Начиная с 1970-х годов эксперты по диетам и питанию свели еду и физическую нагрузку к наименьшему общему знаменателю – калориям. Нам было сказано, что мы должны меньше потреблять их и больше сжигать, при этом совершенно неважно, что именно мы едим. «Неправильной еды не бывает, – говорили нам, – бывает ее неправильное количество. Все дело в умеренности». Следуя той же тенденции, многочисленные эксперты утверждали, что вид физической нагрузки совершенно не имеет значения: главное, чтобы на определенное время увеличился пульс, и тогда калории сожгутся.
Этот простой набор из двух рекомендаций и стал причиной того, что в нынешнем мире половина всех женщин и треть мужчин сидят на диете, а индустрия фитнеса превратилась в 30-миллиардный бизнес, в котором занято более полумиллиона сотрудников. Иными словами, мы всецело положились на мнение экспертов и безоговорочно поверили в принцип подсчета калорий. И вот что он сделал с нашими сердцами (и талиями):
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Эти результаты ясно показывают, что подход, опирающийся на подсчет калорий, оказался неэффективным. Мы прилагаем усилия, стараемся, а в результате ничего не выходит – и так во всем мире. С 1980 г. количество случаев ожирения увеличилось более чем вдвое. Людей с избыточным весом в мире сейчас столько же, сколько составляло население Земли 100 лет назад. Дэвид Людвиг (врач, доктор наук, директор центра по предотвращению развития ожирения при фонде New Balance в Бостонской детской больнице) обеспокоенно сообщает: «Уровень ожирения сейчас таков, что нынешнее поколение детей может стать первым в истории США, которому грозит менее здоровая и более короткая жизнь, чем поколению их родителей»>{3}. По словам Сьюзан Вули, сооснователя клиники расстройств пищевого поведения в медицинском колледже Университета Цинциннати, «неудача [людей с лишним весом][1] в достижении желаемой цели – самой желанной для них цели на свете – должна получить беспристрастную оценку: это не неудача самих людей, это неправильный метод лечения, который они использовали»>{4}.
Как ни печальна такая новость, отчаиваться пока рано. Отрицательные результаты, возникшие из-за изначально неверной информации, сподвигли современных экспертов – людей, работающих в научных лабораториях, а не на телевидении и в журналах, – на поиски альтернативы. Они знали, что новым открытиям будет предшествовать опровержение старых теорий. «Каким образом медицина может наконец занять должное место в исследовании ожирения? – спрашивает Альберт Станкард, врач, глава отделения психиатрии и основатель Центра по изучению расстройств, связанных с весом и питанием при Пенсильванском университете. – Для начала стоит увидеть ситуацию такой, какова она на самом деле, а не такой, как мы хотели бы ее видеть… Прекратив оправдывать свои неудачи, мы наконец получим шанс в них разобраться»