Would you hire a morbidly obese Nanny?

[whompingwillo]

I would like to hire someone we’ve met for my 9 month old baby. She’s fab, great with kids, lovely, I have no concerns.

I would estimate her BMI is 50-60 and my husband noticed that it is a struggle for her to get up and down off the floor and he is worried that if baby was in danger she may struggle.

So what would you do? Do you think that weight could impact a job like this? I’m sure people of this weight have their own children and are safe to look after them?

YABU - morbid obesity could impact her ability to do this job

YANBU - she’ll be fine

Lipoedema, Bile Acid Malabsorbtion, thyroid disease, various medications, hormonal imbalance, metabolic issues, and many more.

'I completely agree that different people have different hormonal levels, insulin resistance, metabolic rates etc, all of which impact weight.However, if a person fasts for a week, they're going to lose weight. It's impossible to eat nothing and yet not lose weight.'

Yes, some meds of course alter hormones etc so you may have to reduce what you have previously consumed the fact os if you aren't getting excess calories you aren't going to put on weight.

We could say peri and menopause 'causes weight gain'. However what actually happens is metabolic rates alter so we can't consume what we have previously and remain the same weight.

Do these conditions cause a person to gain weight in of themselves or do they make it harder to lose weight?
For example, if a person with any one of those medical conditions fasted for a very long time and also exercised, would they still gain weight?

You are dodging my point that this does not come down to moral fibre. You are very invested in 'Lady Tangerine can do it because she is motivated and clever and if morbidly obese people behaved like me they would be thin too. For my experience must be true for everyone else, and there is no complexity my truth does not answer'.

You don't. If you eat less that you use you will lose weight.

The problem is not singular.

People do not all burn the same amount of calories in their resting state. Studies have been performed where a small group of people had to consume less than 600 calories a day before they lost weight.
This is extremely difficult to do without medical intervention. I would go as far as to say it is impossible to eat less that 600 calories a day for almost everyone. The control, planning and will power would be beyond most people.
There are millions of people for whom that threshold will be 800 or 900 or whatever. But not 1600-1800 or whatever it is that healthy slim people without this disadvantage eat.

Secondly the hormone that signal you have had enough does not function properly in many obese people. So they are constantly craving food. This is not some small thing. Overriding a body that genuinely doesn't register as being full is extraordinarily difficult. For people with a normal hormonal response to reaching fullness to suggest it's down to willpower is akin to being ablist towards the disabled.

So yes. If you consume less than you use you will lose weight. But it's not as straightforward as that in a practical sense

I recommend the book 'the obesity code' by doctor Jason Fung. It explainswhy some people's metabolisms are lower or their satiety signals aren't working properly, then explains how to fix it. Everything is backed up by research, so you can fact-check everything.