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Judith J. Wurtman, PhD

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The Obesity Stigma

Posted: 04/ 2/2011 11:05 am

According to a front-page article in the March 31, 2011 edition of New York Times describing research by Dr. Alexandra Brewis of Arizona State University, there seems to be a global aversion to fat people.

She, along with her team, interviewed people via the Internet in 10 countries and cities including American Samoa, Mexico, New Zealand and London to assess attitudes towards the obese. Even the Samoans, who are used to regarding a large body as beautiful, are changing.

The reasons for this stigmatization of obesity range from cosmetic to economic and from fashion to financial. Obese people are viewed as aesthetically distasteful. The financial costs of obesity-related illness grow higher every year, and it is easy to blame fat people, along with smokers, for the ever-increasing price of health insurance.

Unfortunately, the obese are an easy target for our ready-made willingness to believe the worst about someone else. Many studies have shown that normal-size individuals are more likely to be hired than an obese candidate with similar qualifications. Others often regard obese people as lazy with no self-discipline or concern with their health or appearance. How often have you thought, "How can she look that like that?" or "You would think he would lose weight rather than trying to squeeze into this airplane seat."

In contrast, if a thin person is seen eating a slice of pizza or a cheeseburger, no comment is made about the food choice.

Don't stigmatize and blame the obese for their weight gain. Some of the blame should be upon our society. Consider:

1. Do we really need at least half a supermarket aisle devoted to sugar-filled soda and another entire aisle stacked with cookies, chips, and candy?

2. Who is stigmatizing the fast-food restaurants for concocting ever bigger and more caloric sandwiches?

3. Does anyone point a finger at the calorie pushers on the Food Network? Why do so many recipes require vast quantities of olive oil, cheese, bacon, heavy cream, egg yolks, butter and sugar?

4. Am I the only person to notice the schizophrenic nature of women's magazines that have the diet of the month in one section and the fattening recipe of the month in another?

5. Must restaurants serve food in gargantuan sizes or use lots of butter or olive oil to add some flavor or aura of freshness to a food?

6. Let us not forget the toxic work and commuting schedules of many Americans leaving little or no time for exercise. Do they have to wait until they are in a retirement home to get to a gym?

7. Have you noticed the weight of shift workers? Probably not, since you may be asleep when they force their bodies to stay awake in order to work. Obesity as a consequence of shift work has been known for decades but no one has figured out what to do about it.

8. Anyone stressed lately? Unemployed? Going through a divorce? Living with teenagers? Alcohol and fatty, sugary foods deaden stress but at a substantial caloric cost.

9. Why is it so easily forgotten that eating helps emotional and physical pain?

10. And why is weight gain from certain medications ignored? Antidepressants, mood stabilizers and anti-psychotic drugs have turned many skinnies into fatties.

Every behavior that has health risks should be changed, if possible. We all should increase our sleep and exercise and vegetable consumption, drink less alcohol, and decrease the time we spend with our iPads, iPhones and computers. If you smoke, you should stop.

Decreasing obesity means altering our culture of eating too many calories, exercising and sleeping too little and helping people resolve problems that cause emotional overeating. These actions will be considerably more helpful than muttering something nasty about an obese person sitting next to you on a plane.

 

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According to a front-page article in the March 31, 2011 edition of New York Times describing research by Dr. Alexandra Brewis of Arizona State University, there seems to be a global aversion to fat pe...
According to a front-page article in the March 31, 2011 edition of New York Times describing research by Dr. Alexandra Brewis of Arizona State University, there seems to be a global aversion to fat pe...
 
 
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04:47 AM on 04/07/2011
I have refused to watch the Food Network for that exact reason, but I refuse to blame them because people can change the channel. People don't have to walk down the cookie aisle. They don't have to eat the biggest sandwich at fast food chains. They don't have to finish everything on their plate at a restaurant. Most of what is listed in the article is still ENTIRELY the person's fault.

Numbers 8 and 9 - Exercise and about 9 other HEALTHY coping skills.
Number 10 was me for awhile, however, if your medication makes you obese, it then becomes a health risk and you should be talking to your doctor. There are always other options.

I am one of those people that says "It's your fault." I doubled my weight on medication. I lost most of it by switching medications, skipping dessert and walking around in circles because I have agoraphobic issues and could not leave my driveway.

I don't subscribe to all of this "blame someone else" way of thinking. Take responsibility for your own actions, your own choices and what they do to you. Plain and simple.

If you have a medical reason for being overweight, fine. If you make choices that lead to your weight, deal with the fact that you will be judged the same way you would judge someone for wearing too much makeup. They didn't have to do it, but they did... ooh lets blame runway models for that one!
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John Rathe
06:18 AM on 04/06/2011
Two biggest problems with weight in America is education and poverty. Eating well is becoming a privilege and people are not educated about nutrition. People can't make intelligent choices about food when they don't know what choices to make or they can't afford to make them.
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AmericaninIndia
American Living the American Dream in India
02:48 PM on 04/05/2011
People miss the core reason for obesity today: The food itself has changed.

Most people in America were never really educated on nutrition and proper eating habits, so remove that from the equation. Secondly, serving sizes, etc. have always been generous in this country.

What changed in the last 20 years? Technology. The food producers wanted to increase "share of stomach," and developed additives which would suppress your natural feeling of fullness, and enhance the taste of engineered food products. Calories are packed into these processed foods like never before.

I've lived all over Asia and Europe, and I am SHOCKED at how large Americans are whenever I visit home. Most of the world eats more natural foods. I live in India and enjoy fresh food every day. I haven't had an instant meal in years. I rarely see obese people in Asia or Europe (yes, they get bigger with age, but not morbidly obese).

Americans today NEED to be better educated about what they're eating, simply because they're eating different food than the previous generations did.
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toxico
Just because we can, doesn't mean we should.
01:38 PM on 04/05/2011
I disagree with most of this article. The food industry is blameless, other than the willingness to make a buck. Why are the snack and candy aisles so large? It is because we keep buying items from them. If people suddenly stopped shopping from those aisles, the stores would realize it and shrink them down appropriately. The same with fast food restaurants. If people stopped eating certain items on the menu or only bought salads or other healthy items, the menu would change. It is all about supply and demand. If they are to balme then we would all be obese. As others mention, this article abrogates the obese from personal responsibility. If anyone is to blame beside the person eating the food, blame the parents for not teaching self discipline and personal responsibility.
09:01 AM on 04/05/2011
So many people are taught horrid eating habits as children. My two least-favourite:

I find it appalling that parents teach their children that food can be a cure-all for emotional or physical pain. If you're given a cookie everytime you skin your knee, you're going to learn that food heals pain. It's Pavlovian. One learns what one is taught. And it's a terrible lesson.

Similarly, parents need to stop "rewarding" proper eating habits with junk food. I watch my sister-in-law promise chocolate cake to her kids as a reward for finishing their vegetables - another terrible lesson! Food's not a reward. Treating it as such does terrible things to one's relationship with food.

People need to take responsibility for their choices. If you put garbage into your body, you're not going to be as healthy as if you make smart choices. Have a cheeseburger for lunch. Just don't have a cheeseburger for lunch every day. Have a slice of pizza. Just don't eat the whole pie. It's not rocket science.

I have a diabetic, overweight brother who still eats nothing but crap because we're not a society that denies itself anything - which is also why we have such massive credit card debt (but that's another news article).

Eat what you love, but don't blame the Doritos because you aren't willing to work off the calories.
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European1919
I am the Pigmâ’¶n
12:57 PM on 04/05/2011
Another favourite with loser parents is keeping their kids quiet by giving them a bag of crisps or sweets or other shite and sitting them down in front of the telly.
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hugatree
Retired teacher, writer
12:01 AM on 04/05/2011
The basic lack of understanding about body weight in these posts in general just proves that Americans are not very well educated about nutrition in general and weight in particular (including those folks posting here who think they have all the answers since they are personally responsible and/or hit the gym a lot.) When nutrition and health become educational priorities in elementary school and daily physical education becomes a requirement in ALL schools, the enlightened kids will change the way food is produced and subsidized in this country and will raise healthier generations in the future.
06:00 PM on 04/04/2011
"2. Who is stigmatizing the fast-food restaurants for concocting ever bigger and more caloric sandwiches?"

Uhh, everyone. Where have you been?
DrSnuggles
You label me and I'll label you
03:52 PM on 04/04/2011
Facts such as this "Many studies have shown that normal-size individuals are more likely to be hired than an obese candidate with similar qualifications." are definitely upsetting. Assuming that physical size and appearance have nothing to do with the job (which for almost all jobs is true) this is an unfortunate and unjust situation.

However, listing 10 reasons why the obese can abstain from responsibility for their physical condition is, well, irresponsible. Granted, there are a few on the list that are reasonable (specifically #s 6, 7 and 10). But blaming restaurants and supermarkets for the obesity epidemic isn't only silly, it's backwards - the availability of food that is bad for you is a SYMPTOM not a cause of the problem. Might I add one more to your list of external pressures on individuals that may lead to obesity;

#11 - Reasons for obesity that disempower the personal responsibility of the individual.
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Son of Sensi
To be or not to be, is that seriously a question?
11:16 AM on 04/05/2011
i like #11
traceymarie
Independent to Dem in 2007
03:34 PM on 04/04/2011
Shop wise, don't finish the gargantuan portions, walk take stairs park further away, stop deflecting blame from the personal choices obese people make.
06:01 PM on 04/04/2011
All of these ready made pre-fab excuses fro blaming anything and everything but myself! Thanks Doc!
traceymarie
Independent to Dem in 2007
06:22 PM on 04/04/2011
If I gain a bit of weight I know it's because I ate wrong and did not exercise. It really is that easy
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RusStyles
02:03 PM on 04/04/2011
#10 is about the only point here I can empathize with...All the other ones are well within the control of most (Let me repeat, MOST, not ALL.) people. It's not like we don't know sugar-filled soda and the plethora of snack and processed foods are bad for your health, as well as fattening, particularly if you lead a sedentary lifestyle. Most of the problem is a direct result of lack of discipline, greed, laziness, the preference for short-term, quick-fix solutions, etc...Clearly, kids can't be held responsible for their poor choices; they are at the mercy of adults providing healthy options, educating them and setting a good example.
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Lena McFarland
have ideas, will travel
02:44 PM on 04/04/2011
Unfortunately--the facts don't support your argument.

Most obese people--once obese--will never be thin. If they could be thin--don't you think they would be. you can look at the dieting studies for yourself. Even weightloss surgery--they tell patients to look at two or five year outcomes--because 20 years later most (not all but most) will have gained back the previous weight loss.

The best thing to do is to prevent weight gain to begin with by focusing on childhood (horray michelle obama). But children who are TEASED for being fat are more likely to be fat as adults (no surprise there).

So if you want to fight obsesity--don't stigmatize the HUMAN BEINGS who are obese. You don't know how they got where they are--whether it was poor childhood habits, being teased, emotional problems, sex abuse, genes etc. You don't know how they got there.

But once they are obese it is important for all people--no matter how thin or not thin--to be as healthy as they can be. Stigmatizing people doesn't help--you haven't walked in their shoes. Shame is a horrible motivation for a person to take care of their body....

Just some information.
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RusStyles
03:25 PM on 04/04/2011
I'm not stigmatizing anyone. But to lay the blame outside of the individual leads to dis-empowerment...I'm saying that people can control their weight by not becoming obese in the first place. I don't suggest it's easy, but it's doable or else everyone would be obese. And it's no coincidence that obesity rates has escalated in concert with the technological revolution. Which means, when your environment changes, you must adapt or suffer the inevitable consequences...It's always been that way and always will.
08:35 AM on 04/05/2011
The opposite of stigmatizing is acceptance. That's why so many people are overweight. It's because we live in a culture where more and more, it's becoming politically incorrect to comment on someone's appearance. Portia DeRossi, Ellen's wife, recently wrote a book describing her battle with anorexia. She made an interesting comment during an interview for it. She said that when she was really thin, people would complement her on her figure or just say nothing. People were too afraid to tell her that she looked sick. But she wishes they had. When someone tells you that what you're doing is good or they never tell you it's bad, then you're more likely to continue doing it. Same with being overweight. If we become more accepting of it, we encourage it or at least discourage people from losing weight. I'm not saying we have to make people feel bad about being overweight. But this fear of hurting people's feelings has been taken to the extreme where now if you judge someone for not taking better care of themselves, somehow you're the villain.
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babybelle
PureBread Mutt LOL
01:23 PM on 04/04/2011
One thing you didn't mention is family members.
I am not saying anyone should ditch their family, but sometimes it is just too much temptation when people bring doughnuts, cookies candy etc in the house.
I know we are all responsible for the choices we make, but help from family members can go a long way in helping someone who is trying to lose weight.
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Puffin16
82.7% of all statistics are made up on the spot
01:13 PM on 04/04/2011
I'm a successful Weight Watcher - I lost 85 pounds. I am an avid label reader, too. Whenever I'm with coworkers or friends and I read the labels of the "goodies" people bring in, they chide me. I ask them if they read labels and they respond "never." I've come to the realization that if someone wants to eat healthy, they will. The others know what they are eating isn't healthy, and for whatever reason they choose to ignore the facts about what they are consuming.
02:05 PM on 04/04/2011
I agree with the sentiment here. Also a successful Weight Watcher with 75 lbs down. You can very easily blame society and all the numbered points you mention- and you would be right in a way. But the fact of the matter remains that the same choices are available to everyone and some practice more digression than others.

What is needed is education- many people out there do not know how many calories are in any given item or how many calories they should be eating to maintain or reduce weight. There also needs to be an understanding that food marketers are not your friend- they're not trying to do you a favor by offering 2 for one deals and suggesting that you visit their restaurant multiple times a week. Take it from someone who's been there- moderation is possible, you just have to want it more than a greasy burger.
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ninetailedfox
banning people.....so childish
12:49 PM on 04/04/2011
Fat stigma, ugly stigma too. My husband is not drop dead gorgeous, and many shallow Valeries have taken one look at him and walked away. I really dont like society much, which is why i tend to avoid people these days
12:30 PM on 04/04/2011
I was watching a show on the food network last week. The host identified it as "figure friendly". The comments on the recipe identified it as healthy. So I typed it into my cookbook software program. It came in at 740 calories per serving. And what was this recipe? A stuffed pepper. Let me repeat that for you: 740 calories for 1 stuffed pepper. Unless you weigh and measure your food or look at the nutritional information on this recipe, you probably wouldn't realize it needs fixing before you can call it healthy or figure friendly.
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tomteboda
01:51 PM on 04/04/2011
Are you sure you put the ingredients in correctly?
05:45 PM on 04/04/2011
Yes. Checked twice. Then I worked on modifying the recipe to get it to a more reasonable calorie count.
traceymarie
Independent to Dem in 2007
03:37 PM on 04/04/2011
you should understand butter, oil, cream, cheese and beef add calories. Personal responsibility to understand and know what is healthy.
03:54 PM on 04/04/2011
I understand it perfectly. I think you missed the point. This was identified and accepted as a healthy recipe. Imagine what a regular recipe must contain.
12:24 PM on 04/04/2011
Some of the author's points I agree with such as 6,7,8 and 10. With that being said the rest of the points I feel are within the individuals control.

#1: Don't walk through those aisles. I mostly shop the perimeter of the store where the 'clean' food is located. #2: Don't visit fast food places. Eat at home or prepare healthy lunches/dinners to take to work. #3: If the Food Network is pushing unhealthy recipes then don't watch it. Put on an exercise video or don't watch TV that much and go take a walk. #4: Don't waste your money on magazine such as those. Save your money and use it to buy healthier/organic foods. #5: Only go to restaurants once in a while and not on a regular basis. It should be a treat and not a daily/weekly occurrence. #9: Exercise, it also relieves stress and emotional/physical pain.

Bottom line is that life is about choices. Either choose to be healthy or not.
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Puffin16
82.7% of all statistics are made up on the spot
01:07 PM on 04/04/2011
Great post! Fanned!
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tomteboda
01:52 PM on 04/04/2011
You can still be overweight and do all these things you suggest.
05:08 PM on 04/04/2011
If one starts eating clean and exercising weight will come off. I know people that just changed their nutrition to eating clean and lost weight without trying. Where there is a will there is a way.
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Son of Sensi
To be or not to be, is that seriously a question?
11:24 AM on 04/05/2011
yeah, you can, but he just suggested a way that would eliminate the majority of obesity. It's not a tough equation; eat well, exercise, don't binge, get some sleep. There you go, that's the equation. I realize it's very hard to do those things once you're already obese, but it's tough to quite smoking, or drinking, or drugs too, and people find ways to quite those things.