In my medical anthropology class, we’ve been reading Gina Kolata’s Rethinking Thin: The New Science of Weight Loss and the Myths and Realities of Dieting. Kolata argues for a biological approach to obesity, that weight is largely under genetic control and that there is no ideal diet which is going to help all people lose weight. In other words, Kolata is taking up the “nature” side of the nature/nurture debate, with a direct critique of the idea that if overweight people could simply use their willpower and follow the age-old recommendation of eat less and exercise more, they would be ideally thin like the beautiful people we see on television—the Brad Pitts and Angelina Jolies of the world.
Kolata sums up these points in a very amusing interview on The Colbert Report. As Fat Fu summarizes about Kolata, “you can actually learn something about the state of the science. And which don’t conclude with exhortations to diet or insinuations that fat people are lazy and ignorant. In fact she doesn’t think diets work.”
I like Kolata’s book, which is why I assigned it in my class. And I certainly see the weight of the evidence as supporting many of her main points: heritability and biological regulation of body weight, as well as the absurdity of an “ideal diet” that will simply work for everyone (that’s called ideology, folks). But Kolata gives us an approach that recreates the mind/body and culture/biology dichotomies, and resorts to a genetic determinism that both obscures the genetics and doesn’t leave much room for anthropology. For example, she uses one study, a classic one by Stunkard et al. in 1990, to tell us that “70 percent of the variation in people’s weight’s may be accounted for by inheritance,” which is greater heritability than with “mental illness, breast cancer or heart disease.”
I’ll admit, I am not the biggest fan of twin studies. They are generally done in western populations without much variance in environment or development and with relatively homogenous populations. In public, these researchers generally claim the higher range of heritability estimates. And perhaps most bothersome, these studies seem to provide us with a “why” that is not really there—“genetic” becomes tantamount to cause.
