So let’s look at both.
Underweight people usually suffer from dietary deficits, like rickets, malnutrition, low bone density, damage to the esophagus (bulimics) and eventually death.
Obese people generally suffer from increased risks of diabetes, heart disease, depression, increased musculoskeletal strain, high risk of fall injury, liver failure, heart attack and stroke.
Now consider the severity of each potential set of health problems. Being overweight has more deadly diseases associated with it over anorexia (and bulimia).
Now just being skinny (not anorexic) doesn’t really have health problems, almost exclusively they are health concerns. So being skinny vs being fat the fat will always be more closely associated with preventable deadly healtheffects and problems.
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