The healthy obese; why not all obese people are prone to weight based illnesses. The NY Times explains.

Obesity

The healthy obese; why not all obese people are prone to weight based illnesses. The NY Times explains.

Conventional wisdom tells us that all obese people are likely to die younger and are less healthy. Fortunately, the convention is often outfoxed by genetics. It has been often assumed that those who are obese are likely to have fat borne organ disease, diabetes and other problems related to their weight and girth, however, it has also been known that some of these folks live into their 80’s and 90’s with relatively good health, despite their weight.

Genetics plays a large part in how their bodies function, however, the additional weight places quite a bit of stress on the bodies joints. Body mechanics which are inherited can be a huge factor in whether an obese person develops bad knees and hips. Those who are asymmetrically built are already at a disadvantage, and when weight is added to poor body mechanics, pain and joint damage are more likely to occur when compared to people with better body mechanics. This is of course where your chiropractor’s value comes into play, since most chiropractors work with people in pain due to asymmetry related issues.

Check out this article in the NY Times

The ‘Healthy Obese’ and Their Healthy Fat Cells

By ANAHAD O’CONNOR

They are a mystery to researchers: people who are significantly overweight and yet show none of the usual metabolic red flags. Despite their obesity, they have normal cholesterol levels, healthy blood pressure levels and no apparent signs of impending diabetes.

Researchers call them the metabolically healthy obese, and by some estimates they represent as many as a third of all obese adults. Scientists have known very little about them, but new research may shed some light on the cause of their unusual metabolic profile.

A study in the journal Diabetologia has found that compared with their healthier counterparts, people who are obese but metabolically unhealthy have impaired mitochondria, the cellular powerhouses that harvest energy from food, as well as a reduced ability to generate new fat cells.

Unlike fat tissue in healthy obese people, which generates new cells to help store fat as it accumulates, the fat cells of the unhealthy obese swell to their breaking point, straining the cellular machinery and ultimately dying off.

This is accompanied by inflammation, and it leads to ectopic fat accumulation — the shuttling of fat into organs where it does not belong, like the liver, heart and skeletal muscle. A fatty liver frequently coincides with metabolic abnormalities, and studies suggest that it may be one of the causes of insulin resistance, the fundamental defect in Type 2 diabetes.

In the healthy obese, however, the fat tends to remain in the subcutaneous padding just beneath the skin, where it appears to be fairly innocuous.

“The group that doesn’t gain fat in the liver as they get obese seems to avoid inflammation and maintain their metabolic health,” said Dr. Jussi Naukkarinen, a research scientist specializing in internal medicine at the University of Helsinki. “There is a complete difference in how they react to obesity.”

It is clear that obesity is tightly linked to a host of chronic illnesses, among them heart disease, hypertension and Type 2 diabetes. That there are metabolically normal obese adults suggests that there is a way to safely carry excess fat. But to what extent is not clear.

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