What's the bottom line on being fat? Can we be healthy and fat? We need fat for brain function, to manufacture our sex hormones and to lose weight. I used to think that some of my overweight patients were healthy. They had great energy and showed no metabolic syndrome disease. We would joke that they were keeping some of their energy in reserves. Now that "fat and healthy" thinking is coming into question.
A coronary artery calcium score study revealed that metabolically healthy obese people have a higher prevalence of coronary calcification compared to metabolically healthy people with normal weight. A large meta-analysis showed an increased risk for death and cardiovascular events in metabolically healthy obese adults compared to normal-weight counterparts. Is healthy fat a myth?