Tuesday, December 17, 2013

Obese and Healthy?

Occasionally my obese patients challenge my suggestion that they lose weight on the grounds that they do not suffer from arthritis, hypertension, diabetes or heart disease. Therefore, is there such a thing as being healthy and overweight? Here is a paper recently published in the Annals of Internal Medicine that suggests otherwise. 

In this systematic review, eight studies (n = 61 386; 3988 events) evaluated participants for all-cause mortality and/or cardiovascular events. Metabolically healthy obese individuals (relative risk [RR], 1.24; 95% CI, 1.02 to 1.55) had increased risk for events compared with metabolically healthy normal-weight individuals when only studies with 10 or more years of follow-up were considered. All metabolically unhealthy groups had a similarly elevated risk: normal weight (RR, 3.14; CI, 2.36 to 3.93), overweight (RR, 2.70; CI, 2.08 to 3.30), and obese (RR, 2.65; CI, 2.18 to 3.12).

Compared with metabolically healthy normal-weight individuals, obese persons are at increased risk of death by all causes and for cardiovascular events even in the absence of metabolic abnormalities.

An ideal body weight is always the healthier option

No comments:

Post a Comment