He's definitely out of shape but he looks like he's on drugs. Often people who do drugs don't look after themselves and don't exercise. The constant partying and lack of exercise leads to really bloated torsos and incredibly skinny limbs. You just have to look at actors/actresses who've gone off the rails to see it. Solid, boxy torsos and no muscles or fat in their arms and legs.
Plus he goes out in thigh-high boots...or maybe they're stockings and stilettos. But he's not wearing anything else. I think he has a cocaine problem. Get help, gaycat.