The European Association for the Study of Obesity has recommended moving away from BMI to diagnose obesity. Caroline Messer, MD, explains why BMI isn't always the best indicator of obesity.
Clinical Assistant Professor, Mount Sinai School of Medicine; Associate Professor, Hofstra School of Medicine, New York , NY, elevated cholesterol, and severe reflux. His wife sent him to me when his snoring became so loud and"violent" that she could no longer sleep in the same bedroom.
On exam, his arms and legs were relatively thin, but he had a hard, protuberant belly. Given his body habits, comorbidities, and family history of early heart disease, I was worried that his weight would eventually become life-threatening. Solely on the basis of BMI criteria, however, he is not considered to be at high risk.
The guidelines further argue that BMI does not appropriately predict cardiometabolic risk in patients with BMI 25 and a waist-to-height ratio > 0.5. In the United States, pharmacotherapy is typically approved for patients with a BMI of 27 or higher with a comorbidity or a BMI over 30.. Thank goodness for compounded semaglutide to fill this void until the medical world catches up with the EASO guidelines.
Obese Body Mass Index BMI Clinical Guidelines Guidelines New York Europe European Fellowship Fellows Residency Residents Cardiometabolic Risk Cardiometabolic Risk Factors Eating Disorders Bone Densitometry Dual Energy X-Ray Absorptiometry Depression Practice Management Revenue Weight Management Blood Exercise Physical Activity Heart Insulin Resistance Insurance Nutrition
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