In this report
Overview
The excess-weight debate
What about BMI?
Fit at any weight
Diet still matters
July 2008
send to a friend printable version
The excess-weight debate
Woman wearing a bathing suit
 
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.
 
We create unbiased health ratings to help you make informed decisions. Learn more
FREE Newsletter
Sign up for our FREE updates delivered by e-mail.