JAMA January 2013 PMID 23280227

Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis.

Katherine M Flegal, Brian K Kit, Heather Orpana, Barry I Graubard

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Mentions

438
Peak: 5 in Mar 2021
across 7 sources since Aug 2019

Extended reach

393,259
potential audience

Total likes

832

Video views

10,475

Mentions per month

Aug 2019 – Aug 2025

Where it's discussed

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AI synopsis

What people are saying

The social discussions reveal a nuanced understanding of the article, with entries like 'overweight associated with lower mortality' and references to highly cited meta-analyses, showing that participants are critically engaging with the complexity of the research. The tone varies from informative to skeptical, contributing to a balanced evaluation of the study's implications.

AgreementModerate agreement

Most discussions acknowledge the findings that overweight may not increase mortality and that obesity, especially at higher grades, does. Some posts, however, express skepticism or critique, indicating moderate agreement overall.

InterestModerate interest

The posts show curiosity about the implications of the research, referencing specific studies, meta-analyses, and debating the significance, which demonstrates a moderate level of engagement with the topic.

EngagementModerate engagement

Many posts delve into methodological details, cite multiple studies, and discuss the broader context like the 'obesity paradox', reflecting thoughtful engagement rather than superficial sharing.

ImpactModerate impact

The discussions highlight the importance of the research in challenging common perceptions about body weight and health, suggesting that the findings could influence clinical and societal views on obesity control.

Abstract in brief

  • The study is a systematic review and meta-analysis examining the link between body weight categories (normal, overweight, obesity) and the risk of all-cause mortality, involving over 288 million individuals from 97 studies.
  • It finds that overweight individuals have a slightly reduced mortality risk (hazard ratio of about 0.94), while obesity at any grade increases the risk of death, with higher grades associated with higher risks.
  • The research emphasizes the importance of understanding these risks for clinical decisions and highlights the complex relationship between body weight and mortality, considering various factors such as age, sex, and smoking.]

Top posts

Most liked on X and Bluesky
Булочка с укоризной
@ebulo4ka · X

Некоторые другие подобные мета-анализы, подтверждая риски для высоких степеней ожирения, также либо не находят связи с повышенным до 30 ИМТ (лишний вес), либо подтверждают наилучшие прогнозы для этой категории. 1)https://t.co/LyNCefcsId 2)https://t.co/aZIt0bpIH6

Mar 12, 2021 · 507 likes · 3 shares · 2,174 followers View post →
Michael Albert, MD
@MichaelAlbertMD · X

1/

Sep 24, 2023 · 7 likes · 16,162 followers View post →
Robert L. Reece, PhD
@PhuzzieSlippers · X

Flegal et al 2013, “Association of All-Cause Mortality with Overweight and Obesity Using Standard Body Mass Index Categories: A Systematic Review and Meta-Analysis,”Journal of the American Medical Association. Normal weight & obese people live same length, overweight 6% longer. https://t.co/52dFCU927k

Apr 21, 2021 · 5 likes · 16,878 followers View post →
Soulogic
@Soulogic · X

前两天老婆看到一条微博,最引人注目的关键点是,单纯的 BMI 超重(超过 25)并不比正常(18-25)具有更高的风险,甚至还略低。这颠覆了我的认知,我一直认为 BMI 跟寿命正相关 然后搜了下,发现这观点并不新鲜,2013 年《美国医学会杂志》 https://t.co/4r2hdS7VAP 简单解释: https://t.co/nc6yzuv9CN

May 7, 2024 · 5 likes · 3,756 followers View post →
Neil Floch MD
@NeilFlochMD · X

The estimate of yearly deaths due to #obesity in the #US in 2013 was approximately 270,000 Association of all-cause mortality with overweight and #obesity using standard body mass index categories: a systematic review and meta-analysis - PubMed https://t.co/oiBLqhqDTu

Feb 7, 2021 · 4 likes · 3 shares · 130,183 followers View post →
Ana
@SampayoZabala · X

5. Incluso si queremos usar el IMC para valorar la salud de las personas, un metanálisis publicado en el Journal of American Medical Association (doi:10.1001/jama.2012.113905) que analizó 97 estudios, con una muestra total de 2.8 millones de personas concluyó que:

Oct 26, 2022 · 4 likes · 1,298 followers View post →

All mentions

ClioVGC 5-0
@ClioVgc · X

@spoonfulofhan Yes it does https://t.co/o1sp050xWh https://t.co/E2nnSSfYMo https://t.co/PUdj9BEljv

Jul 13, 2025 · 3 followers View post →
Barangurte a CLT das Trevas
@barangurte.bsky.social · Bluesky

Longevidade: Flegal, K. M., et al. (2013). "Association of all-cause mortality with overweight and obesity using standard body mass index categories: A systematic review and meta-analysis." Estresse: Prentice, A. M., & Jebb, S. A. (2001). "Beyond body mass index."

Feb 28, 2025 · 4 likes · 2 shares View post →
Fabricio Boscolo, PhD
@fabricioboscolo.bsky.social · Bluesky

Dois estudos sobre MORTALIDADE PRECOCE em adultos jovens do sexo masculino: 1️⃣ Usuário de Esteroide Anabolizante Razão de risco de 2,0 (IC95%: 1,2 - 3,3) 2️⃣ Homem com obesidade Grau 2 e 3: Razão de risco de 1,3 (IC95%: 1,2 - 1,4) 1) 10.1016/j.drugalcdep.2015.04.013 2) 10.1001/jama.2012.113905

Oct 1, 2024 View post →
баба зося
@babazosja · X

Хм, лишний вес не такой уже и опасный для здоровья оказывается, даже наоборот. Чего не скажешь про излишнюю худобу. https://t.co/9KZ16n9m8x https://t.co/SS9ZdI7oyA

Jun 15, 2024 · 290 followers View post →
Soulogic
@Soulogic · X

前两天老婆看到一条微博,最引人注目的关键点是,单纯的 BMI 超重(超过 25)并不比正常(18-25)具有更高的风险,甚至还略低。这颠覆了我的认知,我一直认为 BMI 跟寿命正相关 然后搜了下,发现这观点并不新鲜,2013 年《美国医学会杂志》 https://t.co/4r2hdS7VAP 简单解释: https://t.co/nc6yzuv9CN

May 7, 2024 · 5 likes · 3,756 followers View post →
коконя́
@dj_harohapi · X

RT @ebulo4ka: Некоторые другие подобные мета-анализы, подтверждая риски для высоких степеней ожирения, также либо не находят связи с повыше…

Jan 4, 2024 · 3 shares · 398 followers View post →
João da Silva
@J5ilv4 · X

@WarlleyFelipe @ZabucaRodrigo @Metropoles JAMA. 2013 Jan 2;309(1):71-82. doi: 10.1001/jama.2012.113905. PMID: 23280227; PMCID: PMC4855514. Ezzati M, Lopez AD. Estimates of global mortality attributable to smoking in 2000. Lancet. 2003 Sep 13;362(9387):847-52. doi: 10.1016/S0140-6736(03)14338-3. PMID: 13678970.

Nov 10, 2023 · 62 followers View post →
João da Silva
@J5ilv4 · X

@WarlleyFelipe @ZabucaRodrigo @Metropoles PMCID: PMC4634361. Flegal KM, Kit BK, Orpana H, Graubard BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis.

Nov 10, 2023 · 62 followers View post →
Michael Albert, MD
@MichaelAlbertMD · X

1/

Sep 24, 2023 · 7 likes · 16,162 followers View post →
Déconniatre ☭
@raqvam · X

Ici : https://t.co/86Eh8zTXNN « Relative to normal weight (..) Grade 1 obesity overall was not associated with higher mortality, and overweight was associated with significantly lower all-cause mortality. « https://t.co/RIAjiYKljg

Aug 13, 2023 · 1 like · 1,643 followers View post →
Wellness Wonders
@WellnessWonderz · X

Flegal, K. M., Kit, B. K., Orpana, H., & Graubard, B. I. (2013). "Association of All-Cause Mortality With Overweight and Obesity Using Standard Body Mass Index Categories: A Systematic Review and Meta-analysis." JAMA, 309(1), 71–82.

Aug 9, 2023 · 7 followers View post →
Alexander M. Wolf
@AlexanderMWolf7 · X

@JohnSpeakman4 @CharlesMBrenner "engaging in CR" or not is meaningless if there is no real world correlate of it. Large scale epidemiology says overweight humans have >lower< all-cause mortality. The evidence that BMI ~20 is worse than 23-25 is strong. I'd say it shows CR doesn't work. https://t.co/j6qCaCYdjZ

Jul 3, 2023 · 356 followers View post →
EvidenSalud
@EvidenSalud · X

Flegal, K. M., Kit, B. K., Orpana, H., & Graubard, B. I. (2013). Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA, 309(1), 71-82. https://t.co/toBeOlN8V0

Mar 13, 2023 · 18 followers View post →
Siim Land
@siimland · X

https://t.co/a569dChZyy

Feb 16, 2023 · 28,135 followers View post →
Jason Hill
@jason_hill14 · X

@ScepticalDoctor https://t.co/Phu63uL7P6

Jan 14, 2023 · 304 followers View post →
Aubrey Hoffer, PhD
@hoff_phd · X

@WeTweetSoap @intuitivefatty you claimed to be dieting to lose weight in order to be healthy, so i provided evidence that dieting does not relate to weight loss. you can also read flegal’s (2013) paper still havent seen your evidence though https://t.co/lDD1xyv0dX

Jan 5, 2023 · 1 like · 1,008 followers View post →
Ana
@SampayoZabala · X

5. Incluso si queremos usar el IMC para valorar la salud de las personas, un metanálisis publicado en el Journal of American Medical Association (doi:10.1001/jama.2012.113905) que analizó 97 estudios, con una muestra total de 2.8 millones de personas concluyó que:

Oct 26, 2022 · 4 likes · 1,298 followers View post →
drew
@drewlocke · X

@BigMFCeez @theintercept this is the stupidest fucking thing that brainwashed anti-vaxxers say all the goddamn time. relative to normal weight, obesity is associated with significantly higher ALL-CAUSE mortality. https://t.co/qf9DEmZvZP

Oct 14, 2022 · 118 followers View post →
Jeni Raimondi
@Jeni_Meg · X

@johnpmoreau @mizzorizzo @sutter_kathleen @TheRickWilson Flegal et al. Association of all-cause mortality with overweight and obesity using standard body mass index categories: A systematic review and meta-analysis. JAMA 2013. January 2. 309(1): 71-82.

Sep 23, 2022 · 1 like · 3 followers View post →
Stefy Fernández
@StefyActiva · X

@MonicaSagrera https://t.co/qyTlCzsgjj. https://t.co/6jtbxhFgxu https://t.co/U2TZCB8R1v Y ese estigma tan fuerte que tienes, te dejo un artículo de Harvard en inglés para que lo leas y vea el daño que hace (si es que sabes leer inglés): https://t.co/0h72JCYvfb

Aug 4, 2022 · 8,713 followers View post →
unserioso
@unserioso · X

@paolorobertocom Finns även tidigare studier där BMI-övervikt varit positivt och lättare fetma inte dödligt "Grade 1 obesity overall was not associated with higher mortality, and overweight was associated with significantly lower all-cause mortality" https://t.co/pL9Cmr0Npk

Jul 25, 2022 View post →
strgchris
@twinpapaMM · X

@baconisaspice @AnitaM86 @LohnJennon3 @stnicktruthonly @jordanbpeterson https://t.co/QZP9VCYxRn

May 17, 2022 · 19 followers View post →
Hawkeye
@HHawkeye24 · X

@mandita_genx @Niemand13354159 @Kaizen_33 @c_drosten Die Evidenz ist hoch und unstrittig. Nach 28 Jahren klinischer Tätigkeit kann ich das bestätigen, was in renommierten Journals publiziert wird: https://t.co/WNfUPDmQe4 Schönen Tag noch.

Mar 26, 2022 · 7,563 followers View post →
Nicolas Bertrand
@drnicober · X

@AliceDesbiolles Il est tout à fait pertinent de ne pas considérer le surpoids comme une comorbidité ! https://t.co/eHHCdQYoM4

Feb 4, 2022 · 612 followers View post →
Mami_Zecca
@MamiZecca · X

@electricvehic @CrashSpyroBanjo @Kyuchimon @neuroticnormal https://t.co/O41FIrhvSP

Dec 31, 2021 · 81 followers View post →
Mami_Zecca
@MamiZecca · X

@galacticwhale @hiddenloonatic @Juan_dla_Mancha @CrashSpyroBanjo @Kyuchimon @neuroticnormal This one is a bit old at 2013 but you get the point. https://t.co/O41FIrhvSP

Dec 31, 2021 · 1 like · 81 followers View post →
smurfsj
@smurfsj · X

Association of All-Cause Mortality With Overweight and Obesity Using Standard Body Mass Index Categories: A Systematic Review and Meta-analysis | Lifestyle Behaviors | JAMA | JAMA Network https://t.co/J3iyvb8Bd3

Oct 10, 2021 · 132 followers View post →
Kevin Binz
@Kevin_Binz · X

@RCAFDM There's also Flegal et al (2013). doi:10.1001/jama.2012.113905 (And then she discusses the criticisms of her results in https://t.co/CpW4MrT5VS)

Aug 31, 2021 · 109 followers View post →
Ольга Шанцер
@olga_shantser · X

@cumberscotch не, ну я понимаю, что лезу не в своё дело – и что это может объективно раздражать Из исследований на меня сильное впечатление произвели вот эти два: • https://t.co/Zx2GrEK4vr • https://t.co/D2vcZkiVjD

Jun 7, 2021 · 2,795 followers View post →
Robert L. Reece, PhD
@PhuzzieSlippers · X

Flegal et al 2013, “Association of All-Cause Mortality with Overweight and Obesity Using Standard Body Mass Index Categories: A Systematic Review and Meta-Analysis,”Journal of the American Medical Association. Normal weight & obese people live same length, overweight 6% longer. https://t.co/52dFCU927k

Apr 21, 2021 · 5 likes · 16,878 followers View post →
Laura Marie
@lmegordon · X

@MissM_991 @rudrayogini @Coyltonian @wholly_unholy @XianJaneway https://t.co/uyYiBMVMrn

Apr 15, 2021 · 23,540 followers View post →
Orlando_uy
@Orlando_uy · X

Association of All-Cause Mortality With Overweight and Obesity Using Standard Body Mass Index Categories https://t.co/naw9fny5kX

Apr 10, 2021 · 697 followers View post →
Stephan J. Guyenet
@sguyenet · X

@The_Nutrivore @DrScottMurray @drjkahn @DanielJDrucker @DrRoySmythe @davidludwigmd @Dr__Guess @ethanjweiss @lowcarbGP @jerryteixeira Here is a much cited 2013 meta-analysis of 2.88 million people in JAMA reporting that overweight has the lowest mortality risk. No risk increase for grade I obesity vs lean. https://t.co/t8nEjyVOII

Mar 30, 2021 · 3 likes · 49,584 followers View post →
арёл
@selllarrwf · X

RT @ebulo4ka: Некоторые другие подобные мета-анализы, подтверждая риски для высоких степеней ожирения, также либо не находят связи с повыше…

Mar 14, 2021 · 3 shares · 1,526 followers View post →
Violent Delight
@OfYouWeather · X

RT @ebulo4ka: Некоторые другие подобные мета-анализы, подтверждая риски для высоких степеней ожирения, также либо не находят связи с повыше…

Mar 13, 2021 · 3 shares · 95 followers View post →
Булочка с укоризной
@ebulo4ka · X

Некоторые другие подобные мета-анализы, подтверждая риски для высоких степеней ожирения, также либо не находят связи с повышенным до 30 ИМТ (лишний вес), либо подтверждают наилучшие прогнозы для этой категории. 1)https://t.co/LyNCefcsId 2)https://t.co/aZIt0bpIH6

Mar 12, 2021 · 507 likes · 3 shares · 2,174 followers View post →
Orlando_uy
@Orlando_uy · X

Association of All-Cause Mortality With Overweight and Obesity Using Standard Body Mass Index Categories https://t.co/naw9fny5kX

Mar 11, 2021 · 697 followers View post →
Davor Stamenovic
@Thoraxchirurg_ · X

@mango_on_diet Ako je za utehu "overweight but not obesity (of any grades) was associated with significantly lower all-cause mortality" https://t.co/wFxr34ePHZ

Feb 28, 2021 · 3 likes · 390 followers View post →
Rafael Radaeli
@rfradaeli · X

RT @NeilFlochMD: The estimate of yearly deaths due to #obesity in the #US in 2013 was approximately 270,000 Association of all-cause morta…

Feb 7, 2021 · 3 shares · 383 followers View post →
Javier S. Perona
@Malnutridos · X

RT @NeilFlochMD: The estimate of yearly deaths due to #obesity in the #US in 2013 was approximately 270,000 Association of all-cause morta…

Feb 7, 2021 · 3 shares · 13,765 followers View post →
Neil Floch MD
@NeilFlochMD · X

The estimate of yearly deaths due to #obesity in the #US in 2013 was approximately 270,000 Association of all-cause mortality with overweight and #obesity using standard body mass index categories: a systematic review and meta-analysis - PubMed https://t.co/oiBLqhqDTu

Feb 7, 2021 · 4 likes · 3 shares · 130,183 followers View post →
Jennifer Depew, RD
@deNutrients · X

@Power79646739 Here is ref with the mortality differences for the different BMI ranges, (I had linked it in an embedded Tw): Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. https://t.co/jeKY55x06H

Sep 19, 2020 · 1 like · 28,659 followers View post →
Jennifer Depew, RD
@deNutrients · X

Association of All-Cause Mortality With Overweight and Obesity Using Standard Body Mass Index Categories https://t.co/jeKY55x06H

Sep 19, 2020 · 28,659 followers View post →
Simon Cooke
@SimonMagus · X

More on why you should be cautious when discussing overweight - we're going to outlive the thin people! "... overweight was associated with significantly lower all-cause mortality." https://t.co/5MaVIAc22i

Jul 25, 2020 · 1 like · 6,850 followers View post →
Terho Tamminen
@bonusmaxi · X

@acieocu @keronen @THLorg Association of All-Cause Mortality With Overweight and Obesity Using Standard Body Mass Index CategoriesA Systematic Review and Meta-analysis https://t.co/ujZpoAf0DL Obesity paradox https://t.co/27xNSPaNUi https://t.co/ZJxVSEW0Wd

Jul 20, 2020 · 254 followers View post →
Sebastián®
@nabiunkula · X

@mariagiraldo https://t.co/z0DrSROdcL

May 7, 2020 · 1 like · 1,608 followers View post →
Médecine Libre (Jérôme Pinguet)
@MedecineLibre · X

@DreCouine @Anouch_jan Flegal KM, Kit BK, Orpana H, Graubard BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA2013;309:71-82. https://t.co/xj3Je0qxyw

Aug 15, 2019 · 3,070 followers View post →