My 86 year old grandma has a plate that my mom got for her because she has dementia and unfortunately permanent type 2 diabetes (despite the fact that she has lost the weight over the years) that can cause her to go into shock and pass out with lips turning blue and all that nastiness.  It’s hard for me to call my grandma fat, old age caused her to go from 5’6” to 5’3, at 5’3” she’s clearly overweight by a few pounds, but at her what would’ve been normal height, she’d be a shitlady.   So I’m conflicted in that regards, plus she’s almost 90 and can still hike up mountains 🤷🏻‍♀️