Not to be "that guy" but being thin does not by itself make a person healthy. Lots of thin people have heart disease. And a lot of that is genetics. I mean that personal trainer / host from The Biggest Loser had a major heart attack a few years ago. It can happen to anyone. Even thin people should get a physical once a year.
Agreed, I've had times where I've been very thin and been super healthy climbing/running/natural diet/etc...and times I've been very thin and not very healthy/active, overstressed and getting bad sleep. I don't think my weight has much to do with my health...but suddenly gaining 50 lbs (not muscle) after being naturally thin most my life is not a good thing.
The one time in my life I suddenly gained that weight was the six months I started eating a lot of processed fast food, nearly every breakfast. Fine once or twice a month but it's literally a killer as a regular thing.
Frequent McDs turned a chronically skinny person to borderline overweight in six months at age 32. Never been an issue before or after that.