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Clinical Daily News
AMA ASKS CLINICIANS TO REDUCE FOCUS ON BMI AS HEALTH MEASURE
June 15, 2023
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The American Medical Association on Tuesday voted to adopt a policy that
encourages clinicians to reduce their focus on body mass index (BMI) in health
assessments, stating that the measurement is based on racially exclusive data
and has caused harm.
The new policy states that when BMI is used by clinicians, it should be
considered alongside other measures, including body composition, waist
circumference and genetics, healthcare news outlet STAT reported.
At its annual meeting this week, the AMA said that current BMI cutoffs are based
on outdated data from a narrow population of non-Hispanic whites, and exclude
information on gender and ethnicity.
BMI is associated with other issues as well, STAT reported. It doesn’t account
for differences in some physical characteristics that may be crucial in health
assessments, such as fat and lean mass, or account for body fat location.
Its cutoffs also don’t capture risks across racial groups, an AMA subcommittee
found. For example, members of racial minority groups including Asians,
Hispanics and Blacks have a higher risk of developing type 2 diabetes at lower
BMIs than white people. In addition, BMI may not help to uncover eating
disorders, and use of the measure is associated with weight bias and insurance
barriers, STAT noted.
Alongside its change in policy on BMI, the AMA has also decided to change its
guidance on obesity assessments, emphasizing that risks are different between
and within demographic groups, and that clinician education should also focus on
measures such as body composition, adiposity and waist circumference, it said.
The full story can be found here.
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