Rethinking fat stereotypes
The belief that upward social mobility in the United States can be achieved with mere hard work and determination has existed almost as long as the country itself. America’s Protestant worth ethic has been encapsulated by people like Horatio Alger, who wrote a series of stories involving poor young men who pulled themselves up by their bootstraps to achieve great success.
Weight-based discrimination is rampant today because of our culturally ingrained stereotypes of fatness and fat people. Fat people, it is assumed, are fat due to “lifestyle choices,” that being a willful overeating of “bad” foods and sedentary lifestyle. So-called obesity-related diseases are viewed to be a drain on our national economy, as they decrease work productivity and increase health care costs. And because of the conflation of fat with overconsumption, those rapacious fat people are also thought to represent a threat to the environment and the security of the nation state itself.
The world collectively sighs as it wonders why fat people won’t just practice dietary restraint, eat healthier foods, exercise and pay scads of money for diet programs, even if such programs have been shown to be largely ineffective. Why, oh why can’t and won’t fat people pull themselves up by their bootstraps to become thin, socially acceptable, and responsible citizens?
Maybe it’s because fatness isn’t always caused by inactivity and a scarfing down of Twinkies. As anyone who has struggled with weight will attest, weight loss and gain aren’t always simple matters of “choice.” Here are some physiological reasons why some people are fat:
Genetic predisposition: We inherit a multitude of different eye, skin and hair colors, why is it impossible to fathom body weights, too, can be determined by our genetics and are variable? A recent study by the University College London suggests genetics and heritability may account for 77 percent of obesity, while environmental factors make up less than 25 percent. Other twin, adoption and family studies have shown that genetic factors play a significant role in body weight.
Genetic Disorders: Genetic disorders such as Prader-Willi Syndrome and Bardet-Biedl syndrome are directly linked to weight gain. While both are characterized by development disabilities, leptin resistance is more common and virtually undetectable except at the genetic level. Researchers have also identified several mutations in human genes that may contribute to obesity entirely independent of environment.
Endocrine Disorders: There exists a spectrum of endocrinological diseases associated with increased body weight, including hypothyroidism, Cushing’s syndrome, growth hormone deficiency, hypogonadism, polycystic ovary syndrome, insulin resistance and insulinoma and hypothalamic trauma.
Aging: Getting older often involves a gradual weight gain from changes in activity and slowed metabolism. According to MSNBC.com: “Between the ages of 25 and 75, body fat naturally doubles. This can be changed with regular exercise and a healthy diet, but even then fat may accumulate in new places, including the chin, neck, abdomen, thighs and buttocks. Fat also tends to shift from just beneath the skin to deeper spots near the organs.”
Medication side effects: As the hundreds upon hundreds of anxious message board posters reveal, numerous medications including anti-depressants and birth control cause weight gain. In fact, weight gain is a reported side effect of nearly all antidepressant medications currently available.
Dieting: Which came first? The so-called obesity epidemic or dieting? Dieting has been shown to encourage and promote weight gain. Ironic, huh? Here’s why: As you reduce food intake to lose weight, your body puts itself on ‘famine alert’ and thus slows down metabolism to best use the small amount of energy it is receiving. When dieters go back to eating normally, they gain weight faster because a much higher percentage of food is stored as fat to prevent future cases of famine
Diet food: People are genetically predisposed to metabolize and store nutrients differently. Diet foods, or what author Michael Pollan calls “edible food-like substances,” may unwittingly and ironically even contribute to weight gain. For instance, the greatest rise in obesity rates came at a time when most Americans were embracing new low-fat, low-cholesterol and fat-free processed foods. Gary Taubes’ new book sheds new light on the conventionally held wisdom of how our bodies react to different nutrients.
Quitting smoking: The average smoker tends to be thin and often experiences weight gain when quitting tobacco. A recent study in Health Services Research found that the average weight gain among former smokers was about 21 pounds, and it isn’t always because smokers turn to snacking. Smoking uses up calories – about 200 a day according to one study. And after quitting, the body’s metabolism slows down, and food is digested better. Insulin levels also increase, enabling the body to process more sugar for energy.
Physical restrictions: You see an obese person whiz by in a motorized chair: Is it because they’re fat and lazy, or could they have some other physical disorder hindering mobility? Those who experience physical trauma or have disorders and conditions that limit mobility often have difficulty burning calories and expending energy stores. Just as we would never presume to mock the disabled or blame them for their condition, nor should we assume fat people are disabled because they’re fat.
Pregnancy: My mom was thin until she had four kids within a decade and has never been able to lose her pregnancy weight. Incubating another human being in your womb for nine months inevitably alters your metabolism, which may persist even after birth. And the fatigue, stressful life changes, family adjustments and lack of energy that occur post-birth may also contribute to an inability to shed the baby weight.
Sure, overeating and/or eating unhealthy foods and/or physical inactivity also play a role in weight gain. But the reasons why someone might make such “lifestyle choices” are also not a clear cut case of sloth and greed. Consider these possible reasons why someone might make poor food choices:
Depression: Weight gain is so prevalent amongst those with depression, it’s often used as a criteria for diagnosis. And whilst some people may lose weight as part of depression therapy, others may gain weight as mood improvements result in heartier appetites. Depression may be caused by a brain chemical imbalance, but it can also be brought on by the death of a loved one or other emotional or physical trauma.
Eating disorder: It’s been estimated one in four college-aged women have bulimia and that binge eating disorder eclipses both anorexia and bulimia combined. Not all people with binging-related eating disorders are overweight or obese, but the majority of women with bulimia are average weight or overweight, while a significant number of those with BED are overweight, obese or even morbidly obese. Recent studies suggest some eating disorders are organic in nature, while others are influenced by social environments. Regardless, an eating disorder is never a “choice.”
Poverty: Rising food prices and a lack of availability of healthy foods may also contribute to unhealthy diets. As a recent study indicated, on a per calorie basis, diets composed of whole grains, fish and fresh vegetables and fruit are far more expensive than refined grains, added sugars and added fats, which provide empty calories. It’s not about ignorance, poor character or a lack of willpower; it’s about being limited to those foods you can afford. Poor people, too, often lack access to safe areas in which to walk and exercise.
The above are brief factors I compiled within an hour. Given more time and more research, I’m sure I could uncover a number of other potential causes for fatness. Feel free to add others or discuss any of the above in the comments below. The fact is, body weight is not an exact science and it’s one we still know very little about. Smug assumptions that fatness is a case sloth and gluttony only serves to hurt the very people we purport to help. It also contributes to a toxic environment in which eating disorders fester and weight-based discrimination prevails.
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