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May 04 2005
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Can Being Overweight Increase Your Lifespan?

 
Obese Man

Can being overweight lead to a longer life? Federal researchers reported that people who are overweight but not obese have a lower risk of mortality than those of normal weight.

Statisticians and epidemiologists from the National Cancer Institute and the Centers for Disease Control and Prevention (CDC) found that a higher risk of death from obesity was seen, for the most part, in only those who were extremely obese -- a mere 8 percent of Americans. Moreover, the researchers noted being exceptionally thin (the thinness was longstanding and unlikely to stem from disease) led to a slight increase in the risk of death.

The study claimed:

  • Obesity and extreme obesity are responsible for about 112,000 extra deaths.

  • Overweight prevents about 86,000 deaths, a net toll of some 26,000 deaths in all three categories combined, compared to 34,000 extra deaths found in those who are underweight.

Further, in a sophisticated analysis derived from a well-known method used to predict cancer risk, the study controlled for age, race, smoking and alcohol consumption. The study also used the federal government's own weight categories, which define fatness and thinness according to a "body mass index" correlating weight to height, regardless of sex.

Some argue the report is a sanity break from the near-hysterical reaction society has about avoiding fat; others don't buy the findings, pointing out a previous study that found mortality risks in being overweight and even greater risks of being obese.

Unaddressed Issues

There has long been conclusive evidence that as people move from overweight to obese to extremely obese they are more and more likely to have diabetes, high blood pressure and high cholesterol levels. The study addressed the risk only of death and not of disability or disease.

Also, research did not explain why overweight appeared best as far as mortality was concerned. However, one doctor said the reason may be because most people die when they are over 70 and having some extra fat in old age appears to be protective -- giving rise to more muscle and more bone. And, whether or not there really is a mortality risk in being underweight depends on the point in which a person restricts their caloric intake, though that point remains undetermined.

Journal of the American Medical Association April 20, 2005;292(15):1868-1874

New York Times April 20, 2005



Dr. Mercola Dr. Mercola's Comments:

Yes. You've read it correctly. Researchers have now proven that, as long as you live in the 21st century, being obese is really no big deal.

I think this research is important in that it suggests the converse of obesity, being underweight, is not necessarily healthy. Just because two-thirds of the country is overweight does not necessarily mean that being underweight is healthy. I should know because for much of my life I was underweight and that has caused me some health challenges as an adult. For instance, my cholesterol for much of my life was about 100, which is far too low.

If your cholesterol is too low you can't possibly be healthy, as it serves as a major substrate for nearly all of your hormones. Additionally, if you have very low body fat it will be very difficult for your body to properly detoxify and as a result you will be much more susceptible to damage from toxins you encounter in your environment.

So, as usual, the ideal approach is somewhere between the extremes. It certainly is not healthy to be walking around with chronically elevated insulin and leptin levels.

Obesity is typically just a symptom of chronically high insulin and leptin levels, which are the most likely physical causes of degenerative disease and premature death that I am aware of. Taking statin drugs and artificially lowering your high blood pressure won't change that fact, and may even worsen it.

So you don't want to be too heavy but you also clearly do not want to be underweight as your health will also suffer. If you are underweight it is never appropriate to eat grains and sugars, as your body will increase the wrong type of fat stores. One of the best ways for many people (except for carb types) to gain weight is to have large amounts of raw butter and raw eggs. They are enormously helpful for providing your body with healthy fat that you can use.

One more thing to remember: total body fat levels, and even overall fitness, are not as strongly correlated to insulin sensitivity as waste size is. Studies clearly show that measuring your waist size is one of the most powerful ways to predict your risk for diabetes. Although total body fitness doesn't seem to directly correlate, we do know that cardiovascular exercise is one of the most powerful ways to obtain a normal waist size and improve your insulin resistance.

The following tips will also help to ensure yourself of optimal health:

Related Articles:

How Carbohydrates & Obesity are Linked: The Kind, Not the Amount

America’s Belt Buckle Expands Another Notch

Your Waist Size is a Powerful Tool to Predicting Diabetes

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