Fat studies researchers and activists aim to understand the dominant reference to fatness as pathological and as a health problem in its broader social, cultural, political and economic context. They argue that the medical terminology and logic both conceal and reinforce social power relations that underlie any definitions of ‘normal’ or ‘proper’ body sizes, as well as the corresponding social stereotypes and prejudices surrounding fat bodies (See, Wann, 2009). Researchers argue, for instance, that different factors, such as economic status, mediate the alleged correlation between fatness and ill health; that health should be viewed as a holistic concept that includes more elements than a person’s weight, such as general life style; and that the pressure to lose weight, and the measures that reinforce this pressure, are more damaging to health then fatness itself (Burgard 2009; Ernsberger 2009; Lyons 2009).
One study, for instance, compared two groups of fat women: one group was encouraged to diet and exercise, while the other was encouraged to eat a healthy diet, to listen to one’s bodily cues, to engage in fun activities and to participate in a fat acceptance group. After one year, the health of the second group improved significantly, e.g. their blood pressure and cholesterol levels decreased (although they did not lose any weight). The participants of the first group lost weight but did not improve their health to a significant extent. Most of them eventually regained the weight they initially lost (Farrell, 2011).
Historians and cultural critics, such as Amy Farrell (2011), Hillel Schwartz (1990) and Peter Sterns (1997), argue that the social rejection of fatness and the pressure to lose weight were connected to underlying social trends that characterized late modernity in the West. They also argue that the social rejection of fatness preceded and then became intertwined with explicit medicalization of fatness.
Fat people’s health is none of your business. You should not publicly dissect and analyze the risk factors presumably associated with fat, just as we (as a society) don’t target other social groups. If you really care about fat people’s health, you won’t take part in media humiliation and vilification of fat people, see, for instance, “Headless Fatties“.
If you are interested to learn more about the social stigma of fat and its’ implication, you should read UCLA Professor Abigail Saguy’s new book “What’s Wrong with Fat”. To see some of my published works on the subject, visit my page on Academia Edu or Google me on ScholarGoogle.
Burgard, D. (2009). “What Is “Health at Every Size?””. In: E. Rothblum and S. Solovay (Eds.), The Fat Studies Reader (pp. 41-53). New York & London: New York University Press.
Ernsberger, P. (2009). Does social class explain the connection between weight and
health? In E. Rothblum and S. Solovay (Eds.), The fat studies reader (pp. 25–36). New York, NY & London, England: New York University Press.
Ferrall, Amy E. (2011). Fat shame: Stigma and the fat body in American culture. New York: New York University Press.
Lyons, P. (2009). Prescription for harm. In: E. Rothblum and S. Solovay (Eds.), The Fat Studies Reader (pp. 75-88). New York & London: New York University Press.
Schwartz, Hillel. Never satisfied: A cultural history of diets, fantasies, and fat. Free Press, 1986.
Stearns, P. (2002). Fat History: Bodies and Beauty in the Modern West. NYU Press: NY.
Wann, M .(2009). Fat Studies- an Invitation for a Revolution. In: E. Rothblum and S. Solovay (Eds.), The Fat Studies Reader (pp. xi-xxvi). New York & London: New York University Press.