So This is Obesity, Huh?

One of the reasons I’ve been laying low lately is that I just haven’t been well. My health (mental AND physical) started deteriorating about a year and a half ago. I had a surgery, I’ve been on several different weight-gain inducing pain medications and my capacity for exercise has deteriorated significantly.

I tried to power through for a long time, knowing that I am a role-model for my kids, and that many people ‘out there’ expected me to maintain a certain level (and look) of fitness. But recently I realized I need to take my own medicine and back-the-fuck-off of pushing myself so hard when my body is demanding rest and recovery time.

I wanted to post this now because I’m at a weight I doubt I will stay at, and I wanted to use it to make the point (again) that BMI is a God-awful measure of a person’s health status, and that when people imagine what overweight and obesity look like, they aren’t always right. What do YOU imagine an obese person looks like? I doubt you imagine this:

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According to BMI, I am obese now.

I’ve gained roughly 25 pounds over the last year and a half. My ‘Sanity Setpoint’ weight is 170-175 pounds (which is itself overweight). I am now, depending on the time of day and where I am in my menstrual cycle, 195-205 pounds. I say I doubt I will stay here because I am successfully reducing the number and amount of medications I’m using, and my capacity for exercise is slowly, slowly increasing. But my current weight, at my height of 5’9, puts my BMI right at 30, the point where ‘overweight’ ends, and ‘obesity’ begins.

I am obese! Huzzah!

Up until the last year, I’d been successfully maintaining my Sanity Setpoint weight for several years. It was a weight I could maintain without having to engage in any extreme measures. A reasonable amount of exercise, a reasonable level of calorie intake, and a balanced, varied diet that included both foods I eat for nutrition and foods I eat purely for pleasure. I don’t doubt that as I slowly work back to those behaviors and continue to reduce the medications that have affected my weight, my weight will trend downward and I’ll eventually get back there, or close. But hell, if I stay where I am, I don’t think it would be the end of the world.

The reason I wanted to share this image and this post is that I want to provide perspective for all the people out there agonizing about the obesity epidemic, BMI numbers and the number on the scale. See that picture up there? That’s what obesity can look like when the obese person is active and eats a relatively healthy diet. In spite of my pain, arthritis and surgery, all my health markers are excellent. My pain is affecting my health, but my weight isn’t.

I’m going to continue to call on healthcare providers and the general public to shift their focus away from the number on the scale, and toward BEHAVIOR. Balanced, healthy habits will contribute heavily to health outcomes, regardless of what the number on the scale is. It’s clear that our cultural fixation on numbers hasn’t resulted in improvements (and in fact is probably making the problem worse). I’m calling for a complete paradigm shift. Screw the numbers. Work on the habits. And we’ll begin to see progress.

My Pissed Off Low-Carb Rant

 

I’m not a scientist, I’m a lowly little Personal Trainer and Massage Therapist. I don’t perform studies (other than my N of 1 ones), I don’t write research papers, I don’t have a degree in anything health related.

What I do do is read a lot. Blogs (I’ve got a few of them listed in my blogroll), news articles, and most importantly, science. I try to find and read as many sides of an issue as possible.

And one thing I have, that a lot of people don’t, is an ability to think critically.

There’s a Diet War going on out there. One faction would have you believe that primitive man spent most of his time lolling about the savannah, working on his tan, only getting up off his ass long enough to throw a spear at a passing buffalo, then sitting back down to gorge himself and get back to the serious business of lazing about. Sounds pretty idyllic. Sign me up! Oh yeah, and that buffalo was made out of bacon.

Building on this belief system, they argue that modern humans are therefore primed for a life of blogging and bacon eating. It’s the true path to optimal health! See, our bodies are made to sit and eat fat, so when we eat carbohydrates, everything goes haywire. Insulin resistance, diabetes, obesity, cancer, DEATH.

‘Course, there’s all that pesky scientific data that suggests that increasing physical activity improves metabolic function (don’t believe me? Google ‘exercise and insulin resistance’, or check out my pinterest board on the topic). How can that be, if the body’s natural state is lolling about the savannah? If our bodies are designed to sit, why would moving improve metabolic function?

Do you REALLY believe primitive man spent most of his time on his ass? I don’t, not for a minute. I believe primitive man spent most of his time on the move. I believe the human body’s natural state is one of almost constant motion. When we move, we metabolize carbohydrate just fine. In fact, science holds carbohydrate is the brain and muscles’ preferred fuel (yep, I’m aware of the studies that suggest otherwise. Guess what? So far, they’re outliers). ‘Course, if we’re not moving, carbs can cause problems. But is eliminating carbs the answer? Only if you believe our bodies are designed to sit all day. If you believe that our bodies are designed to move, then eliminating carbs is a band-aid. A band-aid that might allow you to sit on your ass a few more years before disease sets in, but that ultimately doesn’t address the CAUSE of the disease: exercise deficiency. That’s right folks, I’m calling it like I see it: Metabolic Dysfunction is a disease of exercise deficiency, not of carb intolerance.

“But modern lifestyles make adequate exercise nearly impossible!” they claim. Bullshit. I have kids, a job, a household to manage, and a social life, and I am able to include adequate exercise into my daily routine. I also manage to maintain a blog! Yes, you too can blog AND exercise.

“But only young people and endurance athletes can eat carbs safely!” they counter. Bullshit, again. I’m 40. I exercise 30 minutes a day on average.

“But…but…some of us are so damaged by obesity and the Standard American Diet that we simply can’t ever eat carbs again!”. Bullshit, times 3. I was obese for 3 decades. At 35, I had a whole laundry list of metabolic issues: PCOS, high blood pressure, blood sugar regulation control problems, low HDL, and obesity (not to mention depression, panic attacks, migraines, hair loss, cyctic breasts and acne and much, much more). I reversed it ALL while eating carbs.

Ask yourself: which is more likely the natural state of the human body:
a. sitting and eating only one or two macronutrients, to the exclusion of thousands of edible energy sources
b. moving and eating whatever is easiest to find (which, where I live, would be mostly plants, with some rodents, insects and perhaps an occasional bit of larger game thrown in to supplement)

I choose b, and live accordingly (minus the rodents and insects). And you’ve seen my pictures. I suspect I look a lot more like the mythical Grok(ette) than most basement dwelling, bacon eating bloggers.