Earlier quoted context omitted.
> Edit: Yea, reading the study, I don't see anything about controlling for fitness level. They specifically control for the following lifestyle factors: "smoking status, alcohol consumption, physical activity, body mass index (BMI) and vegetable and fruit consumption." (Ctrl+f for "covariates") In the conclusion, they acknowledge: "Although we had carefully adjusted for potential confounding lifestyle-related factors…
But if someone "works out heavily and supplements," that should show up in self reported physical activity, and indirectly in BMI. Well, not to nitpick, but people with high muscle mass can easily end up with an "obese" BMI even if they have very low body fat. And it also doesn't take very many hours of working out per week to get jacked if you're doing heavy weightlifting and supplementing. No idea if such people ar…
And no people like this aren’t common at all.