Letter to the Editor

Journals should no longer accept ‘obesity paradox’ articles

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  1. 1.

    , . The 'obesity paradox' may not be a paradox at all. Int J Obes 2017; 41: 1162–1163.

  2. 2.

    , . From bad to worse: collider stratification amplifies confounding bias in the ‘obesity paradox’. Eur J Epidemiol 2015; 30: 1111–1114.

  3. 3.

    , . The ‘obesity paradox’ explained. Epidemiology 2013; 24: 461–462.

  4. 4.

    , . The obesity paradox: understanding the effect of obesity on mortality among individuals with cardiovascular disease. Prev Med 2014; 62: 96–102.

  5. 5.

    , , , , , et al. Body mass index and mortality among adults undergoing cardiac surgery: a nationwide study with a systematic review and meta-analysis. Circulation 2017; 135: 850–863.

  6. 6.

    , , , , , et al. Association of overweight and obesity with patient mortality after acute myocardial infarction: a meta-analysis of prospective studies. Int J Obes 2016; 40: 220–228.

  7. 7.

    American College of Cardiology/American Heart Association Task Force on Practice Guidelines, O. E. P. Executive summary: Guidelines (2013) for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Obesity Society published by the Obesity Society and American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Based on a systematic review from the The Obesity Expert Panel, 2013. Obesity 2014; 22 Suppl 2: S5–39.

  8. 8.

    , , , , , et al. Intentional weight loss and all-cause mortality: a meta-analysis of randomized clinical trials. PLoS One 2015; 10: e0121993.

  9. 9.

    Look Ahead Research Group. Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes. N Engl J Med 2013; 369: 145–154.

  10. 10.

    , , , , , et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002; 346: 393–403.

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Thanks to Janitha Hettiarachchi and Jonathan Shaw for useful discussions on this issue. Anna Peeters is supported by a National Health and Medical Research Council Career Development Award.

Author information


  1. Professor of Epidemiology and Equity in Public Health, Global Obesity Centre (GLOBE), World Health Organization Collaborating Centre for Obesity Prevention, School of Health & Social Development, Faculty of Health, Deakin University, Geelong, VIC, Australia

    • A Peeters


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Competing interests

The author declare no conflict of interest.

Corresponding author

Correspondence to A Peeters.