Health Intermediate Free Analysis

Being dangerously thin is back in. Is the body-positivity era officially over?

Arwa Mahdawi Β· The Guardian October 12, 2024 5 min read ~1,000 words

Why Read This

What Makes This Article Worth Your Time

Summary

What This Article Is About

Arwa Mahdawi examines a troubling cultural shift as the American Society of Plastic Surgeons declares we’re entering the “ballet body” era, signaling a return to dangerous thinness ideals. The organization’s 2023 annual report shows increased demand for liposuction and procedures that create slimmer silhouettes, reversing a decade of body-positive progress that celebrated curves and diverse body types.

This shift coincides with the Ozempic boom, as celebrities openly embrace weight-loss medications and the fashion industry returns to extremely thin runway models. Mahdawi argues that combining cultural obsession with extreme thinness and easy access to prescription weight-loss drugs creates a dangerous environment, particularly as doctors report inappropriate use of these medications by people who don’t medically need them.

Key Points

Main Takeaways

The “Ballet Body” Trend

Plastic surgeons declare a cultural shift toward extreme thinness, reversing a decade of body-positive progress that celebrated diverse body types.

Kardashian Influence on Beauty Standards

Kim Kardashian’s extreme dieting for the Met Gala helped shift cultural discourse away from curves back toward glorifying thinness.

Fashion Industry’s Size Regression

Vogue Business reports a plateau in size inclusivity efforts, with runway shows increasingly featuring extremely thin models across major fashion capitals.

The Ozempic Phenomenon

Celebrity endorsements of semaglutide medications for weight loss have normalized pharmaceutical approaches to achieving extreme thinness among people who don’t medically need them.

Political Weaponization of Weight Loss

Rio de Janeiro’s mayor promised to make generic Ozempic widely available, declaring the city would have “no more fat people” if re-elected.

Dangerous Combination of Trends

The convergence of thinness idealization and easy access to weight-loss medications creates serious health risks, especially for those inappropriately using prescription drugs.

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Article Analysis

Breaking Down the Elements

Main Idea

The Dangerous Return to Extreme Thinness

The body-positivity era is ending as cultural forcesβ€”medical institutions, celebrities, the fashion industry, and pharmaceutical trendsβ€”converge to re-establish dangerous thinness as the beauty ideal. This regression threatens public health by normalizing extreme weight loss among people who don’t medically need it.

Purpose

Critique Cultural Regression

Mahdawi aims to expose and critique the dangerous reversal of body-positive progress, warning readers about the convergence of medical, celebrity, and pharmaceutical forces that are re-normalizing extreme thinness. She advocates for awareness of these harmful cultural shifts before they become fully entrenched.

Structure

Satirical Introduction β†’ Evidence-Based Analysis β†’ Warning

The article opens with satirical questions about body trends before presenting evidence from plastic surgery data, fashion industry reports, and celebrity culture. It concludes with warnings about the dangerous convergence of thinness idealization and pharmaceutical access, supported by examples from doctors and international politics.

Tone

Satirical, Critical & Urgent

Mahdawi employs biting satire in her opening to highlight the absurdity of body-trend declarations while maintaining a critically analytical approach throughout. Her tone grows increasingly urgent as she documents the convergence of dangerous cultural forces, warning readers about serious health implications.

Key Terms

Vocabulary from the Article

Click each card to reveal the definition

Decreed
verb
Click to reveal
Officially ordered or decided something with authority, often in a formal or somewhat arbitrary manner.
Liposuction
noun
Click to reveal
A cosmetic surgical procedure that removes fat deposits from specific areas of the body using suction techniques.
Posterior
adjective
Click to reveal
Relating to the back or rear part of something; in medical contexts, often referring to the buttocks.
Plateau
noun
Click to reveal
A state of little or no change following a period of progress or growth; a leveling off.
Semaglutide
noun
Click to reveal
The active pharmaceutical ingredient in medications like Ozempic and Wegovy, originally developed to treat diabetes but now widely used for weight loss.
Fever pitch
noun phrase
Click to reveal
A state of extreme excitement, intensity, or emotional fervor about something; the highest point of enthusiasm or activity.
Idolizing
verb
Click to reveal
Admiring, revering, or loving someone or something to an extreme or excessive degree; treating as an ideal.
Vehemently
adverb
Click to reveal
In a forceful, passionate, or intense manner; showing strong feeling or conviction, often in opposition to something.

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Tough Words

Challenging Vocabulary

Tap each card to flip and see the definition

Botoxed BOH-tokst Tap to flip
Definition

Having received injections of botulinum toxin to reduce wrinkles; used here satirically to suggest artificiality or superficiality.

“The American Society of Plastic Surgeons have put their beautiful Botoxed heads together…”

Notorious noh-TOR-ee-us Tap to flip
Definition

Famous or well-known, typically for some bad quality, deed, or unfavorable characteristic; having a widely known negative reputation.

“Since ballet is notorious for eating disorders, one imagines it might also drive an increase in women starving themselves.”

Oversized OH-ver-sized Tap to flip
Definition

Excessively large or disproportionately influential; bigger than necessary or appropriate; used here ironically regarding the Kardashians’ cultural influence.

“The Kardashians, it will not surprise you to hear, seem to have played an oversized role in shifting body-related discourse.”

Glamorizing GLAM-er-ize-ing Tap to flip
Definition

Making something seem attractive, exciting, or desirable, often by emphasizing appealing aspects while ignoring negative consequences or realities.

“The fashion industry as a whole has started glamorizing thinness.”

Catastrophic kat-uh-STROF-ik Tap to flip
Definition

Involving or causing sudden great damage, suffering, or destruction; extremely unfortunate or unsuccessful; disastrous on a massive scale.

“The situation for pregnant women in Gaza is catastrophic.”

Unimaginable un-ih-MAJ-in-uh-bul Tap to flip
Definition

Difficult or impossible to conceive of or comprehend; beyond what the mind can envision or understand, often due to extreme severity.

“The suffering is unimaginable and there is no end in sight.”

1 of 6

Reading Comprehension

Test Your Understanding

5 questions covering different RC question types

True / False Q1 of 5

1According to the article, Kim Kardashian has publicly confirmed that she received a Brazilian butt lift procedure.

Multiple Choice Q2 of 5

2According to the American Society of Plastic Surgeons president Steven Williams, what characterized the previous decade before the current shift toward thinness?

Text Highlight Q3 of 5

3Which sentence best expresses Mahdawi’s main concern about the convergence of cultural trends around thinness and weight-loss medications?

Multi-Statement T/F Q4 of 5

4Evaluate whether each statement about the fashion industry’s size trends is true or false based on the article.

Vogue Business reported a worrying return to using extremely thin models on runways.

Models who were previously considered mid-size are now being classified as plus-size.

There has been a plateau in size inclusivity efforts across major fashion capitals.

Select True or False for all three statements, then click “Check Answers”

Inference Q5 of 5

5What can be inferred about Mahdawi’s view of Rio de Janeiro Mayor Eduardo Paes’s promise to make Ozempic widely available through public health clinics?

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FAQ

Frequently Asked Questions

The “ballet body” refers to an extremely thin, lean physique that the American Society of Plastic Surgeons identified as the emerging beauty ideal driving demand for liposuction and slimming procedures. The term evokes ballet dancers, who are historically associated with eating disorders and extreme thinness. This represents a dangerous shift away from the previous decade’s celebration of curves toward glorifying dangerously low body weight.

Celebrities have played a dual role in this shift. First, Kim Kardashian’s 2022 extreme diet to fit into Marilyn Monroe’s Met Gala dress helped encourage a new cultural obsession with thinness. Second, numerous celebrities including Oprah Winfrey and Elon Musk have openly discussed using semaglutide medications like Ozempic for weight loss, normalizing pharmaceutical approaches to extreme weight reduction and making these medications aspirational rather than purely medical.

Vogue Business released a size-inclusivity report documenting a worrying return to extremely thin runway models and a plateau in inclusivity efforts across New York, London, Milan, and Paris. Additionally, a fashion insider reported that sizes have decreased across the board, with many models who were previously classified as plus-size now being considered mid-size, and straight-size models also getting thinner. This represents a systemic reversal of body-positive progress in the industry.

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This article is classified as Intermediate level. It requires understanding of contemporary cultural issues, ability to detect satirical tone, and comprehension of how the author builds arguments through multiple evidence sources. The vocabulary includes some specialized terms (semaglutide, liposuction, posterior) but remains accessible to readers with solid general knowledge. The article’s structureβ€”moving from satirical opening to evidence-based critiqueβ€”demands active engagement with shifting tones and layered argumentation.

Mahdawi identifies the danger in the convergence of multiple trends: cultural idealization of extreme thinness, pharmaceutical normalization of weight-loss medications, and the fashion industry’s retreat from size diversity. She notes that doctors are already seeing patients inappropriately using these medications after obtaining them through online pharmacies, presenting with serious symptoms. The combination creates an environment where people who don’t medically need weight loss may pursue dangerous methods to achieve culturally promoted extreme thinness, effectively ending the body-positivity era’s progress.

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