Tuesday, 29 September 2020

How A PhD Got Duped By Diet Culture

An article came across my inbox called “The Habits of Successful Weight Losers.” It piqued my interest because the truth is there isn’t a single study where more than a tiny fraction of people succeed at long-term, significant weight loss (this has been shown in literature reviews starting in at least 1999 and was recently acknowledged by Canadian Healthcare professionals. (Note: The article is not linked here due its potentially triggering nature, it’s also one of many of it kind so the points made here address this mistake generally.)

I clicked to read the article, curious if it would make the most common mistake of only looking at short-term weight loss (most people succeed at losing weight short term, but gain it all back within two to five years, a huge number of studies simply look at weight loss during the first year and then claim success) or if it would make the less common, but potentially more harmful National Weight Control Registry mistake.

It turns out that it was the latter. I often use the National Weight Control Registry in talks I give to general audiences, health professionals, and university students, faculty and staff to show how easy it is to be duped by diet culture and the poor “science” that backs it up. In this case the person making this mistake is a celebrated personal trainer, fitness speaker and writer, and PhD who has actually written a book written on this premise, so it’s no surprise that so many people with less training in understanding and analyzing research do make the same mistake.

I wrote about this for The Mighty, and you can read the full piece here!

Did you find this helpful? If you appreciate the work that I do, you can support my ability to do more of it with a one-time tip or by becoming a member. (Members get special deals on fat-positive stuff, a monthly e-mail keeping them up to date on the work their membership supports, and the ability to ask me questions that I answer in a members-only monthly Q&A Video!)

UPCOMING ONLINE WORKSHOP:
Getting Jiggly With It! Movement In A Fat Body

Movement/fitness/exercise by any definition is never an obligation or barometer of worthiness. But for fat people who want to move our bodies – whether it’s because we enjoy it, or because of the benefit(s) we get from it (even if we don’t enjoy it,) whatever our reasons a fatphobic culture can create barriers, misinformation, and other difficulties for us. In this workshop we’ll explore tips, tricks, and information to help us move our bodies for our own reasons. (This workshop can also be helpful to fitness pros who want to create a fat-positive practice!)

Details and Registration: https://danceswithfat.org/monthly-online-workshops/
*This workshop is free for DancesWithFat members

Like this blog?  Here’s more stuff you might like:

Wellness for All Bodies Program:A simple, step-by-step, super efficient guide to setting and reaching your health goals from a weight-neutral perspective.  This program can be used by individuals, or by groups, including as a workplace wellness program!

Price: $25.00 ($10 for DancesWithFat members – register on the member page)

Non-members Click here for all the details and to register!
Body Love Obstacle Course

This e-course that includes coaching videos, a study guide, and an ebook with the tools you need to create a rock-solid relationship with your body. Our relationships with our bodies don’t happen in a vacuum, so just learning to see our beauty isn’t going to cut it. The world throws obstacles in our way – obstacles that aren’t our fault, but become our problem. Over the course of this program, Ragen Chastain, Jeanette DePatie, and six incredible guest coaches will teach you practical, realistic, proven strategies to go above, around, and through the obstacles that the world puts in front of you when it comes to living an amazing life in the body you have now.
Price: $99.00 Click here to register
($79.00 for DancesWithFat members – register on the member page)

Love It! 234 Inspirations And Activities to Help You Love Your Body
This is filled with thoughtful advice from the authors Jeanette DePatie, Ragen Chastain, and Pia Sciavo-Campo as well as dozens of other notable names from the body love movement, the book is lovingly illustrated with diverse drawings from size-positive artist Toni Tails.
Price: $9.99 softcover, $7.99 Kindle, ($6.95 + free shipping for DancesWithFat Members)

Book Me!  I’d love to speak to your organization (and I can do it remotely!) You can get more information here or just e-mail me at ragen at danceswithfat dot org!



via Dances With Fat https://ift.tt/33bbeJH

Tuesday, 15 September 2020

Life Without Ibuprofen

I became aware of ibuprofen in high school, as a reliever for period pain. I used it with happy abandon for assorted cramps and pulled muscles. When my knees started hurting, I used ibuprofen. Headaches weren’t much helped by ibuprofen, but that’s what acetaminophen is for.

Eventually I had knee issues that ibuprofen didn’t handle, I added physical therapy exercises to ibuprofen. I didn’t stop taking it.

Enter blood thinners, to avoid another blood clot in my lungs.

You know what’s bad when you’re on blood thinners? Any other blood thinners. Like aspirin or naproxen or ibuprofen.

Seriously, that’s why older folks are often advised to take a low dose of aspirin a day – it’s a mild blood thinner, to avoid unneeded blood clots. But if you’re on specific medicine to make your clot less, then meds that adjust your clotting are bad.

Which means: I no longer take ibuprofen, naproxen, or aspirin. I can take acetominophen, but carefully, since my blood thinner med keeps my liver too busy to clear things like alcohol as fast as usual. Acetominophen goes through the liver, too, so I’m mindful about it. And, y’know, acetominophen didn’t really help with cramps anyway.

So here I am, in my mid-fifties, having to face arthritis, pulled muscles, and other ills without ibuprofen or naproxen. What to do?

  • I am more focused on strength training to support my knees and back.
  • I am more regular in stretching to prevent muscle cramps.
  • I am dealing with things like “sore neck and shoulder from sleeping wrong” with slow stretches and patience.

….and, if needed, I can drink. I just need to be aware it has stronger and more lasting effects than it used to have. :)



via Living ~400lbs https://ift.tt/2RssnrV

Friday, 11 September 2020

THIS FAT OLD LADY’S FAT FRIDAY – MY NEW HERO



via Fatties United! https://ift.tt/3keRScB

Kaiser Permanente – Hiding Discrimination?

In June, as COVID-19 cases threatened to overwhelm healthcare resources, many states were working to produce guidelines for rationing care in public and private hospitals and healthcare facilities in the event of shortages of equipment and staff. Unfortunately many of these policies have a chilling discriminatory effect. 

The California Care Rationing Coalition, a broad-based coalition from the disability, aging, anti-racism, and fat-rights communities, worked with the California Governor’s office and leadership at the Department of Health and Human Services  and successfully changed the state’s rationing protocols to help eliminate discrimination, creating a model for other states

The new guidelines state that healthcare decisions, including rationing of resources, cannot be based on age, race, disability (including weight-related disabilities and chronic medical conditions), gender, sexual orientation, gender identity, ethnicity (including national origin and language spoken), ability to pay, weight/size, socioeconomic status, insurance status, perceived self-worth, perceived quality of life, immigration status, incarceration status, homelessness, or past or future use of resources. 

“Why Are You Hiding?”

The new guidelines were a massive step in the right direction, but there’s more work to do. Unfortunately, it’s impossible to tell if hospitals are following the guidelines because they are currently keeping their policies secret.

That creates a situation where, despite the hard-won non-discriminatory guidelines, people of color, disabled people, Fat people, seniors and others who are covered may still be facing discrimination in COVID-19 treatment, including refusal of care. Even if they are able to choose which facility to go to, they have no way of knowing whether or not they are likely to face discrimination.

We are demanding that healthcare facilities, starting with California-based giant Kaiser Permanente, provide transparency in their compliance with CA State guidelines, including publicly disclosing their rationing policies.

ACTIVISM OPPORTUNITY!
You can help by posting to social media demanding that Kaiser publicly disclose their rationing policies, and inviting their friends to join in using the hashtags #NoBodyIsDisposable #PostYourPolicy #NoICUgenics

Here’s an example:
Kaiser Permanente – Why are you hiding your policy? What is your policy? We need to know! We are worried about people of color, disabled people, higher weight people, and seniors being refused treatment during COVID-19. Publicly disclose your COVID care and rationing policies. @aboutKP @KPOCThrive @KPSCALnews @KPMemberService @KPSanDiego @kpeastbayarea @KPGreaterSac @JMillerPhipps #NoBodyIsDisposable #PostYourPolicy #NoICUgenics

For more info on the campaign, sample social media posts, and articles to share check out:
https://nobodyisdisposable.org/stop-care-rationing/

Did you find this helpful? If you appreciate the work that I do, you can support my ability to do more of it with a one-time tip or by becoming a member. (Members get special deals on fat-positive stuff, a monthly e-mail keeping them up to date on the work their membership supports, and the ability to ask me questions that I answer in a members-only monthly Q&A Video!)

UPCOMING ONLINE WORKSHOP:
Getting Jiggly With It! Movement In A Fat Body

Movement/fitness/exercise by any definition is never an obligation or barometer of worthiness. But for fat people who want to move our bodies – whether it’s because we enjoy it, or because of the benefit(s) we get from it (even if we don’t enjoy it,) whatever our reasons a fatphobic culture can create barriers, misinformation, and other difficulties for us. In this workshop we’ll explore tips, tricks, and information to help us move our bodies for our own reasons. (This workshop can also be helpful to fitness pros who want to create a fat-positive practice!)

Details and Registration: https://danceswithfat.org/monthly-online-workshops/
*This workshop is free for DancesWithFat members

Like this blog?  Here’s more stuff you might like:

Wellness for All Bodies Program:A simple, step-by-step, super efficient guide to setting and reaching your health goals from a weight-neutral perspective.  This program can be used by individuals, or by groups, including as a workplace wellness program!

Price: $25.00 ($10 for DancesWithFat members – register on the member page)

Non-members Click here for all the details and to register!
Body Love Obstacle Course

This e-course that includes coaching videos, a study guide, and an ebook with the tools you need to create a rock-solid relationship with your body. Our relationships with our bodies don’t happen in a vacuum, so just learning to see our beauty isn’t going to cut it. The world throws obstacles in our way – obstacles that aren’t our fault, but become our problem. Over the course of this program, Ragen Chastain, Jeanette DePatie, and six incredible guest coaches will teach you practical, realistic, proven strategies to go above, around, and through the obstacles that the world puts in front of you when it comes to living an amazing life in the body you have now.
Price: $99.00 Click here to register
($79.00 for DancesWithFat members – register on the member page)

Love It! 234 Inspirations And Activities to Help You Love Your Body
This is filled with thoughtful advice from the authors Jeanette DePatie, Ragen Chastain, and Pia Sciavo-Campo as well as dozens of other notable names from the body love movement, the book is lovingly illustrated with diverse drawings from size-positive artist Toni Tails.
Price: $9.99 softcover, $7.99 Kindle, ($6.95 + free shipping for DancesWithFat Members)

Book Me!  I’d love to speak to your organization (and I can do it remotely!) You can get more information here or just e-mail me at ragen at danceswithfat dot org!



via Dances With Fat https://ift.tt/2FnyfQu

Friday, 4 September 2020

Friday, 28 August 2020

Britain’s Plan To Fight COVID-19 With Fatphobia Is Terrible

Britain has launched a program called “Better Health” that is claiming that it will improve health by perpetuating fatphobia and convincing people to engage in so-called health interventions that almost never work.

It utilizes the “eat less, move more” theory that has been proven not to work since at least 1999. and that even Canadian Health Professionals who sell weight loss have admitted doesn’t work. But encouraging people to attempt intentional weight loss despite the fact that there isn’t a single study where more than a tiny fraction of people succeed at significant long-term weight loss is, sadly, nothing new.

Tying it to the equally questionable idea that fat people are at a higher risk for COVID-19/more severe symptoms because of their body size (and not because of the unequal treatment we receive in society, and the very medical weight stigma at the root of this program) is new, and terrible.

Quick history lesson – during the H1N1 outbreak, fat people had poorer health outcomes (and everyone jumped on the bandwagon to figure out exactly what about fat bodies was the cause.) It turns out the actual issue was that fat people were systematically treated later with antiviral medication than thin people. Per a study on the subject “After adjustment for early antiviral treatment, relationship between ob*sity and poor outcomes disappeared.” More about the issues with the claim that being fat increases COVID-19 risk/severity can be found here and here.

Besides which, we don’t know that making larger people (temporarily) a bit smaller will do anything to change their COVID-19 risk, nor do we know that if encouraging people to restrict food and exercise to create a situation where their body has to consume itself to survive could actually make things worse. The idea that if we make fat people look more like thin people then their health outcomes will be the same is not remotely scientifically sound.

They are making the incredibly dubious claim (with absolutely no evidence) that if every person who is considered fat loses 5.5 pounds (an amount many menstruating people gain and lose each month, and that I could personally lose right now with a haircut and a loofah) it will save the NHS $135M in five years.

In fact, the only arguably “smart” (though still terrible) thing they did is make this only a 12-week program. Almost anyone can lose a little weight short term. Then, like almost every study on weight loss, they’ll stop tracking results before the vast majority gain it all back (with many gaining back more than they lost) and claim success, blaming the *almost everyone* who gains the weight back.

This will do an incredibly amount of harm in the following ways:

First, any time there is a national campaign against fat people, it increases the stigma that fat people deal with. Studies have shown that this stigma is correlated to many of the same health conditions to which being fat is correlated. Making people hate their bodies does not improve health outcomes.

When programs like this correlate weight loss with health it sets people up to give up on supporting their health when they, almost inevitably, fail to maintain weight loss. Health, by any definition, isn’t an obligation, barometer of worthiness, or entirely within our control, but setting us up to believe the lie that the only way to pursue health is through weight loss, and then fail (often repeatedly) at weight loss does not improve health outcomes.

Many of the things that people are claiming may cause fat bodies to be at higher COVID-19 risk are actually correlated with weight cycling (yo-yo diet) which is by far the most likely outcome of multiple weight loss attempts, which Britain’s program will actually increase.

Consider weight cycling as an example. Attempts to lose weight typically result in weight cycling, and such attempts are more common among obese individuals [62]. Weight cycling results in increased inflammation, which in turn is known to increase risk for many ob*sity-associated diseases [63]. Other potential mechanisms by which weight cycling contributes to morbidity include hypertension, insulin resistance and dyslipidemia [64]. Research also indicates that weight fluctuation is associated with poorer cardiovascular outcomes and increased mortality risk [6468]. Weight cycling can account for all of the excess mortality associated with ob*sity in both the Framingham Heart Study [69] and the National Health and Nutrition Examination Survey (NHANES) [70]. It may be, therefore, that the association between weight and health risk can be better attributed to weight cycling than adiposity itself [63].

In addition to the calorie counting push being destined for failure based on all the research that exists, this kind of campaign does real harm to people who may develop, are living with, or are recovered from eating disorders.

The government is insisting on putting calorie counts on menus which has been found to do nothing to change food choices but increases the chances of triggering an eating disorder. (Also incredibly triggering is a massive media campaign that focuses on the idea that thin(ner) is better.)

Perhaps most frustrating of all, it is entirely possible to create public health interventions without weight stigma, thus actually increasing the upside while eliminating the downside for people of all sizes. We should hold our leaders to this standard and refuse to participate in these farces that claim to be about wellness but are deeply, inextricably linked to fatphobia.

Did you find this helpful? If you appreciate the work that I do, you can support my ability to do more of it with a one-time tip or by becoming a member. (Members get special deals on fat-positive stuff, a monthly e-mail keeping them up to date on the work their membership supports, and the ability to ask me questions that I answer in a members-only monthly Q&A Video!)

UPCOMING ONLINE WORKSHOP:
Getting Jiggly With It! Movement In A Fat Body

Movement/fitness/exercise by any definition is never an obligation or barometer of worthiness. But for fat people who want to move our bodies – whether it’s because we enjoy it, or because of the benefit(s) we get from it (even if we don’t enjoy it,) whatever our reasons a fatphobic culture can create barriers, misinformation, and other difficulties for us. In this workshop we’ll explore tips, tricks, and information to help us move our bodies for our own reasons. (This workshop can also be helpful to fitness pros who want to create a fat-positive practice!)

Details and Registration: https://danceswithfat.org/monthly-online-workshops/
*This workshop is free for DancesWithFat members

Like this blog?  Here’s more stuff you might like:

Wellness for All Bodies Program:A simple, step-by-step, super efficient guide to setting and reaching your health goals from a weight-neutral perspective.  This program can be used by individuals, or by groups, including as a workplace wellness program!

Price: $25.00 ($10 for DancesWithFat members – register on the member page)

Non-members Click here for all the details and to register!
Body Love Obstacle Course

This e-course that includes coaching videos, a study guide, and an ebook with the tools you need to create a rock-solid relationship with your body. Our relationships with our bodies don’t happen in a vacuum, so just learning to see our beauty isn’t going to cut it. The world throws obstacles in our way – obstacles that aren’t our fault, but become our problem. Over the course of this program, Ragen Chastain, Jeanette DePatie, and six incredible guest coaches will teach you practical, realistic, proven strategies to go above, around, and through the obstacles that the world puts in front of you when it comes to living an amazing life in the body you have now.
Price: $99.00 Click here to register
($79.00 for DancesWithFat members – register on the member page)

Love It! 234 Inspirations And Activities to Help You Love Your Body
This is filled with thoughtful advice from the authors Jeanette DePatie, Ragen Chastain, and Pia Sciavo-Campo as well as dozens of other notable names from the body love movement, the book is lovingly illustrated with diverse drawings from size-positive artist Toni Tails.
Price: $9.99 softcover, $7.99 Kindle, ($6.95 + free shipping for DancesWithFat Members)

Book Me!  I’d love to speak to your organization (and I can do it remotely!) You can get more information here or just e-mail me at ragen at danceswithfat dot org!



via Dances With Fat https://ift.tt/2YGUZSg