Yet we're all hypersensitive about telling women they are overweight or obese.One of the reasons for this is that women don't really get told they should work on their fitness to improve their own quality of life. The framing is almost always that the only real value a woman has is as a sex object. Telling women they need to lose weight is also a blame game where people with relatively little control over their lives are tasked with yet one more standard to meet instead of being given the support they need.
I am a woman. I am still alive when I should not be in part because I refused to cave to enormous social pressure to diet and force my body to conform to certain expectations. After getting the right diagnosis in my mid thirties, I was empowered to finally take proper care of myself. I shrank dramatically, even though that was not a goal of mine and my doctor was not trying to get me to lose weight because my condition usually leads to people being severely underweight and this helps kill them.
Our built environment used to be designed with fitness is mind. Now, many Americans are prisoners of their cars, spending long periods driving to and from work or school and finding nothing within walking distance. Elevators and escalators have replaced stairs. Sedentary office jobs are more the norm than hard physical labor. Everyone is too time stressed to go home and cook a real meal from scratch, so folks eat crappy microwave meals or get fast food at the drive through window or some other equally unhealthy option.
From my perspective, women giving push back and saying "I'm not your bitch, don't hang your shit on me. Quit judging me for how I look and pressuring me to conform." is actually the essential first step for trying to take control of their lives. That control leads to better health. Women starving themselves to try to conform does not lead to better health. It is just one more source of stress and problems for people who already tend to have too little control over their lives.