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What is Health? Body Positive Vs. A Healthy Body - Embodied Wellness Radio | Episode 13

podcast May 09, 2021

Today I wanted to quickly talk about something that's had me perplexed for the past few days, and that's the recent Cosmopolitan magazine "This is Healthy" cover campaign.    The publication spotlighted 11 women who represent the so-called different "shapes and sizes" of "fitness", and shared the stories of "11 women who prove wellness isn't 'one size fits all."

Now first I want to begin by saying that I am fully onboard the body positive movement, as if you listened to our last podcast with fitness model Tessa Barresi, many of us who have come up in the fitness industry and shifted into the holistic health scene have had to deal with some pretty huge mental issues around our bodies, and in time have become comfortable finding a sustainable lifestyle and comfort with our bodies.  And in NO WAY am I body shaming, fat shaming, plus-size model shaming, or have biomarker evidence that the people featured on the covers are unhealthy or have a pre-existing disease (other than what I can make an educated guess on, based on the physical state of the many obese women featured)

I am concerned that moving forward, there's going to be a movement of people that default to unhealthy habits based on the justification that they're practicing "self-love", "body acceptance", "body positive" and so on.  It seems as if physical health is now becoming subjective, and less data drive, and I don't think articles like this are helping that.

Mental and spiritual health aside, I think the discussion we need to get some clarification on is what is "Body Positive", and what is "A healthy body", because I'm beginning to think there is a fine line between justified self-indulgence and true self-respect for ones body.

Today's topic is not meant to offend, trigger or make anyone upset, but I do hope that with some of the information I share it might be thought provoking enough to help you to form an educated opinion of your own!

First of all, what is the definition of health?

The Merriam Webster dictionary definition of health 1A. is "the condition of being sound in body, mind, or spirit, especially :freedom from physical disease or pain. 1B. "the general condition of the body"

The definition of obese is "having excessive body fat", "Having excessive body weight caused by the accumulation of fat; or extremely fat."

This isn't a very good definition however, as it doesn't give us any metrics to go off of.  So I moseyed on over to the CDC website, the Centres for Disease Control and Prevention.  They're way of defining obesity are done through, average height, bodyweight and Body Mass Index scores to create a better definition.  But even then at an individual level, BMI is not a diagnostic of the body fatness or the health of an individual, but merely a screening.  For instance, I am (Denon Maximchuk)  5'10 and about 195 pounds, therefore calculate to be in the 3rd category, overweight, even though I stay around 10% body fat year round. Interestingly, it also works the opposite way - which I didn't know until reading this 2013 study on the Natural Library of Medicine called Obesity and body fat classification in the metabolic syndrome: impact on cardiometabolic risk metabotype by Catherine M Philips and staff found that 87% of subjects classified as normal and overweight by BMI were obese according to their BF%, and all found elevated pro-inflammatory c-reative proteins and insulin resistance. *Shocker*.

A better way to determine obesity is through body fat percentage.  Keep in mind measuring your body fat percentage doesn't assess your risk metabolic disease, but can certainly paint a better picture of overall health. The reason body fat percentage testing is more measurable is because it takes into account  frame size, muscle mass, sex and age into account.  Assessing your own body fat percentage with callipers isn't easy, so it's best to get a coach to do it, or see your doctor, or any other applicable professional setting.   If you're really lucky and have a facility with a DEXA scan machine, do that! The DEXA SCAN is the clinical gold standard for measuring fat, muscle, and bone density, as it uses XRAY technology to give you a precise scan.  And based on the Catherine Philips study I mentioned before, they concluded by saying that assessing BF% and BMI as part of a metabotype may help to identify individuals at greater cardiometabolic risk than BMI alone.

So what is a healthy level of fat? First of all, let's make something abundantly clear, we NEED fat.  It's essential for survival.  Aside from being an excellent energy source for the body when it becomes oxidized, fat cushions and helps organ function, and plays a key role in the nerve, and brain function. 

So the question you're probably asking is

"ok, so WHAT IS a healthy body fat percentage?"
 
Well, a study in the American Journal of Clinical Nutrition published the this chart based on your sex and age.  
 
In general, for you ladies out there, if you're under 40 you should be keeping it under 32%, and after that age you should keep it under 35%.  Now obviously many factors play into this, but in general keeping your body fat between 23-31% is probably your healthiest body fat percentage target. 
 
 
Now if you're looking at the chart you can see that men have a MUCH lower healthy tolerance for body fat percentage.  This is because women have breast tissue and other gender-specific tissues that require fat such as breast tissue, and you need a certain level of body fat just to ovulate and have regular periods.  And if you've listened to Sarah and I speak before, you know that we've spoken about the menstrual cycle becoming known as the 5th vital sign among the medical community as the begin to finally wake up to the vital importance of it in women's health.
Dr. Laurie Milliken, the associate professor or exercise and health sciences at the University of Massachusetts, says on an article on Livestrong that "People can still be healthy with a wide range of percent body fat" and continues on to say in regards to female body fat percentage
"A body fat percentage of 32 percent up to even 38 percent might be OK if a woman is exercising and doesn't have any other risk factors for disease, But if she has risk factors (high blood pressure, unhealthy cholesterol levels, poorly controlled blood-sugar levels and smoking are a few of the biggies, according to the American Heart Association)"
 
Risks of obesity:
More than 70 percent of American adults are overweight or obese, according to the Centers for Disease Control and Prevention.  So what are the health risks of obesity?The CDC, the Center for Disease Control and Prevention says that compared to those with a normal or healthy weight, are at increased risk for many serious diseases and health conditions, including:
  • All-causes of death (mortality)
  • High blood pressure (Hypertension)
  • High LDL cholesterol, low HDL cholesterol, or high levels of triglycerides (Dyslipidemia)
  • Type 2 diabetes
  • Coronary heart disease
  • Stroke
  • Gallbladder disease
  • Osteoarthritis (a breakdown of cartilage and bone within a joint)
  • Sleep apnea and breathing problems
  • Many types of cancer
  • Mental illness such as clinical depression, anxiety, and other mental disorders4,5
  • Body pain and difficulty with physical functioning
The cancer risk point is a bit vague, because cancer isn't a lone disease.  So to be a bit more specific, obesity increases your risk for breast, colon, gallbladder, pancreatic, kidney, and prostate cancer, as well as cancer of the uterus, cervix, endometrium, and ovaries.
A 2012 study called the Global Burden of Cancer Attributable to high Body-Mass Index estimated that about 28,000 new cases of cancer in men and 72,000 in women in 2012 were associated with being overweight or having obesity in the United States. Worldwide, they estimated that 81,000 or up to 6% of all new cancer cases in adults in 2012 were attributable to high BMI.  Now as we've spoken about BMI alone isn't a great tell tale, as technically I would be included in this study as per my BMI, so if they had the funding and ability to go a step further with the population study to have a high majority of the people BF% tested, I think that would heavily alter the numbers.  
 
But not only that, Obesity has been found to increase the risk of severe rona.  Obesity has been found to increase the risk of severe rona symptoms and impair the body's ability to create antibodies, which causes the overweight population to be more susceptible to mutations of the rona.
 
At the end of the day, obesity ISN'T healthy, and I just don't think there is any other way to cut it.  Heart disease is the #1 killer in North America, and in order to make things change, we need to change the narrative of physical health from the ground up.  The government certainly won't as their financial interests in the large sugary corporate conglomerates won't allow it, and as we can see, the big media such as Cosmopolitan certainly won't help the brainwashing either.    Although nutrition is of utmost critical importance in this issue, let's at least start by going on a short walk each day.  Maybe on that 15 minute walk you can listen to a podcast like ours and even learn a thing or two about nutrition.  It ain't much, but if each person started even by going on a 15 minute walk each day, we're already beginning to create a shift towards healthier lifestyles.
 

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