Excess fat still carries health risks even when cholesterol, blood pressure and sugar levels are normal, according to a study of more than 60,000 people.
It has been argued that being overweight does not necessarily imply health risks if individuals remain healthy in other ways.
The research, published in Annals of Internal Medicine, contradicts this idea.
The study looked at findings from more than 1,000 published studies.
Study leader Dr Ravi Retnakaran told BBC News: "This really casts doubt on the existence of healthy obesity.
"This data is suggesting that both patients who are obese who are metabolically unhealthy and patients who are obese who are metabolically healthy are both at increased risk of death from cardiovascular disease, such that benign obesity may indeed be a myth."
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Eddie
From the common sense point, they are probably right in most cases when individual is OBESE, but I doubt that BMI=25 is the sign of metabolic health. I am sure they have to live in piece people with BMI between 25 and 29 who have a healthy body composition and no marks of metabolic syndrome.
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