Sandra Adamson Fryhofer, MD
Clinical Associate Professor of Medicine, Emory University School of Medicine, Atlanta, Georgia; Past President, American College of Physicians
Paradox and Obesity: A Clinician's Perspective
This edition of Staying Well considers the obesity paradox observed in several recent studies and how it fits into clinical practice. To paraphrase the dictionary definition, a paradox is a statement that seems contradictory and doesn't make sense, even if it is perhaps true.
We know the numbers. Two thirds of adult Americans are overweight, with one third being obese. We know the consequences of obesity: increased risk for high blood pressure, diabetes, heart disease, stroke, and kidney disease.
It is not entirely clear why some studies[4,5,6,7] found that people with obesity-related consequences and who are carrying excess pounds have better outcomes, including less mortality in some cases, than their normal-weight peers. Many of these findings apply to people with diabetes, stroke, and acute coronary syndrome.
Medscape Internal Medicine © 2013
Cite this: The Obesity Paradox: Does It Matter? - Medscape - Jan 22, 2013.