CTV News | Obesity is 'socially contagious,' study finds

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Obesity is 'socially contagious,' study finds

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CTV.ca News Staff

Date: Wed. Jul. 25 2007 4:55 PM ET

Having a circle of friends who are chubby just might make it more likely you will become overweight yourself. That's the interesting finding from a new study published in the New England Journal of Medicine.

The researchers found that if someone's friends become obese, that person's chances of becoming obese increased by 57 per cent. Siblings and spouses also have an influence, although a reduced one:

  • People whose siblings became obese were themselves 40 per cent more likely to grow obese;
  • People whose spouses became obese were 37 per cent more likely to be obese as well.

"This is really quite extraordinary because we also looked at family members and found that friends actually had a stronger influence on your own obesity than family members," study author James Fowler of the University of California, San Diego, told CTV News.

"Our study finds that obesity is socially contagious -- in other words, it tends to spread from one person to another."

Co-author Dr. Nicholas Christakis, a professor of medical sociology at Harvard Medical School in Boston, says the findings reinforce the idea that obesity is a collective problem.

"People look around them and see people gaining weight and it might change their attitude about what constitutes an acceptable body size... You might say it's OK to be heavier," Christakis said.

Christakis and Fowler studied the records of 12,067 people living in the mostly white, middle-class town of Framingham, Ma. They had their health and habits regularly monitored, beginning in 1948. In 1971, children and spouses were invited to join the study, even if they had moved away.

Christakis and his team decided to look at the alternative contacts the patients had listed who could be called in case the patients themselves could not be reached for their appointments. In many cases, the alternative contacts were also participants in the study. So the researchers looked to see which friends and relatives were also in the study, and then looked to see who became obese and when.

They found that if someone became obese, their friends were 57 per cent more likely to become obese. If people named one another as contacts, they were 171 per cent, or more than double as likely to become obese if the other did.

It wasn't just direct friends affected: if a person became obese, their friends were more likely to become obese, as were the friends of friends.

"We found that one person's obesity actually influences other people in the network up to three degrees removed --- my friend's friend's friends," said Fowler.

"We were very surprised to see that the effect of one's obesity had such a wide impact on the network."

The findings were the same even if friends lived very far apart from one another. But on the other hand, having an obese neighbour did not affect a person's likelihood of becoming obese -- suggesting that common environments are not to blame.

"So what this is means this is NOT about friends eating together or exercising together; this is about ideas," said Fowler. "This is about the way we think about our bodies, about the way we think about healthy eating and healthy exercise behaviour and how we share those with people with whom we esteem."

"We speculate that what is really going on here is that people have conversations and people exchange ideas of what an appropriate body image is and what appropriate healthy behaviours are and that has either a conscious or unconscious effect."

Fowler notes they also found that not only is obesity "socially contagious," so is fitness.

"Thinness can spread from one person to another, so if you have a friend that becomes thin, that will also increase the likelihood that you will lose weight," says Fowler. "We are very excited by this particular finding because we think... we may have uncovered a tool to help us to reverse that trend."

Dr. David Macklin, the medical director of WeightCare, a group of weight-loss clinics in Toronto, agrees that friends and family can serve as a powerful influence to encourage one to slim down.

"We find that when people start eating better and losing weight, family members start eating better and losing weight. It's a trickle-down effect," Macklin tells CTV.

With a report from CTV medical correspondent Avis Favaro and producer Elizabeth St. Philip

Please Add Comments( )

Rose
said
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I find this very true! I have gained weight after the birth of my second child and had trouble losing weight. When I'm around skinny friends I tend to eat very less and am more self conscious. When I'm with a friend who's heavy she and I would end up always eating alot and makes me comfortable being overweight - makes me feel it's ok to be fat which is sad.


Meghan
said
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While this could be a possible help to reverse the increasing numbers of obese Canadians, the flip side is that it could also drastically increase the number of females who will develop eating disorders. Perhaps the focus should be on loving the shape we have and then working to make it healthy, small steps at a time.


Craig
said
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That's one of the reasons we are having this problem today.

In the late 80s onwards, educators and society populated the belief that everyone should love himself no matter what he looks like. Translated it meant "it's okay to be fat".

Now we have children, teens and others who have a weight problem.

Self esteem is a great thing to have but people have to realize being overweight causes problems.


Mark Peters
said
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Birds of a feather...


Steve N.
said
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VERY true.

And if happens with children too. If they have an overweight mother or father (or both), they can develop those bad eating habits too.

I had this problem with an overweight mom, and I became above the average weight too. But when I left home for university, things really turned around.

Bev
said
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This study sounds like it could isolate those that are overweight for yet another reason. If a slim person wants to stay that way they should stay away from anyone that is overweight. I agree that maybe we should stop judging someone by their body size and judge them by their values as human beings.


Andre
said
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I can't say that this news suprises me. Musicians hang out with musicians, athletes with athletes, artists with artists and now, officially, the obese with the obese.

What we really need here is a shift in the entire way we look at things as a society. We've coddled for far too long. Obesity is not an epidemic. Laziness, poor decision making, and unaccountability are the epidemics and obesity is the result. It was mentioned by someone else that we should learn to embrace the way we look, even if we are obese. This is a terrible attitude. What you're doing is saying "It's okay to disrespect my body, to abuse it with unhealthy food and physical neglect." It isn't, accept it and be proactive in doing something to fix it.

Ann
said
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You didn't need a research paper to find this out. If you have nothing but fat foods in the house then all the members are that family usually are obese.

All obese families need a photo of a "normal" weighted person on their 'fridges.


Mike
said
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When I was in university, we looked at a few studies that indicated (didn't prove, mind you) that eating is more of a social habit than you would think. People who eat a large meal and feel full seem to be able to eat again much sooner if they are joined by someone who didn't eat with them the first time. In effect, even though there's no reason for you to be hungry, watching someone else eat apparently can make you able to eat again. The key is to recognize that you eat to live, not the other way around.

Tracy
said
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I am so deeply troubled that CTV would broadcast such a defaming story about obesity being contagious. How dare you continue to spout propeganda about the LAST SOCIALLY ACCEPTIBLE form of descrimination: Sizism. The idea that the mere act of befriending a fat person could somehow pass their fat too you like a cold or disease is a preposterous thought. All a story like this does is further promote discrimination of a large portion of society. Only this time rather than attacking blacks or gays you are attacking fat people. Did it ever occur to you that perhaps the reason family members of overweight people are also overweight is because they are genetically predispostioned to be that way? Perhaps spouses and friends are also overweight because overweight people specifically seek out people who are like themselves. I have had friends of all body types over the 31 years that I have been alive and I can tell you that never has my weight affected their weight nor has their weight affected mine. The idea of eating less or more doesn’t speak of your friends but more of your own personal comforts. Perhaps if body image wasn’t thrown in the face of the public on such a steady ongoing basis we wouldn’t have the weight issues we have now. I am disgusted at you CTV for spreading this kind of garbage on air.

Lindsay
said
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I can't really speak from experience has I am not overweight but this article could make someone who is overweight feel like a social misfit (like they don't already in a society where having bones coming out of your skin is the fashion and norm). Not all overweight issues are about food, people need to get over this. Yes bad food behaviour is learned but we are blaming a lot of things on overweight individuals and this article is doing the same thing. I happen to know someone that based on her height is deemed overweight yet her heart rate, blood pressure and physical fitness all say she is healthy, she eats well and so do the people around her, she just doesn't have the DNA to be "thin". Fat is an offensive term. Put yourself in the shoes of someone reading this article who has a weight issue how would you feel to know you are being blamed for your friends weight problems too.

Meghan
said
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hmmm...good food for thought - no pun intended. To elaborate further on my earlier comment, I agree that obesity is a problem, with serious consequences. As a recovering anorexic, I know first hand that there are consequences with how we treat our bodies. It is true, that the skinny girls will hang out with skinny girls and the bigger girls with bigger girls. In my experience, whether you are obese or anorexic, there is more going on than eating or not eating - both are coping methods. I believe that we need to love ourselves enough to get healthy, whether that means an anorexic learns to eat or an obese woman learns to not eat. Truly, I think we need to start there. Our life choices will affect not only us but our children and family members. It isn't usually a simple matter of going on a diet or learning how to eat. Anyone who is obese or anorexic and tells you they are happy, are not being honest with themselves. While self esteem is not the end-all, it is the only place to truly begin.

Lindsay
said
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Well Said Tracy!



Johnny
said
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You are as fit and healthy looking as the effort you put into your "proper" dietary nutrition and "proper" fitness/exercise routines. Anything less is excuses and a strain on society. That is the most unfair and irresponsible thing you can be and something that should not be passed on to the next generation.

Nathan
said
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I am inclined to agree with many of the assertions in this article. However, I'm not sure "contagious" is the best term to describe the effect. From personal observation and experience, I can safely say that eating is a social activity. Much of our personal interaction occurs over food. From dates to family gatherings. It follows that there will be some degree of consistency in the diets of people that regularly dine together. Hence, fat social and familial networks.

This actually made me reflect on my own body composition over the past several years. Although I have never been overweight, my body fat composition was considerably higher when I socialized amongst heavier eaters.

The difficulty in correcting this problem is that the habits of more than one person in the peer group have to change if one person seeks to make healthier choices. Secondly, our culture of "acceptance" ultimately becomes self-destructive here.
It has never been healthy to be overweight yet we increasingly send the message that it is okay, natural and even attractive. This is an era of
"you're just fine as you are. Why improve?"
Sadly, some won't understand the answer to that question until it kills them.

Nathan
said
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...I also forgot to express my disappointment that some people think that this article is akin to persecuting someone for their race. Inventing terms to suggest discrimination. "Sizism"???

Gay is invisible.
Fat is generally a choice.
Being black is neither.

That being said, there is a very small proportion of the fat population that are predisposed to gain weight (glandular and hormonal problems, etc.) I am fairly certain that these people are more the exception than the rule.
I'm sure many of those people who actually try very hard every day to battle their weight would resent the cop-out attitudes of others who just don't have the discipline to practice healthy habits.

Kerri
said
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I need to get funding for a ridiculous study! I think mine might be called, "New study finds that too much food makes you fat!" Let's start putting funding into "real" research not blatantly obvious studies that make us say "DUH".

A.M.
said
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Wow this topic kind of makes me sad. It's tough as an overweight woman (or full figured as I like to call it)to see some of the holier-than-thou comments. Heavy people don't need criticism from laypeople especially when they are their own worst critic.

I grew up in a family in which food satiated not only hunger but emotions. While I was a very active child/teen and did not have a weight issue, my adulthood has been less than that. I KNOW how to eat well, I KNOW how to exercise. In fact, ask any heavy person, they probably know the calories in every morsel of food ever consumed. But for a lot of us this issue is emotional. Yes overeating is unhealthy, yes eating is social and can contribute to weight gain but for a lot of us it's how we learned to cope with being happy (as a reward), sad, stressed, angry (as comfort). I have, in the last few months, embarked on a healthier, more active lifestyle which I am now very pleased with but it took working on myself inside before I could really make any weight management program stick.

Maybe some heavy people find comfort in heavy friends because they can relate to each other.

It might also be worth noting that it would help if more family doctors were courageous enough to bring this topic up on routine appts. It's not news that being overweight is taxing our healthcare system. It might be an uncomfortable topic but one that is serious enough that it warrants discussion.

Lindsay G
said
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I have to comment to Tracey's comment and I guess Lindsay's thumbs-up to it as well -

Ladies, this article is not about discrimination against the average overweight person or about overweight people speading their 'overweightness' to the world like a plague; this is about OBESITY! Obesity is a medical condition; obesity is a major concern in North America because its levels are on the rise (yes, even in Canada; obesity is extremely dangerous for ANY individual - it can lead to death.

I agree with you that there is a new form of prejudice that we can call 'sizism' and that a person's size is a combination of genetics and habit. But this article is not about sizism or saying being overweight is bad - it's saying that the number of people in danger of dying is exponentially rising.

You have to agree that people who spend a lot of time together end up talking alike, dressing alike, participating in same activities and interests and even start looking alike - meaning their body weights. Not all people, because generalizations are not true for 100% of the population, but most people. And I can truly say that because I fall into that generalization - even in all my different circles of friends, over the past few years we all use similar langage, have a similar sense of style and even have a similar idea of what a healthy body wieght is...if my friends were gaining weight (whether by genetics or habit) I would most likely gain weight too as my idea of an average body weight got heavier. We all could end up in an obsese state if we didn't maintain a healthy lifestyle together.

On another note, this article does not say obesity is due to genetics - and not even you can argue that it is because no one is destine to be obese - it says that it is due to habit...the habits we have individually and with our friends. We can start a movement - a HEALTHY movement - to ensure that the people we care about (our family, friends and social circle)beat this MEDICALLY-TERMED DISEASE called OBESITY (again, NOT overweight) and live longer, happier and healthier.

Think about that for a bit, Tracey...

Ray
said
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The skinny friend diet - I see a new business opp. I am available to hang out with anyone wanting to lose weight for a small fee.




Dustin
said
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Many problems will effect my age group in the future when we get on in life. I know the risks, but i dont know the future. I am a good build but question my health although i do exercise. Too bad this isn't the 18th century when fat people were top class, and respected...


Bruce
said
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Obesity will only worsen until the scientific and medical communities treat it as a serious illness. Genetics, enviornment, conditioning as well as lifestyle choices all are a factor in obesity, just like many forms of cancer.

Joyce Richard
said
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Maybe if these obese people would look in a full length mirror every morning they might see something they don't like. Then maybe they would eat 5 fruits, 5 vegetables and meat the size of the palm of there hand. Drink lots of water, avoid sugar & salt. I know it won't work, they'd only get dressed and go get a big Mac and a double double. I will enjoy my excellent BP and lack of heart desease and diabetes at age 58. I eat the same no matter if I'm with fat or skinny people because my health counts to me.

Laurie
said
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It's interesting that CTV.ca news has decided to publish this article along with a picture of an obese woman in a bathing suit - minus her head. Dehumanizing.

Claudia
said
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Interesting article, I know personally I feel more comfortable hanging around heavier people since I put on some weight. I mean I notice my weight gain more around people who are slim, and honesty it really makes me feel like my weight is more of a issue then. I know according to the bmi I need to loose some weight and in the end you can't argue with numbers. As for genetics, when I was thin people said "your thin boned" and when I was heavy "people said I was big boned", when I was thin people said I must have a "great metbolism" when I was heavier "my metabolism had slowed down". I have only myself to blame, there is only me in this body.

Joanne
said
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The number one cause of "obesity" is dieting. Weight gain is a natural consequence of dieting (Please read The Obesity Myth, for more information on this). I do not know any heavy people who have not dieted many, many times. Each time a diet ends, the individual craves sugar and fatty foods as the body seeks to regain its balance. Yes, some people are naturally heavier than others. Some people are predisposed to be thin. The people I know and with whom I associate all eat well-balanced diets. Some exercise. Their proportional weights vary considerably, and quite independently of whether they exercise. For heaven's sake, when will people stop torturing people who are somewhat heavier than the ridiculous "norm" that was established 60 years ago--using self-reported weights listed on insurance applications--as a standard for what individuals should weigh? Being thin carries an increased risk of osteoporosis but no one says that people should eat more to reduce their likelihood of getting the disease. Similarly, thin women under 50 are more likely to get breast cancer. Does anyone tell them to gain weight to prevent the disease? Of course not. If no one dieted, and we accepted ourselves whether we are a size 2 or a size 16 at age 12 or 16 or 26 or 60, we would all be better off. A healthy diet and exercise is all that is needed. If one has already dieted and regained the weight and more, it is dangerous and folly to do so again. One would have to eat 1500 calories a day for life to maintain a lower weight and simply NOT eat even if hungry. The name for that phenomenon is anorexia. A friend of mine was told she was "morbidly obese," went on a diet, lost 50 pounds in a year, was then told she was anorexic and in danger for her life, and instructed to eat. With the brakes off, she craved sweets and gained 25 pounds in the last two months. I dread to think of how much more she may now gain. Enough already!


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