访谈录 2010-01-11&2010-01-13 既胖又健康？

Back now with our series of this week on women’s health. Tonight the question: there is no other way to ask it, can you be fat and fit at the same time. The answer may surprise a lot of women who wage a life long battle with their weight. Our story tonight, from our chief medical editor Doctor Nancy Snyderman.

Two women, both in their early fifties, one got a perfect bill of health from her             cardiologist, but the other got a wake-up call and alert she has significant heart disease requiring emergency surgery.  Miami cardiologist Arthur Agatston says how a woman looks and the familiar term body mass index or BMI can be very deceiving. “The fact is you can be overweight and very healthy, and you can be fairly thin but have a relatively¹ high percentage of body fat and be high risk for future heart attack and stroke.” That described Attica Celia. Her BMI, the standard classification of fitness, had always been in the normal range, but her blood work told a different story. “She was a little bit what we call normal weight obesity². Er, she had some metabolic³ problems, she had a high bad cholesterol⁴” But she had no warning of the extensive heart disease that eventually landed her in surgery, “Because I was thin, because I had never been sick”

And though Melanie Fox might not look the idea of perfect health, her doctor says she is. “Well, this is Melanie’s heart, and you say a young, healthy heart. Her cholesterol values which were usually very high in overweight people are in fact completely normal.”

“Melanie is not going to have a heart attack or a stroke.”

“You promise?”

“I promise.”

Even with regular exercise, her BMI is 29.8, thirty is considered obese⁵.

But BMI doesn’t distinguish the weight of dangerous body fat from fat free mass like muscle and bone. And that’s why most experts believe that more accurate measures of fitness should be used instead. Like measuring waist circumference⁶, which for man should be less than 40 inches around and for women less than 35. So, is it possible to be fat but fit?

“We’re not saying it’s OK to just gain weight, but healthy and fit can come in many sizes.” 

Doctor Nancy Snyderman, NBC news, New York.

A reminder⁷: all our women’s health reports can be found on our website, that’s nightly.msnbc.com. By the way, if you have questions for Doctor Nancy Snyderman, you can submit them there also on the website she’ll answer as many she can get to as the week goes on.

 

1 relatively   

adv.比较...地，相对地

参考例句：

• The rabbit is a relatively recent introduction in Australia.兔子是相对较新引入澳大利亚的物种。
• The operation was relatively painless.手术相对来说不痛。

2 obesity   

n.肥胖，肥大

参考例句：

• One effect of overeating may be obesity.吃得过多能导致肥胖。
• Sugar and fat can more easily lead to obesity than some other foods.糖和脂肪比其他食物更容易导致肥胖。

3 metabolic   

adj.新陈代谢的

参考例句：

• Impressive metabolic alternations have been undergone during embryogenesis.在胚胎发生期间经历了深刻的代谢变化。
• A number of intoxicants are associated with metabolic acidosis.许多毒性物质可引起代谢性酸中毒。

4 cholesterol   

n.（U）胆固醇

参考例句：

• There is cholesterol in the cell of body.人体细胞里有胆固醇。
• They are determining the serum-protein and cholesterol levels.他们正在测定血清蛋白和胆固醇的浓度。

5 obese   

adj.过度肥胖的，肥大的

参考例句：

• The old man is really obese,it can't be healthy.那位老人确实过于肥胖了，不能算是健康。
• Being obese and lazy is dangerous to health.又胖又懒危害健康。

6 circumference   

n.圆周，周长，圆周线

参考例句：

• It's a mile round the circumference of the field.运动场周长一英里。
• The diameter and the circumference of a circle correlate.圆的直径与圆周有相互关系。

7 reminder   

n.提醒物，纪念品；暗示，提示

参考例句：

• I have had another reminder from the library.我又收到图书馆的催还单。
• It always took a final reminder to get her to pay her share of the rent.总是得发给她一份最后催缴通知，她才付应该交的房租。