Doctor insights on:
Obese Person Interview
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 moreSee 2 more doctor answers
The definition started with Louis Israel Dublin, chief statistician of the Metropolitan life insurance company, in the early 1940s, as a BMI >25 (definitely >30) for people in their 20's based on retrospective observational life insurance data of the age at which people died later in life. This was subsequently adopted by the medical disease industry. However, BMI is ...Read more
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
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
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
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
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
Yes: Family history is important as well. Anyone may have increased risk. It is just that obese individuals have even greater risk. ...Read more
The same: Being obese is not a protection against prolonged fasting. Is just another form of malnutrition. ...Read more
Does it ever happen that a person who is "normal" weight be at risk for obesity-related diseases?
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