If it’s really true that America suffers from a lack of tough love, and that’s why we got so fat in the first place, then you might expect the nation’s swelling obesity rates to have arrived on a wave of warm fuzzies. But we’ve seen just the opposite, says Rebecca Puhl of Yale’s Rudd Center for Food Policy and Obesity (a leading advocate for the
soda tax, among many other aggressive anti-obesity interventions). No one has been giving fat people a free ride. In fact, the prevalence of weight-based discrimination has
increased by two-thirds since the mid-1990s; even middle-schoolers are
getting meaner. The Hive tells us that to fight obesity we must “
go on the offensive against obese people.” Just look at the data. We tried that approach, and it didn’t work.
As I’ve argued before, it could even be the case that
all this stigma is making things worse. Columbia University epidemiologist Peter Muennig has found
evidence that the life-shortening effects of obesity are more severe among women than men, and more severe among white women than black women. Women and whites also happen to be the two groups most affected by weight-based discrimination. According to Muennig, it makes sense that the more shame you feel as a result of being fat,
the greater the toll on your body. So a widespread war on obesity, or indeed an effort to “
fix” the nation’s fat children, could serve to exacerbate the problem.
But you don’t have to buy into the idea that fat shame is killing us. Research also shows that stigma doesn’t help anyone slim down. Nor does it encourage healthy behavior (which is, after all,
very different from weight loss). At the University of Minnesota, Dianne Neumark-Sztainer recruited nearly 5,000 adolescents for a
long-term study of weight- and food-related issues, and according to her data, the teenage girls who were most dissatisfied with their bodies
gained more weight over a five-year stretch than their classmates. In fact, these dissatisfied girls showed triple the increase in
body-mass index, controlling for the possibility that they were fatter to begin with.
All that self-hate didn’t turn them into gym rats, either: The same group ended up getting less exercise than their peers.
Funny, last week for work I was reading a review article from a prominent medical journal about interventions for obesity and as it turns out the long-term efficacy of pretty much all of the interventions were pretty unimpressive. It reminded me of the bound will.
Hey Dan, you are right on target. Obesity and the Bound Will (not to mention pride, judgment, Phariseeism, Pelagianism, and cruelty) remain a recurring area of Mockingbird commentary.
Here are just a few of the many past links… enjoy:
http://blog.mbird.com/2008/06/obesity-now-lifestyle-choice.html
http://blog.mbird.com/2010/06/obesity-and-bound-will.html