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    Fat can be healthy, so don’t tell me you’re dieting for health reasons

    Bethany Rutter
    New research shows that being overweight can actually add to your lifespan. Let’s hope this leads to a more honest discussion of weight and body shape
    ‘There is now statistically significant evidence to show that “overweight” and “mildly obese” people live longest.’
    ‘There is now statistically significant evidence to show that “overweight” and “mildly obese” people live longest.’ Photograph: Alamy
    As a culture that is obsessed with being thin, what do we do with evidence that weight and mortality aren’t linked in the ways that we’ve previously thought? Recently, there has been a spate of evidence to suggest that there is no intrinsic link between being thin and living a long life. One particular piece of research, by Katherine Flegal with the Centers for Disease Control and Prevention, the US’s leading public health institution, showed a U-shaped curve where death rates were highest for those with a very low or very high BMI.
    Of course, correlation is not causation, and there is still evidence to the contrary. But the fact that there is now statistically significant evidence to show that “overweight” and “mildly obese” people live longest, tells us that it’s at least something to consider when we think about fat bodies.
    It is hard to say whether this research will lead to any meaningful change in how we think about bodies and weight loss. There is such an emotional, cultural and financial investment in dieting and the diet industry that it seems we will never entirely shake it off. Thin privilege is rampant, and people truly believe that “working hard” to lose weight gives them the moral high ground. Apparently many people believe there’s something virtuous in consuming low-calorie food and going to the gym, and refuse to recognise that that’s a culturally constructed myth that props up the diet industry, patriarchy and oppressive beauty standards. It will take a long time to accept that it could be beneficial to your health to be fatter, purely because so many people are so invested in the belief that it’s not.
    Among other things, this new research looks at whether it’s preferable to be consistently and steadily overweight rather than to yo-yo diet. Substantial fluctuations in weight over short periods of time can lead to high blood pressure, heart disease, organ damage and, believe it or not, weight gain. And yet people still do it, because it might, just might, lead to being thin, even temporarily.
    Might these findings lead to the dethronement of BMI as the definitive measure of bodies, weight and health? Categories such as “overweight” and “obese” are neither meaningful nor interesting, but they are the terms used to frame the discussion at present. Now could be the right time for the Health at Every Size (HAES) movement to get the recognition it deserves. It is an approach that grounds the concept of health in respect, though it doesn’t even demand that everyone be healthy, something which should be taken into account if we are to be mindful of illness and disability. Instead of prioritising weight loss, it considers wider factors, such as quality of life, sense of wellbeing and the psychological benefits that come with a less punitive approach to diet and exercise.
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    Should this movement gain traction, it could have one particularly interesting side-effect: perhaps it will make people more upfront about their motivation for losing weight. As a fat person, and a fat activist, I often have to smile and nod while people pleadingly explain to me that they’re losing weight for health reasons, which, to their mind, I cannot argue with.
    If scientific opinion now states that overweight people live the longest, surely it’s in everyone’s interest to be overweight. In my experience it’s people who are overweight rather than obese who are most vocal and aggressive about their efforts to lose weight, and those people will now have to fess up that really they’re doing it because they think being fat looks gross. They’ll have to address their prejudices against certain body types, and how they feel about being someone who has one of those bodies. That’s an honesty that I, for one, would appreciate.

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    • 0 1
      As a fat person, and a fat activist, I often have to smile and nod while people pleadingly explain to me that they’re losing weight for health reasons, which, to their mind, I cannot argue with.
      Perhaps they are losing weight for health reasons? Perhaps they just say it to shut you up?
      It's up to you what size your body is, and it's up to somebody else what size their body is. If they're losing weight because they think they'll look better, they have a right to make that choice.
      I think you should ask yourself why you think people have to lie to you about their motives for losing weight.
      Reply |
    • 0 1
      A nurse once told me I had a 'perfect' BMI. I swanned around feeling fabulous until a doctor told me it was completely meaningless. The only thing I've ever achieved is meaningless.
      Reply |
    • 0 1
      Eat what you want and Live the life you want. But remember the following:
      The heavier you are
      1. The more likely your joints will wear out
      2. The more you will have to pay for food
      3. The more you will have to pay for clothing
      4. More likely you will get diabetes
      5. More likely you will get hypertension
      6. More likely you will get bowel cancer
      7. More likely that doctors will miss cancers, tumors etc because abdominal fat obscures scans and make diagnosis difficult
      8. More likely to die in a house fire( difficulty in moving and rescuing )
      9. More likely to die after an accident -- again moving, ineffective CPR, difficulty in intubation, getting Intra- venous access, etc( ask any surgeon or anaesthetist - they moan and groan when they see a fat patient)
      10. More like to develop complications after surgery
      11. More likely to develop wound infections( subcutaneous fat get infected easily)
      12 More likely to get deep vein thrombosis
      13. More likely to fall and break a bone
      14. More likely to get Gallstones
      15. difficult to resuscitate in any emergency situation
      16. more like to get stuck somewhere
      17 . more likely to give nurses sick days off because of back problems after lifting heavy patients ( major cause of backache and sciatica in hospital staff is lifting heavy patients)
      18. More likely to break chairs, Beds , etc
      19 . more likely to get socially isolated, not getting invited
      20... and there are lots more
      As you can see -- more than enough good reasons to stay slim.
      Reply |
    • 0 1
      However long or short your life why would you want to spend it in constant pain - unable to walk without sweating or panting - staying fit and healthy is hard - stop trying to comfort yourself with such 'research'.
      Reply |
    • 0 1
      But the fact that there is now statistically significant evidence to show that “overweight” and “mildly obese” people live longest,
      Yes that's people with a BMI of over 25 and under 35. I know people who are a size 10 who have a BMI over 25.
      Reply |
    • 0 1
      Well, all I can say is that carrying extra kilos around playing football does nothing for my stamina or speed, particularly now I'm a veteran. Nor, I might add, to my joints. I enjoy playing women's football: there's certainly no cultural pressures on me to play and if anything it's looked on askance.
      My sense of well-being on a Sunday when I get on the pitch is worth the training. I feel good, wet or cold or tired or aching.., and it also gives me a thirst. ;-)
      I've plenty of friends who are overweight, but fortunately none of them come out with this self-justificatory nonsense.
      Reply |
    • 0 1
      Fat people can be healthy, that's true. However if you have health problems associated with being overweight, such as high blood pressure, diabetes, joint problems, they are likely to be improved by losing weight.
      So whether or not you should diet to improve your health depends on how healthy you are in the first place.
      Whatever your weight, it's not a good idea to eat an unhealthy diet, and it's a good idea to exercise if you can.
      Reply |
    • 0 1
      This once fine newspaper is rapidly becoming the Fox News of the Left. Recent articles including this one have allowed the "journalists" to completely disregard the mountains of evidence that refute their claims while cherry-picking the one study that backs up their personal agenda. It is exactly the same tactic that this same paper (rightly) criticizes the right-wing media for using regarding climate change. It is dangerous and I am sick of it.
      Reply |
    • 0 1
      As a fat person, and a fat activist,
      Seriously, get a different interest in life.
      "fat activist".....
      About a useful a choice of campaign as "binge drinking promoter".
      Let me ask you. What were you FIRST?
      Fat or a fat activist?
      What's the betting that all fat activists were fat before they decided to actively promote it as a choice.
      Reply |
    • 1 2
      This kind of misses the point. The fatter you are, the lower your quality of life will be as you get older. You're more likely to suffer mobility problems, diabetes, heart issues, joint pain, and arthritis. You're less likely to survive an operation. The fact that you live just as long as a non-overweight person, ignores the fact that you're more likely to have a miserable time doing it.
      Reply |
    • 1 2
      Salad dodging one trick pony. If being fat bothers you enough to write this don't be. Or be. But don't bring up daft 'statistics' to tell us this is good. methinks a metaphorical mirror is what you need.
      Reply |
      • 0 1
        You might change your mind if you read the article linked above. It suggests that overweight people are indeed healthier.....no daft statistics needed. In fact that's the whole point of her article.....society just assumes otherwise
        Reply |
    • 1 2
      This article isn't particularly helpful as it is on the attack a bit too much.
      However, given this meta study it is perhaps time for a rethink on what exactly is a healthy weight. The study suggests that people who are overweight (I haven't checked how they define overweight) actually have lower mortality than those who are a healthy weight. I think this is an amazing finding.
      What it didn't say was that people who are obese have lower mortality than those who are a "healthy" weight.
      This is something that needs looking at, but probably not by a fat activist...
      Reply |
    • 1 2
      Generalities are rarely useful. The U shaped curve is intuitively right. It makes sense that being very fat or skinny indicates problems. The question is: "Where are the break points?" It is a real weakness of this article that it does not give us that useful information.
      In fact it could be that the information presented here changes NOTHING. All the new information may do is adjust the point where we see health effects.
      The whole problem with binge dieting has been know for at least 40 years! Binge dieting looks like periodic famine to the body. For most of human history this meant that the body needed to store MORE fat for use during the famine.
      The problem with labels is that they obscure the actually points where there are problems.
      Reply |
    • 1 2
      If it is true, I would rather live a slightly shorter life wherenI spent it hiking hills, running along rivers and playing competitive sports. A person can live their life as they want, but I'll never let food control me again.
      Reply |
    • 1 2
      actually some, like me, do exercises to stay slim because of diabetes
      Reply |
    • 2 3
      The moderators are very touchy about this issue. I wonder if it's touching a nerve.
      Reply |
    • 2 3
      I do wonder how helpful to an individual BMI is. It continually nags me for being "overweight", actually by only 3-4 lbs from the supposed ideal. However I simply cannot, even with dieting, lose those 4 lbs. So I wonder if this is in fact my basic body weight, which losing fat can't reduce?
      Indeed, even taking the most critical look at myself I really can't find much fat to lose (I can see my ribs and can't find any fat with the pinching test).
      So perhaps it is time for a reappraisal for the "one size fits all" approach of BMI?
      Reply |
      • 3 4
        BMI is completely pointless until it produces the outcome The Guardian wants.
        Reply |
      • 0 1
        The BMI is so unreliable that it is near useless. If you go into any busy fitness centre you can pick out lots of fit, lean people that the BMI would label "overweight" or even "obese". So don't worry what your BMI says.
        A better -- but still inexact -- measure for men is waist circumference. If you're anywhere near average then try to keep it under 40". 36" is even better.
        Reply |
    • 1 2
      A subtle message about the need for certain amounts of healthy fats in people's diets, and the de-linking of the idea that ever more thin is ever more healthy is a good thing. You can be a bit overweight, active , fit and therefore quite healthy. (BMI is a terrible measure for athletes as muscle weighs more than flab). If you are athletic, you are likely to be more muscular and have higher bone mineral density than a sedentary or non-athletic person, and that adds up to extra pounds. When you put your weight into the BMI equation it can easily put you in the overweight category, or even obese. Many athletes have a high BMI but a low percent body fat.
      Twisting that to imply that being overweight is therefore in itself healthy is a twist too far.
      And "fat activist" seems, to me, to be a contradiction in terms.
      Reply |
      • 0 1
        You might change your mind if you read the article linked above. It suggests overweight people are indeed healthier.....with no twists or qualifiers at all (athlethes builds etc...). In fact that's the whole point of her article.
        Reply |
    • 1 2
      This research uses BMI which is a not a measure of fat, it includes people who have above average amounts of muscle tissue.
      Reply |
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    • 23 24
      The other week, some of my friends and I were organising a trip to the Alps to do some climbing, and one of our group, who is fat, said "Hey guys, I'm not going to do this, I wouldn't be able to because I'm not physically fit enough".
      We were all like, "Don't be silly mate, I read in The Guardian that there's no problem with being fat, that it's actually a perfectly viable equivalent way of life, of course you can come climbing in the Alps".
      And my friend replied, "Don't be such a freaking idiot, look at me, I'm fat, I'd die. Anyway, your round - I'll have a Doom Bar".
      So then, after we'd finished planning our trip we went and had a game of football, and after about five minutes my fat friend was done and had to spend the rest of the game in goal, and I was like, "Mate, you're overreacting, I read in The Guardian that there's no problem with being fat, that it's actually a perfectly viable equivalent way of life, of course you can play outfield for longer than five minutes without getting tired".
      And he was like, "*huff* *puff* No I can't *huff* *puff*".
      So that evening, after we'd all gone home and got changed, we all went into town for a dance, and I asked one of the girls I was chatting to what she thought of my fat friend, and she was like, "Erm, he's not my type, I like thinner guys".
      And I was like, "That's ridiculous, I read in The Guardian that there's no problem with being fat, that it's actually a perfectly viable equivalent way of life, stop being so narrow minded", and she sniggered and walked away. I don't think she liked The Guardian.
      Anyway, the next week my fat friend told me that he was sick of being fat so he was getting a gastric band fitted, and I was furious; I reminded him that I'd read in The Guardian that there's no problem with being fat, that it's actually a perfectly viable equivalent way of life, and my friend looked me in the eyes and he said, "Stop patronising me"
      Reply |
    • 7 8
      Years ago, I lost 20 pounds and have never regretted it. Quote me all the research you like, I simply don't believe that 20 pounds of blubber round my waist and thighs was somehow good for me and life-prolonging.
      The reason we put on weight is primitive - it's so we survive a famine. There is never going to be a famine in the UK so no one needs to be overweight. Instead we can be gloriously comfortable and live in harmony with grateful knees.
      Reply |
    • 2 3
      I think it's good to add some variation to the standard discourse of thin = good/fat = bad, but this is too simplistic and doesn't take into account the vast array of well-proven health issues that seriously obese people face. I fully support the view that we should stop stigmatising people of larger body shapes and learn to realise that many people over a recommended BMI can still be healthy. However, to say that being overweight in general is good is just as reductive and unhelpful as saying being thin is always good. Nevertheless, I'm glad to see this article and hopefully there'll start being a bit more nuance on the standard narrative.
      Reply |
    • 1 2
      Someone better alert every athlete on Team GB and inform them of their inevitable early death.
      Reply |
    • 7 8
      a U-shaped curve where death rates were highest for those with a very low or very high BMI
      Well, yes.
      It's not good for you to be a wobbling great lard-ass.
      And it's not good for you to have the anorexic Belsen-victim look, with ribs like a toast-rack and sunken cheeks and hollow eyes.
      And in what way is this at all surprising or 'new?'
      Reply |
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