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OBESITY AS A RISK FACTOR FOR HEART DISEASE
Shakespeare’s views on the hazards of obesity have stood the test of almost four centuries. Now and then a medical researcher has tried to halt the incoming tide of evidence; like Canute he has usually got his feet wet.
Before focusing on obesity and heart attack, it is worth listing some other diseases to which fat people are prone. It is no mean list, including diabetes, high blood pressure, chronic bronchitis, venous thrombosis and varicose veins. Fat persons are prone to accidents (particularly at work and even when driving a car) and if they undergo an operation they are liable to incur complications. Other risks are gallstones, infertility, skin infections and arthritis of the spine, hips and knees. They tend to become short of breath on exertion, and if grossly obese they may become drowsy, like the fat boy described by Charles Dickens. (This is now called the Pickwickian syndrome and is caused by the mass of fat surrounding the chest and abdomen which limits breathing and so leads to somnolence.)
The list of complications is formidable. Perhaps, like the warning on cigarette packets, it should appear on every menu, dining table and bar counter. But it is important not to overstate the risks. Obesity is exceedingly common; and many fat people get none of the conditions mentioned. Every one of them has multiple causes; obesity is only one of the factors contributing to the overall risk.
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