Experts Debate Best Way to Define Obesity

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Experts Debate Best Way to Define Obesity
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The extent to which BMI should continue to factor in, the use of different BMI cutoffs for Asians, and the framing of obesity as a disease are all under a microscope.

The role of body mass index in defining obesity and the definition of obesity as a disease merit reevaluation to avoid unintended consequences, experts said in three new opinion papers.away from using BMI alone to define obesity, noting that the measure remains a useful population-level and clinical tool for addressing adiposity, particularly within racial and ethnic groups.

They suggest the addition of change in weight since early adulthood and over time as a"simple and sensitive variable" for assessing adiposity. Focusing solely on biological causes of obesity while ignoring psychosocial, cultural, environmental, and behavioral contexts could undermine public health and policy efforts to address those factors, Wee argued.

Busetto said that EASO stands by its definition of obesity as a disease, adding"we can adhere to the suggestion of a holistic approach deciding treatment modalities according to the risk and the presence of mental, functional, and medical complications of impairments. Of course, we cannot agree on any proposal that is oriented at leaving patients with obesity still in the asymptomatic phase of the disease without treatment.

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