The full report is titled “The Obesity Paradox in Type 2 Diabetes Mellitus: Relationship of Body Mass Index to Prognosis. A Cohort Study.” It is in the 5 May 2015 issue of Annals of Internal Medicine (volume 162, pages 610-618). The authors are P. Costanzo, J.G.F. Cleland, P. Pellicori, A.L. Clark, D. Hepburn, E.S. Kilpatrick, P. Perrone-Filardi, J. Zhang, and S.L. Atkin.
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
Bangladesh Institute of Family Medicine and Research
July 31, 2015
Do not gain weight but stay healthy
We, the physicians should not advise patients to become overweight from normal BMI on the basis of “obesity paradox”. Overweight individuals, if the high weight due to visceral fat will obviously lead to metabolic abnormalities, higher insulin resistance and subsequent cardiovascular adverse outcomes. I think if higher weight is due to lean mass or subcutaneous fat or in special cases due to high brown fat content, these persons are physically more fit than normal weight persons. I think we should differentiate healthy overweight from unhealthy lean. We should advise patients not to gain weight but stay healthy.
The Obesity Paradox in Type 2 Diabetes Mellitus. Ann Intern Med. 2015;162:I–26. doi: 10.7326/P15-9015
Download citation file:
Published: Ann Intern Med. 2015;162(9):I-26.
Cardiology, Coronary Risk Factors, Diabetes, Endocrine and Metabolism, Obesity.
Copyright © 2018 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use