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“Healthy obesity” doesn’t exist. It is unequivocally bad for you

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Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#51
post #21

Denial/wishful thinking are extremely powerful. That said, body positivity shouldn't be thought of as having anything to say about objective physical health: there is zero reason a person who is obese should necessarily feel bad about themselves. Shame is a useless or detrimental approach to changing behavior; shame is oftentimes the reason people engage in unhealthy behaviors like overeating in the first place. Bein…

I think this is where 100% body positivity falls short, and that is context.

Being a bigger person doesn't make you less of a person, it doesn't mean that you are weak, or even mean that you are unhealthy on its own. As a random person, a friend, whatever we should not pass judgment on other people in that regard.

But on the flip side context is incredibly important. For example in a doctor setting. It is deeply concerning that I see a ton of people that immediately think that if their doctor mentions needing to loose weight that they are immediately fat phobic.

I see people saying they want a "body positive" doctor. Sure Doctor's need to be better and understand that everyone's body, diet, etc is different. But I am concerned about this desire to have a doctor never talk about your weight.

I am overweight and my doctor mentions it... I mean we are tracking it and they weight me. Him not saying anything would be wrong and him not doing his job.

But you are very right that you can't shame someone even at the Doctor. But you also can't ignore it.

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#52

There’s really no getting around the fact that you need to live an active life of consuming things in moderation to be healthy.

The challenge is what is the closest hack to get around it, as most people, admittedly myself included, are not willing to exercise? Semaglutide seems to be the best bet right now.

A general rule is that you burn about 100 calories in a mile jog. A 12oz can of Coke has about 140 calories, a quarter of a cup of nuts has about 200 calories, an apple has about 100 calories.

Exercise is important for many reasons, but not for preventing obesity. Unless you're running marathons, or exercising like somebody who is, the amount of calories you will burn from exercising will in no way whatsoever compare to what you eat. If you start eating more because you go to the gym, you'll almost certainly end up gaining weight.

The answer today is the same as it's been for thousands of years.

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#53

What interests me is how anybody could ever come to believe otherwise. The contrary belief flies in the face of all common sense, popular experience and medical science. It seems to come entirely from propaganda on social media telling fat people what they want to believe.

Simply put, it’s an enabling belief. Being obese isn’t a root cause. It is a symptom of something else. Particularly, when it is a symptom of depression, believing in “healthy obesity” can be enabling even if it’s not the truth. That person (not statistic) needs to see themselves as healthy and loved to have a chance at being healthy. Telling them to eat better or exercise is thinking about yourself in a generic vers…

> That person (not statistic) needs to see themselves as healthy and loved to have a chance at being healthy.

I don't buy it. Tolerance towards fatness has risen since the 80s, as have weights; both have gone up at the same time. The more tolerance our society has for fatness, the fatter people get. If more tolerance for fat people were the key to getting people to lose weight then there should be an inverse relationship between the two, but that just hasn't happened.

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#54

There’s really no getting around the fact that you need to live an active life of consuming things in moderation to be healthy.

"Well, I got as far as 'active life of consuming things'."

Halfway there! Keep it up and you'll be healthy in no time.

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#55

Thinking obesity is one number is as dumb as thinking intelligence is one number. Card counting used to be one number, till they realized how much better two numbers did. Yet in this day of smart phones, one still sees geriatricians calculating stroke risk using a rule they can do in their heads. I'd rather trust my health care to prediction markets, if we could work through the data privacy issues. So where's the BM…

> BMI

You don't need to look at BMI, or any number besides fat % for that matter, to see we have a massive fucking issue. If your belly protrudes far enough that you can't see your own feet, big boned or not, you're obese

Obesity is BMI 30+, unless you're a semi-pro/pro athlete or have genetic defects at 30+ BMI you're definitely fat af, here are examples of 30 BMI: https://www.lipedema.net/wp-content/uploads/2021/08/Obesity-...

There is absolutely no chance you have a 30+ BMI because of "big bones"

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#56

There’s really no getting around the fact that you need to live an active life of consuming things in moderation to be healthy.

The challenge is what is the closest hack to get around it, as most people, admittedly myself included, are not willing to exercise? Semaglutide seems to be the best bet right now.

Get an active hobby which you enjoy and don't perceive to be "exercise". I personally recommend hiking.

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#57

What interests me is how anybody could ever come to believe otherwise. The contrary belief flies in the face of all common sense, popular experience and medical science. It seems to come entirely from propaganda on social media telling fat people what they want to believe.

I think there are several reasons:

1. Historically being fat was considered a sign of good health. Of course, this was during times of massive food scarcity and the definition of fat was probably very different from what we consider fat today.

2. Massive amounts of money involved in telling people to eat/drink more, and then spend more money in gyms and taking pills to lose that weight. As opposed to just eating less and then living normal healthy active lives. There’s not much money in the latter.

3. People wanting to stop fat-shaming (which is also unequivocally bad…fat shaming only makes it harder for people to lose weight), trying to convince other people that someone being fat does not make them bad, quickly morphing into being fat is good.

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#58
Yea, being obese isn't health in any way shape or form. Unless you have some sort of exceptional physique that takes you out of the common medical model. You probably don't have that.

I fucking hate it. I have at least managed to get under a 40 BMI its a huge slog to even get try to get down to only overweight. And even then in realistic terms even if I do, its 100% impossible to stay there over your lifetime after being obese. Age will just catch up with you.

I wouldn't wish this on anyone.

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#59

I think the article is arguing that there is such a thing as being healthy with a high BMI? It's just that those people generally don't have an excessively high body fat %. But if we are going by BMI, there are plenty of people who have "healthy obesity", on account of muscle mass. I've been working out for many years and I think I have a healthy body fat percentage but since I'm not very thin its hard to tell withou…

You've missed the point of BMI. It's a population metric. The application of it to the individual really only works in the edges (too skinny, too fat) where it becomes obvious. I've never seen a BMI confidence interval (doctors are bad at statistics) but I would imagine the 95% CI would reveal the exact thing you stated. I am an example of this as well. By DEXA I measure at ~19% bodyfat yet my BMI is 27.6. However, it has never been a problem of misdiagnosis and a doctor has never been compelled to bring up my weight.

This argument you're presenting is used by the "fat positivity" movement to discourage the use of population measures that ARE effective in creating useful statistical analysis of health risks. Like all animals humans are subject to the laws of physics. When you have more mass per unit height your body has to work harder. If you then go on and continue to add or maintain this mass you develop health problems. You don't need an MD to see the intention of the metric nor the absurdity of promoting fatness as a "positive" trait. The only thing this reveals is that the progressives have gaslighted society into believing a lie by using "science" as a kudgel to beat you into compliance with.

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#60

[flagged]

You're already footing the bill if you have insurance; it's the same thing.

And these beliefs are a consequence of for-profit healthcare.

If socialized healthcare was a reality, there would be a big incentive for having a lean population. We don't have that today, because there is profit to be made.

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