Obesity

Why be just morbidly obese when you can be “Super” morbidly obese. It starts at a BMI of 50.
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I think a much larger factor causing obesity, is a lack of exercise, and a general lack of physical activity overall. Especially with the younger crowd today.

They're not just O.D.'ing on chips, candy, along with sugar and caffeine saturated energy drinks. There is a large segment of younger people that are totally addicted to gaming and social media. Both of which keeps them indoors.

And to be fair, it's not just the younger generation. Cell phones and gaming devices consume hours of these people's lives on a daily basis. 50 years ago kids were playing everywhere.

Even in the 80's they were all walking around the malls, and going places with their legs, instead of parking them under a desk. Today I see far more older people walking than young kids. And it seems the heavier they get, the less they move. So it keeps compounding itself.

It makes you wonder, the way diabetes is increasing in the current population, are we going to end up with half the population on dialysis in another 40 years?
 
Not all of us.

Laziness and lack of self control. Some have medical problems the vast majority don't.

Though that is part of it, food addiction is very real. Sugar is addictive in that it gives a dopamine rush very similar to that of many street drugs. If someone has been conditioned to consuming a lot of sugar from a young age, it's quite difficult to simply stop. Unlike drugs, you can't just stop eating which is why it's considered the most difficult addiction to get rid of.

It's a compounding lifestyle that I dealt with myself. "I eat because I'm unhappy and unhappy because I eat." You feel down, a full stomach makes you feel good. You indulge. Over indulgence affects sleep making you more tired and down which makes you want to indulge more which makes you even less restful which makes you even more desperate for a dopamine rush and so on. It's much more psychological for many than just being lazy. They're conditioned and addicted to it which means gaining self-control is difficult. Effective long-term weight loss, for many, involves psychiatric care along with nutrition and exercise regiments. That itself is difficult to even get in this country with long waiting lists for treatment that your insurance will not want to cover.
 
5'7" people at 160 pounds being considered overweight is crazy.
Kinda sorta. There is a build factor for sure.

I'm at BMI 26 according to the chart. Have not done a flap or float test in 30 years. I could agree that chart is pretty strict, or I could honest and say "well I should drop a few more pounds"

Also because someone has a BMI of 26, does not mean instant death risk.
 
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Also because someone has a BMI of 26, does not mean instant death risk.
I agree...but....can I have that $20 back I loaned you last month?

Me? I got ~25 more pounds to go to 'get into the green'.

BMI Chart Suggestion?
Add a 6th classification called "Suicidally Obese". Yes, psychologically pregnant labels are arguable, but we all know people who.....
 
I say sometimes, something like this: "Honey, the chubby lady at the other register over there is open....." and of course she being skinny says: "Do you ALWAYS have to bring up the size of the person?" I just shut up and hang my head.

Then later...........she will be describing her day and it usually involves a large sweaty woman at the gym or workout class. Of course I ask what the size of the person had to do with the situation............

Big people drive up my insurance rates. Drop some weight. Start with intermittent fasting, the first 2-3 weeks will be extremely difficult. But once you feel that good feeling, once you start feeling lighter on your feet, easier on your joints, life will become easier - I mean that is what people want. Easier. Being fat is not easy in any way.
 
It's the thorn on the free society rose. Having freedom of choice and lifestyle often means people choosing things that are easy and convenient. In expanding Newton's law of equal and opposite reaction to a broader spectrum, things that are easy and convenient can often have disastrous consequences. People are fully aware of the consequences. It's likely true to say that most every fat person is fully aware that their obesity can cause a plethora of health issues. However, there's a evolutionary design flaw in humans (and most mammals) of "it won't happen to me." There's also the false belief of "I can stop whenever I want." We tell ourselves this as a survival or coping mechanism. This can be so strong that people will fight to the death to protect it. Thus, how do you solve the issue without significant, deeply infiltrating restrictions on people's every day lives? You'd be looking at a 1984 reference of food rationing to make that happen and we'd be ready to go to war long before it came to that point. Calling them lazy won't work because they're mentally far beyond that point.

It's not like smoking where you can stop smoking cold turkey and survive. You can't stop eating or you'll die. Going back to easy and convenient, we're living in a much busier society (in terms of family dynamic) than much of history. If you go back 50 years, only ~40 percent of women were in the workforce. Today, that number is near double that. Not a patriarchal rant here at all, it's just a reflection of how our economy has changed to where a single income household is no longer doable for most families. When you had a parent/spouse home all the time, it was easier to have a consistent meal plan. We didn't eat out nearly as much then. We ate healthier foods from home. When both parents are working, neither of them want to come home and stand in front of a stove for 1-2 hours and deal with the cleanup afterwards. This is compounded by the time problem such as getting off work at 4-5 pm, little Timmy has a soccer game at 6, and little Tiffany has a ballet recital at 730. When are you supposed fit a dinner in there? You don't. You grab fast food because it solves both the time and stress/tired problem.

On top of that, we've transitioned from a manufacturing based workforce to a retail/service based one. This means less physically demanding jobs, more jobs sitting down behind a computer/desk/register, and so we're not getting the same physical exercise in our daily lives as we used to. You don't have to walk in a place to get food with a drive-thru. You don't even have to walk in the grocery store to get groceries with things like clicklist / curbside pickup. It's things like this we don't often think about when it comes to this problem.
 
The OP is not wrong.
I gained 30 lbs in past 2 years onto an already not too slim frame.

Eating on business travel is killing me.
Plus now I live in a foreign country and eat out often.

Only 5 years ago I was active duty level fit.
 
Kinda sorta. There is a build factor for sure.

I'm at BMI 26 according to the chart. Have not done a flap or float test in 30 years. I could agree that chart is pretty strict, or I could honest and say "well I should drop a few more pounds"

Also because someone has a BMI of 26, does not mean instant death risk.

True, the chart definitely doesn't take into account the person's build. The chart says I have a BMI of 29 which I'm really under 23. The last time I looked at other's BMI was in the military and most Marines would have fallen around 26 BMI/overweight which would have been super wrong.
 
I got an Apple Watch Ultra back in July and the information it measures on my daily movement (energy use) are shared with the Health and Fitness apps on the IPhone. The clearly delineated daily resting v active calorie burn provided every day in the health app has provided me with the calorie burn information that I always wanted.

Information is power in the obesity challenge many of us face every day.

I’m down 23 pounds since I mentally make sure my daily calorie burn is greater, some days significantly greater, then what I’m consuming. It is enlightening, and scary, when you know how much exercise it takes you to burn off that hamburger. Yes, I also changed my couch habits but more movement has allowed me to increase my VO2 max reading by 50%. I went from well below average for my age to above average in 4 months. I had never heard of VO2 max before getting the watch but it is to many physical fitness experts the benchmark of a person’s physical fitness health. Google VO2 max for more information on the metric.
This is an incredibly powerful health aid for those who use it. Every physical activity I have it record. Whether power walking or playing pickleball. I LOVE the pickle ball information as my cardiologist encourages me to run my heart rate up to the 150 BPM region during workouts. I easily do this with pickelball and it's cool to see the breakdown of actual minutes in each region of heart rate for for how long. Also at the gym, same deal.

The sleep functions are amazing as well, same with ECG, fall detection ... etc
I have the Watch 9, my wife Watch 7
 
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Not pills, but I heard that Sharon Osbourne, (wife of rock star Ozzy Osbourne), has really messed up her digestive system by misusing Ozempic. The drug was meant for controlling A1C with type 2 diabetics.

One of the side effects of using it, is weight loss. So naturally people started using it for that. Now it has been reported she cannot digest her food properly, and she's quickly turning into nothing but skin and bone.
 
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