Obesity in NZ

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#1884350 16-Oct-2017 13:55

surfisup1000: Incidentally I am in the US just now and I see the doctors treatment for obesity is to prescribe a mobility scooter

That seems like it would be an extreme case. It is common for insurance to cover obesity as a condition, perhaps they prefer to provide scooters as a payout but I find it hard to imagine.

gehenna

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#1884369 16-Oct-2017 14:18

^Perhaps it depends on the kickbacks

Batman

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#1884430 16-Oct-2017 15:26

Well when your country has a potato chips crisis you know there are a few weight problem around the place

MikeB4

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#1884439 16-Oct-2017 16:10

Batman: Well when your country has a potato chips crisis you know there are a few weight problem around the place

So not New Zealand them

https://www.stuff.co.nz/business/97924440/potato-chip-supplies-not-affected-by-potato-shortage

Here is a crazy notion, lets give peace a chance.

kryptonjohn

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#1884440 16-Oct-2017 16:12

Shirley we weren't delivered fake news by our MSM?

MikeAqua

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#1884771 17-Oct-2017 08:43

kryptonjohn: It does make ethnic groups with typical high muscle mass, such as some Pacific Island groups look worse. Much better to do a skin fold pinch measurement to estimate fat%

Another phenomena is Thin Outside Fat Inside (TOFI), where people have normal BMI and little fat outside the abdominal cavity but do have a lot of fat in and around their internal organs. People who fit this pattern tend to score worse on markers for the morbidities associated with central obesity than people with slightly higher BMIs, where that fat is external.

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Fred99

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#1884894 17-Oct-2017 09:59

MikeAqua:

kryptonjohn: It does make ethnic groups with typical high muscle mass, such as some Pacific Island groups look worse. Much better to do a skin fold pinch measurement to estimate fat%

Another phenomena is Thin Outside Fat Inside (TOFI), where people have normal BMI and little fat outside the abdominal cavity but do have a lot of fat in and around their internal organs. People who fit this pattern tend to score worse on markers for the morbidities associated with central obesity than people with slightly higher BMIs, where that fat is external.

Yes sure - I guess that falls under the umbrella of "metabolic syndrome", fatty liver etc - diet related and particularly to excess sugar (fructose) consumption (or alcohol as another example) as % of calorie intake - rather than total calorie "balance" - where excess would lead to high BMI.

I'm not sure that ethnic genetic differences in "build" are so very significant. Statistically those same groups are far more prone to obesity, and it shows up in significantly reduced life expectancy and high incidence of diseases related to being overweight, CVD, some cancers, diabetes etc. It's probably true that for some, then high BMI score could be misleading, but the overall picture is still pretty awful.

gzt

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#1885216 17-Oct-2017 17:04

MikeAqua:
kryptonjohn: It does make ethnic groups with typical high muscle mass, such as some Pacific Island groups look worse. Much better to do a skin fold pinch measurement to estimate fat%

Another phenomena is Thin Outside Fat Inside (TOFI), where people have normal BMI and little fat outside the abdominal cavity but do have a lot of fat in and around their internal organs. People who fit this pattern tend to score worse on markers for the morbidities associated with central obesity than people with slightly higher BMIs, where that fat is external.

Will anything short of a full body scan with MRI pick up these potential issues?

Fred99

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#1885288 17-Oct-2017 20:51

gzt:
MikeAqua:

kryptonjohn: It does make ethnic groups with typical high muscle mass, such as some Pacific Island groups look worse. Much better to do a skin fold pinch measurement to estimate fat%

Another phenomena is Thin Outside Fat Inside (TOFI), where people have normal BMI and little fat outside the abdominal cavity but do have a lot of fat in and around their internal organs. People who fit this pattern tend to score worse on markers for the morbidities associated with central obesity than people with slightly higher BMIs, where that fat is external.

Will anything short of a full body scan with MRI pick up these potential issues?

Probably ultrasound - not MRI.
But if lacking related symptoms, you'd probably be considered a bit of a hypochondriac if you requested it.

MikeAqua

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#1885563 18-Oct-2017 10:53

Fred99:

gzt:
MikeAqua:

kryptonjohn: It does make ethnic groups with typical high muscle mass, such as some Pacific Island groups look worse. Much better to do a skin fold pinch measurement to estimate fat%

Another phenomena is Thin Outside Fat Inside (TOFI), where people have normal BMI and little fat outside the abdominal cavity but do have a lot of fat in and around their internal organs. People who fit this pattern tend to score worse on markers for the morbidities associated with central obesity than people with slightly higher BMIs, where that fat is external.

Will anything short of a full body scan with MRI pick up these potential issues?

Probably ultrasound - not MRI.
But if lacking related symptoms, you'd probably be considered a bit of a hypochondriac if you requested it.

In the research project they used MRI to determine the distribution intra-abdominal fat but the standard markers for problems caused by obesity (diabetes, hypertension etc) were there without patients having high BMIs. The research identified a particular risk for Asian females but hasn't looked at males yet.

Based on the research profiles you would simply blood test your female Asian patients at a lower age and lower BMI than for the general population.

Researchers are talking about the diabetes Tsunami that is building in Asia as a growing 'middle-class' mimics poor western food choices ...

Mike

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#1885564 18-Oct-2017 10:55

The other 'hidden' condition is calcification (hardening) of arteries and they can now scan for that too.

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MikeAqua

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#1885571 18-Oct-2017 11:13

kryptonjohn:

The other 'hidden' condition is calcification (hardening) of arteries and they can now scan for that too.

Caused my Grandfather to pass out while reversing his car - turned head, pinched hardened arteries and passed out. End of his car and end of his driving days.

Mike

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#1885572 18-Oct-2017 11:16

Too bad we can't just flush out our arteries with some descaling vinegar solution!

elpenguino

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#1885594 18-Oct-2017 11:57

The problem is where the stuff goes when you flush it out.

My mam had low blood pressure for years. That was fixed with a new heart valve. The subsequent increase in blood pressure broke many pieces of plaque off the walls of her blood vessels - some of them ended up in her brain causing mini-strokes :-(

Most of the posters in this thread are just like chimpanzees on MDMA, full of feelings of bonhomie, joy, and optimism. Fred99 8/4/21

MikeAqua

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#1885621 18-Oct-2017 12:12

kryptonjohn:

Too bad we can't just flush out our arteries with some descaling vinegar solution!

Soluble fibre is your friend there. Oat beta-glucans are a good example.

Mike

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