Tag Archives: Gina Kolata

Everything We Know About Obesity Is Still True

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copyright (c) Laurie Toby Edison

Debbie says:

When you’ve been doing the same activist work for thirty years and more, it’s hard not to be all “Oh, well, here we are again” when someone new comes out with a hard-hitting article that says all the things you’ve been saying for years.

At the same time, each of these new articles is fresh to the writer, and fresh to many of its readers, and makes a dent in the walls around your ideas. So after one deep sigh, I really welcome Michael Hobbes’ “Everything You Know About Obesity Is Wrong,” published in the Huffington Post.

Hobbes starts with what he calls “scientific myopia,” a quick review of how hard it is to get scientists to step away from their dominant paradigm, and then goes on to make his key point: “Years from now, we will look back in horror at the counterproductive ways we addressed the obesity epidemic and the barbaric ways we treated fat people—long after we knew there was a better path.”

After that, the piece follows what fat activists will recognize as a familiar path: how much social prejudice against fat hurts people, how diets don’t work — I wish he had credited Gina Kolata’s 11-year-old landmark book, Rethinking Thin, which I reviewed as “old news” when it was published — and then gets to his first core point, which is that fat and health are not inextricably entwined. I see that every time I go to the doctor, and the medical tech is slightly surprised at my perfectly reasonable blood pressure, which goes hand in hand with my perfectly reasonable cholesterol numbers. However, Hobbes is good and clear on these points:

individuals are not averages: Studies have found that anywhere from one-third to three-quarters of people classified as obese are metabolically healthy. They show no signs of elevated blood pressure, insulin resistance or high cholesterol. Meanwhile, about a quarter of non-overweight people are what epidemiologists call “the lean unhealthy.” A 2016 study that followed participants for an average of 19 years found that unfit skinny people were twice as likely to get diabetes as fit fat people. Habits, no matter your size, are what really matter. Dozens of indicators, from vegetable consumption to regular exercise to grip strength, provide a better snapshot of someone’s health than looking at her from across a room.

He doesn’t mention the famous “nurses’ study,” which demonstrated that “moderately obese” people live longer than people whose weight is “normal” or “appropriate.”

Next on the roadmap of this kind of article is the issue of medical misuse and abuse, beginning with a profile of a fat victim. Again, Hobbes is clear-eyed and thoughtful:

Doctors have shorter appointments with fat patients and show less emotional rapport in the minutes they do have. Negative words—“noncompliant,” “overindulgent,” “weak willed”—pop up in their medical histories with higher frequency. In one study, researchers presented doctors with case histories of patients suffering from migraines. With everything else being equal, the doctors reported that the patients who were also classified as fat had a worse attitude and were less likely to follow their advice. And that’s when they see fat patients at all: In 2011, the Sun-Sentinel polled OB-GYNs in South Florida and discovered that 14 percent had barred all new patients weighing more than 200 pounds.

Hobbes gives lots of examples of how doctors misuse fat patients, and how they are taught to do so. None of it is new, but all of it is useful fuel for the fire. Then he goes on to the mental, emotional, and social toll all of this takes on fat people, again with real-life stories and useful statistics, and the obligatory quotations from therapists who work with fat patients.

The only place he goes off the rails is in his — often true — argument that

perhaps the most unique aspect of weight stigma is how it isolates its victims from one another. For most minority groups, discrimination contributes to a sense of belongingness, a community in opposition to a majority. Gay people like other gay people; Mormons root for other Mormons. Surveys of higher-weight people, however, reveal that they hold many of the same biases as the people discriminating against them. In a 2005 study, the words obese participants used to classify other obese people included gluttonous, unclean and sluggish.

Of course, this happens. But I personally know so many groups in which fat women gather to discuss our experiences, and to fight the system together, so many blogs, so many websites, so many meetups. I’m sad that Hobbes didn’t find any counterexamples to his theory, and I don’t think he looked very hard. I’d be curious about whether that 2005 study (which, by the way, looked at only 46 people!) would be different in 2018.

Then, he goes to some of the real scientific roots of both increased obesity and increased health issues which don’t relate to weight: issues of the food system. The only thing in the article which surprised me was his claim that people who eat nuts four times a week have statistically significantly lower diabetes incidence and lower mortality. More nuts for me!

And finally,

Our shitty attitudes toward fat people. According to Patrick Corrigan, the editor of the journal Stigma and Health, even the most well-intentioned efforts to reduce stigma break down in the face of reality. In one study, researchers told 10- to 12-year-olds all the genetic and medical factors that contribute to obesity. Afterward, the kids could recite back the message they received—fat kids didn’t get that way by choice—but they still had the same negative attitudes about the bigger kids sitting next to them. A similar approach with fifth- and sixth-graders actually increased their intention of bullying their fat classmates.

And here he does get to fat activism, although he still doesn’t seem to see that fat activism requires that fat activists like each other and work together. His fat activism quotations are mostly from a journal editor; I’d love to know how many fat activists he spoke to. I’m right here, and I’m hardly alone!

I salute Michael Hobbes for researching and writing this article. I hope thousands of people see it and lots of people share it and discuss it. And I long for the day when the next one of these isn’t in the pipeline somewhere, because the point has been made.

Follow me on Twitter @spicejardebbie . Thanks to @ribbonknight for tweeting this link out.

All Kinds of Links

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Debbie says:

cecile-lyall

I knew absolutely nothing about traditional Inuit tattooing practices before I read this article … and now I know a tiny bit more. Juanita Nelson at CBC News interviewed Angela Hovak Johnson, and several of the women she tattooed in the Inuit community of Kugluktuk.

A Yellowknife resident, who got Inuit tattoos done on her own face eight years ago, Hovak Johnston wrote proposals and got the funding she needed to hold a five-day event that included a contemporary tattoo artist from Yellowknife and a traditional tattoo artist from Alaska. …

Catherine Niptanatiak, one of the women participating in the event, designed her own tattoos. … Niptanatiak says she did her research first before getting tattoos.

“Only chosen women got traditional tattoos and they were done at puberty and it meant she was capable of taking the full responsibilities of a woman, so going from young girl to young woman.”

“Because I’ve taken on the roles of a woman, I feel like this is the right time for me.”

Niptanatiak chose to have her wrists done using the traditional hand-poking technique using needle and ink.

Cecile Lyall, whose hands are shown above, chose “both the gun method and the traditional method to show her history.”

***

Reading about First Nations women reclaiming traditions makes the ongoing “skin whitening” pressure sadder and more frightening. Denise Oliver Velez has been fighting colorism since the early 1980s, and in this Daily Kos column she summarizes some of the current front lines of the fight. All the videos are worth watching, but I especially hope that millions of darker-skinned people watch this one by Wilbur Sargunaraj.

***

I feel like I grew up with the concept of the “biological clock” that theoretically describes internal pressure on women to have babies. I had no idea that the term is noticeably younger than I am, until I came across Moira Weigel’s article in The Guardian:

Women in many times and places have felt pressure to bear children. But the idea of the biological clock is a recent invention. It first appeared in the late 1970s. “The Clock Is Ticking for the Career Woman,” the Washington Post declared, on the front page of its Metro Section, on 16 March 1978. The author, Richard Cohen, could not have realised just how inescapable his theme would become….

The story of the biological clock is a story about science and sexism. It illustrates the ways that assumptions about gender can shape the priorities for scientific research, and scientific discoveries can be deployed to serve sexist ends. We are used to thinking about metaphors like “the biological clock” as if they were not metaphors at all, but simply neutral descriptions of facts about the human body. Yet, if we examine where the term came from, and how it came to be used, it becomes clear that the idea of the biological clock has as much to do with culture as with nature. And its cultural role was to counteract the effects of women’s liberation.

First, conversations about the “biological clock” pushed women towards motherhood, suggesting that even if some of the gendered double standards about sex were eroding, there would always be this difference: women had to plan their love lives with an eye to having children before it was “too late”. Second, the metaphor suggested that it was only natural that women who tried to compete with men professionally, and to become mothers as well, would do so at a disadvantage.

… The term was originally coined by scientists to describe circadian rhythms, the processes that tell our bodies when we should rise, eat, and sleep. In the 1950s, the US air force began sponsoring research into how the biological clock worked. Soon researchers were racing to develop drugs that could eliminate the need for rest. The idea was that if we understood the body well enough, we could overcome its limitations. In the 1970s and 1980s the meaning of the term shifted to the way we use it now: a description of female fertility. But is being female a weakness that we believe professional women should want to cure?

Weigel’s article is long, informative, and thoughtful.

***

Biological clocks are certainly related to birth control, and I can’t say I’d ever thought about birth control for military women, but pharmaceutical company Medicines360 has, and interestingly so. Here’s Sarah Kliff, reporting for Vox:

“A number of studies suggest that a third of servicewomen can’t get their preferred birth control method before they’re deployed,” says Jessica Grossman, chief executive of Medicines360, which manufactures Liletta. “A long-acting, reversible contraceptive might be particularly of interest to women in these situations.”

Recent studies have documented difficulties women service members experience accessing contraceptives, especially while deployed. One study found that four in 10 women had difficulty accessing their contraceptive of choice while deployed — and military women have a higher rate of unintended pregnancy than the civilian population.

Medicines360 is offering a very steep discount to the military, if they will provide the company’s IUD’s to military women. They are also trying to counter the pervasive myth that only women who have borne children already can use IUDs.

Despite my well-established bias against pharmaceutical companies, I have to say this seems like a good plan for everyone involved. My only question is, if they can really lower their prices from $675 to $100 for the military, what should they be charging civilian women?

***

On the other hand, the only surprising thing about this article about weight gain in Biggest Loser contestants, is that it’s by Gina Kolata, who certainly knows that the information isn’t new. Kolata, who wrote Rethinking Thin more than ten years ago, doesn’t reference her own earlier work, but rather writes as if this was new science.

Researchers knew that just about anyone who deliberately loses weight — even if they start at a normal weight or even underweight — will have a slower metabolism when the diet ends. So they were not surprised to see that “The Biggest Loser” contestants had slow metabolisms when the show ended.

What shocked the researchers was what happened next: As the years went by and the numbers on the scale climbed, the contestants’ metabolisms did not recover. They became even slower, and the pounds kept piling on. It was as if their bodies were intensifying their effort to pull the contestants back to their original weight.

And she includes the classic “faith sentence.”

“This is a subset of the most successful” dieters, [Dr. David Ludwig, director of the New Balance Obesity Prevention Center] said. “If they don’t show a return to normal in metabolism, what hope is there for the rest of us?”

Still, he added, “that shouldn’t be interpreted to mean we are doomed to battle our biology or remain fat. It means we need to explore other approaches.”

I’d love to know what the article looked like before the editors of the New York Times got their hands on it.

Perhaps Dr. Ludwig should just close his center, because here — in another completely unsurprising development — is more data that says fat is not unhealthy. Alan Moses wrote about it for U.S. News and World Report:

[Danish] researchers said that the risk of dying early for any reason is now the same among obese individuals as it is among normal-weight individuals.

Just as we knew about dieters regaining weight, we’ve known this for a long time. But somehow it always seems to be completely new, astonishing, and loaded with faith sentences, such as:

“I do not believe it has necessarily become safer to have what is classified by U.S. National Institutes of Health as an overweight BMI,” [Lona Sandon, program director and assistant professor in the department of clinical nutrition at UT Southwestern Medical Center at Dallas] said.

***

On the other hand, “high heels are bad for your feet” is one of my own personal faith sentences, and Mary Karr, writing for the Uninvent This column in The New Yorker, agrees with me:

While the rest of my physique is mediocre by the laxest standards, I started adulthood with an exemplary foot. My toes tapered evenly, and my high arch was ballerina-worthy. I even copped a job as a foot model for an exercise sandal. Yes, I am bragging.

By sixty, those feet had gnarled up like gingerroot. I don’t grieve my less than pert tatas. When my ass lies down on the back of my leg, I think, Oh, rest, you poor thing. Given new bra technology and some spandex, I can squish stuff in and—spray a little PAM on me—still slither into a size 4. But standing for an hour in heels sets red lightning bolts blazing off my feet.

Karr doesn’t mince words:

I was a slave to the desire that rules our libidinal culture. And an elongated foot and leg just announces, Hey, y’all, there’s pussy at the other end of this. Yet every pair of excruciating heels also telegraphs a subtle masochism: i.e., I am a woman who can not only take an ass-whipping; to draw your gaze, I’ll inflict one on myself.

***

I have lots more links, so maybe there’s another links post in the near future. Meanwhile, though, I’ll close by telling you about this well-deserved tribute to Katherine Johnson. Langley Research Center has named its new Computational Research Facility after her, as well they should.

R_1966-L-06717 001

When Johnson began work at Langley in 1953, she was among a pool of African-American women whose role it was to be the “computers.” Hired by the National Advisory Committee for Aeronautics, the predecessor to NASA, she and her colleagues performed the mathematical equations and calculations needed by the engineers to advance their aeronautical work.

Alan Bostick sent me the Gina Kolata link, and I got the biological clock link from oursin. Otherwise, all are links from my regular reading, which includes Feministe, Shakesville, Sociological Images,, Feministing, io9, and TakePart, along with other sources.