Obesity is 'socially contagious', study finds Discussion at PhysOrgForum
Are your friends making you fat? Or keeping you slender? According to new research from Harvard and the University of California, San Diego, the short answer on both counts is "yes."
Appearing in the July 26 issue of the New England Journal of Medicine, a study coauthored by Nicholas Christakis of Harvard Medical School and James Fowler of UC San Diego suggests that obesity is "socially contagious," spreading from person to person in a social network.
The study -- the first to examine this phenomenon -- finds that if one person becomes obese, those closely connected to them have a greater chance of becoming obese themselves. Surprisingly, the greatest effect is seen not among people sharing the same genes or the same household but among friends.
If a person you consider a friend becomes obese, the researchers found, your own chances of becoming obese go up 57 percent. Among mutual friends, the effect is even stronger, with chances increasing 171 percent.
The researchers analyzed data over a period of 32 years for 12,067 adults, who underwent repeated medical assessments as part of the Framingham Heart Study. They were able to map a densely interconnected social network of the study's subjects by using the tracking sheets (which had previously been archived in a basement) that recorded not only the subjects' family members but also unrelated friends who could be expected to find them in a few year
"It's not that obese or non-obese people simply find other similar people to hang out with," said Christakis, a physician and a professor in Harvard Medical School's department of health care policy. "Rather, there is a direct, causal relationship."
"When we help one person lose weight, we're not just helping one person, we're helping many," Fowler said. "And that needs to be taken into account by policy analysts and also by politicians who are trying to decide what the best measures are for making society healthier."
"It's important to remember," Fowler said, "that we've not only shown that obesity is contagious but that thinness is contagious."
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