
{"id":17910,"date":"2013-04-22T11:17:29","date_gmt":"2013-04-22T18:17:29","guid":{"rendered":"http:\/\/www.goodtherapy.org\/blog\/?page_id=17910"},"modified":"2017-03-30T11:13:02","modified_gmt":"2017-03-30T18:13:02","slug":"obesity","status":"publish","type":"page","link":"https:\/\/www.goodtherapy.org\/blog\/obesity\/","title":{"rendered":"Obesity"},"content":{"rendered":"<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-33173\" src=\"https:\/\/www.goodtherapy.org\/blog\/blog\/wp-content\/uploads\/2013\/04\/medical-height-weight-scale-300x302.jpg\" alt=\"Close-up view of medical scale to measure height and weight\" width=\"300\" height=\"302\" data-id=\"33173\" title=\"\" srcset=\"https:\/\/www.goodtherapy.org\/blog\/blog\/wp-content\/uploads\/2013\/04\/medical-height-weight-scale-300x302.jpg 300w, https:\/\/www.goodtherapy.org\/blog\/blog\/wp-content\/uploads\/2013\/04\/medical-height-weight-scale-200x200.jpg 200w, https:\/\/www.goodtherapy.org\/blog\/blog\/wp-content\/uploads\/2013\/04\/medical-height-weight-scale.jpg 589w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Obesity<\/strong>, the state of having excess adipose (fat) tissue, is a medical term\u00a0that is the subject of some\u00a0debate. Though obesity was officially classified\u00a0as a\u00a0disease by the American Medical Association in\u00a02013, this classification has generated much controversy, both because a\u00a0number of factors\u2014genetics among them\u2014can contribute to a person&#8217;s body type and size\u00a0and because a common diagnostic tool, the body mass index (BMI), is known\u00a0by many to be flawed.<\/p>\n<h2>What Is Obesity?<\/h2>\n<p>A person who has what health care\u00a0professionals consider to be an excess amount of body fat, according to medical diagnostic scales, may be classified as &#8220;overweight.&#8221;\u00a0A person whose weight is greater than 20% of their ideal weight\u2014a measurement\u00a0that should take\u00a0age, build, height, and <a href=\"https:\/\/www.goodtherapy.org\/blog\/psychpedia\/gender\">gender<\/a> into account\u2014may be\u00a0termed &#8220;obese.&#8221;<\/p>\n<p>Much attention has been drawn to obesity in recent years, after a 2004 study sponsored by the Centers for Disease Control and Prevention (CDC) published statements indicating about 350,000 deaths each year were somehow associated with being overweight or obese. These findings seemed to imply that obesity was second only to smoking as a cause of preventable death. When the same findings were analyzed further for greater accuracy, however, the true number of deaths associated with obesity was only about 25,000. This number indicates that being overweight or obese may not be necessarily be the grave health concern it is often suggested to be.<\/p>\n<p><div class=\"content-fatwidget align-left\">\n\t<h2><a href=\"https:\/\/www.goodtherapy.org\/find-therapist.html\" target=\"_blank\">Find a Therapist<\/a><\/h2>\n\t<form action=https:\/\/www.goodtherapy.org\/search-redirect.html\" method=\"get\">\n\n\t\t\t<input required name=\"search[zipcode]\" placeholder=\"Enter ZIP or City\" class=\"inline-input\" type=\"text\" \/>\n\n\n\t\t\t<input type=\"submit\" name=\"TOS agreement\" value=\" \" class=\"inline-btn\" title=\"Search\" onclick=\"ga('send', 'event', 'FAT Widget', 'Submit Search', 'Sidebar', {nonInteraction: true});\" \/>\n\t\t<a href=\"https:\/\/www.goodtherapy.org\/\/advanced-search.html\" title=\"Advanced Search\" onclick=\"ga('send', 'event', 'FAT Widget', 'Advanced Search', 'Sidebar', {nonInteraction: true});\">Advanced Search<\/a>\n\t<\/form>\n<\/div>Different doctors and medical associations may use various scales to determine\u00a0obesity, but the BMI scale is the most common. This scale\u00a0provides an approximation of body mass based upon height and weight, and people who have a\u00a0BMI higher than 30 are considered obese. However, many experts have challenged the BMI, in part because it fails to take into account a person&#8217;s waist size, unique body type, and musculature, all of which may be better indicators of health than a numeric scale that does not allow for much individual deviation.<\/p>\n<h2>Risk Factors for\u00a0Obesity<\/h2>\n<p>A diet with too many calories or a sedentary lifestyle can lead to obesity. Other factors that can contribute to the development of obesity include:<\/p>\n<ul>\n<li>Medical conditions such as diabetes and hypothyroidism.<\/li>\n<li><a href=\"https:\/\/www.goodtherapy.org\/blog\/psychpedia\/binge-eating\">Binge eating<\/a> or <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/eating-disorders\" target=\"_blank\">food addictions<\/a>.<\/li>\n<li>Parents who were obese. This may be due to genetics, eating habits learned from parents, or both.<\/li>\n<\/ul>\n<p>An increasing number of experts argue that bodies come in a\u00a0range of types\u00a0and shapes and that a person&#8217;s size may be determined by genetics more than lifestyle. For example, some individuals may be active more days than they are not and follow an eating plan that any nutritionist would consider &#8220;healthy&#8221; but still be of\u00a0a size that leads them to be medically classified as obese. Other individuals may eat foods largely considered to be unhealthy, consume calories in excess of the daily recommendation, and be largely sedentary but still be medically classified as &#8220;underweight.&#8221; Many\u00a0experts agree that size may be less of a concern to physical health than a person&#8217;s general fitness level.<\/p>\n<h2>The Effects of Obesity<\/h2>\n<p>While it is true that people who meet\u00a0medical criteria for obesity may experience a\u00a0higher risk for certain health concerns, these health concerns are not necessarily caused by obesity. Further, not every person who is obese will develop related health problems and people who are not obese may still develop any of the same health concerns.<\/p>\n<p>Several recent\u00a0studies found, in fact, that people who were considered overweight or mildly obese experienced better outcomes from a wide range of health conditions, pneumonia, cancer, stroke, and heart disease among them. In women, greater weight is associated with lower risk of osteoporosis, while elderly individuals who are heavier may have better health.<\/p>\n<p>Diagnosing a person as &#8220;obese&#8221; based on their height\/weight ratio can have the effect of pathologizing a person&#8217;s size. Many doctors may focus solely on a person&#8217;s weight, even when it has no negative impact on their health, and neglect other concerns. Some doctors may not treat individuals who are diagnosed with\u00a0obesity until they have lost weight. Because of this, many people may avoid visiting the doctor or develop health concerns that are ignored or go untreated, and this may be one contributing factor to a higher prevalence of health concerns among people who are considered obese.<\/p>\n<h2><strong>Sizeism in Popular Culture<\/strong><\/h2>\n<p>Sizeism, or weight bias, is quite common. In much of American society, thinness is equated with beauty. Advice on slimming down and advertisements for weight-loss products permeate the media and popular culture. Most models and actors meet the societal standards of beauty, and it is common to hear about the diets that Hollywood stars maintain in order to remain thin. Despite the fact that over two-thirds of Americans are considered to be &#8220;overweight&#8221; or obese, larger bodies are disproportionately under-represented in the media, and many people falsely assume obesity is the result of laziness, inactivity, or overeating.<\/p>\n<p>People of size portrayed in the media\u00a0are frequently shown in a negative light. Movies such as <em>The Nutty Professor<\/em> and <em>Shallow Hal<\/em> involve a thin actor wearing a fat suit in order to get laughs. When a person&#8217;s size is not the target of a\u00a0joke, the messages about them are often otherwise negative. Research shows, for example, cartoon characters who are of a size that is considered overweight are more often portrayed as unintelligent, unattractive, and unhappy.<\/p>\n<p>When shows do feature people of size, the focus is often on their attempts to lose weight, and any weight loss is referenced often. <em>The Biggest Loser <\/em>and <em>My 600-lb Life<\/em> show people struggling to diet and exercise in order to lose weight. Additionally, people with larger bodies are\u00a0defined by their size in a way those with thin privilege are not. The movie\u00a0<em>Pitch\u00a0Perfect<\/em>, for instance, features Rebel Wilson playing a character called \u201cFat Amy.\u201d Further, overweight actors are often encouraged to lose weight, and praised when they\u00a0do so, as if their body type is more important than other aspects of their career, such as their talent and ability. The overwhelming message in the media seems to be that people who have larger bodies are inherently unhappy and unhealthy and should strive to lose weight in order to fit the societal standards of beauty and be happy.<\/p>\n<p>Fortunately, the issue of sizeism in popular culture has received an increasing amount of attention over the past few years, and more diverse body types are being portrayed in film and television. The term \u201cbody positivity\u201d is gaining traction, and people are encouraging acceptance and representation of all body types and sizes. Television shows such as <em>Girls<\/em> and <em>The Mindy Project<\/em> feature a lead female character who is strong, smart, and not afraid to embrace her body and sexuality despite the fact that she does not adhere to typical Hollywood standards of beauty. Other shows such as <em>Mike and Molly, This Is Us, <\/em>and <em>Drop Dead Diva<\/em> include main characters who have larger bodies. Although these shows have been criticized for focusing on the weight of the characters, others argue inclusion of larger body types is a positive step in the right direction, though more and better representation is still needed.<\/p>\n<h2>Obesity and Mental Health<\/h2>\n<p>It may be the case that certain mental health concerns\u00a0contribute to obesity. Binge eating, for example, is an eating disorder that\u00a0causes people to eat excessive quantities of food in a short period of time, often in secret, may lead to obesity. When a person binge eats, has become <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/addictions-and-compulsions\">addicted<\/a> to food\u2014certain foods in particular, such as sugary or salty foods\u2014, or eats to deal with\u00a0with <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/emotional-overwhelm\" target=\"_blank\">emotional distress<\/a>, a mental health professional may help them address these issues.\u00a0However, not every person who is considered obese by medical professionals binge eats or is addicted to food. Further, it is not the case that every person who is\u00a0considered obese experiences distress due to their size.<\/p>\n<p>People\u00a0with obesity may develop <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/eating-disorders\">eating disorders<\/a> such as anorexia and bulimia. Many people erroneously believe that those who have eating disorders are extremely thin, and this assumption may prevent individuals experiencing these concerns from seeking help or receiving adequate treatment.<\/p>\n<p>Obesity can contribute to the development of mental health issues, but it is important to note\u00a0that the <a href=\"https:\/\/www.goodtherapy.org\/blog\/psychpedia\/stigma\">stigma<\/a> surrounding\u00a0obesity and the effects of weight-based <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/prejudice-discrimination\">discrimination<\/a> are more likely to be the causes of mental health concerns, not a person&#8217;s weight.<\/p>\n<p>Societal attitudes regarding size are proven to have a negative impact on emotional well-being.\u00a0Several studies have shown that people who meet\u00a0<a href=\"https:\/\/www.goodtherapy.org\/blog\/psychpedia\/social-norms\">social norms<\/a> of beauty and attractiveness have an easier time getting a job and are viewed more positively by others. Size discrimination is one of the most prevalent forms of discrimination in the United States, and heavier people\u00a0may face any number of negative assumptions about their intelligence, abilities, and\/or hygiene. Heavier children are more likely\u00a0to be <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/bullying\" target=\"_blank\">bullied<\/a>, and heavier people of any age\u00a0may face social ostracism, among other effects of weight-based stigma (often termed fatphobia).<\/p>\n<p>The pressure to have a thin body can lead to <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/depression\" target=\"_blank\">depression<\/a> and <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/anxiety\" target=\"_blank\">anxiety<\/a>, among other concerns. Societal assumptions about weight loss may include a number of harmful ideas, such as the concept that every person should aspire to reach the same weight and shape, and these are also likely to have a negative impact on a person&#8217;s emotional health.\u00a0The term &#8220;overweight&#8221; itself supports\u00a0this idea (and is considered by many to be problematic) as it implies there is an ideal body all people should work toward and that people who have different (&#8220;over&#8221;) bodies are somehow &#8220;wrong.&#8221;<\/p>\n<h2>The Politics of Obesity<\/h2>\n<p>Not everyone considers\u00a0obesity a health concern, and many strongly disagree with its classification as a disease. Some advocates argue that placing such\u00a0emphasis on body weight is unnecessary.\u00a0The Health at Every Size movement\u2014titled after the book of the same name\u2014works to support body diversity in recognition of the fact that healthy bodies come in all sizes and argues in favor of advocating healthy lifestyle choices rather than focusing on body size.<\/p>\n<p>Many medical experts and health care professionals recommend activity and balanced eating rather than diet or severe exercise regimes, pointing out that diets typically do not work and that inflammation, a harmful effect of continuously losing and regaining weight, can contribute to the development of many health conditions.<\/p>\n<p>People who do wish to lose weight may find it helpful to seek advice from a nutritionist or other professional to do so in a way that is not harmful to their physical health or emotional well-being. While some may find crash dieting effective for a short period of time, research shows that making lifestyle changes for greater fitness and nutrition are more likely to lead to health and wellness than simply losing weight.<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Bacon, L. (2008). <em>Health at every size: The surprising truth about your weight<\/em>. Dallas, TX: BenBella Books.<\/li>\n<li>Brown, H. (2015, November 17). The obesity paradox &#8211; Scientists now think that being overweight can protect your health. Retrieved from\u00a0http:\/\/qz.com\/550527\/obesity-paradox-scientists-now-think-that-being-overweight-is-sometimes-good-for-your-health<\/li>\n<li>Butler, B. (2016, September 28). Will \u201cThis Is Us\u201d show the right way to portray overweight women on tv? <em>The Washington Post<\/em>. Retrieved from https:\/\/www.washingtonpost.com\/news\/arts-and-entertainment\/wp\/2016\/09\/28\/will-this-is-us-show-the-right-way-to-portray-overweight-women-on-tv\/?utm_term=.663271fee995<\/li>\n<li>Calculate your body mass index. (n.d.). National Institutes of Health. Retrieved from http:\/\/www.nhlbi.nih.gov\/guidelines\/obesity\/BMI\/bmicalc.htm<\/li>\n<li>Chastain, R. (2015, May 7). The problem with calling people overweight. Retrieved from\u00a0https:\/\/danceswithfat.wordpress.com\/2015\/05\/07\/the-problem-with-calling-people-overweight<\/li>\n<li>Devlin, K. (2009, July 4). Top 10 reasons why the BMI is bogus.\u00a0<em>NPR<\/em>. Retrieved from\u00a0http:\/\/www.npr.org\/templates\/story\/story.php?storyId=106268439<\/li>\n<li>Fabello, M. A., &amp; Bacon, L. (2016, January 24). 11 \u00a0reasons your &#8216;concern&#8217; for fat people&#8217;s health isn&#8217;t helping anyone.\u00a0<em>Everyday Feminism.\u00a0<\/em>Retrieved from\u00a0http:\/\/bit.ly\/2eCMaSr<\/li>\n<li>Flegal, K. M., Graubard, B. I., Williamson, D. F., &amp; Gail, M. H. (2005, April 20). Excess deaths associated with underweight, overweight, and obesity.\u00a0<em>Journal of the American Medical Association, 293<\/em>(15)<em>.\u00a0<\/em>1861-7.<\/li>\n<li>Gold, S. S. (2016, January 26). Five tv series that actually do some good for body positivity. Retrieved from http:\/\/greatist.com\/live\/tv-shows-body-image<\/li>\n<li>Gunderman, R. (2013, June 24). Is obesity really a disease?\u00a0<em>The Atlantic.\u00a0<\/em>Retrieved from\u00a0http:\/\/www.theatlantic.com\/health\/archive\/2013\/06\/is-obesity-really-a-disease\/277148<\/li>\n<li>Heuer, C. A. (n.d.). Fattertainment\u2014Obesity in the media. Retrieved from http:\/\/www.obesityaction.org\/educational-resources\/resource-articles-2\/weight-bias\/fattertainment-obesity-in-the-media<\/li>\n<li>Mokdad, A. H., Marks, J. S., Stroup, D. F., &amp; Gerberding, J. L. (2005, January 19). Correction: Actual causes of death in the United States, 2000.\u00a0<em>Journal of the American Medical Association, 293<\/em>(3). 293-4.<\/li>\n<li>New, M. J. (2014). Binge eating disorder.\u00a0<em>KidsHealth.\u00a0<\/em>Retrieved from\u00a0http:\/\/kidshealth.org\/en\/teens\/binge-eating.html#<\/li>\n<li>Obesity. (2012, August 03). Retrieved from http:\/\/www.mayoclinic.com\/health\/obesity\/DS00314<\/li>\n<li>Overweight and obesity statistics. (2012). Retrieved from https:\/\/www.niddk.nih.gov\/health-information\/health-statistics\/Pages\/overweight-obesity-statistics.aspx<\/li>\n<li>Ross, J. (2014, November 11). 9 facts that disprove the most common stereotypes about fat people.\u00a0<em>Everyday Feminism.\u00a0<\/em>Retrieved from\u00a0http:\/\/everydayfeminism.com\/2014\/11\/9-facts-stereotypes-fat-people<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Obesity, the state of having excess adipose (fat) tissue, is a medical term?that is the subject of some?debate. Though obesity was officially classified?as a?disease by the American Medical Association in?2013, this classification has generated much controversy, both because a?number of factors?genetics among them?can contribute to a person&#8217;s body type and size?and because a common diagnostic [&hellip;]<\/p>\n","protected":false},"author":2474,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"psychpedia.php","meta":{"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"class_list":["post-17910","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/pages\/17910","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/users\/2474"}],"replies":[{"embeddable":true,"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/comments?post=17910"}],"version-history":[{"count":0,"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/pages\/17910\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/media?parent=17910"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}