I'm sitting here with my mouth hanging open in shock. Good shock. All because I've read the report from the Body Image Inquiry. I knew it was released this week but I wasn't expecting much as truth is more often than not bypassed when profits are involved. But Reflections on Body Image, co-authored by MPs and the Central YMCA, is incredibly enlightened and if the recommendations made in the document are taken seriously this will be the biggest step forward in public health since the smoking ban.
The report, published by the All Party Parliamentary Group (APPG) on Body Image after a three-month public inquiry, makes some powerful recommendations and the biggest stride forward lies in the report's acknowledgement that overeating is as much an eating disorder as anorexia and that eating too much and its effects , including obesity, are not a lifestyle choice and overeating can be the result of dieting.
The Body Image report concludes:
So here they're saying getting rid of dieting could largely reduce obesity. If this is the case, then wouldn't it be rational to conclude also that dieting has been a big contributor towards obesity?
Isn't this amazing? To have this even nodded to in an official report is great news. The damage done by dieting can no longer be totally ignored.
Yes, there will now be an enormous effort from the weight-loss industry to counteract this report (keep your eye out for the coming crowd of news stories on the dangers of obesity and the glamorous after shots of women who have lost half their body weight by sticking to 'not a diet but a lifestyle plan'), but there's no stopping the slow dawning on the public that dieting is likely to give them the opposite to what it promises.
During the inquiry the diet industry (a Weight Watchers representative to be precise) acknowledged the public had "unrealistic expectations" about weight loss. She added that consumers who buy their diet shouldn't expect to lose any more than 5 to 10% of their weight. We all know this is not what consumers go to Weight Watchers for - they set an ideal 'goal' weight and are encouraged to strive for it, leading of course to binge eating and weight gain (see above). But even this promise of a small weight loss is not true because dieting leads to binge eating (see above).
I know the media will put up a fight and attempt to discredit this Inquiry report and they will probably succeed to a great extent because a nation of people with poor body image makes a lot of money. Profit over public health is vividly illustrated by the media's recent treatment of Georgia Davis, dubbed Britain's Fattest Teen, who went into multiple organ failure two weeks ago. Georgia had to be winched from her house by the emergency services because of her inability to stop 'eating herself to death'. According to the Mirror Georgia's eating disorder was caused by bad parenting or cash from Press attention that has been used to 'feed her up'. The Mirror added the suggestion that Georgia is stupid and lazy and unable to keep her face out of the fridge. Blatant victimisation because of her weight in anyone's eyes. (The treatment supposed to 'help' Georgia was a very strict diet and she ended up binge eating (see above) and her organs failed.)
As well as pointing out that dieting leads to binge eating the Inquiry report says that, like Georgia, one in five people have been victimised because of their size and that weight stigma doesn't motivate people to lose weight (using what? Dieting? See above) but does the opposite and causes further overeating. A review of the efficacy and safety of dieting is recommended and so is a comparison between weight neutral programmes (such as HAES) and weight loss/management programmes, measuring their effect on health.
This new report kicks a dent in the weight-loss industry control. Until now we have been trying to scratch a slippery surface to bring the the truth to the public, but this has made a scab that we body image campaigners and few companies with a social conscience will keep on picking at. We've got a long way to go and a lot of picking but this is so obviously just the beginning of the end of the diet industry, eating disorders, airbrushing, the manufactured media ideal, weight stigma, body dissatisfaction and the resulting low self esteem.
Thank you Jo Swinson and the other MPs of the APPG on Body Image, Duncan Stephenson from the Central YMCA, Phillippa Diedrichs and Susie Orbach who advised and gave evidence and all the others who brought this enlightened report to the public with recommendations that have the potential to start a shift that will benefit us all. This will go down in history. In 10 years time we'll look back and laugh with disbelief about how we all went on diets to try to lose weight.
Follow Sue Thomason on Twitter: www.twitter.com/BeautifulMagUK
Yes, diets do not work. Changes in eating and lifestyle do.
Why only say diets don't work without saying what does?
released a report in 2011, which gave what it called "a prescriptive approach" to a recommendation for daily requirements for a healthy weight:
"Using this approach, if overweight groups consume the amount of energy recommended for healthy weight groups, they are likely to lose weight, whereas underweight sections of the population should gain weight towards the healthy body weight range."
Estimated Average Requirement (EAR)
=============================
I've lifted this info, and "reinterpreted" it, from page 85 of the full report:
Adult Women of average height: Age 19-44; 2175 - 2103
Adult Men of average height: Age 19-44; 2772 - 2629
"It is important to note that DRVs should be used to assess the energy requirements for large groups of people and populations, but should not be applied to individuals due to the large variation in physical activity and energy expenditure observed between people."
The publication page - this gives a lot of (irrelevant to most) background to the history and technical aspects of the measurement of the Total Energy Expenditure (TEE), used to derive the Estimated Average Requirement (EAR).
However the bottom of the page tells you were to look in the report for values for, adults, infants, children and pregnant.
http://www.sacn.gov.uk/reports_position_statements/reports/sacn_dietary_reference_values_for_energy.html
The actual report pdf, nitty gritty:
http://www.sacn.gov.uk/pdfs/sacn_dietary_reference_values_for_energy.pdf
Adult Women of average height: Age 19-44; 2175 - 2103kcal
Adult Men of average height: Age 19-44; 2772 - 2629kcal
I'm not even overweight, and I'm certainly not obese (at least I wasn't when I started dieting) - but slowly, the pounds have crept on so that I am now 1.5 stone heavier than when I started "dieting."
Wish I'd never started and just felt happy with myself the way I was- now, I view food as "forbidden" which makes it all the more pleasurable / naughty.
Piercings are not self-mutilation. They make you look fabulous. Get more.
Firstly, a weight-reduced person burns up 15-20% fewer calories through exercise than a never overweight person of the same weight. In other words, to maintain weight loss you have to eat 15-20% fewer calories and/or exercise more - and that adds up to a lot of exercise!
Secondly, weight loss screws up the hormones that govern appetite and satiety, so a weight-reduced person is likely to feel more hungry. Couple that with the need to continually exercise more while eating less, and it's hardly surprising that dieters regain lost weight - even if they don't binge eat.
I managed to explain these factors in lay terms in two paragraphs - you could have done the same. As it is, your article is inaccurate.
"Associated with healthy behaviours" is the key to your second question. There's plenty of evidence that healthy behaviours (especially daily exercise) improve health. But because we focus so much on thinness, we attribute all the gains to weight loss that may come as a side effect of the habits that do the actual work. This also causes people to give up healthy habits as "not working" if the number on the scale doesn't shift, which is the sad and dangerous part of making weight the measure of progress. The evidence is also trickling in that obesity may be a *symptom* of several disorders and not the *cause* of them. Fixing the underlying condition may then cause weight loss as the body returns to normal, but it still won't be the weight loss that fixed the problem.
As for your friend -- if he's strong and flexible and his metabolic indicators are good -- fasting glucose, blood pressure, heart rate, triglycerides, HDL cholesterol levels -- he's healthy. Almost everyone *can* get healthier -- what they *can't* generally do is *weigh less* long-term.
I agree with everything you've said after your first sentence. Weight loss can be a simple side effect of healthy behaviour, as weight gain can be a side effect of unhealthy behaviour.
That said, I strongly suspect that the failure rate of dieting has more to do with the dieters in question not making lifestyle changes in order to keep the fat off, than the efficacy of reducing calories. It's far easier to blame genetics than it is to accept that you're consuming more than your body needs.
As for your second paragraph, it's a mainstream view that is totally incorrect. So many people have zero understanding of the subject yet claim to be experts. The weight loss-industry has been so successful in stirring up public emotion with its propaganda efforts, this is is the only scientific subject that it takes study and research to understand yet everyone has an 'informed' opinion.
Judith Matz, LCSW
www.dietsurvivors.com
This report is good to see, and yes, dieting is as reasonable for health as blood letting was, but please be aware of your assumptions about the health and habits of "overweight" people.
Then maybe we can be successful role models for helping people be healthy rather than failed role models for making everyone thin. I think that this report is an excellent start. I'm also reminded of one of my favorite quotes - if you're going to look back and laugh, you might as well laugh now.
Ragen Chastain
www.danceswithfat.org