I am acquainted with some persons who lose weight in winter, and with more who fail in flesh in the spring, which is our season of greatest depression in health,—­the season when with us choreas are apt to originate[5] or to recur, and when habitual epileptic fits become more frequent in such as are the victims of that disease.

Climate has a good deal to do with a tendency to take on fat, and I think the first thing which strikes an American in England is the number of inordinately fat middle-aged people, and especially of fat women.

This excess of flesh we usually associate in idea with slothfulness, but English women exercise more than ours, and live in a land where few days forbid it, so that probably such a tendency to obesity is due chiefly to climatic causes.  To these latter also we may no doubt ascribe the habits of the English as to food.  They are larger feeders than we, and both sexes consume strong beer in a manner which would in this country be destructive of health.  These habits aid, I suspect, in producing the more general fatness in middle and later life, and those enormous occasional growths which so amaze an American when first he sets foot in London.  But, whatever be the cause, it is probable that members of the prosperous classes of English, over forty, would outweigh the average American of equal height of that period, and this must make, I should think, some difference in their relative liability to certain forms of disease, because the overweight of our trans-Atlantic cousins is plainly due to excess of fat.

I have sought in vain for English tables giving the weight of men and women of various heights at like ages.  The material for such a study of men in America is given in Gould’s researches published by the United States Sanitary Commission, and in Baxter’s admirable report,[6] but is lacking for women.  A comparison of these points as between English and Americans of both sexes would be of great interest.

I doubt whether in this country as notable a growth in bulk as multitudes of English attain would be either healthy or desirable in point of comfort, owing to the distress which stout people feel in our hot summer weather.  Certainly “Banting” is with us a rarely-needed process, and, as a rule, we have much more frequent occasion to fatten than to thin our patients.  The climatic peculiarities which have changed our voices, sharpened our features, and made small the American hand and foot, have also made us, in middle and advanced life, a thinner and more sallow race, and, possibly, adapted us better to the region in which we live.  The same changes in form are in like manner showing themselves in the English race in Australia.[7]

Some gain in flesh as life goes on is a frequent thing here as elsewhere, and usually has no unwholesome meaning.  Occasionally we see people past the age of sixty suddenly taking on fat and becoming at once unwieldy and feeble, the fat collecting in masses about the belly and around the joints.  Such an increase is sometimes accompanied with fatty degeneration of the heart and muscles, and with a certain watery flabbiness in the limbs, which, however, do not pit on pressure.