Monday, Apr. 18, 2005

Girth Control

By Ellie McGrath

The good news: it is important for the young to stay lean, but a little heft helps people live longer, according to a federal researcher at the Gerontology Research Center in Baltimore. The bad news: many obesity and cardiovascular specialists say that lifelong leanness is still the desirable goal.

Guidelines on girth have been the subject of a growing dispute since 1983, when the Metropolitan Life Insurance Co. updated its charts on desirable weight. The poundage associated with the lowest death rates, the insurance firm found, had risen by as much as 14 Ibs. over such weights in its 1959 tables. Now Dr. Reubin Andres, clinical director of the Gerontology Research Center of the National Institute on Aging, has added more fat to the fire. Using the same data (from 4.2 million people charted by 25 insurance companies over two decades), Andres has concluded that people in their 20s should weigh less than Metropolitan Life indicates, 40-year-olds should weigh about the same, but people in their 50s and 60s can afford to be anywhere from 4 to 37 Ibs. heavier. Andres, a gerontologist who has been studying the effect of weight gain on aging for more than five years, feels that after the age of 20, almost any normally lean person can put on about a pound a year.

The Andres study not only challenges the conventional wisdom, it says that men and women of the same height should weigh roughly the same. This relaxed attitude toward weight gain does not find favor with the medical establishment. The American Heart Association has stated that it finds even the 1983 Metropolitan Life table too lenient. Obesity researchers at the National Institutes of Health say that weights 20% higher than the Metropolitan midpoints are hazardous. Says Dr. Robert F. Kushner, assistant professor of medicine at the University of Chicago: "We don't have anything to gain health-wise by allowing elderly patients to put on another 20 to 30 Ibs., because it's likely it will be fat tissue."

Dr. William Castelli, director of the 36-year Framingham Heart Study on longevity, declares, "We can show you that for every pound you gain over the 1959 Metropolitan Life tables, your death rate increases 2% over the next 26 years." Until the doctors can resolve their conflicting interpretations, many Americans will find it prudent to hold back on that second helping of pasta . --By Ellie McGrath. Reported by Patricia Delaney/Washington and Barry Kalb/New York

LET THEM EAT CAKE A comparison of desirable weight tables

[This article contains a table. Please see hardcopy of magazine or PDF.]

Height

Men

Women

20-29

30-39

40-49

50-59

60-69

4'10"

100-131

84-111

92-119

99-127

107-135

115-142

4'11"

101-134

87-115

95-123

103-131

111-139

119-147

5'0"

103-137

90-119

98-127

106-135

114-143

123-152

5'1"

123-145

105-140

93-123

101-131

110-140

118-148

127-157

5'2"

125-148

108-144

96-127

105-136

113-144

122-153

131-163

5'3"

127-151

111-148

99-131

108-140

117-149

126-158

135-168

5'4"

129-155

114-152

102-135

112-145

121-154

130-163

140-173

5'5"

131-159

117-156

106-140

115-149

125-159

134-168

144-179

5'6"

133-163

120-160

109-144

119-154

129-164

138-174

148-184

5'7"

135-167

123-164

112-148

122-159

133-169

143-179

153-190

5'8"

137-171

126-167

116-153

126-163

137-174

147-184

158-196

5'9"

139-175

129-170

119-157

130-168

141-179

151-190

162-201

5'10"

141-179

132-173

122-162

134-173

145-184

156-195

167-207

5'11"

144-183

135-176

126-167

137-178

149-190

160-201

172-213

6'0"

147-187

129-171

141-183

153-195

165-207

177-219

6'1"

150-192

133-176

145-188

157-200

169-213

182-225

6'2"

153-197

137-181

149-194

162-206

174-219

187-232

6'3"

157-202

141-186

153-199

166-212

179-225

192-238

6'4"

144-191

157-205

171-218

184-231

197-244

All heights without shoes, weights in pounds without clothes

[*]Combining Metropolitan's ranges for small, medium and large body frames

TIME Charts by Cynthia Davis

With reporting by Reported by Patricia Delaney/Washington, Barry Kalb/New York