People with Covid-19 who are overweight or obese have an increased risk of serious complications and death. In the light of this evidence, the government has launched a plan to address obesity, framed as a way of preventing as many casualties in a second wave of the virus. Boris Johnsons own tummy was, supposedly, a driving factor.
It was a wake-up call for me, and I want it to be a wake-up call for the whole country, Johnson wrote in a Daily Express column. The facts are simple: extra weight puts extra pressure on our organs and makes it harder to treat heart disease, cancer and as we have found coronavirus. Measures include mandating calorie labelling on menus, ending discount deals on unhealthy food items, banning pre-watershed ads for junk food and expanding NHS weight-management services.
A Public Health England survey suggests that two-thirds of adults are overweight or obese. This is a serious problem that needs urgent attention. But if a second wave of coronavirus cases is expected this winter, is a few months really long enough to slim the countrys waistlines? Is this not, at minimum, a three-year objective? The governments woolly, dissonant messaging telling us to lose weight in the same week that weve been told to eat out more hasnt helped.
By positioning weight loss as a personal choice count your calories, avoid the cheap deals the government is building a bridge of string over a burning canyon. Psychologists have been writing for years about how obesity is not caused by a lack of willpower. Rather, its a product of emotional distress, poverty and inequality. What people can afford to eat, how much time they have to prepare food and how they eat are all measures of inequality.
When faced with an unhealthy environment, free will can feel like a fantasy. Every Conservative government since Margaret Thatcher has cultivated individualism over welfare, to the detriment of millions. Statistics show that 100,000 more children are living below the breadline than a year ago. Demand for NHS mental health services is increasing but, as a result of systematic cuts to trusts funding, so many people are in pain without anywhere to take it. The correlation between obesity, mental health issues and poverty is clear, yet attitudes towards people with obesity still hinge on a perceived lack of control: if youre big, youre greedy and unhealthy, and have no willpower.
When the message from above is that individual choices matter above all else, its unsurprising that we may view those who are bigger than us as occupying too much of our precious space. But that doesnt make fat-shaming right or productive. Increasing the stress and shame that a person with obesity feels whether thats from an interaction on public transport, a GP consultation or a public health campaign often leads to increased eating and decreased motivation to lose weight. This cycle of shame speaks to another body of evidence that is being wilfully overlooked: the correlation between obesity and trauma.
The major Adverse Childhood Experiences study found that more than 6 million obese and morbidly obese people are likely to have suffered physical, sexual and/or verbal abuse during their childhood. Millions more will point towards other types of childhood trauma as the cause of their weight issues: living with a mentally unwell family member, for instance, or an alcoholic parent. A considerable body of research now shows that PTSD is associated with an increased risk of women becoming obese. Still, we blame the individual especially if theyre a woman.
I never used to have strong views about obesity. That changed during a work placement for my psychology MSc with a clinical psychologist working with prospective weight-loss (bariatric) surgery patients. Her job was to assess whether individuals were emotionally equipped to deal with such a major transition and whether they would need more intensive psychological support.
I observed many assessments with patients whose BMI put them in the morbidly obese category. For many, being in that room with the psychologist was the first time they had disclosed historic trauma. I heard descriptions of childhoods spent in care, sexual abuse within family settings, emotional neglect and violence that will stay with me forever. Many patients had mental health issues that theyd only received patchy care for. I had never previously considered that there would be such a clear connection between historic trauma and unhealthy eating habits, but of course it makes sense.
In the adverse childhood experiences study, many participants said that overeating had benefits during their early lives. Binge-eating became a source of comfort and protection from sexual abuse. Another connection between childhood sexual abuse and obesity might be a desire to de-sexualise, gaining weight as a means of protecting against more abuse. Its clear that mistaking overeating for just an addiction overlooks the complexity of the problem. When food is used to manage emotional distress at an early age, undoing this conditioning as an adult becomes tricky.
Binge-eating, for instance, can be a compulsive but distressing feedback loop: a person may eat large amounts to feel better then, feeling disgusted with themselves for doing so, they may purge. The subconscious need to emotionally soothe with food in this way speaks of deep, unexplored shame and pain. Once that shame literally weighing the body down begins to be opened and accepted in a safe space, there is potential for learning how to re-route these destructive patterns.
Observing people talking about sexual abuse to a professional for the first time, I could see the visible relief they felt at being heard, but also the incredulity that their past experiences would be significant in this context. Remember, most of these women had a history of significant mental distress. Why werent they asked before about what had happened to them? Why havent they been helped to join the dots?
If we want to tackle obesity, we must think beyond individual choices, seeing the problem as one with structural, systemic roots. We need to think about what has happened to people, not focus on what is wrong with them or their choices. It seems unlikely that a political party whose policies have been the cause of such widespread distress will be capable of doing this.
Eleanor Morgan is author of Hormonal: A Conversation About Womens Bodies, Mental Health and Why We Need to Be Heard
- Food insecurity in the US increasingly linked to obesity - Medical News Today - September 28th, 2020
- U.S. Adult Obesity Rate Hits Highest Rate Ever Recorded - Club Industry - September 28th, 2020
- Mission: Readiness ties obesity to national security - News - Times Record - September 28th, 2020
- The Intersection Of Obesity, COVID-19, Social Justice And Mental Health - Club Industry - September 28th, 2020
- Experience of Polish Patients with Obesity in Contacts with Medical Pr | PPA - Dove Medical Press - September 28th, 2020
- Cleveland Clinic Study Identifies Weight-Loss Threshold for Cardiovascular and Survival Benefits in Patients with Obesity and Diabetes - Health... - September 28th, 2020
- Coronavirus pandemic could impact cancer rates and care in the future - WKTV - September 28th, 2020
- An obese heart is a silent risk - The Hippocratic Post - September 28th, 2020
- Nonalcoholic Fatty Liver Disease and Heart Failure: Is There a Connection? - Michigan Medicine - September 28th, 2020
- Should India adopt NOVA classification of food? - The Sunday Guardian - September 28th, 2020
- Obesity and the Bitter Pill of Truth - Medscape - September 23rd, 2020
- Obesity and COVID-19: A renewed call to address a growing crisis - World Bank Group - September 23rd, 2020
- Negative pressure wound therapy does not cut infection risk in obese women after cesarean delivery - National Institutes of Health - September 23rd, 2020
- Obesity linked to hospitalisation and ICUs for Covid-19 patients - The Irish Times - September 23rd, 2020
- New Research Shows Potential Utility of Growth Standards to Monitor Healthy Weight in Puppies and May Help Identify Puppies at Risk for Obesity -... - September 23rd, 2020
- SCOTUS, Sallys economic effects and obesity - AL.com - September 23rd, 2020
- Obesity can cause and be consequence of poor sleep - Westside Eagle Observer - September 23rd, 2020
- Health Education Week 2020: Opportunities and Advancements in Obesity Medicine - Medical Economics - September 23rd, 2020
- COVID-19 Recovery Analysis: Assisted Reproductive Technology Market | Increase in Rate of Infertility and Obesity-Related Cases to Boost the Market... - September 23rd, 2020
- Stephanie Yeboah: 'Obesity is a disgusting word... it's just used to scare people' - Telegraph.co.uk - September 23rd, 2020
- Diabetes, Obesity and other five risk factors that can lead to heart failure - India TV News - September 23rd, 2020
- Research finds out a new phenomenon of obesity with the multiple burden of malnutrition in India - Eastern Eye - September 23rd, 2020
- WHO launches guide to boost children's health and well-being in Russian-speaking countries - Russian Federation - ReliefWeb - September 23rd, 2020
- For teens with severe obesity, bariatric surgery works, but is rarely used. Experts say that needs to change - The Detroit News - September 20th, 2020
- Obesity associated with a higher risk for dementia, new study finds - National Institute on Aging - September 20th, 2020
- Your Health First: Top underlying health conditions in North Dakota? Obesity and Type 2 diabetes - KX NEWS - September 20th, 2020
- US adult obesity at highest level ever recorded; Arkansas and Oklahoma rank in top five - 5newsonline.com - September 20th, 2020
- Coronavirus science | Week in review: 'Long Covid', obesity, and will the virus become seasonal? - Health24 - September 20th, 2020
- Mediterranean diet helps offset the health impacts of obesity - Earth.com - September 20th, 2020
- Obese people 70% more at risk of severe COVID-19: Assocham - The Indian Express - September 20th, 2020
- Could interaction between Covid-19 and pre-existing bacteria explain severity in the obese? - Health24 - September 20th, 2020
- Despicable to blame Government for Covid-19 death rate given obesity, says Tory peer - Evening Standard - September 20th, 2020
- If a heavyweight is morbidly obese why is he also fit to box? - Boxing News Online - September 20th, 2020
- Cancer Is on the Rise Among Young People - Discover Magazine - September 20th, 2020
- Letters to the Editor: Sept. 20 - Canon City Daily Record - September 20th, 2020
- Good nutrition can contribute to keeping COVID-19 and other diseases away - Kiowa County Press - September 20th, 2020
- Why COVID-19 is more deadly in people with obesityeven if they're young - Science Magazine - September 8th, 2020
- Higher obesity rates appear to contribute to higher bankruptcy rates in the United States - PsyPost - September 8th, 2020
- Worldwide Non-Invasive Fat Reduction Industry to 2025 - Increasing Prevalence of Obesity Presents Opportunities - ResearchAndMarkets.com - Business... - September 8th, 2020
- New evidence testosterone therapy is effective obesity treatment in men - New Atlas - September 8th, 2020
- Obesity is tied to greater risk of complications from COVID-19 - WWLTV.com - September 8th, 2020
- Pregnancy, Obesity and Nutrition Initiative (PONI): FIGO releases new Supplement - International Federation of Gynecology and Obstetrics - September 7th, 2020
- High Pleural Pressure Prevents Alveolar Overdistension and Hemodynamic Collapse in ARDS with Class III Obesity. - Physician's Weekly - September 7th, 2020
- Global Intragastric Balloon Market (2019 to 2028) - Rise in Government Initiatives Regarding Obesity Presents Opportunities - ResearchAndMarkets.com -... - September 7th, 2020
- Drugs That Fight Diabetes and Obesity May Treat Covid-19 - Bloomberg - September 6th, 2020
- COVID-19 Patients With Obesity Have Higher Viral Load, for Longer - Medscape - September 6th, 2020
- Even half a glass of alcohol increases risk of obesity, study shows - Study Finds - September 6th, 2020
- America's Obesity Epidemic Threatens Effectiveness of Any COVID Vaccine - POZ - September 6th, 2020
- 'Fat-Shaming' Drops in US but UK Public Still Apportion Blame - Medscape - September 6th, 2020
- Calls for tougher regulation to fight obesity - Newsroom - September 6th, 2020
- Consumption of alcohol even in small amounts can result in obesity and metabolic syndrome, suggests study - Firstpost - September 6th, 2020
- World's richest countries grappling with children's reading and math skills, mental well-being and obesity - UNICEF - September 6th, 2020
- Definition of Chronic disease - MedicineNet - August 31st, 2020
- America's Move to Raise A Healthier Generation of Kids ... - August 31st, 2020
- Controlled obesity status: a rarely used concept, but with particular importance in the COVID-19 pandemic and beyond - DocWire News - August 31st, 2020
- Groningen University Hospital to investigate role of obesity in patients with COVID-19 - Innovation Origins - August 31st, 2020
- Obesity and COVID-19: How weight tips the scales to severe COVID-19 illness - The Stanford Daily - August 31st, 2020
- Study finds obese people at higher risk of COVID-19 complications - Times of India - August 31st, 2020
- Childhood obesity could increase the risk of multiple sclerosis in later life - The Conversation UK - August 31st, 2020
- Peter Rhodes on an Indian romance, the risks of obesity and standing up for nice things - expressandstar.com - August 31st, 2020
- Joint Pain Injections Market: Investments by key players is driving the global market - BioSpace - August 31st, 2020
- Why your doctor will not talk to you about obesity - The Standard - August 31st, 2020
- EDITORIAL: We haven't tackled obesity - and now it's proving our downfall - Bahamas Tribune - August 31st, 2020
- Taxes on non-essential foods wont prevent obesity but they will hurt poorer people - RT - August 31st, 2020
- Losing Weight Can Help You Avoid This Type of Cancer, Study Finds - MSN Money - August 31st, 2020
- Kids in these Gloucester areas are among the most likely in the UK to be obese - Gloucestershire Live - August 31st, 2020
- MIT Develops Synthetic Coating for the Gut That Could Block Glucose Absorption to Treat Diabetes & Obesity - SciTechDaily - August 31st, 2020
- How does the immune response affect inflammation in COVID-19 patients? - World Economic Forum - August 31st, 2020
- Individuals with obesity and COVID19: A global perspective on the epidemiology and biological relationships - Wiley - August 28th, 2020
- COVID-19: Science stories of the week, from reinfection to obesity - World Economic Forum - August 28th, 2020
- Weight loss in young adults with obesity may halve mortality risk - Medical News Today - August 28th, 2020
- Professor/Associate Professor in Medicine Obesity and Metabolism job with NORWEGIAN UNIVERSITY OF SCIENCE & TECHNOLOGY - NTNU | 223116 - Times... - August 28th, 2020
- Bariatric Surgery Reduces or Eliminates Need for Blood Pressure Medication in Patients With Obesity in New 3-Year Randomized Clinical Trial -... - August 28th, 2020
- Not All Vegetarian Diets Are Healthy for Those With Obesity - Science Times - August 28th, 2020
- Covid-19 impact on Weight Loss and Obesity Market New Trends, Growth, Outlook, Overview, Application and Forecast 2020 to 2025: Ajinomoto Co. Inc.,... - August 28th, 2020
- Global Market Study on Ineffective Esophageal Motility Treatment: Increasing Prevalence of GERD and Obesity to Propel Market Growth - GlobeNewswire - August 28th, 2020
- Ireland has ideal combination of leaders to tackle obesity crisis health expert - The Irish Times - August 28th, 2020
- Morbid Obesity Increases Risk of COVID-19 and Future Emerging Infectious Diseases - MedicalResearch.com - August 28th, 2020
- Obesity is the new malnutrition, parents warned ahead of UAE schools' reopening - Gulf News - August 28th, 2020
- Covid-19 impact on those who are obese should encourage better eating expert - The Irish Times - August 28th, 2020