The joints in the knees, hips, and ankles have to bear much more weight with each movement. Over time, pain and a gradual reduction in the ability to walk can develop.

The respiratory system can also be affected. Excess tissue around the abdomen and chest can make it difficult for the lungs to expand and breathe, especially when lying down.
At the same time, the heart must work to supply blood to a larger amount of body tissue.
It also increases the possibility of insulin resistance, cholesterol abnormalities, and high blood pressure.
Therefore, in cases of extreme obesity, weight loss is not usually considered solely an aesthetic issue: it can become an important part of the treatment to reduce future risks.