Weight Management Success
- POSTED ON: Sep 24, 2013


 

 

                                        

 

At the bottom of this post is the audio of an excellent lecture regarding weight management success.


I found it interesting, understandable, and practical.  It is rare to find any medical professional with this kind of knowledge, expertise, understanding, and ability to communicate about obesity and weight management.


This is the Audio of a Professional Lecture, 

"The 5A's of Obesity Management",

given at a Medical Conference for Licensed Practical Nurses.


The Lecture is by Dr. Ayra Sharma, M.D., PhD, FRCPC who is an Obesity Specialist and a Professor of Medicine & Chair in Obesity Research and Management at the University of Alberta, Edmonton, Canada.  He is also Scientific Director of the Canadian Obesity Network.   


More insight from Dr. Sharma can be found at Dr. Sharma's Obesity Notes  -  www. drsharma.ca

 


Health as an Obligation
- POSTED ON: Sep 18, 2013


                                  


Fitness is not a measure of worth.

People who choose exercise activities, meaning various types of movement or fitness, as a hobby are no more praiseworthy than people who choose anything else as a hobby.

Fitness by any definition is not an obligation.

There is also no personal obligation to have a thin, or a “normal-weight", body.

Seeking weight-loss is not the same thing as living with healthy habits, and thin or "not fat" isn’t the same thing as "Healthy".

There are healthy and unhealthy people at every size, so reaching a certain body size is neither a guarantee of health, nor a sure preventative or cure for disease. Body Size and Health are two different things and people can, and often do, pursue one without the other.

In fact, seeking "Health" is not a moral, social, or personal obligation. People can choose to prioritize and pursue health at whatever level they want. Their choice to seek health by “engaging in a healthy lifestyle” doesn’t guarantee them personal health. It also doesn’t make them better than people who don’t choose to prioritize or pursue health.

There are also different kinds of health. and all of them aren't available to everyone.  For example: Mental health and Physical health are two different things, and these two types of health don’t necessarily go together.

What does "healthy" even mean?

Healthy is simply the opposite of  diseased or dead.  Human beings are born, they live, and they die.  The human body is designed to wear out.  Even the most "healthy" bodies become "unhealthy" as they get old, and eventually every body ceases its function. Sudden or lingering, death comes to everyone, and except for death-by-accident, people of all ages become sick and then die.

While the term "healthy", refers to the general condition of a person's mind and body, usually meaning to be free from illness, injury or pain, that term is now loosely used to refer to various substances, activities, and ideas that allegedly promote that general condition.

However, despite all claims to the contrary, most things ...  including personal values ...  that are sold to us by the diet (and fitness) industry are the exact opposite of “healthy”.


Dressing to Please the Fat Bigots
- POSTED ON: Sep 11, 2013

   

A Bigot is someone who, as a result of their own prejudices, thinks of other people with contempt, or intolerance on the basis of that other person's characteristics. Bigotry is the state of mind of a Bigot, and thoughts often tend to become actions.

Those who wish to be, or appear to be, "politically correct" in today's society, know they must work to filter out their prejudices against various characteristics such as ethnicity, gender, disability, socioeconomic status, sexual orientation, etc.

However, even the most "liberal" people commonly practice Bigotry when it comes to the physical characteristics of people who have Fat bodies. Our current society still accepts, allows, and encourages such thinking and behaviors.

Here, the term "Fat Bigot" is used to define someone who is prejudiced against the physical characteristics of people who have fat bodies, not someone who HAS a fat body. 

 

When Fat Bodies Just Look Wrong 
   
             by Ragen Chastain.

There is a post over on This is Thin Privilege written by a girl who was told that she couldn’t wear the same shorts as a thinner student because she didn’t “present” the same way as the other student.  This highlights a particular kind of fat bigotry wherein fat bodies are judged to look “wrong” doing the same thing that thin bodies do, just because they are fat.

Wrong can take a lot of meanings in this context, one of the first is the idea that they look obscene (remember the Lane Bryant ad that showed about 25% of the skin of a Victoria’s secret ad but was controversial because it was judged look obscene - obscene here meaning “omg big boobs!”?)  Or, as in the example from above, fat bodies are seen as un-presentable, or needing to be more covered/hidden than other bodies.

And how many times have we heard the “fat girl” rules of fashion – black clothes absorb light and hide our shape (aka “slimming”), choose clothes based on their ability to make you look as much like the thin ideal as possible (aka “Flattering“) and that anything else is an affront to everyone who sees us and a moral failing on our part.

This type of situation is often about a bigot asking to be accommodated by a fat person. 
The assumption being that if someone doesn’t like fat bodies, doesn’t like looking at fat bodies, doesn’t think that fat bodies should do certain things or dress in certain ways, then the people with those fat bodies have a responsibility – nay, an obligation – to “fix” the situation by doing what the fat hater wants us to do.  As if the solution might not be for them to get the hell over their bigotry, or at least practice the ancient art of looking at something else.

When the teacher told the student that the shorts were inappropriate on her fatter body but not on the thinner body, what he was actually saying was “I’m a size bigot, accommodate me.”  Our society is set up to accommodate fat bigotry in many ways, perhaps the most insidious is convincing fat people to take an active part in it by policing ourselves and other fat people for failing to follow the fat girl rules of dressing.

Fat people are allowed to make clothing choices for any reason they want – including dressing for maximum societal approval, as long as they are only choosing for themselves and not trying to tell other fat people what they should wear (hello Underpants Rule, my old friend.)  My suggestion is not that all fat people dress a certain way, but that we should consider being very conscious as to why we make the choices we make, and what that means. So if we choose to dress for societal approval we are keenly aware of why we are doing it so that we don’t get confused and think that there is anything wrong with our actual bodies – rather than realizing that there is a lot wrong with society and that our bodies are fine.

When it comes to the idea of fat bodies looking “wrong,”  the choices I make about what to wear have been less important than my ability to realize when a bigot is asking me to accommodate them, and the fact that I am under absolutely no obligation to do so. If you struggle with feeling like fat bodies (maybe even including yours) look “wrong” then a big part of the problem may be that the media doesn’t seem to be able to show us with heads and faces, let alone as positive role models.  So I suggest taking some time each day to find pictures of fat bodies and work to increase your skill at perceiving beauty.  


by Regen Chastain. 
Dancer, Choreographer, Writer, Speaker, Fat Person
www.  Dances With Fat      

  Life has taught me things things about myself and others. I now realize that I grew up surrounded by Fat Bigots… meaning people who were prejudiced against people who exhibited the physical characteristic of being Fat. That nonacceptance range of of Fat began with the state of being "not thin"; included "a bit plump" or "overweight"; then progressed to "fat", "really fat", and then on to "morbidly obese" and up.

I adopted this mental state as my own, which was a problem since I was never "thin". I was curvy even as a very young adolescent in the late 1950s, I recall my mother's reaction when she weighed me and learned that at 5'1" I weighed 105 lbs. She exclaimed in fear and horror, "That's what I weighed when I got married!!." She was taller, 5'4" so I was already fatter than my mother was as a young adult.. and she was a "normal" person not a "thin" person.

This article brought my attention to the fact that as a child I was taught to dress to please Fat Bigots. When the "squaw shirt" was popular, it was to be avoided because it was a gathered skirt. My peers wore the straight sheath dresses favored by Jackie Kennedy, but these disguised my small waist and emphasized my hips and thighs, so I wore "princess" style, dresses, which skimmed past my waist to smoothly flare out over my hips.

Showing Skin was to be avoided, no bare upper arms or showing of knees or thighs. Modesty wasn't the true reason for this, it was to avoid showing fat. As a freshman in High School, while weighing 115 lbs, I was outfitted with long-line bras, and panty girdles in order to smooth out any bouncy fat that might show through my clothing.

I adopted this mindset as my own. Although there were many girls fatter than me, who dressed without regard to fat concealment, I regarded them with hidden contempt, and I judged my own appearance by comparing myself to girls who were naturally thin.

This attitude followed me throughout my life, and I considered it normal. However, I was a middle-aged woman with years of Therapy behind me, before I realized that what was wrong was Society, not my body.

I always knew that I was dressing for societal approval, and I still do this. However, I do it now as a conscious choice, using personal preferences I've established over years of habit.

There are lots of different types of bodies, and different ways to acceptably dress them.  
See below:  Aerosmith's - Pink 

 


Is it the Diet, or the Person, Who Fails?
- POSTED ON: Aug 15, 2013


By now, anyone who spends any time with me here at DietHobby, probably knows a great deal about my personal dieting, weight-loss and maintenance history, and is familiar with my 8 year + ongoing struggle to maintain my body at a normal size after years of yo-yo 100+ lb losses and dealing with the issues of morbid obesity.

If not, you can see my recent STATUS UPDATE, which includes a couple of very relevant links.

My weight is now in the “normal” range, and it takes constant vigilance for me to keep it there. What most “average” people have difficulty grasping is that my struggle is not caused by trying to keep my weight “too low”. Ten years ago when I weighed in the 190s, I struggled to stay under 200 lbs. Twenty years ago, before my RNY gastric bypass at 271 lbs, my highest weight ever, I was engaged in an ongoing struggle to keep from gaining even more weight.

Despite all of my nutritional knowledge and dieting experience, I know without a doubt that the result of “listening to my body” and eating what my body tells me to eat will return me to my highest weight. There are many articles here in the DietHobby ARCHIVES that deal with the specifics of this issue in detail.

A great deal of current research has indicated that overweight or obese people aren’t necessarily less “healthy” than normal weight people. This has also been my own lifetime observation and I am in agreement with that line of thought.

So WHY, here in my late 60s, do I continue to engage in this struggle? Why not relax and just “eat healthy” and let my body get as fat as it wants to get? I’m in excellent health for my age, come from “healthy” genetic stock, and take no prescription drugs, great blood pressure, and no medical conditions, except for my tendency toward obesity.. Even though I’m in excellent health for my age, I’m elderly, so it is unlikely that I have more than 10 to 20 lifetime years left.

Recently I posted some videos of an ongoing BBC series called “The Men Who Made Us Thin”.

It reminded me of my personal history in the 1940s, 1950s, 1960s and forward, and I thought about the fact that almost all of the people who helped me create my personal anti-fat bias are now dead. Their opinions, which were once crucial to me, are now meaningless. All of my present family and friends love and accept me at any size, fat or thin.

I have no wish to share here all of the details of my innermost psyche about this issue, but I bring it up because as part of my Dieting Hobby, I’ve been watching quite a few people who are adopting the principles of “Health at Every Size”, and are working to Accept whatever size …. no matter how obese…. their body wishes them to be. I find them interesting and admirable.

Here at normal weight, I have no intention of adopting this philosophy for myself and allow my body to return to morbid obesity, but if I were still at my top weight I think I might consider it.

Previously I shared an article and dancing video of a woman embraces the concept: “It’s Not Really About the Fat – Health At Any Size”.  Here is another of her articles which is worth a great deal of consideration.


  Do Diets Fail or Do Dieters Fail? 
         by Ragen Chastain. 
             Dancer, Choreographer, Writer, Speaker, Fat Person.

I got a question from a blog reader that I wanted to talk about:

I have a question! I have non-FA (fat acceptance) friends who think that most diets don’t work not because of metabolism or anything like that, but because the actual dieter is weak-willed. They think that people regain the weight plus some because they stop doing the diet or attending Weight Watchers or whatever it is they have chosen to do. In contrast, I think that even if one stays on the diet religiously, still metabolism will change and the weight will be regained in the majority of cases. What do you think?

This is basic math. Studies show that the vast majority of diets fail. Even Meme Roth says that the failure rate is around 95%. Somehow people still believe that it’s because 95% of people just aren’t doing it right.

In truth, there is a lot of research about the physiological changes the body goes through in response to weight loss for the specific goal of weight regain. An Australian research team studied people who had lost weight in an effort to understand some of these changes. A year after their initial weight loss:


• A hormone that suppresses hunger and increases metabolism – Leptin – was still lower than normal

• Ghrelin, nicknamed the “hunger hormone,” was about 20 percent higher

• Peptide YY, a hormone associated with hunger suppression was abnormally low

• Participants reported being much more hungry and preoccupied with food then they had prior to losing weight


A year after losing weight these people’s bodies were still biologically different than they had been prior to the weight loss attempt, desperately working to regain the weight – and participants had already regained about 30% of the weight they had lost. One of the study’s authors characterized it as “A coordinated defense mechanism with multiple components all directed toward making us put on weight.”

So it does appear that the body fights weight loss strongly. There are other studies that show the same things, as well as studies that show genetics play a large part.

What I want to point out is the fact that, regardless of why a treatment doesn’t work, if it fails 95% of the time then there is an problem with the treatment and an issue with meeting the criteria for evidence-based medicine, and that is the situation with dieting.

The thing that blew my mind when I realized it (thanks to the brilliant Deb Burgard) is that the entire basis of prescribing weight loss for greater health is built on a guess. There is not a single study that shows that people who lose weight have the same health outcomes as people who were never fat, or better outcomes than if they had just engaged in healthy habits and stayed fat. This whole thing is just a guess – so all the work and money going into figuring out how to make fat people thin so that we can be “healthier” may be a complete waste.
So it’s not just that it doesn’t appear that long-term weight loss is possible for most people – it’s also that, when it comes to health, weight loss may not even be a worthy goal.

What’s ridiculous to me is that it’s not being widely publicized that we have a mountain of evidence that shows that healthy habits are the best chance for healthy bodies of all sizes. Plenty of studies show that people who get 30 minutes of moderate movement 5 days a week get tremendous benefits without weight loss. Another study shows that people who get moderate physical activity, 5 servings of fruits and veggies, drink moderately and don’t smoke have the same health hazard ratios whether they are considered “Normal weight”, “Overweight” or “Obese”.

It’s important to note that our culture’s attachment to weight loss as the path to health is not based on evidence. It is at best an “everybody knows situation” akin to the time when everybody “knew” that the sun revolved around the Earth (which could be why those of us who are pointing out the evidence are getting told to sit down and shut up faster than they put Galileo under house arrest). At worst, our attachment to weight loss is a combination of profitability and pride. The diet industry doesn’t want to give up the 60 Billion a year it rakes in, doctors are enjoying lucrative weight loss practices, and others just don’t have the guts to admit that they’ve traveled so far down the wrong road and given so much bad advice to so many people.

So why do people who have all of this information keep trying to diet? I think it has a lot to do with the potential rewards and everyone’s belief that they can beat the odds. I was watching a documentary about the Green Beret selection process (I’m a documentary junkie). They know that 50% of people will fail but every man there is sure that he will beat the odds. At one point one of the guys is so out of it that they ask him “Do you know where you are” and his answer is, I swear to god, “hashbrowns”. But as they drive him away to see a medic he keeps yelling that he’s fine, he can do it. Golda Poretsky at Body Love Wellness wrote a great post about this phenomenon as it pertains to weight loss. I get e-mails all the time “I don’t agree with you because I’m losing weight right now and I’m just not going to gain it back.” To which I want to reply “hashbrowns.”

I think a lot of it has to do with the fact that weight loss almost always works short term, but almost always fails long term and the dieting industry has done a great job of taking credit for the first part of a biological reality and blaming dieters for the second part. I get so many e-mails from people who say “I believe in HAES, but I’m doing [insert diet here] and I’ve lost X pounds so it’s working!” There is so much societal reward when people are losing weight that you can get a huge rush and it’s easy to forget that there is a 95% chance that you will be back where you were or even heavier in 5 years.

Of course everyone is the boss of their underpants and I have no problem with people choosing dieting for themselves, but I do not feel comfortable being part of the rush of praise that people who lose weight receive that makes the near-inevitable weight regain that much more crushing so I choose my words very carefully, and I’m certainly not recommending that people do something that nobody can prove is possible for a reason that nobody can prove is valid. 


Ragen Chastain blogs at www. danceswithfat.wordpress.com
and describes herself as: Dancer, Choreographer, Writer, Speaker, Fat Person.


The Men Who Made Us Thin (BBC series - All Episodes 1, 2, 3 & 4)
- POSTED ON: Aug 14, 2013


Update:  The missing videos were removed from YouTube in 2014 due to a Copyright violation.

  Here's Episode ONE of BBC series: "The Men Who Made Us Thin" 
which was televised in the UK in Summer of 2013.            

 



Episode TWO of BBC series: "The Men Who Made Us Thin" 
which was televised in the UK in Summer 2013.   


Episode THREE of BBC series: "The Men Who Made Us Thin" 
which was televised in the UK in Summer 2013.   

 

Episode FOUR of BBC series: "The Men Who Made Us Thin" 
which was televised in the UK in Summer 2013.   

 ALSO    Click link below to see:
the BBC series: "The Men Who Made Us Fat"
televised in the UK during Summer 2012.


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