An analysis of thirty years of data concerning over 90,000 American women showed that obese women who were metabolically healthy (normal blood pressure, cholesterol, and blood sugar) for over twenty years still had a 57% elevated risk for cardiovascular disease. Lead researcher Dr. Matthias Schulze explains, “If you are obese but free of diseases like diabetes or hypertension, it does not mean you are free of the risk for cardiovascular disease… You are still at a higher risk of cardiovascular disease compared to normal-weight healthy women.” The Lancet Diabetes & Endocrinology, May 2018