed to cause weight regain. Even more concerning, these metabolic adaptations showed no signs of reversing, even years after the initial weight loss. Metabolic adaptation occurs through multiple pathways. Your thyroid hormone production decreases, reducing the energy your cells burn. Your muscles become more efficient, requiring less energy to perform the same activities. Even your unconscious movements - fidgeting, changing posture, maintaining muscle tension - decrease without your awareness. Simultaneously, your body increases enzymes that promote fat storage while decreasing those that burn fat. These changes aren't signs of a broken metabolism but evidence of your body's remarkable ability to adapt to perceived energy scarcity. Alongside these metabolic changes, your hormonal environment transforms to drive increased food intake. Ghrelin, which stimulates appetite, increases by up to 20-30% after weight loss. Meanwhile, satiety hormones like leptin, peptide YY, and GLP-1 decrease significantly. This creates the perfect storm: you burn fewer calories while experiencing more intense hunger. Even more insidiously, these hormonal changes enhance the reward value of food, making previously neutral foods seem irresistibly delicious. Understanding metabolic adaptation explains why willpower-based approaches to weight management typically fail. When you're fighting against powerful biological drives designed to prevent starvation, even the strongest willpower eventually falters. This doesn't mean sustainable weight management is impossible, but it requires strategies that minimize these adaptive responses. Approaches that focus on food quality rather than severe calorie restriction, incorporate intermittent fasting rather than chronic energy deficit, and include resistance training to preserve muscle mass can help mitigate metabolic adaptation while creating healthier relationships with food and body.

Chapter 3: The Hormone Symphony: Insulin, Leptin and Ghrelin

Your weight isn't primarily determined by willpower or conscious food choices but by a sophisticated orchestra of hormones that regulate hunger, satiety, and metabolism. Three key players in this hormonal symphony are insulin, leptin, and ghrelin - each performing distinct roles that collectively determine whether your body stores or burns fat, feels hungry or satisfied, and defends or changes its weight set-point. Insulin, produced by your pancreas, serves as the primary regulator of blood sugar and a powerful director of energy storage. When you consume carbohydrates, your blood sugar rises, triggering insulin release. Insulin then directs glucose into cells for immediate energy or storage. However, insulin does more than manage blood sugar - it's also your body's principal fat-storage hormone. When insulin levels are elevated, fat cells are instructed to store fat and prevented from releasing it for energy. This explains why chronically high insulin levels, often caused by frequent consumption of refined carbohydrates and sugar, can promote weight gain and prevent weight loss regardless of calorie intake. Leptin, discovered in 1994, functions as your body's primary satiety hormone. Produced by your fat cells in proportion to your energy reserves, leptin communicates with your brain about your long-term energy status. When functioning properly, rising leptin levels reduce hunger and increase energy expenditure, while falling levels do the opposite. However, in a condition called leptin resistance, your brain becomes less responsive to leptin's signals despite adequate or excessive production. This creates a mismatch where your brain perceives starvation despite having sufficient energy stores, driving increased hunger and decreased metabolism - a perfect recipe for weight gain. Ghrelin, often called the "hunger hormone," is produced primarily by your stomach when empty. Levels rise before meals, stimulating appetite, and fall after eating. Ghrelin does more than just make you hungry - it also enhances food reward in your brain, making food taste better when you're hungry. After weight loss, ghrelin levels increase significantly and remain elevated for at least a year, explaining the persistent hunger that dieters experience even long after losing weight. The interplay between these hormones explains why traditional calorie-restricted diets typically fail. When you drastically reduce calories, leptin levels fall while ghrelin increases, creating powerful hunger signals. Simultaneously, your body becomes more efficient at storing fat when you do eat. These aren't signs of weak willpower but evidence of sophisticated biological systems working exactly as designed to prevent perceived starvation. Understanding this hormonal symphony reveals why focusing solely on calories misses the bigger picture. Two diets with identical calorie counts can have dramatically different effects on these hormones depending on food quality, meal timing, and macronutrient composition. Strategies that normalize these hormonal signals - such as reducing refined carbohydrates, incorporating protein and healthy fats, and allowing adequate time between meals - can create sustainable weight management by working with your biology rather than against it.

Chapter 4: Food Quality vs. Quantity: The Processed Food Problem

For decades, nutritional science has focused almost exclusively on calories and macronutrients, treating a calorie from broccoli as equivalent to a calorie from a candy bar. This reductionist approach assumes our bodies process all foods identically, regardless of their form or quality. However, emerging research reveals that food quality profoundly influences how our bodies metabolize calories, regulate hunger, and determine weight independently of caloric content. Ultra-processed foods - those manufactured with industrial ingredients and little resemblance to their original form - appear particularly problematic for weight regulation. In a groundbreaking study at the National Institutes of Health, participants were offered either ultra-processed or unprocessed diets matched for calories, macronutrients, sugar, fiber, and sodium. When eating the ultra-processed diet, participants spontaneously consumed about 500 more calories per day and gained weight, despite reporting similar satisfaction levels. When switched to the unprocessed diet, they naturally ate less and lost weight without counting calories. What makes processed foods so problematic for weight regulation? First, they're typically engineered to be hyperpalatable - combining sugar, fat, salt, and flavor enhancers in ratios rarely found in nature. This hyperpalatability can override our natural satiety mechanisms, leading to what scientists call "hedonic eating" - consumption driven by pleasure rather than hunger. Food manufacturers have extensively researched how to create products that maximize consumption, designing foods with precisely calibrated "bliss points" that keep us eating long after nutritional needs are met. Processed foods also affect our metabolism at the cellular level. Many contain industrial seed oils high in inflammatory omega-6 fatty acids, artificial sweeteners that may disrupt gut bacteria, and refined carbohydrates that cause rapid blood sugar spikes followed by crashes. These ingredients can promote insulin resistance, leptin resistance, and chronic inflammation - all conditions that raise the body's weight set-point. Additionally, ultra-processed foods typically require less energy to digest than whole foods, meaning we extract more calories from them than nutrition labels suggest. Perhaps most concerning is how processed foods may alter our gut microbiome - the trillions of bacteria living in our digestive tract that influence everything from metabolism to mood. Studies show that diets high in ultra-processed foods reduce microbial diversity and promote species associated with obesity and inflammation. Conversely, diets rich in whole, minimally processed foods support microbial populations linked to leanness and metabolic health. The implications are profound: by focusing exclusively on calories and ignoring food quality, traditional weight management approaches miss critical factors that influence weight regulation. This explains why some populations eating high-calorie traditional diets maintain healthy weights while others consuming "diet" products struggle with obesity. Shifting focus from how much we eat to what we eat - prioritizing whole, minimally processed foods that our bodies evolved to consume - may be more effective for long-term weight management than perpetual calorie counting.

Chapter 5: Sleep and Stress: Hidden Drivers of Weight Gain

While diet and exercise receive the lion's share of attention in weight management discussions, two powerful influences often remain overlooked: sleep and stress. These factors silently shape our hormonal environment and can either support or sabotage our weight regulation efforts, regardless of how perfectly we follow dietary guidelines. Sleep deprivation has become epidemic in modern society, with nearly one-third of adults regularly getting less than the recommended seven hours. This chronic sleep debt profoundly affects the hormones that regulate hunger and metabolism. Just one night of poor sleep increases ghrelin (the hunger hormone) by approximately 15% while decreasing leptin (the satiety hormone) by 15-20%, creating a hormonal environment that drives increased appetite - particularly for high-carbohydrate, calorie-dense foods. Studies show that sleep-deprived individuals consume an average of 300-550 additional calories per day compared to well-rested counterparts. Beyond affecting hunger hormones, inadequate sleep directly impacts insulin sensitivity. Research demonstrates that just four nights of sleep restriction can reduce insulin sensitivity by 30%, creating a pre-diabetic state in otherwise healthy individuals. This means your body requires more insulin to manage blood sugar, promoting fat storage and raising your weight set-point. The connection is so strong that sleep scientists now consider adequate sleep essential for metabolic health. Chronic stress similarly disrupts our hormonal balance through elevated cortisol levels. While acute stress triggers a useful fight-or-flight response, chronic stress keeps cortisol levels persistently high, which increases blood sugar, promotes abdominal fat storage, and interferes with leptin signaling. This explains why high-stress periods often coincide with weight gain, even without changes in diet or exercise. Additionally, stress often triggers emotional eating as our brains seek the temporary dopamine release that comes from consuming palatable foods. The modern environment exacerbates these issues in numerous ways. Artificial lighting, especially the blue light from electronic devices, suppresses melatonin production, disrupting our circadian rhythms and sleep quality. Meanwhile, our constantly connected lifestyle creates unprecedented levels of psychological stress while reducing opportunities for recovery and relaxation. The combination creates a perfect storm for metabolic dysregulation. Addressing these hidden triggers often yields surprising results for weight management. Prioritizing sleep hygiene - creating a dark, cool sleeping environment, establishing consistent sleep schedules, and limiting screen time before bed - can normalize hunger hormones and improve insulin sensitivity. Similarly, incorporating stress-reduction practices like mindfulness meditation, deep breathing exercises, or regular time in nature can lower cortisol levels and reduce stress-driven eating. What makes these factors particularly important is that they influence your weight set-point independently of calorie intake. By optimizing sleep and managing stress, you can create a hormonal environment that naturally supports a lower weight set-point, making weight management less of a constant struggle against powerful biological drives.

Chapter 6: The Omega Balance: Essential Fats and Metabolism

Hidden within the cells of your body lies a critical imbalance that may be sabotaging your weight management efforts. This imbalance involves two types of essential fatty acids - omega-3 and omega-6 - that play vastly different roles in your metabolism, inflammation levels, and ultimately your weight regulation. These polyunsaturated fats are called "essential" because your body cannot manufacture them; they must come from your diet. Throughout human evolution, we consumed these fats in a roughly balanced ratio, obtaining omega-3s from green plants, wild game, and seafood, and omega-6s primarily from nuts and seeds. This balance played crucial roles in regulating inflammation, cell membrane function, and hormone signaling. The modern Western diet has dramatically altered this balance. Since the 1970s, when dietary guidelines first recommended replacing saturated fats with vegetable oils, our consumption of omega-6 fats has skyrocketed while omega-3 intake has declined. The typical American now consumes these fats in a ratio of 15:1 or even 20:1 (omega-6 to omega-3), compared to the 1:1 or 4:1 ratio our ancestors consumed and that remains in populations with low rates of obesity. This imbalance affects your weight through multiple mechanisms. First, excessive omega-6 consumption promotes cellular inflammation when consumed in excess, particularly through compounds called eicosanoids. This chronic low-grade inflammation can interfere with insulin signaling and leptin sensitivity, both critical for healthy weight regulation. Essentially, inflammation makes your body's weight-regulating hormones less effective. Second, the composition of your cell membranes directly reflects the fats you consume. When omega-6 dominates these membranes, they become less fluid and responsive to insulin, requiring your pancreas to produce more insulin to achieve the same effect. Since insulin is a primary fat-storage hormone, chronically elevated levels promote weight gain and make weight loss more difficult. Perhaps most fascinating is how omega fats influence your endocannabinoid system - the same system affected by cannabis. Omega-6 derivatives activate this system, increasing appetite and enhancing food reward, while omega-3s have the opposite effect. This explains why some studies show that simply correcting this fatty acid balance can reduce appetite and food cravings without conscious restriction. The primary sources of excessive omega-6 in modern diets are industrial seed oils - soybean, corn, cottonseed, safflower, and sunflower oils - which are ubiquitous in processed foods, restaurant meals, and even home cooking. These oils were virtually nonexistent in human nutrition until the 20th century but now constitute a significant portion of our caloric intake. Meanwhile, our consumption of omega-3 rich foods has decreased, creating the perfect storm for metabolic dysfunction. Correcting this imbalance doesn't require eliminating all omega-6 fats, which are essential in proper amounts. Rather, it involves reducing processed vegetable oils, increasing omega-3 sources like fatty fish, pastured animal products, and leafy greens, and choosing whole foods over processed alternatives. This approach addresses a fundamental aspect of metabolism that calorie-focused approaches completely overlook.

Chapter 7: Beyond Willpower: Creating a Supportive Food Environment

The conventional narrative about weight management focuses almost exclusively on individual choices and willpower - eat less, move more, show more discipline. Yet this perspective fails to explain why obesity rates have tripled worldwide since 1975 despite unprecedented interest in dieting and exercise. The answer lies not in a global decline of willpower but in profound changes to our food environment that have fundamentally altered how, what, and when we eat. Our modern food landscape bears little resemblance to the one our bodies evolved to navigate. For most of human history, obtaining sufficient calories required considerable effort - hunting, gathering, farming, and preparing food from scratch. Today, hyper-palatable, energy-dense foods are available 24/7 with minimal effort. The average supermarket contains over 40,000 products, most of which are processed combinations of sugar, salt, fat, and flavor enhancers specifically designed to maximize consumption. This engineered food environment exploits vulnerabilities in our brain's reward system. Foods combining sugar and fat in ratios rarely found in nature can override normal satiety signals by triggering dopamine release in the brain's reward centers. Food manufacturers have extensively researched how to create "hyperpalatable" products that maximize this effect, designing foods with precisely calibrated "bliss points" that keep us eating long after nutritional needs are met. These aren't simply "less healthy" versions of traditional foods - they're fundamentally different substances that interact with our biology in novel ways. Marketing and social cues further shape our eating behavior. The average child sees 10,000-15,000 food advertisements annually, mostly promoting the most problematic food categories. Portion sizes have expanded dramatically - today's average restaurant meal is four times larger than in the 1950s. Even our eating patterns have changed, with snacking between meals becoming normalized and eating opportunities multiplied throughout the day. The solution isn't simply more willpower but creating environments that support rather than undermine healthy choices. This means structuring your personal food environment to make nutritious choices easier and problematic foods less accessible. Practical strategies include keeping only whole, unprocessed foods in your home, preparing meals in advance when motivation is high, and establishing routines that reduce decision fatigue around food. Social environments also powerfully influence eating behavior. Research shows that we eat 35-75% more when dining with others and tend to mirror the food choices of those around us. Creating social connections that support rather than undermine health goals can significantly impact long-term success. This might mean finding exercise partners, cooking clubs focused on healthy meals, or online communities that share similar health values. This environmental perspective explains why individual interventions so often fail when people must constantly navigate an environment designed to maximize consumption. It also offers hope by suggesting that sustainable weight management doesn't require superhuman willpower but rather thoughtful environmental design that makes healthy choices the path of least resistance. By creating surroundings that support rather than undermine your goals, you can achieve sustainable changes without the constant struggle that dooms most conventional approaches.

Summary

The science of weight regulation reveals a profound truth: our bodies actively defend a predetermined weight range through sophisticated biological mechanisms that operate largely beyond conscious control. This weight "set-point" is influenced by genetics, food quality, stress levels, sleep patterns, and environmental factors rather than simply calories consumed versus expended. When we understand that weight regulation happens primarily at the biological level - through hormones like leptin, ghrelin, and insulin that control hunger, satiety, and metabolism - we can stop blaming ourselves for failed diets and start working with our physiology instead of against it. The most effective approaches for sustainable weight management focus on gradually shifting the set-point itself through improved food quality, strategic meal timing, stress reduction, adequate sleep, and consistent movement patterns. This means prioritizing whole, unprocessed foods that normalize hormonal signals, creating environments that support healthy choices, and addressing the often-overlooked factors like omega fatty acid balance that influence metabolism at the cellular level. While this approach typically produces slower results than crash dieting, it creates lasting changes without triggering the powerful biological adaptations that cause weight regain. What if weight management isn't primarily about discipline but about creating conditions that allow your body's natural regulatory systems to function properly? How might our relationship with food and our bodies change if we focused less on fighting against our biology and more on supporting its innate wisdom?

Best Quote

“This man was guilty as charged. He was fat because he ate too much and he ate too much because he was a glutton. He had committed one of the seven deadly sins in full public view and showed no remorse.” ― Andrew Jenkinson, Why We Eat (Too Much): The New Science of Appetite

Review Summary

Strengths: The book provides a beginner-friendly guide to metabolism, with scientifically backed tips that are easy to understand. The advice on diet is practical, emphasizing a Mediterranean diet, mindful eating, and sustainable weight management. Weaknesses: The review expresses disappointment with the limited information on sugar consumption and cravings. It also criticizes the book's stance against endurance exercise, which may not align with the preferences of long-distance runners. Additionally, the promotion of dairy and meat as "healthy" foods is not agreeable to plant-based eaters. Overall Sentiment: Mixed Key Takeaway: The book offers insightful, science-based guidance on metabolism and sustainable dieting, though it may not fully cater to those seeking detailed information on sugar and carb consumption or those following a plant-based diet.

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Andrew Jenkinson

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Why We Eat (Too Much)

By Andrew Jenkinson

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