One Big Fat Lie

By Courtney E. Martin, AlterNet. Posted March 2, 2006.

If you watch any mainstream news, you know that apparently America is in the midst of an obesity epidemic. Fear-producing news segments feature footage of overweight men and women, cut off at the heads like criminals, lumbering along the streets in Anytown, U.S.A. Ads with skinny women touting weight loss miracles as they look disdainfully at old pictures of their fatter, sadder selves run on a continuous loop on daytime television.

The scare tactics are working. Americans continue to pump billions, and blood, sweat, and tears into their "body projects," convinced that if they are fat, they are doomed.

Conflating fat with sickness is a dangerous delusion. The truth about fat, reinforced recently by a $419 million federal study involving 49,000 women, is that it does not automatically indicate unhealthiness. Many thin people, who don't exercise or eat balanced diets, are at a greater risk for disease than those with some extra padding who work out and eat relatively right. Your health can only be improved by movement and moderation. That's it. The study, published in the Journal of the American Medical Association last month, concludes that low-fat diets do not, despite all of the hype, reduce a woman's risk of cancer or heart disease.

Being fat is not equivalent to being unfit. In fact, being underweight actually kills over 30,000 Americans a year. Equating weight loss, instead of lifestyle changes, with improved health is "like saying 'whiter teeth produced by the elimination of smoking reduces the incidence of lung cancer,'" argues J. Eric Oliver, author of Fat Politics: The Real Story Behind America's Obesity Epidemic. Even a group of CDC researchers admit that "evidence that weight loss improves survival is limited."

So why do highly educated, media-savvy Americans continue to buy into the idea that the thinner one is, the healthier and happier one is? The mammoth diet industry, not to mention the exercise, beauty, fashion, and cosmetic surgery industries, certainly has something to do with it. In America, alone, we spend $40 billion annually on diet products, even though diets prove to be ineffective 95 percent of the time. Not only is our stupidity disturbing -- those stakes wouldn't even lure the drunkest of Vegas gamblers -- but the implications are foreboding.

There is a slippery slope from dieting to disease, as the 7 million girls and women suffering from eating disorders in this country will attest. Thirty-five percent of those who diet go on to yo-yo diet, dragging their bodies through a cycle of weight gains and losses far more unhealthy than just being overweight; 25 percent of those who diet develop partial or full syndrome eating disorders. Mindfulness advocate Susan Albers writes: "The dieting mindset is akin to taking a knife and cutting the connection that is your body's only line of communication with your head." There is little hope for long-term health improvement with this vital line severed.

Cut off from our ability to listen to our authentic hungers, we ride a roller coaster of marketed cravings and emotional upheaval -- overeating, then guiltily undereating, then overeating again. But unlike brief and thrilling amusement park adventures, we can't seem to get off the ride. The explosion of coverage on "the obesity epidemic," though well-intentioned, has not served as the emergency break nutritionists and doctors so hoped it would. Instead, the sensational news spots on the dangers of obesity have often fed misperceptions about the direct link between fat and unhealthiness, or worse, fat and unworthiness.

Courtney E. Martin's book, "Perfect Girls, Starving Daughters," will be published by Simon & Schuster's Free Press in March 2007. You can read more about her work at www.courtneyemartin.com.

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