Obesity, is it really an illness or a lifestyle choice?

Obesity, is it really an illness or a lifestyle choice?

Author
Discussion

TyrannosauRoss Lex

35,051 posts

212 months

Monday 27th June 2022
quotequote all
grumbledoak said:
keo said:
Running has many positives to health though (it also actually strengthens knees)

What positives does being fat bring?
Fat people drive the profits for the producers of junk food, slimming products, gyms, personal trainers, doctors, and pharmaceutical companies.

They are a little economic powerhouse.
hehe

Although that's not a benefit of BEING fat, that's a benefit of living amongst a fat population wink

kambites

67,552 posts

221 months

Monday 27th June 2022
quotequote all
TyrannosauRoss Lex said:
The incidence of OA in runners is lower than obese people. See the waiting list for replacement knees, almost none of them are runners. If runners do their strength training running does no harm to the knees, it just makes them stronger.
.
The human body is kinda designed to not fall apart if you run a lot, if you think about it.

Although I know from painful experience that racquet sports can leading to osteoarthritis in the knees and hips. My hips are already decidedly knackered and I'm only 42 with no particular family history of arthritis. I suspect I'll need at least one new hip before I'm 60.

MC Bodge

21,620 posts

175 months

Monday 27th June 2022
quotequote all
TyrannosauRoss Lex said:
lrdisco said:
keo said:
Just lazy fat s who need to move more and eat less. Simple. If you are fat/ alcoholic/ druggie I’d refuse you at the nhs door
[Absolutely but what about all the runners damaging their knees running? Walking gives the same exercise value without the strain on the knees.
So let’s refuse runners access to the nhs.
The incidence of OA in runners is lower than obese people. See the waiting list for replacement knees, almost none of them are runners. If runners do their strength training running does no harm to the knees, it just makes them stronger.

Walking doesn't give the same exercise value as running, and anyone who thinks otherwise is ignorant. HTH.
Agreed.

If people are conditioned well , and move well (smoothly, with suppleness, control and efficiency, without jarring/harshness), as a result of incorporating a range of movements and activities into their lives, their joints, skeleton and muscles are stronger than those of the sedentary people who have never learned to move well.

Too much specialisation e.g. Nothing but actually running, isn't necessarily the best thing, but far better than obesity and inactivity.

Hip replacements are also common in inactive people. Possibly because their hips are inflexible and their gait results in a lot of impact load on their hips.

Edited by MC Bodge on Monday 27th June 09:30

LordGrover

33,538 posts

212 months

Monday 27th June 2022
quotequote all
kambites said:
The human body is kinda designed to not fall apart if you run a lot, if you think about it.
True, but it's spent many millennia standing, walking and running in bare feet.
Restrictive footwear with raised heels and 'support' are not natural and likely cause many issues.

pavarotti1980

4,891 posts

84 months

Monday 27th June 2022
quotequote all
knk said:
Are you a registered medical practitioner or are you a "Dr Gillian McKeith" type doctor who is giving out medical advice while trying to make people think they are medically qualified?
popeyewhite said:
My guess is he's a physio with a Diploma. While it's not unknown for GPs to make mistakes I don't think it shows professional integrity or is particularly responsible to give advice to a client contradicting what their GP has told them... for a number of reasons.
Thought I recognised posters name and realised he is a chiropractor as was disclosed in a different thread in Health Matters which had a lot of posts deleted by mods because he was giving out medical advice to posters.
https://www.pistonheads.com/gassing/topic.asp?h=0&...

popeyewhite

19,805 posts

120 months

Monday 27th June 2022
quotequote all
BorkBorkBork said:
It’s interesting that you completely deny the science
I didn't - I explained the acknowledged drawbacks of research involving qualitative (psychometric) tests with quantitative assessment. When you then understand the concept you are trying measure in some way has no accepted definition the research becomes rather murky. HTH

keo

2,046 posts

170 months

Monday 27th June 2022
quotequote all
grumbledoak said:
Fat people drive the profits for the producers of junk food, slimming products, gyms, personal trainers, doctors, and pharmaceutical companies.

They are a little economic powerhouse.
laugh

deckster

9,630 posts

255 months

Monday 27th June 2022
quotequote all
grumbledoak said:
Fat people drive the profits for the producers of junk food, slimming products, gyms, personal trainers, doctors, and pharmaceutical companies.

They are a little economic powerhouse.
Not so little, in most cases.

jagnet

4,100 posts

202 months

Monday 27th June 2022
quotequote all
LordGrover said:
True, but it's spent many millennia standing, walking and running in bare feet.
Restrictive footwear with raised heels and 'support' are not natural and likely cause many issues.
yes Without doubt. There's a world of difference between running in modern trainers and bare feet.

As for racquet sports in shoes v bare feet - it's like putting slicks on a road car for track days. Suspension components are going to fail prematurely.

J4CKO

41,499 posts

200 months

Monday 27th June 2022
quotequote all
TyrannosauRoss Lex said:
lrdisco said:
keo said:
Just lazy fat s who need to move more and eat less. Simple. If you are fat/ alcoholic/ druggie I’d refuse you at the nhs door
[Absolutely but what about all the runners damaging their knees running? Walking gives the same exercise value without the strain on the knees.
So let’s refuse runners access to the nhs.
The incidence of OA in runners is lower than obese people. See the waiting list for replacement knees, almost none of them are runners. If runners do their strength training running does no harm to the knees, it just makes them stronger.

Walking doesn't give the same exercise value as running, and anyone who thinks otherwise is ignorant. HTH.
Yeah, when I walk my heart rate tops out at 110, when I run it goes to 160 odd, and I can tell the day after that the effects are different.

I am not a massive runner but try to do a couple of 5ks a week nowadays. I think for an able bodied adult who isnt in old age, we should all be able to run a mile without stopping at a decent clip. not setting any fast times, just the ability to run if you need to. If you cant do that (aside from other issues than fitness) then its pretty bad.

People always say the dont run because they "arent built for running", er, every human is built for running, two legs, two arms, two lungs, a heart etc, anything else is generally down to diet and a lack of activity.

Walking is great, musnt knock it and I try to do a couple of miles a day but it isnt a substitute for running, neither is cycling really if I am honest, cant coast on foot, thought it is brilliant in many ways.

eldar

Original Poster:

21,718 posts

196 months

Monday 27th June 2022
quotequote all
keo said:
Running has many positives to health though (it also actually strengthens knees)

What positives does being fat bring?
Die young, saving pension payments. Those selfless people are to be applauded. And given free fags.

J4CKO

41,499 posts

200 months

Monday 27th June 2022
quotequote all
eldar said:
keo said:
Running has many positives to health though (it also actually strengthens knees)

What positives does being fat bring?
Die young, saving pension payments. Those selfless people are to be applauded. And given free fags.
I think people get a bit carried away with running though, I can sort of see why but it does become a trade off between the fitness benefit, wearing everything out prematurely and injury.




TyrannosauRoss Lex

35,051 posts

212 months

Monday 27th June 2022
quotequote all
J4CKO said:
eldar said:
keo said:
Running has many positives to health though (it also actually strengthens knees)

What positives does being fat bring?
Die young, saving pension payments. Those selfless people are to be applauded. And given free fags.
I think people get a bit carried away with running though, I can sort of see why but it does become a trade off between the fitness benefit, wearing everything out prematurely and injury.
Misconception. Even elite athletes running well over 100 miles per week don't have increased knee arthritis compared to the general population. "Wearing out" is a little misconception. Providing your diet is good, systemic inflammation levels are low, you have optimum nutrient status for methylation, do appropriate strength work etc then you've nothing to worry about.

I know a chap in his 70s who's been running since he was 16, has represented his country on numerous occasions and he still runs around 25 miles per week at 75! Generally speaking those who get arthritic conditions from running either don't eat very well, don't wear the right footwear or don't do appropriate strength training.

knk

1,267 posts

271 months

Monday 27th June 2022
quotequote all
pavarotti1980 said:
knk said:
Are you a registered medical practitioner or are you a "Dr Gillian McKeith" type doctor who is giving out medical advice while trying to make people think they are medically qualified?
popeyewhite said:
My guess is he's a physio with a Diploma. While it's not unknown for GPs to make mistakes I don't think it shows professional integrity or is particularly responsible to give advice to a client contradicting what their GP has told them... for a number of reasons.
Thought I recognised posters name and realised he is a chiropractor as was disclosed in a different thread in Health Matters which had a lot of posts deleted by mods because he was giving out medical advice to posters.
https://www.pistonheads.com/gassing/topic.asp?h=0&...
Chiropractice is quackery based on pseudoscience and all high quality studies not shown it to be effective.

Mr Whippy

29,024 posts

241 months

Monday 27th June 2022
quotequote all
LordGrover said:
kambites said:
The human body is kinda designed to not fall apart if you run a lot, if you think about it.
True, but it's spent many millennia standing, walking and running in bare feet.
Restrictive footwear with raised heels and 'support' are not natural and likely cause many issues.
Well pavements, roads, and compacted natural pathways aren't really indicative of our evolved state.


It's interesting though, the concept of HIIT for strengthening your body, vs mundane exercises to burn calories over time.


If we really wind things back, our evolved state was probably quite sedentary with HIIT type action when required, really firing up our fight/flight and nervous system.


Obesity is a lifestyle choice, because of lifestyle choices made available.

If the 'world' ended tomorrow and we were all fighting for survival like 20,000 years ago, obesity would all but disappear.

MC Bodge

21,620 posts

175 months

Monday 27th June 2022
quotequote all
Mr Whippy said:
Obesity is a lifestyle choice, because of lifestyle choices made available.

If the 'world' ended tomorrow and we were all fighting for survival like 20,000 years ago, obesity would all but disappear.
The obese are just taking precautions against famine or an ice age.

pavarotti1980

4,891 posts

84 months

Monday 27th June 2022
quotequote all
knk said:
Chiropractice is quackery based on pseudoscience and all high quality studies not shown it to be effective.
To a large degree I am with you. I did like the MP style wriggling when asked what profession and came back with accredited HCP and not going any further "for confidentiality reasons". Just answer the question FFS.

Edited by pavarotti1980 on Monday 27th June 13:52

TyrannosauRoss Lex

35,051 posts

212 months

Monday 27th June 2022
quotequote all
knk said:
pavarotti1980 said:
knk said:
Are you a registered medical practitioner or are you a "Dr Gillian McKeith" type doctor who is giving out medical advice while trying to make people think they are medically qualified?
popeyewhite said:
My guess is he's a physio with a Diploma. While it's not unknown for GPs to make mistakes I don't think it shows professional integrity or is particularly responsible to give advice to a client contradicting what their GP has told them... for a number of reasons.
Thought I recognised posters name and realised he is a chiropractor as was disclosed in a different thread in Health Matters which had a lot of posts deleted by mods because he was giving out medical advice to posters.
https://www.pistonheads.com/gassing/topic.asp?h=0&...
Chiropractice is quackery based on pseudoscience and all high quality studies not shown it to be effective.
laugh if you say so! I like how you've clearly read every "high quality study" to come to that conclusion.

That must mean everything I said about obesity, statins etc is wrong then?

knk

1,267 posts

271 months

Monday 27th June 2022
quotequote all
TyrannosauRoss Lex said:
knk said:
pavarotti1980 said:
knk said:
Are you a registered medical practitioner or are you a "Dr Gillian McKeith" type doctor who is giving out medical advice while trying to make people think they are medically qualified?
popeyewhite said:
My guess is he's a physio with a Diploma. While it's not unknown for GPs to make mistakes I don't think it shows professional integrity or is particularly responsible to give advice to a client contradicting what their GP has told them... for a number of reasons.
Thought I recognised posters name and realised he is a chiropractor as was disclosed in a different thread in Health Matters which had a lot of posts deleted by mods because he was giving out medical advice to posters.
https://www.pistonheads.com/gassing/topic.asp?h=0&...
Chiropractice is quackery based on pseudoscience and all high quality studies not shown it to be effective.
laugh if you say so! I like how you've clearly read every "high quality study" to come to that conclusion.

That must mean everything I said about obesity, statins etc is wrong then?
Not at all.
But you are giving advice far outside your professional scope of practice (if you are a chiropractor or a chiropodist) so should be really clear that you are doing so as a layman, and not trying to intimate your are a HCP who is suitably qualified to give out such advice.

Lifestyle changes, mainly exercise and diet are the key to managing a great deal of non-communicable disease.
However, most people, despite being given clear advice and direction do not take it, and then end up with medical management to try to mitigate the consequences of their lifestyle.
You seem to be disparaging of GPs for treating the consequences of patients lifestyle choices with well evidenced and effective treatments.

AmgMercedes

4,318 posts

190 months

Monday 27th June 2022
quotequote all
Obesity in most cases is simply a lifestyle choice. Too much of the wrong food and drink and not enough exercise. I am very careful what I eat and exercise regularly therefore I’m 13 1/2 stone at 56 and 6ft tall. Most mates are larger and a couple positively fat because of the st they eat. Heart attack beckons for 1 guy.