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“Healthy obesity” doesn’t exist. It is unequivocally bad for you

bigthink.com

11–20 of 397 posts

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#11

There’s really no getting around the fact that you need to live an active life of consuming things in moderation to be healthy.

The challenge is what is the closest hack to get around it, as most people, admittedly myself included, are not willing to exercise? Semaglutide seems to be the best bet right now.

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#12

I think the article is arguing that there is such a thing as being healthy with a high BMI? It's just that those people generally don't have an excessively high body fat %. But if we are going by BMI, there are plenty of people who have "healthy obesity", on account of muscle mass. I've been working out for many years and I think I have a healthy body fat percentage but since I'm not very thin its hard to tell withou…

Nobody who is jacked has ever been considered obese. This weird "gotcha" about bodybuilders and alike having the BMI of an obese person and being healthy is a meaningless edge cases that tries to stray away discussions. The vast majority of people are not gym rats, thus their BMI roughly corresponds to their fat levels, correctly approximating overweightness and obesity.

In fact BMI actually underestimates obesity for most of the population.

> BMI characterized 26% of the subjects as obese, while DXA indicated that 64% of them were obese. 39% of the subjects were classified as non-obese by BMI, but were found to be obese by DXA.

https://journals.plos.org/plosone/article?id=10.1371/journal...

Discussed earlier this month: https://news.ycombinator.com/item?id=34854496

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#13
post #6

the only nuance i’ll add is that there’s a huge difference between subcutaneous fat (eg visible belly fat you can pinch) and visceral fat (the fat hugging your vital organs) visceral fat is significantly more dangerous than subcutaneous fat, and people who have a high ratio of visceral fat to subcutaneous fat can appear skinny but are as or potentially less well off that someone who has a more balanced ratio of visce…

True enough, but even subcutaneous fat is not benign.

Sumo wrestlers have extremely low visceral fat and extremely high muscle mass. But a good margin of subcutaneous fat. They have a markedly lower life expectancy than other elite athletes and than other Japanese men.

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#14

I think the article is arguing that there is such a thing as being healthy with a high BMI? It's just that those people generally don't have an excessively high body fat %. But if we are going by BMI, there are plenty of people who have "healthy obesity", on account of muscle mass. I've been working out for many years and I think I have a healthy body fat percentage but since I'm not very thin its hard to tell withou…

> there are plenty of people who have "healthy obesity", on account of muscle mass.

There are _very few_ people who have a BMI over 30 purely by having an extreme amount of muscle mass and most of them are on steroids. Also, there are weight related issues for which it is irrelevant whether the extra weight is fat or muscle mass.

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#15

I think the article is arguing that there is such a thing as being healthy with a high BMI? It's just that those people generally don't have an excessively high body fat %. But if we are going by BMI, there are plenty of people who have "healthy obesity", on account of muscle mass. I've been working out for many years and I think I have a healthy body fat percentage but since I'm not very thin its hard to tell withou…

"there are plenty of people who have "healthy obesity", on account of muscle mass."

The sheer amount of muscle you would need to exceed BMI 30 (obesity threshold) is pretty rare to see "in the wild" and you have to ask how many such people abused steroids etc. to grow so muscular. Natural Homo sapiens build is fairly lean, we are no Neanderthals.

A very fit guy from a normal city gym may have BMI in the overweight territory (so, say, 26-27), but > 30 is too much.

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#16
post #6

the only nuance i’ll add is that there’s a huge difference between subcutaneous fat (eg visible belly fat you can pinch) and visceral fat (the fat hugging your vital organs) visceral fat is significantly more dangerous than subcutaneous fat, and people who have a high ratio of visceral fat to subcutaneous fat can appear skinny but are as or potentially less well off that someone who has a more balanced ratio of visce…

Your nuance is one of the main points of the article.

«Nor does BMI measure where fat is located, which can make a big difference. Visceral fat jammed among internal organs is much worse than subcutaneous fat stored just beneath the skin.»

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#17

What interests me is how anybody could ever come to believe otherwise. The contrary belief flies in the face of all common sense, popular experience and medical science. It seems to come entirely from propaganda on social media telling fat people what they want to believe.

It is a reaction to obese people being butt of jokes and now majority becoming obese. If you can't change lifestyle you can use contra views as coping mechanisms. Also, like anti-science believing in snake oils and flat earth over the internet you can live in an echo chamber custom made for you.

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#18

I think the article is arguing that there is such a thing as being healthy with a high BMI? It's just that those people generally don't have an excessively high body fat %. But if we are going by BMI, there are plenty of people who have "healthy obesity", on account of muscle mass. I've been working out for many years and I think I have a healthy body fat percentage but since I'm not very thin its hard to tell withou…

> most men who go to the gym frequently are in the category of "healthy obese"

Healthy obese because of muscle mass is the size of an NFL linebacker, not “most men who go to the gym”

ETA: yea, just checked. TJ Watt has a BMI of 30.7 (barely obese BMI). BMI only matters here if you’re TJ Watt lmao

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#19

I think the article is arguing that there is such a thing as being healthy with a high BMI? It's just that those people generally don't have an excessively high body fat %. But if we are going by BMI, there are plenty of people who have "healthy obesity", on account of muscle mass. I've been working out for many years and I think I have a healthy body fat percentage but since I'm not very thin its hard to tell withou…

It’s a different context to the article, but I think you make a reasonable point in that BMI is often used in stupid ways.

For example, when I went to get life insurance, the rate was affected by BMI, regardless of body composition.

Re: “Healthy obesity” doesn’t exist. It is unequivocally bad for you

#20

There’s really no getting around the fact that you need to live an active life of consuming things in moderation to be healthy.

The challenge is what is the closest hack to get around it, as most people, admittedly myself included, are not willing to exercise? Semaglutide seems to be the best bet right now.

There is no hack. Exercise is non-negotiable. Our lifestyles are far too sedantry for our bodies' evolution. If you are not willing to add a small amount of exercise into your life, you are admitting that you are happy to at least have health issues later in life or at most willing to live a shorter life.
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