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Use and Misuse of BMI Categories.

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  • Author(s): Flegal KM;Flegal KM
  • Source:
    AMA journal of ethics [AMA J Ethics] 2023 Jul 01; Vol. 25 (7), pp. E550-558. Date of Electronic Publication: 2023 Jul 01.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: American Medical Association Country of Publication: United States NLM ID: 101649265 Publication Model: Electronic Cited Medium: Internet ISSN: 2376-6980 (Electronic) NLM ISO Abbreviation: AMA J Ethics Subsets: MEDLINE
    • Publication Information:
      Original Publication: Chicago, IL : American Medical Association, [2015]-
    • Subject Terms:
    • Abstract:
      Body mass index (BMI) was introduced in the 19th century as a measure of weight relative to height. Before the late 20th century, overweight and obesity were not considered a population-wide health risk, but the advent of new weight loss drugs in the 1990s accelerated the medicalization of BMI. A BMI category labeled obesity was adopted in 1997 by a World Health Organization consultation and subsequently by the US government. Language in the National Coverage Determinations Manual stating that "obesity itself cannot be considered an illness" was removed in 2004, allowing reimbursement for weight loss treatments. In 2013, the American Medical Association declared obesity to be a disease. Yet the focus on BMI categories and on weight loss has yielded few health benefits and contributes to weight-related discrimination and other potential harms.
      (Copyright 2023 American Medical Association. All Rights Reserved.)
    • Publication Date:
      Date Created: 20230711 Date Completed: 20230713 Latest Revision: 20230718
    • Publication Date:
      20240514
    • Accession Number:
      10.1001/amajethics.2023.550
    • Accession Number:
      37432009