{"id":64479,"date":"2021-01-06T09:23:23","date_gmt":"2021-01-06T08:23:23","guid":{"rendered":"https:\/\/www.vorspeisenplatte.de\/speisen\/?p=64479"},"modified":"2021-01-06T16:43:57","modified_gmt":"2021-01-06T15:43:57","slug":"journal-dienstag-5-janaur-2021-mal-wieder-uebergewicht-und-gesundheit","status":"publish","type":"post","link":"https:\/\/www.vorspeisenplatte.de\/speisen\/2021\/01\/journal-dienstag-5-janaur-2021-mal-wieder-uebergewicht-und-gesundheit.htm","title":{"rendered":"Journal Dienstag, 5. Januar 2021 – Mal wieder \u00dcbergewicht und Gesundheit"},"content":{"rendered":"

Nach dem ersten vollen Arbeitstag war ich so schnell eingeschlafen wie schon lange nicht (nach Lichtaus dachte ich gerade mal noch “mmmmh, kuschlig”) und schlief auch recht gut. Fr\u00fcher Wecker erm\u00f6glichte mir wieder eine Runde Yoga: nochmal Folge 3, diesmal mit Sorgfalt und Genuss, weil ich wusste, worauf die Anleitungen rausliefen.<\/p>\n

Vor der Arbeit machte ich einen Abstecher zur Haus\u00e4rztin, wo ein Rezept f\u00fcr mich bereit lag. Unter tr\u00fcbem Himmel zu Fu\u00df ins B\u00fcro – vielleicht ein wenig zu zackig, der H\u00fcftbeuger am operierten Bein jammerte bei jedem Aufstehen. Der Himmel blieb den ganzen Tag tr\u00fcb und h\u00e4tte Schneeflocken vertragen (die Temperatur passte).<\/p>\n

F\u00fcrs Mittagessen hatte ich mir Quark und Joghurt verr\u00fchrt, dazu gab’s zwei Orangen. Nachmittags eine Hand voll Trockenobst. Austausch mit Kolleginnen.<\/p>\n

Auf dem Heimweg bog ich zum Vollcorner ab, um Brotzeit und Zutaten f\u00fcrs Abendessen einzukaufen. Herr Kaltmamsell stellte sich damit umgehend in die K\u00fcche und kochte Aloo Gobi, mein derzeit liebstes Blumenkohl-Gericht, ich reichte Manhattans an.<\/p>\n

\"\"<\/a><\/p>\n

Kurzer Abend, da wir beide erledigt und m\u00fcde waren.<\/p>\n

\u00a7<\/p>\n

Das Thema \u00dcbergewicht hatten wir hier schon l\u00e4nger nicht mehr, dabei hat sich die Forschungslage nicht ver\u00e4ndert, wird aber weiterhin nicht ber\u00fccksichtigt. Zum Beispiel wurde ich ja vor der OP gewogen und durchgemessen mit dem Ergebnis, dass die freundliche Angestellte mich darauf hinwies, dass mein BMI – etwa so aussagekr\u00e4ftig f\u00fcr meine Gesundheit wie mein Musikgeschmack – leichtes \u00dcbergewicht bedeute. NACHDEM ihre Messungen einen geringen Fettanteil und hohen Anteil an Muskulatur ergeben hatten sowie eine Verteilung des Fetts an statistisch wenig riskanten Stellen. Warum?
\n“Everything you know about obesity is wrong”.<\/a><\/p>\n

Diese ausf\u00fchrliche Sammlung wurde 2018 ver\u00f6ffentlicht, ist aber bedr\u00fcckenderweise keineswegs \u00fcberholt.<\/p>\n

1. Starkes \u00dcbergewicht gilt als pers\u00f6nliches Versagen, als so ziemlich schlimmster Charakterfehler – alle Forschung widerlegt das.<\/p>\n

Obesity, we are told, is a personal failing that strains our health care system, shrinks our GDP and saps our military strength. It is also an excuse to bully fat people in one sentence and then inform them in the next that you are doing it for their own good. That\u2019s why the fear of becoming fat, or staying that way, drives Americans to spend more on dieting every year than we spend on video games or movies. Forty-five percent of adults say they\u2019re preoccupied with their weight some or all of the time\u2014an 11-point rise since 1990. Nearly half of 3- to 6- year old girls say they worry about being fat.<\/p><\/blockquote>\n

2. Starkes \u00dcbergewicht dominiert das Leben der Betroffenen komplett.<\/p>\n

Growing up, my mother\u2019s weight was the uncredited co-star of every family drama, the obvious, unspoken reason why she never got out of the car when she picked me up from school, why she disappeared from the family photo album for years at a time, why she spent hours making meatloaf then sat beside us eating a bowl of carrots.<\/p><\/blockquote>\n

3. Di\u00e4ten\/Kalorienreduktionen funktionieren nicht. Sie ver\u00e4ndern den Stoffwechsel so stark, dass ein Halten des niedrigeren Gewichts lebenslanges Hungern erfordert.<\/p>\n

Since 1959, research has shown that 95 to 98 percent of attempts to lose weight fail and that two-thirds of dieters gain back more than they lost. The reasons are biological and irreversible. As early as 1969, research showed that losing just 3 percent of your body weight resulted in a 17 percent slowdown in your metabolism\u2014a body-wide starvation response that blasts you with hunger hormones and drops your internal temperature until you rise back to your highest weight. Keeping weight off means fighting your body\u2019s energy-regulation system and battling hunger all day, every day, for the rest of your life.<\/p><\/blockquote>\n

4. Gewicht und Gesundheit beeinflussen sich nicht direkt: Bis zu zwei Drittel der als fettleibig eingestuften Menschen haben gesunde Stoffwechselwerte.<\/p>\n

The second big lesson the medical establishment has learned and rejected over and over again is that weight and health are not perfect synonyms. Yes, nearly every population-level study finds that fat people have worse cardiovascular health than thin people. But individuals are not averages: Studies have found that anywhere from one-third to three-quarters of people classified as obese are metabolically healthy. They show no signs of elevated blood pressure, insulin resistance or high cholesterol. Meanwhile, about a quarter of non-overweight people are what epidemiologists call \u201cthe lean unhealthy.\u201d A 2016 study that followed participants for an average of 19 years found that unfit skinny people were twice as likely to get diabetes as fit fat people. Habits, no matter your size, are what really matter.\n<\/p><\/blockquote>\n

5. \u00c4rzte und \u00c4rztinnen nehmen gesundheitliche Beschwerden von \u00dcbergewichtigen nicht ernst – mit gef\u00e4hrlichen Folgen.<\/p>\n

Doctors are supposed to be trusted authorities, a patient\u2019s primary gateway to healing. But for fat people, they are a source of unique and persistent trauma. No matter what you go in for or how much you\u2019re hurting, the first thing you will be told is that it would all get better if you could just put down the Cheetos.<\/p><\/blockquote>\n

6. W\u00e4hrend der Anteil \u00fcbergewichtiger US-Amerikaner stieg, wuchs das mit \u00dcbergewicht verbundene Stigma. Stress wiederum verst\u00e4rkt die Neigung zu unkontrollierter Nahrungsaufnahme.<\/p>\n

Paradoxically, as the number of larger Americans has risen, the biases against them have become more severe. More than 40 percent of Americans classified as obese now say they experience stigma on a daily basis, a rate far higher than any other minority group.
\nAnd, in a cruel twist, one effect of weight bias is that it actually makes you eat more. The stress hormone cortisol\u2014the one evolution designed to kick in when you\u2019re being chased by a tiger or, it turns out, rejected for your looks\u2014increases appetite, reduces the will to exercise and even improves the taste of food.<\/p><\/blockquote>\n

(…)<\/p>\n

Surveys of higher-weight adults find that their worst experiences of discrimination come from their own families.<\/p><\/blockquote>\n

7. Anders als bei anderen diskriminierten Bev\u00f6lkerungsgruppen verbindet das Stigma \u00dcbergewicht nicht: Die Betroffenen haben die Vorurteile verinnerlicht und verachten andere \u00dcbergwichtige.<\/p>\n

But perhaps the most unique aspect of weight stigma is how it isolates its victims from one another. For most minority groups, discrimination contributes to a sense of belongingness, a community in opposition to a majority. Gay people like other gay people; Mormons root for other Mormons. Surveys of higher-weight people, however, reveal that they hold many of the same biases as the people discriminating against them.<\/p><\/blockquote>\n

8. Eine von vielen negativen systemischen Auswirkungen: Die fehlgeleitete Konzentration auf \u00dcbergewicht als angeblich gesundheitssch\u00e4dlich verstellt den Blick auf den eigentlichen Krankmacher Fehlern\u00e4hrung.<\/p>\n

For more than a decade now, researchers have found that the quality of our food affects disease risk independently of its effect on weight. Fructose, for example, appears to damage insulin sensitivity and liver function more than other sweeteners with the same number of calories. People who eat nuts four times a week have 12 percent lower diabetes incidence and a 13 percent lower mortality rate regardless of their weight. All of our biological systems for regulating energy, hunger and satiety get thrown off by eating foods that are high in sugar, low in fiber and injected with additives. And which now, shockingly, make up 60 percent of the calories we eat.<\/p><\/blockquote>\n

Wichtiger Hinweis zu den sehenswerten Illustrationen des Artikels:<\/p>\n

So many images you see in articles about obesity strip fat people of their strength and personality. According to a recent study, only 11 percent of large people depicted in news reports were wearing professional clothing. Nearly 60 percent were headless torsos. So, we asked our interview subjects to take full creative control of the photos in this piece. This is how they want to present themselves to the world. <\/p><\/blockquote>\n

\"\"\/<\/p>\n","protected":false},"excerpt":{"rendered":"

Nach dem ersten vollen Arbeitstag war ich so schnell eingeschlafen wie schon lange nicht (nach Lichtaus dachte ich gerade mal noch “mmmmh, kuschlig”) und schlief auch recht gut. Fr\u00fcher Wecker erm\u00f6glichte mir wieder eine Runde Yoga: nochmal Folge 3, diesmal mit Sorgfalt und Genuss, weil ich wusste, worauf die Anleitungen rausliefen. Vor der Arbeit machte […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,1],"tags":[],"class_list":["post-64479","post","type-post","status-publish","format-standard","hentry","category-essen","category-general"],"_links":{"self":[{"href":"https:\/\/www.vorspeisenplatte.de\/speisen\/wp-json\/wp\/v2\/posts\/64479","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vorspeisenplatte.de\/speisen\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.vorspeisenplatte.de\/speisen\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.vorspeisenplatte.de\/speisen\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vorspeisenplatte.de\/speisen\/wp-json\/wp\/v2\/comments?post=64479"}],"version-history":[{"count":3,"href":"https:\/\/www.vorspeisenplatte.de\/speisen\/wp-json\/wp\/v2\/posts\/64479\/revisions"}],"predecessor-version":[{"id":64512,"href":"https:\/\/www.vorspeisenplatte.de\/speisen\/wp-json\/wp\/v2\/posts\/64479\/revisions\/64512"}],"wp:attachment":[{"href":"https:\/\/www.vorspeisenplatte.de\/speisen\/wp-json\/wp\/v2\/media?parent=64479"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vorspeisenplatte.de\/speisen\/wp-json\/wp\/v2\/categories?post=64479"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vorspeisenplatte.de\/speisen\/wp-json\/wp\/v2\/tags?post=64479"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}