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.

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.

Why Loving Your Reflection is Just Another Unrealistic Expectation

At face value the body positivity movement may seem like the perfect antidote to unrealistic body goals, the continuous merry-go-round of dieting and the perpetuation of thin ideals from the fashion, media, fitness, retail, and industry that uses models and their bodies to promote products and ideologies. The incessant nature is that although these images, which are often digitally manipualted, don’t cause eating disorders or disordered eating, they can instill unrealistic ideals upon which to focus on, whether you are male, female, trans, and not even preidpsosed to eating disordered behaviours. The vast majority of us don’t fit the eating disorder category, and I would argue that a lot of dieting practices that are normalised in magazines and on wellness websites are dancing on the very thin line between normal dieting behaviours and disordered eating behaviours.

Body positivity on social media has come in all shapes and sizes. Some people promote the message by getting into their underwear and shaking their bellies in front of the camera, all in a bid to help you feel better about your own belly. Some people spread the message by telling you that you are fabulous and perfect just the way you are. There’s a lot of work going into challenging societally ingrained fat phobia, which is great, however sometimes I can’t help but think that the message gets a little lost and mixed up at times.

There is a common misunderstanding that if you have ever had any body hang ups, which is going to be pretty much all of us, that learning to love yourself and your body is the perfect antidote. A key tool used in hating our bodies, our reflections, is a major focus in learning to love our bodies – or so you could be forgiven for thinking. What if you have spent years and years of your life thinking of yourself as actually abhorrent? What if you have hated yourself to the point where you have hurt yourself in some way to try and fix “it”, whatever “it” might be? This could be in the shape of a number of different ways: binge eating, purging, exercising as a form of punishment, skipping meals, fasting behaviours, self harm. This is by no means an exhaustive list.

The pressure to love your body is a tall order for anyone who has struggled with their body image. How about we turned learning to love yourself on its head? What if learning to love ourselves happened by not focusing on turning the tyranny of your relationship with your own reflection 180 degrees on its heel is not the best focus. Another idea that offers an antidote to body bashing it a hashtag circulating the realms of social media: #BodyNeutrality. Body neutrality removes the pressure of having to love your body to have achieved success in not hating yourself. It means instead that accepting your body and being relatively neutral about your body image instead of trying to love what you previously thought to be unlovable. It is less extreme, less demanding and in being as such, more realistic. The pressure to always be happy and smiley about yourself is removed, but so is the need to berate yourself unfairly. The pretence of loving your belly has been removed, so if you are having an off day you need not feel like a failure for wishing your belly would just shrink. Instead body neutrality means accepting the thought, and not letting yourself be mad enough to diet over it. It offers us a middle path in a world of extremes. I think this is in fact much more empowering and I’ll tell you why.

Illustration by TheNourishmentNinja

Body neutrality means not hating your body or parts of it. It means that off days when you do momentarily hate your self are ok, and instead of havign to U-turn that entirely, into loving yourself, you can instead be neutral. You don’t love your body, but you don’t hate it either. It is very much the mundane and very boring mid-ground of body image, that is in fact potentially much more empowering. You are no longer focusing on your reflaction, or how well you take a photograph from this angle vs that angle. In fact, the mirror plays such a minor role in your day to day value of yourself that you have so much more free headspace for embracing life beyond your body, your image and your looks. Think about it. If you are no longer so hooked up on trying to turn your reflected self hate into self love, the absolute antithesis to what you know, you instead have loads of energy to instead focus on life beyond the skin you’re in, you can hit a middle ground which is in fact much more conducive to living your life away from your looks, and with all of this free energy and head space think of all the burgeoning possibilities that await you: climbing a mountain, planning trips away in nature, learning s new skill or a language, swimming in some wild waters, and baking some beautiful cakes from your grandmother’s recipe and eating them!

Go and laugh until your belly hurts, then roll on the floor clutching your middle and laugh some more. Go and challenge yourself in a way that exercises your mind and character and therefore giving you some brilliant stories to tell for years to come. Laugh at yourself when you fall over, pull a goofy face and let people learn to love you for who you are: your quirks, your mannerisms, your little weirdo ways because really, focusing on our reflections remains a narrow view of the world, of our lives and of our worth, whether we are singing our praises or chastising our very existence.

Be brave. Cover your mirror up and see how you feel only using your reflection to check you’ve not got toothpaste all over your face before leaving the house. Be brave. The greatest empowerment is to free yourself from the suffoctaing restrictions of being hyper-concerned about things you cannot and can change, but maybe your efforts are best placed elsewhere. Of course take pride in your appearance if it makes you happy to wear some make up – but don’t let it define you or how you see yourself. Our bodies are merely a vehicle through which we live, and it is the most dull thing about us as people, and eventually, if you have the privilige of reaching old age, looks fade and bodies change – would you rather be the one who was a stunner when they were younger with nothing more to offer? Or the one with banging stories of adventures, mishaps and hilarity calamity renditions of a life lived beyond the mirror, a life lived not enslaved to learning to love a reflection.

 

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.

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