CNN Food and Health

Study: Stay lean, live longer

Doctor's scale Study confirms thinner is better for women

September 14, 1995
Web posted at: 6:30 p.m. EDT

From Correspondent Eugenia Halsey

WASHINGTON (CNN) -- There's more reason than ever for women to keep extra pounds off, thanks to a study that gives scientific support for staying lean. The report found that women who weigh the least generally live the longest. (133K .aiff sound or 133K .wav sound)

Previous studies had suggested that being too thin might increase the risk of dying early. But when Dr. JoAnn Manson of Brigham and Women's Hospital in Boston and her colleagues at Harvard excluded women who smoked, they found just the opposite: that being even mildly overweight increased the risk of premature sickness and death.


graph - mortality rates For example, their results showed that for a woman of average height, 5 feet 5 inches, a healthy person weighing less than 120 pounds had the lowest risk of dying early, while one weighing 150 to 160 pounds had a 30 percent increased risk. And the risk was still greater, up 60 percent, for those weighing 161 to 175 pounds. Even putting on just 20 pounds in adulthood boosted a woman's chances of getting sick.

"Particularly if they gained more than 40 pounds, they had seven times the risk of dying from coronary heart disease and about a 50 percent higher risk of dying from cancer," Manson said.

exercise Former Surgeon General C. Everett Koop said the study, reported in the New England Journal of Medicine, should serve as "a major wake-up call" for Americans. And the government is considering revising its height and weight charts to endorse lower weights. Current guidelines say women who are 5-foot-5 should weigh between 126 and 161 pounds, depending on body type.

Some nutrition experts are worried that the study, which looked at death rates among more than 1,000 women, will send the wrong message. "(Women) may interpret this as saying, 'Oh, my goodness, I must be 15 percent below the average American woman's weight in order to attain quality of life and longevity.' And in a way, they may look at this as condemning them," said Dr. Pamela Peeke, an obesity expert.

Peeke and Cohen One of her patients, Jennifer Cohen, agrees. "I probably will never get to my average weight for my average height," she said. Cohen has lost 50 pounds, however, through diet and exercise. And Peeke said that even losses of as little as 10 pounds can improve a patient's health.

Meanwhile, another study in the New England Journal provides more evidence that yo-yo dieting, condemned in previous studies, may not be harmful after all. Researchers looked at death rates among Japanese-American men and found that weight fluctuations in those who were healthy did not increase their risk of dying from heart disease or other causes.


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