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Healthy but Overweight is a Myth

 
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tatee View Drop Down
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    Posted: Dec 09 2013 at 6:41am

'Healthy Obesity' Is a Myth, Report Says

Researchers weigh results of 8 studies, find excess pounds raise death risk over time

Monday, December 2, 2013

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MONDAY, Dec. 2, 2013 (HealthDay News) -- The notion that some people can be overweight or obese and still remain healthy is a myth, according to a new Canadian study.

Even without high blood pressure, diabetes or other metabolic issues, overweight and obese people have higher rates of death, heart attack and stroke after 10 years compared with their thinner counterparts, the researchers found.

"These data suggest that increased body weight is not a benign condition, even in the absence of metabolic abnormalities, and argue against the concept of healthy obesity or benign obesity," said researcher Dr. Ravi Retnakaran, an associate professor of medicine at the University of Toronto.

The terms healthy obesity and benign obesity have been used to describe people who are obese but don't have the abnormalities that typically accompany obesity, such as high blood pressure, high blood sugar and high cholesterol, Retnakaran explained.

"We found that metabolically healthy obese individuals are indeed at increased risk for death and cardiovascular events over the long term as compared with metabolically healthy normal-weight individuals," he added.

It's possible that obese people who appear metabolically healthy have low levels of some risk factors that worsen over time, the researchers suggest in the report, published online Dec. 3 in the Annals of Internal Medicine.

Dr. David Katz, director of the Yale University Prevention Research Center, welcomed the report. "Given the recent attention to the 'obesity paradox' in the professional literature and pop culture alike, this is a very timely and important paper," Katz said. (The obesity paradox holds that certain people benefit from chronic obesity.)

Some obese people appear healthy because not all weight gain is harmful, Katz said. "It depends partly on genes, partly on the source of calories, partly on activity levels, partly on hormone levels. Weight gain in the lower extremities among younger women tends to be metabolically harmless; weight gain as fat in the liver can be harmful at very low levels," Katz said.

A number of things, however, work to increase the risk of heart attack, stroke and death over time, he added.

"In particular, fat in the liver interferes with its function and insulin sensitivity," Katz said. This starts a domino effect, he explained. "Insensitivity to insulin causes the pancreas to compensate by raising insulin output. Higher insulin levels affect other hormones in a cascade that causes inflammation. Fight-or-flight hormones are affected, raising blood pressure. Liver dysfunction also impairs blood cholesterol levels," Katz said.

In general the things people do to make themselves fitter and healthier tend to make them less fat, he added.

"Lifestyle practices conducive to weight control over the long term are generally conducive to better overall health as well. I favor a focus on finding health over a focus on losing weight," Katz noted.

For the study, Retnakaran's team reviewed eight studies that looked at differences between obese or overweight people and slimmer people in terms of their health and risk for heart attack, stroke and death. These studies included more than 61,000 people overall.

In studies with follow-ups of a decade or more, those who were overweight or obese but didn't have high blood pressure, heart disease or diabetes still had a 24 percent increased risk for heart attack, stroke and death over 10 years or more, compared with normal-weight people, the researchers found.

Greater risk for heart attack, stroke and death was seen among all those with metabolic disease (such as high cholesterol and high blood sugar) regardless of weight, the researchers noted.

As a result, doctors should consider both body mass and metabolic tests when evaluating someone's health risks, the researchers concluded.

SOURCES: Ravi Retnakaran M.D., associate professor, department of medicine, University of Toronto, Canada; David Katz, M.D., M.P.H., director, Yale University Prevention Research Center, New Haven, Conn.; Dec. 3, 2013, Annals of Internal Medicine, online

HealthDay
Copyright (c) 2013 HealthDay. All rights reserved.

http://www.nlm.nih.gov/medlineplus/news/fullstory_143031.html

http://annals.org/article.aspx?articleid=1784285


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patternsandtexture View Drop Down
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Post Options Post Options   Thanks (5) Thanks(5)   Quote patternsandtexture Quote  Post ReplyReply Direct Link To This Post Posted: Dec 09 2013 at 6:47am
Anti fat thread, let the battle begin
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Naturalchick30 Quote  Post ReplyReply Direct Link To This Post Posted: Dec 09 2013 at 6:59am
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Post Options Post Options   Thanks (5) Thanks(5)   Quote ModelessDiva Quote  Post ReplyReply Direct Link To This Post Posted: Dec 09 2013 at 7:06am


ain't nobody tryna hear this

fat is fabulous *snaps fingers*



Edited by ModelessDiva - Dec 09 2013 at 7:19am
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Post Options Post Options   Thanks (0) Thanks(0)   Quote ModelessDiva Quote  Post ReplyReply Direct Link To This Post Posted: Dec 09 2013 at 7:16am


dang OP...

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Post Options Post Options   Thanks (8) Thanks(8)   Quote _ConcreteRose_ Quote  Post ReplyReply Direct Link To This Post Posted: Dec 09 2013 at 7:23am
I hate to be the math/logic Nazi here. But a higher rate of something doesnt imply that the opposite is a myth. Example: a there is a higher rate of unemployment in Nevada Than in Maryland.that doesn't mean being employed in Nevada is a myth.

I hate click bait titles like this. Anyway the results of The study don't surprise me. That still doesn't mean that day people MUST be miserable/unloved/whatever else people claim all big people are.
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Post Options Post Options   Thanks (2) Thanks(2)   Quote Lady ICE Quote  Post ReplyReply Direct Link To This Post Posted: Dec 09 2013 at 7:30am
Geek its too early for this lol.
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Post Options Post Options   Thanks (1) Thanks(1)   Quote GG Quote  Post ReplyReply Direct Link To This Post Posted: Dec 09 2013 at 7:36am
There's a study for EVERYTHING. They aren't gonna stop people from doing what they want. Meh.

Edited by GG - Dec 09 2013 at 7:50am
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Post Options Post Options   Thanks (1) Thanks(1)   Quote patternsandtexture Quote  Post ReplyReply Direct Link To This Post Posted: Dec 09 2013 at 7:48am
I cooked some amazing tilapia yesterday wonderful.
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Post Options Post Options   Thanks (8) Thanks(8)   Quote ms_wonderland Quote  Post ReplyReply Direct Link To This Post Posted: Dec 09 2013 at 7:49am
bhm hates all studies. lol  all.
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