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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

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AIBU - With this new data on obesity and the NHS is it time to have some honest and difficult conversations?

1000 replies

IAmADancer · 18/05/2023 10:47

New data from a ‘landmark study’ has show that obesity costs the NHS around 14billion a year and that 2 out of 3 adults are obese.

I know this is a difficult subject but the numbers are pretty clear. With the cost of living crisis and a general requirement for both parents to work now to support themselves how do we support people to make the right choices and tackle a growing problem?

Im really interested to hear people’s opinions on what we can do with such stark figures laid bare.

https://www.telegraph.co.uk/news/2023/05/17/cost-of-obesity-twice-those-who-are-healthy-nhs/

Massive cost of obesity to NHS revealed

Heaviest patients require spending of £1,400 a year, twice the total for those of healthy weight

https://www.telegraph.co.uk/news/2023/05/17/cost-of-obesity-twice-those-who-are-healthy-nhs/

OP posts:
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22
JupiterFortified · 18/05/2023 13:51

*either overweight or obese

SpringTime2020 · 18/05/2023 13:52

I'm overweight due to medication I take. I would have liked help with my weight as soon as I started on the tablets to have helped me not gain/gain less weight. But psychiatrists don't seem interested in helping.

SpringTime2020 · 18/05/2023 13:53

And I'd like help to lose weight now. But all I get offered is 12 weeks of support which isn't enough time for me to lose a decent amount of this extra weight. I hate it.

Nonimai · 18/05/2023 13:54

It is estimated that 11 percent of women worldwide have lipoedema. A not often talked about adipose condition where weight gain is noticeable on the hips bottom, stomach, legs and maybe upper arms and is not caused by overeating, nor can the weight be lost through diet. As a lipoedema sufferer with a bmi over 35 I can speak from bitter experience how the nhs won’t treat me because my bmi means I am ineligible for treatment.

Tigofigo · 18/05/2023 13:54

Spriggedcotton88 · 18/05/2023 11:07

Obesity has very little to do with food and is all about the stressed and fatigued state people find themselves in. Given time to exercise, shop and cook properly, eat at the table with your family, have some de-stressing time at evenings and weekends in which to exercise, huge simple strides could be made.

Agree. Lots of people eat/snack mindlessly (myself included) and it's usually down to a lack of headspace / rational thought processes.

Also I think we greatly underestimate the addictive powers of sugars and starches, in all their forms.

xabia · 18/05/2023 13:54

@dumple
Sorry when you said 'breakfast is a slice of wholemeal bread with low fat spread' I assumed that was your usual breakfast.
You've asked for alternatives-
Porridge with full fat milk
Eggs or cream cheese on oatcakes
Greek yoghurt with unprocessed nuts
Or give your metabolism a rest by skipping breakfast altogether and intermittent fasting.

SnackSizeRaisin · 18/05/2023 13:56

dumple · 18/05/2023 10:48

I'm obese but I'm disabled and my weight gain is due to the drugs I take to manage my conditions.

What would you suggest is done in my case?

This needs to be tackled at a population level, not by expecting individuals to do anything, and certainly not by blaming anyone for their own obesity. Don't be so defensive!

Really we need to (a) decrease private car use and replace with walking, cycling and public transport, and (b) do more to encourage people to eat fresh food and not processed food, whether that is by laws, financial penalties such as minimum pricing on junk food

There will always be some who have different challenges but for the vast majority, putting an hour of exercise in their day every day will be enough. If people walk or cycle to work and school, instead of driving, they mostly won't need to do anything more drastic than that

Flipflop23 · 18/05/2023 13:57

The government seem to be getting a lot of blame on this thread, surely an individual can make the correct decision.
I’m not talking about the people who are obese because of medical problems including mental health or medication.
I wonder if you had to pay for treatment that was caused by obesity, smoking, drinking we would have as many problems…I think not.
boils my piss conversations like this.
don’t want to be fat, don’t eat as much.
gym to expensive?… then walk!!!
to expensive to eat properly… bullshit.
nation full of excuse makers.
none of us want to live in a nanny state, so I think it’s about time people took account for themselves.
and no way is it cheaper to buy processed food. I am sure this comment won’t go down well but I’ve tried it out and I can make £30 go MUCH further if I cook proper meals.

OvertiredandConfused · 18/05/2023 13:57

dumple · 18/05/2023 10:48

I'm obese but I'm disabled and my weight gain is due to the drugs I take to manage my conditions.

What would you suggest is done in my case?

I am the same. And I hate being fat more than I hate using a wheelchair.

That’s partly self image and partly because I know the assumptions that people make

ExpatInSlavikLand · 18/05/2023 13:58

Antisocialfluffmonster · 18/05/2023 13:51

Lol it doesn’t stop people becoming obese though does it? I don’t eat that crap due to illness and allergies and when my thyroid is being a pain I still put on weight. I managed to put on weight one time on 800 calories a day as my body was storing everything leaving my passing out from exhaustion. It was the most ridiculous example as to why the hormones and metabolism are actually aa important than what you eat.

@Antisocialfluffmonster well I'm sorry to hear that, but the vast majority of people (and that includes children) who're overweight aren't so because of illness or medication, but because of bad diet.

midgemadgemodge · 18/05/2023 13:58

Obesity isn't caused by stress - how many obese soldiers ? How many obese people during world war 2 ?

It's about how we chose to respond to stress perhaps

dumple · 18/05/2023 13:58

I do know that not all healthy food requires prepping. But most does. Especially when buying a fresh as possible

OnlyTheBravest · 18/05/2023 13:59

BreatheAndFocus · 18/05/2023 11:55

I think there are a few issues:

  1. Changes in our society and in the cost of living which means both parents have to work. We’re rushed, stressed and exhausted - hardly conducive for intelligent food-shopping and meal prep, or for having time to go to the gym or for a walk. Once you get worn down and tired, it’s hard to climb back up.
  2. Ultra-processed crap and far too much of it! I’d ban most of it and encourage real food, with a limited range of treat items of much better quality. I’d also incentivise buying better food.
  3. The influence of others around us. People simply don’t recognise how overweight they are. A friend thinks she could do with losing 7-10lbs but she’s at least 4 stone overweight. She can’t see it because she works with people who are similarly sized. We go out to takeaways and are given portions that are too large and so we gradually see those portions as normal.
  4. The loss of local shops and food producers. I used to be able to walk out of my front door and be at a greengrocers in 2 or 3 minutes. There was also a butcher just a bit further on. I could pop out and pick up fresh veg when I wanted. Now there’s nothing within walking distance and smaller shops have closed. People shop less frequently so things like veg go off, so they buy processed or frozen foods. Veg has become a pain rather than a pleasure.

I think the best solution would be to attack the major source of crap food - legislate on takeaways; reduce UPFs in supermarkets drastically; have some local veg schemes or finance small shops to provide real food; and educate people about a healthy diet, meal planning and cooking.

Just to add - some people are overweight through no fault of their own and it’s important to remember this, amongst all the ideas.

In order to become a healthier nation we would need to make drastic changes but the people who are making money from food/exercise industries have no interest in assisting as it would dent their profits.

It is not easy to stay healthy due to increasingly stationary jobs, people being time poor and feeling worn out, which leads to the loss of motivation to complete rigorous exercise. And once you have got out of the habit of exercising regularly incorporating it back into your day is tough.

CherryBlossomAutumn · 18/05/2023 13:59

Broad change rather than individual blame is most effective.

That is not to say that individuals should not be given as much support as possible, as in with smoking reduction. Smoking was reduced through big societal changes like reduction in advertising, increased cost and limiting access. It is the same with obesity, make good choices easier, and ‘bad’ choices harder.

Also to make changes that help the most deprived areas the most.

dumple · 18/05/2023 13:59

xabia · 18/05/2023 13:54

@dumple
Sorry when you said 'breakfast is a slice of wholemeal bread with low fat spread' I assumed that was your usual breakfast.
You've asked for alternatives-
Porridge with full fat milk
Eggs or cream cheese on oatcakes
Greek yoghurt with unprocessed nuts
Or give your metabolism a rest by skipping breakfast altogether and intermittent fasting.

I can't eat porridge or have dairy.

wedsalive · 18/05/2023 13:59

@Beowulfa I honestly think our best bet is some benevolent alien overlords.

😂😂😂

It's genuinely hard. Walking an hour a day and prepping healthy food - the washing! the peeling! the chopping! the grating! - takes time we don't have.

midgemadgemodge · 18/05/2023 14:00

Frozen veg doesn't require much preparation

And standing chopping in the kitchen will burn a few more calories

dumple · 18/05/2023 14:00

I can't do intermittent fasting because I have medications to take that require taken at regular intervals and taken with food.

GaiaSophia · 18/05/2023 14:00

Losing weight really isn't hard (I'm not being arrogant, it really isn't). You just have to remember that:

  1. Weight-loss is 99% diet. You CANNOT exercise yourself thin (believe me I tried)
  2. Calories don't make you fat - it's where they come from which does. This is why calorie-restricted diets fail.
  3. Eating fat doesn't make you fat - it can't. Why...? Because it has no effect on blood sugar.
  4. The only macronutrient which causes weight gain is carbohydrates. Your body fat is carbohydrate which has been converted to glucose and then glycogen by insulin.
  5. The worst things to eat if you're trying to lose weight are grains, root veg and fruit (I've seen many posts on this thread from people who believe a sugar tax is a good idea. I don't, for the simple reason that people know sugar is bad. They know not to drink lots and lots of sugary drinks, but they believe that means pop. The problem is that many drinks which are pure sugar are touted as healthy, like juices and smoothies. They're junk; they don't contain any bioavailable nutrients, they're just sugar. They're really as bad for you as full-sugar pop. It's the same with fruit. I want to scream when I see dried fruit stamped as 'eat well' when much dried fruit contains as much sugar as fruit sweets. Sugar is sugar is sugar. I don't eat a lot of fruit. I buy berries (raspberries and blackberries are low sugar, strawberries and blueberries, which I also love) are higher, but they still don't contain as much per 100g as apples, oranges and bananas). What I would put a tax on are grains - breakfast cereals are obesity in a box. Bread is obesity in a bag. I've not eaten pasta in about 20 years. This BS about "complex carbs need to form ⅔ of your diet" needs to get gone. The 'eat well' plate is obesogenic. The NHS keeps trimming the fats and oils segment - and people are still becoming fat). There really isn't anything healthy about grains. We can't derive any nutrition from them because we didn't evolve to eat them. We have the physiology of a carnivore (we're NOT omnivores; an omnivore is an organism which eats - and can derive nutrition from - meat and plants. Homo sapiens can't. There are very few true omnivores. Brown bears are the only species which springs to mind).
  6. The job of insulin is to convert carbs to glucose, and then to glycogen. Overeat carbs and you'll become fat.
  7. Dietary fat isn't something to be scared of - it's your friend when it comes to losing weight. Fat is energy-dense (and the more energy-dense a food is, the more bioavailable-nutrient-dense it is, too). If you eat a high-fat diet, you'll naturally cut back on calories because you don't need to eat as much to feel full. Once I realised this, I lost weight fast - and I mean fast. I was severely morbidly obese (at one point I struggled to find clothes to fit I was that fat). I started by cutting out grains (that was easy). I then cut out potatoes (that was hard - don't miss them now, though). I gradually increased the amount of fat I ate. I used MCT oil in black coffee for extra energy (BE CAREFUL if you decide to try it; buy a set of small measuring spoons and use ⅛ of a teaspoon to start with and gradually work your way up. That way you avoid gastric distress).
  8. Low fat/high carb diets fail because they're energy-poor. You always feel hungry. Cardio won't help you lose weight because it causes hypoglycaemia which makes you hungry. I did HIIT twice a week (1 hour a week). That was all the exercise I did. I've never had a gym membership (can't afford one). Because I was so overweight, I lost weight very quickly - that's the fantastic thing about LCHF you see results which motivates you to keep going. I've been a 4/6 now for 20 years. My weight has remained stable because I eat LCHF most of the time.
  9. If high carb/low fat calorie-restricted diets worked, there'd be far fewer fat people but, the fact is, people are becoming fatter, and that really is down to what we're told is 'healthy'. These days, 'healthy' is a euphemism for 'low calorie', not 'bioavailable-nutrient-dense'. Why do you think cereals are fortified...? Because if they weren't, they'd have no nutrients at all! Low calorie foods are not, for the most part, healthy at all! Low cal generally means high carb.
  10. You CANNOT lose weight by eating more of what caused you to gain it in the first place. Trying to lose weight by increasing carbs is like a smoker with lung cancer attempting to cure it by increasing the amount they smoke!

I absolutely agree that people need to make healthier choices - but, the problem is, that the mainstream narrative guides people into doing the exact opposite.

Low carb diets are seen as 'dangerous' because people are scared to increase their intake of fat. You will have problems if all you eat is low fat protein (ie meat and fish). A low carb diet is a high fat diet.

Oh and one final thing: forget about cholesterol. Cholesterol is VITAL to keep you alive. Every single process in your body relies upon it, either directly or indirectly. Your liver produces up to 1,500mg a day (your brain a smaller amount). It is particularly vital for neurological health. Your braincells and neurones need cholesterol and fat to be healthy. Braincells, unlike every other type of cell in your body, don't renew. Once a braincell dies, it's not replace. A high fat diet feeds your brain.

If you're wondering why cholesterol is so vilified, it's because when the cholesterol hypothesis of heart disease was being researched, the research was carried out on herbivores (because most lab mammals are herbivorous). Herbivores don't need cholesterol, it's only a requirement for carnivores and omnivores. In fact, it's toxic to them. No research was done on carnivores. So all the herbivores (primarily rabbits) developed heart disease and many died. A hypothesis is a scientific hunch - and all these years humans who, unlike rabbits, have cholesterol-producing livers have been told that cholesterol will kill them. Because, bad science.

dumple · 18/05/2023 14:01

midgemadgemodge · 18/05/2023 14:00

Frozen veg doesn't require much preparation

And standing chopping in the kitchen will burn a few more calories

I can't stand for long. I have a perching stool but also have limited grip.

I already use frozen vegetables where I can.

Mummysalwaysright · 18/05/2023 14:01

The thing I find so sad is seeing so many more obese children about now than there used to be - I think the problem is going to get much worse. People seem to encourage over-eating, especially in boys - you hear people telling "Alfie" or whatever what a good boy he is for having a hearty appetite whilst he's stuffing his face with potato.

I think it is ultimately down to the individual, but the Government / industry could also do more - like a sugar tax, or having clothes get more expensive for each additional size up (they use more material!), or airlines charging passengers by weight like they do for luggage.

I also think schools should bring back cooking lessons and teach how to prepare basic / cheap / healthy meals as a lot of it apparently comes down to people not having the skills to know what to cook.

midgemadgemodge · 18/05/2023 14:01

Of course fat will make you fat
Not all weight gain is diabetes related ( blood sugar related )

Scalottia · 18/05/2023 14:01

Naunet · 18/05/2023 13:39

Oh fuck off!! 😂 Some of us have self control and only eat these things as a treat, in moderation. Why should we be punished?

This is my opinion too. I am so tired of everyone being punished for the sins of a few. Ban this, ban that. How about getting some self control. Banning won't help anyway.

People KNOW that certain foods are unhealthy. They either just don't care or don't have enough willpower to say no. Why should this mean that stuff gets banned?

Moderation is key for most people. There will be outliers such as people with medical or mental health issues, I am not including those people in my post.

Damnspot · 18/05/2023 14:04

I honestly think our best bet is some benevolent alien overlords

😅😅😅

Taperjeanwoman · 18/05/2023 14:05

I also noticed that my water retention was lessened by having one mug of green tea a day.

May not work for everyone but I thought I'd share in case it works for someone!

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