his looks. Carry that much body fat is not good. Its telling with his face.
I think in current times in NA/EU, it's healthier to be a bit overweight than to be skinny. Most people who are old and skinny are operating on fat oxidation and stress metabolism. The only healthy skinny people I see are people in their early teens and even that is getting rarer as toxic chemicals are saturating society. Being able to put on weight means you have less of a chance of developing cancer.
The more important thing for determining health imo is how well-articulate and intelligent he sounds, and he is speaking very well.
Skinny people might have more androgens and less aromatase, but they also likely have less progesterone because progesterone production is not compatible with fat oxidation.