Obesity
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Is BMI the best metric for assessing obesity and cardiometabolic risks?
Obesity is a dysregulation of the energy balance pathways in the human body. People with obesity are defending an abnormal body weight set point, and we can recognize and start to address that with the easiest tool we have, BMI. You just need height and weight, and you can calculate it. However, in certain populations, the standard cutoff values do not accurately correspond to risks. Someone who is Asian and has a BMI of 23 kg/m2 or 24 kg/m2, may have a “normal” BMI, but in reality, patients of Asian descent have a higher risk at a lower BMI. It’s the same thing for African Americans at higher BMI cutoff values.