119-652: Vincent Roy Margera (July 3, 1956 – November 15, 2015), commonly known as Don Vito , was an American reality television personality. He was known for his appearances in Viva La Bam , Jackass , Haggard , and the CKY series alongside his nephew Bam and brother Phil . Margera was born in Chester, Pennsylvania , and raised in Concord Township , the son of Darlene ( née Stauffer) and Phillip Margera. Sometime around
238-518: A Mormon splinter group), Breaking Amish and Amish Mafia (the Amish ), and Big Fat Gypsy Weddings and its spinoffs ( Romani people ). The Real Housewives franchise offers a window into the lives of social-striving urban and suburban housewives. Many shows focus on wealth and conspicuous consumption , including Platinum Weddings , and My Super Sweet 16 , which documented huge coming of age celebrations thrown by wealthy parents. Conversely,
357-578: A gastric balloon or surgery may be performed to reduce stomach volume or length of the intestines, leading to feeling full earlier, or a reduced ability to absorb nutrients from food. Many do not realize that metabolic surgery is not only about reducing intake, it has also been shown to alter gut hormones for a period of time. Obesity is a leading preventable cause of death worldwide, with increasing rates in adults and children . In 2022, over 1 billion people lived with obesity worldwide (879 million adults and 159 million children), representing more than
476-577: A nuclear family (filmed in 1971) going through a divorce; unlike many later reality shows, it was more or less documentary in purpose and style. In 1974 a counterpart program, The Family , was made in the UK, following the working-class Wilkins family of Reading . Other forerunners of modern reality television were the 1970s productions of Chuck Barris : The Dating Game , The Newlywed Game , and The Gong Show , all of which featured participants who were eager to sacrifice some of their privacy and dignity in
595-498: A preliminary hearing on February 1, 2007, Margera was represented by Pamela Mackey, the same lawyer who defended Kobe Bryant in his 2003–2005 sexual assault case . There was an arraignment hearing on March 5, 2007, at which Margera pleaded not guilty . The trial started on October 22 in Golden, Colorado . Margera's attorney argued that his client had been playing his "goofy, outrageous and vulgar" television persona for
714-655: A 1.67-fold greater risk of obesity compared with those without the risk allele . The differences in BMI between people that are due to genetics varies depending on the population examined from 6% to 85%. Obesity is a major feature in several syndromes, such as Prader–Willi syndrome , Bardet–Biedl syndrome , Cohen syndrome , and MOMO syndrome . (The term "non-syndromic obesity" is sometimes used to exclude these conditions.) In people with early-onset severe obesity (defined by an onset before 10 years of age and body mass index over three standard deviations above normal), 7% harbor
833-468: A 2003 paper, theorists Elisabeth Klaus and Stephanie Lücke referred to the former category as "docusoaps", which consist of "narrative reality", and the latter category as "reality soaps", which consist of "performative reality". Since 2014, the Primetime Emmy Awards have used a similar classification, with separate awards for " unstructured reality " and " structured reality " programs, as well as
952-477: A BMI of 30–35 kg/m reduces life expectancy by two to four years, while severe obesity (BMI ≥ 40 kg/m ) reduces life expectancy by ten years. Obesity increases the risk of many physical and mental conditions. These comorbidities are most commonly shown in metabolic syndrome , a combination of medical disorders which includes: diabetes mellitus type 2 , high blood pressure , high blood cholesterol , and high triglyceride levels . A study from
1071-450: A Reality or Reality-Competition Program , was added. In 2007, the web series The Next Internet Millionaire appeared; it was a competition show based in part on The Apprentice , and was billed as the world's first Internet reality show. In 2010 the Dutch singing competition show The Voice of Holland , created by John de Mol Jr. , premiered; it added to the singing competition template
1190-443: A camera crew on an outdoor adventure , such as hunting , fishing , hiking, scuba diving , rock climbing, wildlife photography, horseback riding, race car driving, and the like, with most of the resulting action and dialogue being unscripted, except for the narration. In the 1966 Direct Cinema film Chelsea Girls , Andy Warhol filmed various acquaintances with no direction given. The Radio Times Guide to Film 2007 said that
1309-578: A celebrity going about their everyday life: notable examples include The Anna Nicole Show , The Osbournes , Gene Simmons Family Jewels , Newlyweds: Nick and Jessica , Keeping Up with the Kardashians and Hogan Knows Best . VH1 in the mid-2000s had an entire block of such shows, known as "Celebreality". Shows such as these are often created with the idea of promoting a celebrity product or upcoming project. Some documentary-style shows shed light on rarely seen cultures and lifestyles. One example
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#17330860383921428-430: A distinct genre in the early 1990s with shows such as The Real World , then achieved prominence in the early 2000s with the success of the series Survivor , Idol , and Big Brother , all of which became global franchises. Reality television shows tend to be interspersed with "confessionals", short interview segments in which cast members reflect on or provide context for the events being depicted on-screen; this
1547-558: A double of adult cases (and four times higher than cases among children) registered in 1990. Obesity is more common in women than in men. Today, obesity is stigmatized in most of the world. Conversely, some cultures, past and present, have a favorable view of obesity, seeing it as a symbol of wealth and fertility. The World Health Organization , the US, Canada, Japan, Portugal, Germany, the European Parliament and medical societies, e.g.
1666-671: A greater prevalence of labor-saving technology in the home. In children, there appear to be declines in levels of physical activity (with particularly strong declines in the amount of walking and physical education), likely due to safety concerns, changes in social interaction (such as fewer relationships with neighborhood children), and inadequate urban design (such as too few public spaces for safe physical activity). World trends in active leisure time physical activity are less clear. The World Health Organization indicates people worldwide are taking up less active recreational pursuits, while research from Finland found an increase and research from
1785-586: A high social class were less likely to be obese. No significant differences were seen among men of different social classes. In the developing world, women, men, and children from high social classes had greater rates of obesity. In 2007 repeating the same research found the same relationships, but they were weaker. The decrease in strength of correlation was felt to be due to the effects of globalization . Among developed countries, levels of adult obesity, and percentage of teenage children who are overweight, are correlated with income inequality . A similar relationship
1904-757: A lack of physical activity as the cause of most cases of obesity. A limited number of cases are due primarily to genetics, medical reasons, or psychiatric illness. In contrast, increasing rates of obesity at a societal level are felt to be due to an easily accessible and palatable diet, increased reliance on cars , and mechanized manufacturing. Some other factors have been proposed as causes towards rising rates of obesity worldwide, including insufficient sleep , endocrine disruptors , increased usage of certain medications (such as atypical antipsychotics ), increases in ambient temperature, decreased rates of smoking , demographic changes, increasing maternal age of first-time mothers, changes to epigenetic dysregulation from
2023-564: A lower BMI than Caucasians , some nations have redefined obesity; Japan has defined obesity as any BMI greater than 25 kg/m while China uses a BMI of greater than 28 kg/m . The preferred obesity metric in scholarly circles is the body fat percentage (BF%) – the ratio of the total weight of person's fat to his or her body weight, and BMI is viewed merely as a way to approximate BF%. According to American Society of Bariatric Physicians , levels in excess of 32% for women and 25% for men are generally considered to indicate obesity. BMI
2142-424: A majority of people living with obesity at any given time attempt to lose weight and are often successful, maintaining weight loss long-term is rare. There is no effective, well-defined, evidence-based intervention for preventing obesity. Obesity prevention requires a complex approach, including interventions at medical, societal, community, family, and individual levels. Changes to diet as well as exercising are
2261-628: A man's risk increases by 4% per child. This could be partly explained by the fact that having dependent children decreases physical activity in Western parents. In the developing world urbanization is playing a role in increasing rate of obesity. In China overall rates of obesity are below 5%; however, in some cities rates of obesity are greater than 20%. In part, this may be because of urban design issues (such as inadequate public spaces for physical activity). Time spent in motor vehicles, as opposed to active transportation options such as cycling or walking,
2380-450: A multidisciplinary team rather than "eat less, move more" being the answer as for most living with obesity, diet & exercise have failed them countless times. There is now a scientific realization where 5% of people with this disease are able to lose & maintain loss through this method as the body will adapt & reach a plateau where for most, it begins to push back towards set point. Also that bodies react differently to energy. So too
2499-404: A phenomenon known as the obesity survival paradox. The paradox was first described in 1999 in overweight and obese people undergoing hemodialysis and has subsequently been found in those with heart failure and peripheral artery disease (PAD). In people with heart failure, those with a BMI between 30.0 and 34.9 had lower mortality than those with a normal weight. This has been attributed to
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#17330860383922618-521: A police officer with Donnell Rawlings . March 20, 2007, saw the release of Vito and Ryan Dunn starring in a Viva La Bam –like, direct-to-DVD film titled Dunn and Vito's Rock Tour . On August 18, 2006, Margera was arrested at the Colorado Mills Mall in Lakewood, Colorado , on suspicion of inappropriately touching two 12-year-old girls. He was released after posting bail of $ 50,000. During
2737-488: A significant effect on an individual's weight. Those who quit smoking gain an average of 4.4 kilograms (9.7 lb) for men and 5.0 kilograms (11.0 lb) for women over ten years. However, changing rates of smoking have had little effect on the overall rates of obesity. In the United States, the number of children a person has is related to their risk of obesity. A woman's risk increases by 7% per child, while
2856-950: A single point DNA mutation. Studies that have focused on inheritance patterns rather than on specific genes have found that 80% of the offspring of two obese parents were also obese, in contrast to less than 10% of the offspring of two parents who were of normal weight. Different people exposed to the same environment have different risks of obesity due to their underlying genetics. The thrifty gene hypothesis postulates that, due to dietary scarcity during human evolution, people are prone to obesity. Their ability to take advantage of rare periods of abundance by storing energy as fat would be advantageous during times of varying food availability, and individuals with greater adipose reserves would be more likely to survive famine . This tendency to store fat, however, would be maladaptive in societies with stable food supplies. This theory has received various criticisms, and other evolutionarily-based theories such as
2975-440: A televised competition. The 1976–1980 BBC series The Big Time featured a different amateur in some field (cooking, comedy, football, etc.) trying to succeed professionally in that field, with help from notable experts. The 15-episode series is credited with starting the career of Sheena Easton , who was selected to appear in the episode showing an aspiring pop singer trying to enter the music business. In 1978, Living in
3094-466: A third award for " reality-competition " programs. In many reality television programs, camera shooting and footage editing give the viewer the impression that they are passive observers following people going about their daily personal and professional activities; this style of filming is sometimes referred to as fly on the wall , observational documentary or factual television . Story "plots" are often constructed via editing or planned situations, with
3213-677: A top athlete and celebrity, the brutal nature of the murders, and issues of race and class in Los Angeles celebrity culture, the sensational case dominated ratings and the public conversation. Many reality television stars of the 2000s and 2010s have direct or indirect connections to people involved in the case, most notably Kim Kardashian , daughter of defense attorney Robert Kardashian , and several of her relatives and associates. The series Expedition Robinson , created by television producer Charlie Parsons, which first aired in 1997 in Sweden (and
3332-537: Is a major cause of disability and is correlated with various diseases and conditions , particularly cardiovascular diseases , type 2 diabetes , obstructive sleep apnea , certain types of cancer , and osteoarthritis . Obesity has individual, socioeconomic, and environmental causes. Some known causes are diet, physical activity, automation , urbanization , genetic susceptibility , medications , mental disorders , economic policies , endocrine disorders , and exposure to endocrine-disrupting chemicals . While
3451-476: Is a medical condition, sometimes considered a disease , in which excess body fat has accumulated to such an extent that it can potentially have negative effects on health . People are classified as obese when their body mass index (BMI)—a person's weight divided by the square of the person's height—is over 30 kg / m ; the range 25–30 kg / m is defined as overweight . Some East Asian countries use lower values to calculate obesity. Obesity
3570-553: Is an indication that gut flora can affect the metabolic potential. This apparent alteration is believed to confer a greater capacity to harvest energy contributing to obesity. Whether these differences are the direct cause or the result of obesity has yet to be determined unequivocally. The use of antibiotics among children has also been associated with obesity later in life. An association between viruses and obesity has been found in humans and several different animal species. The amount that these associations may have contributed to
3689-571: Is believed to be contributing to the rising rates of obesity and to an increased risk of metabolic syndrome and type 2 diabetes . Vitamin D deficiency is related to diseases associated with obesity. As societies become increasingly reliant on energy-dense , big-portions, and fast-food meals, the association between fast-food consumption and obesity becomes more concerning. In the United States, consumption of fast-food meals tripled and food energy intake from these meals quadrupled between 1977 and 1995. Agricultural policy and techniques in
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3808-462: Is correlated with increased risk of obesity. Malnutrition in early life is believed to play a role in the rising rates of obesity in the developing world . Endocrine changes that occur during periods of malnutrition may promote the storage of fat once more food energy becomes available. The study of the effect of infectious agents on metabolism is still in its early stages. Gut flora has been shown to differ between lean and obese people. There
3927-542: Is meant to resemble scripted soap operas – in this case, the television series Desperate Housewives and Peyton Place . A notable subset of such series focus on a group of women who are romantically connected to male celebrities; these include Basketball Wives (2010), Love & Hip Hop (2011), Hollywood Exes (2012), Ex-Wives of Rock (2012) and WAGS (2015). Most of these shows have had spin-offs in multiple locations. There are also fly-on-the-wall-style shows directly involving celebrities. Often these show
4046-494: Is most commonly seen in American reality television. Competition-based reality shows typically feature the gradual elimination of participants, either by a panel of judges, by the viewership of the show, or by the contestants themselves. Documentaries , television news , sports television , talk shows , and traditional game shows are generally not classified as reality television. Some genres of television programming that predate
4165-892: Is not regarded as a psychiatric disorder, and therefore is not listed in the DSM-IVR as a psychiatric illness. The risk of overweight and obesity is higher in patients with psychiatric disorders than in persons without psychiatric disorders. Obesity and depression influence each other mutually, with obesity increasing the risk of clinical depression, and also depression leading to a higher chance of developing obesity. Certain medications may cause weight gain or changes in body composition ; these include insulin , sulfonylureas , thiazolidinediones , atypical antipsychotics , antidepressants , steroids , certain anticonvulsants ( phenytoin and valproate ), pizotifen , and some forms of hormonal contraception . While genetic influences are important to understanding obesity, they cannot completely explain
4284-414: Is now viewed as outdated in numerous countries. It ignores variations between individuals in amounts of lean body mass, particularly muscle mass. Individuals involved in heavy physical labor or sports may have high BMI values despite having little fat. For example, more than half of all NFL players are classified as "obese" (BMI ≥ 30), and 1 in 4 are classified as "extremely obese" (BMI ≥ 35), according to
4403-451: Is seen among US states: more adults, even in higher social classes, are obese in more unequal states. Many explanations have been put forth for associations between BMI and social class. It is thought that in developed countries, the wealthy are able to afford more nutritious food, they are under greater social pressure to remain slim, and have more opportunities along with greater expectations for physical fitness . In undeveloped countries
4522-445: Is seen in the overweight and obese. One study found that the improved survival could be explained by the more aggressive treatment obese people receive after a cardiac event. Another study found that if one takes into account chronic obstructive pulmonary disease (COPD) in those with PAD, the benefit of obesity no longer exists. The " a calorie is a calorie " model of obesity posits a combination of excessive food energy intake and
4641-592: Is shows about people with disabilities or people who have unusual physical circumstances, such as the American series Push Girls and Little People, Big World , and the British programmes Beyond Boundaries , Britain's Missing Top Model , The Undateables and Seven Dwarves . Another example is shows that portray the lives of ethnic or religious minorities. Examples include All-American Muslim ( Lebanese-American Muslims ), Shahs of Sunset (affluent Persian-Americans ), Sister Wives (polygamists from
4760-462: Is still ongoing. The program was structured as a series of interviews with no element of the plot. By virtue of the attention paid to the participants, it effectively turned ordinary people into a type of celebrity, especially after they became adults. The series The American Sportsman , which ran from 1965 to 1986 on ABC in the United States, would typically feature one or more celebrities, and sometimes their family members, being accompanied by
4879-403: Is supported both by tests of people carried out in a calorimeter room and by direct observation. A sedentary lifestyle may play a significant role in obesity. Worldwide there has been a large shift towards less physically demanding work, and currently at least 30% of the world's population gets insufficient exercise. This is primarily due to increasing use of mechanized transportation and
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4998-546: Is the result of an interplay between genetic and environmental factors. Polymorphisms in various genes controlling appetite and metabolism predispose to obesity when sufficient food energy is present. As of 2006, more than 41 of these sites on the human genome have been linked to the development of obesity when a favorable environment is present. People with two copies of the FTO gene (fat mass and obesity associated gene) have been found on average to weigh 3–4 kg more and have
5117-545: The CKY series and some later featured in Jackass . As a result of his 2006 arrest, the stunts involving Don Vito were removed from the theatrical and DVD release of Jackass Number Two , but several stunts were briefly shown in previews leading up to his arrest. Due to the allegations, he was persona non grata among the cast for a time. In early 2007, Margera featured in Redman 's music video " Put It Down ", in which he plays
5236-525: The American Medical Association , classify obesity as a disease. Others, such as the UK , do not. Obesity is typically defined as a substantial accumulation of body fat that could impact health. Medical organizations tend to classify people living with obesity as based on body mass index (BMI) – a ratio of a person's weight in kilograms to the square of their height in meters . For adults,
5355-492: The Endocrine Society , there is "growing evidence suggesting that obesity is a disorder of the energy homeostasis system, rather than simply arising from the passive accumulation of excess weight". Excess appetite for palatable, high-calorie food (especially fat, sugar, and certain animal proteins) is seen as the primary factor driving obesity worldwide, likely because of imbalances in neurotransmitters affecting
5474-490: The RAK Hospital found that obese people are at a greater risk of developing long COVID . The CDC has found that obesity is the single strongest risk factor for severe COVID-19 illness. Complications are either directly caused by obesity or indirectly related through mechanisms sharing a common cause such as a poor diet or a sedentary lifestyle . The strength of the link between obesity and specific conditions varies. One of
5593-598: The United Kingdom in 1964, the Granada Television documentary Seven Up! broadcast interviews with a dozen ordinary 7-year-olds from a broad cross-section of society and inquired about their reactions to everyday life. Every seven years, the filmmaker created a new film documenting the lives of the same individuals during the intervening period. Titled the Up Series , episodes included "7 Plus Seven", "21 Up", etc.; it
5712-502: The World Health Organization (WHO) defines " overweight " as a BMI 25 or higher, and "obesity" as a BMI 30 or higher. The U.S. Centers for Disease Control and Prevention (CDC) further subdivides obesity based on BMI, with a BMI 30 to 35 called class 1 obesity; 35 to 40, class 2 obesity; and 40+, class 3 obesity. For children, obesity measures take age into consideration along with height and weight. For children aged 5–19,
5831-543: The drifty gene hypothesis and the thrifty phenotype hypothesis have also been proposed. Certain physical and mental illnesses and the pharmaceutical substances used to treat them can increase risk of obesity. Medical illnesses that increase obesity risk include several rare genetic syndromes (listed above) as well as some congenital or acquired conditions: hypothyroidism , Cushing's syndrome , growth hormone deficiency , and some eating disorders such as binge eating disorder and night eating syndrome . However, obesity
5950-646: The 1950s, game shows Beat the Clock and Truth or Consequences involved contestants in wacky competitions, stunts, and practical jokes. Confession was a crime and police show that aired from June 1958 to January 1959, with interviewer Jack Wyatt questioning criminals from assorted backgrounds. The radio series Nightwatch (1951–1955) tape-recorded the daily activities of Culver City, California police officers. The series You Asked for It (1950–1959) incorporated audience involvement by basing episodes around requests sent in by postcard from viewers. First broadcast in
6069-654: The 2018–19 and 2019–20 television seasons. The success of the two franchises has led to other globally-syndicated franchises of reality competitions based around guesswork, such as Game of Talents (which began in Spain in 2019) and The Masked Dancer (which began in the United States in 2020). Specialist skill-based TV competitions became popular during this decade with such programs like The Great British Bake-Off , Lego Masters , The Great British Sewing Bee and Forged in Fire shown. Television development across all genres
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#17330860383926188-465: The 21st century, the series is often considered a prototype of reality television programming. In the early 1940s the young German television station, named after Paul Nipkow had staged a show in which a young couple acted as model Aryans and presented their everyday lives without a script to the camera ( Familienchroniken - Ein Abend mit Hans und Gelli ). Even though it was clearly Nazi propaganda and
6307-599: The BMI metric. However, their mean body fat percentage , 14%, is well within what is considered a healthy range. Similarly, Sumo wrestlers may be categorized by BMI as "severely obese" or "very severely obese" but many Sumo wrestlers are not categorized as obese when body fat percentage is used instead (having <25% body fat). Some Sumo wrestlers were found to have no more body fat than a non-Sumo comparison group, with high BMI values resulting from their high amounts of lean body mass. Canada utilises BMI sparingly within their method of defining levels of obesity through use of
6426-634: The BioSHaRE– EU Healthy Obese Project (sponsored by Maelstrom Research, a team under the Research Institute of the McGill University Health Centre ) came up with two definitions for healthy obesity , one more strict and one less so: To come up with these criteria, BioSHaRE controlled for age and tobacco use, researching how both may effect the metabolic syndrome associated with obesity, but not found to exist in
6545-455: The Bounty Hunter , Police Stop! , Traffic Cops , Border Security and Motorway Patrol . Shows set at a specific place of business include American Chopper , Miami Ink and its spinoffs, Bikini Barbershop and Lizard Lick Towing . Shows that show people working in the same non-business location include Airport and Bondi Rescue . Obesity Obesity
6664-631: The Dutch production company Endemol . Although Dragons' Den originated in Japan , most of its adaptations are based on the British version.) In India, the competition show Indian Idol was the most popular television program for its first six seasons. During the 2000s, several cable networks, including Bravo , A&E , E! , TLC , History , VH1 , and MTV , changed their programming to feature mostly reality television series. In addition, three cable channels were started around that time that were devoted exclusively to reality television: Fox Reality in
6783-482: The Edmonton Scale (for adult obesity). This scale also introduces factors such as Quality of Life, Mental Health & Mobility amongst others. In recent years, Canada chose to allow both Chilli & Ireland to adapt their obesity guidelines to suit both countries' health systems. In Ireland, obesity is now defined as "a Complex, Chronic & Relapsing Disease". Therefore it is now viewed as requiring intervention from
6902-471: The Past had amateurs participating in a re-enactment of life in an Iron Age English village. Producer George Schlatter capitalized on the advent of videotape to create Real People , a surprise hit for NBC, and it ran from 1979 to 1984. The success of Real People was quickly copied by ABC with That's Incredible , a stunt show produced by Alan Landsburg and co-hosted by Fran Tarkenton ; CBS's entry into
7021-472: The Stars , and the investment franchise Dragons' Den . Several " reality game shows " from the same period have had even greater success, including Deal or No Deal , Who Wants to Be a Millionaire? , and Weakest Link , with over 50 international adaptions each. (All but four of these franchises, Top Model , Project Runway , The Biggest Loser and Dragons' Den , were created by either British producers or
7140-522: The U.S. and is syndicated in over 100 countries worldwide. In 2001, the Academy of Television Arts and Sciences added the reality genre to the Emmy Awards in the category of Outstanding Reality Program . In 2003, to better differentiate between competition and informational reality programs, a second category, Outstanding Reality-Competition Program , was added. In 2008, a third category, Outstanding Host for
7259-473: The U.S. networks used reality series and other unscripted content (including those delayed from their summer lineups) to fill gaps in their schedules while the production of scripted programming resumed. There have been various attempts to classify reality television shows into different subgenres: Another categorization divides reality television into two types: shows that purport to document real life, and shows that place participants in new circumstances. In
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#17330860383927378-486: The U.S. states of Alaska , Louisiana and Texas , shows about cakes, weddings and pawnbrokers , and shows, usually competition-based, whose title includes the word "Wars". Duck Dynasty (2012–2017), which focused on the Robertson family that founded Duck Commander , in 2013 became the most popular reality series in U.S. cable television history. Its fourth-season premiere was viewed by nearly 12 million viewers in
7497-459: The U.S., which they attributed to "The diminishing returns of cable TV's sea of reality sameness". They noted that a number of networks that featured reality programming, including Bravo and E!, were launching their first scripted shows, and others, including AMC , were abandoning plans to launch further reality programs; though they clarified that the genre as a whole "isn't going anywhere." Ratings and profits from reality TV continued to decline in
7616-527: The United States and Europe have led to lower food prices . In the United States, subsidization of corn, soy, wheat, and rice through the U.S. farm bill has made the main sources of processed food cheap compared to fruits and vegetables. Calorie count laws and nutrition facts labels attempt to steer people toward making healthier food choices, including awareness of how much food energy is being consumed. Obese people consistently under-report their food consumption as compared to people of normal weight. This
7735-455: The United States found leisure-time physical activity has not changed significantly. Physical activity in children may not be a significant contributor. In both children and adults, there is an association between television viewing time and the risk of obesity. Increased media exposure increases the rate of childhood obesity, with rates increasing proportionally to time spent watching television. Like many other medical conditions, obesity
7854-889: The United States increased from 14.5% to 30.9%. During the same period, an increase occurred in the average amount of food energy consumed. For women, the average increase was 335 calories (1,400 kJ) per day (1,542 calories (6,450 kJ) in 1971 and 1,877 calories (7,850 kJ) in 2004), while for men the average increase was 168 calories (700 kJ) per day (2,450 calories (10,300 kJ) in 1971 and 2,618 calories (10,950 kJ) in 2004). Most of this extra food energy came from an increase in carbohydrate consumption rather than fat consumption. The primary sources of these extra carbohydrates are sweetened beverages, which now account for almost 25 percent of daily food energy in young adults in America, and potato chips. Consumption of sweetened beverages such as soft drinks, fruit drinks, and iced tea
7973-538: The United States, most of which were in rural markets. Its rural audience share ranked in the 30s, an extremely high number for any series, broadcast or cable. Following from the 1900 House format, the BBC produced a series called Back in Time for Tea in which a family would experience tea time for various decades. In 2014, Entertainment Weekly and Variety again noted a stagnation in reality television programs' ratings in
8092-420: The United States, reality television programs suffered a temporary decline in viewership in 2001, leading some entertainment industry columnists to speculate that the genre was a temporary fad that had run its course. Reality shows that suffered from low ratings included The Amazing Race (although the show has since recovered and is in its 32nd edition), Lost (unrelated to the better-known serial drama of
8211-777: The United States, which operated from 2005 to 2010; Global Reality Channel in Canada , which lasted two years from 2010 to 2012; and CBS Reality (formerly known as Reality TV and then Zone Reality) in Europe, the Middle East and Africa, which has run from 1999 to the present. During the early part of the 2000s, network executives expressed concern that reality-television programming was limited in its appeal for DVD reissue and syndication . But DVDs for reality shows sold briskly; Laguna Beach: The Real Orange County , The Amazing Race , Project Runway , and America's Next Top Model all ranked in
8330-625: The WHO defines obesity as a BMI two standard deviations above the median for their age (a BMI around 18 for a five-year old; around 30 for a 19-year old). For children under five, the WHO defines obesity as a weight three standard deviations above the median for their height. Some modifications to the WHO definitions have been made by particular organizations. The surgical literature breaks down class II and III or only class III obesity into further categories whose exact values are still disputed. As Asian populations develop negative health consequences at
8449-450: The ability to afford food, high energy expenditure with physical labor, and cultural values favoring a larger body size are believed to contribute to the observed patterns. Attitudes toward body weight held by people in one's life may also play a role in obesity. A correlation in BMI changes over time has been found among friends, siblings, and spouses. Stress and perceived low social status appear to increase risk of obesity. Smoking has
8568-471: The appearance and structure of soap operas. Such shows often focus on a close-knit group of people and their shifting friendships and romantic relationships. One highly influential such series was the American 2004–2006 series Laguna Beach: The Real Orange County , which attempted to specifically mimic the primetime soap opera The O.C. , which had begun airing in 2003. Laguna Beach had a more drama-like feel than any previous reality television show, through
8687-471: The association of BMI and waist circumference with mortality is U- or J-shaped, while the association between waist-to-hip ratio and waist-to-height ratio with mortality is more positive. In Asians the risk of negative health effects begins to increase between 22 and 25 kg/m . In 2021, the World Health Organization estimated that obesity caused at least 2.8 million deaths annually. On average, obesity reduces life expectancy by six to seven years,
8806-490: The benefits towards "healthier living" having physical benefits without dynamic shifts on the scales. Plus living with stigma surrounding the shape of one's body or actual treatments for the disease of obesity, be they medicinal or surgical, has been shown to greatly exacerbate the issue. Obesity increases a person's risk of developing various metabolic diseases, cardiovascular disease , osteoarthritis , Alzheimer disease , depression , and certain types of cancer. Depending on
8925-446: The body's response to insulin, potentially leading to insulin resistance . Increased fat also creates a proinflammatory state , and a prothrombotic state. Newer research has focused on methods of identifying healthier obese people by clinicians, and not treating obese people as a monolithic group. Obese people who do not experience medical complications from their obesity are sometimes called (metabolically) healthy obese , but
9044-449: The concept of putting strangers together in a limited environment for an extended period of time and recording the drama that ensued. Nummer 28 also pioneered many of the stylistic conventions that have since become standard in reality television shows, including extensive use of soundtrack music and the interspersing of events on screen with after-the-fact "confessionals" recorded by cast members, which serve as narration. Nummer 28 became
9163-587: The degree of obesity and the presence of comorbid disorders, obesity is associated with an estimated 2–20 year shorter life expectancy. High BMI is a marker of risk for, but not a direct cause of, diseases caused by diet and physical activity. Obesity is one of the leading preventable causes of death worldwide. The mortality risk is lowest at a BMI of 20–25 kg/m in non-smokers and at 24–27 kg/m in current smokers, with risk increasing along with changes in either direction. This appears to apply in at least four continents. Other research suggests that
9282-517: The dramatic increase seen within specific countries or globally. Though it is accepted that energy consumption in excess of energy expenditure leads to increases in body weight on an individual basis, the cause of the shifts in these two factors on the societal scale is much debated. There are a number of theories as to the cause but most believe it is a combination of various factors. The correlation between social class and BMI varies globally. Research in 1989 found that in developed countries women of
9401-517: The drive to eat. Dietary energy supply per capita varies markedly between different regions and countries. It has also changed significantly over time. From the early 1970s to the late 1990s the average food energy available per person per day (the amount of food bought) increased in all parts of the world except Eastern Europe. The United States had the highest availability with 3,654 calories (15,290 kJ) per person in 1996. This increased further in 2003 to 3,754 calories (15,710 kJ). During
9520-527: The early '90s Margera had found early success making brief appearances on The Ron and Ron Show on 95YNF in Tampa, Florida . It's also mentioned in an episode of Viva La Bam by Darlene that Margera had suffered a coma from overdrinking and eating as a part of a contest held by the radio show. He was unmarried and lived in a home formerly owned by his brother in West Chester, Pennsylvania , where he had moved in
9639-581: The early 2000s. Margera became known after appearing as a regular on the MTV television series Viva La Bam , where he was commonly referred to as "Don Vito", a nickname given to him by his nephew Bam. The nickname referred to his near-unintelligible speech reminiscent of Don Vito Corleone of The Godfather , as well as saluting the Margera family's Italian heritage. He had previously appeared in sketches and videos with his family, most of which were released as part of
9758-482: The environment, increased phenotypic variance via assortative mating , social pressure to diet , among others. According to one study, factors like these may play as big of a role as excessive food energy intake and a lack of physical activity; however, the relative magnitudes of the effects of any proposed cause of obesity is varied and uncertain, as there is a general need for randomized controlled trials on humans before definitive statement can be made. According to
9877-809: The episodes were certainly affected by censorship , in recent years the show has been presented more frequently as the oldest reality TV show in the world. Precedents for television that portrayed people in unscripted situations began in the late 1940s. Queen for a Day (1945–1964) was an early example of reality-based television. The 1946 television game show Cash and Carry sometimes featured contestants performing stunts. Debuting in 1948, Allen Funt 's hidden camera show Candid Camera (based on his previous 1947 radio show, The Candid Microphone ) broadcast unsuspecting ordinary people reacting to pranks. In 1948, talent search shows, such as Ted Mack's Original Amateur Hour and Arthur Godfrey's Talent Scouts , featured amateur competitors and audience voting. In
9996-493: The existence of metabolically healthy obesity—the metabolically healthy obese are often found to have low amounts of ectopic fat (fat stored in tissues other than adipose tissue) despite having overall fat mass equivalent in weight to obese people with metabolic syndrome . Although the negative health consequences of obesity in the general population are well supported by the available research evidence, health outcomes in certain subgroups seem to be improved at an increased BMI,
10115-658: The extent to which this group exists (especially among older people) is in dispute. The number of people considered metabolically healthy depends on the definition used, and there is no universally accepted definition. There are numerous obese people who have relatively few metabolic abnormalities, and a minority of obese people have no medical complications. The guidelines of the American Association of Clinical Endocrinologists call for physicians to use risk stratification with obese patients when considering how to assess their risk of developing type 2 diabetes. In 2014,
10234-471: The fact that people often lose weight as they become progressively more ill. Similar findings have been made in other types of heart disease. People with class I obesity and heart disease do not have greater rates of further heart problems than people of normal weight who also have heart disease. In people with greater degrees of obesity, however, the risk of further cardiovascular events is increased. Even after cardiac bypass surgery , no increase in mortality
10353-576: The favorite or underdog to win. Other criticisms of reality television shows include that they are intended to humiliate or exploit participants; that they make stars out of untalented people unworthy of fame, infamous figures, or both; and that they glamorize vulgarity. Television formats portraying ordinary people in unscripted situations are almost as old as the television medium itself. Producer-host Allen Funt 's Candid Camera , in which unsuspecting people were confronted with funny, unusual situations and filmed with hidden cameras, first aired in 1948. In
10472-488: The film was "to blame for reality television". In 1969, the British rock group the Beatles were filmed for a month during the recording sessions which would become their album Let It Be and released the homonymous film the following year. In 2021, director Peter Jackson created an eight-hour, three-episode television series entitled The Beatles: Get Back . The 12-part 1973 PBS series An American Family showed
10591-487: The genre was That's My Line , a series hosted by Bob Barker . The Canadian series Thrill of a Lifetime , a fantasies-fulfilled reality show, originally ran from 1982 to 1988. It was revived from 2001 to 2003. In 1985, underwater cinematographer Al Giddings teamed with former Miss Universe Shawn Weatherly on the NBC series Oceanquest , which chronicled Weatherly's adventures scuba diving in various exotic locales. Weatherly
10710-496: The girls, portraying Margera as a "benign bumbler", and arguing that Margera's signature arm movement may have been mistaken for breast fondling. The jury began to deliberate on the afternoon of October 30, returning on October 31. Margera was found guilty of two counts of sexual assault on a minor and acquitted on one count. In December 2007, Margera was sentenced to 10 years of probation, to be served in Pennsylvania. He
10829-548: The highly successful Here Comes Honey Boo Boo and Duck Dynasty are set in poorer rural areas of the Southern United States . Some documentary-style shows portray professionals either going about day-to-day business or performing an entire project over the course of a series. One early example (and the longest running reality show of any genre) is Cops , which debuted in 1989. Other such shows specifically relating to law enforcement include The First 48 , Dog
10948-485: The late 1990s, Europeans had 3,394 calories (14,200 kJ) per person, in the developing areas of Asia there were 2,648 calories (11,080 kJ) per person, and in sub-Saharan Africa people had 2,176 calories (9,100 kJ) per person. Total food energy consumption has been found to be related to obesity. The widespread availability of dietary guidelines has done little to address the problems of overeating and poor dietary choice. From 1971 to 2000, obesity rates in
11067-430: The late 2010s. The South Korean competition show I Can See Your Voice , which premiered in 2015, showed guest judges attempting to guess which of a group of contestants could sing, and which could not, without hearing them sing. The show was successful, and spawned several imitators, most notably King of Mask Singer several months later. King of Mask Singer was a more traditional singing competition show, but with
11186-470: The long-running reality television show franchises in the United States, such as American Idol , Dancing with the Stars and The Bachelor , had begun to see declining ratings. However, reality television as a whole remained durable in the U.S., with hundreds of shows across many channels. In 2012, New York Magazine's Vulture blog published a humorous Venn diagram showing popular themes across American reality shows then running, including shows set in
11305-448: The main treatments recommended by health professionals. Diet quality can be improved by reducing the consumption of energy-dense foods, such as those high in fat or sugars, and by increasing the intake of dietary fiber , if these dietary choices are available, affordable, and accessible. Medications can be used, along with a suitable diet, to reduce appetite or decrease fat absorption. If diet, exercise, and medication are not effective,
11424-413: The metabolically healthy obese. Other definitions of metabolically healthy obesity exist, including ones based on waist circumference rather than BMI, which is unreliable in certain individuals. Another identification metric for health in obese people is calf strength , which is positively correlated with physical fitness in obese people. Body composition in general is hypothesized to help explain
11543-507: The model for many later series of Big Brother and its clones, and Peter Weir's full-length film The Truman Show . One year later, the same concept was used by MTV in its new series The Real World . Nummer 28 creator Erik Latour has long claimed that The Real World was directly inspired by his show. But the producers of The Real World have said that their direct inspiration was An American Family . According to television commentator Charlie Brooker , this type of reality television
11662-402: The necessary viewers to make it worthwhile. (Even in these cases, it is not always successful: the first ten seasons of Dancing with the Stars were picked up by GSN in 2012 and was run in marathon format, but attracted low viewership and had very poor ratings). Another option is to create documentaries around series, including extended interviews with the participants and outtakes not seen in
11781-406: The original airings; the syndicated series American Idol Rewind is an example of this strategy. COPS has had huge success in syndication, direct response sales, and DVD. A Fox staple since 1989, COPS has, as of 2013 (when it moved to cable channel Spike ), outlasted all competing scripted police shows. Another series that had wide success is Cheaters , which has been running since 2000 in
11900-408: The overall viewership tallies for eight consecutive years, from the 2003–2004 to the 2010–2011 television seasons. Another trend was to combine reality TV with a social history angle usually by having contestants taken back to various time periods primarily to see how millennials would cope without modern technology. Examples included The 1900 House , and Bad Lad's Army . In addition to those
12019-699: The reality television boom have been retroactively classified as reality television, including hidden camera shows, talent-search shows, documentary series about ordinary people, high-concept game shows, home improvement shows, and court shows featuring real-life cases and issues. Reality television has faced significant criticism since its rise in popularity. Critics argue that reality television shows do not accurately reflect reality, in ways both implicit (participants being placed in artificial situations), and deceptive (misleading editing, participants being coached on behavior, storylines generated ahead of time, scenes being staged). Some shows have been accused of rigging
12138-416: The results resembling soap operas – hence the terms docusoap and docudrama . Documentary-style programs give viewers a private look into the lives of the subjects. Within documentary-style reality television are several subcategories or variants: Although the term "docusoap" has been used for many documentary-style reality television shows, there have been shows that have deliberately tried to mimic
12257-493: The revamped MasterChef , among others. The 1980s and 1990s were also a time when tabloid talk shows became more popular. Many of these featured the same types of unusual or dysfunctional guests who would later become popular as cast members of reality shows. Reality television became globally popular in the late 1990s and early 2000s, with the successes of the Big Brother and Survivor / Expedition Robinson franchises. In
12376-520: The same name ) and The Mole (which was successful in other countries). But stronghold shows Survivor and American Idol continued to thrive: both topped the U.S. season-average television ratings in the 2000s. Survivor led the ratings in 2001–02 , and Idol has the longest hold on the No. 1 rank in the American television ratings , dominating over all other primetime programs and other television series in
12495-493: The strongest is the link with type 2 diabetes . Excess body fat underlies 64% of cases of diabetes in men and 77% of cases in women. Health consequences fall into two broad categories: those attributable to the effects of increased fat mass (such as osteoarthritis , obstructive sleep apnea , social stigmatization) and those due to the increased number of fat cells ( diabetes , cancer , cardiovascular disease , non-alcoholic fatty liver disease ). Increases in body fat alter
12614-634: The top DVDs sold on Amazon.com . In the mid-2000s, DVDs of The Simple Life outranked scripted shows such as The O.C. and Desperate Housewives . Syndication, however, has been problematic; shows such as Fear Factor , COPS , and Wife Swap , in which each episode is self-contained, can be rerun fairly easily, but usually only on cable television or during the daytime ( COPS and America's Funniest Home Videos being exceptions). Season-long competitions, such as The Amazing Race , Survivor , and America's Next Top Model generally perform more poorly and usually must be rerun in marathons to draw
12733-401: The twist that judges could not see contestants during the initial audition round, and could judge them only by their voice. The show was an instant success, and spawned an entire franchise, The Voice , which has been highly successful, with almost 50 international adaptations. The Tester (2010–2012) was the first reality television show aired over a video game console. By 2012, many of
12852-497: The underlying stories are real. Another highly successful group of soap-opera-style shows is the Real Housewives franchise, which began with The Real Housewives of Orange County in 2006 and has since spawned nearly twenty other series, in the U.S. and internationally. The franchise has an older cast and different personal dynamics than that of Laguna Beach and its imitators, as well as lower production values, but similarly
12971-841: The use of higher-quality lighting and cameras, voice-over narration instead of on-screen "confessionals", and slower pacing. Laguna Beach led to several spinoff series, most notably the 2006–2010 series The Hills . It also inspired various other series, including the highly successful British series The Only Way Is Essex and Made in Chelsea , and the Australian series Freshwater Blue . Due to their dramatized feel, many of these shows have been accused of being pre-scripted, more so than other reality television shows have. The producers of The Only Way Is Essex and Made in Chelsea have admitted to coaching cast members on what to say in order to draw more emotion from each scene, although they insist that
13090-440: The wrinkle that the contestants were celebrities who remained masked until they were removed from the show, adding an element of guesswork to the competition. The two shows both spawned successful international franchises, I Can See Your Voice and Masked Singer , respectively. Masked Singer has been especially popular, with over 50 local adaptations; its American adaptation was the third highest-rated series overall of both
13209-659: Was a series consisting of archeologists and historians running a farm though various historical periods, most notably Victorian Farm . Internationally, a number of shows created in the late 1990s and 2000s have had massive global success. Reality-television franchises created during that time that have had more than 30 international adaptations each include the singing competition franchises Idols , Star Academy and The X Factor , other competition franchises Survivor/Expedition Robinson , Big Brother , The Biggest Loser , Come Dine with Me , Got Talent , Top Model , MasterChef , Project Runway and Dancing with
13328-442: Was an Australian show that depicted a family, similar in concept to An American Family . The 1994–95 O. J. Simpson murder case , during which live network television followed suspect Simpson for 90 minutes being chased by police, has been described as a seminal moment in reality television. Networks interrupted their regular television programming for months for coverage of the trial and related events. Because of Simpson's status as
13447-401: Was enabled by the advent of computer-based non-linear editing systems for video (such as produced by Avid Technology ) in 1989. These systems made it easy to quickly edit hours of video footage into a usable form, something that had been very difficult to do before (film, which was easy to edit, was too expensive to use in shooting enough hours on a regular basis). Sylvania Waters (1992)
13566-723: Was further ordered not to portray the character of "Don Vito" in any capacity (appearing on television, writing books, autograph signings) while serving his sentence. He was also ordered to register as a sex offender in Colorado and Pennsylvania, to receive an evaluation of his mental health, and to work on his problems with alcohol. Throughout most of his life, Margera was obese . He also had strabismus , which made him partially blind in one eye, as well as suffering from alcoholism . According to his nephew, Bam, he also suffered from depression following his conviction. In October 2015, Margera collapsed in his West Chester, Pennsylvania home and
13685-459: Was impacted in 2020 by the COVID-19 pandemic , which forced many reality competition series to suspend production (and in some cases curtail a competition already in progress, such as Canadian and Malayalam versions of Big Brother ), until such time that production could recommence with appropriate health and safety protocols approved by local authorities. Due to their quicker turnaround times,
13804-497: Was later produced in a large number of other countries as Survivor ), added to the Nummer 28 / Real World template the idea of competition and elimination. Cast members or contestants battled against each other and were removed from the show until only one winner remained (these shows are now sometimes called elimination shows). Changing Rooms , a program that began in the UK in 1996, showed couples redecorating each other's houses, and
13923-750: Was nominated for an Emmy Award for Outstanding Achievement in informational programming. COPS , which first aired in the spring of 1989 on Fox and was developed due to the need for new programming during the 1988 Writers Guild of America strike , showed police officers on duty apprehending criminals. It introduced the camcorder look and cinéma vérité feel of much of later reality television. The 1991 television documentary on "typical American high schoolers", Yearbook , focused on seniors attending Glenbard West High School, in Glen Ellyn , Illinois and broadcast prime-time on Fox . The series Nummer 28 , which aired on Dutch television in 1991, originated
14042-558: Was rushed to the hospital, where he remained in a coma for five days. According to family, he was dying of massive organ failure due to years of obesity and alcoholism. Despite initial improvements in the weeks before his death, he died on November 15, 2015, from kidney and liver failure at the age of 59. Reality television Reality television is a genre of television programming that documents purportedly unscripted real-life situations, often starring unfamiliar people rather than professional actors. Reality television emerged as
14161-471: Was the first reality show with a self-improvement or makeover theme. The dating reality show Streetmate premiered in the UK in 1998. Originally created by Gabe Sachs as Street Match , it was a flop in the United States. But the show was revamped in the UK by Tiger Aspect Productions and became a cult hit. The production team from the original series later created the popular reality shows Strictly Come Dancing , Location, Location, Location , and
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