Secondhand Fat Kills

A recent study using the data from The Framingham Heart Study found that obesity spreads to friends. While it’s always possible that some unidentified common cause is actually behind the correlation between a friend becoming obese and later becoming obese yourself it seems they were pretty careful. Their analysis seems to take into consideration the fact that obese people might be more likely to befriend each other, any effect from smoking cessation, and effects related to where an individual lives. They even claim to account for the possibility that obesity might result from some common outside event. Of course one should always be wary of possible errors/oversights when evaluating complex statistical claims like this and be aware of the studies limitations1 but it is at least suggestive of a harmful effect from having fat friends2.

In fact one might reasonably explain this result by saying being around fat people creates the perception that being fat is acceptable and reduces the effort people put in to avoid being fat. Maybe not3 but assume it’s true. This would mean that merely seeing fat people on the street or in the store might increase your risk of becoming fat4. Sure we might never prove that a casual glance at an obese person harms your health but we might infer it on the same grounds people infer that any secondhand smoke is harmful5.

If so should we pass laws limiting the amount of time fat people could be outdoors? Or maybe stop them from eating at fancy restaurants where they might be especially effective in suggesting to other patrons being fat was acceptable? Sure, such laws might marginalize and vilify the obese but isn’t that what we are deliberately doing with smokers and exactly what this hypothesis suggests would improve public health? Of course you might object that smokers can just choose not to smoke fat people can’t just choose to be skinny but this argument doesn’t fly. After all in the broadest sense of the word obese people could choose not to be obese. It’s an indisputable fact that if they sufficiently restricted their calorie intake they would slim down. Now this may be preposterously difficult to do and genetic/developmental factors may put some people substantially more at risk than others but the same could be said for cigarettes.

Of course I don’t really think such laws would be a good idea. But the point is that simpleminded slogans about cigarette smokers hurting your health simply aren’t useful. Nor is it the case that simply finding the practice annoying/disgusting enough since many people find the sight of obese people disgusting. Obviously what we have to do is balance the harms of banning some activity with the harms of allowing it and be consistent about how we draw the line. So while there is a tiny bit of room to claim that the indoor bar/workplace bans on smoking have been justified the idea that the arguments6 for various sort of outdoor restrictions that rely on totally non-quantitative claims like these are compelling is just absurd. At the very least a compelling argument for such a law would have to estimate the risk to health posed as well as the amount of inconvenience such a law would incur.


  1. For instance it can’t differentiate between depression being transmitted between friends and that causing obesity or attitudes about obesity spreading 

  2. Actually only of having fat friends of the same sex. Friends of the opposite sex didn’t increase your risk significantly but it was a pretty large increase (71%) for same sex friends. 

  3. My guess would be to say it’s probably the result of indirect influence of friends. Do they encourage you to sit around in front of the TV and go out to unhealthy restaurants or to be healthy but this is still a plausible theory. 

  4. The directionality finding of this study doesn’t contradict this, it just says that people you don’t see as friends aren’t anywhere near as influential as those you do. 

  5. They have compelling studies showing that working in smoky bars increases risk as well so they just infer from theories about the mechanism of action of nicotine that the harms from inhaling much smaller amounts of cigarette smoke exist but are just much smaller. This is reasonable from a theoretical point of view but may be misleading people by suggesting the harms from small doses are worthy of concern. 

  6. None of the arguments I’ve seen have been sufficient. In particular they explained why the excess risk to patrons/employees from smoke should be treated any differently than say the excess risk that Alaskan crab fishers run. Now maybe there was some reason to believe that people were being particularly irrational here but I never heard it. 

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