Older Chinese with high blood pressure may live longer if slightly heavier

Original Title

Hypertension modifies the associations of body mass index and waist circumference with all-cause mortality among older Chinese: a retrospective cohort study

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Summary

For older Chinese, having a bit more weight might help them live longer, especially if they have high blood pressure. Being too thin increases death risk. For those with high blood pressure, being in the obese range (BMI 28-30) was safest. For those without high blood pressure, being overweight (BMI 26-28) was safest.

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Surprising Findings

Central obesity linked to lower mortality risk

Contradicts decades of public health messaging that waist circumference is always a health risk

Practical Takeaways

Hypertensive seniors should avoid extreme weight loss; maintain BMI 28-30 if possible

medium confidence

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