{"id":6578,"date":"2009-02-05T16:35:15","date_gmt":"2009-02-05T23:55:03","guid":{"rendered":"http:\/\/www.amptoons.com\/blog\/?p=6578"},"modified":"2009-02-05T16:35:15","modified_gmt":"2009-02-05T23:55:03","slug":"should-a-59-160-lb-woman-want-to-lose-35-pounds","status":"publish","type":"post","link":"https:\/\/amptoons.com\/blog\/?p=6578","title":{"rendered":"Should a 5&#039;9&quot;, 160 lb woman want to lose 35 pounds?"},"content":{"rendered":"<p><a href=\"https:\/\/amptoons.com\/blog\/wp-content\/uploads\/2009\/02\/carol_lay_art.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.amptoons.com\/blog\/wp-content\/uploads\/2009\/02\/carol_lay_art-500x315.jpg\" alt=\"\" title=\"carol_lay_art\" width=\"500\" height=\"315\" class=\"aligncenter size-medium wp-image-6579\" \/><\/a><\/p>\n<p>I&#8217;m a longtime fan of Carol Lay&#8217;s cartoons, so when I saw a big new graphic novel by her at Powell&#8217;s, I was thrilled. I picked up Lay&#8217;s book and read a caption &#8212; &#8220;the ultimate anti-diet book&#8221; &#8212; and thought &#8220;yay!&#8221;<\/p>\n<p>Imagine my disappointment to discover that the ultimate anti-diet book is just <a href=\"http:\/\/www.thebigskinnybook.com\/\">another goddamn exploitative diet book<\/a>.<\/p>\n<p>After reading the sample chapter on Amazon (<a href=\"http:\/\/g-ecx.images-amazon.com\/images\/G\/01\/randoEMS\/BigSkinny_sample.pdf\">pdf link<\/a>), I slipped from being unhappy to being horrified. Carol Lay is 5 feet nine inches, and she says her weight stabilized around 160 pounds. By combining regular exercise with a very strict calorie-counting program, she&#8217;s been able to maintain her goal weight of 125 pounds for the last six or seven years.<\/p>\n<p>I&#8217;m glad she&#8217;s happy. What pisses me off is that Lay claims this all has something to do with health. Maybe it does for her &#8212; every body is different &#8212; but there&#8217;s absolutely no evidence that a BMI of 24 (which is where Lay was at <em>before <\/em>she began dieting) is unhealthy. Even the official standards (which I consider to be nonsensical) consider a 24 BMI to be the upper limit of the &#8220;normal&#8221; or &#8220;healthy&#8221; weight category<\/p>\n<p>18.5, Lay&#8217;s new BMI, is the lower limit of the &#8220;normal&#8221; or &#8220;healthy&#8221; weight category. But if you pay attention to mortality charts, it&#8217;s actually a less healthy BMI than 24 &#8212; and in fact, less healthy than all &#8220;overweight&#8221; BMIs and most &#8220;obese&#8221; BMIs. You have to have a BMI of 40 or above &#8212; in Lay&#8217;s case, that means she&#8217;d have to weigh 270 pounds &#8212; to have a relative risk of death higher than that of a person with an 18.5 BMI.<\/p>\n<p>Here&#8217;s a table of some of the relative risks reported (it comes from a study published in the New England Journal of Medicine; ((Adams, K., et al., &#8220;Overweight, Obesity, and Mortality in a Large Prospective Cohort of Persons 50 to 71 Years Old.&#8221; <em>New England Journal of Medicine<\/em>, 2006. 355(8): p. 763-8.; I blogged about this study, and criticized it, <a href=\"http:\/\/www.amptoons.com\/blog\/archives\/2006\/09\/14\/will-being-a-few-pounds-overweight-kill-you\/\">here<\/a>.)) if you have trouble reading it, click on the image for a larger version):<\/p>\n<p><a href=\"http:\/\/www.amptoons.com\/blog\/wp-content\/uploads\/2006\/09\/rr_by_bmi_large.png\"><img decoding=\"async\" id=\"image2705\" src=\"http:\/\/www.amptoons.com\/blog\/wp-content\/uploads\/2006\/09\/rr_by_bmi.png\" alt=\"Relative Risk At Different Levels Of BMI For Men And Women And By Race\" \/><\/a><\/p>\n<p>The yellow column indicates the relative risk of death for &#8220;normal weight&#8221; people (the heaviest set of &#8220;normal&#8221; weight people are used as the baseline; all other risk ratios on this table are in comparison to those folks). The red outlines indicate the areas where the relative risk of death <em>is as low or lower<\/em> for &#8220;overweight&#8221; people as it is for &#8220;normal weight&#8221; people.<\/p>\n<p>My point isn&#8217;t to say that Carol Lay is going to die younger because she lost 35 pounds; there&#8217;s far more to health than BMI, and you can&#8217;t predict what&#8217;ll happen to a single individual based on an average for large groups. I certainly don&#8217;t want naturally thin people to freak out &#8212; if you&#8217;re meant to be thin, then it&#8217;s not unhealthy. My point is just that there is no reason at all to think that Lay is now <em>healthier <\/em>because she moved from borderline &#8220;overweight&#8221; to borderline &#8220;underweight.&#8221;<\/p>\n<p>Yet Lay refers to &#8220;health&#8221; to justify her weight loss.<\/p>\n<p>It&#8217;s not about health. It&#8217;s about pushing bodies to fit into an insane aesthetic that says that to be fleshy is to be bad.<\/p>\n<p>What makes it worse is that Lay lays (sorry) out a course of action for her readers to follow:<\/p>\n<blockquote><p>The stories and information in these pages may help you to find the courage to lose old habits and make new, healthy ones. Then maybe you, too [can lose weight].<\/p><\/blockquote>\n<p>But Lay has no idea if her diet plan will work for folks in general; study after study has shown that most people aren&#8217;t able to lose large amounts of weight over the long term. And the consequences of failing to keep off weight <a href=\"http:\/\/kateharding.net\/2009\/01\/27\/why-i-floss-but-dont-diet\/\">can be dire<\/a>, both mentally and physically. Just because Carol&#8217;s diet plan worked for Carol Lay doesn&#8217;t mean that it won&#8217;t <a href=\"http:\/\/kateharding.net\/2009\/02\/05\/exceptions-that-arent\/\">fail the vast majority of people<\/a>, like all diet plans do.<\/p>\n<p>The real problem here isn&#8217;t that Lay weighed a shocking 160 pounds. It&#8217;s that she&#8217;s been taught to hate herself at 160 pounds, and to describe herself as &#8220;zaftig&#8221; at 140 (a BMI of 21). It&#8217;s that a major book publisher thinks that a memoir which endorses self-hatred at 160 pounds, and starving down to the very borderline of underweight, is worth publishing not as a cautionary tale, but as a self-help manual.  It&#8217;s that our society has <a href=\"http:\/\/www.amptoons.com\/blog\/archives\/2008\/10\/07\/fat-monologue\/\">colonized our minds<\/a>. It&#8217;s the same insanity that has the press <a href=\"http:\/\/shakespearessister.blogspot.com\/2009\/01\/how-to-be-impossibly-beautiful.html\">criticizing Jessica Simpson for gaining eight pounds<\/a>.<\/p>\n<p>It&#8217;s not Lay&#8217;s fault that she thinks this way; she&#8217;s perpetuating the bullshit, but she perpetuates because of what&#8217;s been perpetuated upon her. But still&#8230; dammit. I really liked her cartoons.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I&#8217;m a longtime fan of Carol Lay&#8217;s cartoons, so when I saw a big new graphic novel by her at Powell&#8217;s, I was thrilled. I picked up Lay&#8217;s book and read a caption &#8212; &#8220;the ultimate anti-diet book&#8221; &#8212; and &hellip; <a href=\"https:\/\/amptoons.com\/blog\/?p=6578\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17,30],"tags":[],"class_list":["post-6578","post","type-post","status-publish","format-standard","hentry","category-cartooning-comics","category-fat-fat-and-more-fat"],"_links":{"self":[{"href":"https:\/\/amptoons.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/6578","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/amptoons.com\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/amptoons.com\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/amptoons.com\/blog\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/amptoons.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6578"}],"version-history":[{"count":0,"href":"https:\/\/amptoons.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/6578\/revisions"}],"wp:attachment":[{"href":"https:\/\/amptoons.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6578"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/amptoons.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6578"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/amptoons.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6578"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}