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American Journal of Clinical Nutrition, Vol 38, 313-319, Copyright © 1983 by The American Society for Clinical Nutrition, Inc

ORIGINAL RESEARCH COMMUNICATIONS

Fatness and mortality in the West of Scotland

SM Garn, VM Hawthorne, JJ Pilkington and SD Pesick

Sixteen-yr mortality data for 2381 males between the ages of 45 to 75 from the West of Scotland show that the lean rather than the obese have a higher mortality rate. However, analyzed by cause of death, it is seen that lean individuals show an excess of cancer-related deaths while obese individuals show excess cardiovascular mortality. Comparing smoking and nonsmoking males, the deleterious effects of smoking are clearly demonstrable at all fatness levels. Since obese males have a higher cardiovascular mortality and lean males show an excess of cancer- related deaths, the notion of a single "ideal weight" may be challenged.


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