Obesity position paper

back to healthread                                         Why do so many studies show obesity as a risk?

 
Although obesity MAY be an independent risk factor for disease, it has not, to DATE, been strongly linked as such.  What HAS been strongly linked in several clinical studies are lifestyle factors such as poor food choices and not exercising.  Since people in changing lifestyle factors sometimes can maintain a slightly lower weight, this may be confusing some that it is the weight loss which caused the improvement in health.  Also since an unhealthy lifestyle may CAUSE obesity in some individuals, it has been confused that the obesity is the cause of illness when in fact the obesity may be a symptom of an unhealthy lifestyle in some people.
 
Moreover, it is suspected by various scientists (even the CDC which greatly reduced its estimate of obesity related deaths per year from 360,000 to 26,000) that the so called "dangers of obesity" have been WAY OVERESTIMATED. And likely  the constant barrage of anti obesity articles we find in the news is somewhat driven by the fact that the revenue of the diet industry in the United States is at 40 BILLION DOLLARS A YEAR.
 
As it was shown in the HAES study at SC that risk factors can be reduced without losing weight if the lifestyle is changed,

And that the Cooper Institute Studies of 20,000 men and 9500 women suggested that the difference in CVD risk between obese and normal weight people who exercise is INSIGNIFICANT,

 
And that lifestyle factors seem the strong link to disease as in the McGinnis-Foege study which attributed "poor food choices and sedentary lifestyle" as a factor in 300,000 deaths a year,
 
And that the dangers of yo yo dieting (or weight cycling) are well documented as well as the inability of 95 percent of the public to lose weight and keep it off,
 
And that the powerful biochemical system which defends the highest weight has been well documented by Dr Rudy Leibel who also made the comment that although losing some weight is beneficial, there is, at present, NO SATISFACTORY MEANS of keeping weight down FOR MOST PEOPLE,
 
And that the dangers of chronic calorie restriction have also been documented as in the studies of the Food Institute of the UK whose studies suggest PERMANENT BRAIN DAMAGE in chronic calorie restrictors...
 
And as in some studies which show dieting to be a risky behavior which can raise the risk of CVD 40 percent or more in people over 50...

And as a study published in the June 2002 "Obesity Research" journal, followed a group of 9,925 women an average age of 43 years for 11.4 years found that having a moderate to high level of cardio-respiratory fitness (i.e. from exercise) resulted in a 43 to 52 percent reduced risk of death in all women regardless of BMI.

 
As in all of the above, it is suggested that the emphasis be on changing the lifestyle factors which ARE strongly linked to disease rather focusing on losing weight especially as when the focus is on losing weight, unhealthy practices are sometimes used to achieve a certain weight goal.
 
References:
 
    Campos, Paul: THE OBESITY MYTH, (NY, 2003) or THE DIET MYTH (NY,2005)
    Fraser, L., Losing It: America's Obsession with Weight and the Industry that Feeds on it, 1997, Dutton (New York)
    Gaesser, Glenn, PhD:Big Fat Lies, Fawcett (NY, 1996, CA, 2002)
    Colles, Lisa: Fat, Exploding the Myths, Carlton (London, 1998)
    Pool, Robert:  FAT - exploring the obesity epidemic (NY, 2001)
 
Websites:
 
http://www.cswd.org/  Council on size and fitness
http://videocast.nih.gov/ram/ccgr011404.ram  (speech detailing powerful biochemical system fighting weight loss retention by Dr Rudy Leibel)
http://www.health.harvard.edu/fhg/updates/update0505c.shtml 
(quote from article: "> Moreover, the all-cause mortality rate of fit, overweight men wasn't significantly different from that of the fit, lean men. Their heretical conclusion: If you're fit, being overweight doesn't increase mortality risk. <")
 
Other cites:
 
New Cooper study on women:
http://www.icaa.cc/ResearchCenter/bmiblair.htm
 
 
HAES (Health at Every Size Study of USC)
 Pat Bailey,
pjbailey@ucdavis.edu
530-752-9843
University of California - Davis
http://www.ucdavis.edu
 
http://www.medicalnewstoday.com/medicalnews.php?newsid=25384
 
McGinnis-Foege Study:
JAMA 270 - Nov 10, 1993 pp 2207-2212
 
Complaint of these two researchers that their results about disease being linked to poor food choices and sedentary lifestyle, had been repeated MIS quoted by the press and peer reviewed journals as "obesity" being the strong link:
 
NEJ 338, Ap 16, 1998 p. 1157
 
Additional:
 
private correspondance with:
Dr Steven Blair, Cooper Institute
Dr Glenn Gaesser, author
Dr Paul Ernsberger, Case Western Medical school

> Lee CD, Blair SN, Jackson AS. Cardiorespiratory fitness, body composition,
> and all-cause and cardiovascular disease mortality in men. American
> Journal of Clinical Nutrition. 1999 Mar;69(3):373-80
>
>
> Normal, fit men: RR = 0.83
> Obese, fit men: RR = 0.90
> Lean, fit men: RR = 1.0
> Normal, unfit men: RR = 1.61
> Obese, unfit men: RR = 1.92
> Lean, unfit men: RR = 2.06

(relative risk factor differential between normal weight men and fat men who exercised was only 0.07 i.e. insignificant)