In making the decision, delegates at the association’s annual meeting in Chicago overrode a recommendation against doing so by a committee that had studied the matter.
"Overweight and Obesity: Health Consequences
The primary concern of overweight and obesity is one of health and not appearance.
* An estimated 300,000 deaths per year may be attributable to obesity.
* The risk of death rises with increasing weight.
* Even moderate weight excess (10 to 20 pounds for a person of average height) increases the risk of death, particularly among adults aged 30 to 64 years.
* Individuals who are obese (BMI > 30)* have a 50 to 100% increased risk of premature death from all causes, compared to individuals with a healthy weight.
* The incidence of heart disease (heart attack, congestive heart failure, sudden cardiac death, angina or chest pain, and abnormal heart rhythm) is increased in persons who are overweight or obese (BMI > 25).*
* High blood pressure is twice as common in adults who are obese than in those who are at a healthy weight.
* Obesity is associated with elevated triglycerides (blood fat) and decreased HDL cholesterol ("good cholesterol").
* A weight gain of 11 to 18 pounds increases a person's risk of developing type 2 diabetes to twice that of individuals who have not gained weight.
* Over 80% of people with diabetes are overweight or obese.
* Overweight and obesity are associated with an increased risk for some types of cancer including endometrial (cancer of the lining of the uterus), colon, gall bladder, prostate, kidney, and postmenopausal breast cancer.
* Women gaining more than 20 pounds from age 18 to midlife double their risk of postmenopausal breast cancer, compared to women whose weight remains stable.
* Sleep apnea (interrupted breathing while sleeping) is more common in obese persons.
* Obesity is associated with a higher prevalence of asthma.
* For every 2-pound increase in weight, the risk of developing arthritis is increased by 9 to 13%.
* Symptoms of arthritis can improve with weight loss.
* Complications of pregnancy
* Obesity during pregnancy is associated with increased risk of death in both the baby and the mother and increases the risk of maternal high blood pressure by 10 times.
* In addition to many other complications, women who are obese during pregnancy are more likely to have gestational diabetes and problems with labor and delivery.
* Infants born to women who are obese during pregnancy are more likely to be high birthweight and, therefore, may face a higher rate of Cesarean section delivery and low blood sugar (which can be associated with brain damage and seizures).
* Obesity during pregnancy is associated with an increased risk of birth defects, particularly neural tube defects, such as spina bifida.
* Obesity in premenopausal women is associated with irregular menstrual cycles and infertility.
ADDITIONAL HEALTH CONSEQUENCES
* Overweight and obesity are associated with increased risks of gall bladder disease, incontinence, increased surgical risk, and depression.
* Obesity can affect the quality of life through limited mobility and decreased physical endurance as well as through social, academic, and job discrimination.
CHILDREN AND ADOLESCENTS
* Risk factors for heart disease, such as high cholesterol and high blood pressure, occur with increased frequency in overweight children and adolescents compared to those with a healthy weight.
* Type 2 diabetes, previously considered an adult disease, has increased dramatically in children and adolescents. Overweight and obesity are closely linked to type 2 diabetes.
* Overweight adolescents have a 70% chance of becoming overweight or obese adults. This increases to 80% if one or more parent is overweight or obese.
* The most immediate consequence of overweight, as perceived by children themselves, is social discrimination.
BENEFITS OF WEIGHT LOSS
* Weight loss, as modest as 5 to 15% of total body weight in a person who is overweight or obese, reduces the risk factors for some diseases, particularly heart disease.
* Weight loss can result in lower blood pressure, lower blood sugar, and improved cholesterol levels.
* A person with a Body Mass Index (BMI) above the healthy weight range* may benefit from weight loss, especially if he or she has other health risk factors, such as high blood pressure, high cholesterol, smoking, diabetes, a sedentary lifestyle, and a personal and/or family history of heart disease."
MisantropicPainforest: And naturally skinny people who eat junk food and aren't active have those health problems too, right?
Both obesity (all grades) and grades 2 and 3 obesity were associated with significantly higher all-cause mortality. Grade 1 obesity overall was not associated with higher mortality, and overweight was associated with significantly lower all-cause mortality. The use of predefined standard BMI groupings can facilitate between-study comparisons.
In the risk-free zone of America as envisaged by the public health industry, only the insane and the uninformed would engage in “risky behavior.”
Nobody, in risk-free America, does anything because it feels good, knowing it might be harmful. Nobody overeats because it brings her pleasure, nobody screws without a condom because it turns him on, nobody smokes because she had a bad day or a good day or because the day hasn’t started but it looks unpromising, nobody rides her bike without a helmet because she likes the feel of the wind in her hair. It’s risky. We all know better.
The libertarians think it’s big government you give up your private choices to, and the progressives think it’s big business. But really, it’s neither — or both, working together. And the public health and medical industries are complicit. It’s not a conspiracy. It’s more like religion.
This is not to say that medical science or medicine itself is wrong or quackery ... but merely that society and culture is the final determinant of what is healthy and unhealthy. The AMA is fulfilling their role as cultural mediators to define obesity as a disease. I tend to agree with this decision. We, as a society, tend to value longer and pain-free lifespans and obesity is strongly correlated with shorter and more miserable lifespans. The AMA recognizes that and is redefining obesity accordingly.
The zoo’s nutritionists took away the processed dog food, ground beef, loaves of bread, supermarket oranges, bananas, mangoes and iceberg lettuce that the bears had been eating.
Instead, they provided plants and animal protein that were seasonal and more closely resembled what grizzlies find in the wild. (As Natterson-Horowitz pointed out, there are no banana or mango plantations in the Canadian Rockies.) They chose vegetables and fruits such as kale, peppers, celery, heirloom apples — all more fibrous and seedy than the bears’ previous diet. And they replaced the hamburger meat with whole prey, such as fish and rabbits, which the grizzlies had to work harder to disassemble and eat.
srboisvert: I'm not sure what difference it makes if a part of reddit think obesity is a disease.
MrVisible: You see, being fat isn't about seeking pleasure; it's about avoiding pain. Hunger, to me, is pain. It freaking hurts.
GOOD | BAD
protein | fat
fiber | carbs
the root causes of the issue are generally located somewhere between the ears and behind the eyes
The fundamental concept this leads to about some of the major causes of obesity is that, over the last 30 years, sensory stimulation produced by the taste, smell, texture and appearance of food, as well as its availability, have increased dramatically, yet the satiety signals produced by stomach distension, satiety hormones, etc. have remained essentially unchanged, so that the effect on the brain's control system for appetite is to lead to a net average increase in the reward value and palatability of food which over rides the satiety signals, and contributes to the tendency to be overstimulated by food and to overeat.
Personally I'd describe obesity as the natural consequence of placing a collection of truly ancient genes, genes forged over millions of years of incredible and constant dietary insecurity and upheaval, into an insane, calorific, modern day, dietary utopia. In other words? Obesity and overweight are our bodies' normal, natural, responses to the world they find themselves living in.
“Another diabetes risk factor that has shown a sex-specific effect is glucose tolerance. After 3 weeks of ADF, women but not men had an increase in the area under the glucose curve. This unfavorable effect on glucose tolerance in women, accompanied by an apparent lack of an effect on insulin sensitivity, suggests that short-term ADF may be more beneficial in men than in women in reducing type 2 diabetes risk. ” The opening line of their discussion reads: “Alternate day fasting may adversely affect glucose tolerance in nonobese women but not in nonobese men.”
The council said that obesity should not be considered a disease mainly because the measure usually used to define obesity, the body mass index, is simplistic and flawed.
“Given the existing limitations of B.M.I. to diagnose obesity in clinical practice, it is unclear that recognizing obesity as a disease, as opposed to a ‘condition’ or ‘disorder,’ will result in improved health outcomes,” the council wrote.
Supporters of the disease classification also say it fits some medical criteria of a disease, such as impairing body function.
Those arguing against it say that there are no specific symptoms associated with it and that it is more a risk factor for other conditions than a disease in its own right.
Ever notice that after a while when you're eating chips, candy, or some other "junk" food, the last chip isn't nearly as tasty as the first few? Kind of a diminishing returns thing?
The main reason why we have a greater-than-expected decrease in energy expenditure with weight loss is because we become less active. This doesn’t mean we exercise less, either, as exercise is a conscious choice. It means we unconsciously reduce our NEAT and spontaneous activity. It also means we become more efficient in the activity we do; we expend less calories for the same movement. In fact, 35% of the decrease in activity energy expenditure can be attributed to an increase in efficiency. Overall, we move around less, and we become more efficient at the movements we perform. Combined with a decrease in resting metabolic rate, we end up burning over 400 calories per day less than you would expect for someone of our same height, weight, gender, and body composition. This is not only why weight loss eventually plateaus, but also why weight is so easily regained.
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