[net-gold] SPORTS MEDICINE : MEDICAL: CONDITIONS: OBESITY : HEALTH ISSUES: Can Heavier People Really Be Healthier?
- From: "David P. Dillard" <jwne@xxxxxxxxxx>
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- Date: Sat, 18 Jan 2014 12:43:56 -0500 (EST)
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SPORTS MEDICINE :
MEDICAL: CONDITIONS: OBESITY :
HEALTH ISSUES:
Can Heavier People Really Be Healthier?
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Can Heavier People Really Be Healthier?
By ANAHAD O'CONNOR
January 15, 2014, 5:55 pm
New York Times
http://well.blogs.nytimes.com/2014/01/15/
can-heavier-people-really-be-healthier/?_php=true&_type=blogs
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A shorter URL for the above link:
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http://tinyurl.com/kmboj57
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Scientists call it the obesity paradox, the notion that being overweight
or moderately obese lowers the risk of an early death. They have
documented the phenomenon in large population studies and in groups of
patients with chronic diseases like hypertension and Type 2 diabetes.
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But now a new report, published on Wednesday in The New England Journal of
Medicine, is calling the obesity paradox into question, at least for
patients with Type 2 diabetes.
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The study, of nearly 12,000 people with the disease, found that there was
no survival advantage for those who had a body mass index that put them in
the overweight or obese categories. Instead, the researchers found that
the diabetics with the lowest mortality rate were those who were
considered normal weight.
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The study is among the largest to examine the obesity paradox among people
with Type 2 diabetes, an illness that afflicts more than 25 million
Americans. The authors argue that previous studies showing a protective
effect of a high B.M.I. among diabetics were flawed because they were too
small or failed to account for factors like smoking or undiagnosed
illnesses that can contribute to low body weight but a shorter life span
as well.
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The new study found that when smoking and other factors that can
contribute to weight loss were accounted for, people in the highest B.M.I.
groups had higher mortality rates.
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I think the case is not necessarily closed, said Deirdre K. Tobias, the
lead author of the paper and a research fellow at the Harvard School of
Public Health. But at this point, there is no reason to believe that being
overweight or obese would be protective for people with diabetes.
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The complete article may be read at the URL above.
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Original Article
Body-Mass Index and Mortality among Adults with Incident Type 2 Diabetes
Deirdre K. Tobias, Sc.D., An Pan, Ph.D., Chandra L. Jackson, Ph.D., Eilis
J. O'Reilly, Sc.D., Eric L. Ding, Sc.D., Walter C. Willett, M.D., Dr.P.H.,
JoAnn E. Manson, M.D., Dr.P.H., and Frank B. Hu, M.D., Ph.D.
N Engl J Med
2014; 370:233-244January 16, 2014DOI: 10.1056/NEJMoa1304501
Conclusions
We observed a J-shaped association between BMI and mortality among all
participants and among those who had ever smoked and a direct linear
relationship among those who had never smoked. We found no evidence of
lower mortality among patients with diabetes who were overweight or obese
at diagnosis, as compared with their normal-weight counterparts, or of an
obesity paradox. (Funded by the National Institutes of Health and the
American Diabetes Association.)
http://www.nejm.org/doi/full/10.1056/NEJMoa1304501
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Temple University
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