Almost one in 10 middle-aged men and more than a quarter of middle-aged women in the UK are “fit but fat”, researchers have said, as they called for more to be done to help people reduce their weight. Academics said that there are large regional differences over levels of “metabolically healthy obesity”, which could be down to different diets or other lifestyle factors as well as ethnic and genetic differences. People who are “fit but fat” are considered to be obese by their body mass index (BMI) score but have none of the complications associated with obesity including abnormal blood sugar levels; high cholesterol; high blood pressures; type 2 diabetes or other signs of heart disease. The UK has similar levels seen in Sweden, Norway and Germany, experts said. The highest proportion of metabolically healthy obesity is observed in France and other Mediterranean countries such as Italy and Israel, experts told the the Annual Meeting of the European Association for the Study of Diabetes. There will always be people living with obesity who seem to be protected against obesity-related cardiometabolic diseases Prof Mattias Bluher One study shows that 8% of men and 27% of women in the UK aged between 40 and 50 are living with “metabolically healthy obesity”. Asked how many people in the UK are affected, Professor Matthias Bluher, of the University of Leipzig and Helmholtz Centre Munich in Germany, said: “The (UK) is very similar to situation Sweden, Norway and Germany. “There are populations in Micronesia or Asian populations where it is down to 2-5% only. “Some populations may be, despite large amounts of adipose tissue, better protected against comorbidities and Caucasian populations belong to those.” Prof Bluher said that healthy obesity is seen in a number of premenopausal women. It comes as Prof Bluher called for better weight management programmes for people who fit the profile. He pointed to previous work which suggests people who are “healthy obese” have a higher risk of coronary heart disease, cerebrovascular disease and heart failure compared to their in a normal weight range. “There will always be people living with obesity who seem to be protected against obesity-related cardiometabolic diseases,” he told the conference. “The concept that metabolically healthy obesity affected people may not benefit from weight loss strategies has been challenged by recent data. “A timely and personalised treatment of obesity should also be recommended to people living with healthier obesity.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Jonnie Peacock on Strictly Come Dancing representation: ‘It’s important to break people’s perceptions’ What you need to know about depression during menopause – as Carol Vorderman opens up Autumn pests to look out for and how to get rid of them in your home and garden

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Max Verstappen took pole position for the Belgian Grand Prix despite an X-rated radio row with his race engineer. Verstappen was embroiled in a squabble with Gianpiero Lambiase after he only just made it through to Q3 during a wet-dry session at Spa-Francorchamps. But the championship leader regained his composure at the business end of qualifying to demolish the opposition, finishing eight tenths clear of Ferrari’s Charles Leclerc with Sergio Perez third in the other Red Bull. Lewis Hamilton qualified fourth. However, Verstappen will only start Sunday’s race from sixth position as he serves a five-place grid drop for exceeding his gearbox allocation. Verstappen made it into the final phase by the skin of his teeth in 10th place and then vented his anger at his long-serving engineer. Verstappen accused his team of “s*** execution”, claiming he should have pushed harder on an earlier lap after the field switched from wet to dry rubber. “I don’t give a f*** that we are P10, mate”, he yelled over the radio. Lambiase snapped back: “OK, and then when the track was two seconds quicker for your final lap and you didn’t have any energy left, how would that have gone down?” A surly Lambiase added: “But you tell me what you want to do in Q3 and we’ll do it. Tyre sets, fuel, run plan.” But after taking pole, Verstappen, 110 points clear at the standings and on a run of seven-consecutive wins in his all-conquering Red Bull machine, said over the radio: “Sorry to GP for being such on the rant.” Lambiase replied: “Slowly getting used to it, Max.” Hamilton secured pole a week ago in Hungary, but he is facing an investigation from the stewards after he ran off the circuit at Eau Rouge before re-joining in front of team-mate George Russell in Q2. Russell was forced to slow down to avoid making contact with the sister Mercedes. Race control noted the incident before confirming they would investigate. It was an underwhelming afternoon for the Silver Arrows with Hamilton nine tenths slower than Verstappen, and Russell ever further back in eighth, 0.8sec adrift of his team-mate. Lando Norris finished seventh, a spot behind Oscar Piastri in the other McLaren. Daniel Ricciardo qualified a commendable 13th on his return a week ago, but the Australia will line up from the penultimate spot on the grid on Sunday. Ricciardo temporarily hauled his AlphaTauri through to Q2 only to see his lap time deleted for exceeding track limits. “F***, I am sorry,” said Ricciardo when informed of the bad news. “I just lost it through Turn 3. I am sorry.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live How Max Verstappen and record-breaking Red Bull compare to Formula One greats I held my breath – Lewis Hamilton enjoys ‘extraordinary’ run to pole in Budapest Max Verstappen gives hope to rivals after coming 11th in Hungarian GP practice

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