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"Fit but fat" a myth

Old 08-15-17, 02:11 PM
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"Fit but fat" a myth

'Fat but fit' have higher risk of heart disease, study says - CNN

However, I don't see any mention of those who are overweight yet exercise daily. Actually I don't see any mention of exercise at all, and doubt the prognosis would be the same for those who do.
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Old 08-15-17, 02:33 PM
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"Metabolically Healthy" not actually "fit".
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Old 08-15-17, 02:37 PM
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Any mention in that article of the horrible toll on on feet, ankles, knees, hips while obese and "healthy"?
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Old 08-15-17, 02:41 PM
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"Metabolically Healthy" at the START of the study. The healthy overweight may have been more likely to slip into the metabolically unhealthy category during the 12 years of the study.
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Old 08-15-17, 03:08 PM
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I'm fat but fit - 230# @ 6'1" (I've shrunk 3/4"). I rarely ride 2 days in a row and I ride about 100 miles a week. 2 years ago I did intervals and I'd regularly get my AHM to 150 for minute 2-8* or each hard effort segment. It impressed my friend , an exceptionally good physical the******.

But "fat" is bad, IMO, and I'd think it must hurt my health. (As well as my climbing speed!)

* I excluded the first minute because I would be ramping up from about 100 BPM, so I didn't want to skew the results.
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Old 08-15-17, 04:23 PM
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I also consider myself fat but fit. Been physically active my whole life but have ranged from slightly to quite fat since I hit my 20s. Am currently quite fat and pretty much hating it. Was a pro-am ballroom dancer in my youth and the years in my mid to late teens were the only ones where you could tell I had stomach muscles. Since I hit middle age I've done cardio exercise either daily or at least most days as a way to try and keep the weight gains reasonable. I currently spend 45-55 minutes jogging on a treadmill in the morning and 35 minutes on the bike each work day. Have both size 36 and 38 pants in my wardrobe so I always has something that fits properly. Actually, I think I still have some size 34 too, but I haven't been able to dig those out in many years. Actually I don't really know why I hang onto them. Maybe someday!
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Old 08-16-17, 04:02 PM
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I really do wonder how many of those "fat but fit" people in the study exercised on a regular basis? If you're sedentary and overweight, of course you're going to be at a much higher risk of heart disease. But what about people who really are active (and I mean more than just walking around the block once in a while) but still a bit overweight?

At any rate, this study has to be bad news for the HAES people. They seem to believe that a person can be healthy even when morbidly obese.
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Old 08-16-17, 04:51 PM
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Originally Posted by mwalsh5757 View Post
'Fat but fit' have higher risk of heart disease, study says - CNN

However, I don't see any mention of those who are overweight yet exercise daily. Actually I don't see any mention of exercise at all, and doubt the prognosis would be the same for those who do.
Originally Posted by Milton Keynes View Post
I really do wonder how many of those "fat but fit" people in the study exercised on a regular basis? If you're sedentary and overweight, of course you're going to be at a much higher risk of heart disease. But what about people who really are active (and I mean more than just walking around the block once in a while) but still a bit overweight?

At any rate, this study has to be bad news for the HAES people. They seem to believe that a person can be healthy even when morbidly obese.
"Obese people who exercise regularly are 30 per cent more likely to die prematurely than healthy-weight people who do little exercise, according to a study published in the International Journal of Epidemiology."

https://www.bhf.org.uk/heart-matters-magazine/news/behind-the-headlines/fat-but-fit

Last edited by speshelite; 08-16-17 at 04:55 PM.
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Old 08-17-17, 04:42 AM
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There is a lot of ambiguity in these articles. One is obesity isn't a disease in and of itself. It is a symptom of other issues. In many cases that is insulin resistance due to excessively high and sustained intake of carbohydrates which is almost unavoidable (without much focus on foods) in our modern diets. Studies are showing that as the underlying cause of many metabolic syndrome-based diseases such as heart disease.

Meaning, cut the carbs, fix insulin resistance and your heart will thank you. Also, BMI will decrease as a side effect.
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Old 08-17-17, 05:03 AM
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Originally Posted by Jarrett2 View Post
There is a lot of ambiguity in these articles. One is obesity isn't a disease in and of itself. It is a symptom of other issues. In many cases that is insulin resistance due to excessively high and sustained intake of carbohydrates which is almost unavoidable (without much focus on foods) in our modern diets. Studies are showing that as the underlying cause of many metabolic syndrome-based diseases such as heart disease.

Meaning, cut the carbs, fix insulin resistance and your heart will thank you. Also, BMI will decrease as a side effect.
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Old 08-17-17, 08:16 AM
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That is a really strange video. It's 180 degrees off from every other video that talks about insulin resistance.

Edit: Oh I see, its from a doctor pushing a vegan diet. Got it. There is a lot more info out there supporting the cause of insulin resistance to be excess carb intake.
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Old 08-17-17, 10:20 AM
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Originally Posted by speshelite View Post
[I]"Obese people who exercise regularly are 30 per cent more likely to die prematurely than healthy-weight people who do little exercise
This almost suggests that exercise isn't important, at least not nearly as important as being thin. It seems really hard to believe that an active 220 lb. guy is at more risk of dying prematurely than a 175-lb. man who never leaves the couch.

I'm also curious as to what they mean exactly by "obese." Are we talking a few extra pounds? BMI of 30 or above? Being morbidly obese?
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Old 08-17-17, 01:39 PM
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Originally Posted by FBOATSB View Post
Any mention in that article of the horrible toll on on feet, ankles, knees, hips while obese and "healthy"?
Exactly; I'm fat, every important metabolic number is perfect, yet I ended up with a mild stroke, and until I started cycling again, every joint in my lower body ached.
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Old 08-17-17, 02:40 PM
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Originally Posted by PatrickR400 View Post
Exactly; I'm fat, every important metabolic number is perfect, yet I ended up with a mild stroke, and until I started cycling again, every joint in my lower body ached.
Oh, I did not want to hear that. Sorry. Glad for you that it was only a mild one.

My wife just got word on Tuesday that one of her colleagues died of a massive stroke at the wheel of his car (fortunately it was in his driveway - don't know if he was just going someplace or just back). Because he was single I guess nobody missed him until somebody found him sitting at the wheel like 2 days later. 58 years old. Fat, yes, and possibly not fit (I don't know what his exercise regimen was, if any). The blessing I suppose is that it didn't happen while he was actually driving.
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Old 08-17-17, 03:05 PM
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Originally Posted by Jarrett2 View Post
That is a really strange video. It's 180 degrees off from every other video that talks about insulin resistance.

Edit: Oh I see, its from a doctor pushing a vegan diet. Got it. There is a lot more info out there supporting the cause of insulin resistance to be excess carb intake.
Here is some advice about insulin resistance from the Dietary Association of Australia...

"Eat at least five serves of vegetables and two pieces of fruit each day.
Eat wholegrain foods everyday such as high fibre breakfast cereals, multigrain bread, oats, barley and cracked wheat.
Enjoy legumes (dried peas, beans and lentils) on a regular basis.
Include low glycaemic index (GI) foods. Low GI foods can help by slowing the rate of absorption of glucose into the blood stream, so not as much insulin is required.
Reduce the amount of saturated fat in your diet. Limit commercial cakes and biscuits, fried take-away foods, butter, lard, cream and trim the visible fat off meat."

https://daa.asn.au/smart-eating-for-you/smart-eating-fast-facts/medical/what-is-insulin-resistance/
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Old 08-17-17, 04:38 PM
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Originally Posted by mwalsh5757 View Post
Oh, I did not want to hear that. Sorry. Glad for you that it was only a mild one.

My wife just got word on Tuesday that one of her colleagues died of a massive stroke at the wheel of his car (fortunately it was in his driveway - don't know if he was just going someplace or just back). Because he was single I guess nobody missed him until somebody found him sitting at the wheel like 2 days later. 58 years old. Fat, yes, and possibly not fit (I don't know what his exercise regimen was, if any). The blessing I suppose is that it didn't happen while he was actually driving.
The stats are about even between mild, severe, and massive strokes. People think about the massive ones because people die, about the severe ones because people are visibly handicapped, and mostly don't know about the mild ones because it doesn't show.

I am not the least bit sad about the lack of attention... :-)
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Old 08-17-17, 06:49 PM
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Originally Posted by Ball Bearing View Post
Here is some advice about insulin resistance from the Dietary Association of Australia...

"Eat at least five serves of vegetables and two pieces of fruit each day.
Eat wholegrain foods everyday such as high fibre breakfast cereals, multigrain bread, oats, barley and cracked wheat.
Enjoy legumes (dried peas, beans and lentils) on a regular basis.
Include low glycaemic index (GI) foods. Low GI foods can help by slowing the rate of absorption of glucose into the blood stream, so not as much insulin is required.
Reduce the amount of saturated fat in your diet. Limit commercial cakes and biscuits, fried take-away foods, butter, lard, cream and trim the visible fat off meat."

https://daa.asn.au/smart-eating-for-...in-resistance/
Wow, your government is still putting out the same bad information that ours is. I'm hoping they both get up to speed on the new research soon.
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Old 08-17-17, 06:52 PM
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Originally Posted by Jarrett2 View Post
Wow, your government is still putting out the same bad information that ours is. I'm hoping they both get up to speed on the new research soon.
The government is not associated with the DAA.

I always up for the science. Dr Greger always backs up his presentations with peer reviewed research. I'd be very happy to have a look at your published scientific reference papers.
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Old 08-17-17, 06:58 PM
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There are too many to post. Just google Insulin Resistance, Ketogenic Diet, Intermittent Fasting, etc. You can read until your heart's content.

Mark Sisson always tags medical research along with his. Could start there.
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Old 08-17-17, 07:58 PM
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I'm a HUUUGE low carb convert. there's plenty of literature out there about carbs being the bad guy, especially as we get older. I was a fit fat guy. Great medical numbers, but definitely in the obese category by virtue of muscle mass, but more in the overweight due to fat. It was pointed out to me by a cycling friend that with the sheer amount of cycle work I do that I just shouldn't be as fat as I was. I started with reading a book by Tim Noakes and went for a HFLC diet. Not pidgeonholing into keto, paleo or any of those, just watching the fats/proteins/carbs number for eating. BOOM! I lost 17kg in 10 weeks! Most would consider that to be unhealthy and my health should have suffered. But I was in the depths of summer cycling season (I race track predominantly). I just got faster! (no doubt by virtue of the weight loss) I had more energy, my recovery from training was far better....
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Old 08-18-17, 11:34 AM
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Originally Posted by FBOATSB View Post
Any mention in that article of the horrible toll on on feet, ankles, knees, hips while obese and "healthy"?
At 6'2", I got up to 265 lbs. during college. I worked three days/week as stock room clerk in a large cafeteria, so I was on my feet for 4-5 hrs. each shift. I also walked for most of my transportation. I started to develop foot pain so I saw a doctor. He examined me and asked "Do you know why your feet hurt?" "No", I responded. "Because you're fat. You need to lose weight." One of the best pieces of medical advice I ever got. Lost 90 lbs. in 9 months solely through diet change and exercise. That was back in '86. Wonder if many docs would still give such blunt advice.
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Old 08-18-17, 04:01 PM
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Originally Posted by indyfabz View Post
At 6'2", I got up to 265 lbs. during college. I worked three days/week as stock room clerk in a large cafeteria, so I was on my feet for 4-5 hrs. each shift. I also walked for most of my transportation. I started to develop foot pain so I saw a doctor. He examined me and asked "Do you know why your feet hurt?" "No", I responded. "Because you're fat. You need to lose weight." One of the best pieces of medical advice I ever got. Lost 90 lbs. in 9 months solely through diet change and exercise. That was back in '86. Wonder if many docs would still give such blunt advice.
Ha ha, that's what a doctor told me after my second High School football knee injury. My weight has been all over the place since then. Re this thread, I have had full cardiac work ups, several stress tests, blood work galore. I have never been diagnosed with high blood pressure, diabetes pre or otherwise, high cholesterol or whatever else but I would by no means in my wildest dreams call myself "healthy".

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Old 08-19-17, 06:46 AM
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Originally Posted by mwalsh5757 View Post
I also consider myself fat but fit. Been physically active my whole life but have ranged from slightly to quite fat since I hit my 20s. Am currently quite fat and pretty much hating it. Was a pro-am ballroom dancer in my youth and the years in my mid to late teens were the only ones where you could tell I had stomach muscles. Since I hit middle age I've done cardio exercise either daily or at least most days as a way to try and keep the weight gains reasonable. I currently spend 45-55 minutes jogging on a treadmill in the morning and 35 minutes on the bike each work day. Have both size 36 and 38 pants in my wardrobe so I always has something that fits properly. Actually, I think I still have some size 34 too, but I haven't been able to dig those out in many years. Actually I don't really know why I hang onto them. Maybe someday!
I resemble a lot of what you posted yet had a great full cardio workup in March and can easily go out and do a century ride while fasted. I don't think I will ever be under 200 pounds and if I go under 210, I lack energy and power when on the bikes. I feel best at 215 and look proportional in size too. We are all built different and there is a certain level of body size/mass that is normal for some but unhealthy for others.
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Old 08-19-17, 06:08 PM
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Originally Posted by Ball Bearing View Post
Enjoy legumes (dried peas, beans and lentils) on a regular basis..
If only.
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