I don't see the problem.
Although I don't like the BMI system, "Severely Obese" also listed as "Class II Obesity" is not a little overweight- it's not even a lot overweight; we're talking FAT, here.
That's a seriously unprofessional state to be in while espousing a healthy lifestyle to the public, or even while pushing a broom in a hospital for that matter.
No one can can help their age, race or gender.
There aren't many valid reasons for being grotesquely obese.

@Church
Amen!

Dementia is fun for everyone!

17 seconds.