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Obese People Seem to Do Better With Heart Disease


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"People who have more weight can have more reserve ability to fight disease," he said. "Take breast cancer. Obesity may help cause breast cancer, but a 200-pound woman might be able to fight breast cancer better than a 100-pound woman because she has more metabolic reserve."

It's well-known that obesity leads to heart disease, and that's a big part of the paradox, Lavie said. "These people wouldn't have developed heart disease in the first place if they weren't obese," he said. "A thin person is getting it [heart disease] for a different reason, so he or she is getting a worse form of the disease, getting the disease despite being thin."

Lavie worries that people might get the wrong idea from his report. "Obesity in the United States is a major problem," he said. "It is increasing in skyrocketing proportions. It is a major contributor to the epidemic of heart disease. We don't want people to be hearing that obesity is good."

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Obesity in the United States and the medical problems associated with it are described by the U.S. Centers for Disease Control and Prevention.

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Copyright © 2009 ScoutNews, LLC. All rights reserved.
Last updated 5/18/2009

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SOURCES: Carl J. Lavie, M.D., medical director, cardiac rehabilitation and prevention, Ochsner Medical Center, New Orleans; May 26, 2009, Journal of the American College of Cardiology


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