This seems impressive and strong confirmation of Dave’s interpretation, until you take into account the point that Parker Pope makes in her article about this very database, which is that the NWCR is nothing more than a compilation of anecdotal accounts. Parker Pope quotes an obesity researcher from Yale (who happens to be obese himself, apparently intractably so) noting correctly that “while the 10,000 people tracked in the registry are a useful resource, they also represent a tiny percentage of the tens of millions of people who have tried unsuccessfully to lose weight. All it means is that there are rare individuals who do manage to keep it off.” And that is indeed all it means. It says nothing about how large or small a percentage of obese individuals can do this. It could be one in ten thousand or less. It could be one in two. We have no idea.
Of Dave’s three other references, one is a review article of behavioral weight loss programs in children that makes only the tepid claim that “limited evidence suggests” adolescents can maintain a weight loss of 4 to 8 pounds for a year. One is a study in adults claiming that two thirds of those who got intensive behavioral modification did indeed maintain at least a 20-pound weight loss for one year, but it then says “three- to 5-year follow-up studies showed a gradual return to baseline weight.”
The last reference reports that subjects who averaged a 65-pound weight loss over five months gained back all but 15 pounds after five years. This is a glass half full, half empty case. Dave apparently looks at the 15 pounds and says, this is reason to believe Parker Pope was wrong. Parker Pope, I suspect, and I would look at the 50 pounds regained as evidence that she was right.
Finally, Dave evokes the Look Ahead study, a massive trial predicated on the notion that maintenance of a five percent weight over ten years is clinically meaningful. Dave says he wouldn’t t be so quick “to dismiss a 5 percent loss as nothing to celebrate.” He calls it a “proof of concept, putting the lie to claims that we are genetically fixed to have a certain weight.”
Now consider as an example a woman like Parker Pope, who says in her article that she is 60 pounds overweight. Let’s assume that our subject is of average height, 5’4”, and so an ideal weight might be 140 pounds (a BMI of 24). If she’s 60 pounds overweight, she would weigh 200 pounds and have a BMI of 34, well into the obese range. Dave’s implication would then be that if our hypothetical case dropped from 200 pounds to 190 (BMI 32.6, still obese) and maintained that indefinitely, she should consider this a reason to celebrate and a refutation of the central point of Parker Pope’s article. I would argue otherwise and I suspect Parker Pope would as well.
In interpreting science and medicine for the public and investigating issues so critical to the public health, we’re all biased, just as scientists are, by our perspectives, our experiences and our preconceptions. If we don’t start off biased, we will soon find ourselves consciously or unconsciously taking sides, and that will bias our perceptions from then on. In a world in which virtually any argument can be made from the evidence at hand, our ultimate task, just as it with science itself, is to communicate reliable knowledge. Here, the legendary physicist Richard Feynman made two requirements for good science that I would argue are the requisites for good journalistic investigations as well: One is “honesty in reporting results — the results must be reported without somebody saying what they would like the results to have been.” The other is “you must not fool yourself and you are the easiest person to fool.”

ALL journalists who presume to "cover" obesity would be well-served to read Abigail Saguy's excellent book: http://newsroom.ucla.edu/portal/ucla/in-a-new-book-ucla-sociologist-241999.aspx
#1 Posted by Harry Minot, CJR on Tue 5 Feb 2013 at 01:10 PM
Great piece, even if it was dissatisfaction with my piece that inspired it.
To the charge that I was kind of a jerk in criticizing the work of my friend Gary Taubes in an article that he helped send my way, I plead guilty.
In all this thoughtful analysis of the conflicting claims regarding the obesity crisis, science journalists might feel worse off than before in trying to help readers find a path to obtaining and maintaining a healthy weight. Consider this approach: Tell your readers to ignore everything that you and other science journalists and scientists tell them about the subject. Instead, advise your readers to do this: First, seek out people who have lost weight and kept it off for years. Next, ask them how they did it. If you can't find any such people, Parker-Pope is probably right. If you find some and they tell you all they did was cut out carbs and the weight just came off and stayed off and they're happy eating this way the rest of their lives, then Gary is probably right. If you find some and they tell you they changed their lifestyles in a number of ways, and now eat a sensible, balanced diet that they carefully track and get moderate daily exercise and enlist the support of friends, family and fellow weightlosers, then I'm probably right.
#2 Posted by David H. Freedman, CJR on Tue 5 Feb 2013 at 04:11 PM
Taubes' letter is a great discussion of the problem.
It's unclear to me why anyone might think that only one of you (3) can be correct. The problem clearly IS intractable at a societal scale. But that doesn't mean there can never be solutions. Nor should we judge the difficulty of the problem on the basis of the success or failure of a handful of individuals. It's my opinion (a fourth?) that what's brought this on is not profound changes in the character of individuals. We didn't all become gluttonous sloths in 30 years any more than we all suddenly experienced genetic mutations that made us fat.
The difference between now and 1970 is apparently environmental--changes in what we eat, how we eat, how we get to work, and so on. It's almost certain that a combination of changes has got us here and that some fraction of the problem is epigenetic and some fraction is the result of families working two jobs and no one having time to shop and cook, and so on (again).
Also, I would like to add that if a person is a jerk to his friend, especially in a very public way, it's not enough to admit to being a jerk in a kind of light hearted way. That's doesn't really rise to the level of an apology. I recommend the book The Five Languages of Apology.
#3 Posted by Jennie Dusheck, CJR on Tue 5 Feb 2013 at 07:23 PM
I'm so glad you replied, Mr. Freedman! And good-naturedly, too. In general, I think your advice to find long-term "losers" is excellent. However, I'm one of those people who cut the carbs six years ago, the weight came off easily (70 pounds, down to 150), and I'll be happy eating this way the rest of my life, so score at least one for Gary. On the other hand, my boss works out, attends Weight Watchers, and eats a "sensible, balanced" calorie-reduced diet -- all the strategies that failed me for nearly three decades, yet they worked for her. My sense is that Gary is more right than most, in that almost every diet ends up cutting sugar/carb intake to some extent; the differences in dietary response are probably due to differences in how much carbohydrate each individual needs to remove to see benefits.
#4 Posted by Roseanna Smith, CJR on Wed 6 Feb 2013 at 12:33 PM
I liked the beginning of this, when you seemed to be heading toward a more philosophical, overarching discussion of how to report scientific/study findings as a journalist, but then I lost interest as you dove back into your personal debate with these two other reporters about what REALLY causes obesity.
Going back to the much more interesting point about the problems the press has with reporting scientific studies, I think a lot of it stems from basic lack of specificity on the part of the press. The natural tendency is to want to make the headline BIG AND MEANINGFUL AND IMPORTANT TO EVERYONE when the nature of the knowledge (especially causal knowledge) produced by good scientific studies, as you noted above, is instead small, selective, and situational.
To cut down on public confusion, in other words, try to make your headlines and your leads (or "ledes," if you wanna be all journo about it) much more specific about what the study actually tested and concluded. Also, try looking for directly contradictory evidence and publish that if you find it, as well. Then you're correctly leading readers to believe that, overall, "the science" is still unsettled on the matter, even as you present them with novel, interesting findings from whatever specific studies you want to write about.
#5 Posted by Taylor, CJR on Wed 6 Feb 2013 at 04:17 PM
I'm not sure a perspectival bias of the half-full/half-empty kind means a reporter has fallen short. To the extent a good news report is like a good scientific report, it asserts a state of affairs and presents the evidence (or representative data) that the assertion is based on. Take it or leave it, caveat emptor, seems to be the understanding in science. Journalism we seem to expect to be more reader friendly, but the more investigative and/or research-like the news story, the less plausible that seems as a goal, if we take science as the paradigm. Given that science runs on critical thinking, maybe we should expect journalism at times to work that way too. It seems OK to me to portray the graduated cylinder as half full, if your quoted source says that the meniscus was at 50.
#6 Posted by Oliver, CJR on Tue 26 Feb 2013 at 11:13 PM
All three are right in a sense. Of course it is POSSIBLE for people to lose weight and keep it off following the "establishment" guidelines -- low dietary fat, high carbohydrates and exercise. But Pope is right to point out that for most obese Americans, those guidelines are not a solution because most people can't live with the constant blood sugar spikes and falls and hunger pangs. Which is why Taubes' ideas -- the insulin theory, the carbohydrate theory, the Atkins theory -- are so intriguing because they provide a path for people to lose weight by keeping blood sugar and insulin levels low, encouraging fat burning and no hunger pangs. Carbohydrate restriction does not have to mean giving up on a balanced diet with exercise. It only means giving up sugar and starches -- the cheap processed carbohydrates that the food industry makes most of its money producing. This is so easy to see -- particularly if you have tried it -- it is hard to understand why so many doctors and dietitians are unwilling to consider it.
#7 Posted by Tom B, CJR on Tue 16 Apr 2013 at 09:31 AM