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Healthy at Every Size is a movement. It asserts that the best way to be healthy is to stop caring about your body fat percentage and start caring about the food you eat and the life you live. Officially, HAES “supports people in adopting health habits for the sake of health and well-being rather than weight control.”
Now this definition doesn’t mean exactly that HAES believes you can be healthy at every size. The official definition shies away from saying that. But the movement itself is closely associated with the idea. Most people in it really do believe that you can be healthy at every size.
Why I used to hate HAES
I used to really dislike HAES. I thought, for one, that it was basically wrong.
I thought that being overweight was unhealthy. Period. I’ll get back to that in a minute.
I also used to think that HAES was an excuse to be lazy.
I thought HAES adherents simply wanted to eat whatever they wanted, all the time. You can be “healthy” so long as you feel good about yourself.
I was so wrong
So, I know a lot of people in the paleosphere are on the side of the fence that I used to be on. A lot of people think that being overweight is unhealthy, at best, and immoral, at worst.
But I have since become more educated about these issues, and come to really love HAES. It turns out the movement is more about spreading awareness of the true ambiguity in the medical literature about body fatness, and about recommending a healthy diet and lifestyle no matter someone’s size.
For HAES, the recommendation for everyone is eat well, de-stress, and live well. Love yourself. Here is a quote I pulled off of their website:
Health at Every Size® principles help us be at peace in our bodies, supporting people of all sizes in finding compassionate ways to take care of themselves. It includes the following basic components:
- Respect, including respect for body diversity.
- Compassionate Self-care
- Eating in a flexible and attuned manner that values pleasure and honors internal cues of hunger, satiety, and appetite;
- Finding the joy in moving one’s body and being physically active.
- Critical Awareness
- Challenges scientific and cultural assumptions;
- Values body knowledge and people’s lived experiences.
I think you could do a whole lot worse than that.
It is totally possible to be overweight and healthy
Contrary to popular dogma, it is totally possible to be “overweight” and healthy at the same time. In fact, there are many health conditions that extra weight can be explicitly helpful for.
Pneumonia, burns, general immune system health, stroke, many varieties of cancer, hypertension, and heart disease have all been shown to be overcome more easily — or survived at greater rates — in people who are overweight relative to people who are normal weight. People who are underweight or who are very obese fare the worst. In heart disease, there is actually a four times greater chance of dying if you are thin with heart disease than moderately overweight.
Moreover, the overweight and obese are up to 63 percent less likely to develop rheumatoid arthritis, more likely to heal quickly following injuries, and 25% less likely to develop dementia.
Finally, fairly significant research has shown that people who are overweight tend to live longer than anybody else. Really, more than anybody else.
You can read my post about being healthy and overweight at: Can Being Overweight Be Healthier than Being Normal Weight?
Losing weight isn’t what makes people healthier; healthier living does.
Perhaps this is stating the obvious, but sometimes the obvious needs to be stated.
Time and time again we find that it isn’t weight loss that makes people healthier. Losing weight doesn’t suddenly improve someone’s nutritional status, blood markers, or risk for diseases. It really doesn’t. When people get healthier as they lose weight, it is typically because they are actually eating better food.
Of course, there are some things weight loss helps for. If you have a fair amount of abdominal fat, losing it may reduce your inflammation levels, since abdominal fat tends to secrete inflammatory molecules. Losing weight can also take a hefty burden off of your joints, and can certainly improve athletic performance.
But if it’s freedom from disease you are after, the real answer is to eat super well most of the time, sleep often, reduce stress, and be as happy and purposeful in your life as possible.
Why Healthy At Every Size is Successful
Healthy At Every Size is successful because it encourages people to think about their health, moreso than their weight.
It isn’t about being lazy. It isn’t about simple “acceptance” of where you are, and never striving towards greater wellness in your life.
Instead, it’s about prioritizing your wellbeing. You don’t have to stop caring about your weight. I think weight loss is a perfectly legitimate goal for a ton of reasons. I have a program for weight loss that I stand by proudly — it emphasizes health and love above all things, and still acknowledges that weight loss can be a worthwhile pursuit. It just has to happen with the right mindset.
Healthy At Every Size is successful because shifting your priorities away from aesthetics helps you stay loyal to a healthy diet.
When your happiness is yoked to the way that you look, you can’t help but have good days and bad (and usually more bad than good). You can’t help but be disappointed and frustrated with your progress. You can’t help but compare the way you look to others, and invariably feel like you are lacking in some regard. You can’t help but judge yourself, criticize yourself, and punish yourself.
Negative mentalities like this are terrible for weight loss. Negative feelings make people who diet want to eat. That’s just an inevitability that comes from being a human being. I read about it in the literature and I see it happen on a daily basis.
You might eat even if you are not ‘hungry’ because you feel deprived of your favorite foods. You might eat because you are stressed out. You might eat because your goal of “hourglass figure” seems hopeless. There’s a good chance you’ll eat more than you intended, and you’ll feel terrible about it. You’ll spiral even further into the black hole of negative self talk and unhealthy food choices, and keep cycling between guilt and over-eating.
When you choose health over the way that you look, choosing healthy food to eat stops being a battle. They stop being competitions. They stop being perfectly weighed and measured, controlled within an inch of your life. Prioritizing health doesn’t plummet you into a dark hole of despair. Quite the opposite, actually. Health is not a “lose or win” battle. Instead, health happens gradually–it “wins” gradually–over the course of days, weeks, and years.
Health is about being consistent in eating well most of the time, not being as strict as possible every second. Health is about caring about yourself and the world around you more than the numbers on a scale. Prioritizing health is liberating in the most true sense. It sets you free from the shackles of judgment and self-criticism, and enables you to truly be loyal to yourself and your happiness.
Sure, focusing on health might not make you a size zero. Then again, I’m willing to bet that focusing on your waistline isn’t going to either. And even if it does, it probably won’t last, since the vast majority of people who diet like that regain the weight they’ve lost.
The thing is, your weight status and your health are really genuinely not all that tied together. You can be overweight and perfectly healthy. So then why kill yourself trying to shed pounds?
Life is about love and energy and joy. Being in good health helps increase that. Punishing yourself with a low calorie, strictly-regimented diet? Not quite so much.
Healthy At Every Size asks us to reconsider our assumptions about weight and health, and get our priorities in line. It’s totally fine and nice to lose weight, but that has to happen in a context of love, in which health and happiness are the priority.
If you want to learn a bit more about how to accept your body and love yourself, you may want to check out my book Sexy by Nature or my blog post How to Stop Self-Sabotaging Your Weight Loss. If you want to lose weight in a super healthy and self-loving way, you may wish to check out my program for weight loss, Weight Loss Unlocked: The Paleo Woman’s Solution.
What do you think of Healthy at Every Size? Do you think you can be healthy at every size? Do you think this movement has the right idea, or does it encourage people to be “lazy”? I’d love to hear what you think!!
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I love this. Thank you so much for sharing it.
Yes! I agree and yet body shame still clamors for my attention. I work with other women and focus on treating our whole selves with kindness and compassion.
I cannot stress enough how gratifying it is to see someone who once hated HAES do some research on it and consequently come around to it. I’m so tired of people assuming, based on its name alone, that they know everything about HAES. I guess, to be fair, the name is a little misleading: no, you can’t be completely healthy weighing 500 lbs. But you CAN be a healthIER 500-pound person by eating the right foods and exercising, which is the entire point of the program.
Awesome article. Thanks for writing it.
I just finished reading “Health At Every Size” by Linda Bacon PhD. I must say that I believe that the very first stage of practicing this is absolutely rooted in “eating whatever you want” and for a lot of us chronic dieters this is an important step in the right direction. I have quit dieting (including paleo) for 2 weeks now and I’m absolutely shocked at the results: First, I ate all the things and literally felt like shit for 4 days. By day 5, I started to approach my food with curiosity and began to tune into how all of it made me feel. This has continued and 2 weeks later I have a much better understanding of what a certain food will do with my particular genetics and body chemistry- but I still look at every food and meal with the belief that I CAN eat it, if I want to. I like that you and Noelle talk about the importance of carbs and not aiming for perfection, I do. But paleo has been another form of restriction (big time) for me as I’ve obviously been in a cycle of disordered eating for a while now. I have been dieting for 18 years, have lost and gained endless pounds and even survived a lap band installment and removal. I’m currently morbidly obese no matter what I do or how I eat & I’m making peace with this so I can heal my relationship with eating and just focus on feeling good. Weight gain isn’t what’s causing problems- it’s a symptom of the underlying metabolic issues. Metabolic issues that are impacted by sleep and stress. Including the stress that’s so easily achieved in the diet/binge cycle. Some other reading that I’ve been doing paired with HAES is “Intuitive Eating” and “When Women Stop Hating Their Bodies”. I also read “Weight Loss Unlocked” and I believe that it’s good for women who struggle with their weight who DON’T approach diet and exercise from a disordered perspective. The problem is, and I see you and Noelle noticing this with your podcast questions, there aren’t a lot of women left who don’t suffer from disordered eating habits and body dysmorphia. I mean, Paleo for women exists for the people who are knee deep in low-fat diets, over exercising and calorie counting. Paleo can just as easily become another restrictive diet! I think HAES is important to break down all of the dangerous myths about weight, weight loss and what it means to be healthy.
Thank you very much for sharing, Michelle! I agree that paleo can be problematic, but also is a good platform for troubleshooting specific health issues. I do know from my and others’ experiences that it’s possible to eat paleo ish and not be obsessive. But if that’s not the case for you right now (OR EVER! 🙂 ), I am really glad you know that, and think that you should definitely continue on the path of eating the best way for you psychologically