Reply to Do fat women who are Body-Positive really love being fat?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Yes, you can cite studies of correlation.

Do you understand why that does not translate well into differences in outcomes for [I]treatment[/I]?DO you have studies that show longterm outcomes (of the kind you are pushing for) in [I]management[/I] of obesity?

Show me outcomes data. That's what we're talking about, right? Not whether obesity is associated with certain outcomes, but what sort of [u]intervention[/u] can effect positive [u]change[/u] in those outcomes in people overall? Otherwise, you're just wanking off and getting high on judging people.

(Hint: fat-shaming is not effective. It's counterproductive, but at least you get to feel superior as you lead people to greater fatness, amirite?)

I do hope you are not a PA or NP. If so, you should be better trained.[/quote]

I think you're talking to me, and I have not once, ever, shamed a patient about their weight.  For starters, they're all sedated and intubated by the point I meet them, so they'd hear neither shame nor encouragement.

[b]I didn't cite research in support of effective interventions or treatment[/b], if you stop pontificating for a second and go back and reread what wrote.  I offered compelling evidence that obesity is correlated, yes, to all-cause morbidity.   There are several posters on this thread who have stated otherwise, page after page, and I am responding to them.  They are wrong.  [/quote]

I agree with you there; you did not.

Expert advice for reducing obesity: Take the blame out of it
https://news.harvard.edu/gazette/story/2018/03/harvard-obesity-expert-says-blame-shame-make-problem-worse/

How and why weight stigma drives the obesity ‘epidemic’ and harms health
https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-018-1116-5

So what does work?

[quote][b]Fat-shaming is a "cartoonishly out of step" approach, research suggests[/b]

So why do so many doctors "fat-shame" their patients? Some believe that it truly works, Hobbes writes....
But the notion that fat-shaming can help obese patients is "cartoonishly out of step with a generation of research into obesity and human behavior," Hobbes writes.

Jody Dushay, an endocrinologist and obesity specialist at Beth Israel Deaconess Medical Center, said the majority of her patients have lost and gained weight repeatedly before coming to her. "Telling them to try again, but in harsher terms, only sets them up to fail and then blame themselves," Hobbes writes.

And fat-shaming can drive obese patients away from the health care system, with dangerous consequences. Three different studies found that overweight women were more likely to die from breast and cervical cancer than non-overweight women, partly because they were reluctant to see a doctor and get screened.

Overweight people who are discriminated against also end up with shorter life expectancies than similarly overweight people who don't face discrimination, according to a 2015 study. [u]"The stigma associated with [being overweight] is more harmful than actually being overweight," the study found.[/u

[b]If fat-shaming doesn't work, what does?[/b]

To know what treatments can help overweight patients, it's important to know what doesn't work. For example, diets typically don't work—at least not in the long run. Research dating back to 1959 has found that 95 to 98% of attempts at losing weight ultimately fail, and [u]about 66% of dieters wind up gaining back more weight than they lost.[/u]

That's not because of personal failings on the part of dieters, Hobbes writes. Rather, research going back to 1969 has shown that losing just 3% of one's body weight can cause a 17% slowdown in metabolism, which can set off hunger hormones and ultimately lead to weight gain. "Keeping weight off means fighting your body's energy-regulation system and battling hunger all day, every day, for the rest of your life," Hobbes writes.
...
This personalized approach has been proven to work. [u]In 2017, the U.S. Preventive Services Task Force (USPSTF) found that diet was not the most important factor in obesity care; what mattered more was the amount of attention and support patients received. As a result, USPSTF recommended "intensive, multicomponent behavioral counseling" for overweight patients.[/u]
https://www.advisory.com/daily-briefing/2018/09/26/obesity
[/quote]

What works isn't telling people they are bad, or lazy, or gross. It's not posting videos about how disgusting autopsies of fat people. And it is not talking about how awful and horrible the lives and dying of fat people are.

Guess what? That doesn't work for diabetes, either, and there is research about this. (You should look into it.) Emphasizing all the negative things that can happen -- blindness, limb amputations, kidney failure -- does not motivate teenagers and young adults to keep tighter control. What works better is encouraging themselves to accept themselves how they are, with the challenges they face, but helping them figure out what they love and enjoy about life, and supporting them in going for it.

But if you focus on the amputations, you lose them.

Unfortunately, some people have more emotionally invested in pride at being not-fat and enforcing the stigma of being fat, then we are able to avoid mustering for diabetes.

I'm not fat. I've never been fat. I've never had diabetes, either. I also know a lot of people in both categories, and it's my job to help them figure out how to be as healthy as they can, given where they are starting. That includes actually caring about whether whet I plan on saying to them and about them will help, or hurt.

You should care, too.[/quote]
+1000
Outstandingly written.[/quote]

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