
Originally Posted by
Pesky Persian
I think the "obesity epidemic" is more of a media-driven hate campaign than anything else. That's not to say that obesity doesn't pose problems. It certainly does, but the way people look at obesity and obese people conveys such negativity that it's actually counterproductive. There are so many problems with media-driven obesity information.
Most obesity statistics go by BMI, which is not an all-around indicator of health. In fact, no measurement of body dimensions (BMI, WC, ABSI) is indicative of all-around health because health is so different for each individual and is dependent on more than simply body dimensions. You can be overweight or obese by BMI standards and yet still be in good health and most people know the limitations of BMI at least (not accounting for muscle mass, fitness level, nutrition, metabolism, and other factors). Body dimension analyses are tools, not the end-all-be-all of health that the media like to portray them as, especially when it comes to statistics. The media likes to use unfavorable portrayal of overweight individuals to perpetuate this idea that all obese people are lazy and have no self-control. While this may attribute to some of America's weight problem, it doesn't look at other factors outside of individual lifestyles.
Nutrition and activity can and do have impacts on obesity and they're often the only factors discussed in the media. However, there are a number of other factors involved in obesity. Genetic predisposition, family health history, and metabolism all play roles. Environmental factors can play a large role in obesity as well- Advertising/food manufacturers, food availability, education, socioeconomic status, and exposure to environmental chemicals (especially in utero) all play a part. It's a mutlifaceted problem that doesn't have one quick fix. There have been studies that even link certain bacterial and viral infections to adipogenesis. Endocrine disrupting chemicals (of which we have an abundance in our society) have also been linked to obesity. Certain disease conditions (such as PCOS just to give one example) can also make it easy to gain weight and difficult to lose it but not making overall health impossible. Meaning, someone with a disease like PCOS can have all the indicators of good health (good BP, cholesterol levels, triglycerides, etc.) yet still be considered overweight. Studies have also found that metabolic health has a larger impact on cardiovascular health than weight alone.
I don't have a problem with people being concerned with obesity and community health. However, I do have a problem with the way many people (and the media especially) go about it. Media-driven campaigns have often been more about body shaming than health promotion and disease prevention. People are often so quick to judge others on looks alone rather than any knowledge about that individual's health. You can't exactly look at someone and, going on your own personal perception of what is "fat" and not, decide if they are unhealthy, especially considering most of the people who do this are not medical professionals. Instead of promoting body-shaming and blaming obese people when you ("you" being mostly the media and those who blindly follow it's instruction rather than any kind of medical literature/study) don't know anything about their health or their life, we need to focus less on the individual and take a broader approach (er... no pun intended). People who are shamed for their body size are often more likely to be emotional eaters, avoid getting health screenings for fear of being judged, and are less likely to join physical activity groups to improve overall fitness. Focusing more on education (with actually studies), health promotion/disease prevention, testing to find the root of the problem for each individual, etc. would do much better in the way of combating obesity and it's related illnesses. It's just getting people to stop blaming and start educating that's the problem. It seems that in our society, if you're not fat-shaming, you're accused of "promoting" obesity, which to be honest is just a bullshit excuse to continue with discriminatory attitudes.