We are grateful to Hunger and Tomiyama for their interest in our recent article. We agree with their assertion that excessive focus on body weight may sometimes lead to negative psychological and behavioral outcomes for some obese individuals. We also agree that physical fitness is an important measure that is associated with long-term health outcomes. (Am J Public Health. Published online ahead of print September 17, 2015: e1. doi:10.2105/AJPH.2015.302853).
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