I echo what Dr. Kulk says and because of that, this study wasn’t so mind blowing for me. Basically a lean person with Diabetes, and Hypertension, especially that is uncontrolled, will absolutely have a higher mortality risk than the obese person with no co-morbidities.
I wonder what the ages were of the individuals who were monitored and I also ask myself, is sixteen years a long enough time span to monitor? I’m not sure, especially when I think about the overweight college student that doesn’t find out they have Type 2 Diabetes, high cholesterol, or hypertension until their mid thirties.
After reading clips from this study, at the end of the day I think it’s important to always look at the whole picture. Do I think you can look at someone’s weight and assess their health status? Absolutely not and this is why I don’t put too much merit on BMI and weight alone in my practice. It’s important to address family history, diet, physical activity, and co-morbidities. Always remember, just because you do not have any co-morbidities now, no matter what your weight, does not mean you will not develop them later. Focus on a healthy diet and physical activity for heart health and don’t skip your yearly physicals.