It is generally supposed that obesity is a natural result of modern civilization. This theory has no foundation in fact or physiology. Man can be genuinely modern without being obese. The law that governs the growth and graceful symmetry of the human body is based upon dietetics, and the indispensable adjuncts of diet are exercise, oxidation and elimination. A body that is filled with vitality by a perfectly balanced diet will experience the same appetite for motion or exercise that it does for food or drink. Exercise forces more blood to the lungs, and more thorough oxidation is the result. The properly fed young animal, whether brute or human, plays and exercises involuntarily, and the older animal, adequately nourished without being overfed, does not lose its youthful instincts. An observance of the above laws will prevent the accumulation of an excess of fatty tissue.

The following table gives the normal weight of natural healthy adults according to height, also the weights considered thin and obese:

Obesity - The Cause

A very exhausting treatise could be written upon the cause of obesity, but, summing it all up briefly, corpulency is invariably induced through a direct or indirect violation of the laws of nutrition, as exemplified in their wonderful processes of transforming material called food into pulsating life.

A combination of commissions and omissions generally conspire to produce the obese body. They may be mentioned in the order of their importance:

1 Overingestion of fat-producing foods

2 Omission of the proper amount of motion or exercise

3 Imperfect oxidation (breathing)

4 The overconsumption of fluids

Obesity caused by overeating.

In every case of obesity, one or more of these causes are present. If one is blessed with good digestion and good assimilation, or, in other words, if all the nutriment taken into the body is absorbed into the tissues, then the quantity must be regulated by one's work or labor, otherwise any excess of fat-producing food is stored up by provident Nature, contemplating future use; and if it is not used, by actual work, the result is a gradual accumulation of fatty tissue. Again, if a quantity of food commensurate only with the requirements of mental labor be consumed, and only ordinary body-activity indulged in, there is likely to be a gradual decrease in weight, because a considerable percentage of energy is consumed by the mere carrying on of the vital processes.

The worst form of obesity, however, is that caused by overconsumption of fermented wines or malted liquors. This form of enlarged tissue contributes no strength whatever to its own support. It is as much of a dead weight as a hod of mortar, and much more useless; in fact, all forms of obesity are not only useless weight, but dangerous to life. The obese body is much more liable to contagious and infectious diseases, and when once affected, less able to defend itself than the normal body.

Obesity caused by drinking malted liquors.

The storing of fat regulated by labor or activity

Obesity - The Remedy

The control of body-weight rests upon three distinct and separate laws, the first and most important of which is nutrition, the second exercise, and the third oxidation.

While at the outset body-weight may be controlled by increasing the amount of activity sufficiently to use the surplus which Nature is storing away, if however, the activity ceases and the surplus is not used, then the storing process becomes chronic, and radical remedies both in regard to dietetics and activity must be applied in order to bring the body back to normal.

Amount of fat required daily in different climates.

Dietetic suggestions for chronic obesity.

A man of normal weight, say 150 pounds, doing ordinary work in a tropical country, would not need to consume more than an ounce of fat each twenty-four hours, while the same man in a northern climate, where the thermometer ranges from zero to 20 below, could use up, with similar labor, from three to four ounces of pure fat daily. Fats, however, do not produce fat in the human body unless taken largely in excess of its needs. Their primary purpose is to keep up the temperature of the body.

Where the weight is only from ten to fifteen pounds above normal, a substantial reduction can be made by merely balancing the diet, but where the accumulation of adipose tissue has become chronic, and the body has taken on from twenty to fifty pounds, or more, above normal, then a diet composed largely of non-acid fruits and fresh vegetables should be adopted for a period of from twenty to thirty days.

Foods that produce fat.

Carbohydrates, that is to say starch and sugar, are the principal fat-making nutrients, and all people inclined to take on abnormal weight, as a rule, are very fond of, and eat an excess of starchy foods. A great amount of the casein in milk and the phosphorus in eggs are converted into fat, especially if a quantity be taken in excess of the amount used in effort or work. The fat-producing staple foods are:

All cereal products All legumes Bread

Eggs Milk Potatoes

Foods that reduce fat.

In order, therefore, to remove the causes of obesity, one must begin with the diet.

Eliminate meat and animal fat; ascertain as nearly as possible the amount of carbohydrates necessary for each day and take none in excess of this quantity. This will stop the accumulation of fatty tissue. If the body is obese, and a reduction of weight is desired, the diet should consist of nuts, fruits, salads, fresh vegetables, and a very limited quantity of eggs, omitting starchy foods entirely. After a week or two of this diet, discontinue the use of eggs, reducing the diet entirely to nuts, fruits, fresh vegetables and salads, which in nearly every case will bring a very substantial reduction in weight, even if the patient takes but little exercise and fresh air. If, however, he can be induced to adopt the above diet, and at the same time take two hours' moderate exercise, either in gymnastics or useful labor, with a reasonable amount of exposure to fresh air, the reduction in weight will be greater, and the muscular tissue and vitality will increase.

How menus for obesity may be varied.

Inasmuch as fat contributes no item of strength to its own support, if the patient will take a reasonable amount of exercise and fresh air, muscular tissue will increase in the same ratio that fatty tissue decreases.

The menus for obesity may be varied according to the fruits and vegetables at one's command. Fish is the one article among animal food that has much to recommend it, insomuch that it contains an excellent form of proteid and phosphorus. If the taste of the patient should rebel against natural foods, fish would supply these elements better than any form of flesh.

The following articles should compose the general diet for the obese under ordinary conditions:

Buttermilk - very little.

Eggs or fish - limited quantity

Fruits

Green salads

Nuts

Fresh vegetables

Such as -

Asparagus

Beans

Beets

Carrots

Celery

Parsnips

Peas

Pumpkins

Spinach

Squash

Turnips

The ordinary obese person should adopt either of the following menus, varying them according to vegetables in season:

Foods should be selected according to vocation

If the patient is doing manual labor, the proteid foods, such as milk, cheese, nuts, fish and eggs should be increased according to the work. If, however, the labor is sedative, such as followed by the average business man, the amounts herein prescribed are sufficient. The breakfast should be taken an hour after rising, and the luncheon early, not later than 12 noon, and the dinner not later than 6 p.m.

The symptoms during the first two or three days will be that of weakness and perhaps hunger, leaving the impression of under-nourishment. This will disappear after the third or fourth day, and strength will not only return to normal, but the body will feel more energetic than before, and there will be a marked increase in the powers of endurance. If the patient can be induced to "fight it out" for a week on these lines, favorable symptoms will develop so fast that the practitioner will be aided in his work by the mental conviction of the patient, and success will be assured.

In Cases Of Obesity, Omit

Bread products Cereals Dried beans Flesh food Milk Sweets

Eat

Eggs - limited quantity Fish or Lobster Fresh vegetables Fruit Melons

Nuts

Succulent vegetables

Wheat bran

Whole wheat thoroughly cooked (sparingly)

Do not drink at meals.

Neurasthenia a last or final warning.