Why the focus on weight and body mass index can offer skewed look at health

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Why the focus on weight and body mass index can offer skewed look at health
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Research has shown that using BMI to determine health overestimates the number of unhealthy people.

Since individuals with a higher body mass index are more likely to have health problems, it has been presumed that higher weight is the cause of specific diseases with weight loss being the solution. A recent story from the University of Georgia website headlined, shows that using BMI to determine health overestimates the number of unhealthy people. Instead, healthcare providers should be looking at improving cardiometabolic health to best help their patients.

Historically, medical schools have taught the use of BMI to gauge patients’ health status. This may be problematic for more than one reason. Weight stigma is a type of discrimination that wrongly connects obesity with laziness and overconsumption not taking into account the more valid biological and systemic factors that impact weight. Bias that may lead physicians and other health care providers to be less empathetic towards overweight and obese patients can result in lower quality medical care. Studies have shown that the burden of weight stigma and associated stress may be more detrimental to health than being obese.

A 2021 survey of medical schools in the United States and the United Kingdom, published in the Journal of Human Nutrition and Dietetics, found that most medical students receive an average of 11 hours of nutrition training. Much of this training is focused on the science of nutrition, not the practical aspects that are needed to personalize nutrition recommendations.

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