Health
New study suggests ditching BMI for 'roundness'-based system
A recently-published study suggests that a body “roundness” index may be a better measure of health than body mass index (BMI).
The article, called “Body Roundness Index and All-Cause Mortality Among US Adults,” was published in the Journal of the American Medical Association (JAMA) this month. It promotes the use of the body roundness index (BRI), which was created in 2013.
BMI, which has been the standard for measuring obesity since the 1980s, is calculated by dividing a person’s weight by the square of their height in feet. It was first developed by Belgian mathematician Lambert Adolphe Jacques Quetelet in the 19th century.
On the BMI scale, any number lower than 18.5 is considered underweight. A BMI between 25 and 30 is considered overweight, and a BMI score exceeding 30 is considered obese.
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Although BMI is the standard way to measure obesity, it does come with its downsides. For example, because muscle adds on pounds, a healthy, muscular person who weighs a certain amount could be deemed overweight or obese using BMI.
BRI, on the other hand, is calculated using height and weight circumference, instead of just height and weight. BRI scores are also determined by using a more complicated mathematical equation.
“Besides weight and height, BRI additionally considers waist circumference, and hence it can more comprehensively reflect visceral fat distribution,” the study explains.
According to the study, BRI was found to be a more effective way of measuring mortality in a group of patients.
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“BRI was found to be superior over other anthropometric indicators in estimating the risk for various clinical end points, including cardiometabolic disease, kidney disease, and cancer,” the study claimed.
Researchers also said that their findings suggested that BRI “may be promising as a newer anthropometric measure associated with all-cause mortality.”
“Our findings provide compelling evidence for the application of BRI as a noninvasive and easy to obtain screening tool for estimation of mortality risk and identification of high-risk individuals, a novel concept that could be incorporated into public health practice pending consistent validation in other independent studies,” the article concluded.
The American Medical Association (AMA) has taken aim at BMI in the past. Last year, an AMA report called the use of BMI “imperfect” and “problematic,” and claimed that it has been used for “racist exclusion.”
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“BMI cutoffs are based on the imagined ideal Caucasian and [do] not consider a person’s gender or ethnicity,” a report presented at the 2023 AMA Annual Meeting read.
Fox News contributor Dr. Marc Siegel criticized the allegations, calling the criticisms “politics, not medicine.”
“I didn’t believe the AMA was going to get involved in cancel culture, but now they’re canceling the body mass index, which is the thing I look at to at least start me off in the direction of obesity,” Siegel said.
“It’s not racist — it’s called good medicine.”
Fox News Digital’s Melissa Rudy contributed to this report.
Health
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Health
One state leads country in human bird flu with nearly 40 confirmed cases
A child in California is presumed to have H5N1 bird flu, according to the San Francisco Department of Public Health (SFDPH).
As of Dec. 23, there had been 36 confirmed human cases of bird flu in the state, according to the California Department of Public Health (CDPH).
This represents more than half of the human cases in the country.
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The latest pediatric patient, who lives in San Francisco, experienced fever and conjunctivitis (pink eye) as a result of the infection.
The unnamed patient was not hospitalized and has fully recovered, according to the SFDPH.
The child tested positive for bird flu at the SFDPH Public Health Laboratory. The U.S. Centers for Disease Control and Prevention (CDC) will perform additional tests to confirm the result.
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It is not yet known how the child was exposed to the virus and an investigation is ongoing.
“I want to assure everyone in our city that the risk to the general public is low, and there is no current evidence that the virus can be transmitted between people,” said Dr. Grant Colfax, director of health, in the press release.
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“We will continue to investigate this presumptive case, and I am urging all San Franciscans to avoid direct contact with sick or dead birds, especially wild birds and poultry. Also, please avoid unpasteurized dairy products.”
Samuel Scarpino, director of AI and life sciences and professor of health sciences at Northeastern University in Boston, is calling for “decisive action” to protect individuals who may be in contact with infected livestock and also to alert the public about the risks associated with wild birds and infected backyard flocks.
“While I agree that the risk to the broader public remains low, we continue to see signs of escalating risk associated with this outbreak,” he told Fox News Digital.
Experts have warned that the possibility of mutations in the virus could enable person-to-person transmission.
“While the H5N1 virus is currently thought to only transmit from animals to humans, multiple mutations that can enhance human-to-human transmission have been observed in the severely sick American,” Dr. Jacob Glanville, CEO of Centivax, a San Francisco biotechnology company, told Fox News Digital.
“This highlights the requirement for vigilance and preparation in the event that additional mutations create a human-transmissible pandemic strain.”
As of Jan. 10, there have been a total of 707 infected cattle in California, per reports from the California Department of Food and Agriculture (CDFA).
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In the last 30 days alone, the virus has been confirmed in 84 dairy farms in the state.
Health
Chronic Pain Afflicts Billions of People. It’s Time for a Revolution.
“In the beginning, everyone thought they were going to find this one breakthrough pain drug that would replace opioids,” Gereau said. Increasingly, though, it’s looking like chronic pain, like cancer, could end up having a range of genetic and cellular drivers that vary both by condition and by the particular makeup of the person experiencing it. “What we’re learning is that pain is not just one thing,” Gereau added. “It’s a thousand different things, all called ‘pain.’”
For patients, too, the landscape of chronic pain is wildly varied. Some people endure a miserable year of low-back pain, only to have it vanish for no clear reason. Others aren’t so lucky. A friend of a friend spent five years with extreme pain in his arm and face after roughhousing with his son. He had to stop working, couldn’t drive, couldn’t even ride in a car without a neck brace. His doctors prescribed endless medications: the maximum dose of gabapentin, plus duloxetine and others. At one point, he admitted himself to a psychiatric ward, because his pain was so bad that he’d become suicidal. There, he met other people who also became suicidal after years of living with terrible pain day in and day out.
The thing that makes chronic pain so awful is that it’s chronic: a grinding distress that never ends. For those with extreme pain, that’s easy to understand. But even less severe cases can be miserable. A pain rating of 3 or 4 out of 10 sounds mild, but having it almost all the time is grueling — and limiting. Unlike a broken arm, which gets better, or tendinitis, which hurts mostly in response to overuse, chronic pain makes your whole world shrink. It’s harder to work, and to exercise, and even to do the many smaller things that make life rewarding and rich.
It’s also lonely. When my arms first went crazy, I could barely function. But even after the worst had passed, I saw friends rarely; I still couldn’t drive more than a few minutes, or sit comfortably in a chair, and I felt guilty inviting people over when there wasn’t anything to do. As Christin Veasley, director and co-founder of the Chronic Pain Research Alliance, puts it: “With acute pain, medications, if you take them, they get you over a hump, and you go on your way. What people don’t realize is that when you have chronic pain, even if you’re also taking meds, you rarely feel like you were before. At best, they can reduce your pain, but usually don’t eliminate it.”
A cruel Catch-22 around chronic pain is that it often leads to anxiety and depression, both of which can make pain worse. That’s partly because focusing on a thing can reinforce it, but also because emotional states have physical effects. Both anxiety and depression are known to increase inflammation, which can also worsen pain. As a result, pain management often includes cognitive behavioral therapy, meditation practice or other coping skills. But while those tools are vital, it’s notoriously hard to reprogram our reactions. Our minds and bodies have evolved both to anticipate pain and to remember it, making it hard not to worry. And because chronic pain is so uncomfortable and isolating, it’s also depressing.
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