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1With obesity now affecting 29% of the population in England, and expected to rise to 35% by 2030, should we now
2recognise it as a disease? Obesity, in which excess body fat has accumulated to such an extent that health maybe
3adversely affected, meets the dictionary definition of disease, argues Professor John Wilding. He points out that more
4than 200 genes influence weight. "Thus body weight is strongly influenced by biology-it is not an individual's fault if
5they develop obesity." Yet the widespread view is that obesity is self-induced and that it is entirely the individual's
6responsibility to do something about it. Recognising obesity as a chronic disease with severe complications rather than
7a lifestyle choice"should help reduce the stigma (耻辱) and discrimination experienced by many people with obesity," he
8adds.
9Professor Wilding disagrees that labelling a high proportion of the population as having a disease removes personal
10responsibility or may overwhelm health services, pointing out that other common diseases, such as high blood pressure
11and diabetes, require people to take action to manage their condition. He suggests that most people with obesity will
12eventually develop complications.
13“But unless we accept that obesity is a disease, we are not going to be able to tackle it," he concludes.But Dr. Richard
14Pile, a physician with a special interest in diabetes, argues that adopting this approach "could actually result in
15worse outcomes for individuals and society." He believes that the dictionary definition of disease "is so vague that we
16can classify almost anything as a disease" and says the question is not whether we can, but whether we should, and to
17what end.
18If labelling obesity as a disease was harmless then it wouldn't really matter, he writes. But labelling obesity as a
19disease "risks reducing autonomy, disempowering and robbing people of the intrinsic（内在的）motivation that is such an
20important enabler of change." What's more, making obesity a discase" may not benefit patients, but it will benefit
21healthcare providers and the pharmaceutical（制药的）industry when health insurance and clinical guidelines promote treatment
22with drugs and surgery,"he warns
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