So what's the approach to this? Keep mum and never say anything? Use subtle ways to get them to cut down on caloric intake/exercise? Or just confront them and roll the dice. We all know medicine is stressful enough as it is. Asking for a friend.
I should have pointed out that while my approach was saying you could just focus on wanting to make healthful changes together, you need to be very, very careful with the approach "subtly getting them to cut/burn calories" because they'll probably see through that and not appreciate what you *are not* saying. This approach works better if the weight is so little they might truly think it's about your/combined health, say 5 lbs. Or it's a dude. Ime, when they've gained a lot and don't seem to know it, subtlety can go over their head. Which is good, but also bad. You may have to spell it out for them in order for interventions to stick.So what's the approach to this? Keep mum and never say anything? Use subtle ways to get them to cut down on caloric intake/exercise? Or just confront them and roll the dice. We all know medicine is stressful enough as it is. Asking for a friend.
I have seen things backfire hard when the brutally honest comment is “well, weight is a big deal because it’s a controllable factor in attraction between us, the same way showering daily and maintaining hygiene is also based on effort. Weight isn’t usually a predetermined trait like height or size of mammary glands. Calories in, calories out. You eating like a slob just shows you don’t respect me, yourself, or our relationship.”I also wanted to explain why you shouldn't say anything about any weight or gain within the medically normal weight zone, and only say something about an overweight weight (or concern for approaching that zone).
The reason is because you don't have any good fall back reasoning for doing so. You can't as easily make it about health and health habits. That isn't to say when people are a normal weight someone in a normal sized couple can't say they want to have healthier habits. But you can't really make it about weight when everyone is a medically normal weight.
If the physician thinks the weight is fine for health, then what leg do you have to stand on to criticize weight specifically?
You will not have health so clearly as your defense, and then they might rightfully conclude this is about appearance and beauty standards. As I hinted, the fallout from this is probably not worth not just learning to love your partner's healthy weight, and them just a few pounds heavier but still healthy.
So a normal weight zone should never bring up weight and make it about weight, only healthful habits. At the same time, again, if it is enough weight that it's basically impossible to dodge bringing up weight, focus still needs to be health.
If they're a medically normal weight but you're trying to head off problems with weight by focusing on healthful habits, you can say that. Definitely emphasize this isn't about weight because they're a normal weight, this is only about how even at a normal weight you'll be healthier and live longer together with better habits.
Also let them know even if they put on weight (or more weight) it wouldn't change how you feel about them, and they would still be attractive, but the concern would be health. Even if untrue.
Where these convos always go wrong is when you link weight and attractiveness. Some people might find it more motivating to lose weight knowing it affects how you see their attractiveness which is why people are often tempted to be "truthful" about this. I think the possible payoff (they take their weight more seriously and try to lose it better) is vastly outweighed by what is almost certain to happen (they are stuck at that weight and in the bed of knowing you find them less attractive).
Disagree completely with this and it is mathematically incorrect assuming OP is living in the United States. Statistically speaking every human living in the US is more likely to become overweight/obese than not during their lifetime.I think the odds are that this will sort itself out in due time anyway.
I hate this trope. I’m overweight. And I know that I am. But I don’t “eat like a slob”. Picture this, if you gain 3 lbs per year for 10 years, you’re 30 lbs over weight. Gaining 3 lbs per year is a lot less overeating than “eating like a slob”. If you ate like a slob you would rapidly balloon up to “my 600 lb life” size.I have seen things backfire hard when the brutally honest comment is “well, weight is a big deal because it’s a controllable factor in attraction between us, the same way showering daily and maintaining hygiene is also based on effort. Weight isn’t usually a predetermined trait like height or size of mammary glands. Calories in, calories out. You eating like a slob just shows you don’t respect me, yourself, or our relationship.”
You’re absolutely right. In any case I the kernel of truth is still there though. For the vast majority of people, weight gain is absolutely within their complete control. No one puts a gun to your head to eat.I hate this trope. I’m overweight. And I know that I am. But I don’t “eat like a slob”. Picture this, if you gain 3 lbs per year for 10 years, you’re 30 lbs over weight. Gaining 3 lbs per year is a lot less overeating than “eating like a slob”. If you ate like a slob you would rapidly balloon up to “my 600 lb life” size.
You’re assuming what is attractive to you is 100% universal. I promise my husband and I still have sex.If you love your partner so much, you should feel it is your responsibility to watch your diet and exercise regularly to stay attractive for the sake of the relationship. Love is never unconditional.
Oh yeah it’s in my control. Not arguing against that.You’re absolutely right. In any case I the kernel of truth is still there though. For the vast majority of people, weight gain is absolutely within their complete control. No one puts a gun to your head to eat.
But attraction is at least partly physical for most couples. I'm glad it's working out for your relationshipYou’re assuming what is attractive to you is 100% universal. I promise my husband and I still have sex.
I feel this sort of oversimplifies control of one's weight.If you love your partner so much, you should feel it is your responsibility to watch your diet and exercise regularly to stay attractive for the sake of the relationship. Love is never unconditional.
Weight gain/loss depends on a multide of factors but as everyone knows it comes down to calories in/calories out. You also have to factor in things like muscle mass raising RMR, type of calories (a plant-based diet will have you losing weight in no time; fried food and fast food historically drive weight up)...you get the picture. While "control" may not be the issue, weight loss itself is not so simple or no one would be overweight.You’re absolutely right. In any case I the kernel of truth is still there though. For the vast majority of people, weight gain is absolutely within their complete control. No one puts a gun to your head to eat.
I keep my husband on a very strict diet as such. It’s not a control thing as much as it is a care thing. He’s in his early 60s and was starting to get that common central adiposity which is a concerning characteristic. Now it’s better and he seems extremely happy.
Yes. He tried to diet and exercise himself. It didn’t work. I got his labs done to see what we were actually dealing with: blood sugar, cholesterol, etc. and then explained to him what he was up against at his age. He’s an engineer so he goes with the data. I gave him a two week trial period and he lost 12 lb. After that he refuses to do anything other than his strict diet and exercise. If I vary anything, he immediately wants to know the caloric impact and confirmation that it is within his diet parameters. He’s now about a year into the diet with no rebound weight gain and remarkable lab values.Did he readily accept this without any resistance?
That is wonderful!Yes. He tried to diet and exercise himself. It didn’t work. I got his labs done to see what we were actually dealing with: blood sugar, cholesterol, etc. and then explained to him what he was up against at his age. He’s an engineer so he goes with the data. I gave him a two week trial period and he lost 12 lb. After that he refuses to do anything other than his strict diet and exercise. If I vary anything, he immediately wants to know the caloric impact and confirmation that it is within his diet parameters. He’s now about a year into the diet with no rebound weight gain and remarkable lab values.
So, I’d say his resistance is solely focused on his old lifestyle.
There is periodic lipo for subcutaneous fat, but there’s no way he’d consider that...and the edema and visceral fat was what was bothering him and concerning me. So, once he saw good results on the diet, he was sold. Now he is very pleased with his sex appeal and constantly remarks about how young he looks. I told him it’s all perks of a robust healthy diet and exercise.That is wonderful!
On the other hand, what else can you do?
Wow, it says a lot that your husband went through all that for you. My boyfriend and I would never do something like that, but then again we tend to keep in shape.There is periodic lipo for subcutaneous fat, but there’s no way he’d consider that...and the edema and visceral fat was what was bothering him and concerning me. So, once he saw good results on the diet, he was sold. Now he is very pleased with his sex appeal and constantly remarks about how young he looks. I told him it’s all perks of a robust healthy diet and exercise.
I wish everyone could see that with basic care they can be the best version of themselves. Emotions sadly tend to get in the way, though.
Yes, you absolutely have to do something, the trick is doing it in a way you don't make the issue worse. Whether or not there is emotional problems or relationship problems behind the gain, weight is a very emotional problem for most, and so everything will hinge on the dynamic and the personalities involved and all that.A friend of mine and his wife are going through this. He ballooned up 50 lb over the five years since he married. She was completely disgusted and rejected touching, seeing him naked and sex. It destroyed him emotionally to the point he has no hope of dropping the excess weight. After talking with him about this some, it seems to me that his issues aren’t really about a passive neglect or eating like a slob so much as pleasure seeking: his marriage has been so bad from the start that the only “benes” he gets are from eating, his dog and riding his motorcycle...which motorcycle he just sold.
As far as myself, what I would do is look at whether you’re talking about a cosmetic degradation or a risky weight gain. If the weight is unnecessarily increasing CVD risk factors or metabolic syndrome, then there would have to be a serious “come to reality” talk. If it’s just cosmetic and it makes sex disgusting or divisive, a similar talk may be necessary. And if rejection or disgust at a developing bodily degradation or even simply talking about such degradation, which has a controllable or voluntary cause, is going to be an emotional problem/trigger for the partner gaining weight, there may be an indicator that the whole foundation of the problem is emotional and needs to be dealt with as such.
I keep my husband on a very strict diet as such. It’s not a control thing as much as it is a care thing. He’s in his early 60s and was starting to get that common central adiposity which is a concerning characteristic. Now it’s better and he seems extremely happy.
I think for both spouses’ sake you gotta be unafraid to address potentially divisive problems to prevent the problems from becoming reality.
All the best, OP, this can be really difficult emotionally.
I'm currently 3 months pregnant and reflecting on all of this. Knowing what I know about weight and metabolism and how eating habits usually kept for life are formed, all I can tell you is it's a huge responsibility and a lot needs to be done a certain way to give someone the best chance of healthful eating habits out of the gate.
Thank you!Congratulations on your new life. That is a tremendous responsibility. It is so refreshing to hear that a person has consideration for her future children amongst all the Mountain Dew and pizza moms.
I commend you for all the time you take preparing to raise your child to eat healthy food. Research has shown that when children grow up eating healthy, they crave unhealthy food less often. And prevention works better than treatment for prevailing diseases like obesity, heart dz, high BP etc.Thank you!
It also really makes you aware of the role society plays and how challenging that makes it to control things for your child. While adults can control things in theory for themselves, all around it makes you appreciate how hard it is to deal with influences.
It's no wonder that many families with less education, time, money, and existing bad habits from family of origin, develop such atrocious habits and find change difficult.
This is very much a public health issue. Corporate entities are allowed to present a deformed or tainted diet to the unwashed masses that is basically slow poison. The enhanced flavors, shelf-stabilizing treatments, and super cheap prices just encourage people to degrade their bodies for the sake of fleeting pleasure. I honestly do not know what the point of public schooling is if they’re not rooting out public issues like dietary problems that are perpetuated by unscrupulous corporate greed or ignorant and uncaring parents.It's no wonder that many families with less education, time, money, and existing bad habits from family of origin, develop such atrocious habits and find change difficult.
It's interesting what you said about the fleeting pleasure thing. Made me think of this NYT article which is one of the best things I've read about procrastination in a while. I think a lot of what they describe is also at work in how people approach food as well.This is very much a public health issue. Corporate entities are allowed to present a deformed or tainted diet to the unwashed masses that is basically slow poison. The enhanced flavors, shelf-stabilizing treatments, and super cheap prices just encourage people to degrade their bodies for the sake of fleeting pleasure. I honestly do not know what the point of public schooling is if they’re not rooting out public issues like dietary problems that are perpetuated by unscrupulous corporate greed or ignorant and uncaring parents.
One of my nephews is an example of what I’m talking about. In 2019 (7 y o) he was thin and active. Through 2020 to now he has really softened and become of a concerning bodily shape. Last time I talked to him on FaceTime he stated that he did not exercise because he was afraid of pain. I mentioned these things to his mother two weeks ago and she became very angry that I would call her son fat. And he is fat; no less love there, but he has become double-chin, rotund abdomen, knock-knee fat. Fast forward to now: she called me literally minutes ago to tell me that she has put her son on a diet because she is concerned that he’s manifesting signs of insulin resistance. She knew I was right, and I wasn’t trying to be cruel and call her out, simply prod her to admit he needed attention and for her to take action. She started work at a new hospital in Dec 2019...and then COVID happened. I get it. But she also has a prior responsibility to her son.
Just having a laugh about the ab roller. Good luck with that one.I have gained about 30 pounds since my wife and have been together. She actually likes it. I plan to get it down as I want to be more healthy and active for my young kids that are starting to be more active. She understands why I want to lose the weight. Now a harder question is how to get her to lose baby gut from having kids. She is very small so even a small pudge looks like a fairly large beer gut. Would an ab roller be not so subtle? lol
Just having a laugh about the ab roller. Good luck with that one.
Cool cliches again. Every overweight person ever is overweight because they “lose all discipline at the buffet line” 🙄🙄🙄🙄Weight gain in a relationship is HUGE, pun intended.
This is a massive dealbreaker for many people and if you plan on letting yourself go and losing all discipline at the buffet line, you need to check your level of self awareness and commitment to personal betterment.
I think everyone needs a lifelong commitment to being healthy in marriage or else there will be issues down the road.
I love losing it at the buffet line. 😂😂. Well…ok…the salad bar. It always makes my husband say, “I am definitely not getting my money’s worth.” 😂😂💰.Cool cliches again. Every overweight person ever is overweight because they “lose all discipline at the buffet line” 🙄🙄🙄🙄
People are already starting to take aim at this with things like working (standing) desks, bikes that allow you to charge your computer with the energy you generate from cycling, etc. There has been literature published about how making lifestyle changes is going to require some sort of sea change, with all of the electronics that we have these days keeping us sedentary.With what I've recently been reading about carbs, insulin, etc, and thinking more about traditional diets (think ancient tribes), I'm starting to think that for some, being thin in a society like ours might be next to impossible. And almost cruel to expect people to suffer the amount of hunger or foods avoidance and the effect on socializing, that they might have to do in this society to be thin. Especially when you factor in the difference in lifestyle with work and exercise compared to our evolution.
It would be like quitting smoking cigarettes while 9/10 people around you puff away 24/7 everywhere and indoors. Not technically impossible but so very difficult you just don't see it happening often.
I'm not saying this to say people can't eat healthier and expect to not be morbidly obese. But to be overweight? Like say 15-20 lbs. Depending on your genetics, it might ridiculously easy to be at that point, and it might be impossible for people to be otherwise without like going to live with one of these tribes and spend all their time on traditional subsistence activities.
And every overweight person doesnt have an organic medical reason for excessive fat storage so what is your point? On par who is more right? What is the percent of the population with Cushing's, thyroid dysfunction or secondary weight gain from iatrogenic sources? 3%? So 97% of the time I am correct. 😉Cool cliches again. Every overweight person ever is overweight because they “lose all discipline at the buffet line” 🙄🙄🙄🙄
I agree with you; our society has an obesity problem. Obesity itself is a disease, which you don't seem to recognize.And every overweight person doesnt have an organic medical reason for excessive fat storage so what is your point? On par who is more right? What is the percent of the population with Cushing's, thyroid dysfunction or secondary weight gain from iatrogenic sources? 3%? So 97% of the time I am correct. 😉
Stop making excuses for a lack of self-discipline, if everyone stopped their excuse train we would move closer to a Utopian society.
Im not saying I have 6-pack abs, I dont BUT I tell myself everyday when I wake up I will do better than the day before. But its really easy to give up, I definitely get that.
Prioritize your health and well being, heal thyself.
There is no fancy diet you need to follow and humans are built to be able to fast for days even weeks. Just stop eating.
Obesity is not a disease anymore than excessive porn watching, 12 hours a day of video games, boozing up everyday, smoking out all the time or doing cocaine and heroine.I agree with you; our society has an obesity problem. Obesity itself is a disease, which you don't seem to recognize.
Your "just stop eating" plan is not viable long term. Just think of the Nazis.
ObesityObesity is not a disease anymore than excessive porn watching, 12 hours a day of video games, boozing up everyday, smoking out all the time or doing cocaine and heroine.
If the medical community stopped pathologizing lazy human behavior, we might actually make progress.
Do intermittent fasting, start with 12 hours move to 18-20 hrs/day. Its non-restrictive and utterly universal. It works with vegans, carnivores, picky eaters, models, athletes and even fat med students and residents.
Also anytime someone mentions "Nazis" in a post, that is lazy too. Stop being lazy, stop being deficient, stop blaming your failure on society at large and start wanting better for yourself.
There is only one path and that path is hard, not easy.
You're just flat out wrong if you don't understand how addictions are diseases. Some of the behaviors you listed might not rise to the level of addiction, but many probably would. Not all overeating is based on addiction. But seeing how little you seem to understand how the brain works with these issues, your opinion on weight loss or these diseases is next to useless.Obesity is not a disease anymore than excessive porn watching, 12 hours a day of video games, boozing up everyday, smoking out all the time or doing cocaine and heroine.
If the medical community stopped pathologizing lazy human behavior, we might actually make progress.
Do intermittent fasting, start with 12 hours move to 18-20 hrs/day. Its non-restrictive and utterly universal. It works with vegans, carnivores, picky eaters, models, athletes and even fat med students and residents.
Also anytime someone mentions "Nazis" in a post, that is lazy too. Stop being lazy, stop being deficient, stop blaming your failure on society at large and start wanting better for yourself.
There is only one path and that path is hard, not easy.
You're just flat out wrong if you don't understand how addictions are diseases. Some of the behaviors you listed might not rise to the level of addiction, but many probably would. Not all overeating is based on addiction. But seeing how little you seem to understand how the brain works with these issues, your opinion on weight loss or these diseases is next to useless.
The prevailing medical wisdom could be correct, and yet that wouldn't necessarily translate to success. See the many continued issues with the pandemic. It's not like we don't know how to stop so many people from getting hospitalized and aren't passing along the right word. Such is the effect of society on public health.First off listen: is the prevailing medical "wisdom" was correct in their understanding, then WE WOULD BE SUCCESSFULLY TREATING OBESITY. But the medical community isnt as people are getting more obese, the medical community is failing because they have placed puffing up self esteem of obese individuals over the reality of actually helping them.
Im not saying we need be cruel but we need to be honest.
But keep the ad hominem attacks going, I love this stuff.
Hide behind your computers and keyboards little posters🙂 Its very safe there.
The medical community is failing because its members presume an authority over people that they simply do not have. This has a discrediting effect upon the entire industry and leaves everyone on all sides disappointed after pt encounters. Medicoes have a tendency to attempt to overbear the will of their pts, rather than build up a trusting consultancy relationship and then offer an education.First off listen: is the prevailing medical "wisdom" was correct in their understanding, then WE WOULD BE SUCCESSFULLY TREATING OBESITY. But the medical community isnt as people are getting more obese, the medical community is failing because they have placed puffing up self esteem of obese individuals over the reality of actually helping them.
Im not saying we need be cruel but we need to be honest.
But keep the ad hominem attacks going, I love this stuff.
Hide behind your computers and keyboards little posters🙂 Its very safe there.
A big issue as well is that once you put on weight and your fat cells divide, you end up releasing more leptin over time, resulting in leptin resistance and increased baseline hunger. As one loses weight, these same cells decrease leptin production, but given the already leptin-resistant state of the body, hunger is enormously increased compared to baseline, and metabolism is also decreased as cells signal the body into survival mode. One may lose weight, but so long as the cells remain, misery and decreased metabolism will be a lifelong struggleWith what I've recently been reading about carbs, insulin, etc, and thinking more about traditional diets (think ancient tribes), I'm starting to think that for some, being thin in a society like ours might be next to impossible. And almost cruel to expect people to suffer the amount of hunger or foods avoidance and the effect on socializing, that they might have to do in this society to be thin. Especially when you factor in the difference in lifestyle with work and exercise compared to our evolution.
It would be like quitting smoking cigarettes while 9/10 people around you puff away 24/7 everywhere and indoors. Not technically impossible but so very difficult you just don't see it happening often.
I'm not saying this to say people can't eat healthier and expect to not be morbidly obese. But to be overweight? Like say 15-20 lbs. Depending on your genetics, it might ridiculously easy to be at that point, and it might be impossible for people to be otherwise without like going to live with one of these tribes and spend all their time on traditional subsistence activities.
A side topic, but easily one of the most impressive drugs (and NEJM drug trials) I’ve ever seen.GLP-1 agonists!