Can You Be Overweight And Healthy?
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- Опубликовано: 3 авг 2024
- With the rise of the Body Positivity and Fat Acceptance movements in recent years, this is a pertinent question: Can you be fat and healthy?
In this video we look at different concepts around how overweight and obesity are measured through BMI, measuring health in alternative ways such as looking at Metabolic Health, how visceral fat and different body types affect health, understanding the Obesity Paradox, and how these factors fit into the WHO's Definition of Health.
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++ Timestamps:
00:00 Intro
00:48 BMI for Overweight classification + its limitations
02:54 Metabolic Health
04:35 Healthy Obesity
08:28 The Obesity Paradox
10:48 Definition of Health
13:14 Uncontrollable Factors for Excess Weight
++ Papers:
www.thelancet.com/journals/la...
www.ahajournals.org/doi/full/...
jamanetwork.com/journals/jama...
www.ncbi.nlm.nih.gov/pmc/arti...
pubmed.ncbi.nlm.nih.gov/27423...
link.springer.com/article/10....
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Jessica Viana
#JessicaViana #ScienceExplained 
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Hiya! Let me know your thoughts and if you enjoy these kind of more exploratory short video essays 🙏 thanks for watching! 💖
the body positive movement is tricky. i 100% support compassion towards fat ppl , especially as a former fat kid myself. most of my issues relating to fatness were external (being harassed/bullied) the self-hate just pushed me into a spiral of eating more. It wasn't until I said to myself, similar to what you said in the video, 'I have to accept that this is what I am right now' that I was eventually able to drop 80 pounds. self acceptance is the first step so in that vein, i support the movement. But i cant bring myself to believe the obesity epidemic is good or something to be proud of. It's a huuge deep rooted issue and the government/food industries (in the US anyway) are more to blame than fat ppl themselves. I keep thinking, this faux positivity is only masking a way scarier major issue we need to address more in society
Thank you for the comment Lucy, I agree with you completely. Well done in your journey, I hope you're doing well! 💖
This idea that body positivity movements "glorify" obesity seems to be really common, and I'm not sure if it's just a misunderstanding or if it's disingenuous. There may be a handful of individuals who attract attention by participating in feeder fetish behaviour, but most of what I've seen is about visibility and mental health rather than promoting obesity as a goal. If we accept that health encompasses mental and social health as well as physical, we need to be realistic about the increased pressures to mental and social health that people in larger bodies face BECAUSE of those larger bodies. The world treats fat people like their bodies are the only thing that matter about them.
Well said !
I think you handled a tricky topic with a lot of great info and compassion
Thank you very much, I appreciate it 🙏💖
I think this was well done. I appreciate the point you made that there is nothing morally superior about being "healthy" and that this doesn't determine a person's worth, which is critically related to the question you've posed here and which seems to be deeply difficult for many people to accept. In general, I have learned a great deal from fat acceptance advocates, including lessons about science and media literacy, and about empathy, and I continue to do so.
Thank you for the kind words and for sharing your experience ❤️
I find this to be very interesting topic. My mother lives a MUCH healthier lifestyle than many very thin people. She eats well, cooking fresh vegetables and lean protein at home. She is extremely active as well and does more in a day than just about anyone I know. She works full time, does all of the maintenance on an old house, all of the yard work, takes care of her parents, and does quite a bit of intentional exercise as well. And yet ever since she had me 25 years ago she has never really been able to get her weight under 170lbs (at 5'4"). The only way she seems to lose weight is to cut calories and/or carbs way below what is considered safe by dieticians. Doctors insist all levels are normal. It's just crazy. Everyone looks at her like she must not be doing enough, but she lives a healthier lifestyle than so many people who are at a "healthy weight". So while I do agree that health is important, I do think that you can be overweight and healthy. She lives a healthy lifestyle and eats a good 80/20 diet (and small portions) that everyone insists should be enough to be at a healthy weight. It's not that I think that being overweight is inherently healthy, but I do think that it is possible to do everything right and live that healthy lifestyle and still be overweight.
Thank you for sharing your mother’s experience - it is very tricky sometimes, especially for many women after childbirth it’s difficult to “bounce back” and many women are never able to go back to their original figure at all, but we keep seeing celebrities go back to their perfect figures almost instantly so we think we’re supposed to. The female body is amazing what it does to generate a complete human being as it is!
i really hope you get more well known. i just found you a few days ago and your videos are really good 👍
Awww you're too sweet! Thank you so much for the love and support 💖🙏
Wonderful video. As a fat girl, you really addressed the topic in a compassionate and reasonable way that made me feel respected but also educated me.
I’ve lost 50lbs, but I’m still way overweight. Haha I just wanna feel free in my own body one day, but it’s hecking difficult.
TW: eating disorders
I like so many of your videos, but I find this one to be tricky. The bottom line is, we don't really know for sure why some bodies hold more fat than others, and we don't have tried-and-true (and lasting) weight loss methods to offer people. So when we say "you'd be healthier if you lost weight" without actually explaining *how* to lose weight, we end up sending a confusing message and pushing fat people toward eating disorders and crazy fad diets in their desperate attempt to get "healthy." (I speak from experience-- when I lost a significant amount of weight in my early 20s by essentially starving myself, everyone praised me and told me I looked so "healthy." I'm still dealing with the resulting metabolic damage a decade later.) We can certainly encourage people to eat more vegetables, get sleep, drink water, move their bodies, but we can't guarantee that those behaviors will result in lasting weight loss-- perhaps it would be better to focus on the behaviors instead. I saw someone else mention the Maintenance Phase podcast-- I would highly encourage anyone who is interested in this topic to listen. Aubrey Gordon (an actual fat woman who has spent her life researching fat bias and thinking critically about the science around the topic) is one of the hosts and a fantastic resource.
Thank you very much for your comment and I'm sorry you went through that experience - when I planned and researched for this video I simply wanted to answer the question regarding health versus weight according to the definition of Overweight which usually is calculated via the BMI but also via the other definitions mentioned.
I hope I was able to convey my message when I covered the different ways in which the Overweight or Normal weight categorisations don't always correctly correlate with health or health risks (ie a "skinny" person may be less healthy than someone in the BMI Overweight category). I tried to make this a balanced discussion, as I have been on the end of gaining weight due to medication side effects and not being able to lose weight until eventually permanently coming off said medication - so I wanted to emphasise that it's not always realistic to see weight loss as the end-all-be-all of health when someone's weight may be outside their control (as you also mention), so empathy with oneself becomes a really big part of keeping healthy in areas other than physical, along with other healthy behaviours without the direct purpose of losing weight.
Since the original podcast recommendation I did go and listen and really enjoyed the BMI episode specifically, it hit most of the points that I encountered during my research as well.
I hope you still enjoyed the video and thank you for watching 💖🙏
@@JessicaVianaa Thank you for this response! I look forward to seeing your future videos. This is a thorny topic, and I appreciate your dedication to learning and exploring. 💜
1 lb of muscle is not heavier than 1 lb of fat. Its both one pound. However, 1 lb of muscle is a lot more dense than 1 lb of fat and therefore looks and feels a lot different on a body 😄
Exactly, it's denser so per same volume unit it weighs slightly more :)
I would love to see a version of this about being underweight or even just being addicted to exercise
This video is so well done! Thank you for sharing this.
wondering did you listen to the episodes of the podcast Maintenance Phase on BMI and the obesity epidemic? Super insightful and debunks so many common beliefs
I haven't listened to that podcast specifically, but thanks for recommending I'll definitely check it out xx
@@JessicaVianaa There is a whole episode on the BMI and why it's a flawed way to interpret individual health.
I second the podcast recommendation for Maintenance Phase. An excellent podcast about history and nutrition.
Also their episode, _Is Being Fat Bad For You_ specifically discusses the Katherine Flegal study. If you remove all the smokers to remove people who are thin but also more likely to die, you're also removing poor, uneducated, uninsured people. You would have to also remove poor, uneducated, uninsured fat people in order for the data to be comparable. Also smokers and former smokers make up 40% of the population.
Such an amazing video and so well explained! 👏🏻
Although I agree with the facts you present in your video and appreciate your somewhat sympathetic approach to obesity, I feel that fat acceptance movement has been greatly misunderstood by many. The main argument of fat acceptance is not to claim that obesity is medically healthy. Fat acceptance movement tries to tackle the social inequality and fatphobic behaviours of society and individuals. They argue that the fat stigma itself also puts fat people at risk of health issues, not ONLY the fatness itself.
Also, there are many fat acceptance influencers who try to lead "healthy" lifestyles and exercise, eat sensibly, yet they are still obese. In that way they can be "healthy", even though they are fat. By healthy here I'm not talking about medical health but a healthy lifestyle, taking care of your body etc.
As a person who's been obese most of her life, I feel that fat acceptance has given me an insight to live healthier and that way lose weight without actually dieting and thus also made me medically healthier as a side product. That's because the focus in fat acceptance is not in changing your appearance or becoming thinner, but in taking care of your body and living happily in your body as an overweight person. (Fat stigma often prevents fat people from actually living and trying new things and being active, which makes it harder to lead an active lifestyle) That is the only way fat people can actually succeed at becoming healthier over all, physically and mentally. Diet-mindset will always eventually fail. And it often ends up deepening the already disordered eating many obese individuals suffer from to begin with.
Thank you very much for your comment - I agree this is a very sensitive topic, and I appreciate there's always extremist schools of thought within these moments - I fully support any attempt to live a healthier life and accept oneself, as long as it doesn't shame individuals when they do decide to make particular decisions regarding their personal health, whatever those decisions are. I'm happy to hear you've found new ways to get happier and healthier, wish you all the best!
as someone who dealt with anorexia and binge eating disorder for around five years, i wholeheartedly agree. my dietician told me the exact same thing.
Wow, I can't thank enough for making this video! The tremendous effort that went into this is nothing but laudable. This is like action research to me. Please keep up the great work :)
Thank you so much for the support I’m happy you enjoyed the video 🙏🏻💖
One of the best video ever about this topic. Tank you so much Jessica.
Thank you so much for the kind comment
Really informative, thanks Jessica. 😊
Thank you for watching 😊
This is honestly brilliant omg
Very kind and fair take. Well done. Love this.
Thank you for the kind comment 💖
Well put and your consideration for not just the obese but individuals who are also thin, but unhealthy. I think the spectrum of physical health was covered in a polite and respectful manner. It was an enjoyable listen. Keep up the excellent work!
Thank you so much for watching and for the kind comment. I'm happy you enjoyed it! 🙏
your content is so good!! i've been learning so much from you :) thank you and please continue with your wonderfull work
hugs from Brasil
Thank you so much for the support! 💖
A++ - - conceise, on the spot, good descriptions, good structure, good example pictures, overall good focus and selections of most importand topics ..
Girl this was a mic drop video. Love it love it 😍
Thank you for the support 💖😊
The amount of work and research u have put into this video must be a lot! Thx so much for ur work!
According to the definition of “health”, would it be possible that the majority, if not almost everyone on this planet are unhealthy? Either due to some diseases or illness or due to their subjective perception of their physical, mental and social state.
Hey! Jessica I am your new Subscriber and thank you so much for this video because it is very important for are health I really love your videos so much and I wish you reach 20K Subscribers very very soon!!♥️😍🙈❣️😘💖
Thank you soooo much for the kind comment xx 🤗 I'm happy you enjoyed it, thanks for the love! 💞
@@JessicaVianaa welcome ☺️💝
New sub here. Just love your content 😀
Thank you for joining 😊
I have PCOS (with insulin resistance) and this is a constant struggle.
Oh look, we’re illness twins! 😭 (I additionally have Hashimoto’s) It’s a whole *combat* against your own body, which is very, very frustrating to the point I sometimes have crying fits. It’s so difficult to *maintain* a semblance of health, just as I think I have regulated one thing, another one rips at the seams, and it’s a constant cycle 🤧
Interesting 🤔
👏👏👏👏👏
I think it’s ok to be fat, since my understanding is most weight loss is eventually reversed. What other choice do we have other than to be ok how we are?
That’s an issue with adapting new habits. Weight gain doesn’t just reverse itself with no change in how a person lives their life and what they eat and how they exercise
I think that as long as anti-fat medical bias exists it's impossible to say for sure how fatness affects you risk for different diseases: is it the excess adipose tissue or is it the social stigma and lack of medical care? overall health and diet are complicated and have so many factors that it's really difficult to study, and the bias against fat people is so deeply rooted in our society even medical professionals who should know better think that fat=unhealthy and there's absolutely no nuance. frankly I think tackling fatphobia as a social issue is more important than scientifically proving that being fat is always unhealthy or vice versa. the way we treat fat people is causing the most harm, in my opinion.
Thank you for sharing your perspective - I definitely respect controlled trials but also definitely agree that the social stigma and especially the medical stigma have a big impact in the deterioration of health for overweight people. Thanks for watching x
Height is a big flaw for BMI, I have scoliosis and kyphosis so I should be a few centimetres taller than I am. I also have H cup boobs. So my waist is probably a better measure than BMI at judging how overweight I am.
Thanks for adding this detail!
I disagree with your assessment on medical stigma --though I greatly enjoy the video and the respectful way you handled the topic. If you've worked in the medical field, there are many conditions where you cannot address the problem without addressing the weight. As example, asthma. If you carry excessive weight such that you can't breathe, you're compounding the asthma. So a doctor isn't just telling them to lose weight and sending them away. There isn't much you can do to address the actual issue if you're not addressing allllll contributing factors.
Hello! Thank you for your comment 🙏 I don't think we disagree completely - in the video I mention the example of a condition which may not be caused by excess weight initially, but that can be aggravated by carrying around excess weight, emphasising that weight loss may be _indeed_ a right/necessary treatment for many cases. But we cannot ignore the experience of many overweight patients that are told to lose weight without being properly assessed for their specific complaints much more frequently when compared to normal weight patients... This is obviously different from doctors recommending weight loss because they have already properly assessed (via exams or otherwise) that the excess weight is either the cause or contributing factor to the patient's particular complaint that made them visit the doctor's office, and this is then explained to the patient.
I hope I didn't miscommunicate my point in the video and this is clearer, thank you for watching! x
Health is relative. So I think that you can be unhealthy and fat but not unhealthy because you are fat.
Absolutely!! After a decade of unremitting pain from fibromyalgia and migraines, I gained a lot of weight. I discovered exercise and it really helps and I lost…a little weight. I now regularly exercise 6-10 hours a week doing weights, swimming, yoga, and tap and jazz dancing. I am the strongest I have ever been in my life and continue to improve. So I am obese, yet also in the best overall health of my life. So as you wisely noted, health is relative. I don’t beat myself up about weight anymore. I eat healthy and sustaining food and I exercise. And I am happy. This, to me, is what true health is about. 💙💪
As a fat girl with chronic health issues both related to and unrelated to my weight, I can’t tell you how many times doctors have told me to just ‘lose weight’ instead of doing further tests. It is very disheartening & has led to me avoiding seeking medical help when I need it. I’m on a long-standing journey to lose weight & get healthier but it is so so hard when it is not only a physical hurdle to overcome but also a mental one. I wouldn’t wish this on anyone 🥲