So someone on LJ was writing
about some fascinating gender politics stuff she'd been reading, in particular someone's observations of body language issues between men and women. I responded to that with some points about how, growing up, I was always the largest of my peers, and how that formed me-- I went to a girls' high school, and am quite big for a woman, and so got used to thinking of myself as huge, which is odd now that I live in a mixed-company world in which men are often significantly larger than I am-- but not in my head, which still thinks of myself as so big...
And someone else on LJ was ranting
about how the current constant state of ill-informed panic about how Americans Are Fat Oh Noes Dieting Is The Answer! is based almost exclusively on poor science and statistics with no adjustments or controls, combined with generalized willful ignorance of the contributing factors. And I wrote her an amen, sister! And in the course of my amen, I looked up what my BMI actually is.
So I found this helpful government website about obesity.
It had a handy-dandy BMI calculator, which I used to make my point (5 feet 7 inches times 190 pounds equals 29.8, which by their chart scrapes me in just under "obese" in the "overweight" category).
Which depressed me a little. I suppose. Much as I talk a big line about how I don't think my weight is at all an issue in my health, and I think women my size should refuse to be pigeonholed as Fat, etc., etc., it still is depressing to think that, well, yes, I'm clinically obese, and yes, I really am that big.
But then I kept reading on that website-- I clicked the link called "limitations of the BMI" because the original poster, on LJ, had mentioned her disgust with the use of BMI as the sole indicator of obesity, and I had heard rumblings about it but had never really seen coherently explained what other factors could be used.
So I clicked, and read, and became really
super enraged at my stupid doctor. (I know I blogged this on here but it was a while ago so let me explain-- no, let me sum up: My knees were hurting because I was exercising too much what with the 40 hours of waitressing and 10+ hours of roller derby, so I went to the doctor, who said yes yes you should rest, and then asked my height, did math in her head, told me I was obese, and instructed me to exercise more. Yes. Exercise less, but exercise more. She then told me, when I pointed out that I already exercised a damn lot, that I should cut down on my carbs. That was the sum total of her advice to me. So your knees hurt and you have eczema: Why don't you diet?)
So anyway. Apparently BMI is only the slightest bit meaningful, and so to determine whether someone is actually obese or not, you must take other factors into account.
Jesus fucking Christ, I'd never have guessed
that one.
What other factors are these, to give this poor innocent doctor a chance to not be a fucking idiot?
Well, for one thing, waist size. Yes, just a simple number, not at all adjusted for height. If you are a woman and your waist is over 35 inches, you are obese.
Hm. The largest my waist has ever been is 34 inches, so, by that statistic, I'm good. (At the moment it's 32 or 33 depending on when I last ate, pooped, or retained water.)
Doc, it's not looking so good for you.
But wait! Another chance. There's a whole list of risk factors and if you get two or more you should talk to your doctor about losing weight. (How's that for non-intensive language?)
Blood pressure-- but she'd just tested, and mine was fine-to-low. High cholesterol-- but, again, she'd just tested, and mine was ridiculously low. Family history stuff-- no. Smoking-- no. Blood sugar-- no, mine was excellent. Triglycerides-- didn't even mention these. Physical inactivity-- oh maybe that's it. Except oh wait no it isn't if you
actually fucking listened to me.
The only issue I had was that my HDL cholesterol was slightly low. Which apparently would be solved if I exercised more. Which I would
do, if she'd stopped going on about my fatness long enough to actually
pay attention to the issue that had brought me into her office which was
crippling pain in the knees apparently caused by
overexertion!!!
I wish I could stop being angry over this, but I am just so pissed. I hate not being taken seriously. And now that I am more informed I'm even more angry.
My activity level has dropped. But the pain in my knees has been coming back when I've been more active-- any activity that involves a lot of standing up, walking around, even running, and my knees start to ache after a few hours. I still am fairly active, and it hasn't stopped me skating, but it hasn't gone away either. Maybe it's not just overuse? I don't hurt them at work anymore. But it's not gone entirely.
I'd go to a doctor about it, but what's the point? Now I'm between health insurance again so it would be out of my pocket, and I already know now that all they'll want to say is that I'm fat, even though the national heart lung and blood institute tells me I don't have enough risk factors for my weight to be a health issue.
Great!
I will be there.
no, you're not losing your mind... or if you are, I am too- b/c I remember reading about a bean-wrestling fish.
Carried on your skates or carried by them, spartanette.