People who are happy with their weight experience fewer physically unhealthy or mentally healthy days, than those that want to lose weight.
Researchers at Columbia University Mailman School of Public Health have concluded that there is a direct correlation between people’s weight loss goals and the number of days they report being unhealthy. They suggest this indicates that pressure to lose weight and low body-esteem is a bigger contributing to mental and physical well-being than body mass index.
Apparently if you’re overweight but don’t give a toss, your health is better than that of people that want to lose even a small amount of weight. For example, if you weigh 180lb (81.8kg) and want to lose 1% of this weight i.e. 1.8lb or 818grams, you will be marginally less healthily than those who are happy with their weight.
However, if you set your sights on losing 10% of your current weight (18lb or 8.2kg) then over a period of a month you’re likely to report almost one extra day of feeling unhealthy compared to your body satisfied counterparts. Over a year it amounts to nearly 11 extra ‘unhealthy’ days.
Ramp it up to a goal to lose 20% of your current weight and the figures jump to an extra 4.3 days per month of reported feelings of being physically or mentally unwell. Extrapolate this over a year and you’re talking about feeling unhealthy on a whopping 51.6 days.
This all points to the need to making changes from the inside out, and to get away from measuring your self-worth as a function of your weight.
Too often I see people going through the emotional roller coaster of battling with the scales. Periods of restraint and feeling pleased with themselves, followed by periods of overindulgence and dealing with the resulting guilt and disappointment. This research suggests that the route to good health comes from loving your body now, rather than making that self-love conditional upon attaining your desired jeans size or weight goal.
“Our data suggest that some of the obesity epidemic may be partially attributable to social constructs that surround ideal body types,” said Peter Muennig, MD, MPH, Mailman School of Public Health assistant professor of Health Policy and Management. “Younger persons, Whites, and women are disproportionately affected by negative body image concerns, and these groups unduly suffer from BMI-associated morbidity and mortality.”
Approximately 66% of the more than 150,000 U.S. adults studied wanted to lose weight, and about 26% were satisfied with their current weight. With respect to BMI, 41% of normal weight people, 20% of overweight people, and 5% of obese people were happy with their weight. Older persons were also more likely to feel positively about their weight than were younger persons. However, in all models, perceived difference was a stronger predictor than was BMI of mentally and physically unhealthy days.
Researchers now conclude that the additional stress that people experience from negative body image is affecting their health. Body image (measured as desired weight loss) was a stronger predictor of poor health than body mass index (BMI). Or, put in simple terms it’s not how much you weigh that matters, it’s how you feel about your weight that influences your physical and emotional health. Not surprisingly, this was found to be more predictive of health in women than men, and in Whites than among African-Americans or Hispanics.
The paper, I Think Therefore I Am: Perceived Ideal Weight as a Determinant of Health, will be published in the March issue of the American Journal of Public Health.
