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.]

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.

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.

Why a calorie is not always a calorie

A calorie rich food is not always fattening, and a lower calorie food is not always less fattening. 

To demonstrate, consider these scientific findings:

  • Adding some calorie rich foods to your diet, such as nuts or olive oil, decreases waist circumference over several years.
  • Some other calorie rich foods, such as cheese, do not appear to be linked to weight gain over time. Yet some lower calorie foods, such as refined grains and potato, do.
  • Full-cream milk may actually reduce weight gain, whilst low-fat milk may not.
  • Diets high in calorie-rich foods can be better for body weight management than diets low in calorie-rich foods.

To understand this, consider the many ways a food can affect your energy balance, other than its calorie content. These include:

  • The amount of it you eat.
  • The other foods you might consume with it.
  • The foods from your diet it might displace.
  • How satisfied you feel during, and immediately after, eating it.
  • How full you feel several hours after eating it, and
  • The many ways it affects your bodies’ metabolic response, such as the resulting increase in your metabolic rate, the type and amount of hormones released to digest it, and how much your gut bacteria is fed by it.

In the short-term, weight loss is achieved by reducing calories, irrespective of food or diet.

But in the long-term, the regulation of body weight is far more complex. Some of the most calorie rich foods are among the healthiest foods that we can eat, and their consumption does not increase body weight in any way.

Much better than avoiding calorie rich foods, is to ask how you can consume more of your calories from health-promoting foods.

One simple solution for feeling fuller

There is sound and consistent evidence that including protein in our meal can help us to feel fuller and better manage our weight.

Indeed, research suggests a higher protein diet may be one of the best dietary strategies for long term weight maintenance.

My experience is that whilst we are good at including a protein source at dinner, we too often skip protein at breakfast, and occasionally lunch too.

Some ways to include nutritious protein sources in our meals are:

  • Greek yoghurt with fruit and either muesli or a high fibre cereal,
  • Eggs or baked beans on wholemeal toast with vegetables, such as tomato and spinach,
  • Tuna or egg with a multi-grain salad sandwich,
  • Chicken or lean beef with a vegetable soup,
  • Legumes (beans and pulses like kidney beans, lentils or chick peas) at dinner, particularly if we are vegetarian or not eating meat (although they make for a great addition anyway), and
  • A small tub of yoghurt or a handful of nuts as a snack if we are hungry in between meals.

Note the goal is not to eat as much protein as possible, nor to eat just any food that contains protein.

Instead, it is about making sure we consciously include a nutritious protein source with each meal.

%d bloggers like this: