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Unfit thin women have a lower mortality rate than *cough* fit fat women.

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Old March 27th, 2004, 07:26 PM
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Default Unfit thin women have a lower mortality rate than *cough* fit fat women.


Am J Epidemiol 2002 Nov 1;156(9):832-41
Fitness and fatness as predictors of mortality from all causes and from
cardiovascular disease in men and women in the lipid research clinics
Stevens J, Cai J, Evenson KR, Thomas R.
Department of Nutrition, School of Public Health, University of North
Carolina, Chapel Hill 27599, USA.

The relative size of the effects of fitness and fatness on longevity has
been studied in only one cohort. The authors examined this issue using data
from 2,506 women and 2,860 men in the Lipid Research Clinics Study. The
mean age was 46.6 years in women and 45.1 years in men at baseline
(1972-1976). Fitness was assessed using a treadmill test, and fatness was
assessed as body mass index calculated from measured height and weight.
Participants were followed for vital status through 1998. Hazard ratios
were calculated using proportional hazard models that included covariates
for age, education, smoking, alcohol intake, and the dietary Keys score.
Fitness and fatness were both associated with mortality from all causes and
from cardiovascular disease. For mortality from all causes, the adjusted
hazard ratios were 1.32 among the fit-fat, 1.30 among the unfit-not fat,
and 1.57 among the unfit-fat women compared with fit-not fat women. Among
men the same hazard ratios were 1.44, 1.25, and 1.49. There were no
significant interactions between fitness and fatness in either men or
women. The authors conclude that both fitness and fatness are risk factors
for mortality, and that being fit does not completely reverse the increased
risk associated with excess adiposity.


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