The Notion That Obesity Is Unhealthy Is Now "Fat Shaming"
According to activists, the notion that obesity Is unhealthy Is now "Fat Shaming." (If we tell you you're a little close to the edge of that cliff, is it "gravity shaming"?)
Maria LaGanga writes in the LA Times:
Dr. Fatima Cody Stanford, an obesity medicine physician who teaches at Harvard Medical School, is one of the paper's three authors. The pandemic, she said in an interview, has "compounded and magnified weight bias and stigma" in the United States "in addition to the other inequities we see."But after that, Stanford parts company with the fat acceptance movement. She does not use the word "fat," instead preferring "people with obesity." She recognizes obesity as a disease and points to research that shows it as a risk factor for the coronavirus.
"Obesity is characterized by chronic inflammation," she said. That condition "is now interacting with an acute inflammatory process, SARS-CoV-2. ... The acute inflammation of a cytokines storm does not interact well with a chronic inflammation from obesity."
Cytokines are a protein that the immune system uses to fight disease. In some COVID patients, the immune system floods the body with cytokines, which attack blood vessels and fill lungs with fluid.
Obesity has been linked with severe COVID-19 outcomes since early in the pandemic. Research published in March in the CDC's Morbidity and Mortality Weekly Report found COVID patients with obesity are more likely to be hospitalized, spend time in the intensive care unit, be put on a ventilator and die.
..."I would hope that people in the health-at-every-size movement embrace the science," Stanford said, "and learn about the pathophysiology of obesity as a disease."
But activists in the fat acceptance movement dispute such research, arguing that the weight bias people with an elevated BMI endure in medical settings also shows up in medical studies. They note that BMI was never meant as a yardstick for individual health but, rather, as a means of measuring populations. And they point to sections of the studies themselves as ammunition.
The March study published by the CDC lists five limitations, among them: "Hospitalization risk estimates might have been affected by bias introduced by hospital admission factors other than COVID-19 severity, such as a health care professional's anticipation of future severity."
In other words, said Ragen Chastain, who is the author of "Fat: The Owner's Manual" and has written widely on weight bias in medical research, "If fat bodies experience something more than thin bodies, fat bodies are to blame, rather than the unequal treatment fat people receive due to weight stigma."
OMG. Your body, if obese, should get "unequal treatment" compared with normal-weight people, as you are more likely to develop health conditions and die.
An example from the med literature: Consider obesity-induced kidney stones (which increase a person's risk of diabetes, myocardial infarction, etc.).
Should we simply pretend a person isn't at an increased likelihood of various health conditions due to their obesity -- uh, until they're brought to the emergency room screaming...or to the coroner in one of those stylish full-body zipped bags?








She does not use the word "fat," instead preferring "people with obesity."
I prefer “people of corpulence.”
JD at May 9, 2021 11:01 PM
I am fat.
I have struggled with food issues my whole life, and I am fat.
I prefer fat to "person with obesity". It is what it is. It's an adjective. It's as positive or negative as you let it be. I am short. I am brown-haired. I am fat.
NicoleK at May 9, 2021 11:31 PM
That said, Amy, are you familiar with the M&M study? They did a study where people were in a waiting room with a bowl of M&Ms. Some people were given an article about the negative effects of being fat, while others were given a neutral article. They found that the people who thought of themselves as fat and read the article ate more M&Ms than those who did not read the article.
NicoleK at May 9, 2021 11:38 PM
"I like the word 'indolence.' It makes my laziness seem classy." ~ Bernard Williams
Conan the Grammarian at May 10, 2021 5:41 AM
That reminds me of the famous marshmallow test.
But there's one minor problem with it. In either TIME or Newsweek (in the 1980s or 1990s), one young girl was quoted as saying that she'd have no problem restraining herself. When asked why, she said: "I don't like marshmallows that much."
Lenona at May 10, 2021 6:25 AM
I’ve come to the conclusion based on a lifetime of observation that at least 80 percent of what is wrong with people medically can be traced to diet and lifestyle.
That said, doctors telling me I am at “increased risk of something” because of some characteristic or genetic trait is mostly horse turds.
This increased risk shit started when the medical pharma cartel found out that they could sell you a lot more diagnostic tests and drugs based on any study that showed *increased risk*.
Well constant testing and taking every preventative drug known to man increases the risk of bad things happening too.
Drugs have side effects. Often worse than the problem they were prescribed to treat.
Morbid obesity is a definite problem. But being twenty to thirty pounds overweight is not dangerous for most people without compounding health problems.
A good doctor should be in the business of making suggestions and telling you your options. Treating you as the adult you are, and not screaming at you in a panic about risks that can’t really be calculated, and medical issues that may or may not manifest in a time line that would reduce your overall lifespan.
I’ve been fat, and I’ve been thin. Amazingly it seems to correlate with how much I get outdoors, and stay busy with stuff that doesn’t revolve around sitting in a chair. Also keeping the snack foods out of the house.
I have great sympathy for alcoholics. When I get a sugar Jones and fall off the wagon, I know exactly how they feel.
With nowhere to go, and nothing to do this last year has been less than optimum for me. I got back on the wagon after Christmas but am still struggling to get back to where I was.
Isab at May 10, 2021 6:46 AM
It may more useful to note that being overweight removes abilities. Sometimes it is lost on he or she who bends over and butt-dials everybody that putting on weight means not being able to do things they may really want to do in a few months or years.
Sometimes, weight gain brings on involuntary behavior that causes people to distance themselves, too, so it makes sense to stop that before it gets too far.
I really love Snickers bars, but I hate what high blood sugar will definitely do to me. So... no Snickers for me (sad).
Radwaste at May 10, 2021 7:18 AM
It would be great if evolution would cure the species of stupid eating behavior. But evolution takes ages to work, and eating behavior does not appear to be inherited anyway (not least because it makes the overeater both unattractive and much more likely to suffer complications in pregnancy).
This to me makes shaming and ridicule the perfect answer. Before you reject them as impolite, think of the people who will straighten up and improve their lifespans because they see us laughing at and making fun of fatsos. Let a thousand memes bloom.
jdgalt1 at May 10, 2021 8:11 AM
For the Woke, it is not permitted to feel bad about your choices. No matter what it should be ok, not just with yourself, but the world should go along with you and praise you for your bravery at being 500lbs (or not showering or piercings etc).
Pointing out that riding a motorcycle without a helmet is dangerous is not helmet-shaming--though I think it should be legal. The most dangerous thing you can do is be 50lbs over weight. It may not show up for a while. Diabetes is a hell of an illness. Being unable to walk is not fun. Can you run around with your kids or grandkids? Can you climb stairs?
cc at May 10, 2021 8:12 AM
I've been fat all my life, been on lots of diets, and know the whole party line. The thing is, that if you are rude to people by fat shaming them, they aren't going to listen any further. Many of us fat folk avoid doctors to avoid the abuse until it's too late. There have been studies that show fat shaming has no effect on weight loss, but does make health outcomes worse.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6565398/
Novathecat at May 10, 2021 3:55 PM
Any doctor will tell you that it's much easier to stay thin as an adult if you were never ALLOWED to get fat as a kid.
Trouble is, of course, this would mean parents would have to set good examples. That is, even if the parents themselves crave junk food, they'd still have to refuse to buy it and ignore their kids' tears and screams - probably for months at a time. They'd also have to take their kids on long walks, play outdoor games with them, make them burn calories through vigorous household chores - AND ignore the same angry reactions. (I knew a three-year-old who kicked and screamed during a ten minute walk to the playground. Why? Because he hated walking and wanted to take a taxi instead. Also, at least once, upon arriving there, he would demand to go home so he could watch TV instead.)
But, what's really important to remember is that there are perfectly valid reasons to avoid using the word "fat" when you're just trying to promote healthful, long term habits in the young. Kids are far too self conscious about looks anyway. (Would you believe the legendary beanpole Audrey Hepburn was worried about the size of her nostrils? Talk about unnecessary concerns. I think it was director Billy Wilder who said something like "she's even almost made breasts obsolete" - and that was in the 1950s, mind you. Talk about star power.)
Lenona at May 11, 2021 12:35 PM
I am short. I am brown-haired. I am fat. - NicoleK
Me Too. We should start a club and get jackets...:D
Claudia G. at May 11, 2021 12:36 PM
Starbucks has launched its strawberry funnel cake frappuccino.
Drink that while you're eating an actual funnel cake and make your pancreas do some real work for a change.
Gog_Magog_Carpet_Reclaimers at May 11, 2021 1:36 PM
I used to be short, brown-hair, and fat.
Guess what happened.
Crid at May 11, 2021 3:47 PM
I ordered a club sandwich, but I'm not even a member. "I like my sandwiches with three pieces of bread." "Well, so do I!" "Then let's form a club." "OK, but we need some more stipulations. Instead of cutting the sandwich once, let's cut it again. Yes, four triangles, arranged in a circle, and in the middle we will dump chips." "How do you feel about frilly toothpicks?" "I'm for 'em!" "Well, this club is formed."
Conan the Grammarian at May 11, 2021 6:11 PM
"Me Too. We should start a club and get jackets...:D"
If this is you, Gallegos... that's not fat, and I admire your savagery
Radwaste at May 11, 2021 8:13 PM
Your hair turned grey?
Anyhow, I am short, brown-haired and slightly less fat than last month so there's that!
NicoleK at May 11, 2021 9:26 PM
Do the jackets come in plus sizes?
NicoleK at May 11, 2021 9:27 PM
i'm oppressed.
By gravity.
It's holding me down.
iowaan at May 12, 2021 4:19 PM
i'm oppressed.
By gravity.
It's holding me down.
iowaan at May 12, 2021 4:21 PM
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