it's saying that high BMI as a cause of premature death is likely just a proxy for high fasting insulin and inflammation and is not _by itself_ life shortening.
for folks like yourself with T2D, noting changes. Keep on keeping on (i.e. follow current medical advice)
> it's saying that high BMI as a cause of premature death is likely just a proxy for high fasting insulin and inflammation and is not _by itself_ life shortening.
No, it is not. We should be very clear that high BMI is, in fact, life shortening.
High BMI is, in fact, strongly correlated with atherosclerosis. It is, in fact, strongly correlated with decreased lung volume and risk pulmonary edema. It is correlated with clot formation and stroke. It is correlated with fatty liver disease. It is correlated with decreased bone density, which leads to a heightened risk of throwing embolism-causing clots if a fall leads to a break. It is correlated with a variety of cardiac events, mostly around hardening valves and fat buildup in cardiac tissue causing lessened output while there is more circulating blood volume. It is correlated with difficulties administering anesthesia or intubating patients in case of emergency. It is correlated with...
Being obese is still horrifyingly unhealthy even if high fasting glucose is just a proxy for some of those factors (which it is not, as this study is terrible).
Well shit, my BMI is 35. And I've got a pair of stents in my ticker. OTOH I'm doing crossfit 3x/week. And can dead lift over 300# so I feel like I'm getting better. ALso, I'm built like a fireplug, so probably not fat as just big. BMI is a shitty measure.
Those scales use electrical resistance as a procy measure of water density, a proxy of muscle to fat ratio. It's a tenuous link and isn't all that accurate. If you can afford the $100, go get a DEX scan.
