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CDC Stresses Obesity Problem
Weighing a little too much might not kill you,
but there's nothing healthy about it, the head of
the nation's health agency said Thursday, distancing
herself from a controversial report suggesting that
being overweight isn't so bad.
Health experts increasingly are faulting a recent
study by scientists at the federal Centers for
Disease Control and Prevention that concluded
obesity is not nearly as dangerous as was thought
and that being a little plump might actually lower
the risk of death.
At a news conference, CDC chief Dr. Julie Gerberding
acknowledged potential flaws in the study and pledged
to get scientists and the public back on track.
"It is not OK to be overweight. People need to
be fit, they need to have a healthy diet, they need
to exercise," she said. "I'm very sorry for the
confusion that these scientific discussions have
had."
Obesity raises the risk of heart disease, some
cancers, diabetes and arthritis, and being overweight
raises blood pressure and cholesterol, which in
turn raise the risk of heart disease, she noted.
The disputed report, published in April, said obesity
accounts for a mere 25,814 deaths a year in the
United States, vastly lower than the 365,000 deaths
estimated just months earlier. Mildly overweight
people had a 20 percent lower risk of dying than
those who weigh less, it also found.
Many scientists from the Harvard School of Public
Health, the American Heart
Association and the
American Cancer Society now reject those
conclusions. They say the study's main flaw is that
it included people with health problems ranging
from cancer to heart disease, who tend to weigh
less because of those problems and therefore make
pudgy people look healthy by comparison.
Doing this is "looking at people who are thin because
they're sick, not who got sick because they're thin,"
said Dr. Michael Thun, the cancer society's chief
epidemiologist.
"If you want to define optimal weight for healthy
people, you need to start with healthy people,"
agreed Dr. Meir Stampfer, chief of epidemiology
at Harvard School of Public Health.
Gerberding acknowledged the controversy over this
point and said people need to look at the overall
evidence of harm from excess pounds.
"It's not healthy to be overweight," she said.
Two other signs suggested the CDC was backing off
the report. Its Web site now says the study "estimates
that obesity is related to about 112,000 deaths."
In fact, the study started with that number and
then subtracted the benefits of being modestly overweight,
arriving at the 25,814 figure.
The study's author, Katherine Flegal, also was
not at the Thursday news conference. Instead, Gerberding
and Donna Stroup authors of the previous
study setting obesity-related deaths much higher
did the talking.
Afterward, the Center for Consumer Freedom, a group
with ties to the restaurant and food industry, repeated
its claim that CDC has knowingly misled the public
about the scope of the obesity problem.
However, scientists said they were relieved that
CDC was returning to the big-picture message, that
obesity is a serious and growing health problem.
"This issue is far too important to be trivialized
over methodological disagreements," Thun said.
"We really can't afford to become complacent about
this epidemic of obesity and certainly not based
on findings from an analysis" that is flawed, said
Dr. JoAnn Manson, chief of preventive medicine at
Brigham and Women's Hospital in Boston.
Also on Thursday, the Institute
of Medicine released a report from a workshop
last December that gives a roadmap for improving
research on obesity and deaths.
"We are taking it seriously," Gerberding said
of the report.