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Fitness vs. fatness on all-cause mortality

a meta-analysis

Barry, V.W., Baruth, M., Beets, M.W., Durstine, Larry, Liu, J., & Blair, S.N. (2014). Fitness vs. fatness on all-cause mortality: a meta-analysis.

The purpose of this study was to quantify the joint association of cardiorespiratory fitness (CRF) and weight status on mortality from all causes using meta-analytical methodology. Compared to normal weight-fit individuals, unfit individuals had twice the risk of mortality regardless of BMI. Overweight and obese-fit individuals had similar mortality risks as normal weight-fit individuals. Furthermore, the obesity paradox may not influence fit individuals. Researchers, clinicians, and public health officials should focus on physical activity and fitness-based interventions rather than weight-loss driven approaches to reduce mortality risk.

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Vaughn Barry
Meghan Baruth
Michael Beets
J. Durstine
Jihong Liu
Steven Blair

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