Oprah -- yes, THE Oprah -- recently made headline news with her $43 million dollar investment in the diet company Weight Watchers. She also announced that she is now actively participating in their famous “points” program. While I admire her for being so public with her weight struggles over the years, I started thinking about why some individuals spend half their lives trying to lose weight and keep it off, and others never count a calorie (or point or carb) in their entire life.
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Recently, I was speaking with a student about income and weight in the United States, and he described the difference he saw between his hometown in rural California, where many people appeared obese, and Cambridge (and especially Harvard), where seeing someone with overweight or obesity was a rarity. While it’s true that in the United States, socioeconomic status and rates of obesity tend to be inversely related – with lower-income groups tending to have higher obesity rates, and vice versa – other, rapidly developing countries are wrestling with high rates of both underweight and obesity, also known as the dual burden.
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