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Is Obesity Too Personal To Talk About?

posted 2 years ago in Wellness
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    lilyfaith    June 23, 2012   Lakeview, Chicago

    R and I both grew up very chubby kids, and became independently health conscious. We lost weight through a combination of vegetarian diets (for ethical and moral reasons), learning about nutrition, eating out only about once or twice a month, limiting processed or pre-made foods and sodium intake, and exercising. My parents are also on a much better track, because my mom's doctor ordered her to learn healthy habits after a knee surgery. 

    His immediate family, though, has gotten much worse. His parents work way too many hours, don't sleep enough, and eat fast food just about every single day. They both have weight related health issues (back and knee problems) and are well over what is a little extra weight. FMIL wants to change her ways because she's a nurse and sees obese patients. FFIL doesn't see a "monetary gain" to eating right, thinks organic foods are ridiculous, etc. 

    FSIL & FBIL are in the worst boat, in my opinion. FBIL is the biggest person in our family. I know he used to weight about 315 lbs, but has gained weight steadily throughout the past few years. My guess is that he's about 350-375 now, and is fairly short. FSIL was at a reasonable weight when they started dating for her body type. She was a size 16 or so, and it suited her. Now she's eating horribly right along with him, and doesn't care. She says that because she drinks minimally and doesn't smoke, she's fine. 

    I know you can't tell family what to do. In fact, this weekend FSIL screamed at FMIL for expressing her concerns about the family's eating habits. 

    When the conversation comes up, R and I don't point any fingers, but we stick up for our health practices. We talk about the raised energy level and mental functioning that comes with sleeping enough, eating right, and exercising. But it is actually scaring us, especially in the case of FFIL - he was not a big man in his 20s, and is having such a hard time lately. He thinks he is taking fitness into account by walking an extra mile on the treadmill - but he uses that as an excuse for ice cream or pie, and he can barely even walk on the treadmill for that long. 

    I know you can't judge, and people have to learn for themselves. We wouldn't approach FSIL and FBIL at this point, they're young and stubborn. But would it ever be appropriate to talk to FFIL and FMIL? Is there a way to do this correctly? 

    At what point is obesity and general health a personal matter versus something that close family has a right to bring up gently? 

     
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    Mrs. DG    July 18, 2009   Seattle/Tahoe

    Have you heard about stages of change?  This allows you to assess where people are at with respect to the choices they make about any life change they may make (obesity, smoking, drinking etc).  When you determine where someone is at with respect to change, it helps you tailor how you talk about it.  As physicians we often use a technique called motivational interviewing to have that discussion.

    In families, it's a lot dicier and sometimes better to err on the side of saying less rather than saying more.

    Hope this helps!

     
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    Arachna       nyc

    I don't have any helpful advice but I do think it is important to remember that fat people know they are fat.  Obese people know they are obese.  They are also perfectly aware that doctors and society think it is very unhealthy and will kill them (I won't get into whether or not this is true but it is the current medical consensus and is widely known).

    So any conversation will have to be careful not to treat them as if they are unaware of their own bodies or how society views them.  I would also be careful to structure any conversation around helpful ideas and an aknowledgement that there are plenty of people who do all things they are doing and aren't obese and that they aren't bad people for sometimes eating pie but that their particular bodies migth need a certain approach to be healthy.

    It is always a very sad and difficult situation when people you care about won't take care of themselves. 

     
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    Ms.Editor    April 25, 2009   Chicago

    I think you and your FI are leading best through example. A person is not going to change unless they really want to, whether it's changing their eating habits/smoking/insert other habit here. (Even then change can be very difficult.) Reminding a person about their weight issues won't help unless they want to do something about it.

    If you do feel the need to bring up the topic, however, I'd approach it from the health angle rather than the weight angle. If you FI is really concerned about his parents' health, he has the right to share that concern with them (in a loving manner, of course).

     
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    catonka    February 14, 2011  

    I think what you are doing now is good - talking about how eating healthy has helped you and how.  But as soon as you tell other people to eat healthier and exercise they are just going to go on the defensive and probably do the opposite of what you say.  I think they'll have to come around themselves, but it may help them if you continue to talk about how great you feel and how eating right and exercising has helped you!

     
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    Entangled    September 17, 2011   Carmel, CA

    I think there's so much prejudice disguised as concern around this issue that people are very quick to be defensive.  I mean, how many people will criticize perfect strangers without even knowing their habits or caring one whit about their actual health?  I see it all the time and I find it offensive (and it has nothing to do with me).

    That said, I think the only time it's appropriate to say something is when it's someone where you really would be horribly upset if anything happened to them.  BUT anything you say has to be with the realization that they know they're overweight and they know people give them crap about it.  I'd suggest reading about Health At Every Size, the idea that you can make positive healthy changes and it can be totally divorced from someone's size or shape.  For one, there's been studies suggesting it's more effective than interventions aimed at weight loss, and for another it might give you ideas for how to couch your actual concern for your family's health in a way that doesn't sound like just another person criticizing them.

     
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    okqueenbee    Dec 4, 2009   OKC

    I agree with Ms.Editor that leading through example is probably your best bet. I gathered from your post that FMIL has already made some positive changes regarding her own health, and I'm guessing that she probably brings it up to FFIL periodically as well. Unfortunately, from what you stated, FFIL sounds like he very defensive about it and is not all that concerned about making changes. He is definately going to have to WANT to do it for himself before he will be open to heeding any advice or paying any attention at all. I think that's really the mentality on anything. Unless someone WANTS to do it for themselves, they put their defenses up and that's it. I'll use smoking for an example. The entire universe is aware of the dangers, including smokers themselves, but unfortunately it is something that is extremely addictive & extremely pleasurable (or "relaxing" or whatever) and they get VERY defensive when you break out the "surgeon general" talk.

    I'd say just continue to do what you do, but don't put a whole lot of pressure on. They know they are unhealthy, and if they aren't concerned about it there's not a whole lot you can do. Just hope they open their eyes and make changes for themselves before a medical occurance forces them to.

     
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    lilyfaith    June 23, 2012   Lakeview, Chicago

    Thanks everyone for your responses - Mrs. DG, those were really helpful reads! 

    I knew when I wrote this post I wouldn't be able to share my concerns very clearly. It's such a difficult issue to explain, and I sometimes forget that it's hard to realize certain details if they're not given. 

    So first of all, it's not the fact that they're overweight that's my main concern. I mean, I'm not perfectly fit, and I know plenty of people who are overweight but have healthy enough habits that I'm not fretting about their health. And I think that I need to clarify here that FMIL & FFIL are like parents to me. I think of them as mom and dad, their home is more my home than wherever my parents are living at the moment. They have helped me through college when my own parents have not been willing to help much. So this is not me meeting them a year ago, seeing them once in awhile, etc, and judging. 

    When I said the thing about the pie or ice cream, I think I was unclear - this is how FFIL thinks he's being healthy. My concern is not with the fact that he sometimes indulges, because I think that indulgence is an occasional part of a healthy diet. What concerns me is that he separates health in his mind as many crash dieters do: both he and FMIL have a mindset of diet soda (about 8 cans a day) lots of margarine, a huuuuge serving of steak and potatoes, diet pills, etc as healthy. 

    I really dispute the fact that anyone could keep up these behaviors and stay relatively thin. I know that I can't describe them all without sounding judge-y. But my main concern is that a) FMIL wants to change her ways, and thinks she is by simply skipping meals, getting diet pills, etc. Then of course she comes home from a long shift, starving, and eats whatever is around. Which is a lot, because they have residents still living at their house, and own a nursing home so there are always lots of donuts, cakes, quiches, frozen mozzarella sticks, etc around. 

    and b) FFIL thinks that he is being healthy when he exercises a little, and then justifies eating twice what he normally would because he exercised. His diet consists of mostly red meat and salt, but he thinks that R and I "fall for" certain marketing because we prefer organic veggies - not that we can always afford them - and that our food and all food that is healthy is "disgusting" unless it's loaded with butter. 

    I honestly could care less about the weight specifically, but let's be honest - it's a direct result of lifestyle. I'm not saying they should be a certain size or weight, I'm saying that the steady weight gain that isn't slowing down seems serious to me. Maybe I'm super sensitive to this, because FFIL has confided in me how unhappy it makes him that he has gained so much weight. And I honestly didn't know what to say, because it's such a difficult topic. I would never, ever say that they're overweight or fat... I've been there, and I know that they know it. Maybe I didn't write that out correctly the first time. But I'm unsure of how to share healthy habits when they joke that our food is "snooty" and "ridiculous." 

     
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    okqueenbee    Dec 4, 2009   OKC

    Eep!

    Ok, I just read your SECOND post and I must say... FMIL's "changes" aren't really healthy at all! I can definately see how you would be super-concerned, especially since they are like your own parents to you.

    Hmmm.. Well, that definately puts a whole new angle on things. I still don't know exactly how you can stage an "intervention in disguise" with them though, but it sounds like they definately need one! I'm surprised that FMIL isn't more proactive about her health being a nurse and all!

     
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    Mrs. DG    July 18, 2009   Seattle/Tahoe

    I'm glad those links were useful to you Lily.  I think the trickiest part of using them is going to be how to discuss without being doctorly or in any way judgey.  They are already giving you in's by discussing their frustrations, but maybe it is best if you and FI roleplay some really casual comments that address the particular stages that FMIL and FFIL are at... I'd keep it really, really casual... and ideally FI would be taking the lead.

     
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    hilsy85    September 2010  

    They sound a lot like my FI's parents--like even if you took the literature and shoved it under their noses to show them that something they believe is wrong, they would just brush it off. VERY frustrating, especially when it pertains to their health and something that could be potentially life threatening.

    Has your FI talked to them about it? Maybe they would listen more if he brought it up with them privately--they might be embarrassed in front of you? Also, are they open to trying new recipes for healthier versions of the foods they love? Maybe if they try lasagna with fat free cheese, or something like that, they'll realize it's not so bad (maybe don't tell them it's the light version til after they eat it!).

    If FFIl has confided in you that it makes him unhappy that he's gained this much weight, that says to me that he DOES want to change, but maybe just doesn't know how to start--it can seem daunting. Good luck, and I really feel for you--it's painful seeing people you love engage in unhealthy/dangerous behaviors.

     
    12.
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    lilyfaith    June 23, 2012   Lakeview, Chicago

    @OKQueenBee - thanks! I knew I wasn't spelling everything out right, it's just such a long and complicated subject, you know? 

    She's a geriatric nurse, and while she loves it, she focuses more on end-of-life care. The realization actually came after she started seeing obese patients because she's on a more general floor at the hospital right now. 

    Thanks for the support! This is a topic that's so hard to talk about, but so important, and it's wonderful having the WB community to bounce thoughts off of. 

     
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    Arachna       nyc

    Ouch.

    It sounds like this is happening for three reasons.  Ignorance of the facts, a matter of taste, and being too busy to have time to devote to the issue.   I think the key issue you could help with is them eating things that are terrible for them, if your FMIL is exhausted when she gets home and has a million responsibilities there is just no way she will also find time to cook, so I would try to figure out foods they can keep around the house that will be good and easy snacks/dinner.  The hardest issue is taste, no one wants to eat something that tastes like sawdust and if they don't like anything healthy... it's hard.  Ignorance seems like it should be easy to fix but would actually be really diffificult - with these things if they don't know diet soda is bad for you it's probably at least partially because they don't want to know.  You can try to mention things you've heard or read without connecting it to their eating habits.

    Also, maybe you could do something like buy some soda with real sugar and bring it over because it tastes better (and though it's not proven many people have found makes them drop weight because they aren't consuming the corn suryp). 

    If you do make suggestions I'd try to think out baby steps suggestions that don't ask them to overhaul their lifestyles.  Not because they don't need to but because that's not something they will ever do unless they are ready to.

     
    14.
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    lilyfaith    June 23, 2012   Lakeview, Chicago

    @Mrs. DG - I think you're right. R has expressed a lot of concern over this as well, so I think at some point we'll try to talk out really casual ways to respond respectfully but helpfully next time it comes up. 

    @Hilsy - that sounds dead on! As for them being embarrassed, I really don't think they would be. I basically lived at their house throughout my senior year of high school, and it's taken for granted that I'm part of the family. We're way closer than I am to my parents, and they're very open. 

    @Arachna - thank you for the suggestions! I'm all for healthier recipes. They rarely cook, but I'm hoping if I cook them some healthy meals once in awhile it will help. When we visit for longer periods of time, they start eating healthier because we tend to make dinners. 

    Unfortunately, we live far enough away that we can't really bring food over often. We see them every other weekend for a couple of days. 

     

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