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

Brennan Johnson is benefiting from the “extreme” demands placed on him by Tottenham boss Ange Postecoglou and proving himself to be an elite player, says his Wales manager Rob Page. Johnson has taken time to settle at Spurs following his £47.5million move from Nottingham Forest during the closing minutes of the summer transfer window. The 22-year-old forward has yet to score and suffered a hamstring injury on his first Premier League start for Tottenham, ruling him out of action for a month. Johnson’s second Premier League start against Chelsea on Monday also ended prematurely when he was sacrificed after Spurs were reduced to 10 men by defender Cristian Romero’s red card. But Johnson has shown signs of promise in North London with a superb assist for Son Heung-min’s winner at Crystal Palace, while he also set up the Spurs skipper for a disallowed effort against Chelsea before his first-half withdrawal. “Brennan’s at a big, big club now pushing for top four so the demands on him will be extreme,” said Page, who welcomed Johnson back into his squad after injury for this month’s decisive Euro 2024 qualifiers against Armenia and Turkey. “The squad of players he’s got around him now will be slightly different, but I’m not concerned at all. Even by training with the players he’s with will bring him to another level. “We’ve all seen the potential. When I worked with him at the Under-21s and the younger age groups, I could see he was going to go (to the top). “It’s taken him a little bit of time to get up to that standard, but he’s shown glimpses of it. “What is important now is that he sustains that level by playing with those players and the demands of the manager there. He will absolutely do that.” Johnson has only scored twice in 22 Wales appearances – against Belgium and the Netherlands in the Nations League – and that is a disappointing return for a player considered to be Gareth Bale’s natural successor in the Dragons’ forward line. Page suggested that is down to the way Wales have previously been structured as a team but he insists, as evidenced by last month’s stunning 2-1 win over World Cup semi-finalists Croatia, they are evolving as an attacking unit. He said: “The majority of the games in the World Cup and Nations League A we were the underdogs and not going to have a lot of the ball. “Our defensive structure has to be spot on if not you’re going to get found out, but as we evolve I’m asking more from the forward players and we saw that against Croatia. “I brought Jack Lester in (as assistant coach), who’s one of the best forwards I played with and coaches I’ve seen. It was an area I wanted to improve and I’ve seen a difference already.” Wales will avoid the play-offs in March and qualify automatically for next summer’s Euro 2024 finals in Germany if they beat Armenia in Yerevan on November 18 and Turkey in Cardiff three days later. Page said: “I like Brennan as a nine purely because of his pace. He did that for us in Latvia (when Wales won 2-0 in September) and there’s not a defender out there who’s going to want to play against him and DJ (Daniel James) because pace frightens defenders. “But I’m not going to pigeonhole him as a nine. He can play in any one of the front three positions easily.” Read More Ollie Watkins header seals win over AZ Alkmaar as Aston Villa eye last-16 spot Lucas Paqueta goal proves decisive as West Ham sink Olympiacos Katie Taylor ‘aware of what is at stake’ in Chantelle Cameron rematch Brighton complete double over Ajax to boost Europa League hopes England’s Ben Stokes has ‘no idea’ if Pakistan clash will be his last ODI Rasmus Hojlund says ‘a matter of time’ until Erik ten Hag improves Man United

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