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1:07pm August 8, 2013
clatterbane: likelyhealthy: If Obesity Is A Disease, Why Are So Many Obese People Healthy? Yes, there are certain health risks associated with having an elevated BMI, such as type 2 diabetes and heart disease. More broadly, a higher BMI is associated with a greater risk of cardiometabolic abnormalities, as measured by blood pressure, triglycerides, cholesterol, glucose, insulin resistance and inflammation. Nonetheless, almost one quarter of “normal weight” people also have metabolic abnormalities, and more than half of “overweight” and almost one third of “obese” people have normal profiles, according to a 2008 study. That’s 16 million normal-weight Americans who have metabolic abnormalities and 20 million obese (or 56 million overweight and obese) Americans who have no such abnormalities. As Marilyn Wann said, “The only thing that anyone can diagnose, with any certainty, by looking at a fat person, is their own level of stereotype and prejudice toward fat people.” Also, correlation is not causation; insulin resistance makes people gain weight. These blaming attitudes very directly hurt people:Blaming you for your condition causes guilt and hopelessness. Even worse, the belief that people with diabetes have brought their disease on themselves inclines doctors to give people with diabetes abysmal care. They assume that since you did nothing to prevent your disease, you won’t make the effort to control it.And it’s not just (actually largely genetic) type 2 diabetes, though I have personal experience of that one. Bias can kill.

clatterbane:

likelyhealthy:

If Obesity Is A Disease, Why Are So Many Obese People Healthy?

Yes, there are certain health risks associated with having an elevated BMI, such as type 2 diabetes and heart disease. More broadly, a higher BMI is associated with a greater risk of cardiometabolic abnormalities, as measured by blood pressure, triglycerides, cholesterol, glucose, insulin resistance and inflammation. Nonetheless, almost one quarter of “normal weight” people also have metabolic abnormalities, and more than half of “overweight” and almost one third of “obese” people have normal profiles, according to a 2008 study. That’s 16 million normal-weight Americans who have metabolic abnormalities and 20 million obese (or 56 million overweight and obese) Americans who have no such abnormalities.

As Marilyn Wann said, “The only thing that anyone can diagnose, with any certainty, by looking at a fat person, is their own level of stereotype and prejudice toward fat people.”


Also, correlation is not causation; insulin resistance makes people gain weight. These blaming attitudes very directly hurt people:
Blaming you for your condition causes guilt and hopelessness. Even worse, the belief that people with diabetes have brought their disease on themselves inclines doctors to give people with diabetes abysmal care. They assume that since you did nothing to prevent your disease, you won’t make the effort to control it.

And it’s not just (actually largely genetic) type 2 diabetes, though I have personal experience of that one. Bias can kill.
Notes:
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