Paul Poirier, MD, PhD
This article was published online first at www.annals.org on 10 November 2015.
Disclosures: The author has disclosed no conflicts of interest. Form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-2435.
Requests for Single Reprints: Paul Poirier, MD, PhD, Institut Universitaire de Cardiologie et Pneumologie de Québec, Université Laval, 2725 Chemin Ste-Foy, Québec G1V 4G5, Canada; e-mail, firstname.lastname@example.org.
Poirier P. The Many Paradoxes of Our Modern World: Is There Really an Obesity Paradox or Is It Only a Matter of Adiposity Assessment?. Ann Intern Med. 2015;163:880-881. doi: 10.7326/M15-2435
Download citation file:
Published: Ann Intern Med. 2015;163(11):880-881.
Published at www.annals.org on 10 November 2015
We live in a world filled with paradox. Ours is a world in which some persons have famine while others deal with obesity—an epidemic that threatens their health. Obesity is increasing worldwide; currently, more than 2 billion persons worldwide are now overweight or obese (1).
The terms underweight, normal weight, overweight, obesity, and severe obesity refer to a clinical continuum. The Metropolitan Life Insurance Company tables were once used to characterize obesity. Now there are several anthropometric measures to assess adiposity. Presently, body mass index (BMI) and waist circumference (WC) are 2 recommended clinical measures to evaluate patients' obesity-related health risks (2). Obesity and excess adiposity have a deleterious effect on cardiovascular health. Both abdominal obesity (central obesity) (3) and overall obesity are independently associated with cerebrovascular and cardiovascular disease (4). Abdominal obesity, an important component of metabolic syndrome; may be considered “at-risk obesity”; and it is associated with stroke, coronary heart disease, and overall mortality independent of other cardiac risk factors (5).
Learn more about subscription options.
Register Now for a free account.
Results provided by:
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only