Some families share every detail of their medical information, others don't. There's no reason to pillory BobJack for knowing his mom's medical info; I knew all my mom's medical business too, not because I pried but because she told me. That's the way it is for some families; it's neither better nor worse than more private families, just different.
It is incredibly tough to watch a loved one do something bad for him/her and be unable to fix it. But the fact remains that you can't--not directly. No amount of prodding from you, however lovingly expressed or well-intentioned, will make your mom or sister change. There are ways you can help, though:
- Spend some time with them one-on-one and see how they're
really doing. Major changes in a person's body are sometimes indicative of major changes in the mind or heart. Depression and anxiety are some of the darker possibilities, but sometimes people put on weight because they suddenly have a different set of priorities or just don't know how to handle a big lifestyle change (I gained 60 pounds in a year when I started a desk job, for instance).
- Always the carrot, never the stick. There's a lot of shame involved with weight gain for many people; you don't want to reinforce that sense of shame because it can become crippling. Do invite your mom or sister out for walks or to the park; don't imply that the walk is "for your own good." Do eat/cook healthy, tasty meals; don't emphasize how necessary they are. Do offer compliments that aren't related to weight; don't couch insults within compliments (the classic "oh, you have such a pretty face..." compliment, for example).
- Try not to pass judgement. When they do feel ready to make a change, your mom and sister may need someone with whom they can trust their confidences. Be someone they can go to for support by biting your tongue on judgmental comments. This sounds easy, but...well, sometimes it isn't. Sometimes you just want to scream, "Just put down the doughnut/cigarette!" I know this because I've (mentally) screamed it at myself a lot. A lot of folks who've never been overweight don't realize how much it sometimes feels as though the whole world is already screaming at you, already passing judgement; be a safe place, not another condemning voice.
- Cheer their victories. It's awesome that you're in great shape, but you might not know just how hard-fought a two-pound loss is. If your sister or mom gives you good news about dropping a pound or two once they feel ready to move toward health, embrace it!
- Realize that genes are funny things. "Good genes" may express themselves very differently in an older or heavier body than they did in that same body when it was younger and lighter. Simply having excess fat messes with levels of hormones like ghrelin and leptin, making it tougher to lose the fat once it's there than it was to maintain a formerly slim body. Try not to think that your mom and sister gained the weight "in spite of" good genes; they may just have discovered that even good genes don't protect against the nasty feedback loops that excess weight can cause.
I hope things go well for you and your family. Your concern for them is clear in your posts.
