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Heart disease, hypertension, osteoarthritis, back pain, diffi­culty breathing, and we've only begun to discuss the ill effects of excess fat. For example, did you know that skin disorders are more common in the obese? One reason is that sweating increases due to the extra insulation that fatty tissue provides. (This sweating can be especially heavy after eating.) Sweat can get trapped in the thick skin folds and become a medium for pathogenic bacteria, leading to skin infections. Skin maceration, pain, and discomfort can also occur as the obese person's arms and legs rub against the flanks and thighs when walking. Swell­ing of the feet, ankles, and lower legs, which is common in the obese, can lead to the breakdown of skin and further pain.
     Obesity is also a major cause of diabetes mellitus Type II, which we used to call adult-onset diabetes. This devastating dis­ease can lead to blindness, strokes, heart attacks, gangrene, kidney failure, and infections. Yet often it can be eliminated simply by losing the extra pounds.
     So there is no doubt about it—obesity is a dangerous condi­tion. In fact, it is a risk factor for 4 of the 7 leading causes of death in the United States. But before delving further into the hazards of excess body fat, let's define a few important terms.


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