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MATT TRAVERSO-According to recent studies the fat around the stomach are the chief culprit in the link between obesity and cardiovascular disease. This study raises the possibility that people can be overweight without significantly raising their heart risk, so long as they carry the extra fat in places other than their stomach. In fact, a few extra pounds may even lower the risk of death from heart disease, the researchers found.

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Earlier studies have shown a possible protective effect of being overweight a phenomenon called "obesity paradox." But the new study suggests that the issue is not about the dangers of obesity, but rather the limitations of a tool called the body mass index, or BMI, that is commonly used to measure it.

The new report says obesity is clearly an important factor in heart risk. "The fat is important," says Francisco Lopez-Jimenez, a cardiologist. "But it depends on how you measure the [it]. It is mostly about fat distribution and overall robustness." Reports were published online Monday by the Journal of the American College of Cardiology.

The researchers, for this study pooled data from nearly 16,000 patients with heart disease in the U.S., Denmark, France and Korea and found that the larger the waist, the higher the chances of dying in months and years after a heart attack or major heart procedure. The heightened risk remained even for people considered normal weight according to the BMI measurement tool to find them.

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