A new report by global experts suggests that a fresh and more accurate definition of obesity is needed, indicating that many people are misdiagnosed because they are only measured using their body mass index (BMI). The report argues that physicians should instead consider patients’ overall health, not just their BMI. Those suffering from weight-related medical conditions should be described as having “clinical obesity,” while patients without health problems could have “pre-clinical obesity.” Obesity, the report explains, exists on a spectrum, which means that patients’ experiences with the disease can be very varied.
The Lancet Diabetes & Endocrinology journal published the report, which was supported by over 50 medical experts worldwide. Nearly one billion people are estimated to live with obesity globally, and the demand for prescription weight-loss drugs is high. The report calls for a “reframing” of obesity, distinguishing between patients with a disease and those who are healthy but at risk of developing it later.
Currently, in most countries, obesity is defined as having a BMI over 30. But BMI does not account for a patient’s overall health and fails to consider the different colours of fat in one’s body. The experts are proposing a new model that recognises signs of obesity affecting organs and its impact on daily life. Patients with “pre-clinical obesity” should be offered weight-loss advice, counselling, and monitoring to reduce the risk of health problems developing. However, those with clinical obesity may need drug treatment.
Although both pre-clinical and clinical obesity are critical public health issues and need adequate attention, some medical experts are concerned that limited funding could result in less support for those identified as pre-obese. The Royal College of Physicians backs the report and considers the new approach would enable people with obesity to receive more appropriate care.
The report reflects the need for a difference in treating obesity from current practice, placing greater importance on diagnosing patients appropriately. By doing this, it will ensure they receive tailor-made treatments specific to their health and wellbeing
Read the full article from The BBC here: Read More
