CDC Links Extra Pounds, Lower Death Risk

[BERIGAN]

CDC Links Extra Pounds, Lower Death Risk

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Apr 20, 7:56 AM (ET)

By CARLA K. JOHNSON

(AP)

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CHICAGO (AP) - Packing on the pounds is not nearly as deadly as the government thought, according to a new calculation from the CDC that found people who are modestly overweight actually have a lower risk of death than those of normal weight.

The Centers for Disease Control and Prevention reported that obesity accounts for 25,814 deaths a year in the United States. As recently as January, the CDC came up with an estimate 14 times higher: 365,000 deaths.

According to the new calculation, obesity ranks No. 7 instead of No. 2 among the nation's leading preventable causes of death.

The new analysis found that obesity - being extremely overweight - is indisputably lethal. But like several recent smaller studies, it found that people who are modestly overweight have a lower risk of death than those of normal weight.

Biostatistician Mary Grace Kovar, a consultant for the University of Chicago's National Opinion Research Center in Washington, said "normal" may be set too low for today's population. Also, Americans classified as overweight are eating better, exercising more and managing their blood pressure better than they used to, she said.

The study - an analysis of mortality rates and body-mass index, or BMI - was published in Wednesday's Journal of the American Medical Association.

Last year, a CDC study listed the leading causes of preventable death in order as tobacco; poor diet and inactivity, leading to excess weight; alcohol; germs; toxins and pollutants; car crashes; guns; risky sexual behavior; and illicit drugs.

Using the new estimate, excess weight would drop behind car crashes and guns to seventh place - a ranking the CDC is unwilling to make official, underscoring the controversy inside the agency over how to calculate the health effects of obesity.

Last year, the CDC issued a study that attributed 400,000 deaths a year to mostly weight-related causes and said excess weight would soon overtake tobacco as the top U.S. killer. After scientists inside and outside the agency questioned the figure, the CDC admitted making a calculation error and lowered its estimate three months ago to 365,000.

The new study attributes 111,909 deaths to obesity, but then subtracts the benefits of being modestly overweight, and arrives at the 25,814 figure.

CDC Director Dr. Julie Gerberding said because of the uncertainty in calculating the health effects of being overweight, the CDC is not going to use the new figure of 25,814 in its public awareness campaigns. And it is not going to scale back its fight against obesity.

"There's absolutely no question that obesity is a major public health concern of this country," she said. Gerberding said the CDC will work to improve methods for calculating the consequences of obesity.

CDC spokesman Tom Skinner said the agency will probably start using a range of estimates for obesity-linked deaths.

Dr. JoAnn Manson, chief of preventive medicine at Brigham and Women's Hospital in Boston, said she is not convinced the new estimate is right.

"I think it's likely there has been a weakening of the mortality effect due to improved treatments for obesity," she said. "But I think this magnitude is surprising and requires corroboration."

The analysis was led by Katherine Flegal, a senior research scientist with the CDC's National Center for Health Statistics. The study that had to be corrected was conducted by a different arm of the CDC, the Division of Adult and Community Health, and its authors included Gerberding.

One major reason for the far lower number in this latest study is that it used more recent data, researchers said.

"This analysis is far more sophisticated," said Kovar, who was not involved in the new study. "They are very careful and are not overstating their case."

A related study, also in Wednesday's JAMA, found that overweight Americans are healthier than ever because of better maintenance of blood pressure and cholesterol levels. Diabetes is on the rise among people in all weight categories, however.

Flegal said the two studies raise questions about what definitions to use for obesity and "where to draw the line." Under current government standards, a BMI, or weight-to-height measurement, of 25 or higher is overweight; 30 and above is obese.

In recent years, the government has spent millions of dollars fighting obesity and publicizing the message that two out of three American adults are overweight or obese, and at higher risk for heart disease, arthritis and diabetes.

http://apnews.myway.com/article/20050420/D89J46M80.html

[GregK]

Finally!! To the Doritos!!!

[Johnny E]

So much for the Weightwatchers....

[Jazzmoose]

Get in the car Barb; it's burrito night!!!

[chris olivarez]

I'll bet there's some places in your neck in the woods that serve up "Gordito Burritos" JM.

[GregK]

Perfect timing for a co-worker. He came in to work Monday with one of those artery-buster Burger King breakfast sandwiches, the one that has been in the news lately. He ate this thing in about a minute (without breathing) and then said he ate healthy all weekend so he deserved this monstrosity!! I asked him what "healthy" meant and he said McDonald's breakfast!!!

[chris olivarez]

Have you seen that Burger King commercial where they are hawking those things. Man that thing is weird!!! Somewhere there are cardiologists saying "go ahead-make my day!!!".

[JSngry]

I'm gonna live forever!

[DTMX]

This means I'm going to outlive my money. If I live longer, I'll need to be healthier so I don't go broke with medical expenses, so I need to adopt a healthier lifestyle, which would make me live longer...

I shouldn't have blown all of my money on CDs and out-of-state Ornette concerts.

[Harold_Z]

Andy Borowitz:

U.S. WINS WAR ON OBESITY

‘Mission Accomplished,’ Says Bush, Sparking Nationwide Pig-out Just hours after the Centers for Disease Control issued a new study finding that the dangers of being overweight had been overstated in the past, President George W. Bush declared America’s war on obesity over.

Riding in a Navy helicopter, the president made a perfect landing on the roof of a McDonalds in Columbus, Ohio to make the dramatic announcement.

“Mission accomplished,” the president said, adding with a jaunty wink, “and Supersize me!”

The president’s remarks sparked a nationwide feeding frenzy as people who once thought of themselves as obese rushed to stuff their faces with an abandon bordering on hysteria.

From coast to coast, managers of Applebee’s, Olive Garden, Burger King and Kentucky Fried Chicken reported rampaging crowds unlike any witnessed since the run on the banks at the outset of the Great Depression.

While the nation celebrated its stunning triumph over obesity, some of the nation’s most prominent fast food restaurants adjusted their marketing to embrace the euphoria.

Boston Market said that the company would change its motto from “We’re Always Cooking” to “We’re Always Cooking, Because You’re Constantly Eating, You Gluttonous Pig.”

Meanwhile, standing on the roof of the McDonalds in Columbus, Mr. Bush savored the nation’s victory in the war on obesity, saying that although the nation had not yet won the war on terror, “One out of two ain’t bad.”

Speaking at the White House, spokesman Ari Fleischer echoed the president’s words: “This is a great day for the United States, and a great day for Dick Cheney.”

Elsewhere, Pope Benedict XVI today was declared infallible, replacing former “Jeopardy!” champ Ken Jennings.

Edited April 21, 2005 by Harold_Z