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It also talks about how physically fit but fat people show none of the signs of illness associated with obesity, although if they significantly drop their physical activity but continue to eat the same diet they also start to show those sorts of effects. And that's only an overview. It was quite illuminating and it definitely changed my view of fat people. Granted, people who are obese could exercise to alleviate the issue, but that would only be treatment, not a cure, and if you are already fat and out of shape, it's hard as hell to keep at it. Pretty much everyone on the biggest loser gained back all the weight they lost and then some. The guy who lost the most weight gained the most back the fastest.
So, it's not a good analogy to compare those people to people ignoring public health officials' advice/orders.
Because the biggest loser is about making drastic changes over a short time. Being not a lard ass is about developing good long-term habits, not grinding 24/7 for month to win an sponsored competition.