Britain has the worst obesity rates in Europe, with one in four adults now clinically obese. A friend who works in orthopaedic surgery tells me that at least 80 per cent of knee replacements are, effectively, self-induced: caused by patients being overweight. Same with hips. Another friend, a consultant, had a complaint lodged against him for describing a 17-year-old girl who weighed almost 20 stone as morbidly obese, on the grounds that it hurt her feelings.

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