Category: weight loss

body image · diets · eating · weight loss

No more weigh-ins: on putting away the scale

Tracy I21 Comments

Last week I texted my personal trainer to confirm our Wednesday morning appointment. I added: “no weigh-in.”  My trainer has never fully grasped my aversion to being weighed.  Even if I am not interested in jumping on the scale, he’ll often suggest that I get on it and not look. Only he will look.

When I showed up last Wednesday he asked again if I wanted to weigh-in, as a way of “seeing how I did” over the holidays.  To be quite honest, I know full well how I did over the holidays. I ate a little more chocolate and dessert than I usually do, I sat around a little more than I usually do, and I worked out a bit less. So yes, the jeans felt a bit tighter.

More than wanting to know my weight, I felt keen to get back to weight training at my usual intensity.  It was interrupted at the end of November because of a lower back strain that compromised my mobility.

I explained to my personal trainer that I didn’t find weight to be a helpful measure of anything.  He suggested that the body fat percentage reading also came from the scale. This is true. But I honestly don’t expect to see dramatic changes in body fat percentage from week to week.

In the end, I didn’t step on the scale that day.  But I also failed to convince my trainer to stop hounding me to do it again in the future.

I have, however, resolved to put the scales away. I want to say “for the rest of the year,” but I have to admit that the thought terrifies me.

As I mentioned a couple of weeks ago, I’m re-acquainting myself with some literature that became popular in the early nineties. It’s about making peace with food and developing a positive and accepting body image. I’ve started with Overcoming Overeating: How to Break the Diet/Binge Cycle and Live a Healthier, More Satisfying Life by Jane R. Hirschmann and Carol H. Munter.

The book outlines a plan that is supposed to get rid of the diet mentality of good foods, bad foods, and restricted eating, and replace it with “demand feeding.” They suggest that this is the only way out of the “change your shape, change your life” game that so many of us have played for many years.

It’s not for the faint of heart. If you have become accustomed to restricted eating and the idea that certain foods are off limits (or just for special occasions), chances are you will either feel terrified or giddy at their suggestions.

The instructions include: purchasing a full length mirror if you do not already have one (you will stand in front if it naked on a daily basis and look at your body in purely descriptive terms); dropping any distinction you might have about the difference between carrot sticks and carrot cake, i.e. all foods are equal and all foods are “legal”; making a list of all of your favourite foods and filling your kitchen with them in ample amounts (like, more than you could possibly eat; if you love carrot cake, buy three cakes, not one slice); feeding yourself “on demand” by responding to hunger (this means waiting until you’re hungry and stopping when you’re satisfied); dispensing with all sense of “meals” and replacing it with “food experiences”; and…..

…TOSSING YOUR SCALE.

Any one of these suggestions is blogpost-worthy. And I have not done them justice by just listing them without an explanation.  To many, they will sound crazy or even irresponsible without more context. I’ve actually, over the years, incorporated many of them into my life already and found relative peace with food.

Today, I want to focus only on the one about the scale since this is the one that remains the most challenging for me.

The authors say: Every day, millions of people allow their bathroom scales to determine their general outlook. Most of us who live in a fatphobic culture are addicted to the scale. When our weight is high, we feel low; when it’s low, we feel high. We allow the scale to tell us how we’re doing with regard to much more than weight.

What they say resonates strongly with me. As much as I believe in my head that the scale is just a number and that weight is not important, I still feel good about who I am when I’ve lost, bad about who I am when I’ve gained.  This is despite a set of explicit and conscious beliefs that oppose that way of thinking. And despite too that my weight fluctuates within the same 4 pound range and has done so consistently for more than a year.

Hirschmann and Munter go on to say: If you are earnest about accepting yourself, the scale must go. Simply put, the scale is the most powerful symbol of nonacceptance in our life. It measures, and it judges.  It sits quietly in the corner of your bathroom and beckons. “Come on. What harm can I do? Take a chance. Maybe you’ll get good news.”

As an educated woman and feminist who knows better, it embarrasses me to admit just how much I can STILL identify with what they say here. Even now, I find myself hedging my bets.  “I will put the scale away for the month of January” is about all I can comfortably commit to at the moment.

Why? Like my personal trainer, there is a part of me that believes that I won’t be able to tell “how I’m doing” unless I can weigh myself. But if I am truly committed to the claim that weight is not an important measure of anything, then I need to take this further step.  Hirschmann and Munter assert with confidence that “once you become not-a-weight-watcher…the scale’s importance will diminish.”

So, I’m going to give it a go. The home scale is about to get packed away.

As for the weigh-ins at the personal training studio, I’ve decided for a number of reasons to stop working with a trainer. I enjoyed it and learned a lot, but my partner and I are bringing our workouts home for 2013. That’s for another blog post.

body image · weight loss

Lower death risk for the overweight, go us!

Sam B3 Comments

From the New York Times: “The report on nearly three million people found that those whose B.M.I. ranked them as overweight had less risk of dying than people of normal weight. And while obese people had a greater mortality risk over all, those at the lowest obesity level (B.M.I. of 30 to 34.9) were not more likely to die than normal-weight people. The report, although not the first to suggest this relationship between B.M.I. and mortality, is by far the largest and most carefully done, analyzing nearly 100 studies, experts said.”

This is in keeping with a declaration made by The New York Times in 1912 when they declared Elsie Scheel, “the perfect woman” at 171 lbs.

Read more here: The ‘Perfect Woman’ In 1912, Elsie Scheel, Was 171 Pounds And Loved Beefsteaks

Blogger Kate Harding described Scheel in these terms: “Miss Elsie Scheel’s BMI would have been 26.8, placing her squarely in today’s dreaded “overweight” category. At Banana Republic, to pick a random contemporary store, she would wear a size 8 top, a 12/14 bottom, and probably a 12 dress with the bust taken in.” (Kate Harding is the author of the BMI Project.)

I’ve written a bit about the so-called obesity paradox, Obesity, health, and fitness: some odd connections.

That’s okay. I’m not worried. I’ve been in the overweight category all of my adult life, even at my thinnest. Given my 122 lb base of muscle and bone, I’ll always be overweight. Which is, I’ve argued here, part of the problem with weight and BMI as measures of anything meaningful.

I often wonder about the effect of news like this on the naturally lean. One of thing that interests me is that it seems it just doesn’t matter how big the health benefits of being overweight are, no one would suggest that underweight people try to gain weight. It’s just too tough. Why doesn’t this work the other way?

diets · sports nutrition · traveling · weight loss

Hunger and Nutrition

Sam B2 Comments

There’s a lot of talk about hunger in the literature about making food choices. It doesn’t matter whether your focus is sports nutrition, weight loss, or ‘making peace with food’ and ending dieting, most books in these areas talk about hunger. It’s clear that hunger is something we need to recognize and to which we need to respond. We need to listen to our bodies and to eat when we’re hungry.

I struggle a bit with this because I’m often not hungry when I know I need to eat–during long, intense bike rides is the most common example–and at other times I’m famished even when I know there’s no need for extra calories (after long bike rides when I’m often hungry for the rest of the day and into the next one even after I’ve refueled.)

I was interested to read recently that part of my confusion may be connected to our misunderstanding of hunger.

In Hunger. What it is and what you can do about it Richard Feinman writes:

“We grow up thinking that hunger is somehow our body’s way of telling us that we need food but, for most of us that is not usually the case.  Few of us are so fit, or have so little body fat, or are so active that our bodies start calling for energy if we miss lunch.  Conversely, those of us who really like food generally hold to the philosophy that “any fool can eat when they’re hungry;” passing up a really good chocolate mousse just because you are not hungry is like … well, I don’t know what it’s like. “

When I was focusing on sports nutrition last year, I played a bit with the feelings of hunger in an effort to make peace with them. In situations where I know I’ve had enough to eat, and it’s just a feeling that I can choose to act on or not, I tried to live awhile with hunger and see if I could just let the sensation be. It was interesting experiment and it served me well to realize that the world doesn’t end. I needn’t binge at the next meal. Sometimes it’s okay to live with hunger and wait.

These days I use that to my advantage on traveling days. Yes, I pack food but if I run out it’s not the end of the world.

I hope I don’t have to use that trick as I travel home from Atlanta, site of the 2012 Eastern Division Meeting of the American Philosophical Association, today.

the hunger

That’s the 1983 film The Hunger, of course. My first vampire movie starring Catherine Deneuve, David Bowie, and Susan Sarandon.
fat · weight loss

Fear of fat more dangerous than actual fat

Sam B2 Comments

On my 2013 list of books to read is What’s Wrong With Fat? by Abigail Saguy, published by Oxford University Press.

What caught my was this press release from UCLA in my twitter feed.

Public obsession with obesity may be more dangerous than obesity itself, UCLA author says

“”What’s Wrong With Fat?” shows how debates over the best way to discuss body size — including as either a health or civil rights problem — do not take place on an even playing field. Saguy contends that powerful interests benefit from drawing attention to the “crisis,” including the International Obesity Task Force (a lobbying group funded by pharmaceutical companies), obesity researchers and the Centers for Disease Control and Prevention. On the other hand, fat-acceptance groups, which try to reframe fatness as a civil rights issue, are at a disadvantage because they have considerably less economic power and cultural authority, she says.”

But beyond the incomplete and misleading information on the issue, America’s obsession with obesity is itself unhealthy, she argues.

Saguy cites studies demonstrating that fat women are reluctant to get medical care for fear of being chided about their weight or treated insensitively by their doctors. In fact, research has shown that obese women are more likely to get cervical cancer because they are less likely than thinner women to get pap smears.
Meanwhile, Saguy’s own research shows that people who read news accounts of the “obesity epidemic” are more likely than people who have not read such reports to perceive fat people as lazy, unmotivated, sloppy, and lacking in self-discipline and competence.
Those attitudes have been shown to play out in a variety of socially damaging ways, Saguy says, including in increasingly widespread weight discrimination. Recent research has shown, for example, that bias against fat people in employment, education, health care and other areas is now comparable in prevalence to reported rates of racial discrimination in the U.S.
Heavier women in particular, Saguy notes, are less likely to be hired and less likely to earn a higher salary, compared with their similarly qualified but thinner peers.
“American attitudes about fat may be more dangerous to public health than obesity itself,” she says.”
body image · diets · men · weight lifting · weight loss

Men, muscles, and weight loss: Argh!

Sam B7 Comments

I remember when my office mate in grad school, a man of course, Philosophy is mostly men, set out to lose weight. Within a few weeks he’d lost 15 lbs and looked great. Stupidly I asked him what he’d done. I’d lost more than 50 lbs that first year in grad school, mostly with lots and lots of exercise and not very much eating. I thought maybe we could bond over hard it is to lose weight.  Turns out he’d switched from regular to diet Coke.

At that point in my life it had been years since I’d tasted a full-on sugar loaded beverage. Mostly, then as now, I drank water and coffee. Diet coke was an occasional treat.

I didn’t scream. I didn’t strangle him. But I admit to being shocked at what different embodied experiences we’d had.

It’s true the playing field evens a bit with age. But not very much.

There’s a man, my age, with whom I ride bikes who loses 10 lbs every spring with his tried and true method: skipping breakfast.

SKIPPING BREAKFAST! Yes, you read that correctly. If there is one piece of advice that nutrition advice givers all give it’s to never skip breakfast. Indeed, they often say, eat more calories early in the day and eat fewer calories later. You know, that saying: eat like a king at breakfast, a nobleman at lunch, and a pauper at dinner. (The extreme version of this is the dessert-for-breakfast diet which I’ve never tried because I don’t feel like dessert at breakfast but if you’re so inclined here’s some info: ‘Dessert Breakfast’ Diet: Weight Loss And Reduced Cravings, According To Study.)

This seems to me to one more area where men’s and women’s experiences of diet and weight loss are just very different. There’s been a huge dust up in the Paleo community over men’s and women’s different responses to IF, or intermittent fasting. Short version: It works well for the boys, and for the girls, not so much. Long version: Read Shattering the Myth of Fasting for Women: A Review of Female-Specific Responses to Fasting in the Literature and Krista Scott Dixon’s piece linked below.

I often think that it would be fun to be a man, just for the ability to make such dramatic physical changes so quickly. Look ma, biceps and a mustache just after two weeks! They’re like starfish, those men.

Men go to the gym, start lifting weights, and voila, they grow visible muscles. It’s kinda cool and fascinating in a science experiment kind of way. Whenever I meet men who don’t lift weights, I admit to being a bit baffled. Come on, you’ve got it so easy. Here, just pick up this bar and let me load some weight on the end. Now just wait, sit back, and you can practically watch the muscles grow.

In her best rant ever Krista Scott Dixon writes about why women should stop listening to personal training advice from young men who live in such different worlds.

“To lose weight, they do crazy shit like give up drinking so much beer. I hear women from all over the globe gnashing their teeth at their partners’ superhuman abilities to get riptshizzled with no effort. I’ve been busting my ass and I lost 1 lb in a month! That jerk’s doing my nutrition plan along with me and he’s lost 40 lb in the same time, just by eating one less strand of spaghetti a day! I hate him!

I hear ya. My home dinner table conversation sometimes goes like this.

Me: Ugh, I feel the estrogen demons again. I feel like an inflated wet sponge. The only thing that fits me is the Snuggie my grandma gave me last Christmas.

Him: I don’t feel so good myself. I had a whiff of anxiety today and dropped 5 lbs. Then my shirt tore itself on my abs.”

http://www.stumptuous.com/rant-66-december-2012-the-first-rule-of-fast-club

Mostly I try to regard the muscle growing abilities of the male of our species with wonderment and awe, rather than envy. Some of the time I even succeed.

(And yes, there’s a ton of variation between men and a ton of variation between women.  And lots of people for whom those categories aren’t meaningful. I don’t mean to suggest here that all men are alike in their ability to lose weight and gain muscle. What does bother me a lot–and it’s the subject of another post–is how much of the research in the nutrition and fitness realm is carried out on young men and then becomes advice given to women of all ages.)

Great reading for the fitness geek on your gift list
sports nutrition · weight loss

Great reading for the fitness geek on your gift list

Sam B5 Comments

Timothy Caulfield’s new book The Cure for Everything: Untangling the Twisted Messages about Health, Fitness and Happiness aims to set the record straight on what the latest research in food and fitness does and doesn’t show. Caufield is sick of all of the myths and hype surrounding food and fitness trends.

For the most part The Cure for Everything is a fun, fact filled exercise in debunking. I like a good debunking as much as the next philosopher. What science minded academic doesn’t?

Here are some highlights from the self described science nerd and health nut:

  • When it comes to weight loss, exercise is just a tiny part of the story. 90% or more of it is diet. Caulfield thinks there is a reason so much funding for sports and exercise programs comes from food manufacturers. They’re anxious to redirect attention.
  • That said, we should all exercise more than we do. It’s incredibly good for us, even if we don’t lose weight. What sort of exercise? Heavy weights and intensity. Forget “moderate” exercise, intensity is where it’s at and what makes a difference. Governments encourage “moderate” exercise because that’s where there’s the biggest bang for health improvement buck but really, it’s intense exercise that offers the most individual benefits. Governments rightly worry that if they shared this message we’d all give up, go home, and watch yet more television.
  • There’s no such thing as toning and the best way to visible abs is low body fat. (That’s why heroin addicts look ripped.)
  • Stretch if you want to but there’s no evidence to say it’s good for you and some evidence to show it hurts performance. (Yes! Thank you.)
  • The food industry touts the ‘everything in moderation’ ideal but the truth is that some foods have no place in a healthy diet. Rather by the time you eat all the foods you need to eat, there’s no room for them in the daily calorie count.
  • Don’t bother with vitamins and supplements. Eat real food.
  • And there’s nothing particularly good to say about detox and cleansing diets.
  • Most surprisingly (for me) was his critique of yoga. I wasn’t shocked that homeopathy isn’t medicine but I was taken aback by his claim that yoga is not very good as exercise though it is probably good for stress relief. I’ll worry less now that I’m not very good at yoga but I still enjoy it anyway. Hot yoga on a cold winter day feels wonderful. And I’ll be curious to hear what yoga buffs make of Caulfield’s claims. (Hi Tracy!)

You can read the short version here on Huffington Post, 9 Health Myths Debunked by Timothy Caulfield.

Caulfield leads the Faculty of Law’s Health Law and Science Policy Group at the University of Alberta and is a Canada Research Chair  in Health Law and Policy. He is also a pretty serious track cyclist (a former Canadian master’s champion in sprint cycling) and the same age as me, 48. Oh, and he’s got cool glasses.

What counts as fitness, according to Caulfied? In an interview with Healthzone he says:

In our society, fitness is about looking good, about esthetics. My definition is not tied to sexy abs. It’s tied to feeling strong and vigorous. It’s about biological markers, such as blood pressure and cholesterol. You get all that from working out. If your goal is to look in the mirror for drastic changes, you’re going to be disappointed.

Some of this will be familiar to readers of Gretchen Reynolds’ The First 20 Minutes: Surprising Science Reveals How We Can: Exercise Better, Train Smarter, Live Longer which I talked about here.

Both books cover lots of the same ground although I found Caulfield’s conclusions a little gloomier. Reynolds tends to sprinkle the bad news with the good. She’s also a health reporter and he’s an academic and the difference in background shows. Though both aim to be popular books sharing research in a field many of us care deeply about, if you actually want the science and some details about the studies Caulfield will be a better read.

Both books also make clear that the truth doesn’t provide much fodder for catchy motivational slogans: Exercise intensely for long periods of time and you might just stay the same! Both cite the same study showing women who exercise a lot, and regularly, still gain weight as they age. They just gain less. That’s good health news but won’t exactly make for a very good poster at the gym.

The bit that I found hard to take, though I don’t doubt he’s right, was Caulfield’s assessment of what’s required for long term weight loss and maintenance. People who lose weight and keep weight off in the long run have some traits in common. And this group, because they’re rare, have been studied closely.  First, constant vigilance. They remain as focused and determined as they were when losing weight and they log and track just as carefully as when they started. Second, they exercise a lot. Third, they also don’t eat very much. Yikes.

During the course of writing the book, Caulfied himself dropped 25 lbs and went into the very lean category in terms of body fat. He did with some simple rules: no junk food, very limited quantities (he only ordered starters not entrees) and half of everything he ate had to be fruits and vegetables. He speaks in frank terms about hard this was, about hunger and resisting temptation. He’s kept the weight off but still finds it a struggle.

In the end I like ‘s assessment of the book. On his blog Weighty Matters he calls it an “evidence based romp.” Three words he says he’d never thought he’d string together.

You can hear Caulfield interviewed on the ABC here and his book is also reviewed  in the National Post

aging · weight loss

Monday morning, perimenopause, and metabolism

Sam B4 Comments

So finally the kids are all teenagers (or beyond) and my career is established. It’s time to put some effort into getting fitter and staying fit through mid-life and beyond.

Fine. Sounds good.

Except that what’s changed is my metabolism. Gone are the days of easy diets and quick weight loss, speedy change in body composition. Now I work very hard–good nutrition, lots of exercise–to pretty much stay the same!

And mostly I don’t care about weight. I care about fitness. And it looks like that’s an excellent attitude to have because with age the rules of the game have changed.

There’s lots of research in the area of midlife health and fitness–baby boomers demanded it–and none of it is good news if what you care about is weight and body fat.

For runners, you need to run further and faster each year to burn the same number of calories. Getting fitter just means it takes less effort, hence fewer calories, to do the same thing. That’s just what fitness is. Ignore the calorie counters on exercise equipment at the gym.

And no matter what else you do, you’re aging and your metabolism is slowing down. And truth be told, few people run more or run harder as they age. Why that’s so was the subject of an earlier blog post, Is Aging a Lifestyle Choice?

There’s a sad funny story in Timothy Coalfield’s new book The Cure for Everything: Untangling the Twisted Messages about Health, Fitness and Happiness about a colleague who ran 18 marathons, one a year, and gained one pound per marathon.

Krista Scott Dixon also thinks the burden is especially heavy for those of us who want to stay fit as we age.

“Aging has a sense of humour. And it’s like that practical joker roommate who thinks it’s hi-larious to prop a bucket of water above a half-open door. Hee hee hee! I made your knees fall apart! Enjoy the hemorrhoids! And now you pee when you run! Hee! Whether male or female, when you’re young you sorta fail to appreciate this laff riot. (Don’t worry. It’s coming to visit you too.)” http://www.stumptuous.com/rant-66-december-2012-the-first-rule-of-fast-club

So what’s my attitude in the face of this kind of news?

I’m going to work hard to do what I can do and not care so much about what I can’t.

I’m healthy, happy, fit, getting stronger, and moving faster.

And that’s what counts.

weight loss

Oh no, skinny face!

Sam B9 Comments

Because of my size, I have to lose a lot of weight before I get compliments on my changing shape.

The complications that follow from dealing with the well meaning noters of weight loss is a whole other post. Needless to say it’s overwhelming, dispiriting, and a big mess. More about this later.

But inevitably, without fail, the first thing people do notice is wrinkles. They don’t say that. No one ever says, “Wow you look wrinkly.” (Okay, teenagers might.)

Friends say, “You look tired.”

“Have you been working out too much?”

“Getting enough sleep?”

But I know that what they are noticing (since I notice them too) are new lines on my face.

It fascinates me that people don’t associate this change with weight loss. Since all weight loss is positive, on mainstream accounts of beauty, any bad effects must be due to something else, like sudden onset aging or lack of sleep.

When I lose weight I lose first and fastest from my face and then my waist.

And a sad fact about my age: it’s either thin body or smooth skin. Take your pick. You can’t have both.

My mother and I share this, plump faces and smooth skin.

So many people compliment me on looking young, but they don’t even consider that it’s a side effect of being overweight.

Writing about fasting, Krista Scott Dixon sounds like she actually likes her skinny face but she’s younger than me, fewer wrinkles.

“I loved the way my face looked as my bodyfat dwindled. Leonine, I said to myself, looking at my chiseled jaw. Androfemme. I enjoyed the feel of both of these words in my mouth. My father had other words for it. You look like you just got out of a prison camp, he said. (Actually he said Auschwitz. But he has a flair for inappropriate hyperbole. Please excuse him. As you can see, the acorn doesn’t fall far from the tree. Love you dad!)

Your face! So skinny! said the coffee shop barista. (Yes, the barista.) Drink more milk.

You have your thin wrinkles, said my quasi-Aspie friend with no internal editor. You know, the wrinkles you get when you’re too thin. Right there, around your mouth.”

http://www.stumptuous.com/rant-66-december-2012-the-first-rule-of-fast-club

It sounds like the dreaded skinny face only happens to Krista when she’s at her very leanest.  The sad part for me is that it happens first. Luckily I can live with the wrinkles if I get to go up hills faster and keep my hips, knees, and ankles happy for another thirty years or more. That’s the reason why I’d like to be leaner even though it’s clear to me that being fat and fit are perfectly consistent.

I’m typically not bothered much by traditional standards of beauty and whether or not I match them. Life’s too short. We all die in the end. The people who care about mainstream beauty don’t much interest me much anyway so why should I be concerned with what they think?

“We all die in the end anyway” might strike you as a gloomy thing to think or say. But really once you adjust to that big piece of bad news everything is small potatoes. It’s quite liberating. The joys of philosophy.

But as you might imagine there’s lots of angsty ink spilled in women’s magazines about this conundrum. Here’s a snippet:

There’s an old saying that, as you get older, you need to choose between your face and your rear end. In other words, if you’re skinny you’ll look good from behind, but your face will suffer.

Depressing as it may seem, there is some truth to the saying. A couple of studies have found that women with a low body mass index (BMI) have increased skin aging — including one study of identical twins. When the twins were under age 40, the heavier twin looked older. But after age 40, it was the thinner twin who looked older

Do skinny women just look older, or do they actually have more wrinkles? Actually, both are true. “In general what happens is, as your BMI goes lower you lose some volume of soft tissue, particularly over the age of 40,” explains Robert Weiss, MD, Dermatologist at the Maryland Laser Skin and Vein Institute, Associate Professor of Dermatology at Johns Hopkins University, and Fellow with the American Academy of Dermatology. “When you lose that volume of soft tissue, the wrinkles do either become deeper or more noticeable.”

from Do skinny people get more wrinkles? on Discovery Fit & Health.

weight loss

Obesity, health, and fitness: some odd connections

Sam B4 Comments

The connection between obesity and health isn’t as straightforward as we might think.

Those of us who puzzle about the connection between obesity and health  ask whether it’s possible to be fat and healthy. I’d like to think that it is.

But until recently it didn’t ever occur to me that some people could be healthy because they’re fat and that for them not only is losing weight not necessary it might even be had for their health.

It does seem though that not only can fat people be healthy, in some people it seems losing weight increases a variety of disease risks. Researchers call this the “obesity paradox” though as they come to understand it it might be a misnamed phenomena. What matters, they think, is metabolic health, not obesity after all.

I find this fascinating but it does make me worry about weight loss in my case. I’m a clear case of a metabolically healthy, significantly overweight person.

See the following story from the Vancouver Sun, http://www.vancouversun.com/health/Obesity+some+healthy+others/7607904/story.html.

I’ve italicized the bits that make me nervous!

“According to a recent study funded by the Canadian Institute for Health Research, people who are obese are less likely to die from pneumonia than people of normal or low weight. The study of patients at six Edmonton hospitals found that obese patients were 56-per-cent less likely to die, an example of what the researchers call “reverse epidemiology.”

It is far from the only example. The authors cite studies that reveal paradoxical outcomes for obese patients suffering from coronary artery disease, end-stage kidney disease and heart failure.

Other recent CIHR-funded studies have revealed that some obese people appear to be protected against the very illnesses most associated with obesity, specifically type 2 diabetes and cardiovascular disease.

These seemingly contradictory findings are fuelling research into the so-called Obesity Paradox, according to CIHR researcher Antony Karelis at the University of Quebec.

Karelis has found that about 30 per cent of obese people appear to display metabolic health indistinguishable from those of young lean individuals, including normal blood pressure, low levels of bad fats, high levels of healthy fats, high insulin sensitivity and low inflammation.

Metabolically healthy obese (MHO) adults also have less fat in their livers, muscles and around their vital organs, but more subcutaneous fat under their skin, he said.

“Some [obese] people collect fat under their skin where it is less likely to go into the liver and the heart or the pancreas and cause all kinds of trouble,” said Karelis. “Fat on their thighs is associated with health benefits, but abdominal fat is more associated with [poor health].”

Karelis argues that identifying people by their metabolic health, rather than their weight, is key for doctors making decisions about how to treat their patients.

“We know these people exist and that they have a lower risk of diabetes and cardiovascular disease,” Karelis said. “They have a better inflammation profile, a better hormonal profile and they are physically stronger.”

There are signs that weight loss may be harmful to people who are metabolically healthy but obese.

MHO individuals who participated in a six-month weight-loss study showed deteriorated insulin sensitivity, a risk factor for diabetes and heart disease. Metabolically abnormal obese study participants — those who display inflammation and unhealthy fat profiles usually associated with obesity — showed improved insulin sensitivity, suggesting their health could benefit from weight loss.

A 2009 study in the journal Epidemiology of middle- and older-aged obese adults found an increased risk of death associated with weight loss. Another CIHR study found that weight loss in obese post-menopausal women increased their risk of developing diabetes.”

Since diabetes seems to be the main risk caused by messing with a good thing, i.e. losing weight when you’re metabolically healthy to start, I think I’ll keep on eye on this in my case if I make progress to a leaner me by year 50. We’ve got a type 2 diabetic in the house so monitoring my blood sugar at least is easy.

body image · diets · fat · fitness · weight loss

I hate you Weight Watchers

Sam B31 Comments

Inspired by this recent anti-WW rant, Weight Watchers Probably Won’t Help You Lose Tons of Weight, So Maybe Stop Dieting?, I decided to write my own.

There aren’t many companies I have strong feelings about but WW is one of them. These are my feelings based solely on my experiences and your mileage may vary, yada yada yada. If it works/worked for you, great, though I suspect you are in a very small minority.

Like the author of the above post, I first went to Weight Watchers as a child, accompanied by a loving, well meaning parent. My mum has struggled with her weight all of my life and was at that point a regular attender of WW.

These days she’s also moved on from WW or “wrestling” as we dubbed it–you know a blend of fighting fat and WWF.

So when I first went to a WW meeting I was 12 or 13 years old. I have intense memories of this period of my life: my first diet. I was in Grade 6. I felt very grown up.

I did it part because I wanted shorter, grown up hair, but ‘friends’ thought I ought to lose weight first. Short hair was for svelte girls, not chubby awkward girls in knee socks.

I weighed 133 lbs when I first stepped on those scales and that number appalled me. The last I looked I wasn’t yet a 100 lbs. Where had those extra pounds come from? Keep in mind though that I was the tallest person in my class. I was probably 5’4 or so that weight shouldn’t have been as horrifying as it was.

I’m not sure I was even really overweight. When I look at pictures of me then I don’t see a fat kid. I see a slightly chubby almost teenage girl, on the verge of hips and breasts. I think she ought to have run more, played outside more but young me was a bookish, studious introvert, no lover of sports and games.

The people there were kind to me. No one thought joining was a bad idea. Indeed, I was called mature and told that it good to take care of this little problem now, before it got out of hand.

And in their defense I don’t think they knew then what we ought to know now about the dangers of dieting, especially setting up dieting habits in children. They really did think they were helping.

I remember coming home to find out there was lemon meringue pie for dessert (my parents were bakers) and that I couldn’t eat it, too many points. My mum gave me a one night reprieve for pie. I was to start the diet tomorrow.

I don’t remember how many weeks that first diet lasted. Not very many, I don’t think. I don’t think I lost any weight. It was the beginning though of a lifetime of weighing and shame associated with my size.

The good news was that even though I quit/stopped going, I did get my first real haircut anyway and it looked just fine. The world didn’t end.

Weight Watchers and I had an off and on relationship for about 30 years. A bad relationship but I kept going back, thinking they’d changed and that this time it would work.

Fast forward now to the last time I tried Weight Watchers.

Here are three things that I realized that will forever keep me away:

First, lots of the long term members and leaders seem to have seriously disordered eating habits. I actually heard an argument between a long term member, probably a life member, and a group leader about how many points you’d have to write down if you put a muffin in your mouth, chewed on it for a bit, and then read the label and spit it out.

Yes, gross. Disgusting. Ew.

The ‘chew and spew’ method never actually occurred to me as a method of sort of having your cake and not eating it too. Just yuck.

Maybe I’ve led a privileged life but the most messed up eating habits I’ve ever encountered were at WW. Life members boasted of still carrying their scales everywhere so they could measure and count every morsel they ate. They seemed thin but scarily obsessed with ever gaining the weight back.

Second, the WW approved weight for my height seems to me to be absurd. As absurd as it was to call 12 year old me overweight. I just laugh at their numbers. Even at a size 8, I’m not in their range for my height. I’m too muscular. I feel vindicated now after my visit to the Bod Pod which measures your per cent body fat. I’m almost out of the WW range for my height with 0% body fat!

My doctor offered to write me a note recommending a higher, more reasonable goal weight but the leaders refused to change my goal weight. They thought I should try it out first.

Third, they can’t handle people who actually exercise and do lots of physical activity. The leaders looked in disbelief when I told them how much I was riding my bike. Why would you want to do that? Clearly it’s not helping you with weight loss.

And yes, you get extra points for physical activity and you can spend those points on food, but you can spend them on whatever you like. Above the basic minimum for food groups, there’s no guidance at all how physically active people ought to supplement their diet. You want to spend them on all aspartame sweetened WW desserts, then go for it.

If you are biking, running, swimming….whatever, on a regular basis, then you need information about sports nutrition and WW isn’t set up at all to help with that. I ended up supplementing WW with advice from someone whose expertise was sports nutrition and then eventually, I just dropped out for good.

Good riddance Weight Watchers.