Monthly Archives: May 2013

Freakonomics disappoints

Warning: May contain triggers for some people for disordered eating and fat shaming.

The other day, I was catching up on my podcasts and I saw there was one from Freakonomics radio entitled 100 Ways to Fight Obesity. Because Freakonomics is on NPR, my first reaction was one of hesitancy and a bit of nervousness. I love public radio, but NPR and it’s affiliates have a tendency to be stigmatizing, judgmental, and alarmist about the “obesity epidemic”. I was not incredibly hopeful.

However, Freakonomics, the book and the show, often have very interesting ways of looking at societal, economic, health, and many other issues, so I did have a glimmer of hope that they would point out some of the things that the size activism and Health at Every Size movements have seen over and over throughout the years.

 Let’s just say that I had to listen to the podcast in chunks to save my sanity. 

The beginning of the show was full of the typical stuff. Huge “obesity epidemic”. How ever will we curb the growing backsides of Americans. We’re all going to die if we don’t lose weight RIGHT NOW! Honestly, I like to pretend that people are running around frantically pulling at their hair somewhere behind the scenes. Maybe they are screaming,”Think of the children!!!” It makes me laugh inside every time and makes it easier for me not to lose my sanity. I like to think about this scenario whenever people are freaking out about something that really does not need to be freaked out about.

Finally, someone said something about how when people stop smoking they gain weight, and there was this huge drop in smoking over the past several decades. I got excited because I thought that maybe they were going to start exploring concepts besides gluttony for the increase in the weight of the population since the 1970’s. However, beyond mentioning that the decrease in smoking would only account for maybe 20% of the weight gain, there was no further discussion about why there has been a weight gain. What about the possibility that the increase in dieting may have increased weight? What about our chemical filled world affecting our metabolisms in a different way? Processed foods? GMOs? I think all of these things need to be seriously discussed. Even the social pressure to be thin at all costs may have a negative effect on weight gain.Nor did anyone mention the lowering of the BMI in 1998, which moved everyone further toward “overweight” and “obese”. 

They did talk about how our societal preoccupation with fat has increased along with the incidences of eating disorders, which can lead to a great many health issues, including death. At this point, there was a discussion about how focusing on healthy habits instead of fat leads to increases in health and decreases in eating disorders. That was very exciting to hear!

Then there was a brainstorming session to find solutions to the “childhood obesity crisis” where no idea was considered too outlandish.

Some ideas seemed to be old hat. Shame parents into making their kids eat right and exercise. Use incentives in health insurance to encourage parents to have their children in a certain weight range. There was one suggestion to have standardized testing to determine a baseline for nutrition, exercise, and media literacy, then teach those things. As if the schools have so much extra time and resources.

Some of the ideas, I liked. As an ND, I can get behind getting rid of sucrose and High Fructose Corn Syrup. I can also get behind finding ways to not advertise nutritionally devoid foods to children. There was a great suggestion to make all advertising into “opt in” advertising, which I love because I dislike ads, but it is impractical. 

My favorite suggestion was that we stop using “obesity” because it is a loaded word and not a good measurement of health. He suggested that we use malnutrition. Considering the rapidly declining nutritional quality of much of our modern, processed food, I love the idea of using this word. It applies to many of us who get sufficient calories, but not sufficient nutrition, as well as those of us who get neither. Increasing our nutritionally dense foods may change the weight of some, and not others, but we would all benefit.

The end of the podcast what what disturbed me the most. There was a discussion of a fantasy to have a parasite that would stop nutrients from being absorbed. People could then lose weight (by essentially starving) and eat what they want without gaining weight (bulimia anyone?). There was also a suggestion by one of the economists (well his father) to smell something horrible, like vomit, when one is hungry to stop being hungry. (Anorexia anyone?) The end of the podcast was so full of eating disorder behavior that I found it to be very disturbing.

All in all, the podcast threw out a few good ideas, but most of them were glossed over to perpetuate the fear and panic surrounding fat. They also generally encouraged shaming and disordered eating to encourage people to be thinner, though whether they would be healthier is debatable.

Now, if we could use some of the above ideas (not the shaming ones), but coming back to Health at Every Size (R), I think that we could make great strides in the health of our country. HUGE strides. (like that?) Whole foods, cut out GMOs, access to a variety of real food, fun exercise options. Why do we need to make all the solutions to our “obesity crisis”(which I would like to reframe as a malnutrition or health crisis) need to involve weight loss and not focus on health? I, for one, plan to keep pushing for health, not thinness.

Post number one

Yes, I am a creative title writer.

This is mainly a sort of test post, but I will go ahead and give you a brief idea of what this blog will be about.

I am a licensed Naturopathic Physician in Portland, OR with a passion for Health at Every Size (R) and a weight neutral approach to health. The current climate of fat phobia and the “War on Obesity” have had a detrimental effect on the mental and physical health of people of all sizes, not the major reduction of obesity that has been hoped for when the “war” started. I am also a proponent of size/body acceptance. My focus tends to be on helping people who are fat navigate in a world that stigmatizes them daily, but I also see so many people ranging from very thin to very fat being affected by the push to have an unattainable, “perfect” body. Size/body acceptance affects us all.

This blog will be attached to my practice website and I will discuss health issues here, however, I intend for this to be a mix of health information and, most importantly, size activism.

Comments will be moderated because I want this to be a safe place for anyone to go and get good information. Reasonable, respectful comments that disagree with what I have said may be published, but that is entirely up to my discretion.