You Got My Back, Yeah?: 1. Acceptance, Knowledge, and Honesty

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“We Have Mice, Right?”

After trying to hide my behaviours around food, after sneaking around pretending to eat, and “Oh the ice cream tub is empty? How strange. No I haven’t seen it. We have mice right?”; there came a point when I was confronted. For me, the second time around I knew I had an eating disorder due to my past. It wasn’t the first time for me, but even if it is: once it is acknowledged that there is a problem it is OK to be with it and live with it for a while. I say this because an eating disorder is caused by psychological factors, and no matter how much weight is gained, or how much you restrain someone from purging, if the underlying factors are not healed then the eating disorder is not truly healed.

We accepted this fact. We didn’t ignore what was happening. My partner read about eating disorders. She read leaflets and websites. She took it even further because she understood that only so much of what is going on can be explained in a bulleted leaflet written by doctors – so she hit online and read blogs written by people experiencing an eating disorder. This helped her understand the method to my madness and glimpse inside what was really happening, allowing me to explain better what I could, and for her to understand as best as she could. We were honest. I could say, “I’m struggling with this” and it was OK. I could even say, “that restaurant scares me” and we could work on negotiations. Even if I broke down because of the food on my plate in front of me, she made it so that I could say, “It’s the food.” It was accepted and I didn’t have to fabricate a lie that I’d broken my toe, that someone had been nasty or, ‘it’s just that time again…all the time…every day at dinner time…I get bad PMS”.

2. A Listening Ear and a Hand to Hold (Click)

 

You Got My Back, Yeah? : 10 Key Support Methods In Overcoming an Eating Disorder

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An eating disorder is a real challenge to overcome. The pathology that underlies the eating disorder runs so deep within the core, becomes so entrenched within the psyche and so consuming that no part of life remains untouched, unscathed, or unaffected. Distortions are skewed. Rationale and abilities to make sense of the world are shaken upside down and all around: it becomes one understanding for you and the rest of the world, and another for us. No, you are not fat at X lb, yet if the same stats are applied to me, they are unacceptable. X lb is a disgrace, for me but not you. I am disgusting, not only to myself but to the whole of humankind. I am shameful, greedy, horrific, but not you. You are fine, perfect, wonderful even. For the sufferer, this existence is accepted not as unhealthy, a lack of wellness, or a distorted pathology, no, this is the cold, hard, rational factualities of our existence and life: skin and bone alone would still be too much.

Therefore, understanding that they are unwell, that something is wrong with them, and it is not that they are a disgrace is a feat. Once this understanding has been gained and the sufferer is ready to start taking the initial steps towards recovery, it is difficult to overcome with support, and far harder alone.

In this series, ‘You Got My Back, Yeah?’, I will explore how, by working together, we orchestrated our joint battle against my eating disorder in a set of 10 key types of support that I found the most useful from those around me for overcoming my eating difficulties: from my partner, my friends and the healthcare professionals I worked with whilst battling my eating disorder. (Click Links)

1. Acceptance, Knowledge, and Honesty 

2. A Listening Ear and A Hand to Hold 

3. Encouragement To Negotiate With The Enemy 

4. Boundary Control

 5. Privacy Vs Secrecy 

6. Being Treated Wholly 

7. Affirming Truths and Healing 

8. You Still Need to Eat: Leading By Healthy Example 

9. What Recovery Is, and Is Not 

10. Don’t Forget To Live 

“We are still masters of our fate. We are still captain of our souls.”

– Winston Churchill

 

No Shame! Freezer Food Meals Can Be Healthy Too

I love my freezer. We have had them available for our homes for just over 100 years and believe me when I tell you, they. are. a. game. changer. It stores ice cream perfectly for when you can’t eat your Ben and Jerrys in one go, it turns water into ice so iced coffee at home can be a thing and it stores many meals in conveniently for when I really cannot be fucked to cook. Let me hear a Hell Yeah! from anyone else who is also feeling the freezer love right now!

There are many misconceptions about eating healthily that permeates our culture and attitude towards “healthy eating” and eating well, some of which are based upon a smidge of reality, such as eating a varied and balanced diet costs more money than a less varied and balanced diet. Then there’s the downright ludicrous like detoxing, and that you must pay for the privilege of powders and packets to do said detoxing of those treacherous toxins, and that gluten free is a healthier option for non-coeliacs, and that convenience food is always super unhealthy. Well that’s bullshit.

The thing is, eating well doesn’t have to mean getting overpriced foods from Whole Foods; you don’t even have to step foot into the wonderful world of wankers that most Whole Foods¹ stores are, and don’t even get me started on Waitrose. In fact, a lot of foods marketed as “healthy” or “good for you” that are trendy aren’t much more nourishing than the normal foods we are used to that form our staple stock shops from your local Sainsbury’s, Aldi and Lidl; a matcha² donut is still a donut and vegan ice cream is still full of additives, preservatives and similarly “unwhole” ingredients chastised for being in non-vegan “junk foods” and a pastry is a still a pastry even if it’s dusted with the finest powder of super food extract and cost £6.50. Gregg’s do a banging donut for £1 by the way.

It’s perfectly fine to sometimes rely on ready meals and frozen foods, such as fish fingers, frozen veg and something of a potatoey goodness. Convenience cooking is OK and nothing to be shunned at via food snobbery; sometimes you’re tired, sometimes you just want something easy and quick³. Sometimes convenience is the only option because work is annoying, winter is winning and you’re experiencing a dwindling will to live that only a TV binge can fix. I’m being dramatic, we’re not all depressed (or are we?) but some evenings really feel that way after a long day. That’s where the freezer comes in, as if by some miracle of the modern day the freezer and the world of freezer foods, ready meals and pop in the microwave *ding* technology really comes into it’s own because despite your melancholy mojo a slice of toast, or ten just won’t do.

There is now a great variety of healthy ranges in the freezer and ready meal sections of the supermarket. If you’re uncertain look out for the traffic light system available on most ready meals and supermarket products. The more green labels the better, some orange is dandy and a little red is fine, it doesn’t connote devil food after all! Personally I love fish fingers and sweet potato oven chips for dinner.

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N.B.
1. Although admittedly, Whole Foods is the Hamleys of supermarkets and I do love it!
2. I’m so glad the matcha trend has fizzled out 🤮🤮🤮
3. I’m talking about food, not a shag.

 

What’s Wrong With WW Kurbo’s Approach to Childhood Obesity?

Weight Watchers, who are now rebranded as WW, Wellness that Works have launched a new app under this new branding for children as young as eight… as Young. As. Eight. It’s marketed as a potential solution to the childhood obesity crisis in America. However, a lot, and by a lot I mean, basically everyone who is an eating disorder advocate has lashed out online about the Kurbo App.

America is not the only country where childhood obesity and associated lifestyle diseases are high on the public health agenda. In the UK we have a Childhood Obesity Plan which has been associated with sugar reduction campaigns. With childhood obesity so highly on the public health agenda in the UK and USA. In the last decade, obesity amongst infant school aged children has dropped, whereas for year six children, obesity has risen. There is also a very strong correlation with social deprivation and obesity, which seems like it should be the other way around, that having more would mean you eat more. It isn’t, and so beyond calorie counting, we have to take into account social status and level of deprivation. Childhood obesity is a social class disparity – which will not be addressed solely by calorie counting on apps.

Source: https://digital.nhs.uk/

I would be curious to see if there is a similar chart to represent diagnosed eating disorder prevalence across social deprivation status’. Does it really mean that children are healthier just because they are not obese? Are there more underweight children in either end of the spectrum? Are there more mental health problems and what kind? Are there accessible facilities for exercising in the community? Where I live in SOuth London you pay £5 to access the tennis courts. This seems perfectly reasonable to those who an afford it, but what about all the children living in poverty in the area? Whereas in Surrey where social deprivation is not so much of an issue, the tennis courts in the park are free to use for everyone. As you can see, the picture is not so straight forward as calories alone.

Children being incredibly overweight, to such an extent that their quality of health and life are negatively impacted is a problem. I will not sit here and pretend that it is normal or healthy for a child to be unable to play and run around with their friends. It is not normal or healthy for a child to be limited by their body, or to be in pain when they try to play catch with their mates, and it’s not fair either. By over feeding our children, we are neglecting their holistic needs, and depriving them of a lot of what childhood has to offer for the ease of not managing their diet appropriately. Now I’m no sugar police, have some cake, have an ice lolly, heck, eat ice cream in the rain if you want to – a little bit of sugar here and there, and a child’s natural propensity to be drawn towards super sugary sweet foods is not the issue. It is the abundance in which these foods become a dietary staple, and in depriving children of attention and freedom to be kids in the streets safely (looking at you gang culture!!), we limit their potential coping mechanisms and potential social development. It is much more complex than diet alone. It is much more complex than calories in and calories out – although this is a suitably reductionist prophecy to sell to the general public because in being so reductionist it is also very easy to explain and sell.

As adults we have no right to deny children of the childhood freedoms of running around with their mates playing catch and relevance 40-40 in for days on end. As adults we have no right to either to instill pathological dieting practices into the young and impressionable under the guise of “this is for our health”. It’s not. Let’s not pretend for one moment that WW Kurbo app is for one minute about healthy relationships with food. In the same breath, we need to stop reducing the idea of health down to a BMI chart number, which is incredibly outdated now. Placing utmost importance on the weight of a child will mean that in a child’s mind, the idea of health can be measured easily and singularly in one arbitrary measure, the number on the scales. A very accessible number with which an obsession can easily be built. A very unreliable number with which our sole judgement of health should not be placed upon. What about getting their blood pressure down, and their glucose sensitivity up? What about a way to do this that doesn’t mean scanning every food and counting calories because equating losing weight with success very quickly equates not losing weight with failure. Why would we put such a bullshit task that’s easy to fail at the definition of daily failure for young children.

A child does not need to count calories to be healthy. Kurbo is a reductionist approach to nutrition that undermines the complexity and importance of a varied diet to support the very varied systems inside our bodies upon which our lives rely. Weight is not everything, if it is to be very much at all. A quick anecdote from a children’s weight management programme I worked with: His mum was using it as child care during the easter break and he qualified via BMI. He had an overweight BMI. He played sports, enjoyed sports and was a picture of health for a young boy with a tall athletic build. He was fast and very competent beyond his years in sports, and our nutritionist was quite stunned that he met the admission criteria for the programme. The admission was based solely on BMI and waist measurement. His waist measurement was not “concerning”, just his weight according to our guidelines. Neither his weight nor waist circumference were “concerning” in the slightest. Two words: MUSCLE. MASS. He shouldn’t have been on this particular programme and learning to eat less food, although I can entirely understand why his mum took the opportunity for free childcare during the Easter break.

The solution is not simple or straight forward. An app in principle is perhaps not the worst idea for a health tool, but basing results and goals on weight numbers is plain lazy. Reducing health to calories in vs calories out though, and encouraging children to count calories is dumb at best, and downright fucking dangerous at worst.

 

What Respecting Your Body Might Look Like

What does it mean to respect our bodies? If you follow me on Instagram, then you may be painfully aware that I’ve developed infection action a week before Ride 100. In the end, I realised the right thing to do for my self and my body, was to defer until 2020 and this got me thinking about what it means to respect our bodies.

So often you see and hear of people who have injuries yet persevere without any let up on their bodies, in order to achieve the goals they set for themselves. The thing is, the more broken your body becomes the less able you will be able to achieve those goals and challenges that your heart is so very set upon. Resting and not exercising can be pretty rough when you’re used to being active and you enjoy being active, but in the long run, treating your body well and knowing when to rest, knowing when to take it easy, and when to not push on through with brute determination can be just as important as being able to commit to any form of training plan at all.

How we relate to and treat our bodies really affects our performance and ability to achieve. Instagram is littered with stories of injuries, permanently damaged ligaments and sad stories of people who fell in love with running until it destroyed a part of their body, usually in the lower limbs. It’s great that the love of running has become a popular love to have, but overdoing it only shoots yourself in the foot; rest, as uncool as it may be on Instagram, is essential. So back to the original query, what could respecting your body actually look like? Here’s a list of what I personally consider to be essential components in treating your body with the respect it deserves.

1. Listening
You know when you have a plan but your body aches with tiredness? Or when you feel so hungry after increasing your training load, and it goes against your planned intake? This could be an ideal time to practice listening to your body. Sometimes you need to eat more, and at other times you need more rest. It’s very easy to schedule plans without forethought to how your body might respond, or need. Just remember, our bodies are not computers or robots that can be mathematically figured out in an absolute formula. Sure there a formulas in nutritional science for guidance, but these are really for guidance only – so treat them as such!

2. Nourishing
Sometimes when you’re training you may have a dietary plan that you’re following. Maybe you are trying to gain muscle, or lose fat mass for your sport. There’s nothing wrong with that. Nourishing your body looks like choosing a varied diet, plenty of fruit and veg, some good quality protein and plenty of carbohydrates. Yes, carbs! We need carbs and the occasional treat. Don’t forget to have your cake and eat it!

3. Resting your body
You may have heard before that when you’re training for a marathon, ideally you need closer to 10 hours of sleep than the original 7-8 recomended in The Sleep Foundation guidelines. Sometimes you’ll be feeling fine on less sleep, and sometimes you will need more. If you’re feeling sluggish and a bit out of it, maybe it’s time to hit the sack for a nap ,or even better, an early night?

4. No Pain, No Gain? Within reason
Sport doesn’t come without its risks of injury and a good session lifting weights can leave you sore for days with DOMS. However, there is a difference between DOMS and an agonising cramp in your Achilles. A lot of people push through and persevere despite their bodies telling them to stop and attend to a niggle or injury. It isn’t heroic to persevere through your pain at the expense of your body. So when you’re calf is giving you grief, or your knee feels a bit knackered, instead of seeing it as something to push through, how about seeing it as an opportunity to care for your body and show yourself some love?

5. Showing some appreciation
Without our bodies we wouldn’t be able to do anything. We wouldn’t be able to run, play our A-game on the pitch, or travel easily from A to B. Our bodies fight infections and repel illnesses, they make babies from two cells, and they maintain a very delicate and complicated balance within our bodies called homeostasis. If we had to think about all of the mechanisms that our body does to maintain this balance, we’d not have much time for anything else.

6. Trusting our bodies
By not undermining your bodies’ ability to do what it needs to in order to stay well, as is assumed when going on a detox diet or cleanse we allow our bodies to get on with what they’re designed to do. Sometimes things go wrong and eventually we all die, but in the meantime, put faith in your kidneys and liver, because detoxing sends you the message to yourself that your body isn’t capable or adequate enough already, and usually it is.

7. Wearing clothes that fit
Feeling comfortable in your clothes, instead of trying to fit into a specific size can make a real difference in how fat you feel, from anecdotal experience. Anyone wearing clothes 1-2 sizes too small is going to feel out of sorts, lumpy and frumpy here, and spilling out of your clothes there. Just wear whatever fits irrespective of the clothing size label. To put this in perspective I have clothes from a 10 (apparently), up to a 14. I’m more a solid 14. This means I don’t look at or buy clothes in a 10-12 anymore, and I have passed all of these sizes in my wardrobe onto the charity shop. As soon as I stopped trying to squeeze into these sizes, or trying to lose weight so I could fit into them again, I started to feel more comfortable and at ease with my body.

8. Tend to your illnesses
Getting the right help and treatment if you are unwell is a great way of showing your body some love. Sometimes they can’t fight illness on its own, and a little help is needed. Maybe this is via using antibiotics for a nasty infection, such as the one that inspired this post, or taking antidepressants to manage a depressive episode. This might mean visiting the pharmacist, who are very highly trained medical professionals in their own right, or your GP. Don’t try to muscle through without advice or try to outdo an infection if it gets ya; modern medicine is wonderful at helping us to overcome such ailments as they arise.

 

Beat: The UK’s Charity Antidote to Wellness Wankery and Eating Disorders

If you are worried about your relationship with food, who do you turn to? Your mates? Your GP? Or maybe you might turn to many of the numerous blogs, instagram pages and podcasts out there #wellness? Turning to influencers to make sense, I mean afterall, they’re flawless skin, pert tits, perky bum and six pack is the picture of health, right? Surely they must know what they’re talking about when it comes to wellness, diet, and exercise, or maybe not; influencers and #wellness are in a very committed marriage with diet culture. They’re like the grandparents who have been married  since forever #adorbs. This marriage though is #toxic needs to get a divorce, but there doesn’t seem to be one on the horizon *sad face*. Wellness industries and diet culture are like salt and pepper to your scrambled eggs, left and right to your Sat Nav and milk and sugar to your coffee.

A recent study by Christina Sabbagh looked into the validity, accuracy and evidenced based quality of weight management and nutrition of nine influencers, defined as having in excess of 80,000 followers on at least one social media platform. By assessing each blog against twelve criteria, including evidence based information, the use of reliable sources, and clearly stating the difference between opinion and fact, only one passed each criteria – and they are a UK registered nutritionist who is degree qualified. Nine is a small smaple size, but the strength of the results cannot be ignored: there seems to be a clear trend. Especially with many of the influencers having had no accredited training or education in the advice they are pushing on their sites. [More info here]

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A lot of influencers post before and after wellness photos. Before they were skinny and weak and barely eating coupled with pubishing exercise regimes that proved detrimental to their health. So are the influencers really as #healthy, #wellness, #blessed as they seem? Maybe, but most likely not. Are they really the place to turn to if you have concerns about your own relationship with food? Perhaps you’ve been bingeing in the evening, or skipping breakfast to shed some pounds and the result is that now you are in a somehwat chaotic place with your relationship with food. I don’t have the answers and I’m not going to pretend I do, else I would be falling into the wellness wanker world, no, I’m going to tell you about Beat – a wonderful UK based charity that I have been volunteering for.

Beat is the UK’s leading eating disorder charity. They provide information and services for people experiencing eating disorders, or who may be concerned about their relationship with food – I’m looking at you, the chaotic eaters who feel lost and overwhelmed with food, the fearful who are scared and anxious about eating, and the compulsive overeater who sweats hours in spin class just to try and burn it off. Beat have a lot of helpful information on their website, which can be found here.

What do Beat offer?

  • A phone line that you can call for advice
  • Information
  • Online 1-to-1 chats with a trained advisor (that’s me), like MSN messenger
  • Online group peer support sessions – also facilitated and moderated by trained advisors (Hi again, also me)
  • An email service that people use for seeking help and advice for themselves, loved ones and/or in general. (Me again)(This list is starting to look like it’s all about me, ha!)
  • A service finder application that you can use to find other eating disorder support services in your area using your post code.

So why did I choose to volunteer with Beat? Beat was the first website I was signposted to when I first opened up about my struggles with eating to a teacher way back in 2006. At the time was called EDAUK (Eatign Disorders Association UK): yup, it was that long ago and it was pretty basic. The most useful websites were all American (they get the best of everythign I swear). At the time I was obsessively surfing online between information sites, and other sites where people with eating disorders congregated online at the time (more on that another time). With the majority of sites being USA specific and although they had a lot of information that was useful about eating disorders in general, the support at the time was quite basic and non-interactive.

Sometimes I imagine how useful it would have been to have these online services when I was struggling back then, and as I became increasibly isolated by my bulimia, if I had had somewhere to chat in a safe space about what I was experiencing. Pro-ana sites mainly gave me a space to feel less alone – it would have been nice to have a healthy version as an alternative option; eating disorders are incredibly isolating experiences, particulalry when you have bulimia because a) it takes up a lot of time and b) there is a lot of shame around it when compared to the glorification of anorexia. It is that bit more shameful, that bit infinitely more disgusting and that bit more time consuming, mentally and physically.

So if you’re struggling with any eating difficulties, whether you have an eating disorder diagnosis or not, get in touch with Beat. They offer a good variety of services, and they are all confidential. Finally, if you think you might like to also become a Digital Volunteer, more information can be found here.

The Nike Mannequin, The Telegraph, and The Nonsense In-Between

Tanya Gold has really caused a stir with her article for The Telegraph titled, ‘Obese Mannequins Are Selling Women a Dangerous Lie’. Now I could go on a highly charged rant of vitriol, however I feel that this has been taken care of online. With a clear and significant backlash to this article, it’s dubious accuracies and wild judgments, I have decided to pull out parts of the article to produce a sound (and I’d like to think, more informed) albeit brief evidence-based explanation as to why she is so incredibly far off the mark. Instead of producing angry hate speech to cause death by a million tweets, I will instead use logic and science to put this shit where it belongs, on a fast track highway to the crapper, the sewer and beyond.

I fear that the war on obesity is lost, or has even, as is fashionable, ceased to exist, for fear of upsetting people into an early grave.

Starting out by announcing defeat in ‘the war on obesity’ really just sets the tone here: that fat bodies are an enemy not to be reckoned with. Particularly the fear Gold expresses in response to such a loss in such a misguided “war effort”. Our bodies are not built to be war grounds. No body should be a No Mans Land, yet so many are.

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Feminist Artist, Barbara Kruger captured this idea brilliantly (1989)

Yet the new Nike mannequin is not size 12, which is healthy, or even 16 – a hefty weight, yes, but not one to kill a woman. She is immense, gargantuan, vast. She heaves with fat.

Next up, we have Gold’s description of the mannequin in relation to it’s size. I’m not sure about you, but to me the description, “immense, gargantuan, vast” sounds like she ought to be describing a woman of godly power, perhaps Aphrodite or Artemis and their pull over the universe as Goddesses. Unfortunately she’s not; she’s just describing a mannequin that is oddly enough, the average size of the UK woman. As for “heaving with fat”, conjurs the image of something monsterous like Jabba the Hutt. Ladies and Gentleman, here we really do have a fine example of pure hatred for fatter people, otherwise known as fat-phobia.Gold goes on to express her disgust and concern for the Nike mannequin health. Ah, that classic move of unsolicited health concern for 👏🏻a 👏🏻mannequin👏🏻 who must be at least pre-diabetic due to her size. It seems the health of a mannequin in leggings is really keeping her up at night.

She is, in every measure, obese, and she is not readying herself for a run in her shiny Nike gear. She cannot run. She is, more likely, pre-diabetic and on her way to a hip replacement. What terrible cynicism is this on the part of Nike?

Apparently she cannot run and, if she is running she is pounding her self to a hip replacement. Being active is a healthy behaviour no matter what your size. Sometimes there may be some practical considerations for example, if someone has been bed bound for years: this is not the case for this sized mannequin. There are more and more athletes emerging who do not fit the stereotypical size 8-10 toned jogger of New York’s Central Park, which is brilliant for diversity and incluion in sports. Welcome to the modern world, Gold!

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Holley Mangold: Olympic Weightlifter (lifting her way into an early grave apparently)

Advertising has always bullied women, but this is something more insidious. I have watched the spindly, starved creature – the child ballet dancer – who was, for many years, the accepted ideal, walking down the Paris runways in so much make-up you could miss the signs of malnutrition. It was an ideal designed to induce enough self-hatred that women would shop to be rid of it.

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I would never want a woman to hate herself for what she finds in the looking-glass. But to have control over your body you must first know it; to be oblivious is not to be happy, unless you are a child.

The purpose and function of our body seems to have been lost on Gold. Perhaps she missed the memo but our bodies are not an entity of which to be controlled. They are a vehicle through which we live our lives. They do not need to be under microcosmic control and scrutiny in order to do this well. Nature and evolution has pretty much nailed maintaining homeostasis for the average person of average health, irrespective of their weight of body shape. Equating happiness with control over your body is also highly problematic and really gives an idea to the channel through which Gold’s perspective is coming from: a lens so clouded by diet culture that she cannot possibly fathom being happy unless you feel in control over your body. This notion is one common in eating disorders, albeit to the extreme. It is a mentality sold to us by diet culture. It is a mentality that is on the opposite side to progression.

The fat-acceptance movement, which says that any weight is healthy if it is yours, is no friend to women, even if it does seem to have found a friend in Nike. It may, instead, kill them, and that is rather worse than feeling sad. Fat-acceptance is an artifice of denial – they are fat because they do not accept themselves – and a typically modern solution to a problem, if you are a narcissist. It says: there is no problem. Or if there is, it’s yours, not mine. As soothing as that may be to hear, your organs and your skeleton will not agree.

Screenshot_2019-06-14 #haes hashtag on Instagram • Photos and Videos

What is obesity? I would say, as a recovering addict myself, that it is most often – but not always – an addiction to sugars, and a response to sadness. And, as with all addictions, the only person who can save you is yourself.

Sugar addiction is not real.

Sugar is not addictive.

Sugar is not crack cocaine.

Screenshot_2019-06-14 Image about girls in Food 🍓🍩 by Catherine P on We Heart It

We need to stop demonising singular and isolated food components as the heathen to health. It doesn’t work like that. If we had more responsible and accurate reporting (I’m looking at you BBC and Dr. van Tulleken), the verocity of misinformation may not be so rampant and rife that a mannequin in workout wear could cause such a stir.

Nike can be as accepting as it wishes of the obese female but your own body will not be so accommodating of your delusions. The facts are obvious. Stay that weight and you will be an old woman in your 50s. The obese Nike athlete is just another lie.

The Nike mannequin letting bigger people know that they are welcome to be a part of Nike, physical activity, running, yoga, and the health and fitness worlds in general is not a lie. Exercising is not restricted to slim people only. Exercising is not a thin priviliige. There are much worse consequences to other life choices, i.e. smoking, than being a bigger woman in life.

But, increasingly, to say that is heresy. I have seen fat-acceptance activists campaign for public health notices, which tell people that obesity causes cancer, to be removed from public spaces. They even tried to get a Cancer UK poster, which tactfully reminded people of the risks, taken down from hoardings.

Here’s a basic science principle which is why the Cancer Research obesity poster was not appropriate: correlation does not equal causation. There is no direct and evidential proof that being in a bigger body causes cancer. There are associations however, there’s so many life style and genetic factors to take into account: physical activity, nutritional density of the diet, fruit and veg consumption, trans fats consumption, and factors that cannot be controlled such as: poverty and deprivation, high stress environments that allow for little life autonomy, local pollution levels, exposure to hazardous materials etc etc. With so many other factors to consider, some of which are more closely associated with cancer than others – yet still the scientific principle remains that correlation does not equal causation.

How selfish, self-piteous and dangerous this is: obesity harms children more than adults. I once read a column arguing that fat people die young because doctors hate them. Really? Why don’t you lay down your pen and just stop eating sugar?

Where is the body shape between the tiny and the immense, which is where true health lives? Where is the ordinary, medium, contented woman? Where, oh where, is the middle ground?

The only statement I agree with in the whole article: that the middle ground between any extremes of body size weight or shape are associated with the best health outcomes and statuses. It’s incredibly dull and boring, and it isn’t a message that sells magazines or papers, or drives website traffic, but it’s the happy medium where the best health outcomes lie.