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Michael Buerk. Is obesity a disease?

(369 Posts)
merlotgran Tue 06-Aug-19 14:41:41

Or are overweight people just weak?

What are your thoughts?

Gonegirl Tue 06-Aug-19 18:58:57

I do not believe the really obese people got that way by eating too much, or by eating the wrong foods. I'm no expert but I believe there is some other underlying cause that makes them that way. Either genetic, or something else.

Michael Beurke makes good money by writing stupid controversial things like that.

coleen21 Tue 06-Aug-19 18:26:22

I just read some of this guys writing....laughable.

Yes, I'm obese. Spent the first 55 years of my life skinny, model skinny. I was 5'9" tall and could wear anything. Then menopause. ouch. 100 pounds later and I can't wear anything! Moving is hard...but I do. I often refer to myself as the hardest working fat person you'll ever meet!

No, I don't overeat, nor stupid, I can see the food on my plate. oh, yeh, before menopause, I could eat anything/amount I wanted and not gain a pound! Now, I have to watch every bite. (Often feeling like I watch it go directly from my fork to my hips!)

I do have some physical issues...arthritis in both knees, which came before the weight gain. but, I'm still out gardening everyday, I just can't run a marathon!

Do I think I should die early to save humanity from my scourge? Laughable. We can't start thinking like that, who knows what 'disease' they'll single out to kill off next.

Do I like this fat body? NO! Is there much I can do about it...not so far...I've tried.

Welshwife Tue 06-Aug-19 18:21:31

Underactive thyroid can also cause the organs to become waterlogged - I know someone who needed a hysterectomy and the surgeon needed to cut the uterus etc into pieces to enable him to remove it.
The T3 cost and prescribing is still a problem as many people are unable to have a NHS prescription. The cost rose from £9 a month to over £300 for no apparent reason. This drug is available in other countries for £5 a month. What is wrong with U.K. and who is making money out of it.

KatyK Tue 06-Aug-19 17:56:53

Exactly merlot

merlotgran Tue 06-Aug-19 17:38:48

Why is it that some people make excuses for an unhealthy lifestyle by pointing a finger at other unhealthy lifestyles.

'Yes, I'm overweight but what about smokers/drinkers/anorexics etc?' is a cop out. Surely these are all issues that need addressing in their own right?

When I passed my driving test my father said, 'You'll have to watch your weight now!' As a fashion mad teenager in the mini skirt era I was always watching my weight but I totally got what he meant.

Leaving illness and medication etc., aside, I think it's wrong to cast around for reasons why it's impossible to eat more healthily and get more exercise. Surely everyone has the means to be responsible for their own health? It's not as though the information and support isn't out there.

notanan2 Tue 06-Aug-19 17:33:57

You can change your metabolism right now by getting up and moving. Or by eating something sugary.

notanan2 Tue 06-Aug-19 17:30:21

It was actually rapid weight gain and suddenly reduced mobility due to another illness that caused my tyroid to stop functioning normally.

Your "metabolism" is controlled by what you to do your body Your glands respond to that. Its all connected.

Your thyroid does not function in isolation.

And sometimes it does need to be totally removed and sometimes it can be controlled by medication but you wont get "better" without also managing lifestyle.

Fat changes your hormone profile.

So when all you want to do is pick up a quick unhealthy ready made snack or meal because you are wiped out due to your condition... that snacking on convenience food will just make your condition harder to manage. Its not just the meds or the condition causing the weight gain

notanan2 Tue 06-Aug-19 17:21:05

Minniemoo a "slow metabolosm" means moving less and having low energy which makes you crave quick high energy foods. It still amounts to the same thing.

Metabolism isnt a fixed number. It is how you use energy.

Medicine can only do so much because here is the real crux, these conditions that make it harder to maintain weight are also exacerbated by weight gain! So it is not helpful to see weight gain as inevitable and uncontrollable on these meds/conditions.

Yes, it makes it 20 times harder, but equally 20 times more important to try to keep some control over intake and try to build up movement on the days when you can. That might mean walking as far as the end of your drive on a "good" day because thats as far as you can get, but it still HELPS.

Minniemoo Tue 06-Aug-19 17:06:26

Oh yes. MissAdventure. I've seen pts saying exactly the same thing and upon leaving the hospital stopping off at Costa or whatever. Plenty of those about. But for an unfortunate few it's a reality that can cause huge problems. Cushings is another that causes weight gain. Quite rare but it happens.

MissAdventure Tue 06-Aug-19 17:01:22

Weight is a very emotive issue.
The weight of a man where I used to work almost caused wars.
"He has hardly eaten a thing!"
He had cereal followed by toast every single day.
"He didn't eat dinner!"
He had upwards of 15 cups of tea every day, and staff would give him 2 or 3 biscuits with every cup, even hiding the fact that they were doing it.
"He is a man, they need a lot of food!"
He doesn't actually do much physical activity.
"But he's massive! Really big"
He is actually about five foot six, so rather small.
"He's hyperactive though!"
He jumps from sofa to sofa occasionally, making a lot of noise, then falls asleep after five or six minutes.

rosecarmel Tue 06-Aug-19 16:54:21

Its a judgement call by the author and nothing more- He could have, if he hadn't already, ranted about all the medical problems drinking causes- But it's ok to be skinny and drink your liver into necrotic oblivion-

KatyK Tue 06-Aug-19 16:50:50

I'm slightly overweight, maybe half a stone. I consider it to be my fault. Since retiring I don't get enough exercise. I do watch what I eat mostly. Unless it's due to a medical condition or medication, I believe it's possible to keep weight down, although I know it's hard. There are lots of things we can't do anything about, and believe me I've got other problems, but I think weight can be controlled.

Minniemoo Tue 06-Aug-19 16:45:31

""It slows your metabolism. You can be eating exactly the same as always. Exercising the same. And suddenly you're gaining weight.""

That was my comment. No idea how it stuck with the quote.

Minniemoo Tue 06-Aug-19 16:44:06

Here's a quote from the NHS website. I can't emphasise enough that it's due to the under active thyroid that the weight goes on. This is what hurts people. People who are stuck with an auto immune disease that's not their fault and they get told that it's because they've eaten too much.

An underactive thyroid (hypothyroidism) means your thyroid gland is not producing enough thyroid hormones, which play a central role in regulating your metabolism. Although an underactive thyroid can occur at any age and in either sex, it is most common in older women. It slows your metabolism. You can be eating exactly the same as always. Exercising the same. And suddenly you're gaining weight.

"Without enough thyroid hormone, the body's metabolism slows down, which can lead to weight gain," says dietitian Catherine Collins. The condition is usually treated with daily hormone-replacement tablets, called levothyroxine.

Minniemoo Tue 06-Aug-19 16:40:03

Notanan! That's not true at all. UAT causes problems with metabolism. Once on the correct medication the weight gain stops but it's not always that easy to lose any gained weight.

Also many people, they reckon about 15-20% aren't being treated effectively because we only supply T4 medication and some people can't convert so the symptoms don't disappear. They need T3 to be added, whether that is in the form of synthetic or natural. But in the UK they stopped prescribing natural meds in the 1970s. This product was garnered from pigs and contains T4 and T3 which tends to work very well.

There was a hullabaloo about the price of T3 and they had wanted to knock it off the NHS but have relented as for some people it's a life saver.

But it's nothing to do with calorie intake.

This weight gain is absolutely nothing to do with exercise nor calories.

notanan2 Tue 06-Aug-19 16:31:58

An undeeactive thyroid can A. Make people more lethargic & move less and B. Make people crave "energy boost" foods. Its a HUGE challenge and often an impossible one until the endocrine issues are resolved

But it still wont CREATE weight gain out if nowhere if calories in dont exceed calories out.

NanaandGrampy Tue 06-Aug-19 16:30:07

So who do we target after fat people ?

the obese should be allowed to die an early death in order to save the NHS money

To play devils advocate - what about anorexics? Or other eating disorders? Surely they could eat if they wanted to? Are they to be seen as making the wrong choices like the obese?

And what about some cancers? Lets say a smoker gets lung cancer - shall we just shuffle them off to save the NHS money?

And god forbid you get Alzeheimers - but as you don't remember much anyway you're a prime candidate for money saving !!

The article is attention grabbing and poor journalism in my opinion and just another way to have a pop at the obese .

Minniemoo Tue 06-Aug-19 16:29:46

There are definitely medications that can cause weight gain.

Also an under active thyroid can cause weight gain and make weight loss very difficult indeed.

I agree that the majority are overweight due to lifestyle but there is a percentage who can't do much about it

M0nica Tue 06-Aug-19 16:27:36

notanan, there is a difference between having a few obese family members where they are in different families the rest of whose members are normal sized, and families where it runs in groups, yes, then it is probably family eating habits, but two or three dotted through a family, where spouses/siblings are not overweight, does not.

Bearing in mind pinkquartz's post above, I get the feeling that you are of the old-fashioned mechanistic school that believes there is a direct and simple relationship between calories and internal energy use. If only. And, no, I am not overweight.

Daisymae Tue 06-Aug-19 16:27:33

So where do you stop - limit health care for people who don't exercise enough? Or people who are careless enough to contact a std? How about hang gliding? Motorcycle accidents are quite avoidable too. Seems to me that we should not be so quick to judge.

pinkquartz Tue 06-Aug-19 16:26:44

I am similar to you FlexibleFriend except I was a size 8.

It is really tough isn't it? My close friends are understanding but in general most people hold views that make me cross.

pinkquartz Tue 06-Aug-19 16:22:17

notanan2

I think your views are biased because of your relatives.

pinkquartz Tue 06-Aug-19 16:20:18

notanan2

that is completely untrue about medications....some do put on weight and not though increased appetite.
That is an old myth.
am sick of it.
it might be true of some people, but not all.

Alima Tue 06-Aug-19 16:16:26

No, I don’t think that all overweight people are weak. This particular one is bl..dy cross. At least the weight gain seems to have plateaued as the meds have decreased. I do honestly think that’s some obese people are quite ok with their weight. Personally I hate the waddle aspect.

notanan2 Tue 06-Aug-19 16:04:03

One branch of my family are convinced that they are "genetically" fat.

But from a relative outsider I feel fat and bloated whenever I spend time with them.

They think they exercise a lot. In reality they make a big song and dance about their "walks" but they drive everywhere, even to places in walking distance. Their "walks" = driving to a park. Then walking SLOWELY in a small loop. Then driving home.

They DO eat "healthy food" as in theres lots of veg & fruit. But there is just too much food. And snacks between each meal too.

They really "drink their calories". Pint glasses of fruit juice at breakfast. Sugary smoothies or syrupey lattes if out and about. Hot chocolates. Spirits with mixers etc.

My household isnt perfect either, but I always leave their home feeling lethargic with a tummy ache. And no it is not because they are putting on "visitor spreads" This is their "normal"

People are really out of touch with what being healthy looks and feels like.