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Doctor insights on: Obese Person Interview

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Is obesity child abuse? I'd like to have a quick interview based on this subject.

Is obesity child abuse? I'd like to have a quick interview based on this subject.

I: I am a pediatric eating disorder physician and I would like to go on record as saying that obesity is not child abuse. Frankly we understand so little about the biology of obesity that we are not even sure why anyone gets fat, even when it seems"obvious" that people feed their children poorly. We appear to get fat for genetic and environmental reasons.

Of interest are recent articles reporting that other (non-human) mammals who live in close proximity to humans, such as domesticated animals and laboratory animals, are getting fatter as well, even when their food intake is tightly controlled, implying that there may be non-food environmental triggers to increasing obesity (infectious agents? Hormonally active pollutants? Food or cosmetic additives?)

until the science is better defined, those of us who do not seem to have the genetic propensity to respond to our environment with ever increasing girth might best be served by adopting an attitude of compassion rather than judgmentalism. ...Read more

Dr. Quang Nguyen
4,581 Doctors shared insights

Obesity (Definition)

Having too much body fat. It is different from being overweight, which means weighing too much. The weight may come from muscle, bone, fat, and/or body water. Both terms mean that a person's weight is greater than what's considered healthy for ...Read more


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What happens if an obese person stops eating?

What happens if an obese person stops eating?

Stop eating: An obese person, like a thin person, would lose weight if they stopped eating. If they did it long enough, they would become malnourished even if they were still obese. That's one thing that most people don't realize. You can be obese and be malnourished at the same time. ...Read more

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Can an obese person survive longer without food?

Can an obese person survive longer without food?

Maybe: An obese person will have more fat stores, but also more fat-free mass (muscle, bone) to carry the extra weight. This may allow them to survive longer without food. As with thin people, they will begin to break down muscle, so this is not a safe way for the obese person to try to lose weight. ...Read more

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Could a person reshape aftet 14 years of obesity?

You: Wouldn't likely have a major change in body type (ectomorph, endomorph, mesomorph) but that doesn't mean that you can't slim down, lose excess weight, improve your health and feel happier about how you look. Take care. ...Read more

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What is safer travel for obese person? Train or plane?

What is safer travel for obese person? Train or plane?

No difference: The train allows you to spread out more with larger seats and less disturbance of those in adjacent seats. Airlines except for first class, have narrow seats and frankly, no one wants to sit next to an obese fellow passenger which limits their mobility. But your extra weight makes no change in the safety of the travel arrangement. ...Read more

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How come people think its bad for an obese person to fast?

Fasting: Fasting does nothing beneficial for you. It is not healthy, and certainly does not promote or maintain long term weight loss. When you fast, it slows your metabolism which causes you to gain the weight back (+more) when you stop fasting. This is the yo-yo effect. As a stand alone method for long term weight control, fasting is terrible. Eating healthy and exercising is the best. ...Read more

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Which is the best exercise for obese person to start with?

Which is the best exercise for obese person to start with?

Daily activities: Make your daily activities more difficult - take the stairs, park further away, bike/ walk to work/ store, sit on a swiss ball/ at your desk and stand up every time you answer the phone, or lunge/ hop/ jump from place to place in your house. Things like these may seem small and silly, but the increased calorie burn can add up over time. Don't forget a healthy diet! ...Read more

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How can a person who is normal weight be at risk for obesity-related diseases?

Yes: Family history is important as well. Anyone may have increased risk. It is just that obese individuals have even greater risk. ...Read more

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Does it ever happen that a person who is "normal" weight be at risk for obesity-related diseases?

Yes: Diseases such as hypercholesterolemia, hypertension and diabetes can occur even in someone who is at ideal weight. ...Read more

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Is it possible for an obese person to be a mesomorph?

Muscle mass: A mesomorph is someone with a muscular physique. Bmi is only ht and weight, and does not factor in muscle mass. A football player may be 5'10" and 220 lb of solid muscle, yet bmi is 31 ("obese"). On the other hand, some obese people think they have more muscle than they do. The bmi is not perfect. Focus on fitness, healthy living. % body fat can be measured, tho there are not good standards. ...Read more

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What exercise are good for the morbidly obese person?

What exercise are good for the morbidly obese person?

Any: Any increase in your physical activity is good for you. If your knees, back, etc hurt because of your weight consider low impact exercise like water aroebics or swimming. ...Read more

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How long would it take for an obese person to starve to death?

How long would it take for an obese person to starve to death?

See below: The same as a non-obese person. A person can live about 3-4 days without any fluid intake and about 7-10 days without food. ...Read more

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Would it be possible that a healthy person have central obesity?

Would it be possible that a healthy person have central obesity?

Yes.: Since obesity is a psychological rather than due to medical disorders in the vast majority of people. Eating less, exercising more works on all types of obesity unless there is a quite unusual medical condition (adrenal, thyroid trouble) and even then it would work. Just much more difficult.
http://www. Amazon. Com/dp/0692496157/ is an entertaining book treating the psychology of obesity. ...Read more

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For what reason do people think its bad for an obese person to fast?

For what reason do people think its bad for an obese person to fast?

Fasting: Fasting does nothing beneficial for you. It is not healthy, and certainly does not promote or maintain long term weight loss. When you fast, it slows your metabolism which causes you to gain the weight back (+more) when you stop fasting. This is the yo-yo effect. As a stand alone method for long term weight control, fasting is terrible. Eating healthy and exercising is the best. ...Read more

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What's the best diet for a obese person? How do you lose weight fast?

What's the best diet for a obese person? How do you lose weight fast?

Nutrient dense foods: Eat foods that are nutrient dense (like meat, fish, poultry, eggs, cheese, low starch vegatables and water) avoid foods that are not nutrient dense (like starches and sugars, including fruit)
nutrient dense foods will increase your basal metabolic rate. On the other hand, starches and sugars impair thyroid metabolism via affects on your liver (which helps activate thyroid hormone). ...Read more

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Can you tell me if a regular person sweats 1 pint a day, how much more does an obese person sweat?

Can you tell me if a regular person sweats 1 pint a day, how much more does an obese person sweat?

Hugely variable: Thanks for asking. Depending on the environment, a healthy person may sweat anywhere from 100 ml to 24000 ml (6 gallons) per day depending on size, activity level, ambient heat & so forth. A fat person has a little more trouble dissipating heat which is the main difference. The loss of 750 or so ml from the lungs in a dry climate is more constant; were you perhaps thinking of that? ...Read more

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Can you tell me if a super morbidly obese person lost the weight, would they still have complications?

Can you tell me if a super morbidly obese person lost the weight, would they still have complications?

Super obese: It depends on so many things. How heavy they were, how much weight they lose, what medical problems they had, how severe they were, etc. However, no matter how you look at it, the super obese individual that loses a significant amount of weight will be much healthier and have a lower risk of death than if they stayed super obese. ...Read more

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What causes renal failure at 60 in obese person?

What causes renal failure at 60 in obese person?

Renal Failure: There are many causes of renal disease in people. High blood pressure and diabetes are the most common causes although obesity can be linked to focal segmental glomerulosclerosis. Medications can also cause renal failure (nsaids like ibuprofen/advil and several other meds). It is best evaluated by a nephrologist. ...Read more

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Where is the kidney in the human body of an obese person?

Where is the kidney in the human body of an obese person?

Kidneys don't move: The kidneys don't really move if you gain weight. However, they may seem deeper in the abdomen or flanks as more and more fatty tissue is layered on to the body. Also, there is a layer of natural or peri-renal fat that may enlarge as more and more weight is gained. ...Read more

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Who is to blame if uneducated person gets obese, diabetic?

Who is to blame if uneducated person gets obese, diabetic?

Complex question: Even the uneducated know that too much food is bad. That fried food and junk food is fattening. And they know that eating less will cause weight loss. Having said that, many habits are started in childhood, so parents are responsible for childhood obesity which leads to obese adults. We also live in a society where more is better and bad food is cheap. But personal responsibility trumps all. ...Read more

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Can a fmorbidly obese person have body dysmorphic disorder?

Can a fmorbidly obese person have body dysmorphic disorder?

Absolutely, but...: Bdd is an irrational, excessive preoccupation with and dislike of some aspect of your body, for example, being convinced your chin is too pointy, making you ugly, when in fact it is quite within the normal range. A morbidly obese person might have such a preoccupation. Dislike of the obesity itself, even if it caused great distress would not be bdd because it's reality based. ...Read more

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Is it safe for an obese person to fast as a way of losing weight?

Is it safe for an obese person to fast as a way of losing weight?

No: Fasting is not a safe way to lose weight. Eating less and being more active is the preferred way to take the weight off. ...Read more

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I'm an obese person and considering gastric banding. I'm frightened?

I'm an obese person and considering gastric banding. I'm frightened?

Normal feeling: The band is the safest of all weight loss operations and if you use it correctly will be a great tool. ...Read more

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Is it safe for an obese person to exercise in order to lose weight?

Is it safe for an obese person to exercise in order to lose weight?

Yes: It usually is safe for obese patients without diabetes or heart disease to perform mild exercise such as walking, but prior to starting more strenuous workouts patients should see their primary care physician for a check-up. ...Read more

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What are the ways that people convince a mobidly obese person to stop eating high sugar high fat high sodium foods?

What are the ways that people convince a mobidly obese person to stop eating high sugar high fat high sodium foods?

Convincing or maybe: The person is convinced but just can't seem to do it. That's more likely. Why that is so is still not clear. Even in some folks who do stick to a low sugar, low fat and low sodium diet don't lose weight. That is in part because they don't reduce total calories to a point where they lose weight. Probably most important of all is getting enough exercise so metabolism can accelerate & so lose weight. ...Read more

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When a person is obese, is there abdominal squished or pushed up?

When a person is obese, is there abdominal squished or pushed up?

Obesity: I do not fully understand the question. The obese person has an enlarged body and abdomen. Their organs are surrounded by excess fat cells and the organs may even have fatty infiltrates inside of the organ. ...Read more

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Is obesity always defined by a person's body mass index?

Is obesity always defined by a person's body mass index?

Yes: Currently that is the standard for the definition. It is not 100% but the best available means to measure, at least for children over 2 y/o. ...Read more

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If an obese person loses weight, will his anemia go away?

If an obese person loses weight, will his anemia go away?

Generally not: Although weight loss will help many, many potential medical problems, anemia needs a complete work-up and specific treatment dedicated to eliminating the cause and treating the deficiencies. ...Read more