A few points nonetheless. Guilt actually does a lot of good, and of course it's not innate, and of course it's a product of social conditioning: it's one of the most sociable emotions we have! It tells us when we've become alienated from other people and encourages us to get right with them. But obviously, this is not the sense in which she's (mis)using the word: she means to say, when it comes to exercising, something like anxiety, the stress that missing a workout or overeating can cause, the stress that comes from acting against our own best interest and against the interests of our better selves. We have no way to describe this feeling since it's unique to an exercise and diet culture that's a historical product of the twentieth century--guilt becomes the metaphor through which we describe a particular type of emotion associated with this particular cultural and historical phenomenon, etc.
Which is to say, we've adapted the word guilt to describe failing at the practice of self-care and self-improvement, and the failure to deny ourselves the brownies of pleasure that are incompatible with self-improvement.
A few weeks ago, on the occasion of Jack LaLane's death, Frank Bruni nicely summed up the notion of exercise guilt:
"That sense of failure you feel when you haven’t exercised in days? That conviction that if you could pull off better push-ups, you’d be a better person through and through? These, too, are his doing, at least in part. What he left behind when he died last week, at the toned old age of 96, was not only a sweaty culture of relentless crunching and spinning but also the notion that fitness equals character, and that self-actualization begins with the self-discipline to get and stay in shape. In the post-LaLanne landscape, it’s not the eyes but the abdominals that are windows to the soul."
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