Obesity, is it really an illness or a lifestyle choice?
Discussion
MC Bodge said:
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. If the 'world' ended tomorrow and we were all fighting for survival like 20,000 years ago, obesity would all but disappear.
I don’t feel the benefit in summer though. Still feel red hot haha.
MC Bodge said:
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. If the 'world' ended tomorrow and we were all fighting for survival like 20,000 years ago, obesity would all but disappear.
I don’t feel the benefit in summer though. Still feel red hot haha.
knk said:
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&...
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?
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.
This was a patient who has a largely fat and protein based diet with few carbs. His cholesterol ratios are very healthy, his overall cholesterol wasn't that high. The data (blood test) shows his lifestyle is fine. He's not overweight, exercises 4x/week. For this patient, NNT for preventing death is infinite, because it doesn't prevent death. His personal benefit in reducing the risk of a heart attack is less than 1%, his risk of developing illness from taking a statin is more:
https://www.thennt.com/nnt/statins-for-heart-disea...
Don't get me wrong, if people have sky high LDL, low HDL and high triglycerides and don't want to change their life, take a statin, the statistics are a bit different for that, especially if they've had a prior CVD event.
For this person the evidence for taking a statin ISN'T good, which is what you are alluding too (again, accept my apologies if you aren't, maybe I misunderstood you).
If cholesterol alone is bad, why do many who have very high cholesterol levels but GOOD ratios and LOW triglycerides have a LOWER risk of heart disease? This may explain it.
https://www.mdpi.com/2218-1989/12/5/460
I'm not disparaging of GPs, just this one in particular that wanted to give out a drug which is more likely to cause harm than help without discussing details with the patient.
That's the end of the discussion on this, but happy to carry on about obesity. As I've said previously, apologies if I came across as anti GPs in general, that isn't the case. I liase with a lot, some are fantastic, some are less so. Same with any walk of life
AmgMercedes said:
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 s
t they eat. Heart attack beckons for 1 guy.
And when things in your life don’t turn out as you’d expect, let me guess, that was a result of someone else’s decision? t they eat. Heart attack beckons for 1 guy. 
BorkBorkBork said:
AmgMercedes said:
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.
And when things in your life don’t turn out as you’d expect, let me guess, that was a result of someone else’s decision? t they eat. Heart attack beckons for 1 guy. AmgMercedes said:
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.
Isn't six foot and 13 and a half stone overweight by the rather crude metric of BMI? t they eat. Heart attack beckons for 1 guy. 
Of course if your exercise is mostly resistance training you can easily be that heavy and healthy through having a lot of muscle mass.
kambites said:
AmgMercedes said:
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.
Isn't six foot and 13 and a half stone overweight by the rather crude metric of BMI? t they eat. Heart attack beckons for 1 guy. Of course if your exercise is mostly resistance training you can easily be that heavy and healthy through having a lot of muscle mass.
TyrannosauRoss Lex said:
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.What positives does being fat bring?
AmgMercedes said:
Haha my BMI is fine thanks, I’m actually at the top end however which is bizarre with a 34” waist.
BMI has always been a rough guide at best. I'm 6' and 11 stone which puts me slap bang in the middle of the "healthy" BMI range but it's surprisingly difficult to find trousers long enough for a six footer with a 30 inch waste. Edited by kambites on Monday 27th June 19:31
kambites said:
AmgMercedes said:
Haha my BMI is fine thanks, I’m actually at the top end however which is bizarre with a 34” waist.
BMI has always been a rough guide at best. I'm 6' and 11 stone which puts me slap bang in the middle of the "healthy" BMI range but it's surprisingly difficult to find trousers long enough for a six footer with a 30 inch waste. Edited by kambites on Monday 27th June 19:31
TyrannosauRoss Lex said:
I think perhaps you mistake me, I perhaps wasn't clear enough.
No one has mistaken you, you've been called for what in the real world would be unprofessional conduct in that you implied to a client that their GP was incorrect and you were right. But you have no qualifications to make that call. No one's interested to hear you blather on about cholesterol, the basic facts are out there for all to read anyway. And yes, chiropractic is most definitely quackery. Incidentally it's not normal for ultra runners knees to happily covers 100s of miles - those athletes have a genetic advantage like many do towards certain sports - for ultra runners it's light bw and a combination of other traits that give them an ability to run further for longer. Another point you missed is comparatively ultra runner's pace is slower than that of marathoners - so less impact on the joints.
popeyewhite said:
TyrannosauRoss Lex said:
I think perhaps you mistake me, I perhaps wasn't clear enough.
No one has mistaken you, you've been called for what in the real world would be unprofessional conduct in that you implied to a client that their GP was incorrect and you were right. But you have no qualifications to make that call. No one's interested to hear you blather on about cholesterol, the basic facts are out there for all to read anyway. And yes, chiropractic is most definitely quackery. Incidentally it's not normal for ultra runners knees to happily covers 100s of miles - those athletes have a genetic advantage like many do towards certain sports - for ultra runners it's light bw and a combination of other traits that give them an ability to run further for longer. Another point you missed is comparatively ultra runner's pace is slower than that of marathoners - so less impact on the joints.
Let's get back to obesity...... In almost all cases, it's a lifestyle choice. If people are happy with that, that's fine.
In years gone by, a previous UK fat man record holder was a tenant of mine. Hadn’t left his flat for 27 years. His view was only a high brick wall
This is pre internet, net flix etc although sky tv would have been about.
Very sad because apart from eat, I assume he had no life.
In my dull profession of social housing and having dealt with 1000’s and 1000’s of people, I can truly say obesity is 99.9% down to nothing but idiocy, lifestyle and very poor choices.
When it all goes wrong, you’re gasping for breath with your COPD and can’t bathe any more, it’s always someone else’s fault.
This is pre internet, net flix etc although sky tv would have been about.
Very sad because apart from eat, I assume he had no life.
In my dull profession of social housing and having dealt with 1000’s and 1000’s of people, I can truly say obesity is 99.9% down to nothing but idiocy, lifestyle and very poor choices.
When it all goes wrong, you’re gasping for breath with your COPD and can’t bathe any more, it’s always someone else’s fault.
wong said:
keo said:
Running has many positives to health though (it also actually strengthens knees)
What positives does being fat bring?
What positives does being fat bring?
Er...Er...You could be an ultra long distance cold water swimmer.
TyrannosauRoss Lex said:
wong said:
keo said:
Running has many positives to health though (it also actually strengthens knees)
What positives does being fat bring?
What positives does being fat bring?
Er...Er...You could be an ultra long distance cold water swimmer.
More likely to survive being shot or stabbed.
NWTony said:
TyrannosauRoss Lex said:
wong said:
keo said:
Running has many positives to health though (it also actually strengthens knees)
What positives does being fat bring?
What positives does being fat bring?
Er...Er...You could be an ultra long distance cold water swimmer.
More likely to survive being shot or stabbed.
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