Allan Stewart, M.D. on Organ Fat Accumulation and Health
This is an interesting study that illustrates our somewhat primitive understanding of fat collection. It is generally accepted that heavier people will not live as long as a lean population. However, this study demonstrates that body mass index, meaning the visual effects of obesity, the larger size or the fat around the abdomen is not a good predictor of who will suffer a cardiac death. This study shows that an MRI can show that fat around the heart may be present in a leaner individual. And that fat around the heart is a better predictor of early death from heart failure or heart attack.
The study suggests that an MRI may be a way of assaying someone’s risk for a heart attack. That brings up, of course, a world of economic, political and healthy issues and whether every adult should or is entitled to have a screening MRI. It is quite an expensive study, yet it would allow us to stratify their coronary risk and then decide how they might modify their diet or lifestyle. It is important information and another demonstration how proper diet, proper nutrition and exercise are essential to maintain a long healthy life.
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