For some men, staying in shape may override body weight

(Health.com) — Men who carry around a few extra pounds may be able to offset the health risks of being overweight by staying — or getting — in shape, even if they don’t manage to shed those pounds, a new study suggests.

“Fitness over time may be more important than fatness, when it comes to survival,” says Marc Gillinov, M.D., a heart surgeon at the Cleveland Clinic, in Ohio, who was not involved in the study. “But it is a package deal. You have to focus on both.”

The study, published today in the American Heart Association journal Circulation, included more than 14,000 men who underwent at least two treadmill-based fitness tests several years apart, and were subsequently tracked for an average of 11 years.

Health.com: 30 stay-healthy tips for men

During the follow-up period, the men were up to 39% less likely to die from any cause, including heart disease, if they’d maintained or improved their cardiovascular fitness between the two treadmill tests. And this was true regardless of whether the men gained or lost weight between tests.

On the other hand, men whose fitness levels declined were more likely to die during the study—even if they’d lost weight or stayed the same between the two tests. “Men who lost fitness had a higher risk, even if they maintained their weight,” says lead author Duck-Chul Lee, Ph.D., a physical activity epidemiologist at the University of South Carolina’s Arnold School of Public Health, in Columbia.

Lee, however, is quick to point out that men who exercise regularly do not have a license to overindulge. “People need to focus more on maintaining or increasing fitness rather than spending so much energy only on weight loss,” he says. “We’re not saying that weight is not important.”

Health.com: The worst habits for your heart

The study participants underwent at least two thorough medical exams that were spaced, on average, about six years apart. The treadmill test entailed running for about 30 minutes, as the grade and speed increased. Weight changes, meanwhile, were measured using body mass index (BMI), a simple ratio of height to weight.

Roughly 6% of the men died during the remainder of the study. Changes in BMI between the two checkups had no effect on the men’s likelihood of dying, once the researchers took into account mitigating factors such as age, family medical history, chronic medical conditions such as high blood pressure and diabetes, behaviors such as smoking, and the men’s fitness levels across the two tests.

By contrast, the men whose fitness levels improved over that span were 42% less likely to die of heart disease and 39% less likely to die of any cause compared to those whose fitness levels declined, regardless of any weight changes. Men whose fitness stayed the same were 27% and 30% less likely to die of heart disease and any cause, respectively.

Health.com: Heart-healthy rules to live by

But as the authors acknowledge, the study participants as a whole were relatively fit and just 10% were obese. It’s unclear whether a group of men who are obese or very overweight would produce the same results.

“In the study group, fitness may be more important than BMI,” says Gillinov, who is also a coauthor of the book Heart 411. “But it is dangerous to generalize.”

Some experts have questioned whether BMI provides an accurate picture of health, since people who are very muscular can have a high BMI without having excess fat. As Gillinov puts it, “LeBron James has a high BMI.”

Health.com: Surprising celebrity BMIs

But Lee and his colleagues took this possibility into account by also measuring body fat percentage in most of the men. Body fat was closely related to BMI, the researchers found, and as with BMI, changes in body fat had no apparent effect on the risk of dying later in the study.

Ninety-five percent of the men in the study were white, and the majority were middle-class college grads, so the findings don’t necessarily apply to nonwhite men or those from different social and economic backgrounds. This is a major shortcoming of the study, says Karol Watson, M.D., a cardiologist and associate professor at UCLA’s David Geffen School of Medicine, in Los Angeles.

“Much of the patient population that needs to hear the message the most [was] not included in this study,” Watson says. “We know there are huge differences in outcomes between racial and ethnic groups, and we need to study those populations to make recommendations for those populations.”

 

Despite its early electoral success

Too embarrassed to ask your doctor about sex, body quirks, or the latest celeb health fad? In a regular feature and a new book, “What the Yuck?!,” Health magazine medical editor Dr. Roshini Raj tackles your most personal and provocative questions. Send ’em to Dr. Raj at whattheyuck@health.com.

There are many variations of passages of Lorem Ipsum available, but the majority have suffered alteration in some form, by injected humour, or randomised words which don’t look even slightly believable. If you are going to use a passage of Lorem Ipsum, you need to be sure there isn’t anything embarrassing hidden in the middle of text. All the Lorem Ipsum generators on the Internet tend to repeat predefined chunks as necessary, making this the first true generator on the Internet. It uses a dictionary of over 200 Latin words, combined with a handful of model sentence structures, to generate Lorem Ipsum which looks reasonable. The generated Lorem Ipsum is therefore always free from repetition, injected humour, or non-characteristic words etc.

There are many variations of passages of Lorem Ipsum available, but the majority have suffered alteration in some form, by injected humour, or randomised words which don’t look even slightly believable. If you are going to use a passage of Lorem Ipsum, you need to be sure there isn’t anything embarrassing hidden in the middle of text. All the Lorem Ipsum generators on the Internet tend to repeat predefined chunks as necessary, making this the first true generator on the Internet. It uses a dictionary of over 200 Latin words, combined with a handful of model sentence structures, to generate Lorem Ipsum which looks reasonable. The generated Lorem Ipsum is therefore always free from repetition, injected humour, or non-characteristic words etc.

 

Contrary to popular belief, Lorem Ipsum is not simply random text. It has roots in a piece of classical Latin literature from 45 BC, making it over 2000 years old. Richard McClintock, a Latin professor at Hampden-Sydney College in Virginia, looked up one of the more obscure Latin words, consectetur, from a Lorem Ipsum passage, and going through the cites of the word in classical literature, discovered the undoubtable source. Lorem Ipsum comes from sections 1.10.32 and 1.10.33 of “de Finibus Bonorum et Malorum” (The Extremes of Good and Evil) by Cicero, written in 45 BC. This book is a treatise on the theory of ethics, very popular during the Renaissance. The first line of Lorem Ipsum, “Lorem ipsum dolor sit amet..”, comes from a line in section 1.10.32.

The standard chunk of Lorem Ipsum used since the 1500s is reproduced below for those interested. Sections 1.10.32 and 1.10.33 from “de Finibus Bonorum et Malorum” by Cicero are also reproduced in their exact original form, accompanied by English versions from the 1914 translation by H. Rackham.

Q: I keep reading about a problem called “adrenal fatigue.” How can I tell if I have it or if it’s something else?

Lorem ipsum dolor sit amet, consectetur adipiscing elit sed pharetra aliquet metus.

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Mauris metus tortor, commodo sit amet tempor id, gravida eget orci. In molestie feugiat nunc ac lobortis. Ut non nisi dolor, ac ultricies lorem. Vestibulum non lectus in arcu gravida malesuada. Curabitur sed sollicitudin mi. Aenean sit amet tortor ac arcu gravida rutrum eget ac dui. Phasellus rutrum dapibus nulla, a venenatis tortor eleifend vitae. Ut tincidunt vestibulum blandit. Nulla aliquet urna non enim convallis in vehicula mi scelerisque. Aliquam blandit imperdiet lorem eu ultrices. Nulla in dolor non ipsum fringilla sodales sed ac turpis. Nam nisi arcu, tincidunt sodales porta vel, ornare ac magna. Morbi in metus a felis accumsan interdum. Aliquam eros est, suscipit sit amet iaculis non, sagittis in lorem. Fusce bibendum sagittis sem, sit amet scelerisque tortor pharetra eu. Nullam facilisis ante vulputate metus accumsan lobortis.

Adrenal fatigue, on the other hand, is a catchall term used to describe a milder form of insufficiency that can’t be detected by blood tests.

Lorem ipsum dolor sit amet, consectetur adipiscing elit sed pharetra aliquet metus.

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Mauris metus tortor, commodo sit amet tempor id, gravida eget orci. In molestie feugiat nunc ac lobortis. Ut non nisi dolor, ac ultricies lorem. Vestibulum non lectus in arcu gravida malesuada. Curabitur sed sollicitudin mi. Aenean sit amet tortor ac arcu gravida rutrum eget ac dui. Phasellus rutrum dapibus nulla, a venenatis tortor eleifend vitae. Ut tincidunt vestibulum blandit. Nulla aliquet urna non enim convallis in vehicula mi scelerisque. Aliquam blandit imperdiet lorem eu ultrices. Nulla in dolor non ipsum fringilla sodales sed ac turpis. Nam nisi arcu, tincidunt sodales porta vel, ornare ac magna. Morbi in metus a felis accumsan interdum. Aliquam eros est, suscipit sit amet iaculis non, sagittis in lorem. Fusce bibendum sagittis sem, sit amet scelerisque tortor pharetra eu. Nullam facilisis ante vulputate metus accumsan lobortis.

To find the answer, it helps to consider the biggest growth sectors in consumer technology. While social networking is a large-scale trend, the growth of mobile phones is perhaps a larger one. Other tech giants — Apple, Microsoft, Amazon and Google — have all made their claims here. Facebook has not.

  • Well, there’s some debate
  • light-headed and achy.
  • Hi there! I’m a bike messenger
  1. Well, there’s some debate
  2. light-headed and achy.
  3. Hi there! I’m a bike messenger

Headings

This is how the standard typographic hierarchy looks in the theme. It is great for structuring your content.

This is a Heading 1 Element

Nam convallis imperdiet pretium. Integer commodo malesuada purus, a hendrerit erat aliquet in. Nunc eget odio augue, non fringilla lacus. Sed condimentum justo sit amet.

This is a Heading 2 Element

Nam convallis imperdiet pretium. Integer commodo malesuada purus, a hendrerit erat aliquet in. Nunc eget odio augue, non fringilla lacus. Sed condimentum justo sit amet.

This is a Heading 3 Element

Nam convallis imperdiet pretium. Integer commodo malesuada purus, a hendrerit erat aliquet in. Nunc eget odio augue, non fringilla lacus. Sed condimentum justo sit amet.

This is a Heading 4 Element

Nam convallis imperdiet pretium. Integer commodo malesuada purus, a hendrerit erat aliquet in. Nunc eget odio augue, non fringilla lacus. Sed condimentum justo sit amet.

This is a Heading 5 Element

Nam convallis imperdiet pretium. Integer commodo malesuada purus, a hendrerit erat aliquet in. Nunc eget odio augue, non fringilla lacus. Sed condimentum justo sit amet.

This is a Heading 6 Element

Nam convallis imperdiet pretium. Integer commodo malesuada purus, a hendrerit erat aliquet in. Nunc eget odio augue, non fringilla lacus. Sed condimentum justo sit amet.