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> if they are so unusual, doesn't that make confounding more plausible?

That is a very good point.

> Also very interesting, and counter to the usual narratives about health. (Everything is heritable...)

And yet this need not lead us to the conclusion that self-improvement is futile. Consider the scenario where diet is highly heritable and also extremely important to health outcomes. If people could be convinced of the latter, they would, to varying degrees, improve their diet and therefore their health. After smoking was tied to lung cancer, I imagine that people (at all levels of genetic predisposition to smoking) greatly reduced the amount that they smoked. Smoking levels could have been 100% heritable both before and after the revelation, but would have been reduced over time.

> 5. fat percentage: -3.3 (!)

I'm not sure why you singled fat percentage out as the least significant (in the colloquial sense). The -3.3 is a reduction from 24.0, so the percentage change is ~14%.

> 2kg of weight? I fluctuate more than that on a weekly basis...

To take your quip seriously, I don't think this is a good comparison. If a specific intervention increased lean mass and decreased fat mass by equal amounts (say, 10kg), it would be highly beneficial and yet count for absolutely nothing with respect to BMI or weight. The specific changes cited here are 1.4kg lean mass and -3.3kg fat mass. I would actually count that as a 4.7kg improvement!



> I would actually count that as a 4.7kg improvement!

When I quoted 2kg of weight, I meant '2kg of weight', not anything more complex. That's the total change. The exercising twins weigh 2kg less, total, all in all, on average. (If you think you've found a twisty interpretation of quoted figures which is more positive than it looks, please check the fulltext first - that's why I provided it!)


Yes, I understand that 2kg is the total change, and I've read the full text that you've helpfully linked. I'm not sure what your point is?


I wouldn't count it as 4.7kg improvement. 3.3kg is fair though. That would imply bodybuilders are close to 50 kg "healthier" than I am for the same height assuming no fat loss. But I think none of these measurements are that great to prove any point. Are we optimizing for longer lifespan, attraction for the opposite sex or just some arbitrary number goals?


Maybe 50kg is too much, but you wouldn't be happy with a 1.4kg increase in lean mass? I assume that most of that is an increase in bone density and muscle mass, both of which are good things.


These people are early- to mid-20s. Americans generally get fatter steadily from their 30-60's. So, the differences are likely to compound. Also, as a country Finland is more fit, so it's likely the gap would be wider in say the US.

  Finland Adult Obesity rate: 23%
  America Adult Obesity rate: 35%




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