Brazil is a huge, diverse country with significant social disparities. People are commonly judged and stigmatized due to their social class, race, education, gender, and body characteristics. Weight, particularly high weight, is one of the body characteristics that is used to stigmatize parts of the population, often intersecting with race and class. Similar to other parts of the world, the fat body in Brazil is seen as synonymous with ‘failure,’ ‘lack of control,’ ‘laziness,’ and ‘ignorance.’ Low-income classes believe that weight gain is related to heredity or stress, while high-income classes, especially those who are not fat, blame ‘poor’ diet and exercise choices. In reaction to this last point, the Brazilian government has propagated strategies to combat weight gain based on self-control, seeking…

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In 2020, a large group of international health experts published a joint international consensus statement for ending stigma of “obesity,” in which the authors state: “Research indicates that weight stigma can cause physical and psychological harm, and that affected individuals are less likely to receive adequate care. For these reasons, weight stigma damages health, undermines human and social rights, and is unacceptable in modern societies.” In January 2022, the Lancet, one of the oldest and most prestigious scientific journals, called for reframing “obesity health care,” studying “the impact of weight stigma and discrimination in health care,“ and exploring “the development (…] of weight inclusive environments“ and “non-weight focused policies and practices.” These statements mark a milestone in health science! Why?…

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Towards the end of the twentieth century the World Health Organization declared “obesity” a global epidemic. From 2001 onwards the term “globesity” came into use. “Globesity” is understood as a globally observable consequence of the spread of new “lifestyles” common in industrialized countries characterized by increased consumption of high-energy, industrially processed foodstuffs and low physical activity. According to this thesis, more and more people in the global North and increasingly also in the global South are “overweight” and suffer from “obesity,” measured by using the BMI. As “obesity” is classified as a risk factor for chronic, non-communicable diseases, “globesity” has been declared a public health crisis that threatens global society due to high healthcare costs and decreasing productivity. More recently,…

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The definition of Health at Every Size (HAES) may initially appear to be easy to understand. Many HAES advocates argue that all bodies, regardless of size, can achieve and maintain ‘good’ health. Yet, meanings and understandings of HAES have a complex and contentious history. HAES can loosely be separated into two branches. The most popularised branch has now been trademarked and was adapted and popularised by healthcare professionals such as Lindo Bacon, Deb Burgard and Lucy Aphramor. The other is perhaps lesser known to people outside of the fat activist movement but has its roots in early fat liberation where fat people were first able to discuss their dismal experiences of healthcare as part of community organisation.  Both branches argue…

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In both contemporary medical and cultural discourse, a relationship between fatness and excess is often perceived to be self-evident. Being “overweight” is consistently connected to “overeating” and “overindulgence,” with the implication that if one simply ate less and practiced greater self-control they would lose weight and would stop being fat. Fat bodies may thus be perceived as transgressive since they are thought to transgress the norms of consumption. In the early modern period, however, the connection between excess and fat was not as straight-forward. While ideas about excess and excessive behavior permeated German-speaking society in the sixteenth century, excess was not always understood to result in fatness. Contemporary criticism of gluttony and drunkenness commented on the effects of such vices…

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