Obesity sufferers are those whose bodies are hard-wired to accumulate fat.

29th June, 2021.      //   Health  // 

Obesity, according to experts, should be recognized as a disease caused by genetics, biology, and the way we live today.
 
A new study adds to the growing body of evidence that “healthy obesity” does not exist. Those who are severely overweight have a 66 percent higher risk of getting chronic renal disease than those who are of normal weight, according to the study.
 
Many obese people claim that not only do they have to deal with prejudice and shame, but they also have difficulty finding therapy.
 
Sarah has struggled with obesity for the most of her adult life. The 39-year-old mother has a BMI (Body Mass Index) of above 40, which means she is medically classed as “severely obese” and is overweight to the point where her health is jeopardized.
 
“People believe you’re stupid, lazy, and eat too much, and that you’ve brought this on yourself. That there is an option, “she explains. “All I want to do is shout and say none of that is proper.”
 
1624969189762blobSarah has spent much of her life attempting to lose weight through food and exercise, and she claims she thinks about her weight every day.
 
Sarah was a “normal-sized” girl growing up in Jersey, in the Channel Islands, until the end of primary school, when she began to develop ahead of some of the other girls in her class. Puberty changes caused her to feel different from many of her peers by the time she entered an all-girls secondary school.
 
Sarah was aware in her early adolescence that her mother had struggled with her weight and had tried a variety of diets, so as Sarah’s weight climbed, she did the same.
 
She went on an 800-calorie-a-day milkshake diet when she was 16. She claims she went from a size 14 to a size 10 during the summer before commencing her A-levels. It made her feel “brilliant” at the moment. In retrospect, she realizes that this was the beginning of years of yo-yo dieting.
 
When Sarah started university, she wore a size 12 dress. She had ballooned to a size 20 by the time she graduated three years later. She couldn’t control her weight because of her college lifestyle, which included partying and eating late.
 
But, unlike when she was 16, diets didn’t work this time. It was the beginning of her weight-control battle.
 
Scientists discovered that people’s weight fluctuates drastically depending on their genetic origin, even if they consume the same number of calories.
 
 
Obesity genes
 
Sarah began working in the pharmaceutical industry after graduating from university. She was doing well as a salesperson for a diabetes medication. But she was taken aback when her employer said that the first time he met her, he thought to himself, “You better be a bloody good sales person, looking the way you do, trying to market a diabetes treatment.”
 
Sarah now believes that making comments on body shape and size should be illegal.
 
Sarah had serious obesity by the time she was 30, and she was determined to do something about it for the sake of her emotional and physical health. She worked with a personal trainer for a year and finished an Olympic-class triathlon, swimming 1.5 kilometers, cycling 40 kilometers, and running 10 kilometers. She also shed eight-and-a-half kilograms (55kg).She underwent various genetic tests around this time. Two key findings emerged from the study: She carries an FTO gene variation linked to weight gain and an increased risk of obesity.
She has an obesity-causing mutation in the MC4 receptor.
 
For many years, Shaw Somers, a consulting surgeon specializing in weight-loss surgeries, has treated clients with severe obesity. He claims that persons with an inherited set of particular genes, such as Sarah, are far more prone to develop obese than those who do not.He claims, however, that obesity is not solely due to heredity. It’s also about psychology, inequities, and our shared food environment.People with these traits might have fared well in a famine in the past, he claims, but with today’s abundant, high-calorie food, they will gain weight unless they live “without tremendous determination and assistance.”
 
People’s past experiences can play a role, according to Dr. Denise Ratcliffe, a clinical psychologist who assists patients undergoing bariatric surgery. She claims that many of the people she encounters have been through trauma, such as abuse or neglect, which leads to an unhealthy relationship with food. “I believe there is something about people’s psychological experiences and the relationships they begin to establish with foods that creates a perfect storm.” When there is easy availability to fatty, sugar-laden foods that are cheap and convenient, both the genetic and psychological components of obesity can be increased.
 
Jed, Sarah’s buddy, has spent his entire life on a Hull estate. He suffers from obesity and believes that neighbourhoods like his can have a significant impact on the health of those who reside there. He remembers the parade of shops across the street from his house once having a greengrocer’s and a butcher’s; currently, eight of the 20 establishments are fast-food places.

He explains, “We have a chicken place, a burger place, a fish shop, a kebab shop, another kebab shop, another chip store, and a Chinese.”Jed claims that he recently signed a petition to try to block the launching of another takeout. “I guarantee there will be more takeaways in any region of your city with a poor socioeconomic status. We don’t need to demolish places like this. We must assist them in their ascension.”
 
Sarah continued to train consistently and eat properly after completing the triathlon and losing eight and a half stone. She did note, though, that she was steadily becoming overweight. It made no difference what she did.
 
Many people, according to Dr. Abd Tahrani, a senior lecturer in obesity medicine at the University of Birmingham, are “biologically pre-designed to preserve energy,” which is stored as fat. He says that signals from the hypothalamus, the area of the brain that controls appetite, bombard the person with overwhelming feelings of hunger and a desire to eat.
 
So, even if a person loses many stone by dieting, their body remembers their baseline weight and tries to get back to it. According to studies based on GP records in the United Kingdom, patients with morbid obesity have a one-in-700 to one-in-1,000 probability of achieving normal weight each year.
 
Sarah discovered that, after a lifetime of blaming herself, her body was actually “working against her” as she began to explore obesity.