Tag Archives: well being

Proof Please

So very often these days we hear that the world has deemed to help the portly because they so desperately need help and the world is being nice–and stuff. Millions upon millions are invested in trying to prove that fat people are unhealthy, and if they would just eat a little less and move a little more, all their problems would be solved, everybody in the world would be healthy, and good, quality health insurance would cost everybody $1. The fact that despite the millions of dollars spent, nobody has been able to prove these or demonstrate any way to make this magical weight loss happen on all but a fleeting and temporary basis doesn’t seem to deter anybody from testing this hypothesis again and again.

And even when the proof is not available, or indeed the available evidence says that your “weight intervention” causes negative effects and makes people fatter current policy seems to involve simply ignoring those pesky little facts.

Take the current practice of weighing and measuring kids at school and then sending home “BMI report cards”. Despite showing again, and again and again that shame doesn’t make kids thinner or healthier, showing that shame causes kids to engage in more unhealthy behavior, that shame makes kids fatter, we still do this. Why? The National Eating Disorder Information Center issued the following statement regarding BMI testing in schools:

What the American Academy of Pediatrics (AAP) seems to be ignoring in its advocacy of weighing and measuring the height of schoolchildren is the risk it carries not just to increase body-based bullying from student’s teachers and peers, but the risk to children’s developing self-stigma and poor body image.

Body-based bullying continues to be the most common cause of bullying in youth. 29% of girls and 15% of boys are already teased about their weight at home. By grade seven, up to 30% of girls and 25% of boys are teased by other students. Poor body image has been found to stop youth from engaging in social, academic and physical opportunities. It limits willingness to express an opinion. In perpetuating focus on body shapes and sizes rather than on encouraging health providing attitudes and behaviours in children regardless of size, what are our schools (and public health) teaching?

However, it seems that plans to do BMI testing and BMI report cards in schools is continuing throughout North America.

This also reminds me of another recent situation I had recently reported. Blue Care of Michigan is still touting the positive results of their “enforced march” walking program for fatties despite the fact that there is no evidence at all that those who participated either lost weight, or had any positive health outcomes associated with the program. They apparently did nothing to track the original fitness level of the plus-sized participants and had no idea whether or not these folks were already active. They just told these people that unless they wanted to pay an additional $2,000/year they had to participate. They also forced those who participated to either be a member of Weight Watchers or wear a monitor which counted their steps during the day. Just like a prisoner, they were forced to wear a physical implement on their bodies that told their insurance overlords what they were doing throughout the day. Just because their BMI is over 30. They declared this project a success even though nearly 1/3 of the 12 percent of participants who bothered to respond to the survey said they hated the program and found it coercive. For more information, you may wish to read this article from my friend and colleague Jon Robison.

Throughout all this rhetoric about making fat people into “healthy thin people”. Throughout all this spending on proving that fat people can become thin people on more than a very temporary basis and that making fat people into thin people will make them healthy there is one thing continually missing and that thing is proof.

When the available evidence points to the opposite of the fat people can become thin people, or fat people can’t be healthy people or fat kids just have ignorant parents rhetoric, the powers that be either request more money to re-test the hypothesis or simply ignore the inconvenient facts.

You may have heard of iatrogenic effects in medicine. Dictionary.com defines them as: (of an illness or symptoms) induced in a patient as the result of a physician’s words or actions, esp as a consequence of taking a drug prescribed by the physician.

And good old Dictionary.com also defines iatrogenic as relates to social welfare: “(of a problem) induced by the means of treating a problem but ascribed to the continuing natural development of the problem being treated”.

Some experts have suggested that the “obesity crisis” is a textbook example of iatrogenic effects in both medicine and social welfare. But I wonder if the “obesity crisis” isn’t responsible for iatrogenic effects in the economy as well. If the response to the mounting pile of evidence that “diets don’t work” and “shame doesn’t work” and “fat people can be healthy” is always, “let’s pay for more tests” or “let’s do the weight loss junk but try harder this time” the obesity crisis will continue to be very, very expensive.

But I think the treatment for the economic effects of the hysteria surrounding the “obesity crisis” may be as simple as this. Demand proof. If your insurance company wants to put you on a walking program without doing an intake of any kind or presenting any data regarding the efficacy of the program, demand proof. If your kid’s school wants to measure their BMI along with everybody else’s and send home a BMI report card, demand proof that this makes kids happier or healthier. It’s not easy. It’s not fun. But the rights of fat people to enjoy life, liberty and the pursuit of happiness demands that we, the fierce fat folks, demand proof.

Love,

The Fat Chick

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Right Now Show Episode 005: The Big Fat Cookie Cycle

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In Episode 005 of the Right Now Show, we explore the cycle of dieting, deprivation and desperation that I have dubbed “The Big Fat Cookie Cycle”. Learn a few reasons why dieting typically fails and why the Health At Every Size(R) approach seems to be so much more successful.

Here are some important references offering more information on Health At Every Size:

The Fat Chick Works Out! Book and DVD

The Association for Size Diversity and Health

Health at Every Size: The Surprising Truth About Your Weight

Big Fat Stats

And finally, if you’re enjoying the show, don’t forget to subscribe at: http://www.youtube.com/jeanettedepatie.

Thanks so much!

Love,
Jeanette
AKA The Fat Chick
http://www.thefatchick.com

What is Health?

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One of my regular readers recently sent me a question about how I define health. She was particularly interested in my definition, as she felt that most if not all of the definitions of health out there in the world either would not or could not include her.

First and foremost let me tell you that I think there is no such thing as perfect health. There is no specific state of being that you can achieve, there’s no moment that comes with achievement badges and a certificate that marks “health”. But let’s take a moment to discuss some of the definitions of health already floating around out there.

Now let’s take a moment and consider some other definitions of health. Here’s the World Health Organization definition of health:

Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.

Now the WHO definition does take the ideas of mental and social well being into account. So, it scores points for that. But it also implies that these things are in addition to the complete absence of disease or infirmity. It also implies that health is a state of complete well being. Now under this definition of health, i may have achieved that on one particular day, when I was 19. I think it was a Tuesday. But I think this is an “idealistic” view of health that leaves a lot of people who are dealing with chronic disease or infirmity with the idea that health is not possible for them. Which sucks. So why bother?

Needless to say I think this definition leaves something to be desired.

The Association for Size Diversity And Health has this definition of the principles of Health At Every Size(R):

1. Accepting and respecting the diversity of body shapes and sizes.

2. Recognizing that health and well-being are multi-dimensional and that they include physical, social, spiritual, occupational, emotional, and intellectual aspects.

3. Promoting all aspects of health and well-being for people of all sizes.

4. Promoting eating in a manner which balances individual nutritional needs, hunger, satiety, appetite, and pleasure.

5. Promoting individually appropriate, enjoyable, life-enhancing physical activity, rather than exercise that is focused on a goal of weight loss.

And this definition is far better. It promotes a series of behaviors and principles as opposed to an arbitrary standard of physical indicators or an unattainable ideal of perfect well-being across a spectrum of categories. I actually really like the HAES(R) principles as spelled out by the Association for Size Diversity And Health a whole lot. But I also understand that as opposed to the WHO definition, it’s a little long and ponderous.

So how do I define health? I’m not sure that my definition is better than either of those listed above–it’s just the way I personally see it. I think health is one end of a personal continuum that is completely unique to each of us. We do not achieve health. We move towards health or away from health in our own lives. When we move towards health, we engage in behaviors that give us a better quality of life and give us more energy and capacity to do and enjoy the things that are most important to us. When we move away from health, we engage in behaviors that rob of us of energy and give us less capacity to do and enjoy the things most meaningful to us. All the while, we must take into account that there are aspects of quality of life outside of our control. We are imperfect beings who age and die. This is a fact of life. But the pursuit of health, is the process of discovering for ourselves, what behaviors allow each of us to make the most of the bodies that we already have to experience and attain that which means most to us from day to day.

Which is also very long and ponderous. So here’s my shortcut version:

Moving towards HEALTH is the process of using the body you already have in a way that allows you to best enjoy and or/attain the stuff that matters to you most.

I’m not a doctor or a philosopher. But those are my thoughts. I hope you are able to find what health means to you on your personal continuum and move towards it in a way that feels wonderful.

Love,

The Fat Chick