Comment by mathgeek
1 day ago
Not sure I follow the logic here, but happy to be proven wrong if I'm misunderstanding. It's not intuitive to me that a 300 lb. person at 20% body fat is generally at the same risk as a 200 lb. person at 30% body fat.
1 day ago
Not sure I follow the logic here, but happy to be proven wrong if I'm misunderstanding. It's not intuitive to me that a 300 lb. person at 20% body fat is generally at the same risk as a 200 lb. person at 30% body fat.
Fat is inherently unhealthy for you beyond some low baseline level.
Additional muscle is positive for health, but only up to some reasonable threshold. There is no health benefit to having very high levels of muscle, and in fact it may be negative for your health at extreme levels. E.g. many bodybuilders have trouble breathing, sleep apnea etc.
Both people in the example have 60lbs of fat. 1lb of muscle doesn't cancel out the negative health effect of 1lb of fat
Looking for some references on these claims, thanks! What you're saying registers as "makes some sense, but where's the evidence?" to me. I'm not seeing the connection where total lbs of fat is inherently worse than higher percentage.
You won’t find any reference for those claims. Did you know that the majority of people who have heart attacks have normal lipid levels?
It’s not the fat that kills. It’s oxidated lipids that kill.
3 replies →
The claim that fat is inherently unhealthy is probably too broad.
From what I have heard from doctors, there is a clear sequence:
intra-organ fat (really bad) > visceral fat (quite bad) > subcutaneous fat (relatively harmless).
The nasty detail is that some people gain relatively more visceral fat than others. These three fats are correlated, but the correlation isn't the same in every human. Some have better metabolism and don't store as much fat inside as others do.
Do short people have much lower risk of heart disease?
The mean height for men at 20-29 is 69.2" and 80+ is 67.1" (measured in 2015-2018, the last data I've found) [1], which could be interpreted as shorter people having lower risk of all mortality. One could say that people are just getting taller over time and 80+ y.o. were shorter at their 20-29, but we also have the median height for 20-29 fro 1970s, when 2018's 80+ were 20-29 - it's actually 69.7" [2], men in the US are getting shorter over time, so unless people naturally shrink 2" with age the data points to shorter people having lower risk of death.
1. https://www.cdc.gov/nchs/data/series/sr_03/sr03-046-508.pdf
2. https://www.cdc.gov/nchs/data/ad/ad347.pdf
7 replies →
Some are more common in short people and some are more common in tall people. Hypertension is one of the ones more common in short people and is significantly more common than the rest combined, so your overall chance of having some form of heart disease goes down as you get taller. However, the forms of cardiovascular disease more common in tall people (e.g. atrial fibrillation) are more likely to actually kill you.