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Why diets don’t work, particularly for the poor

31 January 2014

Where are you on the great diet debate? Is it fats or carbs that make you fat? This really matters because, as we are now discovering, the health risks of obesity are serious, and obesity is increasing.

As one who has been overweight since childhood (although not quite qualifying for the horrible "o" word), I tend to blame my genes (I share my shape with my mother and grandmother). I have, of course, tried all kinds of diets, and I am a firm believer in the fact that diets don't work.

For me, the very worst diet was a low-fat one: carbohydrates were allowed, loads of fibre; but only tiny amounts of the foods I really like (meat, fish, eggs, cheese). I lost spectacular amounts of weight, went down several dress sizes, and was unbelievably miserable for more than a year. I was not surprised to discover that when this diet was prescribed for overweight men with heart disease, it was linked to increased depression and death rates (not from heart disease, however - more from suicide and accidents).

In diets, as in dress, one size does not fit all. I now eat protein andfat, and try to avoid carbs. It works for me. But I have friends forwhom my way of eating would be purgatory; they can cope quitewell on the regime that nearly killed me.

So it looks as if healthy eating today requires both self-knowledge and discernment. We have too much choice, and we cannot eat it all. Unfortunately, we also like cheap food. When fat was blamed for our problems, the manufacturers reduced it, but tipped in loads of extra sugar instead.

This is a problem for all of us, but it is a particular problem for the poor. The rich can afford to be thin. They can be fussy; they can feast on spinach, kale, and avocado smoothies if they want to. But to eat well on a low income today requires time, culinary skill, and ingenuity. The middle classes wax lyrical about the peasant cuisines of France and Italy, but replicating them requires access to fresh food, and a lively tradition of turning cheap cuts and filling staples into nourishing dishes.

Cheeseburgers and shakes are as cheap as the chips that come with them. So, as in many aspects of life, it is the poor who lose out, and whose health is compromised by the cynical priorities of the food industry, and the supermarkets who parrot the virtues of "choice".

The Revd Angela Tilby is Diocesan Canon of Christ Church, Oxford,and Continuing Ministerial Development Adviser for the diocese of Oxford.

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