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Swine Flu Kills Obese People Disproportionately

Philip K Dickhead writes "Bloomberg is reporting that the World Health Organization discovered a single, surprising characteristic that's emerged among swine flu victims who become severely ill: They are all fat. Infected people with a body mass index greater than 40 suffer respiratory complications that are harder to treat and can be fatal. The virus appears to be on a collision course with the obesity epidemic. WHO officials are gathering statistics to confirm and understand this development. 'It's very likely that if we went back retrospectively and looked at people who did poorly during seasonal flu, what would shake out is that obesity would be one of the risks.' Fat cells secrete chemicals that cause chronic, low-level inflammation that can hamper the body's immune response and narrow the airways, says Tim Armstrong, a doctor working in the WHO's chronic diseases department in Geneva."

14 of 661 comments (clear)

  1. Well... yeh. by yoursurrogategod · · Score: 5, Insightful

    Being obese is pretty much an invitation for all sorts of problems. I love my steak, fries, chocolate, soda and burgers, I just eat them once every other week in small quantities. It helps when I think of baby carrots and apples as snacks.

    1. Re:Well... yeh. by Anonymous Coward · · Score: 5, Insightful

      I don't have a simple issue with self control. If I did she'd be dead and I'd be up on murder charges. On the other hand I have a huge problem eating small portions. If I do I literally walk around voraciously hungry.

      [snip]

      Combine this with a desk job and yeah I _could_ try to make time for the gym (which I hate with a passion) but keeping up an excercise routine is to say the least problematic.

      So, in other words, you have a complete lack of self control and are unable to motivate yourself to keep yourself healthy.

      Losing weight is stupidly easy: eat less, exercise more. So you have a bad ankle, talk to your doctor to come up with an exercise routine that doesn't involve massive amounts of walking.

      30 minutes a day. That's it. If you can't do that, then yes, it's a self control issue.

    2. Re:Well... yeh. by sopssa · · Score: 5, Interesting

      So, in other words, you have a complete lack of self control and are unable to motivate yourself to keep yourself healthy.

      Not at all.

      Losing weight is stupidly easy: eat less, exercise more.

      That completely ignores the fact that people feel hunger differently, people lose weight differently, and that even those that have the ability to lose weight can work their arses off and still lose nothing in a week. If weight loss were as easy for everyone as you make it out to be we wouldn't have a problem.

      You do understand that the different hunger feeling comes from the fact how much people have got used to eat, right? And also from what kind of food you eat. Carbs burn *fast* in your body, so stay off from bread, rice, potatoes and such. Eat high-protein and high-fat foods like meat, fish and chicken. They often also contain way less calories than the high-carb foods. Start by eating when you feel like so, as you're quite possible taking way less calories in that way anyways. Lower your amounts a bit all the time and you'll notice you dont really need that much food.

      I feel you in that theres sometimes reasons people cant get their motivation up for that, being it work or anything else. I'm myself around the ~30 in charts. But I know the reasons for it and I know that I could make it better, instead of lying to myself that it's somehow not possible.

      The only couple of times I have lost weight in my life I lived on salad and lean meat/chicken in tiny portions and did AT LEAST 2 hours of heavy excercise a day. Anything short of that doesn't cut it.

      See this? That is the answer that I've already said and you've even noticed yourself. Hamburgers, bread and other such high-carb food is bad. Meat and chicken and fish is good. It's there by nature. Google for "low carb diet", go by that atleats 2 weeks and you'll notice how great it is. Then make that your lifestyle.

    3. Re:Well... yeh. by Killer+Orca · · Score: 5, Interesting

      You don't have to swim for 2 hours to get any weight-losing exercise, I think if you signed up for some night adult swimming classes you would learn a few things that would help, specifically: improving your form, breathing, flip-turns (maybe not an option with your ankle), different strokes, etc. In fact they have even invented weights specifically for water based exercising http://www.saveonpoolsupplies.com/shopping/product.aspx?productid=SKU1217&scode=I9SOPSST&e7=Y&e8=T3335&pcode=101&keyword=T3335 if you want to add variety. Eating less is a harder problem, some people find eating their meals slower helps, not wolfing it down. Don't expect to lose weight after a week either, it can takes months to see an actual measurable and continual change.

    4. Re:Well... yeh. by blahplusplus · · Score: 5, Insightful

      "and that even those that have the ability to lose weight can work their arses off and still lose nothing in a week."

      I'm going to call bullshit on this, it's fucking impossible to NOT lose weight in a week if you are "working your ass off", you're certainly not working you ass off if you're not losing even half a pound or 1 pound in 7 days. Losing weight DOES require some amount of willpower and definitely requires a commitment hence (by and large) one is responsible for one's weight.

      One cannot just excuse oneself unless one has a serious medical condition, but even those that are sick (your arthritis in your leg/angle) can do other exercises. For instance when I was lifting free weights and benching you still burn and awful lot of fat without having to move around that much. What matters is expending energy.

      I walked at a leisurely pace 4hrs/day 7/days week and lost 10-12 lbs a month, it's a matter of *commitment* either you want to lose the weight or you dont, if you don't like high intensity you have to make up the lack of intensity with duration of time and distance for low intensity aerobics (like walking).

      The biggest thing is monitoring your appetite, no amount of exercise will help if you're over-eating and taking in more energy then you're burning off. The army did a study a long while back that showed just this: Taking in too much energy negates the weight loss benefits of exercise and you don't have to starve youself either, just limit yourself to 1500-1800 cals/day and keep track of it on a site like http://www.fitday.com/

      The truth is many people who are overweight have never been thin for most of their life and got fat fairly young and developed a victim psychology because of bullying/social prejudice.

      There's only so much you can do to excuse yourself from being overweight.. I agree there are many different body types and some of us store fat easily on the smallest amounts of food, but many of us that store easily barely exercise.

      The real issue though is not paying attention to how energy dense the food you're eating is, most people "wing it" when they eat they don't get rigorous ambout keeping track of the amount of food (see fitday.com), once you get rigorous and can see it on a chart, then you will realize that - yes, you are over eating!

      I realized this when I started tracking what I ate @ www.fitday.com (a great site btw) and it is handy because it will show you the evidence and you can't just deny it anymore.

      Most people live in the fog of their own mind never really looking hard at teh evidence in their own lives contradicting and lending support to the naysayers of "no willpower", the truth is it's more about being aware of your own bad/blind thinking on the matter of how you eat and live that is the root of the problem.

      I know I went through it.

    5. Re:Well... yeh. by twostix · · Score: 5, Insightful

      You should submit yourself to the department of energy immediately.

      Your bodies ability to create matter out of thin air and somehow ignore the second law of thermodynamics by burning more energy than you ingest is nothing short of amazing!

      *Or* you're just making the same tired old excuses that those with some vice *always make*. You claim that your body is somehow special and refuses to burn the energy that you put in well guess what - that means you are going to have to eat 1/4 of what you do now for the rest of your life end of story (unless there's some medical "cure"). OR, you can be continue being fat and whinge about it on Slashdot for the rest of your (more than likely) short life...

      You need to expend more energy than you ingest per day, no amount of moral indignation can change the laws of physics.

      Otherwise if you already are ingesting less than you expend then you are a scientific marvel and for the good of human kind please get make yourself known to some scientists in the relevant field.

      On a side note you're at +5 which means that you've got a pretty general support from the people on here, it's kind of amusing how the basic laws of physics and "personal responsibility" ideals that are usually worshiped with religious fervor around here are kicked to the curb as soon as it's useful to do so.

      Glad to see the highly "logical" slashdot hordes - to borrow a clique, are just as prone to self delusion and excuses when it suits as the masses that are so often looked down upon here for doing exactly the same thing are.

  2. Re:Dammit, BMI != fat in all cases by hedwards · · Score: 5, Insightful

    Actually in this case it's a perfectly valid way of looking at it. BMI was created for statistical analysis. And that's what it's being used for.

    With the relatively small number of people that have died as a result of the H1N1 it's much easier to detect whether or not it's accurate for the group. But when doing models of how this is likely to shape out, the BMI is a perfectly legitimate way of doing it. The only other measure that's reasonable to consider is the waste to hip ratio, and that's not really designed for this.

  3. Re:Finally!! A Cure For Obesity!! by sopssa · · Score: 5, Funny

    Pig flu affects fat persons.. I didn't see that one coming!

  4. Cost of subsidies by yoursurrogategod · · Score: 5, Interesting

    Makes you wonder just how much this nations spends annually on corn and soy subsidies and just how much we will pay in the future as more and more people become sickly due to the low price of the poor nutrition that they are often offered. What if we got rid of those agricultural subsidies? How will that affect the cost of McDonalds', Wendys', etc. foods?

  5. The story title is wrong ... by tomhudson · · Score: 5, Funny

    It isn't killing them disproportionally - it's killing them in direct relationship to their proportions :-)

    1. Re:The story title is wrong ... by vivian · · Score: 5, Interesting

      Losing fat comes down to a simple equation.
      If calories in is less than calories burnt, you WILL lose weight. Its as simple as that.
      No amount of "glandular" problem is going to make you put on weight if you are eating less calories than you use in your daily activites.
      So you need to either eat less, or do more ecercise, or both. Exercise helps because as you get fitter and have more muscle, as just having more muscle makes you burn more energy - so in that respect it is easier for a fit person to stay slim, but there is no reason in the world that anyone needs to be fat, regardless of any "glandular" problem.
      Getting more excercise is trivial too. It takes no more 5 minutes to do 30 pushups and 60 crunches - you can do them last thing at night before going to bed.
      Likewise, you can get off the bus/train one stop earlier ( or walk to the next stop along from where you get on) and easily get a 15 to 30 min walk in a day. Losing weight doesnt have to mean hours and hours in the Gym - just a bit of self motivation to be a bit more active in your daily routine.
      One other thing - Diet drinks - stay the hell away from them. Ever see slim people in the supermarket buying diet coke? no - its always the huge people. Diet drinks have less calories, but there's an interesting littlel experiment they did, where two groups of rats were allowed to eat as much as they wanted - one group was given diet drinks, and the other normal non diet drinks. The ones on diet drinks porked up. The theory: The sweetners give your body signals to get ready to deal with a lot of sugar. When the sugar doesnt arrive, your body goes "Holy crap - we're starving! better eat more!"
      So diet drinks may actually make you fatter by making you have a bigger appetite. Here's a not very authoritive link http://scienceblogs.com/cortex/2008/06/its_been_recognized_for_a.php to one article about this - Im sure with a more thorough search the actual paper would turn up somewhere.

      Hopefully this latest news about swine flu will be that final bit of motivation a lot of people need to actually do something about their weight.

  6. waste : hip by Anonymous Coward · · Score: 5, Funny

    "waste to hip ratio?" Is that measured in grams of feces per day over number of Apple products owned?

  7. Hold on a sec, Captain Obvious by brusk · · Score: 5, Interesting

    What isn't clear from TFA, and seems to be the crux of whether this is a story or not, is whether this particular flu is affecting obese people disproportionately as compared to similar influenzas. If all strains of flu have the same pattern and are more severe (by whatever measure) in obese people, then there's nothing interesting here. If, on the other hand, the correlation between BMI and severity is much higher for this H1N1, that's a potential clue, one that might tell us something about (a) how this particular virus works, which could be useful in developing treatments for everyone, and/or (b) how obesity affects immune response, which could be helpful in the treatment of other infectious diseases. But, alas, TFA gives only anecdotal evidence so we can't even speculate.

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    .sig withheld by request
  8. Genius! by jaypifer · · Score: 5, Funny

    Clearly this is a terrorist act targeting Americans!

    --
    Never go to sea with two chronometers; take one or three.