Ethicist: Should 'Body Roundness Index' Replace Flawed BMI?

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Ethicist: Should 'Body Roundness Index' Replace Flawed BMI?
ObesityObeseBody Mass Index
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Ethicist Art Caplan discusses a newer measure for assessing health problems due to weight: the body roundness index.

Served as a director, officer, partner, employee, advisor, consultant, or trustee for: Johnson & Johnson's Panel for Compassionate Drug Use

It's a medical screening tool that often comes up at a physical, and it's widely used and has been for many years, but it is deeply flawed. It doesn't really account for racial, ethnic, gender, or age diversity. It was norm scaled, if you will, many years ago, according to a small sample of White men in the armed services.

With all these problems of scale of the BMI, a new scale or measure has been proposed, called the body roundness index . Many experts in obesity, metabolism, and diabetes believe that this is a much better indicator of health issues due to weight. It's a measure of how round you are, literally, around your stomach.

When you're talking to people about weight, it is time, I think, to start to shift away from the BMI. I'm not arguing that it isn't important to get on a scale and see what your weight is overall, but where that weight is and how it's distributed in your body, experts are starting to understand, is really the issue that ought to be most concerning.

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