Obesity Paradox: When Fat Only Seems Healthy
Obese patients with heart disease do better and live longer than
leaner patients with the same severity of disease, according to a study
published last week in the Journal of the American College of Cardiology.
"First, obesity is a very strong risk factor and increases all types of heart disease, but second, once you get heart disease, the obese patients do better, so their prognosis is not doomsday,"
It is honestly a confusing topic because if obesity is so bad, and it contributes to all cardiovascular risk factors and markedly increases the prevalence of developing heart disease of almost every type, then why, once they get it, do obese patients do better?"
The fact that overweight and obese patients do better with treatment
is certainly a curious fact, but the reason likely is less to do with
the healthiness of the obese patient and more to do with the
unhealthiness of the thin patient.