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New Perspectives on Weight, Health, and Fat Acceptance

The Skinny on Fat: Rethinking Weight and Health

While many people assume that body fat is inherently unhealthy and that thinner people are always healthier, some researchers challenge this simplistic view (Campos 2004). In fact, scholars point out that the Body Mass Index (BMI), one common measure used to determine whether one’s weight is supposedly “healthy,” has a number of significant limitations (Kelvas 2023, Nordqvist 2022). For instance, BMI does not take bone density, muscle mass, body composition, genetics, or sex into account. For these reasons and more, professionals caution against becoming overly focused on this “inaccurate and misleading” measure.

Fatphobia, Fatism, and Body-Based Discrimination

Today in the U.S., millions of people who are larger than average encounter significant discrimination, suffer unfair treatment, and are denied equal opportunities based simply on their body size.

Weight discrimination, sometimes called “fatism,” is a serious problem with devastating consequences both for the individuals who are discriminated against and for society as a whole. It is based in assumptions that thin bodies are not only healthier, but necessary for a happy, productive life (Crane and Patterson 2024). Thus, heavier bodies are continuously scrutinized, often criticized, and subjected to varied forms of harmful stereotyping and prejudice in everything from jobs, to schools, to healthcare, to online platforms (Vafiadis 2024).

We can fight against these harmful effects by unlearning weight-based biases. Fat acceptance advocates work toward goals which promote size diversity. After all, humans come in all shapes and sizes! Part of this acceptance is the intentional and positive use of the term “fat” (rather than terms such as “overweight” or “obese”). Activists hope that by proudly reclaiming the word “fat,” it can be de-stigmatized and embraced in our culture.

The fat acceptance movement promotes love and acceptance of large bodies through advocacy groups (such as https://naafa.org/), websites, podcasts, and conferences which empower large people and give them strength to be who they are in a society. The sense of self-confidence, well-being, and better health that comes from loving and accepting their bodies frees them to live and enjoy life to the full. In the words of fat acceptance activist Monica Persson, “When we reclaim the right to eat, focus on our lives, and stop giving our money to the diet industry, anything is possible.”

Health and Nutrition

The US Department of Agriculture and the US Department of Health and Human Services issued updated Dietary Guidelines for 2020-2025. The biggest change in the updated guidelines is a new emphasis on healthy eating patterns. While the previous guidelines still are very helpful, the authors of the new guidelines stress that patterns of healthy and nutritious consumption and exercise must extend over a lifetime.

  • Guideline 1: Follow a healthy eating pattern across the lifespan. All food and beverage choices contribute to overall health. Aim for an eating pattern that aligns with your energy needs and supports long-term well-being.
  • Guideline 2: Choose foods and beverages that fit your culture, traditions, preferences, and budget. 
  • Guideline 3: Focus on a variety of food groups while being mindful of energy levels and nutritional needs.
  • Guideline 4: Be cautious of your intake of added sugars, saturated fat, and alcoholic beverages. 
  • Guideline 5: Support healthy eating patterns for all. Everyone has a role in helping to create and support healthy eating patterns in multiple settings nationwide, from home to school to work to communities.

It is important to note that everyone’s body is unique, with different nutritional needs and preferences—there’s no one-size-fits-all approach to food. Eating should be both nourishing and enjoyable, and all foods can have a place in a balanced lifestyle when enjoyed in moderation.

What is a “Balanced Eating Pattern?”

According to the USDA and HHS, a balanced eating pattern includes:

  • A variety of vegetables from different subgroups (dark green, red and orange, legumes, starchy, and others)
  • Fruits
  • Grains, at least half of which are whole grains
  • Fat-free or low-fat dairy, including milk, yogurt, cheese, and/or fortified soy beverages
  • A variety of protein foods, including seafood, lean meats and poultry, eggs, legumes (beans and peas), and nuts, seeds, and soy products
  • Oils

A balanced approach also means being mindful of added sugars, sodium, and saturated or trans fats, while allowing flexibility for individual needs and preferences.

Tips for Shifting to a Balanced Eating Pattern

  • Try adding vegetables or fruit to your meal for more variety and balance, alongside your usual choices. Select from all five vegetable subgroups of veggies (dark green, orange, legumes, starchy vegetables, and other vegetables).
  • Increase whole-grain intake — at least half of all grains should be whole grain.
  • Incorporate dairy or fortified alternatives that align with your dietary needs.
  • Select a range of protein sources, seafood, lean meat and poultry, eggs, beans and peas, soy products, and unsalted nuts and seeds.
  • Use oils instead of butter, margarine, or lard where possible. 
  • Be mindful of added sugars, sodium, and saturated fats while focusing on overall nourishment.
  • Include foods rich in vitamin D, potassium, calcium, and fiber.
  • If eating out, don’t feel pressured into finishing everything at once. You can always take home a portion for later.
  • Making your own meals can be a great way to support your nutrition goals.

Tips to Combat Stress

  • Start the day with a nourishing meal to maintain energy levels.
  • Consider herbal teas or lower-caffeine options if sensitive to stimulants.
  • Keep a variety of snacks available like fruit, granola, or trail mix.
  • Be mindful of caffeine intake in the afternoon to support restful sleep.
  • Try gentle strategies like mindfulness or exploring alternative snacks that feel good for you.

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