Specialist health professionals say obesity should be regarded as a complex illness, and people with the condition shouldn't be blamed for it.
Specialist health professionals say it is time for obesity to be regarded as an illness caused by genetics, biology and how we live today.
"People think you're unintelligent, that you're lazy, that you eat too much, that you've done this to yourself. That it's a choice," she says. "I just want to scream and say none of those things are right." At the time, it made her feel "brilliant". But, in hindsight, she realises this was the start of years and years of yo-yo dieting.
Around this time, she had some tests which looked at her genetic make-up. The results found two important things: "I think there's something about the psychological experiences people have, and the relationships that they start to form with foods, that becomes almost like a perfect storm." After training for the triathlon and losing eight-and-a-half stone, Sarah continued to train regularly and eat well. But she noticed that gradually she started to become heavier. Whatever she did, it made no difference.
As Sarah started to research obesity, she realised that after a lifetime of blaming herself, she understood that it was actually her body "working against her".New research from a team made up of specialists from the University of Birmingham, the University Hospitals of Birmingham, and Warwick Medical School, has found that people living with obesity have a 66% higher risk of developing chronic kidney disease than those with normal body weight.
"The number of people I've encountered in my 30-year career who've been able to go from morbid obesity, to normal weight, and sustain it by dieting alone - well I don't think I've ever met one. It's so hard to do."
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