Baffled by Numbers

Navigating information towards better health decisions

How much should you weigh? (Part 2)

Finally, someone tells you how much you should weigh

The previous posting established that too many messages urge you to be incredibly, unhealthily thin. Is there anyone out there who does not want you to constantly deprive yourself of necessary calories? Does anyone actually think you should feel good with your body and have enough energy to conduct your activities? Does anyone believe you should not think you are fat, because, at a BMI of a mere 20.5 (18.5 is the lowest limit, beyond which one is morbidly underweight) you wear a size Medium, which means you cannot squeeze into Small and Extra Small?

Yes, apparently there is. Two of them actually. One of them is Alice. The other one is - or should be - you. Go Ask Alice http://www.goaskalice.columbia.edu/ is Columbia University's outstanding health website. I fell in love with Alice when I read the answer to a question a girl posed, who used to be bulimic and now wanted to maintain a healthy body weight. What would that be? She asked, and how do you get there? Alice (or whoever writes the answers) did not reply with charts, magic diets, or an ideal figure description. Rather, she told the young woman to add new foods gradually, and, more importantly, she told her to trust herself. The right weight, Alice said, was weight you could sustain over a long period of time, while eating enough to be healthy and not be constantly bothered with food. Now isn't this better than giving a gold standard weight, so you can fret if the weight that is naturally right for you happens to be a pound over it?

Over 800 women who participated in a study I did told me that they thought of their weight at least once each day. Satisfaction with one's weight was rare, to the degree that these dietary ruminations were associated with negative emotions. Some of these women were overweight, others weren't, but weight was one of the worst things to think about. Worst than financial security and second only to politics and current events. Thus, is an era of plenty, we come to idolize deprivation, and drive people away from living at peace with their bodies. These women would have been better off had they Asked Alice.

Photography of a lady of a lady from St. Tropez who may have skipped dinner, by Hammutal Shatz, courtesy of M.P.H.S. media

skinny sexy St. Tropez lady



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Talya Miron-Shatz, Ph.D., is a researcher at Princeton University. She specializes in medical decision making of patients and health professionals.

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