The full content of Annals is available to subscribers

Subscribe/Learn More  >
Editorials |

Modest Weight Gain and the Development of Diabetes: Another Perspective

James R. Sowers, MD
[+] Article, Author, and Disclosure Information

Wayne State University, Detroit, MI 48201 Requests for Reprints: James R. Sowers, MD, Division of Endocrinology and Hypertension, Wayne State University School of Medicine, UHC-4H, 4201 St. Antoine, Detroit, MI 48201.

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1995;122(7):548-549. doi:10.7326/0003-4819-122-7-199504010-00012
Text Size: A A A

Significant obesity is associated with metabolic abnormalities that are considered to be risk factors for cardiovascular disease, including impaired glucose tolerance and non-insulin-dependent diabetes mellitus, hypertension, and an abnormal lipoprotein profile [13]. The National Institutes of Health Consensus Development Panel [4] concluded in 1985 that “the evidence is now overwhelming that obesity, defined as excessive storage of energy in the form of fat, has adverse effects on health and longevity.” If obesity is defined as a body mass index of 20% above the desirable index (roughly a body mass index of 27 kg/m2), approximately 34 million adult Americans can be considered obese [5]. Nevertheless, the 1990 guidelines of recommended weights for adults published by the U.S. Department of Agriculture [6] suggests that a weight gain of 7 kg for persons 35 years and older is desirable. The article by Colditz and colleagues [7] in this issue raises serious questions about such recommendations.

First Page Preview

View Large
First page PDF preview





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

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.


Buy Now for $32.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.