There has been a lot of discussion lately about the concept of healthy obesity — that one can be clinically obese or overweight and still as healthy as if they were of a normal BMI. It specifically relates to people with an obese BMI (30+) who are metabolically healthy with normal blood pressure, cholesterol, and blood sugars. There is a theory floating around that this is a transient period before progressing to metabolically unhealthy obesity, but in general there has been a lot of steam behind the idea of healthy obesity.

A new Canadian study published in a medical journal found that metabolically healthy overweight and obese people still exhibit higher rates of heart attack, stroke, and death after 10 years when compared to the rates of people with normal BMIs. The study is contradicting the idea that obesity can be a benign condition - the concept of healthy obesity is a misnomer when you look at health over time rather that individual lab results.

For the nitty gritty of the study: The study was a lit review and meta analysis (meaning it reviewed the results of other studies rather than collecting new data) of eight studies on differences in health and risks for heart attack, stroke, and death between obese/overweight individuals and their slimmer counterparts Altogether, more than 60,000 participants were involved in these studies. Those that included follow up for 10+ years showed that metabolically healthy obese/overweight (9% of participants) still had a 24% increased risk for heart attack, stroke, and death. This risk was evident among all participants with metabolic disease, independent of weight.



I am not turning this into a debate about fat shaming. I will not dismiss those comments but I will not engage them. I am putting it up just because I think it's important to know multiple sides of an issue if it's something you are going to argue passionately about.

No study is infallible and if you want to counter its points reasonably have at it, but I have less than no tolerance for accusations of my levying judgment on overweight people. Fool me once.