To the Editor In the Original Investigation by Nyberg and colleagues1 regarding healthy lifestyles and years lived without chronic disease, the finding that a body mass index (BMI) less than or equal to 25, in combination with healthy lifestyle factors, predicts more life-years without chronic disease is noteworthy and important. However, the characterization of a BMI lower than 25 as a healthy lifestyle itself is misleading and conveys implicit bias about the nature of BMI and obesity.
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Kyle TK, Nadglowski JF, Stanford FC. Weight Management and Healthy Lifestyles. JAMA Intern Med. Published online August 24, 2020. doi:10.1001/jamainternmed.2020.2743
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