
The way obesity is diagnosed needs to become more sophisticated, an international commission has concluded. Using body-mass index (BMI) to tell who is overweight or obese is not reliable, and can result in misdiagnosis, the Commission on Clinical Obesity says in a new paper published today in The Lancet Diabetes & Endocrinology. “People with excess body fat do not always have a BMI that indicates they are living with obesity, meaning their health problems can go unnoticed,” commission member Dr. Robert Eckel, chair of atherosclerosis with the University of Colorado Anschutz Medical Campus said in a news release. “Additionally, some people have a high BMI and high body fat but maintain normal organ and body functions, with no signs or symptoms of ongoing illness,” Eckel added. Instead of BMI, the commission recommends that obesity be diagnosed through one of these methods: Using another measurement of body size (waist circumference, waist-to-hip ratio or waist-to-height ratio) along with BMI. Using two of those body size measurements without BMI. Making direct measurements of body fat using sophisticated scans. Assuming that people with very high BMI above 40 are clinically obese. “Relying on BMI alone to diagnose obesity is problematic as some people tend to store excess fat at the waist or in and around their organs, such as the liver, the heart or the muscles, and this is… read on > read on >