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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
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I applaud the budget, even though Health Care and education may stay unscathed. Sadly this cannot last and I worry to later this year where cuts will become enviable. If anything, this provides the Wildrose Alliance plenty of ammo when an election is called.



Please Add Comments( )
Rose
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Meghan
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Craig
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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
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Steve N.
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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
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Andre
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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
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All obese families need a photo of a "normal" weighted person on their 'fridges.
Mike
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Tracy
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Lindsay
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Meghan
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Lindsay
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Johnny
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Nathan
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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
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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
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A.M.
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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
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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
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Dustin
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Bruce
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Joyce Richard
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Laurie
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Claudia
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Joanne
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