In the west it’s becoming frowned upon to observe that someone is fat (obese). Doctors have to tip-toe around the issue lest some patients become offended[1]. Some patients take it as fat (obesity)-shaming rather than what it is advice to seek being healthier. Some see being fat as something to celebrate. I don’t think I would celebrate any medical condition I had, be it fat, skinny, one-eyed, one-legged, etc. We can of course learn to cope and live with the conditions, but celebrate? That’s backwards to me.
[1]https://www.express.co.uk/life-style/health/1733624/obesity-...