Sal and delmar are confusing two very different things. They are confusing our national obesity problem (25 to 50 excess pounds, caused by too little exercise and too much junk food) with this particular man's morbid obesity problem (800 excess pounds, caused by unfortunate genetics, psychological disfunction, and a clueless enabler).
Most obese people can control their problem with moderate exercise and better impulse control. But the 1000lb man has serious medical and mental problems. He would have needed major surgery (gastric bypass, stomach stapling, etc.) and heavy-duty psychotherapy to avoid his obesity problem.
If you can't understand the difference, and you still have no sympathy, I can't help you.