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The Guardian - UK
The Guardian - UK
Politics
Rachel Hall

After call to overhaul diagnosis of obesity, how can you tell if your weight is a problem?

generic image showing hands of doctor wearing blue surgical gloves and holding prescription pad; the pocket of their blue overalls contains a syringe and there is a stethoscope around their neck
Clinicians can instead determine whether someone has ‘clinical’ or ‘pre-clinical’ obesity and assess their risk of developing health problems and disease. Photograph: bdavid32/Alamy

This week, doctors confirmed what many people have felt for a long time: the way we think about obesity is not helpful, BMI (body mass index) is unreliable, and this needs to change.

The Lancet Commission has urged a “radical overhaul” of how obesity is diagnosed, warning that reliance on BMI has resulted in both under- and over-diagnosis of the condition affecting approximately 1 billion people globally.

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