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Is being Obese an illness?

546 replies

agel · 18/10/2026 16:15

Yes or No
Im really not trying to start an argument. I want to understand what people actually think/know/believe about this.

I am obese and am trying to gain some sort of control over my eating through therapy at the moment. I’ve tried diets and exercising that do work but long term I don’t seem to be able to change my lifestyle enough to keep the weight off. I hate living like this and how people treat me differently because of my size. My family don’t understand at all. My partner is not understanding and it’s seriously affecting our relationship in many ways. It seems unfair because I don’t feel I have much control over this. It’s actually very lonely being in this situation. I rarely mention the topic of my health or weight to others because pardon the pun it’s always the elephant in the room! But you can almost hear what people are thinking. I hate the judgemental looks and comments. I rarely go out now because of anxiety and panic attacks brought on by this situation.

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scoutzx · Yesterday 20:14

OrangeBlaze · Yesterday 20:08

Again, pick up a book. Lots of babies used to die. So did mothers, leaving surviving infants to be fed any way possible - maybe wet nursed and maybe with animal milk or various concoctions (you can google 'pap' for one). It's very easy to inform yourself on this, not that it's particularly relevant to the thread. When mothers couldn't breastfeed in the past, their babies would likely die - and this happened not infrequently. Now obviously enough babies survived that the human race did not die out. But plenty of infants didn't make it. Surely you are aware of this?

Babies didn’t die though because they were breastfed. Breastfeeding was a baby’s best chance of survival.

scoutzx · Yesterday 20:23

DeliaPith321 · Yesterday 20:07

By asking that question I'm asking how does the current topic of convo relate to this thread which is meant to be about whether obesity is an illness? Like why are people talking about it.

Topics evolve!

OrangeBlaze · Yesterday 20:26

scoutzx · Yesterday 20:14

Babies didn’t die though because they were breastfed. Breastfeeding was a baby’s best chance of survival.

I'm really not sure what you mean! My point was that breastfeeding was not always possible (because the mother died in childbirth or was ill and unable to produce milk for example) and in those instances, babies were either fed by another available lactating woman or they were fed on animal milk or whatever the family could come up with. Archaeological excavations have revealed ancient infant feeding equipment for such scenarios. Not every baby could be breastfed and it's always been a problem that people have always needed to solve. This came up on the thread because a previous poster wanted to claim that there was no such problem and that formula was a solution to an invented problem - but a long history of dead babies begs to differ. That poster's point, convoluted as it was, seemed to be that obesity is also an invented problem because it's risen drastically in the last few decades as a consequence of some aspects of modern living - food production and availability, working patterns and other societal and environmental changes. That poster wanted to equivocate between the perceived 'laziness' of formula feeding mothers and obese people and presumably return to an imagined and romanticised past in which everyone breastfeeds and everyone is slim. But the past is a lot more complex and interesting than that with a lot of evidence of fascinating ingenuity. I think the history of infant feeding is really interesting, and you shouldn't deny yourself the intrigue of going and reading about some of the different ways in which babies were fed when breastfeeding wasn't possible! But it doesn't have much relevance to this thread.

OrangeBlaze · Yesterday 20:32

DeliaPith321 · Yesterday 19:16

Thanks! Yeah I think that's a great retort for the lack of willpower tropes.

It really bothers me a lot that people come out with these moralistic insults for people that are overweight or obese and the cruelty is just so unfair. People can feel bad enough about being overweight in a society that has such a negative attitude towards larger people without others blaming them and effectively bullying them by saying it was through weakness of character that they got there. Quite frankly I think it's dangerous as I worry about the risk of suicide due to the combination of these things' effect on self esteem.
Sharing enough information that there is no space left for misunderstanding tends to be my go to. It annoys me too that these huge corporations have literally had strategy meeting after strategy meeting where they discuss how they will ensure people eat more of their products without the tiniest bit of consideration for the health of consumers. It's them that are greedy, for money. Yet they get off scot free because they've become so ingrained in our culture that they're kind of unnoticeable. Instead people berate and insult individual's who have fallen prey to the intentions those corporations had all along.
Just to caveat that I don't think obesity is only caused by UPFs. I don't claim to know as much about the biological reasons (although I did do some reading yesterday on the perimenopausal hormonal effects) but I know they are certainly significant too. Something we haven't mentioned as much too is the association with experiences of abuse.
There is a substantial body of research demonstrating an association between adverse childhood experiences (ACEs), including abuse, neglect and family dysfunction, and an increased likelihood of overeating, binge eating and obesity in adulthood.
A 2014 meta-analysis involving more than 112,000 participants found that adults who had experienced childhood abuse had approximately 34% higher odds of obesity than those who had not. More recent research has also identified associations between childhood adversity and obesity in adulthood.
Knowing this and then seeing people pop shots at obese and overweight people really just makes me think 'come on' like they've had enough sh** to deal with. Talk about kicking people when they're down - whether knowingly or not.

And since the discussion has been derailed, probably because detractors can't come up with a response to this post, I just wanted to bump it and say how insightful it is.

scoutzx · Yesterday 20:36

“That poster wanted to equivocate between the perceived 'laziness' of formula feeding mothers and obese people and presumably return to an imagined and romanticised past in which everyone breastfeeds and everyone is slim.”

For the vast majority of human history, obesity was virtually non existent and infant formula had not yet been invented.

OrangeBlaze · Yesterday 20:47

scoutzx · Yesterday 20:36

“That poster wanted to equivocate between the perceived 'laziness' of formula feeding mothers and obese people and presumably return to an imagined and romanticised past in which everyone breastfeeds and everyone is slim.”

For the vast majority of human history, obesity was virtually non existent and infant formula had not yet been invented.

Dear fucking god. No one is disputing that obesity rates have rocketed as a consequence of modern living - though it was never non existent. The human race has certainly never been uniformly thin, and all you need to do is visit an art gallery sometime and have a look at the portraits to see a variation in body size (and beauty standards!)

And I don't know how many times I need to say that there were people who had to feed babies breastmilk substitutes thousands of years ago. Not modern formula, but concoctions that were the best they could do. Not all humans were thin and not all babies could be breastfed. Whatever the relevance of that might be in your mind!

More to the point, we don't live in the past and it can't be recreated. We live in the modern world, with all its advantages and all its pitfalls. One of the problems we face now is higher rates of obesity than in the past, but we have to tackle that in the world we live in and not in the world of fifty or a hundred or a thousand years ago.

scoutzx · Yesterday 20:49

DeliaPith321 · Yesterday 19:16

Thanks! Yeah I think that's a great retort for the lack of willpower tropes.

It really bothers me a lot that people come out with these moralistic insults for people that are overweight or obese and the cruelty is just so unfair. People can feel bad enough about being overweight in a society that has such a negative attitude towards larger people without others blaming them and effectively bullying them by saying it was through weakness of character that they got there. Quite frankly I think it's dangerous as I worry about the risk of suicide due to the combination of these things' effect on self esteem.
Sharing enough information that there is no space left for misunderstanding tends to be my go to. It annoys me too that these huge corporations have literally had strategy meeting after strategy meeting where they discuss how they will ensure people eat more of their products without the tiniest bit of consideration for the health of consumers. It's them that are greedy, for money. Yet they get off scot free because they've become so ingrained in our culture that they're kind of unnoticeable. Instead people berate and insult individual's who have fallen prey to the intentions those corporations had all along.
Just to caveat that I don't think obesity is only caused by UPFs. I don't claim to know as much about the biological reasons (although I did do some reading yesterday on the perimenopausal hormonal effects) but I know they are certainly significant too. Something we haven't mentioned as much too is the association with experiences of abuse.
There is a substantial body of research demonstrating an association between adverse childhood experiences (ACEs), including abuse, neglect and family dysfunction, and an increased likelihood of overeating, binge eating and obesity in adulthood.
A 2014 meta-analysis involving more than 112,000 participants found that adults who had experienced childhood abuse had approximately 34% higher odds of obesity than those who had not. More recent research has also identified associations between childhood adversity and obesity in adulthood.
Knowing this and then seeing people pop shots at obese and overweight people really just makes me think 'come on' like they've had enough sh** to deal with. Talk about kicking people when they're down - whether knowingly or not.

“Just to caveat that I don't think obesity is only caused by UPFs. I don't claim to know as much about the biological reasons (although I did do some reading yesterday on the perimenopausal hormonal effects) but I know they are certainly significant too. Something we haven't mentioned as much too is the association with experiences of abuse.”

There was severe suffering and abuse in the past, but obesity wasn’t an epidemic.

OrangeBlaze · Yesterday 20:58

scoutzx · Yesterday 20:49

“Just to caveat that I don't think obesity is only caused by UPFs. I don't claim to know as much about the biological reasons (although I did do some reading yesterday on the perimenopausal hormonal effects) but I know they are certainly significant too. Something we haven't mentioned as much too is the association with experiences of abuse.”

There was severe suffering and abuse in the past, but obesity wasn’t an epidemic.

Not an epidemic, but here is a quick tour of obesity from paleolithic times through ancient Greece to the Victorian age and onwards from The Lancet https://www.thelancet.com/journals/lancet/article/piis0140-6736(10)61065-3/fulltext

scoutzx · Yesterday 21:10

OrangeBlaze · Yesterday 20:58

Not an epidemic, but here is a quick tour of obesity from paleolithic times through ancient Greece to the Victorian age and onwards from The Lancet https://www.thelancet.com/journals/lancet/article/piis0140-6736(10)61065-3/fulltext

Thank you. Physical remains from ancient Egypt, Greco-Roman times, and medieval graveyards show that extreme excess weight was uncommon, and average body mass indexes were drastically lower than today.

Corpulence was a striking exception rather than the norm.

For most of human history, daily life required high physical exertion (manual labour, walking, foraging, farming) paired with chronic food scarcity or seasonal famines. Sustained caloric surplus, consuming significantly more energy than the body expends day after day, was nearly impossible for the average person. (National Institutes of Health)

OrangeBlaze · Yesterday 21:19

scoutzx · Yesterday 21:10

Thank you. Physical remains from ancient Egypt, Greco-Roman times, and medieval graveyards show that extreme excess weight was uncommon, and average body mass indexes were drastically lower than today.

Corpulence was a striking exception rather than the norm.

For most of human history, daily life required high physical exertion (manual labour, walking, foraging, farming) paired with chronic food scarcity or seasonal famines. Sustained caloric surplus, consuming significantly more energy than the body expends day after day, was nearly impossible for the average person. (National Institutes of Health)

As I've said, not one is disputing in the slightest that obesity rates have dramatically increased. But obesity was not 'virtually non existent' through human history. Hippocrates was dispensing advice on it in ancient Greece so it was hardly unheard of as you have been suggesting.

And what is your recommendation here? That we try to bring back 'high physical exertion (manual labour, walking, foraging, farming) paired with chronic food scarcity or seasonal famines'? How will we go about that? What will you do to major food corporations to stop food being readily available to people? Chronic food scarcity and seasonal famines are a pretty drastic way to control people's weight!

scoutzx · Yesterday 21:27

OrangeBlaze · Yesterday 21:19

As I've said, not one is disputing in the slightest that obesity rates have dramatically increased. But obesity was not 'virtually non existent' through human history. Hippocrates was dispensing advice on it in ancient Greece so it was hardly unheard of as you have been suggesting.

And what is your recommendation here? That we try to bring back 'high physical exertion (manual labour, walking, foraging, farming) paired with chronic food scarcity or seasonal famines'? How will we go about that? What will you do to major food corporations to stop food being readily available to people? Chronic food scarcity and seasonal famines are a pretty drastic way to control people's weight!

If a government strictly controlled the food supply, obesity would plummet. The ‘healthy choice’ would become the only choice.

Charlenedickens · Yesterday 21:30

What a crazy thread. All this because drugs exist to help people successfully lose weight . You couldn’t make it up could you.

scoutzx · Yesterday 21:34

Charlenedickens · Yesterday 21:30

What a crazy thread. All this because drugs exist to help people successfully lose weight . You couldn’t make it up could you.

You could say it’s crazy that people need drugs to lose weight in the first place. Something has seriously gone wrong.

Charlenedickens · Yesterday 21:38

And for the record infant mortality rates due to mothers being unable to feed their babies was 50-60 times higher before formula was introduced,

and as much as there is some protective factor against child hood obesity,(and only child hood) it is

  • Never breastfed: 16.8% became obese.
  • Breastfed for some time: 13.2% became obese.
  • Breastfed for 6 months or more: 9.3% became obese

so yes some protective factors in child hood in developed countries but not s guarantee,

Charlenedickens · Yesterday 21:45

scoutzx · Yesterday 21:34

You could say it’s crazy that people need drugs to lose weight in the first place. Something has seriously gone wrong.

Sure that’s a given, two thirds of the British population are over weight or obese, it’s the same in most developed countries

less manual labour, more time working at desks and computers, easier access to food, cars and less walking, it’s as we evolved we developed this issue and now we have medications to bring thr population back to health, and enable them to lead healthy lives eating healthy diets and not over eat.

Charlenedickens · Yesterday 21:46

scoutzx · Yesterday 21:27

If a government strictly controlled the food supply, obesity would plummet. The ‘healthy choice’ would become the only choice.

I’m sure there are countries you can go live in where that happens, not for me, but you feel free,

IDontHateRainbows · Yesterday 21:50

Its a glp-1 deficiency

scoutzx · Yesterday 21:50

Charlenedickens · Yesterday 21:38

And for the record infant mortality rates due to mothers being unable to feed their babies was 50-60 times higher before formula was introduced,

and as much as there is some protective factor against child hood obesity,(and only child hood) it is

  • Never breastfed: 16.8% became obese.
  • Breastfed for some time: 13.2% became obese.
  • Breastfed for 6 months or more: 9.3% became obese

so yes some protective factors in child hood in developed countries but not s guarantee,

“and as much as there is some protective factor against child hood obesity,(and only child hood)”

Comprehensive global analysis commissioned by the World Health Organisation confirm that the protective benefits of breastfeeding are "dose-dependent"—meaning that longer durations of breastfeeding correlate with a progressively lower risk of obesity that tracks through childhood, adolescence, and into adulthood.

scoutzx · Yesterday 21:54

Charlenedickens · Yesterday 21:46

I’m sure there are countries you can go live in where that happens, not for me, but you feel free,

I manage to stay slim while living in the UK.

Charlenedickens · Yesterday 22:00

scoutzx · Yesterday 21:54

I manage to stay slim while living in the UK.

Excellent!

Monkey Thumbs Up GIF by Respective
OrangeBlaze · Yesterday 22:29

scoutzx · Yesterday 21:27

If a government strictly controlled the food supply, obesity would plummet. The ‘healthy choice’ would become the only choice.

Does that seem like a viable solution to you? Unsurprisingly, given that rising obesity has been a global problem for some time that no one has come with a successful solution to until the invention of GLP-1s, an actual game-changing medication, the people on this thread who are the most critical of and unsympathetic towards the obese cannot come up with any viable solutions. We've had 'eat less move more', 'deny fat people healthcare' and now 'government controlled food supply' - none of which can actually be put into practice. Apart from 'eat less move more assisted by GLP-1s'. What else works on a wider level? What else can be achieved? Obesity has always existed and is far more prevalent in today's world than ever before. Without radically reordering society, collapsing capitalism or ushering in an insane fascist state then I can't see the answer except the one that already exists and is working - the meds. Which for the most part, users are funding themselves. It's not a perfect solution, largely because it does entrench health inequalities due to the cost to the individual. But it is the most realistic solution available and we're really fucking lucky to have modern medicine and the advances it brings.

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