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Getbig Main Boards => Gossip & Opinions => Topic started by: calfzilla on December 04, 2013, 01:17:37 AM

Title: Fat but healthy
Post by: calfzilla on December 04, 2013, 01:17:37 AM
You’ve probably heard someone say, “I’m fat but fit.” Several recent studies have suggested this statement could be true. But a new review of existing studies published this week in the Annals of Internal Medicine may put a stop to the rumor.

“Healthy obesity” is just a myth, the study authors say.

Some background

Scientists know that overweight people can be what they call “metabolically healthy.” This means that despite having a high body mass index, or BMI, someone can have a small waistline, normal blood pressure and low cholesterol levels, and show little to no risk for developing diabetes. The opposite is also true; thin people can be metabolically unhealthy, with high blood pressure, high cholesterol and fat that accumulates only around their middle, which is a known risk for heart disease.

This kind of paradox highlights “the complexity of the relationship between weight and mortality,” the authors of this new meta-analysis write. A lot of factors impact a person’s cardiovascular health, including how much they exercise and when they put on the weight.

The study

The researchers evaluated the eight studies, which included a total of more than 60,000 participants. All of the studies had recorded participants’ BMI and their metabolic status, as well as any fatal or nonfatal cardiovascular events, such as a heart attack.

Data analysts split the participants into five groups:

– Metabolically unhealthy and normal weight
– Metabolically unhealthy and overweight
– Metabolically unhealthy and obese
– Overweight but metabolically healthy
– Obese but metabolically healthy

They then compared the number of cardiovascular events that happened in each of these groups with their control group: a sample of normal weight, metabolically healthy people.

The results

As they expected, the researchers found that their control group — the normal weight, metabolically healthy people — had the fewest cardiovascular events of all the groups.

They also found that being metabolically unhealthy puts you at a higher risk for cardiovascular disease, even if you’re in the normal BMI range. In fact, the metabolically unhealthy thin people had the same risk as the metabolically unhealthy obese group in the short-term.

Perhaps more surprising was that they found little difference in the risk for heart disease between metabolically healthy overweight individuals and  metabolically healthy normal weight people. The same was true for metabolically healthy obese people.

So why do they say healthy obesity is a myth?

Because when researchers looked specifically at studies that followed participants for at least 10 years, it showed the metabolically healthy obese group had an increased risk of death and cardiovascular events compared to those of normal weight.

And why have some previous studies suggested you can be overweight and healthy?

The study authors say those studies included metabolically unhealthy individuals in the “normal weight” control groups, which influenced their results.

Caveats

Every study has a caveat — something the scientists couldn’t control for or didn’t analyze that may be affecting the results. The studies analyzed by these scientists did not always have adequate information on the participants’ health behaviors, such as what they ate or whether they smoked, and did not collect data about the participants’ weight gain over time.  Plus, not every age group was represented equally in these studies.

Takeaway

Excess weight will affect your body, even if the damage isn’t apparent now, the study authors say.  And normal weight people shouldn’t consider themselves healthy without checking their cholesterol, blood pressure and glucose levels.

“Obesity is taking a toll on the health and well-being of Americans,” Drs. James Hill and Holly Wyatt write in an accompanying editorial in the journal. “Accepting that no level of obesity is healthy is an important step toward deciding how best to use our resources and our political will to develop and implement strategies to combat the obesity epidemic.”

http://thechart.blogs.cnn.com/2013/12/03/study-theres-no-such-thing-as-healthy-obesity/?hpt=hp_bn13 (http://thechart.blogs.cnn.com/2013/12/03/study-theres-no-such-thing-as-healthy-obesity/?hpt=hp_bn13)
Title: Re: Fat but healthy
Post by: The Italian Lifter on December 04, 2013, 01:40:25 AM
wall of words uberman style
Title: Re: Fat but healthy
Post by: calfzilla on December 04, 2013, 01:57:33 AM
Cliffs:  fat people who say they are healthy are full of shit.
Title: Re: Fat but healthy
Post by: Mr Nobody on December 04, 2013, 02:21:24 AM
Cliffs:  fat people who say they are healthy are full of shit.
They tend to smell too.
Title: Re: Fat but healthy
Post by: snx on December 04, 2013, 06:58:57 AM
Cliffs:  fat people who say they are healthy are full of shit.

The study also throws bodybuilding under the bus too. Most of us are what the scientists would call "metabolically healthy but overweight/obese". In other words, most of us probably have good blood pressure/cholesterol/blood glucose control. Yet over the long term, we're more likely to die from CVD than "metabolically health proper weight" individuals. If scientists could speculate, they'd probably say even metabolically active/healthy tissue is still a stressor on the CV system, and long-term, will wear out the system faster. Fat is worse than muscle, but anything in excess is probably bad long term...even if it's lean muscle weight.

I would have to get down to 170 to be considered "metabolically healthy & proper weight". But at my first show, which I did natural, I weighed in, water depleted, at 178. How in the hell am I ever going to get down to 170? I guess I have to stop lifting weights altogether and take up zoomba or I'll probably die young. Sigh...
Title: Re: Fat but healthy
Post by: Gonuclear on December 04, 2013, 07:40:15 AM
You’ve probably heard someone say, “I’m fat but fit.” Several recent studies have suggested this statement could be true. But a new review of existing studies published this week in the Annals of Internal Medicine may put a stop to the rumor.

“Healthy obesity” is just a myth, the study authors say.

Some background

Scientists know that overweight people can be what they call “metabolically healthy.” This means that despite having a high body mass index, or BMI, someone can have a small waistline, normal blood pressure and low cholesterol levels, and show little to no risk for developing diabetes. The opposite is also true; thin people can be metabolically unhealthy, with high blood pressure, high cholesterol and fat that accumulates only around their middle, which is a known risk for heart disease.

This kind of paradox highlights “the complexity of the relationship between weight and mortality,” the authors of this new meta-analysis write. A lot of factors impact a person’s cardiovascular health, including how much they exercise and when they put on the weight.

The study

The researchers evaluated the eight studies, which included a total of more than 60,000 participants. All of the studies had recorded participants’ BMI and their metabolic status, as well as any fatal or nonfatal cardiovascular events, such as a heart attack.

Data analysts split the participants into five groups:

– Metabolically unhealthy and normal weight
– Metabolically unhealthy and overweight
– Metabolically unhealthy and obese
– Overweight but metabolically healthy
– Obese but metabolically healthy

They then compared the number of cardiovascular events that happened in each of these groups with their control group: a sample of normal weight, metabolically healthy people.

The results

As they expected, the researchers found that their control group — the normal weight, metabolically healthy people — had the fewest cardiovascular events of all the groups.

They also found that being metabolically unhealthy puts you at a higher risk for cardiovascular disease, even if you’re in the normal BMI range. In fact, the metabolically unhealthy thin people had the same risk as the metabolically unhealthy obese group in the short-term.

Perhaps more surprising was that they found little difference in the risk for heart disease between metabolically healthy overweight individuals and  metabolically healthy normal weight people. The same was true for metabolically healthy obese people.

So why do they say healthy obesity is a myth?

Because when researchers looked specifically at studies that followed participants for at least 10 years, it showed the metabolically healthy obese group had an increased risk of death and cardiovascular events compared to those of normal weight.

And why have some previous studies suggested you can be overweight and healthy?

The study authors say those studies included metabolically unhealthy individuals in the “normal weight” control groups, which influenced their results.

Caveats

Every study has a caveat — something the scientists couldn’t control for or didn’t analyze that may be affecting the results. The studies analyzed by these scientists did not always have adequate information on the participants’ health behaviors, such as what they ate or whether they smoked, and did not collect data about the participants’ weight gain over time.  Plus, not every age group was represented equally in these studies.

Takeaway

Excess weight will affect your body, even if the damage isn’t apparent now, the study authors say.  And normal weight people shouldn’t consider themselves healthy without checking their cholesterol, blood pressure and glucose levels.

“Obesity is taking a toll on the health and well-being of Americans,” Drs. James Hill and Holly Wyatt write in an accompanying editorial in the journal. “Accepting that no level of obesity is healthy is an important step toward deciding how best to use our resources and our political will to develop and implement strategies to combat the obesity epidemic.”

http://thechart.blogs.cnn.com/2013/12/03/study-theres-no-such-thing-as-healthy-obesity/?hpt=hp_bn13 (http://thechart.blogs.cnn.com/2013/12/03/study-theres-no-such-thing-as-healthy-obesity/?hpt=hp_bn13)

This is a study of studies.  That means the authors performed another level of statistical and cofactors analysis on the data from multiple previous studies by other investigators.  As the authors say within their article, their conclusions are vulnerable to weaknesses in the underlying studies.  In other words, if the methodology of one or more of the underlying studies is defective, the results they report will be invalidated.  And they have no way of fully evaluating the methodologies of all the constituent studies.

Every single day, these kinds of studies get published (they're cheap to do - no test subjects, no lab equipment), and the press picks up every publicity release anyone publishes on medicine, and of course Getbig members might, once in a while, post one of these :-). 
Title: Re: Fat but healthy
Post by: TheShape on December 04, 2013, 07:59:13 AM
This goes for the muscular "obese" as well.
Title: Re: Fat but healthy
Post by: galeniko on December 04, 2013, 09:47:41 AM
yes, the muscular fatties are indeed healthy.

the most unhealthy are the ones with no ass sticks for legs and a gut.

and even the skinnyfats are at more risk than the above fatties.

Title: Re: Fat but healthy
Post by: Orb on December 04, 2013, 09:48:34 AM
Fat must now be a relative term
Title: Re: Fat but healthy
Post by: Iceman1981 on December 04, 2013, 10:12:02 AM
I'm not sure about fat people being healthy, but I've seen some fat people move like damn athletes in professional sports. Crazy athletic. The thing is if the they did this more often they wouldn't be fat.