I don't think it needs to be shame, but there is a point where it becomes very unhealthy to be certain sizes. I wish there was a less "negative" way to push the fact that being massive is not "beautiful" but it's dangerous and could lead to a much much shorter life and I don't want that for anyone. I think there's reasonable and then there's people who do need help too. It's definitely not helping anyone to be a jerk about it though!