Midlife Weight Loss May Extend Longevity and Reduce Disease Risk, New Study Finds

Losing around 6.5% of body weight during middle age through diet and exercise may significantly reduce disease risk and extend lifespan, according to recent research.
Recent research indicates that shedding excess weight during middle age can significantly decrease the likelihood of developing chronic illnesses and increase lifespan. The study reveals that losing approximately 6.5% of body weight—equivalent to losing nearly 12 pounds for someone weighing 180 pounds—without resorting to medical interventions such as surgery or weight loss medications, confers notable health benefits.
The investigation, published in JAMA Network Open, analyzed data from nearly 23,000 adults spanning from the 1960s onward. Participants were categorized based on their body mass index (BMI) at the start of the study and whether they gained, lost, or maintained their weight over time. Researchers linked these data to hospital and mortality records.
Findings demonstrated that individuals who managed to lose weight had lower rates of cardiovascular events like heart attacks and strokes, as well as reduced incidences of cancer, respiratory conditions, and lung diseases such as COPD. Importantly, this group also experienced a lower risk of death over a 35-year follow-up period.
These improvements are primarily attributed to lifestyle modifications, including healthier eating habits and increased physical activity, emphasizing that weight loss can be achievable through diet and exercise alone. Experts recommend engaging in at least 150 minutes of moderate-intensity exercise weekly, coupled with strength training, and adopting a Mediterranean-style diet rich in fruits, vegetables, nuts, and olive oil.
While BMI was used as a key measure, experts acknowledge its limitations, as it does not differentiate between muscle and fat, nor specify fat distribution, which can influence health risks. Other research suggests that fat around the organs (visceral fat) and belly fat may have a greater impact than overall body weight.
The study underscores that lifestyle changes are integral to health benefits and that societal support in providing access to nutritious foods and safe spaces for activity can facilitate healthier aging. Although more research is needed to establish direct causation, these findings highlight the importance of weight management in midlife for improving long-term health outcomes and lifespan.
For additional guidance on maintaining a healthy lifestyle, resources from organizations like the Mayo Clinic advocate regular physical activity and a balanced diet as key strategies for health improvements.
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