Public health trials focused on nutrition education and modest physical activity for obesity reduction have historically not yielded significant effects.

“we need to stay in the public health Paradigm but within the Paradigm we need a subp paradigm shift to say nutrition education modest physical activity build a little bit of a facility to allow people a little more activity these have been tried they don't work they don't have big meaningful effects let's try something completely different and it's worth a try that's what I think we need within the paradigms of Public Health policy and so on radically different proposals”

“if someone were to come to me and I've been saying this for 20 years now but I'll say it even more strongly today uh if someone would to come to me and say we we've got this opportunity to invest in these big school-based community-based Public Health oriented trials to reduce obesity levels in children or adults and we have the money available we want to do good should we do it and I would say show me how this proposed idea is radically different than what's been done for the last 30 years and then let's talk and if it's not radically different why are we wasting our time and money on that”

“nutrition education modest physical activity build a little bit of a facility to allow people a little more activity these have been tried they don't work they don't have big meaningful effects”