Obesity and Illness

How much does obesity reduce your life expectancy?

Obesity has a great effect on your life expectancy. A large decrease in life expectancy is seen in people who are very overweight and/or obese. In fact, there is about a 20% reduction in life expectancy when you are obese. So if you assume a 20 year-old white male with a normal BMI could live for another 58 years, to around 78 years old; if the same person had a very high BMI, for example a BMI of over 45, he would on average live only until 65 years old. That's a reduction of 13 years!

The table below shows another example of how obesity can reduce a person's life expectancy:

Table: Years lost from the age of 40 years old relative to persons with the normal weight individuals

  Female non-smoker Male non-smoker
Overweight (BMI 25 - 30) 3.3 years 3.1 years
Obese (BMI > 30) 7.1 years 5.8 years

What are the obesity related illnesses?

Diseases and conditions associated with obesity are sometimes referred to as co-morbid illnesses.

The table below shows a number of different diseases and indicates the risk of developing certain conditions if you are obese. Relative Risk (RR) is the statistic used here to compare the risk of developing a disease. Relative risk indicates the likelihood that an obese person will have one of these diseases to the likelihood that a normal weight person will have one of these diseases. The higher the number the more likely the disease is to occur if you are obese.

Table: Diseases and conditions associated with obesity

Relative risk (RR) Associated with metabolic consequences Associated with excess weight
Greatly increased RR > 3 Type 2 diabetes Sleep apnoea
Gall bladder disease Gall bladder disease
Hypertension Asthma
Dyslipidaemia Social isolation and depression
Insulin resistance Daytime sleepiness and fatigue
Non-alcoholic fatty liver  
Moderately increased RR 2 - 3 Coronary heart disease Osteoarthritis
Stroke Respiratory disease
Gout/hyperuricaemia Hernia
  Psychological problems
Slightly increased RR 1- 2 Breast, endometrial, colon, oesophageal and gastric. Varicose veins
Reproductive abnormalities/impaired fertility Musculoskeletal problems
Polycystic ovaries Bad back
Cataract Stress incontinence
Skin complications Oedema/cellulitis

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