http://content.nejm.org/cgi/content/short/351/26/2683

This seems to be a recurring topic on tips, whether there is an obesity
"epidemic", what are the sequela of obesity, and so forth. The Hu
article from New England Journal of Medicine indicates separate risk
elevations for obesity and lack of exercise. Relative to those lean (BMI
<25) and exercise (3.5 hr/week), relative risk of death in their large
sample of women was 1.55 for lean but inactive (< 1 hr/week), 1.91 for
active but obese (BMI > 30), and 2.42 for inactive and obese. Results
for those between lean and obese (25 < BMI < 30) and between inactive
and exercise (1 to 3.5 hrs week) were intermediate. Two strong main
effects, interaction only marginal (to use a popular statistical term!).

I have agreed with some that there are a lot of irrational reactions to
obesity/exercise data. Americans, in particular, seem to be on an
endless crusade to find a magic food they can eat till they bust and
still live forever. The French have it correct, I think. The key
ingredients in the French paradox may be cultural and psychological.
Food menu, preparation, and consumption are social event. Eating left to
the individual is not good. But that's a topic for another day!

============================================
John W. Kulig
Professor of Psychology
Plymouth State College
Plymouth NH 03264
============================================

"Nothing will benefit human health and increase chances for survival of
life on Earth as much as the evolution to a vegetarian diet" - Albert
Einstein




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