To the Editor: Dr Fontaine and colleagues1 reported that "overweight and obesity (among blacks) may not decrease life expectancy until a body mass index (BMI) of approximately 32-33 for men and 37-38 for women is reached." I am concerned that may give a false interpretation of the importance of BMI among blacks compared with whites.
Reports from the follow-up of the Cancer Prevention Study II2-3 found that that the age standardized death rates for black women were substantially higher than for white women for all BMI categories except at very high levels of BMI (>40). For men, the death rates were also substantially higher across BMI categories for black men vs white men.
The results of Fontaine et al may give a false impression that blacks are less affected by obesity than are whites. This apparent paradox seems due to the high death rates at lower BMI among blacks than . . . [Full Text of this Article]