WEBVTT 00:00:05.302 --> 00:00:08.428 There are lots of factors that contribute to obesity, 00:00:08.460 --> 00:00:12.388 but at the end of the day you consume more calories 00:00:12.388 --> 00:00:15.188 than your body is able to burn up in energy. 00:00:15.206 --> 00:00:16.657 You will put on weight. 00:00:16.682 --> 00:00:17.895 What is interesting to note 00:00:17.911 --> 00:00:20.569 is in fact people's calorie intake hasn't gone up 00:00:20.600 --> 00:00:22.197 all that much over the last ten years. 00:00:22.205 --> 00:00:25.244 It's just that people are taking less and less and less exercise. 00:00:26.273 --> 00:00:29.073 Clearly there are a small percentage of people 00:00:29.123 --> 00:00:31.845 who do have perhaps have thyroid problems, 00:00:31.869 --> 00:00:35.219 or hormonal problems, or other reasons, genetic reasons 00:00:35.269 --> 00:00:38.198 why they may be predisposed to obesity. 00:00:38.221 --> 00:00:41.282 I would say less than a sixth of people 00:00:41.314 --> 00:00:46.247 that I see who are overweight actually have a genuine medical condition causing it. 00:00:46.588 --> 00:00:49.834 For the vast majority of people it's actually an issue 00:00:49.856 --> 00:00:51.528 about their relationship with food. 00:00:51.544 --> 00:00:56.005 People don’t know when they're full, and want to keep eating. 00:00:56.005 --> 00:00:58.805 People don't sit down at the table to eat together. 00:00:58.855 --> 00:01:02.643 People don't understand how to cook any more. 00:01:02.677 --> 00:01:07.078 The more people develop this bizarre relationship with food, 00:01:07.140 --> 00:01:12.418 then the more trouble they'll have having normal intake of healthy products. 00:01:14.131 --> 00:01:17.475 The most common medical conditions that arise from obesity 00:01:17.483 --> 00:01:19.715 are hypertension, so that's high blood pressure. 00:01:19.765 --> 00:01:25.300 This can lead to cardiovascular disease, strokes, heart attacks and diabetes. 00:01:25.332 --> 00:01:27.454 Particularly type 2 diabetes. 00:01:27.478 --> 00:01:33.817 We're now seeing that, even children in their early teens, which is pretty scary. 00:01:44.080 --> 00:01:46.778 There are a small number of medical professionals 00:01:46.828 --> 00:01:50.428 who will deny that obesity is a problem. 00:01:50.664 --> 00:01:53.845 I am very strongly of the opinion that if you are 00:01:53.893 --> 00:01:58.391 properly obese, you are going to run into medical problems 00:01:58.439 --> 00:02:00.819 and probably reduce your life span. 00:02:00.980 --> 00:02:07.143 I think people do tend to use the term obese loosely. 00:02:07.190 --> 00:02:10.435 If you're 5 foot tall and a you're a stone overweight, 00:02:10.474 --> 00:02:12.020 then you probably are obese. 00:02:12.044 --> 00:02:13.674 But if you're 6 foot tall and a stone overweight 00:02:13.690 --> 00:02:16.577 the you're probably slightly overweight. 00:02:16.623 --> 00:02:21.526 The press use obese as a catch-all term for someone who is overweight. 00:02:22.055 --> 00:02:24.571 Having said that, as a doctor I strongly believe 00:02:24.595 --> 00:02:28.753 that obesity is a genuine medical, national problem at the moment.