Obesity is a major risk factor for most of the chronic diseases responsible for premature death.
But so is being 'Under Muscled'.
The combination is known as OLLMM - Obesity Low Lean Muscle Mass
This is a major issue.
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/1
Obesity is responsible for 12% of deaths in Europe & United States.
In other countries, it is higher.
/2
25 % of Europeans &
37% of US Adults
Are obese.
You thought it was worse didn't you? But see the next point.
In the 1970s the average was about 10%
/3
Including those who are both Overweight & Obese.
Europe - 58%
United States - 68%
In the 1970s, both were about 40%.
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The combination of Obesity with Low Lean Muscle Mass (OLLMM) is not good.
United States ~ 16%
In those with Pre Diabetes - 20%
In those with Diabetes - 35%
These are hallmarks of poor health & are associated with significantly increased risks over time.
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Appreciating that these factors are very serious markers of poor health is critical.
In the group with OLLMM:
- 71% believed their health was either Good/Very Good/Excellent.
- 6.8% in the Excellent Category.
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While many complex factors lead someone to being both:
Overweight &
Under Muscled
It is crucial that they are recognised as the serious health risk factors they are.
We routinely gloss over both & do not highlight their significance.
Both can be readily addressed.
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We have recently made huge leaps forward in managing obesity with GLP-1 inhibitors medications.
But increasing muscle mass is unlikely to be something a medication can influence (Happy to be proved wrong).
Resistance Training is the solution to Low Muscle Mass
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Resistance Training is a powerful tool.
Benefits include:
⬇️ All-Cause Death up to 27%
⬇️ Cardiovascular Death by 19%
⬇️ Cancer Deaths by 14%
Lift Heavy Things!
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Always think re risk:
Normal weight or Over Weight?
Low Muscle or Adequate Muscle Mass?
Getting both right will make a huge difference.
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That's a wrap!
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As a cardiologist here are 5 books I regularly recommend to patients.
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/1
Man's Search For Meaning.
Having spent 4 years in Nazi concentration camps, Viktor Frankl reminds us that all of our freedoms can be taken from us except the right to "choose one's attitude" on what to do next.
Our lives may be imperfect, but we can still choose.
/2
The Second Mountain
The first half of your life is generally about ambition & success.
The second half is about something different.
It's about using that success as a platform to give back to others.
It's about connection with others & our deeper needs.