The finding that normal-weight people don't outlive their overweight peers had comedians calling for second helpings of mashed
potatoes when it was released a few years ago. Researchers from the Centers for Disease Control and Prevention based their
analysis on the well-respected National Health and Nutrition Examination Survey. "The findings really should not have been
such a surprise," says Katherine Flegal, Ph.D., the study's lead author. Indeed, more than a dozen other large studies have
found either no difference or a slightly lower mortality rate among the moderately overweight.
Other experts, however, have reached different conclusions. They point, for example, to two large studies published in the
New England Journal of Medicine in 2006. One, of over 1.2 million Korean men and women, found that mortality risk began to
increase even in those who were only moderately overweight. The other, an analysis of more than 500,000 members of AARP, had
similar findings.
But with time comes perspective. The researchers still point to differences in study design, but say that their findings match
on a few key issues:
- Being very overweight remains a significant health risk. Often overlooked in the coverage of the CDC study was that outright
obesity was associated with the highest death rate.
- Very thin people also face a higher risk, perhaps because low weight may stem from advanced age, disease, or smoking.
- The standard measure for excess weight, BMI, doesn't do a good job of assessing health, particularly for people who are moderately
overweight.