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Obesity is defined by the World Health Organization (WHO) as abnormal or excessive fat accumulation that may impair health. The American Medical Association (AMA) declared obesity to be a disease in 2013. As a result, increased research and funding are being directed towards obesity drugs, surgery, and counseling as well as for obesity-related diseases, such as type-2 diabetes and heart disease. Labeling obesity as a disease was also intended to decrease the stigma that comes from the widespread belief that obesity is just the outcome of excessive eating and not enough exercise. 

A new study – F as in Fat: How Obesity Threatens America’s Future 2013– from the Robert Wood Johnson Foundation and Trust for America’s Health has recommended that there also be increased attention and funding directed at such initiatives as:

  • Providing healthier food choices in schools
  • Greater access to physical activity for children and adults 
  • Having restaurants post caloric information on their menus
  • Food and beverage companies marketing only healthy choices to children
  • A greater investment in health and the prevention of disease 
  • Increased availability of healthy and affordable food choices for all

Body Mass Index (BMI) is currently the common measurement for obesity. It is calculated as a person’s weight in kilograms divided by the square of their height in meters. This is a crude and misleading measurement at best as it defines the consequences of obesity rather than its causes. BMI is intended to indicate whether someone’s body weight is normal or not as follows:

  • If your BMI is less than 18.5, it falls within the underweight range.
  • If your BMI is 18.5 to <25, it falls within the normal.
  • If your BMI is 25.0 to <30, it falls within the overweight range.
  • If your BMI is 30.0 or higher, it falls within the obese range.

What is commonly referred to as morbid obesity is a BMI of over 40.0.  Thirty years ago, 1.4% of Americans were morbidly obese, compared to 6.3% today – a rise of 350%.

The United States now has the second highest national level of obesity according to a report by the United Nations Food and Agricultural Organization. In that report, published in July 2013, Mexico’s adult obesity rate of 32.8% was just above America’s 31.8%. Why are so many Americans obese? 

Obesity is a chronic disease affecting 95 million Americans – that’s one in three of us. That’s more than three times the number of adults with diabetes. Yet, there remains difficulty in accurately defining the condition, its root causes, and the many ways that it affects our lives. It is not merely a physical manifestation but can be a debilitating social and emotional challenge as well. There is a pervasive misconception that a person is obese solely because they eat too much and exercise too little. In reality the situation is much more complex than that. Aside from genetic and individual variations in our body’s ability to metabolize food, surely our culture and the food industry play significant parts as well.

When we look at obesity within the context of our social and cultural norms, several relevant observations can be made:

  • Food manufacturers give a greater priority to pleasing our palate than to fueling our bodies. Grocery store shelves and marketing campaigns are filled with foods loaded with sugar, salt, fat, and carbohydrates.
  • Snack foods and desserts have become our go-to foods for parties and celebrations, “treating ourselves,” and pushing down negative feelings.
  • Restaurant portion sizes are typically much larger than what is considered to be a healthy serving.
  • While the diet industry offers all sorts of diet programs, none have proven to result in long-term success for the obese. The average estimate is that 95% of diets fail.
  • We have learned to choose fast foods rather than living at a pace that allows time to prepare and eat more nutritious meals.
  • Those who are obese find it difficult not only to fit into restaurant booths and airplane seats but to be socially and professionally accepted on a par with the non-obese as well. 

Notice how you think about and behave towards obese people. Where judgment comes naturally, try compassion. It’s not easy being fat in a world that caters to the thin. Help break the stigma of obesity by recognizing that there are many contributing factors beyond a simple equation of calories in and out.

In Part Two, I will share my personal journey through the world of obesity and how I found the answers that work for me.

Are you self-conscious in a bathing suit? Join the club. It can help to remember that you are not alone. Bathing suits are funny things. At home, you see yourself naked. You know what you look like.  Do you stand in front of the mirror and judge yourself?  Or are you able to love the body you are in including its imperfections?

For most of us wearing a bathing suit is as close to naked as we get in public. What parts of your body do you try to hide? Why? How do you feel about those parts of your body? What are you afraid other people are thinking when they see you in your bathing suit? Do you think everyone is looking at you and judging you? Are these reactions simply a projection of what you do at home in front of the mirror?

I have avoided bathing suits for most of my life. As one who has gained and lost over 100 pounds four times in my life, I am well-versed in the bathing suit blues. If you were to meet me today, I would look like a normal-sized person to you. But when I put a bathing suit on, you can see that my skin did not shrink along with my pounds. I have wobbly, striated thighs that I cannot hide in a bathing suit. What to do? There is only one way to liberate myself from the tyranny of other people’s opinions of me and my dancing thighs, and that is to stop giving my power away to the opinion of others. Here are some things I am doing that are successfully reducing my bathing suit body blues:

  • By spending more time at a local lake, I am noticing that the majority of people there will never be bathing suit models either. I also notice that everyone doesn’t turn and look at me in horror. They are all busy doing their thing, and I am just another “normal” body on the beach.
  • I notice that many of the people who are not bathing beauties behave as though they are comfortable in their bodies. Also, some people who look really good seem to be obsessed with or uncomfortable about their bodies. In other words, there is not a direct correlation between looking bad and feeling bad. 
  • I remind myself that my striated thighs are simply a byproduct of my successful weight loss which I have figured out how to maintain. I see them through new eyes when I reframe them as my war wounds from a lifelong struggle with obesity that I have finally figured out how to deal with.
  • The more time I spend in a bathing suit being just another body on the beach, the freer I become. Being in a bathing suit in public becomes normalized. My anxiety decreases as I engage in other activities rather than judging myself or worrying about what other people think of what I look like.
  • I practice noticing when I am obsessing about my body and choose to stop by focusing instead on being more loving and compassionate towards myself. 
  • I remind myself that I live in a society that has a powerful taboo against overweight bodies that has warped our sense of what is normal. Indeed, we come in all shapes and sizes. While we have been brainwashed to reject non-bathing beauty bodies, we have the option of consciously overriding our programming and expanding our comfort zone around different types of bodies. I give myself permission to be happy and free in the body I have rather than rejecting my body and feeling miserable. In other words, I shift my focus to having a more kind and loving relationship with myself.

Worrying about how other people feel about us diminishes our ability to thrive and feel good about ourselves. It puts us at the effect of their perceptions. Whether or not someone is pleased by how you look in a bathing suit doesn’t have to make you feel bad about yourself. Remember, opinions are like noses–everyone has one. So, let people think what they think and go about your business of having a good time. Free yourself of the tyranny of opinions. They belong to another person, not to you. As author and spiritual teacher Terry Cole-Whittaker said, “What you think of me is none of my business.” 

Next time you find yourself worrying about how you look in a bathing suit, do a reality check. In the moment you only have two choices: am I going to punish myself for not looking as good as I would like to or am I going to go out and have a good time with how my body is right now? 

For further insight into mastering the art of being you, read more here.  If you’re feeling social, I also provide daily wisdom and tidbits on my Instagram account. Give me a follow so we can thrive together!