This only applies to high adventure, i.e. strenuous activity that is 30 minutes or more from medical help.
I'm trying to think of the last husky guy in my ward that went on one of these activities--it was many years ago. And he is now dead, of a heart attack, before his youngest son returned from his mission.
My bishop is morbidly obese, and I hate to say it, but if he died of a heart attack, nobody would be surprised.
Perhaps this rule will motivate some people to get healthy, and that will make their lives more productive and they will see their grandchildren grow up. Maybe.
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