What is a healthy weight?
HYATTSVILLE, Maryland: A study which suggests being overweight can lead to a longer life has caused controversy among obesity experts.
One labelled the findings a "pile
of rubbish" while another said it was a "horrific message" to
put out.
The research, in the Journal of the American Medical
Association, suggested the
overweight were less likely to die prematurely than people with a
"healthy" weight.
Being underweight or severely obese did
cut life expectancy.
The researchers at the US National Centre
for Health Statistics looked at 97 studies involving nearly 2.9 million people
to compare death rates with Body Mass Index (BMI) - a way of measuring obesity
using a person's weight and height.
A healthy BMI is considered to be above
18.5 and below 25.
However, overweight people (with a BMI
between 25 and 30) were 6% less likely to die early than those considered to
have a healthy weight, the study reports.
Mildly obese people (BMI between 30 and
35) were no more likely to die prematurely than people with a healthy BMI.
The study said being "overweight
was associated with significantly lower all-cause mortality".
Possible explanations included
overweight people getting medical treatment, such as to control blood pressure,
more quickly or the extra weight helping people survive being severely ill in
hospital.
However, the researchers point out they
looked only at deaths and not years spent free of ill-health.
Recently, the Royal College of
Physicians called for the UK to rethink the way it tackles obesity.
Professor John Wass, vice-president of
the college, said: "Have you ever seen a 100-year-old human being who is
overweight? The answer is you probably haven't."
He said the largest people will have
died years before and pointed to health problems and higher levels of Type 2
diabetes.
"Huge pieces of evidence go
against this, countless other studies point in the other direction."
Other experts criticised the research
methods.
"Some portion of those thin people
are actually sick and sick people tend to die sooner," according to Donald
Berry, from the University of Texas.
Dr Walter Willett, from the Harvard
School of Public Health said: "This is an even greater pile of
rubbish" than a study conducted by the same group in 2005.
Tam Fry, from the National Obesity
Forum in the UK, said: "It's a horrific message to put out at this
particular time.
"We shouldn't take it for granted
that we can cancel the gym, that we can eat ourselves to death with black
forest gateaux." - BBC
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