Maintenance Phase

Is Being Fat Bad For You?

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Nov 16, 2021
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INSIGHT

Correlation ≠ Causation For BMI

  • Mortality correlations require adjusting for many confounders before inferring causation.
  • BMI alone and raw death counts mislead without context and statistical control.
ANECDOTE

Katherine Flegal's CDC Findings

  • Katherine Flegal, a CDC statistician, produced analyses finding modest deaths attributable to obesity and a protective effect for overweight.
  • Her 2005 paper cut the CDC's prior estimate dramatically and highlighted the "obesity paradox."
INSIGHT

Self-Reported BMI Skews Results

  • Self-reported height and weight systematically misclassify many people between BMI categories.
  • Mixing self-reported and measured data produces biased comparisons across BMI groups.
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