Pleasantly Plump May Be OK

Obesity may not be as deadly as we once thought. A new analysis of weight and mortality finds that the number of excess deaths each year attributed to obesity and being overweight in the United States is around 112,000 -- about one-quarter of the previous estimate of more than 400,000 deaths.

Last year, when scientists at the Centers for Disease Control and Prevention in Atlanta released the initial estimate of 400,000 obesity deaths, the figure came with a dire warning: Obesity was poised to overtake smoking as the No. 1 cause of preventable death in America.

However, other scientists questioned the methods used to calculate the 400,000 deaths and the CDC agreed to a recount. The new paper, published April 19, in the Journal of the American Medical Association finds that the relationship between weight and death is not as straightforward as previously believed.

Katherine Flegal, a senior researcher at the CDC's National Center for Health Statistics, and her colleagues determined that both underweight and obese individuals have an increased risk of death, but that there is no increased risk for moderately overweight people.

"I have been a critic of the 'obesity kills' statistics for years -- they assume all fat people die because they are fat," said Glenn Gaesser, professor and director of the kinesiology program at the University of Virginia in Charlottesville.

But Flegal believes her results are not meant to stand as a definitive answer on the issue of health and weight. "This is a piece of the puzzle," she said. "It is a contribution to the discussion."

Overweight OK?

In public discussions about weight and health, carrying a few extra pounds is often lumped together with obesity, but these new numbers suggest that overweight individuals do not have the same health risks as obese individuals.

"The most striking data here is the remarkably consistent finding, across all [government] surveys from 1970 through 2002, that the lowest mortality risk is found in the 'overweight' category," said Paul Campos, professor of law at the University of Colorado in Boulder and author of "The Obesity Myth." "Indeed, the excess deaths in the government's so-called 'ideal weight' category are quite comparable to those in the so-called 'obese' category."

Compared to normal weight individuals, overweight was associated with 86,000 fewer deaths. But obesity was associated with 112,000 excess deaths.

Obese is defined as having a body mass index greater than or equal to 30; overweight is a BMI of 25 to 29.9 BMI is a measure of body fat based on height and weight.

However, diet and nutrition experts are concerned this interpretation gives people the wrong message about healthy eating.

"People shouldn't think that this study gives them a free trip to the pork rind buffet," said Keith Ayoob, associate clinical professor in the department of pediatrics at Albert Einstein College of Medicine in New York.

Experts agree that a good diet and exercise are important for health, but some question whether the multibillion-dollar diet industry has misled Americans about the health hazards of being a few pounds overweight.

"I predict that this won't keep those who are desperate to defend the "fat kills" message from attempting to undercut this data," said Campos. There are "strong economic, social and political drivers, including pharmaceutical companies which are pushing ways to make people thinner."

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