Panel Suggests Fresh Criteria for Obesity Definition

CU Anschutz researcher discusses why BMI should not be the only metric for obesity diagnosis

A new framework for defining and diagnosing obesity moves beyond body mass index (BMI), encouraging the use of multiple measurements. Experts hope the changes will transform obesity care by using more reliable measures of health and illness.

The recommended new definition captures obesity as a spectrum of conditions and is a first step toward addressing a major health crisis, according to Robert H. Eckel, MD, professor emeritus in the Division of Endocrinology, Metabolism and Diabetes and Division of Cardiology at the University of Colorado School of Medicine.

As a member of the Commission on Clinical Obesity, Eckel and 56 global experts created a new definition and diagnostic framework for obesity, ensuring it would be inclusive, adaptable to various settings and meet the needs of individuals living with obesity worldwide. Published in The Lancet Diabetes & Endocrinology and endorsed by more than 75 international medical organizations, the goal is to improve the lives of people with obesity.

In this Q&A, Eckel shares highlights from the recommendations, including the commission's decision to not classify obesity as a disease, despite historical and ongoing debate.

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