In the context of healthism and diet culture, nutrition is king: according to every wellness wanker I've ever met, if you just eat 'right' you'll achieve health, as though it was a level on Mario and nutrition was the boss you had to destroy. If you just align your chakras with a tumeric latte, you won't get cancer. Ever. Look, nutrition is important, I'm not saying it isn't, but relative to social determinants of health, it's small-time in terms of its influence over health at a population level. Current estimates suggest that only 38% of health is determined by individual behaviours, including individual psychological assets (self-efficacy, optimism, and conscientiousness), negative mood and affects (stress, anxiety, depression), drug use (alcohol, tobacco, and other substances), sleep pattern, physical activity, sexual health, and, wait for it...nutrition. The other 62% is attributed to social circumstances, genetics, medical care, and the physical environment (pollution, air quality). And let's be real, Sweaty Betty leggings do sweet FA to reduce the socio-economic disparities that lead to health inequalities and may even increase socio-economic disparities.
The way we construct health as a society determines our understanding of how we access health. If health is constructed as a set of practiced that include: collagen supplements, excoriatingly expensive superfood blends, clean eating, coconut water, alkalizing unicorn tears, more coconut water, and dehydrated, activated dragon shit, then it's easy to see how people feel alienated from it.
Healthism is a system for quantifying and judging bodies; for creating another standard that is unrealistic, if not impossible. It's no longer enough to be 'thin'; we also have to perform 'health' too. Health isn't merely the absence of illness; it's conquering and mastering our bodies...It's about being in control."