Obesity needs new definition, says global report

Obesity needs new definition, says global report

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272BHP

Original Poster:

6,296 posts

251 months

Wednesday 15th January
quotequote all
https://www.bbc.co.uk/news/articles/c79dz14d30ro

There is a risk too many people are being diagnosed as obese when "a more accurate" and "nuanced" definition is needed, a report from global experts, external says.

In other words, loads of patients are asking for weight loss drugs and we cannot afford it laugh

Gecko1978

11,450 posts

172 months

Wednesday 15th January
quotequote all
272BHP said:
https://www.bbc.co.uk/news/articles/c79dz14d30ro

There is a risk too many people are being diagnosed as obese when "a more accurate" and "nuanced" definition is needed, a report from global experts, external says.

In other words, loads of patients are asking for weight loss drugs and we cannot afford it laugh
How to fix waiting lists...redefine what be a fit greedy lazy fk is. Can't see any problems with that...cough brushing under carpet cough

ATG

22,128 posts

287 months

Wednesday 15th January
quotequote all
Is this really just "BMI is crap" again? At a population level it's a useful measure. At the level of the individual it is really crude. There's nothing new here.

272BHP

Original Poster:

6,296 posts

251 months

Wednesday 15th January
quotequote all
The NHS will just use it as a way of not treating patients with expensive medication - they have form with this approach.

I suspect the fallout will be that it will indirectly normalise obesity.

daveco

4,321 posts

222 months

Wednesday 15th January
quotequote all
ATG said:
Is this really just "BMI is crap" again? At a population level it's a useful measure. At the level of the individual it is really crude. There's nothing new here.
It can't be useful at population level if it's inaccurate at individual level surely?

If a person carries any sort of noticeable muscle mass, it isn't accurate iirc.

Bill

55,818 posts

270 months

Wednesday 15th January
quotequote all
It's not a new definition. It's splitting obesity into two groups, those who have illnesses related to their weight and those who don't.

272BHP said:
I suspect the fallout will be that it will indirectly normalise obesity.
Society has normalised obesity.

ATG

22,128 posts

287 months

Wednesday 15th January
quotequote all
daveco said:
ATG said:
Is this really just "BMI is crap" again? At a population level it's a useful measure. At the level of the individual it is really crude. There's nothing new here.
It can't be useful at population level if it's inaccurate at individual level surely?
Yes, it can. The Law of Large Numbers ... meaning having a large sample size so that the random errors in individual measurements naturally cancel each other out.

If you roll a die once you'll get a number between 1 and 6. What's your best estimate of the average score of that die? It'll be whatever number you just rolled and that's clearly really inaccurate.

If instead you roll 1000 dice and take the average score, it's going to be almost exactly 3.5.

It's the same thing with BMI. If you have a large sample size of people, the overestimation of lardiness caused by short muscly people will get cancelled out by the underestimation caused by tall, weedy, fatsos. For a large sample size BMI statistics can tell you something useful about the fatness in the population as a whole, while still telling you not much about any one individual.

Gecko1978

11,450 posts

172 months

Wednesday 15th January
quotequote all
daveco said:
ATG said:
Is this really just "BMI is crap" again? At a population level it's a useful measure. At the level of the individual it is really crude. There's nothing new here.
It can't be useful at population level if it's inaccurate at individual level surely?

If a person carries any sort of noticeable muscle mass, it isn't accurate iirc.
I am 100 to 105kg I am 5'11 so I believe according to BMI I am obese. An I agree I need to loose belly fat. I am not shying away from that. I have for many years been a regular gym goer (5 to 7 times a week). I hit 10k steps a day inspite of having a desk job and by end of 2024 had done 75 Tough Mudder events.

All that said yes I suspect muscle mass is impacting my BMI but I don't dismiss it as a waste of time of an excuse to not train. At 46 I have resting heart rate of 57 and Low blood pressure.

As I said belly fat is more than I need so I don't dismiss what BMI shows me when clearly I can improve.

Skeptisk

8,897 posts

124 months

Wednesday 15th January
quotequote all
272BHP said:
https://www.bbc.co.uk/news/articles/c79dz14d30ro

There is a risk too many people are being diagnosed as obese when "a more accurate" and "nuanced" definition is needed, a report from global experts, external says.

In other words, loads of patients are asking for weight loss drugs and we cannot afford it laugh
People not obese according to BMI may be obese by body fat or health symptoms so BMI can be wrong in both directions ie under as well as over reporting.

BMI is just a warning flag - but still a fairly accurate one - of risk of health problems from obesity.

BunkMoreland

2,068 posts

22 months

Wednesday 15th January
quotequote all
Bill said:
Society has normalised obesity.
Mainly because you aren't allowed to bully fat people anymore! hehe

If you were allowed to wind down your window and give a rendition of "who ate all the pies" whenever you saw some heap of human excrement waddling along or on their fking NHS funded mobility scooters for fat fks. I think it would do more for UK health than any silly drugs!

Silvanus

6,897 posts

38 months

Wednesday 15th January
quotequote all
BunkMoreland said:
Bill said:
Society has normalised obesity.
Mainly because you aren't allowed to bully fat people anymore! hehe

If you were allowed to wind down your window and give a rendition of "who ate all the pies" whenever you saw some heap of human excrement waddling along or on their fking NHS funded mobility scooters for fat fks. I think it would do more for UK health than any silly drugs!
If we were allowed to do that there'd be a lot of people losing their voices hehe