Ideally, I would've liked to have found a graph plotting the relationship between BMI at some age and life expectancy, but a Google search turned up nothing. Instead, I looked at two articles: one was a huge meta-study entitled Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies, and the other was a study from the Journal of the American Medical Association entitled Years of life lost due to obesity.
The results of the first study:
BMI is in itself a strong predictor of overall mortality both above and below the apparent optimum of about 22·5–25 kg/m2. The progressive excess mortality above this range is due mainly to vascular disease and is probably largely causal. At 30–35 kg/m2, median survival is reduced by 2–4 years; at 40–45 kg/m2, it is reduced by 8–10 years (which is comparable with the effects of smoking). The definite excess mortality below 22·5 kg/m2 is due mainly to smoking-related diseases, and is not fully explained.
And the second:
Results Marked race and sex differences were observed in estimated YLL. Among whites, a J- or U-shaped association was found between overweight or obesity and YLL. The optimal BMI (associated with the least YLL or greatest longevity) is approximately 23 to 25 for whites and 23 to 30 for blacks. For any given degree of overweight, younger adults generally had greater YLL than did older adults. The maximum YLL for white men aged 20 to 30 years with a severe level of obesity (BMI >45) is 13 and is 8 for white women. For men, this could represent a 22% reduction in expected remaining life span. Among black men and black women older than 60 years, overweight and moderate obesity were generally not associated with an increased YLL and only severe obesity resulted in YLL. However, blacks at younger ages with severe levels of obesity had a maximum YLL of 20 for men and 5 for women.
Conclusion Obesity appears to lessen life expectancy markedly, especially among younger adults.
So both papers support the popular notion that higher BMIs lessen life expectancy "markedly". But compared to what? Is the relationship in line with people's intuition? What researchers consider to be large differences in life expectancy may not seem so large to the lay public.
An admittedly confusing survey on this blog last week asked readers to estimate the survival probability of a 6 feet tall male given that his weight is 175, 235, or 320 pounds (with a corresponding BMI range of healthy, overweight, and extremely obese, respectively). I would then compare the survey responses to the statistics from the chart below.

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The dark, solid lines in the charts below are the same statistics from the chart above, which I am calling the "true" probability. The light lines are the survey responses, and the dashed lines are the average of the survey responses. One of the survey responses pictured below was a bit of an outlier (saying in each case that there was a greater than 50% chance of surviving to 90), so I excluded it from the average.

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The next chart shows the difference between the "true" probability and the average of the survey responses.

And finally, here is a look at the data combined into one chart.

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Some observations:
-In all three cases, respondents underestimated the probability of surviving to 60, and overestimated the probability of surviving to 90.
-Every single respondent underestimated the probability of surviving to 60, and in the case of an obese person, most respondents severely underestimated the probability.
-Respondents were furthest from the "truth" with the obese person, and closest to the "truth" with the a person in the healthy weight range.
-On average, respondents overestimated the degree to which a higher BMI lessens life expectancy.
I think this topic of truth versus intuition in how BMI affects life expectancy deserves much more attention. It's pretty sad if the most information comes from a confusing blog survey with 12 responses. Please let me know if you are aware of any serious research done on this.
If, for some reason, you'd like to play with the data yourself, the survey responses are available here.
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Related:
Life expectancy charts
Life expectancy map of the U.S.






































