December 3rd, 2013
03:04 PM ET

Study: There's no such thing as healthy obesity

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.


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.


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."

soundoff (1,038 Responses)
  1. Camper Repairs Near Me

    This page definitely has all of the info I wanted about this subject and didnít know who to ask.


    June 25, 2021 at 22:56 | Report abuse | Reply
  2. RV Body Repair Shops Near Me


    June 26, 2021 at 01:52 | Report abuse | Reply
  3. RV Refrigerator Repair Near Me


    June 26, 2021 at 04:15 | Report abuse | Reply
  4. commentphsbs521

    Сезонность рыбалки: круглый год и круглосуточно. 23 мостика с беседками, вместимостью до 7 человек (три рыбака + 4 гостя). https://trainedbyvets.com/community/profile/ozeropat8/ Измайловские пруды (ВАО, Москва). https://wildrivertours.com.au/community/profile/ozerohot767/ Активный отдых, рыбалка в Симферополе – «Грушевое озеро»: отдых для души в. Если вы любитель проводить время на природе и. https://flomenbom.net/ISN/community/profile/ozeroglawn665/ Путешественников ждет рыбалка и посещение памятника природы «?зарослей Биракан, а, затем, по реке Биджан до ключи, где путешественникам предлагается экскурсия на рыборазводный завод. https://thepatriotlight.com/awk1/index.php/community/profile/ozerohooro344/ Отличная рыбалка ждет Вас на озере Алё Псковской области, ловля Приглашаем любителей рыбной ловли на озера Псковской области Псковский Кремль XI-XII века — км; Изборск. Древняя крепость XIV века. http://www.bbqga.org/community/profile/ozeroamurl191/ I licencja wedkarska na jezioro Cachuma, Лицензия на рыбалку в озере Качума за год. Mam stara skrzynke wedkarska. У меня есть старый. https://thirdaxisgaming.com/index.php/community/profile/ozerocheer672/ прогулки, разные виды рыбалки – в озере и впадающих в него речушках, дайвинг. https://schoolkid.info/community/profile/ozeroobext202 Описание материала: В Пруду у каждого свои заботы. Рак ищет, с кем бы сыграть в шашки, Пескарь Иванович следит, чтобы в. https://freundeskreis-stuttgart-mitte.de/community/profile/ozeroper530/ природного парка «Озеро Айнское» на состояние окружающей среды и биологическое Тростниково-разнотравные сырые кочкарные луга встречаются на Рыбалка, охота и сбор беспозвоночных должен осуществляться. https://romarrandymorales.com/community/profile/ozeronok252 Салтаим находится в Крутинском районе Омской области недалеко от шоссе E Входит в состав Больших Крутинских озер, которые в. http://www.retrotechnik.com/index.php/community/profile/ozeroted615/ Озеро большое, но много отсыпанных песчанных дорог. В общем набурились, находились снег с водой на льду до колен, ходить. http://www.sackthemitchellshire.com/community/profile/ozeroscugh398/ Bow Valley Parkway, Озеро Луиз, Государственный заповедник г. Банф, Альберта T0L 1E0 Спокойный отдых в лесу и реки. Останавливались на 2?. https://techtips.tylden.net/community/profile/ozerocag371/ Базы отдыха с рыбалкой в Ленинградской области. Санаторий «Красное озеро». https://www.stopmobbing.xyz/profile/ozerosmeri778/ Ручей начинался севернее прудов близ улиц Ангарская и Софьи Ковалевской, протекал через эти пруды и Дегунинский пруд у пл. https://myccop.com/myccop-comm/profile/ozerobap676/ самый большой водоём, который входит в состав Кюрлевских карьеров, В озере водится рыба, что привлекает любителей посидеть с удочкой. https://gbsmarket.ru/community/profile/ozeropaf132/

    June 26, 2021 at 04:23 | Report abuse | Reply
  5. RV Collision Repair Near Me

    An impressive share! I've just forwarded this onto a colleague who had been doing a little research on this. And he in fact ordered me breakfast because I stumbled upon it for him... lol. So let me reword this.... Thanks for the meal!! But yeah, thanx for spending time to discuss this issue here on your web site.


    June 26, 2021 at 09:21 | Report abuse | Reply
  6. RV Tire Repair Near Me

    Very good information. Lucky me I ran across your website by accident (stumbleupon). I've bookmarked it for later!


    June 26, 2021 at 09:26 | Report abuse | Reply
  7. RV Repair Around Me

    Howdy! I simply would like to give you a big thumbs up for your great information you have got here on this post. I'll be coming back to your blog for more soon.


    June 26, 2021 at 09:28 | Report abuse | Reply
  8. pharmacepticacom

    erectile enhancement products https://www.pharmaceptica.com/

    June 26, 2021 at 11:31 | Report abuse | Reply
  9. RV Repair Near My Location

    You've made some good points there. I looked on the web for additional information about the issue and found most individuals will go along with your views on this website.


    June 26, 2021 at 11:48 | Report abuse | Reply
  10. colin cowherd podcast

    I must thank you for the efforts you've put in writing this site. I am hoping to check out the same high-grade blog posts by you in the future as well. In truth, your creative writing abilities has inspired me to get my very own website now 😉


    June 26, 2021 at 16:33 | Report abuse | Reply
  11. trevor noah podcast

    Great article. I will be going through some of these issues as well..


    June 26, 2021 at 18:48 | Report abuse | Reply
  12. the oath podcast


    June 26, 2021 at 21:11 | Report abuse | Reply
  13. misfits podcast

    This excellent website truly has all the info I needed concerning this subject and didnít know who to ask.


    June 27, 2021 at 01:32 | Report abuse | Reply
  14. Amazon 14 Leadership Principles

    This is the right webpage for everyone who hopes to find out about this topic. You understand a whole lot its almost tough to argue with you (not that I personally would want toÖHaHa). You certainly put a fresh spin on a topic that has been written about for ages. Excellent stuff, just wonderful!


    June 27, 2021 at 01:59 | Report abuse | Reply
  15. Global Leadership Summit


    June 27, 2021 at 05:17 | Report abuse | Reply
  16. Motivated Leadership

    You're so cool! I do not think I have read something like this before. So great to find somebody with some original thoughts on this subject. Seriously.. many thanks for starting this up. This site is one thing that is needed on the internet, someone with a little originality!


    June 27, 2021 at 05:27 | Report abuse | Reply
  17. commentypwrl233

    Озеро Мангулинское (рыбопромысловый участок № https://www.wherespermhappens.com/community/profile/ozeronek261/ Удобный фильтр подбора с сортировкой по цене и популярности. http://fort-raevskiy.ru/community/profile/ozerogorma281/ Живность – неотъемлемая часть любого прудика на даче, а наша прудовая рыба хорошо?. https://www.alhafeezproperties.com/community/profile/ozerobug103/ › Озера Курганской области › Могильное. http://lomfishing.ru/community/profile/ozerojoubs882/ А с другой — защитить права простых любителей рыбалки, за возможность приходить на специальные «зарыбленные» пруды. https://demo.sparkitbd.com/nympheapub2/community/profile/ozerooperb937/ 7 Келья старца Николая Гурьянова, пересечение ул. Так, в канадской провинции Саскачеван на берегу лесного озера по его благословению был. http://www.igl-home.de/community/profile/ozeroper174/ Сначала рыбалка по перволедью становится доступной на мелководных стоячих. На пруду первый лед устанавливается раньше. Аналогично – на подобных Маленькие застывают быстро, большие – позже. https://opencoffeegbl.nl/zoekvragen/profile/ozeroscure460/ Сегодня сделали командную вылазку на рыбалку на Бушовский пруд. https://goldenfeet.com.ng/community/profile/ozerowouck62/ Подскажите пожалуйста хотим с друзьями поехать порыбачить на озеро в сторану Задний пловник не видно. https://www.opgewektinpurmerend.com/stg_aaf79/community/profile/ozerozen574/ http://lovehammer.jesperssida.se/profile/ozerocip953/ Чем холоднее климат, тем глубже нужно построить пруд, иначе рыба не сможет Если копать вручную, лопатами, да еще и самим, то большая часть?. http://hcbstrings.com/community/profile/ozerosap753/ Как клюет на местных водоемах. Какая рыба водится в реках, озерах, прудах и. https://tramthuy.com/review/profile/ozeromoina67/ Природные характеристики озера Ипкуль. http://kartarkiv.no/kartnerd/community/profile/ozerogor828/ Грязинский район, Липецкая область, Россия, рыбалка. Куда поехать на рыбалку и какая рыба будет лучше клевать. Пресный водоём без выраженного течения: озеро, пруд, водохранилище и т. д.д. Море, океан, морской Казинка деревня, Княжая Байгора деревня, Колоусовка деревня. https://yeezylegitcheck.com/community/profile/ozerosaurb121/ Бронируйте нашу лодку и наслаждайтесь незабываемой рыбалкой в Мальте?. Boston Whaler, Valleta, Malta. https://blog.crystalcommerce.com/devforum/profile/ozerobum294/

    June 27, 2021 at 06:17 | Report abuse | Reply
  18. dan le batard show podcast


    June 27, 2021 at 06:50 | Report abuse | Reply
  19. daily podcast

    Itís nearly impossible to find knowledgeable people for this subject, but you seem like you know what youíre talking about! Thanks


    June 27, 2021 at 07:25 | Report abuse | Reply
  20. what is a podcast?


    June 27, 2021 at 10:43 | Report abuse | Reply
  21. Leadership In Nursing

    You have made some decent points there. I looked on the net to find out more about the issue and found most people will go along with your views on this website.


    June 27, 2021 at 12:11 | Report abuse | Reply
  22. Tome Of Leadership And Influence

    I could not refrain from commenting. Exceptionally well written!


    June 27, 2021 at 12:50 | Report abuse | Reply
  23. john batchelor podcast

    There is certainly a great deal to know about this topic. I like all the points you have made.


    June 27, 2021 at 13:08 | Report abuse | Reply
  24. adventure zone podcast

    Hello there, There's no doubt that your web site may be having internet browser compatibility issues. Whenever I look at your website in Safari, it looks fine however, when opening in I.E., it's got some overlapping issues. I just wanted to give you a quick heads up! Other than that, great website!


    June 27, 2021 at 13:23 | Report abuse | Reply
  25. Camper Repair Shops Near Me

    There is definately a great deal to find out about this issue. I like all of the points you have made.


    June 27, 2021 at 17:04 | Report abuse | Reply
  26. RV Repair San Clemente California

    An outstanding share! I've just forwarded this onto a colleague who has been conducting a little homework on this. And he actually ordered me dinner because I found it for him... lol. So let me reword this.... Thanks for the meal!! But yeah, thanx for spending some time to discuss this matter here on your blog.


    June 27, 2021 at 17:36 | Report abuse | Reply
  27. Nissan Luxury Van Repair Shop

    There is definately a great deal to learn about this issue. I like all of the points you have made.


    June 27, 2021 at 18:44 | Report abuse | Reply
  28. RV Repair Places Near Me


    June 27, 2021 at 19:05 | Report abuse | Reply
  29. RV Repair Shop Near My Location


    June 28, 2021 at 04:16 | Report abuse | Reply
  30. RV Repairs Nearby


    June 28, 2021 at 08:22 | Report abuse | Reply
  31. Nearest RV Repair


    June 28, 2021 at 11:42 | Report abuse | Reply
  32. RV Repair California


    June 28, 2021 at 13:05 | Report abuse | Reply
  33. Camper Repair Shop Near Me

    You have made some good points there. I checked on the net for additional information about the issue and found most individuals will go along with your views on this website.


    June 28, 2021 at 15:51 | Report abuse | Reply
  34. RV Repair


    June 28, 2021 at 18:36 | Report abuse | Reply
  35. Sprinter Repair Orange County

    This is a topic that is close to my heart... Take care! Exactly where are your contact details though?


    June 28, 2021 at 18:56 | Report abuse | Reply
  36. RV Repair Shops Near Me

    Great info. Lucky me I found your site by chance (stumbleupon). I have saved it for later!


    June 28, 2021 at 19:56 | Report abuse | Reply
  37. Sprinter Repair Shop Near Me

    Everything is very open with a clear description of the issues. It was truly informative. Your website is very helpful. Thanks for sharing!


    June 28, 2021 at 20:20 | Report abuse | Reply
  38. RV Repair

    Everything is very open with a precise description of the challenges. It was truly informative. Your site is useful. Thank you for sharing!


    June 28, 2021 at 20:48 | Report abuse | Reply
  39. RV Repair Shop


    June 28, 2021 at 22:02 | Report abuse | Reply
  40. Camper Repair Shops Near Me


    June 29, 2021 at 03:11 | Report abuse | Reply
  41. RV Repair Near Me

    This site certainly has all the information I needed concerning this subject and didnít know who to ask.


    June 29, 2021 at 03:16 | Report abuse | Reply
  42. Sprinter Van Restoration

    I like it when people get together and share thoughts. Great blog, continue the good work!


    June 29, 2021 at 05:18 | Report abuse | Reply
  43. Camper Repair Places Near Me

    I could not refrain from commenting. Well written!


    June 29, 2021 at 09:34 | Report abuse | Reply
  44. RV Repair Shop Near My Location

    Excellent post. I am facing some of these issues as well..


    June 29, 2021 at 09:54 | Report abuse | Reply
  45. Sprinter Repair Orange County

    Itís difficult to find educated people on this topic, however, you sound like you know what youíre talking about! Thanks


    June 29, 2021 at 10:42 | Report abuse | Reply
  46. RV Repair Shops Near Me Now

    After I originally commented I seem to have clicked the -Notify me when new comments are added- checkbox and from now on each time a comment is added I get 4 emails with the same comment. Is there a way you can remove me from that service? Cheers!


    June 29, 2021 at 11:40 | Report abuse | Reply
  47. RV Repair

    Hi there! I could have sworn Iíve visited this site before but after browsing through some of the posts I realized itís new to me. Nonetheless, Iím certainly pleased I found it and Iíll be bookmarking it and checking back regularly!


    June 29, 2021 at 13:16 | Report abuse | Reply
  48. Mercedes Sprinter Van Repair Near Me

    You need to be a part of a contest for one of the most useful websites on the net. I'm going to highly recommend this web site!


    June 29, 2021 at 14:28 | Report abuse | Reply
  49. RV Repair Shops Near Me


    June 29, 2021 at 19:17 | Report abuse | Reply
  50. RV Repair

    There is definately a great deal to find out about this issue. I love all the points you've made.


    June 29, 2021 at 19:40 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Leave a Reply to sprouts near me


CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.