Boy, there are so many fat-related articles and blog posts in the New York Times lately, I hardly know where to start. First there’s this post by NYT blogger Tara Parker-Pope that confirms what most fat people already know: body weight does not accurately indicate overall health. There are lots of healthy fat folks, and lots of unhealthy skinny people. Anybody who defends their own anti-fat bias as based on concerns about fat people’s health should read this, and then shut up.
One of the parts of the post actually comes from the comments underneath, by a reader who calls herself tatiana. Here’s some of what she said:
Fat people are more likely to be unhealthy, and this study doesn’t deny that… I think the most important thing to take from this study is that overweight and obese folks shouldn’t be demoralized by the difficulties to loose [sic] weight. Exercising is good for you even if you stay fat! So is eating healthy. All that yo-yo dieting is caused by demoralization, from feeling being put down by the actual and imagined holier than thou folks who don’t believe that you are trying to be healthier, they see those extra pounds as 100% proof positive that you’re just lazy. That is certainly how we got there, but once you’re fat, it takes more than healthy habits to loose [sic] weight… thin may never be possible for alot [sic] of people without extreme measures (look at all the gastric bypass folks who don’t actually get skinny)… But I’m healthier than I’ve ever been in my life. And its largely because I’m able to ignore the real and imagined skeptics who believe I must be lying, or delusional at best (”I bet she eats cookies when no one’s looking!”). If I listened to them, I would still be eating straight out of the oreo box!
So, this isn’t a call for the overweight and obese to feel vindicated, nor for the thin to dismiss this as junk science. Its a call for all of us to stop obsessing about our appearance and to start focusing on our health.
Right on, tatiana! She touches on two of my biggest pet peeves about the whole discussion of fatness. First, that fat people who really make an effort but don’t get thin are essentially assumed to be liars– definitely NOT a helpful reaction. Second, that it’s all about size, not health. It’s why so many people find a study like this one hard to believe (scroll through the comments and you’ll see people desperately trying to miss TPP’s point), and why so many fat people who have vastly improved their health with diet and exercise are still seen as failures– by society and by themselves– because they didn’t also get thin.
Another of Parker-Pope’s NYT blog posts sends you here to the Illustrated BMI Categories project. It’s a nifty reality check on what people with various BMI scores actually look like. Most of the obese people really do look obese to me (although I really do hate that word), but there are a LOT of people in the “overweight” category that look perfectly normal and even somewhat thin. Who made up these BMI categories, by what authority, and why are we all required to be sorted this way? I would just as soon see healthcare professionals treat us individually on a case by case basis. When you have distance runners and people with pretty advanced yoga skills qualifying as obese according to the BMI categories, I think it’s time to seriously reconsider how valuable that metric really is.
Finally, there’s a post about the age-old discussion of whether diets really work. In the ensuing discussion in the comments section beneath the post, there are the usual partisans: those who believe diets don’t work, and those who think they do work if properly followed, but people don’t stick to them. Personally, I find this whole duality to be a huge red herring. If a diet is designed in such a way that the majority of people who try it won’t stick to it, to me that makes it ineffective. It’s like designing a bike in such a way that most people can’t reach the pedals, and claiming the problem is not with the bike, but the riders. If you are aware of the nature of human beings and you ignore it in designing your product, whose fault is that really when it doesn’t deliver results? Wouldn’t it be more productive to look for a solution that takes human nature into account?
This reminds me of the people who believe in abstinence-only education. If people just didn’t have sex, there would be no unwanted pregnancies or STDs, right? Well, yes, but thousands of years of human history tell us that’s not going to happen. Abstinence-only education fails because it utterly fails to take into account human nature in the form of human frailty, but also human nature in terms of hard-wired endrocrinologically-based drives that are the key to the continued existence of the human species. In one case, sex, and in the other, hunger, without which none of us would be here because our parents would have either starved to death, not created any offspring, or both.
Among the comments at the bottom of the post, I found this gem, posted by Jason Infeld, MD:
There is no question that diets are often ineffective, but that still does not explain why obesity rates have increased tremendously in the past 3 decades. Our genetic makeup has not changed? I assume our “will power” hasn’t changed. There is clearly some environmental factor in our diets that makes up prone to fat accumulation. It is the job of obesity researchers to clarify what this is. This diet study proves in my mind that it is clearly not saturated fat. We have been preached to for 25 years that if we all lowered our fat intake we would be thinner, our cholesterol would be lower, and we wouldn’t get heart disease. This study strongly suggests that this is not true.
What the blame-the-diets AND the blame-the-fatties camps are both distracting us all from is the possibility that there are more dangerous and powerful external forces at work that are un-leveling the playing field. Hormones, antibiotics, and other chemicals in the food…. the substitution of high-fructose corn syrup for sugar in sodas and other sweet things, agricultural chemicals that are hormone mimics and wind up in the water supply… side effects of otherwise beneficial medications, including what they do to our gut flora… When you consider that girls are getting their periods at younger and younger ages, it’s hard not to wonder what else the chemicals we live with are doing to us that is changing the nature of our bodes. Could there be something among them that is making the battle to lose weight less of a fair fight? Doesn’t it make sense at least to check?