Jonathan Engel. (2018). Fat Nation: A History of Obesity in America. Rowman & Littlefield Publishers.

Jonathan Engel. 2018. Fat Nation: A History of Obesity in America. Rowman & Littlefield Publishers.

Jonathan Engel, Fat Nation: A History of Obesity in America. Rowman & Littlefield Publishers, 2018.

Jonathan Engel. Fat Nation: A History of Obesity in America. Rowman & Littlefield Publishers, 2018.

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   • bioText:

     Jonathan Engel is professor of health policy and management at the Marxe School of Public and International Affairs at Baruch College, CUNY. He has taught previously at Seton Hall University, the Mailman School of Public Health at Columbia University, and at the School of Public Health at the University of Massachusetts. He served as a staff historian on the President's Advisory Committee on Human Radiation Experiments, and as the lead author on multiple HIV needs assessments for the city of Newark. In addition, he has conducted strategic design projects for the Kings County Hospital Center, the United Neighborhood Houses of New York, the Edwin Gould Services for Children and Families, and Creative Cities International. His books include Doctors and Reformers, (2002); Poor People's Medicine, (2006); The Epidemic: A History of AIDS, (2006); American Therapy: The Rise of Psychotherapy in the United States, (2008); and Unaffordable: American Healthcare from Johnson to Trump (2018).

   • name: Jonathan Engel

publishDate

2018-11-30T00:00:00-05:00

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title

Fat Nation

fullDescription

The diet and weight-loss industry is worth $66 billion – billion!! The estimated annual health care costs of obesity-related illness are 190 billion or nearly 21% of annual medical spending in the United States. But how did we get here? Is this a battle we can't win? What changes need to be made in order to scale back the incidence of obesity in the US, and, indeed, around the world? Here, Jonathan Engel reviews the sources of the problem and offers the science behind our modern propensity toward obesity. He offers a plan for helping address the problem, but admits that it is, indeed, an uphill battle. Nevertheless, given the magnitude of the costs in years of life and vigor lost, it is a battle worth fighting.

Fat Nation is a social history of obesity in the United States since the second World War. In confronting this familiar topic from a historical perspective, Jonathan Engel attempts to show that obesity is a symptom of complex changes that have transpired over the past half century to our food, our living habits, our life patterns, our built environments, and our social interactions. He offers readers solid grounding in the known science underlying obesity (genetic set points, complex endocrine feedback loops, neurochemical messengering) but then makes the novel argument that obesity is a result of the interaction of our genes with our environment. That is, our bodies have always been programmed to become obese, but until recently never had the opportunity to do so. Now, with cheap calories ubiquitous (particularly in the form of sucrose), unwalkable physical spaces, deteriorating rituals and norms surrounding eating, and the withering of cooking skills, nearly every American daily confronts the challenge of not putting on weight. Given the outcomes, though, for those who are obese, Engel encourages us to address the problems and offers suggestions to help remedy the problem.

reviews

1. • premium: False
   • source: Library Journal
   • content: This ambitious effort from U.S health and social welfare policy scholar and CUNY professor Engel details the cultural history of U.S. obesity. The author argues that critical changes to the workforce and the decentralization of communities, paired with the introduction of technology, most notably automation, have drastically contributed to a rise in obesity in post–World World II America.
2. • premium: False
   • source: Choice Reviews
   • content: Recommended: Fat Nation provides a comprehensive and engaging analysis of the reasons behind the obesity crisis in the US. Although popular messages suggest that obesity is a function of lack of willpower or unwise choices about diet and exercise, Engel (health policy and management, Baruch College, CUNY) steps back and considers the larger historical and social context. He documents the magnitude of the obesity problem, including its harmful consequences for both individual health and national healthcare expenditures. He then explores the reasons behind the crisis, citing complex social changes of the past century, including the movement from physical to sedentary work and the decentralization of communities accompanied by reliance on car travel (rather than walking). He offers innovative and occasionally controversial strategies for eradicating obesity, most notably changing how food today is produced, regulated, and consumed, and redesigning neighborhoods and transportation systems. Importantly, he recognizes that "willpower" is not enough. Economic and workplace policies must mitigate the relentless demands of work and family, which may lead even well-intentioned Americans to eat more and move less than they would like. This thought-provoking read will enrich courses including medical sociology, public health, history of medicine, and nutrition
3. • premium: False
   • source: Peter Stearns, George Mason University, Professor, George Mason University
   • content:

     This is a comprehensive effort to combine recent history with scientific analysis to explain how American obesity reached its current point and what might be done about it. While a few points will spur debate, the approach is admirably comprehensive and dispassionate.

4. • premium: True
   • source:
   • content:

     November 15, 2018
     

     This ambitious effort from U.S health and social welfare policy scholar and CUNY professor Engel (Unaffordable: American Healthcare from Johnson to Trump) details the cultural history of U.S. obesity. The author argues that critical changes to the workforce and the decentralization of communities, paired with the introduction of technology, most notably automation, have drastically contributed to a rise in obesity in post-World World II America. Coverage on health disparities is sufficient, providing adequate correlations of the income gap in obesity. While engaging topically, the arguments are not well supported by current scientific literature, which results in a mostly sociocultural survey of obesity. The references rely heavily on consumer health books and popular news magazines (Newsweek, Time, New York Times Magazine) while peer-reviewed content is cited from a limited number of core journals (Journal of the American Medical Association, American Journal of Public Health, New England Journal of Medicine, and Science). Because of this, the generalized surface-level research lends itself to a more leisurely read than a rigorous scholarly examination of the history of obesity. VERDICT Recommended for casual health and wellness readers.--Carolann Curry, Mercer Univ. Lib., Macon, GA

     Copyright 2018 Library Journal, LLC Used with permission.

5. • premium: True
   • source:
   • content:

     November 1, 2018
     The average American adult doesn't walk much (not even one-third of a mile per day) yet finds time to watch lots of TV (about 4 hours daily) and consume heaps of sugar (almost 3 pounds weekly). It's no wonder that two-thirds of U.S. adults are overweight or obese. But obesity is complicated. Overeating and sedentary lifestyles are only part of the picture. Calories are now pretty cheap and readily available in America. The design of our communities often discourages walking; transportation is mostly mechanized, and many jobs are less physically exerting than in the past. Sugar and high fructose corn syrup, ubiquitous in prepared food, are implicated in the rising rate of obesity. Engel even suggests that human beings have "evolved to be lazy." Different types of diets, weight-loss medications, and bariatric surgery are briefly reviewed. The addictive makeup of manufactured food, the peril of snacking, and the elimination of home economics curricula are discussed. The message is obvious but still urgent: If our food and surroundings don't change, our body fat and health risks will surely swell.(Reprinted with permission of Booklist, copyright 2018, American Library Association.)

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The diet and weight-loss industry is worth $66 billion – billion!! The estimated annual health care costs of obesity-related illness are 190 billion or nearly 21% of annual medical spending in the United States. But how did we get here? Is this a battle we can't win? What changes need to be made in order to scale back the incidence of obesity in the US, and, indeed, around the world? Here, Jonathan Engel reviews the sources of the problem and offers the science behind our modern propensity toward obesity. He offers a plan for helping address the problem, but admits that it is, indeed, an uphill battle. Nevertheless, given the magnitude of the costs in years of life and vigor lost, it is a battle worth fighting.

Fat Nation is a social history of obesity in the United States since the second World War. In confronting this familiar topic from a historical perspective, Jonathan Engel attempts to show that obesity is a symptom of complex changes that have transpired...

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Fat Nation A History of Obesity in America

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A History of Obesity in America

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tableOfContents

Chapter 1
An Old Problem
Chapter 2
Whence Cometh Fat
Chapter 3
The Unwalkable Landscape
Chapter 4
Changing Lives
Chapter 5
Changing Food/Changing Meals
Chapter 6
Addicted to Food
Chapter 7
Finding the Off Switch
Chapter 8
Exercise, Drugs, and Surgery
Chapter 9
Self Control
Chapter 10