New Obesity Diagnosis Moves Beyond BMI

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New Obesity Diagnosis Moves Beyond BMI
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Scientists propose a new system for diagnosing obesity that considers more than just body mass index (BMI). This approach looks at how excess body fat affects a person's health, taking into account factors like waist circumference, body composition, and medical history.

Instead of using the controversial body mass index, or BMI , to assess weight, an international group of scientists proposes an approach that looks at how excess body fat affects healthA healthcare professional administers a cardiology test with electrodes and blood pressure cuff. Current methods for diagnosing obesity don’t capture the complexity of the condition, say researchers.is defined and diagnosed, arguing that current methods fail to capture the complexity of the condition.

For people of European descent, obesity is typically defined by a BMI of 30 or higher, which correlates with a high level of body fat. However, a muscular athlete might be labelled obese on the basis of BMI, whereas someone with a ‘normal’ BMI might have excess fat that increases their risk of heart problems or other serious health issues, says Francesco Rubino, a bariatric surgeon at King’s College London, who led the group proposing the new approach.

Diagnosing obesity should also consider the results of standard laboratory tests, medical history, and information on daily activities to assess how excess body fat might affect a person’s health, says study co-author Robert Eckel, an endocrinologist at the University of Colorado Anschutz Medical Campus in Aurora. “These are objective diagnostic criteria, they’re standardized across global health systems,” he says.

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