Random musing's on Weight Watcher's decision to allow teens to join with parental consent.
So far NO intervention to make larger bodies smaller has been proven to work, short of weight loss surgery. Some have better results than others, BUT the ones that do are the ones aimed at younger children and their families, NOT at teens.
We live in an environment that facilitates anyone who is going to be prone to weight gain gaining weight, with the predictable results of some will gain more some will gain a lot more, some will gain less, and some will not gain. This environment is mainly controlled by commercial enterprises, there is not much government intervention can do to help on that level, especially in the current climate of no-holds barred no regulation business is god in Trump-Ryan-Paul-McTurtle-Putin-Land (formerly known as the United States).
The interventions that work marginally are the family level ones, aimed at younger children. Of course, they are more cost and time intensive and are going to require support from all levels of society, something we are not going to get easily out of anyone. The idea of early intervention is to prevent the initial weight gain. By the time kids get to elementary school, it's too late, so the intervention point is parents of young children.
Here's the raw deal: aside surgery, pretty much nothing works long term. Nothing. Not diet, not lifestyle changes, not the paltry meds we have to try. And even surgery is not a magic bullet. Living with weight issues is a nasty, miserable ride on a roller coaster, or to borrow a better analogy
running down the up escalator.
So what can we do? I think there are two prongs of approach, one for those of us already trying to get downstairs, and one for everyone else. Namely the teens who may be fat, but who haven't yet started on the race.
For us? Another Canadian obesity specialist, Yoni Freedhoff over at
Weighty Matters has the best approach:
The most important factor in sustaining your weight is not just tolerating, but actually liking your life and being both consistent, and, believe it or not, imperfect. Truly, your job in regard to both weight and health is to live the healthiest life that you can enjoy - in other words, to do your best. That said, it’s important to note that the best you can do over say, Christmas or a vacation, is very different than the best you can do during a plain, old, boring week, but that also doesn’t mean you shouldn’t still be thinking about things. Given our modern day Willy Wonkian food environment, not paying attention, for many, leads to easy gains, and given it’s so much easier to gain than it is to lose, remaining thoughtful, but not blindly strict, and doing so consistently, is crucial. Putting this another way - the healthiest life you can enjoy still needs to include chocolate, but that amount of chocolate needs to be the smallest amount that you need in order to be happy, and that amount changes day by day.
(By the way, his book, _The Diet Fix_ is excellent.)
So for us? Find something that works, and stick with it, knowing that for many of us that elusive "I should weight 132lbs for my height and frame" is never going to happen, and that a happy, healthy, fit life at a higher weight is a better goal. Finding a diet, by which I mean a method of eating that allows one to restrict calories while eating foods we love and enjoy and that make us feel healthy, is essential, and that diet won't be the same for all of us. With that diet or method of eating found, the goal, I think, is Constant Vigilance! But it is a battle that we will not win, ever, at best we can come to an armed truce and that'll be a lot better than the raging war many of us fight. Note that I'm not saying give up and eat all the chocolate (though, hey, some may decide to do that, and that IS their prerogative.). I'm saying do what you can to be happy and healthy, and yes, you will probably be at a higher weight that you'd like, but if it is sustainable, and you can move and live, and eat etc? Happier in the long run.
And then there are the children and the teens who are already fat.
Again, remember, short of surgery, we have no proven, long term solutions.
I think for this population of -pretty much- diet virgins, the approach needs to be "First do no harm", and starting them on a diet, for most of them, IS going to do harm. These are the people that Weight Watchers would presumably be targetting with their teen program. And WW would be doing harm.
Because Oprah can spin it any way she wants, Weight Watchers IS about dieting and calorie restriction, and it's a program that I think is a good one for the people above, the ones already ON the roller coaster/escalator (even if FreeStyle did NOT work for me.) Even a program geared towards teens with more support for better nutrition is going to be sending a clear message: your body is wrong, and you need to change it. I mean, would they be allowed in the meetings, with their focus on how much weight we've lost? While I've found over the years that WW
leaders are more and more body positive,
members are often not.
Kids who are fat a) know it and b) need a totally different program than those of us on the escalator. Teach healthy eating and encourage exercise, without any focus at all on weight. Some will lose weight with that type of intervention. Some will not.
Some kids/young adults will eventually decide to attempt a weight loss diet, and it should be with the full knowledge of what they are doing, and with awareness that this diet may have lifelong consequences. I don't think teens can make that level of medical decision, and considering, I don't think parents have any right to make it for them either. I don't have research to back this up (to be honest, if it's been done, I've not seen it), but I personally think that we all have ONE good shot at losing weight: that first diet, if properly done and supported, can work with sustainable results. But I think its expectations, goals, and method need to be carefully evaluated, and I don't think Weight Watchers is the place for that for a teenager. They will need more support than a meeting can provide, perhaps the intervention and help of a clinician, and again, some guidance on realistic expectations. IOW I'm not sure parents or the teen who would be involved, would truly be made aware by Weight Watchers of the potential consequences of getting on the escalator, I'm not sure if true informed consent is possible under these conditions.
If Weight Watchers really wanted to intervene to help long term, I'd suggest community based classes for parents of young children. Again, preventing the initial weight gain. Also community based fitness centers and classes. Heck, if Oprah wanted to truly help: launch a line of exercise clothes for fat kids and women, at a reasonable price point (yes, Junonia is awesome, if you can afford it...), with choices of colour and pattern. Even better, have that line go from small to xx-whatever-x l with the same patterns and styles, and don't segregate it to the sad plus size back basement, so that all girls can go to the sports section at Target and WalMart and find
their size.
The other prong is antithetical to Weight Watchers itself: to work at lowering the level of fat hatred, fat prejudice, and fat phobia in society. As I think I said in a previous email, living healthy and fit in a body that carries a few extra pounds is better than constantly trying to attain that elusive lower weight with ever upwards spiraling results. Being able to do that without encountering scorn or contempt would mean a lot to many. Studies are showing that the stress felt by fat people because of the way we are treated is a large contributor to how fat people live and feel and act and, in the end, how healthy they are.
Yoswa, I think I wrote a tome. There is, alas, no quick tl;dr summary, read it or don't.