Guest guest Posted May 2, 2005 Report Share Posted May 2, 2005 " HSI - Jenny Thompson " <HSIResearch HSI e-Alert - Too Rich, Too thin Mon, 02 May 2005 06:59:00 -0400 HSI e-Alert - Too Rich, Too thin Health Sciences Institute e-Alert **************************************************** May 02, 2005 Dear Reader, I wonder how many weight-loss diets went straight out the window when the media pounced on the recent study titled " Excess Deaths Associated With Underweight, Overweight, and Obesity. " Published in the Journal of the American Medical Association (JAMA), this study delivered three surprising conclusions: 1) If you carry a little extra weight, you won't be increasing your mortality risk. 2) Even more surprising (to some) was the conclusion that you may increase your mortality risk if you're underweight. 3) And the kicker: Risk of mortality associated with obesity is lower than previous studies estimated. Many reporters couldn't get over the apparent irony that a little extra weight won't kill you, while being underweight just might. So once again, it's time to do what reporters rarely seem to do anymore: actually read the study and ask some obvious questions. ----------- Deflating generalizations ----------- Let's take the conclusions in order. Are you a little overweight? No problem - at least in terms of it threatening your life. Being a little overweight probably won't kill you, according to this study. The most serious problem that most of us might have with carrying a few extra pounds is if we're just passing through the country of overweight, on our way to the destination of obesity. But can being underweight actually kill you? If you're a few pounds under your ideal weight, don't panic. There's a lot more to simply being underweight than meets the eye; primarily the age factor. In the JAMA study, the majority of excess deaths associated with being underweight occurred in people who were over the age of 70. So, for instance, let's say you're 75, weigh 100 pounds, and stand five feet five inches tall: Your body mass index (BMI) would classify you as underweight. But that doesn't mean you're at death's door. If you meet the above criteria and you're also involved in daily physical activities and have no chronic health problems, then being underweight is far less of a health threat than if you meet the above criteria but you're also physically inactive, in which case infirmities and disease can more easily take their toll. In short: it's all relative. So when reporters tell you that being underweight is more dangerous than being slightly overweight, they're simplifying the study results to the point of distortion. ----------- Life, or something like it ----------- The conclusion of this study that's received the most attention is the finding that mortality due to obesity is lower than previous studies indicated. For some, the big deal here is that the research team (consisting of epidemiologists and statisticians with the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute) found that the number of excess deaths due to obesity were considerably less than previous CDC estimates. This has touched off a controversy about previous CDC research methods and has even raised questions about the possible motives of CDC officials. Were they really trying to scare everyone into losing weight? I'm not going to take up that particular controversy because the focus on obesity-related mortality is mostly academic. Can obesity kill? Absolutely. Those who experience obesity on a day-to-day basis are living in denial if they find any comfort in the new JAMA study with the lowered mortality risk. After all, how many elderly people do you know who qualify as obese? It's a sad fact, but a fact nonetheless: Obesity and longevity do not go hand in hand. So what's the exact risk of mortality if you're obese? We'll let the statisticians haggle over that one while we focus instead on life. In a nutshell: Obesity seriously compromises health and the quality of life. Type 2 diabetes, some cancers, high blood pressure and heart disease are just a few of the health risks that chronically obese people live uneasily with. For every one of us the risk of dying is 100 percent. Living well - with proper body weight and the resulting good health - is the best revenge. **************************************************** ....and another thing Vitamin E may be a cigarette smoker's ace in the hole. In a study from the National Cancer Institute, NCI researchers drew on data collected from a Finnish smoker's study, which included more than 29,000 male subjects. The original data included blood sample analysis and information about specific vitamin supplements given to subjects as part of the trial. For their study, the NCI team focused on vitamin E in two phases. In the first phase, data from blood samples (taken before supplementation began) was examined for 300 subjects; 200 were cancer free and 100 had prostate cancer. Analysis revealed a clear link between elevated vitamin E levels and a reduced risk of prostate cancer. In the second phase, intake of two specific forms of vitamin E were assessed: alpha tocopherol and gamma tocopherol from dietary sources (such as almonds and spinach). Both forms were linked with a reduced risk of prostate cancer, and risk was lowered even further when vitamin E supplements were added. Of course, quitting smoking is still better for your health than supplementing your tobacco with vitamin E...in case you were wondering. To Your Good Health, Jenny Thompson Health Sciences Institute **************************************************** Sources: " Excess Deaths Associated With Underweight, Overweight, and Obesity " Journal of the American Medical Association, Vol. 293, No. 15, 4/20/05, jama.ama-assn.org " Obesity Not as Life-Threatening as Thought " Serena Gordon, HealthDay News, 4/19/05, forbes.com " Some Extra Heft May Be Helpful, New Study Says " Gina Kolata, The New York Times, 4/20/05, nytimes.com " New Evidence Found of How Vitamins Prevent Cancer " Reuters Health, 3/29/04, healthnewsexpress.com ************ Quote Link to comment Share on other sites More sharing options...
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