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Covid

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Fat people even more likely to be affected by COVID than previously thought

804 replies

pocketem · 02/05/2020 10:16

UK government scientists are urgently investigating whether people living with obesity may be disproportionately affected by the coronavirus, after emerging data from intensive care units suggested a stronger link than previously thought.

New data from the UK’s Intensive Care National Audit and Research Centre, which has been presented to ministers and SAGE scientists, has found that the proportion of severely obese patients in ICUs is twice the proportion in the general population.

Ministers have become increasingly alarmed by data coming out of Britain’s intensive care units, with some members of the government suggesting obesity may end up being a factor in the UK’s higher death toll.

The UK is currently projected to have the highest number of coronavirus deaths in Europe. Around 1 in 4 UK adults are obese. In 2018, the WHO found that the UK had the third highest obesity rate in Europe, behind only Malta and Turkey.

More here:
www.buzzfeed.com/amphtml/alexwickham/uk-scientists-coronavirus-obesity-link

OP posts:
CallmeAngelina · 02/05/2020 11:09

Tigertrees, not the "only" insight, no. But for the purposes of this thread the main relevant one.

Nearlyalmost50 · 02/05/2020 11:10

Obesity also patterns with social inqualities. What do you know, if you are poorer, live somewhere without cheap food, haven't got a car to drive to a supermarket and live a stressful difficult life of zero hours or unemployment as a single parent, then you are likely to be fatter. This also intersects with BAME status because inequalities drives a lot of that too (as well as diabetes/hereditary links).

Death rates are double in poorer areas, basically inequalities underlies these death rates, yes, contributed partly by obesity but that in itself is also related to inequality. Haven't you noticed the fittest thinnest people are the richer ones who have time, energy, expense, to invest in perfecting their bodies?

CallmeAngelina · 02/05/2020 11:10

Meaning I am not hiding behind victim status with it. For me, being overweight was not a disease. I was eating too much and not doing enough exercise.

redwoodmazza · 02/05/2020 11:13

I knew about this in early March and feared for the US. With their different health care structure and obese population, it never looked good...

pfrench · 02/05/2020 11:14

Nearlyalmost50 - perfect post, well done.

The reset after this needs to be around inequality. But we have a government that actively aims for inequality.

Lindy2 · 02/05/2020 11:15

I guess people who are obese are less likely to be healthy. Poorer diet, less exercise etc is unlikely to make someone robust and their lungs stronger.

DiaDino · 02/05/2020 11:16

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monkeytennis97 · 02/05/2020 11:19

I've lost 20lbs since the middle of March, I'm basically exercising off 1100 cals a day (according to my Fitbit) and eating around 1400. I'm terrified. I still have a BMI of 38 (but was at 42). Some of us are really trying.

SudokuBook · 02/05/2020 11:21

Thing is it’s good to know this but what happens with the information?

I have a terrible relationship with food and am obese. I eat and drink too much crap and have a sedentary lifestyle. This has all really scared me and after years of dicking around I am really trying hard to stick to healthy eating and exercise now, I’ve started running and riding my bike, I already did walking. Unless it’s coupled with advice on what happens now or if even making small changes helps reduce the risk I’m not sure what use the info is other than to scare people like me shitless. Maybe we should be shielding but then that doesn’t help with going out and getting exercise. I know most people on mumsnet hate fat people and probably think we deserve to die but we’re not all thick or lazy or stupid or disgusting and it’s still worrying, we are still human beings with feelings.

WorraLiberty · 02/05/2020 11:21

Haven't you noticed the fittest thinnest people are the richer ones who have time, energy, expense, to invest in perfecting their bodies?

I haven't really noticed that, no.

My hugely deprived area has one of the highest adult and child obesity rates in London and most of the slimmer people I know (whose eating habits I'm privvy to) generally eat the same foods but less of it. They also tend to walk about far more.

I'm not sure if they're 'fitter' but they're definitely slimmer whilst having a similar income and eating similar foods.

SudokuBook · 02/05/2020 11:25

That’s great @monkeytennis97

I’m trying to just hold onto the fact I’m female, in my 40s so not old, and even making some changes will help. I didn’t end up like this overnight so it won’t change overnight just got to plug away and hope for the best.

Mintypylonsfryingsurplus · 02/05/2020 11:30

The world map of obesity has unsurprisingly a lot of western diet countries.
London has the lowest amount of obesity overall
(with the exception of deprived areas) Rotherham in South Yorkshire the highest
Something else going on regarding deaths as obese individual even in Italy have a higher than average ending up in ICU if obese.
Countries such as Vietnam (2.3 obese individuals) high vit D etc barely touched by Covid much more research needs to be done?

B1rdbra1n · 02/05/2020 11:35

It has long been my understanding that excess body fat is a risk factor in and of itself, largely because it leads to to widespread inflammation, all of your organs and tissues are under extra strain.
We are the fat man of Europe, the USA has comparable or higher obesity levels it's not looking good for them either is it 😳

pocketem · 02/05/2020 11:37

Haven't you noticed the fittest thinnest people are the richer ones who have time, energy, expense, to invest in perfecting their bodies?
Yes, I've noticed that in Africa and Asia, all the stick thin people are billionaires whereas the poor people all have a BMI of 35+

OP posts:
coronabeer23 · 02/05/2020 11:41

I think it’s the elephant in the room and something which I am pleased has come into wider discussion. Whilst clearly there are people who have died with no underlying conditions who are no obese the one obvious factor for many of those who have had no problem underlying conditions is that they were severely overweight. I think this is becoming evident and will play a part in our levels of deaths. Look at the prime minister - apparently 5 foot 9 and over 16 stone, i imagine that played a big part in his being so ill, it certainly won’t have helped

terrigrey · 02/05/2020 11:42

Isn't the deathrate for obesity patients the same percentage of obesity for that age group anyway?
I think it's a bit of a red herring. Obesity is bad health. Bad health = increased likelihood of death.

BahHumbygge · 02/05/2020 11:45

People with obesity/overweight have 2 - 3 times the daily requirements of vitamin D than their slimmer counterparts in order to achieve the protective benefits of the vitamin. So they’re already set back several blocks on the starting grid. There’s hundreds of scientific papers now on the immunological benefits of high vitamin D, not just the meagre levels in multivitamins that might ward off the worst presentations of rickets. People really need 100 - 150 nmol/l serum levels to achieve optimal benefits. Also people with low vitamin D are more likely to have metabolic disease like hypertension & diabetes. Deficiency leads to clearcut cases of rickets/bone disease, but insufficiency also leads to a slew of conditions as it affects hundreds of functions/processes in the body, brain, immune system and metabolic system.

It’s not just overweight people though, only around 12% of the population is metabolically healthy and our junk/processed food diet is largely to blame. Over 50% of calories consumed in Britain are from sugary food or processed starches, which play havoc with blood sugar regulation and lead you to pack fat around your abdominal organs, even if you’re ostensibly a healthy range BMI.

“Eat healthy
Exercise
Protect the NHS”

This is what Aseem Malhotra has been saying recently in his European Scientist article and press interviews, made the front page Telegraph a few days ago. Eat Real Food. Meat, fish, vegetables, unsweetened dairy, nuts, unprocessed oils and fats like EV olive oil. Ditch the bread, pasta, cakes, cookies, crisps, breakfast cereals, fruit juices, sodas, flavoured yoghurts (get plain greek yogurt and smush some berries into it). Sugar and processed starches play havoc with your immunological and metabolic systems.

Take vitamin D supplements (each 1000 iu will increase your serum levels by about 25 nmol/l after several weeks).

Get some lunchtime sun bathing wearing a bikini or shorts & vest top. 10 - 15 mins per side (without sun cream) if you are fair, longer if you are darker skinned.

B1rdbra1n · 02/05/2020 11:45

It sets a bad example when our leaders are overfat, seems like the fat countries also have fat leaders Boris Johnson Donald Trump, other countries have svelt leaders, then again merkle is a bit plump🤔

psychomath · 02/05/2020 11:52

Just to clarify, it's only people in the morbidly obese category (BMI 40+) who are at higher risk according to the survey results. The proportion of people with BMI 30-40 in intensive care is almost exactly the same as in the general population if you control for age and sex (a higher proportion of elderly people have a BMI of 30+ than people in their 20s and 30s, so it's expected that ICU patients would skew towards a higher BMI than the population as a whole even if weight doesn't affect severity of disease). This information is included in the original survey, but no-one ever bothers to read it, they just quote the headline figures.

There's probably a spectrum there, where you're more at risk if your BMI is 39 than if it's 30, say, but it's not like every person classed as obese will end up in intensive care. And obviously obesity comes with loads of other health problems, and if people can get down to a healthier BMI that's great. I'm just getting a bit sick of people shouting ALL THE FAT PEOPLE WILL DIE when it's not even what the report says.

Incidentally the survey also suggests that you're quite a bit less likely to end up in ICU if you're in the 'overweight' category (BMI 25-30) than any other, including 'healthy weight'. You never hear people quoting that bit, though!

terrigrey · 02/05/2020 11:52

It would also be very convenient for this government to blame the victims of C-Vid for their own deaths.
Shame we can't all be given the treatment that Boris was given instead of being told that we won't be admitted to hospital or treated at all (care home residents) or told that we have to be suffocating to death (lips need to be blue) before ringing 999.
Germany was treating as many patients as it could the way Boris was treated in the Uk, and Germany has had a much lower death rate.

Coffeecak3 · 02/05/2020 11:55

@BahHumbygge. Yes. Vitamin D supplements should be taken by over 65’s too.

ThereWillBeAdequateFood · 02/05/2020 11:55

I still have a BMI of 38 (but was at 42). Some of us are really trying

That’s awesome monkey seriously well done.

I think this virus may well highlight just how unhealthy a lot of the U.K. population are. I include myself in that, I’m trying to eat healthier but pizza is more appealing than salad.

SudokuBook · 02/05/2020 11:58

See I had thought that @psychomath and thought I can probably get below 40 BMI relatively quickly but then I saw something else that said it was just “obesity” which will take me about a year at least to get below.

Oh well just need to keep doing what I’m doing and hope I can avoid it and get healthier. This is the wake up call I needed rather than burying my head in the sand and reaching for the chocolate.

B1rdbra1n · 02/05/2020 12:01

Is it as simple as absolute levels of excess body fat though?
My understanding is that the distribution of body fat is is a significant factor when it comes to the risk.

WorraLiberty · 02/05/2020 12:01

or told that we have to be suffocating to death (lips need to be blue) before ringing 999.

Is that actually true though or a Mumsnet myth? I've Googled a few times and can't find anything to back it up?

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