Don't weigh to die

21st September 2007 at 01:00
Obesity needs to be handled sensitively but seriously from a young age. The right information could prolong, and even save, lives, says Phil Hammond

After smoking, obesity is the biggest single cause of premature death in the UK, and much more besides. Overweight patients have lower self-esteem and more psychological problems than any other single patient group, including cancer sufferers.

Lots of them never go near a chocolate shop, and others eat no more than slim patients. Yet many have been ridiculed by doctors' remarks such as: "There were no fat people at Belsen." This is a snide way of saying: "If you ate less, you'd lose weight," which is true, but it's so offensive that patients are left feeling stigmatised.

I recently met a woman who had conquered her obesity but said at the time how it took over her life. "I was buying a pair of shoes and the sales assistant asked me if I wanted some polish for them. She chose a shade I was certain was wrong, but I didn't say anything because I'm sure she'd have thought 'Silly fat cow, what does she know?' so I let her sell me the wrong one." If overweight patients can feel so threatened by shoe fitters, imagine what a few thoughtless doctors do to them.

Each year, there are dozens of new diets and wonder drugs that claim to offer the answer to obesity, but none live up to expectations. By far the biggest breakthrough would be cultural acceptance, but at present you're still less likely to be offered a job or promoted if you're overweight. Half of us are, with a quarter of us obese. These numbers have trebled in the past 25 years.

Diets don't work because obesity is a life-long illness part genetic, part environment and any temporary change of habit is doomed to failure. So, the only way to make a lasting difference is to eat sensibly and take exercise every day for life, or have your stomach stapled.

If you can manage to lose weight permanently, the benefits are enormous. A 10kg weight loss for an obese patient cuts your risk of dying from diabetes by a quarter and your risk of dying from cancer by half. Your blood pressure and blood cholesterol also fall, your exercise tolerance improves and it halves your chances of developing diabetes.

The trick is to get in there early. Many children become overweight by the age of three and face an uphill battle with their weight for life

Phil Hammond is a GP and broadcaster and chairman of governors at a primary school in Somerset. His new book, Medicine Balls, is out in October

Log-in as an existing print or digital subscriber

Forgotten your subscriber ID?


To access this content and the full TES archive, subscribe now.

View subscriber offers


Get TES online and delivered to your door – for less than the price of a coffee

Save 33% off the cover price with this great subscription offer. Every copy delivered to your door by first-class post, plus full access to TES online and the TES app for just £1.90 per week.
Subscribers also enjoy a range of fantastic offers and benefits worth over £270:

  • Discounts off TES Institute courses
  • Access over 200,000 articles in the TES online archive
  • Free Tastecard membership worth £79.99
  • Discounts with Zipcar,, Virgin Wines and other partners
Order your low-cost subscription today