Pages

Sunday, April 8, 2012

BMI May Be Misclassifying Some Women And Men.


 The Los Angeles Times Share to FacebookShare to Twitter (4/3, Healy) "Booster Shots" blog reports, "As if the nation's weight problems were not daunting enough, a new study has found that the body-mass index, the 200-year-old formula used to distinguish between healthy and unhealthy weight, may be misclassifying roughly half of women and just over 20% of men as healthy when their body-fat composition suggests they are obese." According to a study "published in the journal PLoS One," it used "a patient's ratio of fat-to-lean muscle mass as the 'gold standard' for detecting obesity and suggests that it may be a bellwether of an individual's risk for health problems."
        The researchers "found that when women had a special scan called a dual-energy X-ray absorptiometry (DEXA) scan, which measures body fat, muscle mass and bone density, obesity measured by BMI alone underestimated obesity," HealthDay Share to FacebookShare to Twitter (4/3, Reinberg) reports. "Among the more than 1,300 people who underwent DEXA in the study, almost half of women (48 percent) were misclassified as not obese by BMI, but were found to be obese by percent body fat on DEXA." By "contrast, 25 percent of men were misclassified as being obese by BMI, but were in fact not obese by percent body fat."
        WebMD Share to FacebookShare to Twitter (4/3, Boyles) reports, "Researchers says adding a simple test that measures blood levels of the hormone leptin to BMI could better identify obese people who are at risk for diabetes, heart disease, and other conditions, but an expert who spoke to WebMD is skeptical." The authors "that a more appropriate cut-off point for obesity might be a BMI of 24 for women and 28 for men." In addition, they say "combining BMI with a blood test to measure leptin would give a more accurate picture of a patient's body fat with very little added cost."
        BBC News Share to FacebookShare to Twitter (4/3, Gallagher) quotes one of the study authors who said, "The Body Mass Index is an insensitive measure of obesity, prone to under-diagnosis, while direct fat measurements are superior because they show distribution of body fat." They also said, "Greater loss of muscle mass in women with age exacerbates the misclassification of BMI."  

No comments:

Post a Comment