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heat but your plants do not. Hello

1:05

and welcome to the Nutrition Diva Podcast!

1:07

I'm your Host Monica Running ago and

1:09

today I want to talk about the

1:12

role that bodyweight plays on health. Because.

1:15

This is the subject of some debate.

1:18

The. Health at every Size movement

1:20

promotes acceptance and appreciation of

1:22

one's body regardless of your

1:25

body size. It encourages people

1:27

who have overweight or obesity

1:29

to shift their focus from

1:31

losing weight. To. Other

1:33

healthy habits such as eating healthy

1:36

foods and getting more exercise. Some.

1:39

Physicians and Dietitians who embrace

1:41

this philosophy will even refuse

1:44

to council people on weight

1:46

loss. It's okay if their

1:48

clients lose weight as a result of

1:50

changing their health habits, but that shouldn't

1:53

be there all. Now.

1:55

Part of this is a

1:58

response to the harmful stigmatization

2:00

in and discrimination step people

2:02

living in larger bodies have

2:04

long experienced people with overweight

2:06

and obesity face bias and

2:09

discrimination in many aspects of

2:11

their lives, including with their

2:13

health care providers. Numerous studies

2:15

have shown that people with

2:18

larger bodies receive substandard care

2:20

and less support from their

2:22

health care providers. And

2:25

because obesity is more prevalent

2:27

among low income individuals and

2:29

minorities, a bias against patients

2:32

who are overweight can disproportionately

2:34

affects these disadvantaged groups and

2:36

contribute to a downward spiral

2:38

of poor outcomes. Their

2:42

health at every size movement is

2:44

also a push back against so

2:46

called diet culture. And. I

2:48

get it. The relentless pressure

2:50

to be thin and the

2:53

means by which this ideal

2:55

is promoted and pursued has

2:57

caused untold psychological and physical

2:59

suffering. However,

3:02

This. Philosophy also came of

3:04

age in an era when

3:06

the available treatment options for

3:08

obesity were pretty ineffective. Short

3:10

of Barry Utrecht Surgery, most

3:12

attempts to achieve and maintain

3:15

significant weight loss. Failed.

3:18

Put. Over the last few years we have

3:20

seen a dramatic sea change in the

3:22

treatment of overweight and obesity triggered by

3:24

new medications known as G L P

3:26

One agonists and have discussed various aspects

3:29

of these medications in previous episodes and

3:31

we will include a link to those

3:33

in the show. Notes: These.

3:35

Medications has not only been

3:37

found to be remarkably effective

3:40

in promoting weight loss, but

3:42

also in reducing risks from

3:44

a range of other conditions

3:46

including type two diabetes and

3:49

cardiovascular disease. Nonetheless,

3:52

Some. Self described Sat

3:54

activists continue to insist that

3:56

overweight and obesity are not

3:58

diseases that need to be

4:01

treated. Rather, they are perfectly

4:03

healthy natural body types that

4:06

have been unjustifiably pathologize. They.

4:09

Argue that you can be with

4:11

the medical world considers obese but

4:14

still be metabolic li healthy if

4:16

other indicators such as your blood

4:18

pressure, blood sugar and cholesterol or

4:20

in healthy ranges. So.

4:22

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need it. And as a

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new feature differently and capella.edu. Now.

6:19

It is true that the number on

6:21

the scale. Does. Not tell the

6:24

whole story about your health. Body

6:26

Weight and Body Mass Index or

6:29

be a My doesn't take into

6:31

account your body composition, so a

6:33

very muscular person may have a

6:35

B M I that puts them

6:37

in the overweight or obese category

6:40

when they are obviously no such

6:42

thing. On the flip

6:44

side of the coin, someone with a very low B

6:46

M I. May still

6:48

have a high amount of visceral

6:50

Sat at the Sat that builds

6:52

up around the abdominal organs and

6:54

the most dangerous type of body

6:57

fat. This is the so called

6:59

skinny fat phenomenon which also increases.

7:01

Your disease risk. And

7:03

it's also worth pointing out that the

7:06

conventional, critically a for healthy body weight

7:08

are based primarily on cookies and body

7:10

types, and they may not be appropriate

7:12

for people of all races and ethnicities.

7:15

However, a study involving over a

7:17

half a million subjects published in

7:19

Twenty Eighteen sense that even for

7:22

those with normal blood pressure, normal

7:24

blood sugar and cholesterol levels in

7:26

the normal range for these folks.

7:28

Simply. Being overweight still increased the

7:31

risk of heart disease by twenty

7:33

eight percent. We.

7:35

Concluded that there is no

7:37

such thing as being healthy,

7:39

obese, Wrote. The lead researcher can

7:41

be in the cell. More.

7:43

Recently at any Twenty Three said

7:45

he observed that indicators of metabolic

7:48

health. things like your blood

7:50

pressure blood sugar or high waist

7:52

to hip ratio these were a

7:54

stronger short term predictor of cardiovascular

7:56

events then you are be am

7:58

i But even for

8:01

those who were considered to be

8:03

metabolically healthy, a higher

8:05

BMI signaled a higher risk of

8:07

trouble ahead. In other

8:09

words, simply being in a so-called

8:12

healthy weight category does not guarantee

8:14

smooth sailing if you have other

8:16

risk factors, but all

8:18

other things being equal, those

8:20

in a healthy weight category do have

8:22

a lower long-term risk. So

8:25

your weight does matter, but it's

8:27

certainly not the only thing that matters.

8:31

If you are carrying extra body fat,

8:33

losing some of it would likely decrease

8:35

your risk of various diseases, especially if

8:37

you go about it in a sane

8:39

and sustainable way. But

8:41

choosing healthy foods and being active

8:44

can also help you be healthier

8:46

at your current weight. And

8:49

being as healthy as you can be at your

8:51

current size may also be

8:53

a bridge to a healthier size

8:56

in the future. Many

8:58

years ago, I profiled a reader who

9:00

had quit smoking cold turkey after being

9:02

a heavy smoker for more than a

9:04

decade. And after she quit

9:06

smoking, she was surprised to find that

9:09

she was suddenly more interested in nutrition

9:11

and health. It was something she'd never

9:13

really paid attention to before. She

9:16

started going to the gym, she started eating healthier.

9:19

And as she explained it to me, I knew smoking

9:21

was about the worst thing I could

9:23

do. And because I was smoking, it just

9:26

didn't seem worth doing anything else for

9:28

my health. So I never bothered about

9:30

nutrition or exercise or anything else. I

9:32

figured I was a lost cause. In

9:37

the same vein, the Health at

9:39

Every Size philosophy tries to upend

9:41

the narrative that exercise and vegetables

9:43

are only for thin people. It

9:46

encourages people to pursue healthy habits, even if

9:48

they are overweight. And it offers

9:50

ways to evaluate and measure progress

9:52

other than simply stepping on the

9:54

scale. And for those who have

9:56

been demoralized by a history of

9:58

failed weight loss attempts, that

10:01

may be especially valuable. And

10:03

indeed, research shows that interventions based

10:06

on health at every size principles

10:09

led to improvements in eating attitudes,

10:11

perception of body image, physical

10:13

capacity, and health-related quality of

10:15

life, even without significant

10:19

changes in body weight and physical activity

10:21

levels. That is a goal

10:23

that is absolutely worth pursuing.

10:26

All I'm saying is that it doesn't have to be one or

10:28

the other. We

10:31

can and we should support people in

10:33

living the healthiest life that they can

10:35

enjoy living regardless of

10:38

their body size. As

10:40

I often say to my own clients, every step in the right direction is a step

10:42

worth taking. And

10:46

in many cases, the more

10:48

steps you take, the

10:50

more possible those next

10:52

steps become. If

10:55

you have thoughts you'd like to share about this topic, I'd

10:58

love to hear them. You can email

11:00

me at nutrition at quickanddirtytips.com. You

11:02

can also leave me a message at 443-9616206. If

11:09

you're looking for more support for healthy weight

11:11

management, please check out

11:13

the resources at wayless.life, where

11:16

my goal is to help people

11:18

create the habits, the mindset, and

11:20

the lifestyle that help them weigh

11:23

less without dieting. That's at wayless.life.

11:27

Nutrition Diva is a quick and dirty tips podcast, and it's made

11:30

possible by the contributions of Brandon Goeches, Nathan

11:32

Sends, Davina Tomlin, Holly Hutchings, Morgan

11:35

Christensen, and Cameron Lacy. That's

11:38

all for this episode. Thanks for listening. I'll

11:40

see you next week. Your

11:56

goal is knowing health is available when you need it. Imagine

11:59

your future difference. at cappella.edu. Hear

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that, plants? So go ahead and give

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them Miracle Grow.