Sunday, April 29, 2018

Fat Acceptance is dangerous

First off let me apologize for my initial post. It was too simple and definitely a little quippy. I did not mean to be insulting of anyone or did I mean to be rude. This was just a quick thought about the correlation with the things that we find accepting.

I do find fat acceptance to be a dangerous thing in society. Not that we should shame people who were fat, I myself and at least 40 pounds overweight and have a BMI score of 30 which puts me medically as obese. It is not my intent to sit on the sidelines and point fingers at other people without having some problems of my own.

I find fat acceptance to be a problem because of the medical conditions that do come with being overweight. The reason why I find this dangerous is because we are sending a message two people who are younger than us whether they are children, or young adults, or even people who just don't know any better because this is the message we send them. We do not send the message of how being overweight can affect every organ in system of a human body.

First off, I want to Define what obesity or being fat means. Being fat is the result of having too much body fat which is caused by the intake of more energy than what the body spends. We of course measure this energy as calories. We measure being fat using a body mass index otherwise known as BMI. The BMI is calculated by dividing a person's weight by their height. This measurement is not perfect there has been some talk of using a better measurement for obesity, but there just isn't one. The body mass index is useful and well over 99% of the cases.

We as a culture in take a lot more calories than what we spend. Mostly this is because of our lifestyles and the jobs that we have in Modern Life. I spend 9 hours a day sitting in the chair looking at a computer screen. While I am doing that I am not using very many calories the metabolism of my body has slowed down to match what my body is doing. I am not outside farming I am not outside building a house I am not outside hunting and running trying to catch animals. This sounds like a naturalistic metaphor which I usually use in very moderate dosages. But I can say that our lifestyles have changed dramatically within the last 200 years and we have not evolved to deal with it yet.

Cancer Risks

Endometrial cancer: Obese and overweight women are two to about four times as likely as normal-weight women to develop endometrial cancer (cancer of the lining of the uterus), and extremely obese women are about seven times as likely to develop the more common of the two main types of this cancer (7). The risk of endometrial cancer increases with increasing weight gain in adulthood, particularly among women who have never used menopausal hormone therapy (8).
Esophageal adenocarcinoma: People who are overweight or obese are about twice as likely as normal-weight people to develop a type of esophageal cancer called esophageal adenocarcinoma, and people who are extremely obese are more than four times as likely (9).
Gastric cardia cancer: People who are obese are nearly twice as likely as normal-weight people to develop cancer in the upper part of the stomach, that is, the part that is closest to the esophagus (10).
Liver cancer: People who are overweight or obese are up to twice as likely as normal-weight people to develop liver cancer. The association between overweight/obesity and liver cancer is stronger in men than women (11, 12).
Kidney cancer: People who are overweight or obese are nearly twice as likely as normal-weight people to develop renal cell cancer, the most common form of kidney cancer (13). The association of renal cell cancer with obesity is independent of its association with high blood pressure, a known risk factor for kidney cancer (14).
Multiple myeloma: Compared with normal-weight individuals, overweight and obese individuals have a slight (10% to 20%) increase in the risk of developing multiple myeloma (15).
Meningioma: The risk of this slow-growing brain tumor that arises in the membranes surrounding the brain and the spinal cord is increased by about 50% in people who are obese and about 20% in people who are overweight (16).
Pancreatic cancer: People who are overweight or obese are about 1.5 times as likely to develop pancreatic cancer as normal-weight people (17).
Colorectal cancer: People who are obese are slightly (about 30%) more likely to develop colorectal cancer than normal-weight people (18).
A higher BMI is associated with increased risks of colon and rectal cancers in both men and in women, but the increases are higher in men than in women (18).

Gallbladder cancer: Compared with normal-weight people, people who are overweight have a slight (about 20%) increase in risk of gallbladder cancer, and people who are obese have a 60% increase in risk of gallbladder cancer (19, 20). The risk increase is greater in women than men.
Breast cancer: Many studies have shown that, in postmenopausal women, a higher BMI is associated with a modest increase in risk of breast cancer. For example, a 5-unit increase in BMI is associated with a 12% increase in risk (21). Among postmenopausal women, those who are obese have a 20% to 40% increase in risk of developing breast cancer compared with normal-weight women (22). The higher risks are seen mainly in women who have never used menopausal hormone therapy and for tumors that express hormone receptors. Obesity is also a risk factor for breast cancer in men (23).
In premenopausal women, by contrast, overweight and obesity have been found to be associated with a 20% decreased risk of breast tumors that express hormone receptors (22).

Ovarian cancer: Higher BMI is associated with a slight increase in the risk of ovarian cancer, particularly in women who have never used menopausal hormone therapy (24). For example, a 5-unit increase in BMI is associated with a 10% increase in risk among women who have never used menopausal hormone therapy (24).
Thyroid cancer: Higher BMI (specifically, a 5-unit increase in BMI) is associated with a slight (10%) increase in the risk of thyroid cancer (25). --https://www.cancer.gov/about-cancer/causes-prevention/risk/obesity/obesity-fact-sheet

Why is cancer caused by obesity?

Several possible mechanisms have been suggested to explain how obesity might increase the risks of some cancers.

Obese people often have chronic low-level inflammation, which can, over time, cause DNA damage that leads to cancer. Overweight and obese individuals are more likely than normal-weight individuals to have conditions or disorders that are linked to or that cause chronic local inflammation and that are risk factors for certain cancers (26). For example, chronic local inflammation induced by gastroesophageal reflux disease or Barrett esophagus is a likely cause of esophageal adenocarcinoma. Obesity is a risk factor for gallstones, a condition characterized by chronic gallbladder inflammation, and a history of gallstones is a strong risk factor for gallbladder cancer (27). Chronic ulcerative colitis (a chronic inflammatory condition) and hepatitis (a disease of the liver causing inflammation) are risk factors for different types of liver cancer (28).
Fat tissue (also called adipose tissue) produces excess amounts of estrogen, high levels of which have been associated with increased risks of breast, endometrial, ovarian, and some other cancers.
Obese people often have increased blood levels of insulin and insulin-like growth factor-1 (IGF-1). (This condition, known as hyperinsulinemia or insulin resistance, precedes the development of type 2 diabetes.) High levels of insulin and IGF-1 may promote the development of colon, kidney, prostate, and endometrial cancers (29).
Fat cells produce adipokines, hormones that may stimulate or inhibit cell growth. For example, the level of an adipokine called leptin, which seems to promote cell proliferation, in the blood increases with increasing body fat. And another adipokine, adiponectin—which is less abundant in obese people than in those of normal weight—may have antiproliferative effects.
Fat cells may also have direct and indirect effects on other cell growth regulators, including mammalian target of rapamycin (mTOR) and AMP-activated protein kinase.  --https://www.cancer.gov/about-cancer/causes-prevention/risk/obesity/obesity-fact-sheet


Please believe me when I say that I am not following up on my initial post to make myself look smarter. I made my initial post because I was thinking about how we raise our child Rosie while we ourselves are overweight. My wife and I talked about this often. of course it is in our heads that being fat is unhealthy, but for me it leads down a path of worry when I consider all the other factors that come about from being obese.

Cancer risks are just one factor but I wanted to point out. There are a lot of other risks that come from being fat. from wearing out the endocrine system to wearing out the connective tissue and joint system of the human body.

We should not shame people for being fat. We should make sure that everyone understands the risks. We should also, not celebrate being fat as just another type of perfect. We should celebrate the work that someone does to control their habits and the work that someone does to lead a healthy life.

Fat is not healthy.

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