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why do people think you can be healthy at every size?

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Replies

  • susanpiper57
    susanpiper57 Posts: 213 Member
    And harder to lose the weight afterwards!
  • Aaron_K123
    Aaron_K123 Posts: 7,122 Member
    trulyhealy wrote: »
    that can’t really be true if you’re fat/obese/underweight bc being bc if you were healthy you wouldn’t get fat

    I think the issue here in terms of people seeing eye to eye is that "healthy" is subjective, it isn't some objectively defined thing. Depends what you mean by "healthy".

    If by "healthy" you mean only doing things that are conducive to optimal health then I suppose you are correct in what you say, but then again if your definition is that strict I don't think that anyone would qualify as being truly "healthy".

    If by "healthy" you mean that at the current time your body is in a condition that gives you the most statistical chance of future health then that would mean that people who were obese would not be healthy as being obese comes with statistical health risks.

    If by "healthy" you simply mean that right now, in this moment, you aren't physically sick or suffering from any specific ailment then an obese chain-smoker could be considered to be healthy as long as at that moment they weren't having any medical issues.
  • magnusthenerd
    magnusthenerd Posts: 1,207 Member
    lemurcat2 wrote: »
    The idea that health is really what matters comes in when the activity is seen as not self-punishing enough, perhaps, or indulgence, not toughness.

    Get by on 4 hours of sleep regularly, have a stressful job, pull all-nighters, pound out the last 10 miles of a marathon on an injured knee -- toughness. (I used to do all these but the last regularly, and mostly got praise or admiration for it, and even now I have trouble not seeing a virtue in sacrificing self care for such things, not sacrificing sleep first and feeling proud that I don't need to sleep that much, in my mind -- that's kind of messed up, actually.)

    No wonder so many people want weight loss to be in that vein too -- eat 900 cal a day, fast for a week, never eat [insert foods you might enjoy here]. Not really consistent with a focus on health as the goal, though.

    That aside, I would personally agree that in my own case not losing weight for a period of time was in part that I was confused about what to do and thought it would be harder than it was, feared failure and pity (I felt better pretending to be cool with being fat than letting others know I'd tried to lose and failed or that it bothered me -- I didn't tell anyone when I did decide to lose and tried to hide the fact I was dieting even), and because I did not care as much about it as the other things I was prioritizing (when all your stress and will power is used up on other things it's hard to add more things). I just don't think it's some terrible sin or anyone else's business that I had a period of time between when I decided I was unhappy with my weight and when I decided to lose.

    To go back to the actual topic of the thread (which was not "expressing moral superiority over fat people or people who used to be fat"), I was lucky in that I was not heavy when younger and did not have a history of bad and counterproductive efforts at dieting and feeling shame and self-hatred connected with that. As a result, it was not super charged for me to decide to try to lose, although even I expected it likely would not work and so framed it for myself as eating heathfully and getting as fit as possible.

    If someone finds a focus on weight loss something that tends to make them less likely to make efforts to be healthier and finds it much easier to focus on other good things (like eating well, exercising more, adding in more vegetables and lean protein and reducing high cal/low nutrient options), why complain that they aren't framing it about weight loss?

    Because lifestyle changes only improve your health if you pair it with public self-abasement for having been fat.

    If you feel happy about yourself while you do it, the changes won't work.
    Fact.

    Ben Shapiro has assured us multiple times that facts don't care about feelings.
  • susanpiper57
    susanpiper57 Posts: 213 Member
    ceiswyn wrote: »
    It's especially hard to lose the weight when you're working with diet plans from organisations like Weight Watchers, Slimming World, Atkins and so on that don't teach you anything about calories but offer instead a specific way of eating that has, for most people, the side effect of reducing calories.

    I say 'for most people' because I, for one, am capable of overeating on carrots. Because I like carrots. I also like meat. And salad. And nuts. And when I felt ravenous (which was anytime I was bored) I would cheerily binge on whatever free foods that particular diet plan offered in the comfortable certainty that doing so wouldn't affect my weight loss. Because the 'experts' said those foods didn't count, right?

    Weight Watchers may not have counted it, but my body sure as heck did. Result: even more overweight despite following each plan to the letter. Result: hopelessness, despair, giving up, eating pizza and cake because what the heck, might as well, it wasn't like eating what I was 'supposed' to worked any better.

    Carrots and hummus! I could eat a whole bag and container if I weren't tracking. So delicious, and healthy, but so easy to overdo.

  • janejellyroll
    janejellyroll Posts: 25,763 Member
    trulyhealy wrote: »
    that can’t really be true if you’re fat/obese/underweight bc being bc if you were healthy you wouldn’t get fat

    @trulyhealy yes today we know typically a health failure proceeds obesity. Underweight to a point may not be unhealthy but we know on average being obese cuts life expectancy by 7 years and morbid obesity by 14 years.

    Do we know that? What data is showing us that?
  • run2live75
    run2live75 Posts: 10 Member
    Pretty sure a person who fit perfectly into the " healthy" category can be sick and unhealthy, ie blood pressure, other heart related issues, anything... Just because you are "skinny" doesn't mean you are healthy... There are many factors that play into health.
  • mmapags
    mmapags Posts: 8,934 Member
    trulyhealy wrote: »
    that can’t really be true if you’re fat/obese/underweight bc being bc if you were healthy you wouldn’t get fat

    @trulyhealy yes today we know typically a health failure proceeds obesity. Underweight to a point may not be unhealthy but we know on average being obese cuts life expectancy by 7 years and morbid obesity by 14 years.

    Do we know that? What data is showing us that?

    Same thing came to my mind. Also, what about all the health failures that are a result of obesity? High blood pressure, joint problems, T2D and insulin resistance, cardiac issues. To me, the idea that a health failure proceeds obesity is mostly nonsensical in most cases.
  • ceiswyn
    ceiswyn Posts: 2,256 Member
    I wonder whether by 'proceeds' GaleHawkins actually meant 'proceeds from' rather than the 'precedes' that we're assuming?
  • janejellyroll
    janejellyroll Posts: 25,763 Member
    ceiswyn wrote: »
    I wonder whether by 'proceeds' GaleHawkins actually meant 'proceeds from' rather than the 'precedes' that we're assuming?

    Ah, that makes more sense. Thank you!
  • jlynnm70
    jlynnm70 Posts: 460 Member
    I think you can be healthy at a lot of different sizes. My co-worker works out 5 times a week at Orange Theory, rides her bike to work in good weather, is very active, eats well - says her BP and all tests come back fine....yet if you look at her - you'd think she needed to lose 35-45+#. She is solid and in great physical shape (and who knows what she really weighs since she is solid muscle...but I just think genetically she will never be a 110# at 5' tall or a skinny little girl. I would never ask her what she weighs....but guessing she looks to be about 160ish. I know at my worst I was 160 and 5' tall - but I couldn't do anything....barely get up the stairs here at the office. Sometimes you can't fight your body type.
  • ceiswyn
    ceiswyn Posts: 2,256 Member
    edited March 2019
    WinoGelato wrote: »
    ceiswyn wrote: »
    I wonder whether by 'proceeds' GaleHawkins actually meant 'proceeds from' rather than the 'precedes' that we're assuming?

    Sadly I think that is an incorrect assumption based on what I recall from similar posts from Gale in the past. Paraphrasing but there was some mention of how there aren’t obese wild animals which contributed to his theory that any human who is obese has a mental illness prompting them to eat more total calories than their body needs.

    I wonder how that would work for overweight and obese children, who aren't making their own food choices?
  • tbright1965
    tbright1965 Posts: 852 Member
    Well, it is the debate thread, so it's not unreasonable to expect that people will debate.

    Seems to me, the flow chart is to calculate BMI and if it's overweight or greater, (and probably underweight too) have a trained medical professional evaluate the results.

    Are you arguing against that?
    Yet the CDC and suspect others say something similar,
    CDC wrote:
    Note: At an individual level, BMI can be used as a screening tool but is not diagnostic of the body fatness or the health of an individual. A trained healthcare provider should perform appropriate health assessments in order to evaluate an individual’s health status and risks. If you have questions about your BMI, talk with your health care provider.

    So according to the CDC it is a screening tool, but the results need interpretation.
    The CDC also defines obesity:
    https://www.cdc.gov/obesity/adult/defining.html
    Seems to be the same page you are quoting which says:
    If your BMI is 30.0 or higher, it falls within the obese range.

    Yet the CDC and suspect others say something similar,
    So one may initially show up as obese, but interpreting the initial findings must occur to determine if the person is actually obese.

    If I lost a leg, I could arrive at a “normal” BMI and still be obese because I have a large, fat belly compensating for the missing limb.

    Mindless pointing to a chart does nothing to help a patient.




    You're just arguing that it is instrumental rather than having a particular etiological disease. It isn't my point. I'm not sure what mindless pointing to chart has to do with anything.
    Can you quote me where I said "obesity is having a BMI above 30 and it instantly means you need to fix your life or bad thing happen immediately" or anything like that? You don't get to redefine a tool just because you're worried someone will misuse it. In truth, understanding exactly that it is defined that way is important to understanding one can't blindly apply it.

    Yes I can
    No. Obesity is medically defined by having a BMI over 30. That is the only standardized use of the term medically.
    The concept proxies having excess fat, but there are aspects of obesity that persist regardless of body fat percentage. For example, both sleep apnea and risk of knee issues are both predicted by being obese, even when a person has what would be considered "acceptable" body fat percentage.

    No one is redefining the tool, well at least I'm not. You are saying the tool says what it says and if your BMI is over 30, you are obese, period.

    But it does look like you double back and say maybe, maybe no (paraphrase.) So which is it? Do people who are over a BMI of 30 need to fix their life if they are muscular? I'll take out the immediately, as that's certainly not what I'm suggesting.
    Saying the Rock is obese probably doesn’t motivate people to make changes.
    Again, he's almost certainly on PEDs. I don't see why anyone wants to use him as any kind of talking point or inspiration.

    Finally, do you have any documentation he's on PEDs? Or at least today. He does say he used them when he was still a teen (18-19.) Not sure how relevant it is as he's 40 something IIRC. Or is that merely a guess, speculation or an ad hominem?

    I'm just pointing out the weaknesses in using BMI to determine if someone carries too much fat.

    I don't doubt people will fool themselves and suggest because they are "muscular" they are not obese.

    Heck, I did it. Technically, I'm still obese at 5'11" and 215 pounds. Or maybe at the high end of overweight. Yet with my 48-49" chest, 34" waist, short 29" inseam, it's hard to make a case that I'm obese. I'm probably just into overweight, and I do think I'll get myself a Dexa scan for my 54th Birthday this year.

    So I get both sides of the view. One can lie to themselves. I was able to tell myself that because I didn't look that bad and could ride my bicycle 50-60 miles on a Saturday morning that I had a "few" pounds to lose.

    I suspect I have about 20 pounds more to go. That's what I got down to in 1994 when I was going through chemotherapy and had no appetite. That's what I weighed when I was in the Army and was getting a lot of exercise and other physical activity. But when taped, I was in the normal body fat range at that weight.

    So I'm only saying you really need to know more than just your weight and height.

    Finally, maybe I'm missing something in reading what you said. It's quite possible that I'm missing something and we are really saying the same thing.

  • janejellyroll
    janejellyroll Posts: 25,763 Member
    Well, it is the debate thread, so it's not unreasonable to expect that people will debate.

    Seems to me, the flow chart is to calculate BMI and if it's overweight or greater, (and probably underweight too) have a trained medical professional evaluate the results.

    Are you arguing against that?
    Yet the CDC and suspect others say something similar,
    CDC wrote:
    Note: At an individual level, BMI can be used as a screening tool but is not diagnostic of the body fatness or the health of an individual. A trained healthcare provider should perform appropriate health assessments in order to evaluate an individual’s health status and risks. If you have questions about your BMI, talk with your health care provider.

    So according to the CDC it is a screening tool, but the results need interpretation.
    The CDC also defines obesity:
    https://www.cdc.gov/obesity/adult/defining.html
    Seems to be the same page you are quoting which says:
    If your BMI is 30.0 or higher, it falls within the obese range.

    Yet the CDC and suspect others say something similar,
    So one may initially show up as obese, but interpreting the initial findings must occur to determine if the person is actually obese.

    If I lost a leg, I could arrive at a “normal” BMI and still be obese because I have a large, fat belly compensating for the missing limb.

    Mindless pointing to a chart does nothing to help a patient.




    You're just arguing that it is instrumental rather than having a particular etiological disease. It isn't my point. I'm not sure what mindless pointing to chart has to do with anything.
    Can you quote me where I said "obesity is having a BMI above 30 and it instantly means you need to fix your life or bad thing happen immediately" or anything like that? You don't get to redefine a tool just because you're worried someone will misuse it. In truth, understanding exactly that it is defined that way is important to understanding one can't blindly apply it.

    Yes I can
    No. Obesity is medically defined by having a BMI over 30. That is the only standardized use of the term medically.
    The concept proxies having excess fat, but there are aspects of obesity that persist regardless of body fat percentage. For example, both sleep apnea and risk of knee issues are both predicted by being obese, even when a person has what would be considered "acceptable" body fat percentage.

    No one is redefining the tool, well at least I'm not. You are saying the tool says what it says and if your BMI is over 30, you are obese, period.

    But it does look like you double back and say maybe, maybe no (paraphrase.) So which is it? Do people who are over a BMI of 30 need to fix their life if they are muscular? I'll take out the immediately, as that's certainly not what I'm suggesting.
    Saying the Rock is obese probably doesn’t motivate people to make changes.
    Again, he's almost certainly on PEDs. I don't see why anyone wants to use him as any kind of talking point or inspiration.

    Finally, do you have any documentation he's on PEDs? Or at least today. He does say he used them when he was still a teen (18-19.) Not sure how relevant it is as he's 40 something IIRC. Or is that merely a guess, speculation or an ad hominem?

    I'm just pointing out the weaknesses in using BMI to determine if someone carries too much fat.

    I don't doubt people will fool themselves and suggest because they are "muscular" they are not obese.

    Heck, I did it. Technically, I'm still obese at 5'11" and 215 pounds. Or maybe at the high end of overweight. Yet with my 48-49" chest, 34" waist, short 29" inseam, it's hard to make a case that I'm obese. I'm probably just into overweight, and I do think I'll get myself a Dexa scan for my 54th Birthday this year.

    So I get both sides of the view. One can lie to themselves. I was able to tell myself that because I didn't look that bad and could ride my bicycle 50-60 miles on a Saturday morning that I had a "few" pounds to lose.

    I suspect I have about 20 pounds more to go. That's what I got down to in 1994 when I was going through chemotherapy and had no appetite. That's what I weighed when I was in the Army and was getting a lot of exercise and other physical activity. But when taped, I was in the normal body fat range at that weight.

    So I'm only saying you really need to know more than just your weight and height.

    Finally, maybe I'm missing something in reading what you said. It's quite possible that I'm missing something and we are really saying the same thing.

    I think the point of saying that someone potentially built their body mass through PEDs isn't to make an ad hominem, but to underscore the meaninglessness of using them as any sort of reference point as to what BMI means to the rest of us. Most Americans who qualify as obese using the BMI charts aren't there because they're much fitter than average and/or because they've used substances to increase the amount of muscle they're building.

  • tbright1965
    tbright1965 Posts: 852 Member

    I think the point of saying that someone potentially built their body mass through PEDs isn't to make an ad hominem, but to underscore the meaninglessness of using them as any sort of reference point as to what BMI means to the rest of us. Most Americans who qualify as obese using the BMI charts aren't there because they're much fitter than average and/or because they've used substances to increase the amount of muscle they're building.

    Perhaps. However, unless you know he built the body that way, it's speculation, right?

    I'm not saying he's a result of PEDs or not. As I said, he does admit to using when he was much younger. But also said once he learned of the negatives, he stopped.

    So maybe he's not the best example to cite with respect to PEDs. I really don't know.

    He's big, but he doesn't seem to be PED big to me. He's big consistent with having played football and wrestling and his genetic background.

  • magnusthenerd
    magnusthenerd Posts: 1,207 Member

    I think the point of saying that someone potentially built their body mass through PEDs isn't to make an ad hominem, but to underscore the meaninglessness of using them as any sort of reference point as to what BMI means to the rest of us. Most Americans who qualify as obese using the BMI charts aren't there because they're much fitter than average and/or because they've used substances to increase the amount of muscle they're building.

    Perhaps. However, unless you know he built the body that way, it's speculation, right?

    I'm not saying he's a result of PEDs or not. As I said, he does admit to using when he was much younger. But also said once he learned of the negatives, he stopped.

    So maybe he's not the best example to cite with respect to PEDs. I really don't know.

    He's big, but he doesn't seem to be PED big to me. He's big consistent with having played football and wrestling and his genetic background.
    I think far more football players are on PEDs than most people would. I don't deny it is possible to be over a FFMI of 25 without them, but I tend to doubt people over an FFMI of 25 being PED free. Most people's beliefs about professional athletes is, I would guess, based on a just world - that people breaking rules are caught and most people follow the rules. My inferences on the subject come from what has been studied about athleticism prior to the development of steroids.
  • lisa0527
    lisa0527 Posts: 49 Member
    People think this because we all observe that there isn’t a perfect correlation between body size/weight and fitness level. We all know heavier fit people and unfit/unhealthy skinny people. Not that there isn’t a correlation, it’s just not a perfect one.
    I have a BMI of 28 and play a competitive aerobic sport (medals at the World Masters level) and stress testing shows my fitness level is “high”. My blood pressure and heart rate are low, and I’m maybe unusually strong for my age. I have to work at it though, and maybe harder than someone of normal weight. But it’s definitely not impossible.