Crossword Genius

American included in obesity register? I’d doubt I could affect that (8)

Ross

I believe the answer is:

fatalist

'american included in obesity register? i'd doubt i could affect that' is the definition.
The answer and definition can be both people as well as being singular nouns.
Perhaps you can see an association between them that I can't see?

'american included in obesity register? i'd doubt i' is the wordplay.
I cannot quite see how this works, but
'american' could be 'a' (common abbreviation - e.g. in organisation names) and 'a' is found within the answer.
'register?' could be 'list' (listing is a kind of registering) and 'list' is found in the answer.
'i' could be 'a' and 'a' is present in the answer.
This may be the basis of clue (or it may be nonsense).

(Other definitions for fatalist that I've seen before include "philosophical type" , "One who accepts whatever happens as inevitable" , "One who accepts events as inevitable" , "resigned" , "doom merchant" .)

I've seen this clue in The Independent.
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