Why there is nothing wrong with being fat

Little over 3 generations ago, women could not succeed in business, politics or academia.

Little over 2 generations ago, we may have finally realised there is nothing that makes women incapable, but black people were still not deserving of the vote.

Little over 1 generation ago, we may have finally realised there is nothing wrong with being black, but homosexuality was still both a mental disorder and a crime.

Today, we may have finally realised there is nothing wrong with someone’s sexuality, but there is still something wrong with being fat.

And yet…

  • In today’s obesogenic environment, the most potent predictor of fatness is actually one’s genes.
  • There is minimal scientific evidence that diet results in substantial weight loss in the long-term (greater than 2 years).
  • Being fat and being healthy are not mutually exclusive events. Your eating and physical activity habits are (far) more important predictors of your health than a number on the scales.
  • Since we live in a time that says our body is an important part of who we are, believing or promoting this idea that fatness is bad is a recipe for body shame and emotional stress – two potent risk factors for overeating, fad dieting, mental illness, suicide and chronic disease.
  • Helping fat people to practice body and self-acceptance has been proven to enhance physical and mental health more so than dieting does. And no, self-acceptance does not make people eat ‘worse’ – research demonstrates the very opposite is actually true.

The idea that who we are is equal and enough may just be the most powerful tool we have invented to improve the health and wellbeing of our society as a whole.

And this time, the wellbeing of future generations falls on us.

[Note: This post originally claimed, “There is zero scientific evidence that diet and exercise results in significant weight loss in the long-term.” This was an exaggeration of the evidence and thus has been edited accordingly.]

Getting nutrition facts and judgements confused

This is what nutrition science can tell us:

  • The average nutrient content of a particular food, and the average effect a food or nutrient has on particular health biomarkers for a group of people under experimental conditions.

This is what nutrition science can’t tell us:

  • That a food or nutrient is good or bad.
  • How you should and shouldn’t be eating.
  • That you can’t eat a particular food or nutrient if you want to.
  • That not eating a certain way means you have failed or are wrong.
  • That physical health must be your most important life value.
  • That a lower body weight is superior to a heavier body weight.

[Note: Overeating, food cravings, meal skipping, eating disorders and feelings of stress around food often start to resolve, once we stop confusing the two.]

Appreciating the complexity in nutrition

I was cleaning out my study the other day when I came across a dated nutrition book. Flicking through the pages, its central theme was one you have surely heard of: eating less fat will help you to lose weight and find better health.

It may vary between fat, sugar, carbohydrate or fructose, but my experience is that most popular nutrition books are based on this idea.

Important to understand, then, that nutrition is never actually linear, and always far more complex. For example, our current understanding of the relationship between fat, weight gain and health changes according to numerous variables. Here are just a few:

  • There are many different types of fatty acids, some which have vastly different health effects from others.
  • The quantity of fat that is consumed changes the health effect; consuming some fat is healthier than avoiding it entirely or consuming it in excess.
  • Foods contain much more than just fat, and some high-fat foods can be rich (or poor) sources of health-promoting nutrients like dietary fibre and antioxidants.
  • Eating less fat typically means that we will eat more of something else, and the health consequences of eating less fat are very dependant on what that something else is.
  • Fat consumption can improve the absorption of other essential nutrients, and the health consequence of this depends on your current intake of these nutrients.
  • Believing a low-fat diet is ‘good’ can actually increase our consumption of low-fat cookies and other low-fat discretionary foods.
  • How fat is cooked can change its chemical nature and subsequent health effect.
  • There is a wide variation in the metabolic response between individuals, even after digestion of the very same food. What works for one individual may not work for another.
  • Telling people to avoid the foods they enjoy can make them crave and overeat them even more.
  • Our beliefs about the health effects of what we eat likely affect their actual health outcome.

We live in a complex world, and it’s human nature to try and simplify it. To remove the many moving variables at play so that it fits into our current level of understanding. I think that’s why we mostly look at nutrition through a linear lens, arguing that the solution lies in avoiding fat, sugar, starch, salt, grains, dairy, soft drink or bread.

In reality, though, the better solution exists at the higher levels of thinking.

Thinking that considers the wider variables, understands their interconnectedness, recognises the ambiguity and appreciates the complex.

4 protein swaps that will improve your health

1. Swap processed red meats (such as sausages, bacon, ham and salami) for unprocessed red meats (such as beef, lamb and pork) and reduce your intake of preservatives, salt and nitrates, improve heart and metabolic health, and prolong your life.

2. Swap unprocessed red meats for poultry or eggs and reduce your intake of heme iron, and improve bowel and heart health.

3. Swap poultry or eggs for seafood (particularly oily fish) and increase your intake of iodine, selenium and omega-3, and improve heart health.

4. Swap seafood for legumes (such as baked beans, chickpeas, red kidney beans and lentils) and increase your intake of plant protein and dietary fibre, improve heart and metabolic health, and prolong your life.

Yes, protein can promote fullness, increase metabolic rate, stimulate the growth of muscle, and support weight management.

But food, of course, is much more than just protein.

Spreading the kindness-happiness bug

Want to make not only yourself happier and kinder, but also the world around you?

Here’s one way: Keep track of every act of kindness you perform today, recording your total number before you go to bed tonight. Do this every day, starting today, for the next 7 days.

(And if you’re stuck for ideas, here you go.)

How does this simple exercise work? Consider the following (and quite remarkable) scientific research:

Kindness increases happiness. Just thinking about sending kindness to others rewires the brain in a positive way, and doing the exercise I described here boosts happiness levels, on average, by more than 10%.

Happiness, in turn, further increases kindness. For example, in controlled research it has been shown that you are 4 times more likely to help another after you have been made to feel good.

Kindness is highly contagious. If you act kindly, you not only encourage the recipient of your behaviours to act more kindly. You encourage the recipient of the recipient of the recipient to act more kindly, too.

Happiness is highly contagious. If you become happy, you increase the probability that your next-door neighbour is happy by some 34%. Furthermore, becoming a new happy friend to someone can boost not only their long-term happiness by more than 4 times what them winning $15 000* would, it can even significantly boost the happiness of a friend, of a friend, of your friend!

Your emotions and behaviours are highly contagious. And because we live in extraordinarily complex social systems, they will spread far beyond what you can see, and have an impact on people who you will never meet.

How you live your life, matters.

More so than you can ever know.

[*estimated value after converting to $AU and accounting for inflation.]

3 things you should know about dairy

To understand how dairy foods (milk, yoghurt and cheese) affect health, consider these 3 nutrition principles:

1. Foods are much more than negative nutrients.

Yes, dairy foods are typically rich in saturated fat. But consider recent scientific research:

The health benefits of dairy, including lower and higher fat ones, makes sense: dairy foods can contain magnesium, calcium, protein, riboflavin, Vitamin B12, conjugated linoleic acid, and fermentation by-products, including probiotics, prebiotics and bioactive peptides, too.

2. Moderation in all things.

The relationship between dairy and health changes according to the amount that is consumed. Consider:

  • The relationship between cheese and heart health appears to be somewhat curvilinear, with the healthiest intake around 40 grams.
  • Large quantities of dairy may slightly increase the risk of prostate cancer.

3. There is no perfect diet.

Instead, there are many different ways to eat healthily, and no ‘best’ recommendation with regards to dairy. Consider:

  • Our body adapts according to what we eat: it has long been known that the absorption of numerous minerals is improved when their intake is low.
  • Nutrients are typically found in array of different foods, and dairy is not required for adequate calcium intake (just consume other calcium rich foods), nor is milk required for optimal bone health.
  • Dairy is not an essential food group, and the health benefits associated with its consumption can be found from eating a variety of other foods, particularly minimally processed plants.

I’ve heard advice not to eat full cream dairy (it’s high in fat!), not to eat low-fat dairy (it’s high in sugar!), not to eat cheese (it’s high in calories!), not to have cow’s milk (it’s not fermented!), and not to eat any dairy at all (it’s not natural!).

Yet my interpretation of the nutrition research is that all can be compatible with good health; yet none are essential for it.

Eat more from what you do enjoy, and enjoy more from what you do eat.

How you can eat less sugar and not lose weight

An important nutrition principle is the one of replacement: for every food (or nutrient) you remove from the diet, another usually takes its place.

One common limitation I see with many popular diets is that they fail to appropriately advise on replacement. Low sugarlow fat and low carb can each be effective for better health and body weight. But they can each be pointless exercises, too.

To demonstrate, consider these well established research findings:

  • Replacing sugar (and other carbohydrates) with protein reduces weight gain. Yet replacing sugar with other carbohydrates (starchy foods like white bread, rice and crackers), does not.
  • Replacing fat with protein and fibre reduces body weight. Yet replacing fat with carbohydrate, does not.
  • Replacing carbohydrate with polyunsaturated fat (found in sunflower, safflower and soybean oil, and a variety of nuts, seeds and oily fish) reduces heart disease risk. Yet replacing carbohydrate with saturated fat (found in some meats, dairy and butter), does not.

Talking about what to eat less of, matters. But talking about what to eat instead, matters even more.

How you can think your way to better health

Consider the following:

  • Perceiving your daily activities as exercise can result in significant drops in weight, waist circumference and blood pressure, without any actual changes to your reported eating or exercise.
  • Having a make-over decreases your blood pressure, but only if you perceive that it makes you look younger.
  • Pretending to be a pilot improves your vision by around 40%.
  • Your blood sugar level (if you are diabetic) will rise and fall based more on your perception of time, than the actual time.
  • Imagining yourself getting the cold makes you 4 times more likely to actually get it.
  • Viewing your cancer (if you are a cancer survivor) as ‘cured’, as opposed to ‘in remission’, correlates to you being physically healthier, more energetic and less depressed.
  • You have about a 1 in 3 chance of healing yourself from virtually any disorder if you are given a placebo (an effect that remains even if you know it is a placebo).
  • Pretending you have travelled back in time (if you are elderly) significantly improves your strength, flexibility, posture, height, weight, hearing, vision, arthritis, and makes you look physically younger (!!) when judged by people blinded to the study.

Each of these scientific findings makes good sense when we see our mind and body as deeply connected, and understand that our beliefs are far more important than we give them credit for.

If you have a health problem that you can’t overcome, I think it is at least worth asking: is it because I actually can’t, or because I have been living in a society that has made me think that I actually can’t?

Why you shouldn’t eat like Elle Macpherson

One of the main reasons I see for all the confusion in nutrition today?

People seeing association as causation.

Association is 2 things that occur at the same time. This doesn’t mean that one causes another.

Causation is a description of cause and effect. One only happens directly because of the other.

Yes, it’s sunny when you’re at the beach, and raining when your umbrella is up. But going to the beach or reaching for your umbrella won’t change the weather, of course.

If we understand this, why believe that eating how Elle Macpherson eats is the right thing to do?

%d bloggers like this: