obesity

Fashioning Fat coverIn December, thousands watched tall, thin models parade bedazzled bras, panties, and angel wings down the runway at the Victoria’s Secret fashion show. In the U.S., however, these “standard size” models aren’t representative of either the female population (an average size 10-14) or of the entirety of the modeling population.

Sociologist Amanda Czerniawski, who worked as a plus-size model in researching her book  Fat: Inside Plus-Size Modeling, was featured in a Pacific Standard article about the opportunities and limitations for plus-size models in the fashion industry. She explained that featuring plus-size models can be considered an “act of resistance” against the fashion industry’s standard ideals. Still, while plus-size models contribute to a more inclusive idea of beauty, Czerniawski said the status quo is hard to change:

Though plus-sized models want to change notions of beauty and glamour, she argues, the industry restricts their efforts and their effectiveness. Plus-sized models are not really all that free; though they do not have to be a size zero, their bodies are still regulated and policed.

The article goes on to explain how some plus-size models find themselves labeled too small, too big, or not the right type for a given job. Further, though plus-size models continue to gain visibility in the fashion industry, they still have fewer opportunities than “straight” (that is, willowy) models.

In the end, all modeling is about capitalism:

Many of the indignities that Czerniawski details—lack of benefits, arbitrary management decisions, exploitative contracts—are typical of many (most?) labor relationships under capitalism.

This means including a wider range of sizes among models is unlikely to change the regulation of their bodies; it’ll just mean more women in a glamorous and restrictive sector of sales.

An advertisement created by a Georgia children’s hospital. (Image via huffingtonpost.com).

At the Huffington Post, UCLA sociologist Abigail Saguy weighs in on weight-based stigma. Saguy notes that while there are health risks associated with obesity, stigma and bullying directed at overweight individuals may prove just as harmful as excess weight.

In particular,  stigma may exacerbate health concerns by discouraging obese women from receiving routine or preventative health care:

For many women, the place where they feel their dignity most crushed is in the doctor’s office. In fact, scores of studies show that “obese” women are less likely to get Pap smears and other medical screens because they experience the doctor’s office to be a hostile environment. And they are not delusional. Study after study shows that medical professionals—in the United States and abroad—believe that their heavier patients are weak-willed and non-compliant. Other women and men are denied health care coverage because they are “morbidly obese.” When lack of screening contributes to higher rates of cervical cancer among “obese” women, we can say that our attitudes about fatness are literally making us sick.

And, Saguy says, public health campaigns aimed at reducing obesity may be adding to the problem:

Just this month, L.A. County launched a new obesity awareness campaign titled “Choose Less, Weigh Less.” News reports on the initiative included photos of headless torsos with overflowing guts. The efficacy of such programs remains unproven. However, there is growing evidence—including from experiments I have conducted with psychologist David Frederick and UCLA sociology graduate student Kjerstin Gruys—that such messages worsen weight-based stigma. In our experiments, people who read news reports that discuss obesity as a public health crisis were more likely to agree with negative stereotypes of fat people as unlikeable, untrustworthy and less intelligent than thinner people, compared to people not having read such articles.

Such studies suggest that in the fight for improved health, shedding weight-based stigma may be as or more important than shedding pounds.

HBO Weight of the Nation Image
The promotional image for HBO's documentary series "The Weight of the Nation."

While it’s still hotly debated whether obesity is, in fact, a health crisis, in today’s New York Times, one-time food critic Frank Bruni considers recent obesity research in evolutionary science, medicine, public health, and beyond, concluding that it will require society-level change if we are to stem “a near inevitable tide.” (See also his blog post from today, “The Girth of the Globe,” which discusses Bruni’s perceptions of American dietary habits in a larger context.) The Centers for Disease Control, Bruni writes, now considers about two-thirds of Americans overweight or obese, but “Our current circumstances and our current circumferences may in fact be a toxically perfect fit.”

This is to say, learning to perfect agriculture in abundance has created “plump savings accounts of excess energy” in both our grain silos and our love handles “for an imagined future shortage that, in America today, doesn’t come.” Bruni interviews John Hoffman, an executive producer on HBO’s forthcoming documentary series “The Weight of the Nation,” who tells him that “We’ve only known a world of plenty for maybe 100 years. Our biological systems haven’t adapted to it.” And quoting from Michael L. Power and Jay Schulkin’s book The Evolution of Obesity, Bruni adds, “We evolved on the savannahs of Africa. We now live in Candyland.”

Bruni goes on in his op-ed to consider how one problem in fighting obesity is that we must eat:

“When it comes to smoking or drinking, people generally have to go cold turkey,” notes David Altshuler, an endocrinologist and geneticist, in the documentary. “But fundamentally, we have to eat.” Every meal is a… feat of calibration. “We underestimate how hard it is to change your behavior not once—not for a week or a month until you’re cured—but to change it every day for the rest of your life,” says Altshuler.

In conclusion, Bruni writes we must understand this paradox, cease to vilify the obese, and “rethink and remake our environment much more thoroughly than we seem poised to do.” This may, perhaps, be true well beyond Americans’ own equators.

Photo by Ben+Sam via flickr
Photo by Ben+Sam via flickr

Raising healthy kids is usually seen as a result of some magical combination of resources and education in a child’s home, school, and neighborhood. A newly released study by Penn State sociologists Molly Martin, Michelle Frisco, and Claudia Nau and the Census Bureau’s Kristin Burnett, however, finds poverty at schools has a greater effect on adolescent obesity than poverty or low education at home.

Well-educated parents are less likely to raise overweight children, but according to the study’s findings, if the student attends a poor school, the effect of his or her parents’ education is minimized. According to the online news source Futurity‘s report on the research , “A parent with a graduate degree who has a child in a poor school is more likely to raise an overweight adolescent than a parent with an eighth grade education who has an adolescent enrolled in a rich school.”

“The environment can actually limit our ability to make the choices that we all think we make freely,” Frisco says. Martin maintains that poor schools influence a student’s weight even beyond the typically-blamed unhealthy food choices. Low-funded schools have a difficult time offering athletic or fitness programs. Martin also argues that low income schools may house students with higher levels of stress. “Schools with limited financial resources tend to be more stressful environments,” Martin says. “Stress promotes weight gains and usually the worst kinds of weight gains.”