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Re: Re: BMI & Mortality

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That's exactly what we say in our " CR Made Easy " file.

I just came back from the funeral of the cousin I wrote about last week. On the flight back, we ordered the Greek salad course and to my disappointment they brought the salad with no choice of salad dressing (of course what they offered was full fat dressing), and potato chips and pretzels for " side dishes " . This airline (Midwest) is also famous for its' chocolate chip cookies on every flight (each passenger gets two large cookies on every flight).

I filled out a form complaining that there was very little in the way of healthy food to eat, but I don't expect much change.

on 8/30/2005 8:38 AM, citpeks at citpeks@... wrote:

I think that the types of food that you eat determine whether you gain

weight or not. I thought that my weight was steady at 149 lb, but I

have lost two more pounds over the last six months. I now weigh 147

lb. I continue eating 2000 calories per day, but it is all healthy

home cooking with plenty of non-starchy vegetables and sources of

protein. I don't snack, so when I eat I am very hungry, but what I

eat is very satiating. I would have to force myself to be able to eat

more. I suppose that my body continues to adjust to the omission of

pastries and sweet desserts which had always been a part of my diet.

My BMI is 22.4, so I am not too worried. I will be more concerned if

my BMI goes under 21.

Tony

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That's exactly what we say in our " CR Made Easy " file.

I just came back from the funeral of the cousin I wrote about last week. On the flight back, we ordered the Greek salad course and to my disappointment they brought the salad with no choice of salad dressing (of course what they offered was full fat dressing), and potato chips and pretzels for " side dishes " . This airline (Midwest) is also famous for its' chocolate chip cookies on every flight (each passenger gets two large cookies on every flight).

I filled out a form complaining that there was very little in the way of healthy food to eat, but I don't expect much change.

on 8/30/2005 8:38 AM, citpeks at citpeks@... wrote:

I think that the types of food that you eat determine whether you gain

weight or not. I thought that my weight was steady at 149 lb, but I

have lost two more pounds over the last six months. I now weigh 147

lb. I continue eating 2000 calories per day, but it is all healthy

home cooking with plenty of non-starchy vegetables and sources of

protein. I don't snack, so when I eat I am very hungry, but what I

eat is very satiating. I would have to force myself to be able to eat

more. I suppose that my body continues to adjust to the omission of

pastries and sweet desserts which had always been a part of my diet.

My BMI is 22.4, so I am not too worried. I will be more concerned if

my BMI goes under 21.

Tony

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Without the full text we can't know for sure, but the "non-cancer" statement is still interesting, because it implies that CVD was not impaired by weight loss. Surely, the kidney, liver diseases, et al, did not increase significantly - that would have been reported.

So not disagreeing with you, it looks like the CVD they had was not improved, maybe?

Regards.

[ ] Re: BMI & Mortality

Hi Tony:Of course I agree with what you say. But the vast majority of the population doesn't eat this way. And I'd bet neither were the vast majority of the subjects in that study. So my point was that the majority who were losing weight in the study were losing weight because of some underlying, unhealthy, problem, which was the reason for their higher mortality.It was not their weight loss due to healthy eating that explained their higher mortality!Perhaps you realize that was what I meant.Rodney.> [snip]> > I believe that any thoroughly healthy person will have a very> healthy > > appetite that needs to be restrained in order to avoid weight gain.> > > Anyone who loses weight without having to make a concerted effort, > > is, IMO, prima-facie, sick, by definition. It is this latter group > > that, I predict, contained the high mortality.> > [snip]> > > I think that the types of food that you eat determine whether you gain> weight or not. I thought that my weight was steady at 149 lb, but I> have lost two more pounds over the last six months. I now weigh 147> lb. I continue eating 2000 calories per day, but it is all healthy> home cooking with plenty of non-starchy vegetables and sources of> protein. I don't snack, so when I eat I am very hungry, but what I> eat is very satiating. I would have to force myself to be able to eat> more. I suppose that my body continues to adjust to the omission of> pastries and sweet desserts which had always been a part of my diet. > My BMI is 22.4, so I am not too worried. I will be more concerned if> my BMI goes under 21.> > Tony

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Without the full text we can't know for sure, but the "non-cancer" statement is still interesting, because it implies that CVD was not impaired by weight loss. Surely, the kidney, liver diseases, et al, did not increase significantly - that would have been reported.

So not disagreeing with you, it looks like the CVD they had was not improved, maybe?

Regards.

[ ] Re: BMI & Mortality

Hi Tony:Of course I agree with what you say. But the vast majority of the population doesn't eat this way. And I'd bet neither were the vast majority of the subjects in that study. So my point was that the majority who were losing weight in the study were losing weight because of some underlying, unhealthy, problem, which was the reason for their higher mortality.It was not their weight loss due to healthy eating that explained their higher mortality!Perhaps you realize that was what I meant.Rodney.> [snip]> > I believe that any thoroughly healthy person will have a very> healthy > > appetite that needs to be restrained in order to avoid weight gain.> > > Anyone who loses weight without having to make a concerted effort, > > is, IMO, prima-facie, sick, by definition. It is this latter group > > that, I predict, contained the high mortality.> > [snip]> > > I think that the types of food that you eat determine whether you gain> weight or not. I thought that my weight was steady at 149 lb, but I> have lost two more pounds over the last six months. I now weigh 147> lb. I continue eating 2000 calories per day, but it is all healthy> home cooking with plenty of non-starchy vegetables and sources of> protein. I don't snack, so when I eat I am very hungry, but what I> eat is very satiating. I would have to force myself to be able to eat> more. I suppose that my body continues to adjust to the omission of> pastries and sweet desserts which had always been a part of my diet. > My BMI is 22.4, so I am not too worried. I will be more concerned if> my BMI goes under 21.> > Tony

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http://lu-research.lub.lu.se/php/gateway.php?who=lr & method=getfile & file=archive/00012941/

http://www.blackwell-synergy.com/links/doi/10.1046/j.1365-2796.2002.01010.x?cookieSet=1

Whatever it is, I don't care for the "hypothetical premature aging" association.

[ ] BMI & Mortality> > > "The relative risk (RR; 95% CI) for non-cancer mortality during> follow-up was higher in men with decreasing BMI in all subgroups: RR> 2.64 (1.46-4.71, baseline BMI <21 kg m(-2)), 1.39 (0.98-1.95, baseline> BMI 22-25 kg m(-2)), and 1.71 (1.18-2.47, baseline BMI 26+ kg m(-2)),> using BMI-stable men as reference group."> > I wonder what is amiss here...> > The enigma of increased non-cancer mortality after weight loss in> healthy men who are overweight or obese.> > Nilsson PM, Nilsson JA, Hedblad B, Berglund G, Lindgarde F.> > Department of Internal Medicine, University Hospital, Malmo, Sweden.> peter.nilsson@m...> > OBJECTIVE: To study effects on non-cancer mortality of observational> weight loss in middle-aged men stratified for body mass index (BMI),> taking a wide range of possible confounders into account. DESIGN:> Prospective, population based study. SETTING: Male population of> Malmo, Sweden. PARTICIPANTS: In all 5722 men were screened twice with> a mean time interval of 6 years in Malmo, southern Sweden. They were> classified according to BMI category at baseline (<21, 22-25,> overweight: 26-30, and obesity: 30+ kg m(-2)) and weight change> category until second screening (weight stable men defined as having a> baseline BMI +/- 0.1 kg m(-2) year-1 at follow-up re-screening). MAIN> OUTCOME MEASURES: Non-cancer mortality calculated from national> registers during 16 years of follow-up after the second screening.> Data from the first year of follow-up were excluded to avoid bias by> mortality caused by subclinical disease at re-screening. RESULTS: The> relative risk (RR; 95% CI) for non-cancer mortality during follow-up> was higher in men with decreasing BMI in all subgroups: RR 2.64> (1.46-4.71, baseline BMI <21 kg m(-2)), 1.39 (0.98-1.95, baseline BMI> 22-25 kg m(-2)), and 1.71 (1.18-2.47, baseline BMI 26+ kg m(-2)),> using BMI-stable men as reference group. Correspondingly, the> non-cancer mortality was also higher in men with increasing BMI, but> only in the obese group (baseline BMI 26+ kg m(-2)) with RR 1.86> (1.31-2.65). In a subanalysis, nonsmoking obese (30+ kg m(-2)) men> with decreased BMI had an increased non-cancer mortality compared with> BMI-stable obese men (Fischer's test: P=0.001). The mortality risk for> nonsmoking overweight men who increased their BMI compared with> BMI-stable men was also significant (P=0.006), but not in> corresponding obese men (P=0.094). CONCLUSIONS. Weight loss in> self-reported healthy but overweight middle-aged men, without serious> disease, is associated with an increased non-cancer mortality, which> seems even more pronounced in obese, nonsmoking men, as compared with> corresponding but weight-stable men. The explanation for these> observational findings is still enigmatic but could hypothetically be> because of premature ageing effects causing so-called weight loss of> involution.

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