Obesity and chronic obstructive pulmonary disease: Is fatter really better? Roxana G Galesanu MD MSc1, Sarah Bernard MSc1, Karine Marquis PhD1, Yves Lacasse MD MSc1, Paul Poirier MD PhD1, Jean Bourbeau MD MSc2, François Maltais MD1 RG Galesanu, S Bernard, K Marquis, et al. Obesity and chronic obstructive pulmonary disease: Is fatter really better? Can Respir J 2014;21(5):297-301. Background: Overweight/obesity is associated with longer survival in chronically ill patients, a phenomenon referred to as the ‘obesity paradox’. Objective: To investigate whether the obesity paradox in patients with chronic obstructive pulmonary disease (COPD) is due to fat accumulation or confounding factors. Methods: A total of 190 patients with stable COPD who underwent a mean (± SD) follow-up period of 72±34 months were enrolled. Anthropometry, pulmonary function tests, midthigh muscle cross-sectional area obtained using computed tomography (MTCSACT), arterial blood gas and exercise testing data were measured at baseline. Patients were categorized into two subgroups according to body mass index (BMI)