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Midlife Weight Loss Linked to Sharply Lower Disease and Death Risks

A long-term analysis shows losing about 6.5 percent of body weight in the 40s through diet and exercise delivers decades-long reductions in chronic illness risk as mortality benefits emerge over time.

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(Photo by Den4is on Shutterstock)
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The study also supports the view that, for optimal health, a lifelong body mass index (BMI) under 25 is ideal. Credit: Neuroscience News

Overview

  • The JAMA Network Open study followed more than 23,000 adults across three European cohorts for up to 35 years, classifying participants by weight changes during their 40s.
  • Participants who shed roughly 6.5 percent of body weight without surgery or weight-loss drugs saw a 48 percent reduction in chronic disease risk and a 19 percent drop in all-cause mortality.
  • Lower rates of heart attacks, strokes, cancer, asthma and lung disease drove much of the long-term health advantage among those who lost weight.
  • Sustaining weight loss proved challenging, with only a small fraction of participants maintaining their lower weight over the multi-decade follow-up.
  • Researchers note the observational design and predominantly white European sample limit causal conclusions and may restrict how broadly the findings apply to other populations.