
Okay. I know I've made no secret of the fact that I think there are way too many way too big people. Particularly here in Texas. I have no understanding of why a person would let themselves get in such a condition. When you get so big you have trouble putting on your shoes why do you decide to eat another cookie slathered with frosting? It seems, to me, such an act of self-destruction combined with child-like self-indulgence. I don't see how an obese person could have any self-esteem, they must be constantly in a state of extreme self-loathing.
I've really only known, personally, one morbidly obese person. The behaviors that caused the obesity were bizarrely self-indulgent, almost arrogantly so. I just don't understand why one would continue to eat like a pig when ones upper body has grown so fat that you no longer have a neck and your head sits atop a mound of flesh like a ball on top of a blob.
Looking at it clinically, obesity is a condition in which excess body fat has accumulated to such an extent that ones health is negatively affected. Excessive body weight is associated with various diseases, particularly cardiovascular diseases, diabetes, sleep apnea, cancers and osteoarthritis. As a result, obesity reduces life expectancy. The primary treatment for obesity is dieting and physical exercise. If dieting and exercise fails, anti-obesity drugs and surgery can be tried.

Obesity is the result from too much energy intake overwhelming a person's basal metabolic rate and level of physical exercise. Excessive caloric intake and a lack of physical activity in genetically susceptible individuals is thought to explain most cases of obesity. With rates of adult and childhood obesity increasing, it is currently viewed as a serious public health problem.
Most obesity experts agree that a combination of excessive calorie consumption and a sedentary lifestyle are the primary causes of obesity. In a minority of cases, increased food consumption can be attributed to genetic, medical, or psychiatric illness. The rising prevalence of obesity is attributed to the availability of an easily accessible highly caloric variety of bad things to eat.

Certain physical and mental illnesses and the pharmaceutical substances used to treat them can increase risk of obesity. However, obesity is currently not regarded as a psychiatric disorder.
Personally. I think it should be. Just as any other form of self-destructiveness is considered a mental illness. The morbidly obese person who's casual acquaintance it was my misfortune to make has serious mental health issues in addition to the morbid obesity. It seems to me that the morbid obesity is just another manifestation of the underlying mental health issues. And should be treated as such.