Body mass index is a barrier to obesity treatment

被引:1
作者
Chin, Geoffrey C. [1 ]
Potter, Adam W. [1 ]
Friedl, Karl E. [2 ]
机构
[1] United States US Army Res Inst Environm Med, Thermal & Mt Med Div, Natick, MA 01760 USA
[2] United States US Army Res Inst Environm Med, Off Sr Scientist, Natick, MA USA
关键词
body fat; body mass index; BMI; metabolic syndrome; obesity; WAIST CIRCUMFERENCE; METABOLIC SYNDROME; RISK; BMI; FAT;
D O I
10.3389/fendo.2024.1444568
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The Food and Drug Administration's (FDA) obesity drug guidance is set on the basis of body mass index (BMI), with thresholds of either BMI >= 30 or BMI >= 27 kg/m2 with weight-related comorbidities. While BMI is associated with obesity-related health outcomes, there are known limitations to use as a direct measure of body fat or metabolic health, and the American Medical Association has highlighted limitations of BMI in assessing individual obesity risks. BMI thresholds impose a barrier to treatment. In a sample from the NHANES dataset (n=6,646 men and women), 36% of individuals with metabolic syndrome (MetS) may not be eligible for obesity pharmacotherapy. This analysis provides quantifiable justification for refinement of the BMI treatment criteria with a more holistic assessment of individual obesity-related disease risk.
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页数:5
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