国产吃瓜黑料

GET MORE WITH OUTSIDE+

Enjoy 35% off GOES, your essential outdoor guide

UPGRADE TODAY

Group Of Women Exercising Near Mountain
The truth is, health and weight are not nearly as entwined as we think they are. (Photo: Milles Studio/Stocksy)

Fat-Shaming People Won鈥檛 Improve Their Health

Body fat is not a reliable indicator of health. So why are we obsessed with it?

Published: 
Group Of Women Exercising Near Mountain
(Photo: Milles Studio/Stocksy)

New perk: Easily find new routes and hidden gems, upcoming running events, and more near you. Your weekly Local Running Newsletter has everything you need to lace up! .

Often, messages that pose as health promoting are actually the opposite. There are obvious examples, like the doctor pushing听an all-meat diet, or the telling the world that voluntarily getting stung by bees will reduce inflammation. But the more dangerous messaging is subtler, more insidious, and widespread: that fat bodies are inherently unhealthy.

In a recent article, health听columnist Jane Brody points out that Americans have been hit harder by COVID than most other countries, then blames this on our personal health habits, namely diet and exercise. She spends most of the column raising alarm bells about quarantine weight gain,听high-calorie foods, and fatness in general.

In doing so, she鈥檚 not promoting healthier habits. The truth is, health and weight are not nearly as entwined as we think they are. (Not to mention听there鈥檚 far more to America鈥檚 COVID crisis than personal health; limited access to health care, systemic discrimination and inequality, and the听politicization听of the virus have all played huge roles.) Overemphasizing weight loss is stigmatizing and can actually be detrimental to individual health. Here鈥檚 why we need to rethink this kind of messaging.

鈥淔at鈥 Does Not Mean 鈥淯nhealthy鈥

Brody talks of the many people in her life who have 鈥減acked on quite a few pounds of health-robbing body fat this past year.鈥 This is听an undeniably stigmatizing statement, and听it also makes a major assumption that happens to be false: that gaining weight, or being naturally听bigger-bodied, is inherently unhealthy. (As a journalist, I鈥檓 constantly irritated that other journalists can write听things like this without citing a shred of evidence, whereas I have to add an entire paragraph with several citations every time I suggest that weight loss isn鈥檛 always a helpful or realistic goal.)

It鈥檚 possible to be healthy at a higher weight, just as it鈥檚 possible to be unhealthy at a lower one. One 听even found that Danish adults in the 鈥渙verweight鈥 BMI category actually lived the longest. Being at a higher weight is associated with a higher risk of certain diseases, yes, but that doesn鈥檛 mean someone at a higher weight is necessarily unhealthy. 鈥淵ou absolutely cannot infer health information or information about one鈥檚 health behaviors based solely on their weight,鈥 says , a researcher at the University of Connecticut鈥檚 Rudd Center for Food Policy and听Obesity. Someone in a thin body may be completely sedentary and eat a diet of mostly processed foods and very few fruits and vegetables, while someone in a larger body might be extremely active and eat loads of nutrient-rich foods.

All of this to say:the relationship between weight and health is far too complicated to make blanket statements like 鈥渉ealth-robbing body fat.鈥 Both weight gain and weight loss can be healthful or harmful.听It all depends on context.

Eating Well Isn鈥檛 Simple

For years, Brody has presented herself as a living example of 鈥攁bout 50 years ago, she lost 40 pounds in two听years and has kept that weight off since.听In this particular column, she offers up her personal eating regimen as the solution to pandemic weight gain (and fatness in general): eat a diet 鈥渂ased primarily on vegetables, with fish, beans, and nonfat milk [as one鈥檚]听main sources of protein,鈥 along with a bit of portion-controlled ice cream, the occasional burger, and daily exercise. But while that approach may seem realistic compared to all the fad diets out there, experts warn that it鈥檚 not as accessible as Brody makes it sound.

This 鈥淚 can do it, so can you鈥澨齛ttitude is out of touch with many people鈥檚 reality, says , a dietitian based in听Albuquerque, New Mexico. The nonprofit Feeding America听estimates that can鈥檛 afford enough nutritious food to meet their needs, and Bloomberg reported earlier this year that . Stressors like working multiple jobs, raising children (especially as a single parent), lacking health insurance, and living in unsafe neighborhoods also听make prioritizing good nutrition more complicated. Health behaviors often have more to do with someone鈥檚 privilege than their motivation, Jackson says.

Even if everyone did eat according to Brody鈥檚 recommendations, it doesn鈥檛 mean we would all magically be at what Brody and the BMI听scale (the听height-to-weight ratio used to group people into weight categories)听deem听a 鈥渉ealthy鈥 weight.听鈥淲eight is not simply calories in, calories out,鈥 Himmelstein says. In fact, the body听actively resists weight loss: a听 published in the International Journal of Obesity explains that the body generally adapts to calorie deficits by burning fewer calories, using less stored fat for energy, decreasing the fullness-signaling hormone leptin, and increasing the hunger-signaling hormone ghrelin. It鈥檚 also widely accepted that there鈥檚 a genetic component to obesity, and in Current Obesity Report outlines the significant amount of evidence suggesting that stress plays a big role in body weight as well.

鈥淲eight and weight gain are the result of our genetics, our physiology, our environment, our personal stress levels, and our behaviors,鈥澨齮he authors write. Assuming that weight is impacted only, or primarily, by our behaviors, is wildly inaccurate. And听maintaining weight loss long-term is even harder than acheiving it in the first place. A in The BMJ found that while diets lead to weight loss and health improvements in the first six months, these benefits typically disappear by the one-year mark.

Shame Doesn鈥檛 Motivate

Relentlessly encouraging weight loss does more harm than good. 鈥淔at-shaming messaging increases weight stigma, which increases stress and inflammation鈥攚hich are negative health outcomes,鈥 says Amee Severson, a dietitian and the owner of in Bellingham,听Washington.听A in Obesity, of听which Himmelstein was the lead author, found that individuals who reported experiencing weight stigma had higher levels of cortisol, a stress hormone, than those who did not. Chronically elevated levels of cortisol have repeatedly been linked to an increased risk of many diseases, as outlined in this published in the EXCLI Journal.听And a in Health Psychology, also authored by Himmelstein, found that coping with weight stigma can negatively impact both physical and mental health.

While articles like Brody鈥檚 are presumably meant to promote health and healthy behaviors, they actually do the opposite. A small of 93 college-age听women听in the Journal of Experimental Social Psychology found that those听who saw themselves as overweight felt 鈥渓ess capable of controlling their eating鈥 and consumed more calories after reading a weight-stigmatizing news article听than those who read a non-stigmatizing article. A larger in Preventative Medicine found that experiencing weight stigma as an adolescent significantly increased a person鈥檚 risk for binge eating and unhealthy weight-control behaviors as an adult. And, as Severson points out, it makes bigger-bodied people less likely to seek out health care, too.

Live and Let Live

No one owes it to the world to be healthy. 鈥淚 think that every single person has the right to choose how important health is to them,鈥 Severson says. People are allowed to have different values, and healthy behaviors like eating nutritious foods and getting regular movement are not a moral obligation.

Health is personal, and what is considered healthy when it comes to eating and other behaviors varies between individuals. It鈥檚 incredibly difficult to give effective health advice to a large audience, but there鈥檚 still room for health-promoting messages in the media. We need to think听critically about the harm听certain messages may cause. Mandating fruits and vegetables for people who can鈥檛 afford them is offensive and misguided. Demonizing fat and weight gain is demoralizing and harmful to people who live in larger bodies. We know that shame doesn鈥檛 motivate healthy behaviors鈥攁nd it听absolutely harms health.

Lead Photo: Milles Studio/Stocksy

Popular on 国产吃瓜黑料 Online