When Care Sounds Like Criticism: Understanding Body Talk in Asian Families

“Look at her, why is she dressed like that?”“You look fat.” “That colour doesn’t suit you.”Sometimes, the people who hurt you most are the ones you love. Why Are Bodies All We Talk About In Asian families, love is rarely spoken outright. It shows up through reminders to eat, questions about your future or even a plate of sliced fruit after dinner. Asking about your weight and commenting on how you look becomes a way to express concern [1]. Many women grow up learning that this is how ‘care’ sounds [2]. Blunt words are softened with teasing, and contradictory messages — being told to eat more, then criticised for gaining weight — are absorbed almost automatically [2] [3].  Outside the home, the noise grows louder. Media and social platforms amplify narrow beauty ideals, signalling what women “should” look like [4]. In Singapore, adults at risk of body-related anxiety spend over three hours a day online, where they continue to be exposed to harmful messaging [5]. These pressures affect women of all ages. Over 60% of women over 50 think about their weight daily [6]. About one in four Singaporeans — typically young women — report worries about their body shape [5]. When external pressures echo what you hear at home, it becomes harder to separate care from criticism. When Weight Talk Hits Harder at HomeRespect for elders and family harmony run deep in Asian cultures [7] [8]. Questioning parents or older relatives can feel disrespectful, especially when their approval still carries weight well into adulthood [3]. Many older relatives grew up hearing the same comments and internalised them as normal, often without realising the harm [9]. Children swallow emotions and avoid these conversations to keep the peace [7]. While this may prevent immediate conflict, it quietly widens emotional distance between you and your family, as well as you and your body.You may notice how you shrink when a relative comments on your legs, the way you smile and nod while tensing inside. That discomfort isn’t just embarrassment; it’s a habit your body has learned over years of critiques. Of course, not every family operates this way. Some create spaces where feelings and boundaries are respected. But for many women, navigating body talk remains a delicate balancing act. Reclaiming Your Body Without Burning BridgesOwning your body doesn’t have to start with confrontation. It begins with a simple truth: your body belongs to you, and only you decide its value.Setting boundaries can mean gently redirecting conversations or calmly saying that certain comments are hurtful without arguing [7].In cultures where relationships matter deeply and conflict ripples, reclaiming your body often takes quieter forms:These small steps add up, helping rebuild your trust with your body over time. Learning a New Language of CareFamily dynamics are complex. Unlearning years of conditioning takes patience, and not every conversation will go the way you hope. Some relatives may be reluctant to change.But reclaiming your body starts with you — how you speak to yourself, the clothes you wear and recognising that most remarks are ingrained habits, not truths about you. This understanding weakens their hold and restores your confidence.Care doesn’t have to sound like criticism, and love doesn’t have to sting. You’re allowed to take up space, fully and unapologetically. Caring for Your Body Beyond AppearanceWhen conversations about your body focus only on how it looks, it’s easy to forget what your body does for you. Your breasts, like the rest of your body, are not defined by appearance — they are part of your health.Reclaiming your body also means caring for it proactively - through regular screenings, noticing changes, and seeking medical support when needed. Health is not about diminishing yourself. It’s about knowing yourself. References[1] International Journal of Cross-Disciplinary Subjects in Education, Reconsidering Intercultural Communication Competence Development in Different Social Patterns - Starting from the Study of Greetings [2] Asian American Journal of Psychology, “I’m not White, I have to be pretty and skinny”: A qualitative exploration of body image and eating disorders among Asian American women[3] Public Library of Science (PLOS) Mental Health, Parental teasing and body dissatisfaction in White and South Asian females: An exploratory cross-sectional analysis using moderated mediation[4] Frontiers in Psychiatry, Gender-based analysis of body dissatisfaction among youths in Singapore: findings from the National Youth Mental Health Study[5] The Straits Times, Adults here at risk of body image anxiety more likely to spend 3 hours or more daily on TikTok, Instagram: Study  [6] Advances in Eating Disorders, Body Image in Adult Women: Moving Beyond the Younger Years[7] Applied Family Therapy Journal, Cultural Silence and Emotional Suppression in Asian-American Families: A Phenomenological Exploration [8] Journal of Cross-Cultural Psychology, Autonomy in Family Decision Making for Chinese Adolescents: Disentangling the Dual Meaning of Autonomy[9] Journal of Obesity & Metabolic Syndrome, Weightism in Asia: A Narrative Review and Implications for Practice[10] Frontiers in Psychology, Culture and body image: subcultural variations in coping strategies and their associations with psychological distress among European Canadians and East Asian Canadians
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Heart Health and Breast Cancer: Why It Matters

Breast cancer is the most commonly diagnosed cancer in women, while cardiovascular disease remains the leading cause of death among women in Singapore. Together, they account for a large proportion of morbidity and mortality. The important thing to note is that they are connected in many ways, especially for breast cancer patients and survivors.The strong link between heart health and cancer has led to the growth of cardio-oncology - a multidisciplinary approach dedicated to protecting the heart throughout the cancer journey and improving long-term survival for cancer survivors at higher risk of heart disease.¹Why Breast Cancer Survivors Are at Higher Heart Risk Treatment-related cardiac effects of cancer therapy play a major role. Some common breast cancer treatments can affect heart health: Anthracycline chemotherapy (e.g. doxorubicin) is linked to heart damage.² Risk increases with higher cumulative doses and in patients with pre-existing cardiovascular risk factors. Trastuzumab (Herceptin) can affect cardiac function, especially when combined with other agents that affect the heart.² Unlike anthracyclines, trastuzumab-related heart dysfunction is often reversible when detected early. Radiotherapy, especially to the left side of the chest, can unintentionally affect the heart.² Modern techniques have reduced but not eliminated this risk. These effects may not appear immediately; slow, cumulative damage can develop years after treatment.²Heart-Healthy StrategiesA. Stay Active Physical activity is one of the most powerful ways to reduce cardiovascular risk after breast cancer³: Survivors who are physically active have a significantly lower risk of cardiovascular death and all-cause mortality.³ Even adding ~2,500 extra steps per day or moderate exercise can reduce risk.³ Guideline recommendation: According to the Health Promotion Board (HPB) and World Health Organisation, aim for at least 150-300 minutes of moderate-intensity aerobic physical activity per week, or 75 minutes of vigorous activity, plus strength training on 2 days/week.³B. Eat a Heart-Healthy Diet Nutrition plays a key role in cardiovascular health: Diets similar to DASH (Dietary Approaches to Stop Hypertension) or Mediterranean patterns are associated with lower risk of heart disease in breast cancer survivors.⁴ Focus on fruits, vegetables, whole grains, lean proteins, and healthy fats, while minimising processed foods, added sugars, and excessive salt.⁴ This supports healthy blood pressure and overall heart function.C. Monitor Key Risk Factors Regular monitoring of cardiovascular risk factors is essential: Blood pressure Blood cholesterol Blood sugar Weight Physical inactivity Smoking status These factors contribute to cancer-related heart risk and can often be improved through lifestyle changes or medication.²D. Work with Your Healthcare Team Collaborating with oncology and cardiology teams improves outcomes¹,²: Tailored cardiovascular risk assessments before, during, and after treatment - including heart imaging (such as echocardiograms) and functional evaluations when appropriate - help detect issues early.² Shared-care models that involve oncologists, cardiologists, primary care, and rehabilitation professionals achieve the best long-term results.¹E. Consider Structured Rehabilitation Some programmes, called Cardio-Oncology Rehabilitation (CORE), integrate cardiovascular and cancer survivorship care¹,³: Exercise training Nutritional counselling Psychological support Education on risk factors Smoking cessation support These programmes are similar to traditional cardiac rehabilitation programmes but adapted for cancer survivors, and can reduce long-term heart risk and support overall health.Summary Breast cancer survivors face elevated long-term risk for cardiovascular disease due to treatment effects and shared risk factors.1,2 The good news is that this risk can be managed and reduced through: Regular physical activity³ Heart-healthy eating⁴ Routine monitoring of cardiovascular risk factors² Close collaboration with healthcare providers¹ Many cancer centres and breast surgeons in Singapore now work closely with cardiologists to monitor heart health during and after treatment. With proactive care, breast cancer survivors can improve long-term heart health and overall quality of life.Article reviewed by Dr Benji Lim, Interventional Cardiologist at Novena Heart Centre.References Mehta LS, Watson KE, Barac A, Beckie TM, Bittner V, Cruz-Flores S, et al. Cardiovascular disease and breast cancer: where these entities intersect: a scientific statement from the American Heart Association. Circulation. 2018;137(8):e30-e66. doi:10.1161/CIR.0000000000000556. Epub 2018 Feb 1. PMID: 29437116. https://pubmed.ncbi.nlm.nih.gov/29437116/ Bostany G, Chen Y, Francisco L, et al. Cardiac dysfunction among breast cancer survivors: role of cardiotoxic therapy and cardiovascular risk factors. J Clin Oncol. 2025;43(1):32-45. PMID: 38833638. https://pubmed.ncbi.nlm.nih.gov/38833638/ Wilson OWA, Wojcik KM, Cohen CM, Kamil D, Butera G, Matthews CE , Dieli-Conwright CM , Jayasekera J, et al. Exercise and cardiovascular health among breast cancer survivors: a scoping review. Cardio-Oncology. 2025;11:24. PMID: 40012001. https://pubmed.ncbi.nlm.nih.gov/40012001/ Vo JB, Ramin C, Veiga LHS, Brandt C, Curtis RE, Bodelon C, Barac A, Roger VL, Feigelson HS, Buist DSM, Bowles EJA, Gierach GL, González ABE, et al. Dietary patterns and cardiovascular risk in breast cancer survivors. J Natl Cancer Inst. 2024;[Epub ahead of print]. PMID: 38718210. https://pubmed.ncbi.nlm.nih.gov/38718210/
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