Consequences of obesity and weight loss: a devil's advocate position

被引:45
作者
Brown, R. E. [1 ]
Kuk, J. L. [1 ]
机构
[1] York Univ, Sch Kinesiol & Hlth Sci, N York, ON M3J 1P3, Canada
关键词
Exercise; metabolically healthy obese; obesity paradox; older adults; BODY-MASS INDEX; CORONARY-HEART-DISEASE; METABOLICALLY HEALTHY OBESE; ALL-CAUSE MORTALITY; LIFE-STYLE INTERVENTION; CARDIOVASCULAR RISK-FACTORS; TYPE-2; DIABETES-MELLITUS; BONE-MINERAL DENSITY; LONG-TERM OUTCOMES; PHYSICAL-ACTIVITY;
D O I
10.1111/obr.12232
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Obesity is associated with multiple negative health consequences and current weight management guidelines recommend all obese persons to lose weight. However, recent evidence suggests that not all obese persons are negatively affected by their weight and that weight loss does not necessarily always improve health. The purpose of this review is not to trivialize the significant health risks associated with obesity, but to discuss subpopulations of obese people who are not adversely affected, or may even benefit from higher adiposity, and in who weight loss per se may not always be the most appropriate recommendation. More specifically, this review will take a devil's advocate position when discussing the consequences of obesity and weight loss for adults with established cardiovascular disease and type 2 diabetes, weight cyclers, metabolically healthy obese adults, youth, older adults and obese individuals who are highly fit.
引用
收藏
页码:77 / 87
页数:11
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