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.

 

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.

Orthorexia is the New Anorexia, and It’s Not Cool

Social Media is bursting with #BodyPositivity #LoveYourself and #ICanSoYouCan to messages seemingly aimed at the average health conscious woman. At face value it seems like a pretty brilliant and groundbreaking trend that’s taking over. People are going to fitness events more, we are health conscious now thanks to a decade of public health campaigning.

Dig a little deeper and there’s another layer to this trend. People who have recovered from eating disorders posting transformation pictures from then and now. They’ve usually managed a level of good weight restoration – which is great. They often claim psychological healing from the eating disorder too, and who wouldn’t believe that when someone has restored and maintained their weight? That is what eating disorders are all about right? Weight. No, nope, nada, that statement couldn’t be any more wrong. Eating disorders are a psychological illness and mending the mind takes much longer than weight restoration.

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Especially when those same people are posting comparison shop of body shape and muscle with their weight displayed in numbers on each picture to prove that you can be smaller and leaner at a higher gravitational mass. The point seems to prove that weight loss doesn’t always count for stronger and weight gain can mean a leaner body. I don’t know when it was discovered hat muscle is more mass dense than fat. I think it was a long time ago. The proportionate representation of a Kg of each next to each other send this message home enough. I don’t know about you but I don’t need six packs and weight numbers emblazoned across two pictures to show me as well.

Back to the #BoPo trend, why am I sceptical of the complete recovery claims and love yourself campaigns by some influencers? Because the same woman pushing these messages of self-love seems to have migrated from one way of obsession over her body and food to another. I know, it sounds hypocritical considering my ED past and that I’m now studying nutrition, but hear me out on this.

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I’ll be frank, seeing your perfectly lean body, with no cellulite or wobble with a six-pack and long blonde hair (Why are so many successful influencers white and blonde?) does not encourage me to feel all #bopo about myself. The lack of diversity amongst the influencers is a whole other matter but in this instance I think what has really occurred is a shift from one beauty ideal to another in the last decade. This woman has successfully transitioned with the trends, from skeletal to sculpted. I further this stance by pointing out the body positive and self love messages still all revolve around “I love what I see in the mirror” or how they look clothed, barely clothed and basically it all revolves around reflections. Self love isn’t found in your reflection, it is deeper than that. Imagine a couple who are shit hot, heck, I hear this is what Love Island is about – what happens when they irritate each other or age, or sag – will they still be in love if it’s all based on a skin deep love? Anyone will tell you these kinds of relationships are shallow and won’t last at the very least.

Going back to the body trends. In the 90s we had heroin chic, then that was deemed too dark so we transitioned to 2006 with Nicole Richie, Paris Hilton, Lindsay Lohan, Mary-Kate Olsen who could be summed up at the time as bones, bones and more bones. They were idolised as the beauty ideal, put on a perfection pedestal that translated to being as skeletal as possible without being sectioned or dying because then you kind of lose by default. Thinspo became a thing, and sometimes the ones who did die from their eating disorder were further idolised by many as being the ultimate goal. These people were as unwell as it sounds. Many were genuinely unwell, how do I know? I was one of them. However, the mass media (this is pre-social media boom) perpetuated these images, this ideal and humiliated any celebrities who had cellulite by blowing the picture up in their magazines and encircling said fault with a fat red circle.

We’ve moved on from that. Its been 10 years after all. However, the retaliative movement was health and fitness: strong is the new skinny, suns out guns out and all that jazz. It’s not all bad, but there is a dark under layer of migration of pathology with food, body image and exercise emerging in the surfaces of popular media, magazines (ahem, Women’s Health) and social media platforms (Oh Hai Insta!). During the process super foods became a thing thanks to clever marketing and buzz words. Paleo, veganism and the ultimate heathen of ‘healthy living’ that we all utter under our breath as if he who should not be named, clean eating. We bought it. We buy it every time and in a capitalist society why are some people pushing these ideas? Obviously, there is dollar in health. There always has been and always will be. Each trend earns some people big bucks.

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Most of them have a singular continuous trend threading throughout them since the thinspo days of 2006: restriction. Each fad is a new way to restrict the diet, introduce vast numbers of rules around eating and achieve beauty ideals. Except in 2006 we knew being so thin meant an anorexia/eating disorder epidemic, not the trends and trend setters are more sinister; they’re disguising their restrictive eating and compulsive relationships with exercise and their reflection as health. We’re buying into it, they’re getting paid for it. the difference since 2006 here is that making money from social media didn’t really exist then. If it did I think a lot of people would have made a living from being anorexic and online; just like hoards of people are now for being orthorexic or an over-exerciser. We are paying them for their compulsions, and they are lying to us and more importantly, themselves. Evidently, I have a massive problem with this.

To all the body positivity social media gurus with six packs, steel thighs and a built derrieré from going to the gym more times than I blink in a week, I’m calling you out and I’m hoping that more people see through the rose-tinted veil of beauty you show to us. Orthorexia is the new anorexia, and it’s not cool.

The Face of Diet Culture: The 10 Year Challenge

The 10 year challenge shines a light on how much we as individuals have changed but how much has the face of diet culture changed in the last 10 years? In 2009, the same year that I left home to go to fashion school in London, starving yourself skinny was still cool. The severity of health implications related to the thin ideal came to a spearhead in 2006 when fashion model Luisel Ramos collapsed and died whilst participating in a fashion show. She died from heart failure related to malnutrition and ultimately anorexia. 6 months later her sister, Eliana Ramos who was also a model died due to complications related to malnutrition and anorexia nervosa. The same year, Ana Carolina Reston, a Brazilian fashion model also died due to complications from Anorexia Nervosa. The size 0 debate was started and the fashion world came under the spotlight – and this wasn’t a case of any press is good press. Many government and health bodies made the call for a minimum BMI requirement to be implemented for all models participating in fashion week events. In research links were drawn between the portrayal of excessively thin bodies as desirable, and the social pressures this placed on women to conform [2]. Size 0 was sold to us and we bought it with dire consequences: thin was in.

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During my 2 years at fashion school I remember hearing club kids talking about how many drugs they were doing and how long they’d managed to not eat for, with the aid of said drugs. Cheekbones and collar bones were in, even if that meant looking gaunt.With the rise of mephedrone at the time whilst it was legal, this wasn’t a difficult feat to be achieved. There were numerous times people weren’t in the studio from dealing with the aftermath of having taken mephedrone (Meow meow/Mcat) [3]. In fact, gaunt was good and not eating was cool. Some tutors would joke about how the cheesy carb fest the canteen was bad for your waistline. Thin was in at whatever cost, health was out.

Needless to say, in this environment I relapsed into my eating disorder and I relapsed hard. At my lowest weight, whilst I was an outpatient at an Eating Disorder Service I received the most praise for my appearance I have ever received to date: “you’re so beautiful”, “how do you do it?”, and on Facebook photos, “OMG gorgeous

This trend is evident beyond the realms of my fashion school anecdotes and misadventures with anorexia; a lot of people are reminiscing about similar changes in their 10 year challenge posts. It turns out that a lot of people in 2009 were skinny and in retrospect, feeling weak, unhappy and generally like a bag of shit. That’s how forcing your body to weigh much less than it is wants to be feels, like an absolute huge bag of shit. Fatphobia was high, and even healthy weight individuals were deemed as “curvy” or “plus size” – I mean honestly, just fuck right off.

These social pressures and appraisal did nothing to help me towards recovery and subsequently a few years later I left the fashion world pretty much over night. Size 0 sucked and the fashion world soon realised how much it sucked for business due to the public health, government and public backlash to promoting such severe thinness ideals. Surely this was a good thing? We were moving away from aiming for waists comparable to the average 7-year-old.

Heroin chic of the 90s had gone and pro-ana sites, blogs and forums were easily found and plentiful online. Entire communities gathered amongst the anonymity of the online world. Safe havens to encourage the pursuit of thin, and the glorification of such ideals became known as thinspiration, or thinspo for short. Fast forward a decade and strong is the new skinny; thinspo has been replaced with fitspo. Instead of collar bones and rib cages we now idolize sculpted bodies, low body fat percentages and big muscles. On the surface it seems health driven but when you get down to it, maintaining such low body fat percentages and building such quantities of muscle mass is just as difficult an ideal to work towards: it is also big business. It costs to get those muscles, cue the introduction of “clean eating” instead of dieting, phrases like “it’s not a diet, it’s a lifestyle choice” and the rise of the social media influencers. Now people are paying crazy amounts of money to try to achieve a particular aesthetic. When you dig deep, it’s not all that much different, but instead with the introduction of classism – not eating is essentially free whereas superfoods and trendy gym classes are in the KERCHING!  regions, cue M.I.A. “I just want your money” (song title ‘paper planes’).

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The rise of visual social media platforms and smartphones making everyone a photographer, instagram has been a mass playground and propagator for fitspo, clean eating and ultimately a shit ton of social comparisons based on these visuals. Does my smoothie bowl look Michelin start enough? Are my abs clean-cut enough? How about in this pose? Additionally there are apps to add abs and change your photos to be who you want to be – so god knows how much of this stuff we see online isn’t even real, and here’s the catch, we compare ourselves anyway; it’s natural. Of course, we’re always going to come up short in such comparisons. Just as we always came up short to the photoshopped thinness of models in magazines and on billboards.

There have been associations made between exposure and engagement with healthy eating communities on Instagram and orthorexia tendencies [4]. Orthorexia is an obsession with eating clean foods, without impurities. It manifests as an obsessive preoccupation with eating perfectly and results in the cutting out of food groups deemed not pure enough [1]. In the rise of clean eating and the idea of purity invading in on our eating practices it’s a wonder of whether we are eating something because we like it and it tastes nice, or whether it’s trendy, seen as the new cult super food or looks good on Insta? The social pressures amongst these online communities is high, and food shaming is definitely rife like a plague amongst these online circles. Just as with starvation practices, this takes us away from listening to our bodies and their needs because external forces are dictating what, how much and when we eat.

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Although we might not be starving ourselves, models might not be collapsing and dying at fashion shows and smoking cigarettes instead of eating lunch the question lies in really contemplating just how much has really changed? How much of this change is a mask of the same old issues? The same motivations, feeding into the same desires and issues around controlling our bodies, minds and emotions? When we are so focused on our bodies and controlling them down to every minute detail, we do not have the energy to focus on bigger things. Being super lean and strong is not empowering if you’re obsessed with what you can and cannot eat. Fitspo is not empowering if it makes you feel like shit. Being enslaved to your reflection and how you look is not empowering. It might feel as such sometimes but if it’s taking away from your life in any way then it’s time to reconsider how we relate to fitspo and slogans such as “strong is the new skinny”.

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The irony of a lack of focus on holistic health in the health and wellness industries is laughable at best and shameful at worst. Are we really progressing away from hyper-vigilience around what we put in our mouths and the impacts this ha son our body shape in the pursuit of health, or is this a new era of diet, health and wellness fuck uppery? My advice for seeing between the lines? Be critical, be analytic and if an image is prescribing an aesthetic ideal get the fuck outta there quick sharp. Being pained by attaining a certain look is not progress, but instead the falsification of progress. For real change we need to call this shit out and disempower the hold they have over us as individuals, communities, men, women, and especially for our children. We need to learn to know better.


Sources:
[1] Beat (2017) Orthorexia. Available at: https://www.beateatingdisorders.org.uk/types/orthorexia .
[2] Costa-Font, J. & Jofre-Bonet, M. (2011) Anorexia, Body Image and Peer Effects: Evidence from a Sample of European Women. London: London School of Economics and Political Science.
[3] Rebekah Brennan, Marie Claire Van Hout, (2012) “Miaow miaow: a review of the new psychoactive drug mephedrone”, Drugs and Alcohol Today, Vol. 12 Issue: 4, pp.241-253, https://doi.org/10.1108/17459261211286654
[4] Turner, P.G. & Lefevre, C.E. Eat Weight Disord (2017) 22: 277. https://doi.org/10.1007/s40519-017-0364-2

 

Belly and Me Volunteering for Beat Eating Disorder Charity UK

Once upon a time I would regularly stand sideways in the mirror to scrutinise my body. Standing on the end of the bath I would use the huge wall sized mirrors to view myself from every angle possible. I would pick at bits that I particularly hated about myself to really ruminate and focus on, and trust me there were many.

In all of this extensive scrutiny my belly was the main focal point of my relentless barrage of self hatred. From taking selfies on dodgy cameras in the 2000s, to checking every reflection opportunity regardless of how skewed it may have been: the TV screen, changing rooms under dodgy lighting, and window reflections. I wouldn’t call it vanity although I understand that it may sound that way. It was never to admire myself, or to check my make up but instead to check how fat I was, and how much of a failure I was for not having lost any weight.

I used to stand in first position (ballet) and check my belly, my waist and shoulders from the back and side. Eventually I started measuring my waist multiple times a day because in my mind the weighing scales just didn’t show “progress” quite as well. I was in the depth of my eating disorder. Regardless of which eating disorder I was engaged with the same insecurities prevailed; the same poses regardless of how much weight I lost, didn’t lose or gained.

I will never get those hours back. For a long time, part of recovering from an eating disorder is removing triggers from the home: bread, cereal, weighing scales, mirrors, or whatever it is that you struggle with in particular. I only just recently graduated to getting a full length mirror again. I found it helpful in the process of learning to not obsess over my reflection and body shape or size to not have one. With just a head sized bathroom cabinet mirror to check for toothpaste, mascara smudges and whether I could push it another day without washing my hair. I’d consider these the basics. Now I have a full length mirror that I briefly check my overall outfit in sometimes. No belly checks. No shoulder blade analyses. No standing in first position and taking measurements.

I may have gained weight and realising just how much no one gives a fuck is brilliantly liberating. Sometimes now when I’m watching TV, or sat on the bed idle I actually like to rest my hands on my belly. Sometimes it pokes out from under my top in front of my friends and I’m not embarrassed anymore; it’s my belly and I’m healthy. It doesn’t mean anything more or less than that. It doesn’t need to be toned or trimmed or flattened. Sometimes it’s quite comforting to poke and prod my belly whilst sat around. I have no idea why or what exactly caused this seismic shift in mentality, but I’m quite affectionate of my belly and if I see it jiggling in a video it doesn’t upset me like it used to.

 

See here, I am having the time of my life running through ridiculously deep autumn leaves. My belly is jiggling. Yes I noticed it. I’d be lying if I said I didn’t but look at that smile; that is more important to me.

Using my body to feel good and strong is more important to me. Wearing clothes that are comfortable and I feel nice in is important to me but the size label in them isn’t. I am proud of my recovery from my eating disorder. It was one of the hardest battles of my life and an experience I will never forget. This experience fuels my passion for nutrition, health and empowering others to make peace with their bodies and food. Soon, my belly and me are going to start training to be a Beat online mentor.

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There’s serendipity in this. Maybe all those hours I spent body checking, weighing and measuring myself wasn’t a ginormous waste of time. Something good can come from this in relation to my purpose on this earth; from that experience I have gained a passion, a purpose and a drive to help others. I feel that this is finally going to start happening in real terms with this volunteering opportunity and I’m really proud of that, perhaps more proud of that than my little belly.

 

How Gratitude Can Help Improve Body Dissatisfaction

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The power of practicing gratitude has the potential to be something quite incredible. Culturally in the West we are conditioned almost to always want for more, or with our bodies ironically we want for less. Less waist, less weight, less is more when it comes to beauty and looking good, or so we are told. We are primed to be perpetually discontented, dissatisfied and looking to others who always seem to have more of whatever it is we want: friends, tech, clothing or, ticking more beauty standard ideals with their appearance.

Like any other skill in our tool box of tricks to get us through our days reasonably content and in one piece, it takes a bit of practice in order to change our thinking patterns. The good news is that it can be done and that it can be an effective tool to develop a healthier relationship with your body and body image.

In a study conducted by Armstrong State University, USA, gratitude and cognitive restructuring were compared for effectiveness in reducing body disatisfaction amongst college age females. The group studied had not sought clinical help for body disatisfaction and eating disordered related issues. The importance of body image and dissatisfaction is that the feelings we have towards ourselves often permeate other areas of our lives: body disatisfaction has been associated with depression (Jurasico, Perone & Timnko, 2011) and social anxiety (Cash, 2011) for example.

Cognitive restructuring is a CBT technique. CBT is an established treatment for many mental health and well-being complaints including: bulimia, anxiety, depression. SOURCE THIS. By comparing a gratitude based intervention to an established intervention such as cognitive restructuring, the effectiveness of each intervention on body dissatisfaction can be compared.

The strength of using gratitude based interventions for body dissatisfaction is that it increases appreciation for non-appearence based aspects of one’s self and life: gratitude interventions have been found to be causally related to improvements in intrapersonal and interpersonal aspects of well-being including: increased happiness, decreased depression, improved pro-social behaviour, decreased aggression, improved sleep and concentration (Watkins, 2014).

There does need to be more studies in order to confirm or dispute similar findings. However, with this in mind gratitude is a promising intervention for people experiencing body dissatisfaction without a clinical diagnosis of an eating disorder.

Gratitude works is by changing perspective on what is important in life and how and what we judge ourselves and ourl ives to be worthwile. This study illustrates the potential effectiveness that can be had from introducing and working on gratitude in order to improve well being and happiness.

With this. Line of thought fresh in my mind, and my own practicing of gratitude lately I will be exploring some personal experiences of gratitude and how practicing gratitude has helped me alter my automatic thought patterns over time. As a disclaimer I am not suggesting gratitude is a cure-all, but more of a handy tool to help contribute to a changing way of relating to the world around us.


References:

Cash, T. F. (2011). Cognitive behavioural perspectives on body image. In T. F. Cash, & L. Smolak (Eds.), Body Image, A Handbook of science, practice and prevention (2nd ed., pp. 39-47). New York, NY: Guilford Press

Juarasico, A. S., Perone, J., & Timko, C. A. (2011) Moderators of the relationship between body image dissatisfaction and disordered eating. Eating Disorders, 19, 346-354. doi: 10.1080/10640266.2011.584811

Watkins, P. C. (2014). Gratitude and the good life: Toward a psychology of appreciation. New York, NY: Springer Science

Wendy, L. Wolfe & Kaitlyn Patterson (2017) Cpmparison of a gratitude-based and cognitive restructuring intervention for body disatissfaction and dysfunctional eating behaviour in college women, Eating Disorders, 25:4, 330-334, DOI: https://doi.org/10.1080.10640266.2017.1279908

Dumping “Body Image” in Return for “Body Love”

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Diet culture is everywhere. It is pretty difficult to avoid, especially when dental adverts are colluding success rates with weight loss rates, and big influencers like Kim Kardashian are partnering with companies like Flat Tummy Co. to promote appetite suppressing products to their hoards of followers. It is difficult to believe that being in a body that doesn’t fit the beauty ideal of slim, toned and strong is OK. It’s hard to believe that you too are an acceptable body or that you can run a marathon.

Bryony Gordon and Jayda Seza ran the marathon this year in their underwear to show that runner’s bodies come in many different shapes and sizes. Being a different size to the bountifully pushed ideal does not mean you can’t enjoy physical activity, that you can’t be strong and most of all that you can’t be healthy. There are so many brilliant body positivity activists now showcasing that you can be “bigger” and healthy. There is a wave of activists fighting back against the body fascism and fat phobia in the name of “health”.

Since recovering from my eating disorder admittedly with a helping push from my meds increasing my weight in a way that was out of my control, I learned to relinquish any form of “control” over my body. I knew this time around on Quetiapine that it worked for me, but for it to keep on working for me I had to stay on it. Without it I relapse, plain and simple. A toss-up occurred between keeping a sense of control over my “recovered” weight and remaining mentally unwell, or relinquishing such control and giving the Quetiapine a real chance to work in the longer term. This was a very scary time for me. I have spent a decade of my life at war with my body, trying to control it and living in the safety confines of my eating disorder. Suddenly, recovery took a whole new turn – I wasn’t only maintaining a “healthy” weight, I was letting this medication cause havoc with my appetite and metabolism. If I had any hope of maintaining some stability with my moods though, this was it. Having tried most other medications suitable for my illness that this was the one that worked if I let it – and by let it I mean staying on it regardless of the weight gain. I made the only decision I could if I wanted to really start building any sort of future for myself. I stayed on the medication.

I learned a lot during this time. I learned that being well in a bigger body was definitely the right decision. My fitness journey into running, climbing and falling in love with movement, in addition to my studies in anatomy and physiology have caused a complete dimensional shift, and ultimately an entirely different view for me, on what body image is.

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Although I am no longer a skinny, my stomach has an extra padding of fat as opposed to the almost concave structure of previous years, and my thighs touch for the first time in my life. I have boobs, which are great although still slight, and it is easier to catch myself at an angle wherein which I have a double chin on show. I can shake my arms, and they wibble a little, and I have speckled cellulite over my thighs and bum when I tense. Speaking of which, I still have absolutely no bum. I need a larger size of clothes than I ever have previously yet still, no bum, and you know what? I am the most comfortable I have ever been with my body.

Yes, it looks a certain way in pictures and mirrors – but really, my body is not a picture. My body was not made solely to look a certain way. My body was made to function, to breathe, contract, relax, move, jump, run and skip for joy. My body lets me enjoy the senses of living be they the smell of fresh bread or dog shit on my shoe. My body brings me enjoyment in food, and digests it pretty well as energy in order to continue functioning as the amazing, complex piece of biological machinery that I am. Not only do I function, but my body allows for me to have a mind and a conscience. My body allows for emotions, and it fights diseases so I can still keep on enjoying experiences and living healthily. My body is not a picture. My body is so much more than that.

The sum of all this? I value my body more for what it can do, where it can take me, and the experiences it can give me. I’m no longer so hung up or concerned with looking a particular way, but more in doing particular things. Sure sometimes I have a momentary dip in confidence, sometimes I catch myself iterating diet culture messages of too much, need to lose weight, pain is gain and all that tom fuckery – but my choice in responding is to try to check in with myself when I notice these thoughts cropping up. I remind myself I am more than my mirror image and always will be.

I want to climb walls, and climb them better. I want to gain strength and resilience, and run all these races that I’ve signed up for. I want to dance, and move, and shake and enjoy what my body makes achievable for me every single day. I want to celebrate my strengths, and work on enjoying my body in more ways than I can possibly imagine. I can eat wonderful foods thanks to my body. I can conquer feats I never before thought would be possible for me like The London Marathon. I can have sex and enjoy all the sensations that brings. I can get myself around every day, and my legs do a fucking fantastic job of getting me around London on my bike. My arms do a great job at allowing me to do all the things I enjoy:  writing, reading, playing the ukulele really badly, climbing, eating, drinking, and in a hap hazardous way they contribute to my atrocious list of dance moves that I like to bust out when the party’s right. My eyes, they let me see all these beautiful sights that make me thankful to see everything I can: nature, skylines, sunrises and tropical storms. I can smell the warmth of the rain, and the freshness of cut grass and fresh coffee. The complexity of these joys cannot be captured in a photo or a mirror. Life is richer than that and so am I, and so are you.

My awkward smile may hint at the joys I have been experiencing, and my over excited crazy photos may capture a moment, but how my body looks, fuck that. It’s not important. I am healthy. I am capable, and I am taking advantage of those biological wonders that nature has blessed me with. So it no longer matters that I don’t fit into my skinny jeans, and it no longer matters that my arms aren’t spindly spaghetti features. My face is no longer structured by emaciation and malnourishment, and my waist is no longer so tiny it’s to die for, quite literally. My body is giving me life, and it is up to me to capture and cherish that fact.

So for as far as my body image goes, it’s not about image; it’s about sensations, feelings, experiences and love. Instead I will say that my body image is largely irrelevant but my body love is engaging with a pattern of exponential growth.

So there it is. I fucking love my body – and I bet yours is pretty darn fabulous too regardless of how it looks.

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