Obesity. Are you just lazy and dumb?

SideSteel
SideSteel Posts: 11,068 Member
edited November 13 in Health and Weight Loss
Meet Margaret.

Margaret is a single mother of three wonderful children. She is currently unemployed with a college degree in mathematics.

She has obesity and she was overweight as a child, and she wants nothing more than to lose weight and be healthy but the amount of life stress she faces makes seemingly simple tasks seem insurmountable. She has tried repeatedly in the past and while she has seen small amounts of success, she has never been able to lose weight and keep it off.

Margaret is on government assistance and she does not get child support. She struggles to find employment and she cannot afford childcare so she spends her days caring for her children. Margaret cannot afford a gym membership and she does not have convenient access to the internet. She is barely staying afloat, figuratively treading water to try and keep her children alive and healthy. Her youngest does not yet sleep through the night and so Margaret is chronically sleep deprived.

The only grocery store is 22 miles from her apartment and she cannot shop frequently so she relies on canned goods and some cheaper, heavily processed shelf stable foods to provide for her family.

Margaret was raised with poor dietary habits. Her family members have obesity and both of her parents are type 2 diabetics. Margaret’s brother is a construction worker and while he has good health markers, he too is 25lbs overweight.

When Margaret starts dieting, she feels very fatigued and tired. Her energy expenditure goes down and weight loss is very challenging for her to sustain. When she exercises, she’s regularly punished by the feeling of fatigue and physical pain, and every time she makes an effort to try to attenuate her condition she receives negative feedback both physically and emotionally.

Occasionally people ridicule her about her body and while she can't afford gym fees, the thought of exercising in front of people intimidates her.

Margaret cares about her body and she is an intelligent adult.



Meet Chad.

Chad is a 26-year-old competitive physique athlete and personal trainer.


Chad's father is a well-known professional athlete and his mother is a former IFBB competitor. They are quite financially secure, with Chad's family owning a chain of commercial Gyms.

Chad has a history of very healthy eating habits and he has been lifting weights with both parents since he was a young boy.

There's a farmers market and two grocery stores within walking distance to His home, and every three days Chad sprints to the store for fun and then he walks home with some fresh produce.

When Chad overeats, his non-exercise activity naturally increases which causes him to have to eat a very high number of calories to gain body weight. His friends joke about it but it's difficult for him to have to eat so much to gain weight. When he exercises, Chad is rewarded by how it feels, by the peer support he gets, and by the thousands of Instagram followers who comment on his body and on his lifting videos.

Chad is currently cutting for an upcoming bodybuilding competition. Dieting down to extreme levels of leanness is quite challenging for anyone, including Chad -- but he embraces the challenge as a recreational activity that he enjoys along with his training.


Margaret and Chad both care a lot about their bodies. They are both intelligent adults too!


Whether or not Margaret can succeed at her weight loss journey will come down to a series of personal choices.


Whether or not Chad can succeed with maintaining a reasonable bodyweight will also come down to a series of personal choices.


But it’s much easier for Chad to make health promoting decisions. He has a lower amount of life stress, he has financial stability, and he also has favorable genetics for both athleticism and resisting fat gain and so when he does make those decisions the results come faster.

Chad has a well established support network and a thriving career that keeps him physically active, and when Chad makes decisions that are already part of his daily life, he’s rewarded by doing so.

It’s the complete opposite for Margaret in almost all respects.

Now obviously I’ve presented two rather extreme cases but it’s to illustrate some points.


We know that fat loss IS about calorie balance over the long term. And presumably at least, we can say that we all have some amount of willpower to make choices.

But as you can see in this example, the playing field is NOT, AT ALL level. It is MUCH easier for some people (like Chad) to make health promoting choices and there are factors that DO NOT involve personal choice that may have a substantial impact on overall success at fat loss.

If you reduce obesity to the notion that people with obesity are just lazy, or dumb, or “just don’t care enough” you are willfully ignoring an overwhelming amount of influencing factors including but not limited to socioeconomic influences, genetic influences, environmental influences, individual psychological factors, and a laundry list of other things that make the playing field remarkably skewed, so to speak.

So why do I care?

Because as a fitness professional it frustrates me to no end when people (most often lean people) make the assumption that someone’s failure to maintain a healthy bodyweight is a direct statement about either their intelligence or their level of desire. (I’ll note that it CAN be due to these things, definitely. But don’t assume that it IS due to these things).
Obesity is the result of fat accumulation caused by chronic overconsumption of calories.
It is not however, exclusively a function of how bad you want it, or how intelligent you are.

Finally, repeated a bit more bluntly: if you think that obese people are just lazy and/or dumb, not only are you most often entirely wrong, but you’re also not helping anyone, you’re potentially harming, and I sincerely hope you don’t have a career in fitness.

Some leisure reading:
Obesity System Influences Diagram
http://www.shiftn.com/obesity/Full-Map.html

On variable responses to NEAT which supports the idea that some people are resistant to fat gain while others aren’t.

https://www.ncbi.nlm.nih.gov/pubmed/9880251
https://www.ncbi.nlm.nih.gov/pubmed/1514610
https://www.ncbi.nlm.nih.gov/pubmed/11360139
http://www.bodyrecomposition.com/research-review/role-of-nonexercise-activity-thermogenesis-in-resistance-to-fat-gain-in-humans-research-review.html/
https://www.ncbi.nlm.nih.gov/pubmed/11310775

Association between poverty and obesity rates in the US:
http://diabetes.diabetesjournals.org/content/60/11/2667


On attitudes towards obesity on social media:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4167901/

Fat shaming sucks and if you do it, so do you:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2866597/
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Replies

  • Cbestinme
    Cbestinme Posts: 397 Member
    edited October 2016
    Yes I wondered about this, I just recommended a post that says the person was able to "shift from doing things fat lazy people to to doing things lean healthy people do". I definitely need to be better informed next time. Thanks for starting this thread, will be interesting to see the discussion.
  • Hornsby
    Hornsby Posts: 10,322 Member
    deal_1.gifHump.gif
  • Cbestinme
    Cbestinme Posts: 397 Member
    Switch "obesity" with "poverty" and the argument is still the same, but as you can see there's still a large group that blames poverty on lazy and dumb.

    Ain't that the truth. You're quite right.
  • Cbestinme
    Cbestinme Posts: 397 Member
    adregnier wrote: »
    I don't think it was meant to excuse or justify anything. I think it was meant as an example that the difficultly level for weight loss and a healthy lifestyle is dependent on so many different things and the majority of people don't understand that sometimes there are so many more factors than just wanting to make a change.

    love this, it's really eye opening
  • Catawampous
    Catawampous Posts: 447 Member
    edited October 2016
    Hmmm ... I do like the post a lot. I get what is trying to be conveyed. I think. But I also am having a few struggles with some of it. I just don't want to see "I can't because ... Margaret". I want to say Margaret's road is definitely the more difficult of the two. But if one wants something enough we make it happen. That might mean no gym. But it might mean lifting gallon jugs filled with water. Or walking in place or ... something.

    This probably makes me look like I am completely lacking empathy and I am not. I just am not finding the right words I guess.


    Ok I came back and read again. I get it and yes, I would agree that things are stacked against one over the other. Margaret's (and people facing similar challenges) choices are and will continue to be, much harder. At least in the short term.

    As to considering anyone dumb and lazy? I'd never make that assumption unless I walked a mile in their shoes once.
  • SideSteel
    SideSteel Posts: 11,068 Member
    Hamsibian wrote: »
    food banks and food desert areas are huge contributors to the disparity gap in regards to obesity and health. This is way beyond lazy and dumb, and it makes me so angry that people get stigmatized because of their backgrounds. I actually want to integrate health into social work to help families break through the barriers.

    Yup, one of the posted studies references food deserts as a contributing factor.
  • Hamsibian
    Hamsibian Posts: 1,388 Member
    SideSteel wrote: »
    Hamsibian wrote: »
    food banks and food desert areas are huge contributors to the disparity gap in regards to obesity and health. This is way beyond lazy and dumb, and it makes me so angry that people get stigmatized because of their backgrounds. I actually want to integrate health into social work to help families break through the barriers.

    Yup, one of the posted studies references food deserts as a contributing factor.

    Thanks! It's hard to read this stuff on my phone, so I'll get to them once I have access to a computer. I find this information interesting yet unfortunate.
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