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Posts Tagged ‘weight-loss’

Many years ago I read a short story about a man who successfully summoned a genie, and on being offered the traditional wish said he wished to lose weight. “Certainly,” said the genie, and in a matter of seconds the lucky fellow was glued to the ceiling, having become lighter than air.

The point of this story is, of course, that what the man really wanted was not to lose weight, but to lose fat. Euphemism can be dangerous when making wishes.

But here we have our friendly local government, taking up the urgent task of persuading us that most of us are too fat. Or as they prefer to put it, launching a three-year action plan on Weight Management.

This involves an Inter-departmental Weight Management Working Group (I am not making this up) which will open proceedings with a year-long campaign to raise awareness. The group will monitor, encourage, “foster a social environment to support weight management” and “enhance collaboration between Chinese and Western medicine”. I feel thinner already.

This is a serious matter for some people. Being very fat – or as the medical types prefer to put it obese – is bad for your health. On the other hand there is nothing so amusing as a solemn government preparing to tread on a banana skin.

Having conspicuously failed to persuade most of the population to vote, our leaders are now going to persuade many of us to stop eating? We missed out on the Matterhorn; let’s try Everest.

Behind all this is a survey, part of a series regularly conducted by the local Department of Health. The ensuing report announced that some 32 per cent of the population were obese and another 20 per cent were overweight.

I have two quarrels with this survey. One is that it defies common sense. If half the population was seriously overweight you would see this on a daily basis. Wandering through shopping malls or MTR stations half the people you see would be fat. Clearly “overweight” is being used in a rather special sense. After all half of us are of above-average weight. That is what the average means.

The other quarrel is with the timing. The survey was conducted in the years 2020-2022. Does that ring a bell? The COVID epidemic was in full swing. Beaches and exercise halls were closed. Gatherings were banned. Hiking in groups was legally hazardous. Entertainment wilted. Eating was the only pleasure left and a lot of us put on weight. I know I did.

To extrapolate this result to a general assessment of the population and base a policy on it is perhaps a bit hazardous?

And is it really necessary to have a government effort to raise awareness? Awareness of weight management is one area where the private sector is extremely active, sometimes dangerously so. We are constantly bombarded with helpful slimming suggestions which involve spending money. Progress in the hunt for slimming aids of all kinds is eagerly reported in the media.

Indeed this constant harping on weight loss is sometimes blamed for serious mental health problems, particularly among young women. Social media sites like Tik Tok and Pinterest are lambasted for their willingness to host images of skeletal victims of the resulting eating disorders.

The problem, surely, is not lack of awareness. People who are seriously overweight are well aware of the medical implications of their condition, and are occasionally reminded of them by doctors and friends. Just as most smokers know the price of their addiction, so do most over-eaters.

We all know that we should avoid the double cheeseburger with fries, eat more veggies and get out for regular walks, if we can manage nothing more strenuous. The problem is in the implementation. And the solution, I suspect, is not for the government to take on the role found in many families of the nagging aunt whose major contribution to conversations is unwanted advice.

May I at least humbly suggest that the Health Department desist from what appeared in one recent publication to be an attempt to get us all to give up booze. True there are a lot of calories in alcoholic drinks. But people have been drinking alcohol for thousands of years and they are unlikely to stop now.

More constructively, in a crime film I watched recently the prime suspect was asked to account for his whereabouts on the night of the murder and produced a porch camera video of him taking the dog out for a walk. “You walk your dog in the rain?” says the detective incredulously. “Sure.” says the suspect. “When you’ve got to go you’ve got to go. He’s a 200 lb dog. You want to clean up after him?”

Keeping a dog gets you out, rain or shine, pounding the pavement or walking the park. It’s good for you. Yet half the population lives in housing owned or managed by the government, where dogs are not allowed. An easy win for the Working Group?

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It was, as I am sure you noticed, World Obesity Day last Monday. World Days are surprisingly common. The United Nations has about 200 of them, starting with World Braille Day on January 4 and finishing the year with the International Day of Epidemic Preparedness on December 27.

But World Obesity Day is not one of the UN ones, it is an unofficial, or less official, offering from the World Obesity Federation. No, I had never heard of it either.

In fact it is a bit of a mystery why World Obesity Day qualified for a decent third of a page feature in the Standard from the agile pen of Adelyn Lau. There was no recognition in the paper of World Wildlife Day, which was the day before. Well all right they don’t print on a Sunday, but March 1 passed with no mention of the fact that it was in fact two Days: World Seagrass Day and Zero Discrimination Day.

Similarly, Tuesday’s International Day for Disarmament and Non-proliferation Awareness passed unremarked, as far as I could see. Perhaps tomorrow will attract some coverage; it’s International Women’s Day.

Personally I found the idea of a World Obesity Day somewhat confusing. Presumably on World Seagrass Day one consumes, or cultivates seagrass. According to the government website there are some seagrass beds in Hong Kong “but they are generally small and sporadic”.

And I suppose on World Press Freedom day one pursues or cultivates press freedom, which is also, in Hong Kong, a bit small and sporadic these days.

In the light of these thoughts it is tempting to suppose that the appropriate way for a conscientious citizen to mark World Obesity Day would be to go out for a double cheeseburger with extra fries. But of course this is wrong. Some World Days are about things you should avoid, like Violent Extremism as and when Conducive to Terrorism (February 12) or Illegal, Unregulated or Unreported Fishing (June 5).

Anyway, to return to obesity, I did notice a certain lack of balance in Ms Lau’s otherwise fluent feature. Those interviewed all turned out to be officials, or the founder, of the Hong Kong branch of the World Obesity Federation. A picture showed all these sources together, looking admirably trim. Unsurprisingly they all had different way of saying the same thing: that obesity should be avoided at all costs.

It is no doubt true that obesity has been “associated” with up to 224 diseases, and the overweight are likely to be over also in measurements of blood pressure, cholesterol and blood sugar. Clearly people who are very overweight have a problem.

And yet… Is it really true, as the Department of Health data says, that 55 per cent of the population of Hong Kong are either overweight or obese? That is more than half. I am sure I am not the only person who does not, in ordinary everyday encounters with Hongkongers, find that more than half of the people I meet are overweight or, as we used to say before euphemisms became compulsory, fat.

One also wonders, with all due respect to the pure motives of the local obesity fan club, whether stirring up anxiety about people’s weight is really such a good idea. It risks tossing many people with a minor, or no, problem into the slavering maw of a large and greedy industry, which makes its money out of people’s desire to lose weight.

As Stuart Richie points out (in “Science Fictions”) it is really hard to draw firm conclusions from research into the effects of diets, and vested interests are happy to push dodgy conclusions out to unsuspecting consumers.

It seems also that medical opinion is increasingly sceptical about the value of badgering people to lose weight. Dr Joshua Wolrich (in “Food isn’t Medicine”) argues that people’s ‘natural weight’ varies enormously and simple formulae used to measure whether you are overweight are not actually very helpful.

People who really eat more than they need, he suggests, are responding to personal or medical problems; the over-eating is a symptom and the cure is to solve the underlying problem.

Meanwhile it is important to foster in everyone a ‘healthy attitude to food’. Otherwise, for every middle-aged man saved from heart disease by dedicated dieting there will be an adolescent, probably but not invariably female, tipped into eating disorders by over-anxiety about the effect of food on her health and appearance.

Well no doubt there are no easy answers to these questions. In my experience losing weight is hard, but not impossible. One does not get much help from the environment, which constantly offers delicious but fattening temptations. It is perhaps time for the United Nations to consider critically the existence of its International Day of Potato (May 30).

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