Is health and obesity mutual exclusive? Not necessarily, but complicated.
For many years, the size of the body was considered a barrier to most sports, but today the change has begun.
I like the dancer Lizzy Howell -It is a social media that inspires others to lace their point shoes while breaking the Fouetté turn while breaking the skinny mold. “Recreation ballet as an adult has fundamentally healed the relationship with my body.” One beginner ballerina speaks in TiktokWith hashtag #doitfat. “Instead of seeing my size, you can focus on power and technology.”
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other Tiktoker passing through Emilyjeanaro I created a post on a flawless line and a smooth pose: And the way she started “200 pound yoga practitioners.”
and Mirna ValerioThe founder of the running world and the founder of the “FAT Girl Running” blog teaches the new generation’s plus players, saying, “You don’t have to see it in a particular way.”
More than two out of five American adults (or 42%) Many people in the medical field have obesity, but we say that the way we diagnose it is unbelievable and misleading the patient’s health.
Physical activity is important, but experts say that there is more to consider.
What exactly is obesity?
The World Health Organization defines obesity “Abnormal or excessive fat accumulation that causes risks for health.”
Fats achieve the purpose with the fuel stored for the body to use, but too many can cause or worsen chronic problems.
“Some conditions, such as joint pain, arthritis, exercise noluncy and asthma, may be due to simply carrying additional weight.” Dr. Andrea CovieloUNC HEALTH’s weight management program will tell you to Yahoo Life.
The body mass index (BMI) is a measure commonly used to define obesity, and is calculated by taking individual weight by kilograms and divided into square (meters) of height.
Disease control and prevention center are as follows. Obesity based on the BMI of adults aged 20 or older:
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Low body: BMI with less than 18.5
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Healthy weight: less than BMI 18.5 ~ 25
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Overweight: less than 25-30 BMI
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Class 1 Obesity: BMI less than 30 ~ 35
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Class 2 Obesity: BMI less than 35-40
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Class 3 obesity (severe obesity): BMI 40 or more
Is there obesity and still healthy?
recent Lancet Commission report on clinical obesity “Obesity is generally considered a pioneer of a disease other than the disease itself, and” the idea of obesity as a disease is still controversial. ” Therefore, although obesity can be obtained without any other health problems, obesity diagnosis means that health problems may occur at some point unless measures are taken to control measures.
Dr. Sun KimStanford’s endocrine scholars, who specialize in the treatment of type 2 diabetes and obesity, can be classified as obesity in Yahoo life, but they can still be healthy, but even the term “healthy” is subjective.
Kim said, “We do not have a clear definition of ‘health’, but if you say that someone has obesity, it suggests that there is excessive body fat.
KIM explains that some of the problems are used as “surrogate” for BMI to measure body fat, but BMI is not actually a direct measurement, and that BMI can misplace or diagnose people with obesity. For example, Covielo says that a group that can be categorized as obesity is a young, muscular man who can have BMI in “overweight” range (BMI 25-29), but in reality it has a normal amount of fat with high muscle mass. On the contrary, the elderly who have lost a lot of bones and muscle mass can technically have high body fat without meeting the BMI threshold of obesity.
“You can’t hire risks only in BMI. That is the conclusion. ” Dr. William DietStop Besity Alliance Director and Professor of Movement and Nutrition Science of George Washington University speaks in Yahoo Life. “Increasing BMI does not mean that there is a body fat that may cause disease.”
But is it enough to say decisively if an individual is “healthy” or “harmful to health” even if the body fat is higher? Can a person with obesity still be considered healthy? Dietz says it depends.
Dietz said, “Physical activity is important, but not all side effects of body fat. In other words, just because someone can have a physical achievement like 5K does not mean that there is no fundamental condition that can cause problems later.
“BMI can increase, increase lipids, or increase blood pressure or diabetes.” Dietz says. “They are not necessarily considered ‘health’, but they do not have functional disorders. In other words, people can still be physically. And (physical activity) will reduce the risk, but it does not completely remove. ”
COVIELLO added that people can be in the obesity BMI category and have no obesity -related disorders, but “people with obesity are very likely to develop related conditions over time.”
Should I think about how to define obesity?
Current measures for obesity rely heavily on BMI, but experts are more and more alerts that they need to be inspected.
recent LANCET report I tried to distinguish obesity from clinical obesity. The two conditions proposed by the committee should be defined not only by increasing BMI but also by whether the waist circumference increases. And to be qualified to have a “clinical obesity”, an individual must have one of 18 “obesity -related diseases”, such as metabolic diseases such as cardiovascular disease or type 2 diabetes. In other words, simply having excessive body fat was not enough to be classified as “clinical obesity”.
When measuring the risk of health and disease, these are part of the BMI that experts should consider it.
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Waist circumference. The waist circumference that is considered with BMI is the key. Generally a Waist circumference is 35 inches or more for women or 40 inches or more for men. The risk of obesity -related diseases increases. But Dietz says that one of the remaining questions is that the waist circumference is exactly or where to measure (not yet standardized). For example, Dietz says that many people with more severe obesity tend to have abdominal fat overlapping their backs. “So do you measure the waist circumference around the protrusions of the fat, or do you measure it under that protruding? It is part of the debate over the complexity of adding the measurement. ”Dietz says.
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Visual fat to subcutaneous fat. Not all fats are created the same. Subcutaneous fat is easy to see and feel under the skin. Visual fat is difficult to detect but can be dangerous. It is stored deep in the abdomen and surrounding organs and consists of biological active cells that can cause inflammation and other harmful effects on the body. Dietz said, “You can have two people, the same BMI with a completely different fat distribution. “Some people have a lot of subcutaneous fat and not much visceral fat, and in the same BMI, others are visceral fat, but they have little subcutaneous fat.”
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Fat location. The location of excessive fat can also tell you a lot about your health. Dietz said, “For example, women are not a risk factor, but the abdominal circumference is a risk of not only increasing body fat but also about the likelihood of increasing clinical risks. In other words, the weight in the middle can cause concern than the weight of the thighs and hips.
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Chronic disorder. Experts also say that clinical obesity should be defined depending on whether a person has a accompanying disease. Covielo says the UNC team considers chronic disorders when measuring the health of the patient. COVIELLO said, “High blood pressure, diabetes, cholesterol problems, fatty liver disease, obstructive sleep apnea, cardiovascular disease is a common condition associated with obesity.
Since some of these risk factors are not seen, experts say that another reason is that we should not make a snap to the health of others depending on weight. Obesity diagnosis can be reported to patients and medical service providers who need to go step by step to prevent health results, but it does not necessarily mean that obesity -related diseases interfere with life at that moment. And it is especially important given that even the way we diagnose obesity is increasingly questioned.
