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使用和滥用BMI类别的使用和滥用
1Affiliate at Stanford Research Center in Palo Alto, California.
AMA journal of ethics
|July 11, 2023
概括
体重指数 (BMI) 是衡量体重与身高的指标. 尽管它被医学化并归类为一种疾病,但专注于BMI和减肥提供了有限的健康益处,并可能造成伤害.
科学领域:
- 医疗史 病史 病史
- 公共卫生 公共卫生
- 肥胖研究的研究.
背景情况:
- 身体质量指数 (BMI) 起源于19世纪的身高与体重比.
- 超重和肥胖直到20世纪末才被广泛视为人口健康风险.
- 20世纪90年代减肥药物的发展刺激了BMI的医疗化.
研究的目的:
- 分析身体质量指数 (BMI) 的历史医学化.
- 评估将肥胖归类为疾病的健康结果和社会影响.
- 检查BMI为中心的体重管理方法的有效性.
主要方法:
- 医学和政府对BMI和肥胖的分类的历史分析.
- 关于肥胖治疗报销的政策变化的审查.
- 检查与BMI类别和减肥干预措施相关的健康益处和危害的研究.
主要成果:
- 世界卫生组织和美国政府在1997年采用了BMI定义的肥胖类别.
- 2004年政策变化使减肥治疗的费用可以退还.
- 美国医学会在2013年承认肥胖是一种疾病.
- 目前的证据表明,BMI重点对健康的益处有限,并且可能存在与体重相关的歧视.
结论:
- 自20世纪末以来,BMI和肥胖症的医疗化加速了.
- 尽管它被归类为一种疾病,但对BMI和减肥的关注并没有产生显著的健康改善.
- 重量为中心的方法有助于歧视和其他不利影响,需要重新评估肥胖管理策略.
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