A global team of experts is urging a shift in how obesity is defined and diagnosed, warning that too many individuals are labeled as obese without sufficient consideration of the complexities involved. The report emphasizes the need for a more accurate and nuanced framework to address the issue effectively.
Beyond BMI: A Holistic View of Obesity
Traditionally, obesity has been identified using the Body Mass Index (BMI), a basic measure of weight relative to height. However, the report suggests this approach overlooks critical aspects of a person’s overall health. Instead, doctors are encouraged to evaluate the broader health implications of excess fat rather than relying solely on BMI scores.
According to the report, individuals suffering from chronic illnesses linked to their weight should be diagnosed with “clinical obesity.” In contrast, those without immediate health issues, despite having excess fat, should be classified under “pre-clinical obesity.”
The Global Impact of Obesity
With over a billion people worldwide living with obesity, the demand for weight-loss medications has surged significantly. The findings, published in The Lancet Diabetes & Endocrinology journal, have garnered the backing of over 50 medical experts across the globe.
Understanding the Spectrum of Obesity
“Obesity is not a one-size-fits-all condition; it exists on a spectrum,” explains Professor Francesco Rubino from King’s College London, who chaired the group behind the report.
“Some individuals with obesity lead normal, functional lives, while others face debilitating health challenges, such as difficulty walking, breathing, or dependence on wheelchairs,” he added.
A Call for Reframing
The report advocates for a comprehensive reframing of obesity, aiming to distinguish between those who are already affected by related diseases and those who, while currently healthy, may be at increased risk in the future.
