In January 2006 the Mexican Manuel Uribe Garza, with his 550 kg (1235 pounds), was crowned the fattest man in the world, entering fully into the Guinness Book.
At that time his BMI (h = 194 cm) was equal to 146, when it is enough to exceed the value of 30 to fall into the category of obese, and the value of 40 to be considered very serious obese.
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Technically it is more correct to define Manuel as the heaviest man in the world, since the attention has always been focused on his body weight rather than on the extent of his fat mass.
In 2007 his desperate appeal on TV went around the world and was welcomed, among others, by the Italian doctor Giancarlo De Bernardinis who planned the execution of a gastric bypass surgery in the Modena polyclinic.
However this was not possible: despite the efforts to adapt the hospital structure to the size of the patient, the operating rooms and equipment were never approved to withstand the weight and dimensions of the heaviest man in the world.
According to the doctors who visited Manuel at the time, his blood, heart and lung values were relatively normal, contrary to what happens in these cases.
It therefore seems that his obesity was simply due to excessive food intake; no excuses like genetics and low metabolism for Manuel, who only had to thank the fast food and junk food he ingested compulsively.
Despite the impossibility of undergoing bariatric surgery, thanks to a high-protein and low-carbohydrate diet, between 2007 and 2008 Manuel managed to reduce his weight by about 200kg, but still continued to remain pathologically obese. With 350 kg still on his shoulders, Manuel was among other things unable to get out of bed and stand up on his own.
Manuel Uribe Garza has never managed to win his fight against obesity and in recent years he has regained weight; in December 2009 he weighed 416 kg and in March 2012 444.6 kg.
Manuel died on March 26, 2014 at the age of 48, presumably of a cardiac arrhythmia. At the time of his death he weighed 394kg.
