All of those things inherently lead to losing weight. I wasn't healthy at almost 300 lbs, even when I started walking. It was only when my weight was significantly lower that I started feeling better (still not healthy, but healthier than 50 lbs ago). Getting healthier coincides with weight loss. If you aren't losing weight, you aren't getting much healthier.
If you want to reduce some social stigma around being fat, that's fine. Don't treat people like shit or blame them for their health problems or whatever. But to insinuate that you can stay 300 lbs and be healthy is complete bullshit. So the social goal should be to replace negative stigma with positive social encouragement and support towards losing weight and becoming healthier. Not to just act like being fat is perfectly fine in every possible way, including medical.