In decades of treating NHS patients in Yorkshire with weight problems, Dr Chinnadorai Rajeswaran has noticed two things.
One is the extent of their excess weight. “Fifteen years ago you got a lot of people with a body mass index of around 40. Now it’s common to see people with a BMI of 50, 60, 70. You are getting ‘super-obese’ people.”
The other is their sheer despair. “The depression [rate] is very, very high. They don’t socialise, they’ve got low self-esteem and confidence, they have no support. There’s no point in telling them what to eat: it’s no better than telling a depressed person to cheer up.”
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