Environment and culture’s impact on weight
Obesity is affected by a number of environmental, socio-cultural and economic factors. These include access to an affordable and healthy diet and the availability of...
The social environment includes relationships with family, friends, peers, co-workers and others. To some extent, all these interactions have a ‘spill over’ effect on the food habits of people from childhood to adulthood. Here, people talk about the social environment that has influenced their eating behaviour and contributed to being overweight or obese.
Experiences during childhood could have a profound effect on how people relate to food as adults. Sometimes this relates to how much food was available as a child. Some of those who grew up in the years after post-war rationing ended said they had eaten a lot of high calorie foods, such as butter, jam and puddings. For others, being poor or hungry growing up also shaped the way they approached food. Paul X told us ‘when you were brought up as a young boy and there’s nothing in the cupboard to eat, again – it leaves a mark’. An unhappy childhood could also start a pattern of using food to compensate for unhappiness.
People also talked about how they had learned eating habits from their parents. Meeka described being brought up to eat everything on her plate: ‘My generation, you eat everything on that plate or you sit there till it’s gone and if you’re dying to get out and play with your friends, what are you going to do, you just clear your plate. You’re not even tasting the food.’ Ellie said she grew up thinking it was normal to eat roughly six meals a day, including fry-ups and elevenses, because that was what her mother did. People also recalled experiences of being bullied by classmates because of their weight, or discriminated against by teachers or family members. Angela described her parents’ comments about her body size as ‘unhelpful’. As a child she felt it was her fault she was size sixteen and at school her interest in joining the athletic club was frustrated by teachers.In adulthood, works plays a large role in how physically active people tend to be and may also affect what they eat, as well as the type of food they can afford. Those who worked long hours spoke of having little time to cook, to eat, to exercise or even to sleep which had consequences for their health and weight. Rosemary told us ‘particularly when I was working, I would be working like twelve hours, come in really tired, think ‘I’ve got to make tea’ and eat a packet of crisps and then have another four packets of crisps because, you know, and then I would have my tea’. Paul Y described how doing a job ‘virtually seven days a week’ meant he did less and less exercise. Having a sedentary job or moving from physical work to a less active role was a commonly identified reason for putting on weight.
For those who had to travel a lot for work, mealtimes became more haphazard, with some of those we spoke to skipping meals and others stopping for fast food or snacking on the road. When Paul Y had a job that involved a commute and travelling around the country to multiple sites, he found himself skipping lunchtimes. He said, ‘I think sometimes, if I’d had a day when I hadn’t eaten, I’d eat more when I got home because there was that long gap’. Eating around work wasn’t just a feature for those who were travelling, but also for those who were office-based. Hilary described how in the office environment ‘there was the biscuits and the cake, and it was always somebody’s birthday. It was always somebody’s anniversary. There was always somebody leaving and there was always cakes. ‘Oh, we’re going out for a meal’ and that sort of thing’. Office culture could revolve around frequent cups of tea with biscuits, and meetings which included sweet snacks. On top of this, for some people, work involved socialising outside of the office, whether going for a drink with colleagues, eating out, or entertaining clients. Retirement brought its own challenges for some of the people we spoke to, including changes in their level of activity. For example, Tref said that since he had retired, he had got ‘lazy’ and while he had tried going to the gym, he hadn’t kept it up.Tref had been living on his own since his wife had moved to a care home because of Alzheimer’s Disease. He was no longer motivated to cook for himself and instead bought ready meals from the supermarket. He found himself comfort eating, and with his wife not around to tell him he was getting a bit big and was putting on too much weight.
Losing a partner, whether through bereavement, sickness or the end of the relationship, could have a big impact on weight. Sue Y told us how she had started putting on weight after the death of her long term partner from cancer. Colin found that after the death of his wife, he still continued to cook for two: ‘I couldn’t get it into my head to half the quantities of things’. Some of those who were caring for family members, such as children or a sick parent, said there was little time to look after themselves. Lesley said that working full time and running the home meant she never had time for herself and had not found time to make an appointment to see a doctor, even though she was waking up short of breath. Joan felt drained from working full time and caring for her mum, who had had a stroke. Overall, the people we talked with emphasised that there was more than just one reason in their personal environment that could explain why they gained weight. Some like Jane, June, Dave and Julie believed that the interplay of several factors – such as family history of obesity, what they ate as children, lack of physical activity and overeating – had contributed to weight gain and health problems.See also: ‘Ideas about why some long term health problems are associated with being overweight‘, ‘Emotions, emotional eating and self-esteem issues’, ‘Environment and cultures impact on weight‘.
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