Health
‘Skinny fat’ warning issued as study finds hidden obesity behind normal BMI
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For decades, BMI (body mass index) has been the go-to number doctors use to decide whether someone is underweight, “normal,” overweight or obese.
But new global research suggests it’s possible to have a normal BMI, look thin in clothes and still meet the medical definition of obesity.
A large study published in JAMA Network Open based on World Health Organization (WHO) survey data examined health data from more than 471,000 adults across 91 countries.
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The researchers looked at people whose BMI fell in the normal range (18.5–24.9) but who carried extra fat around their midsection, measured by waist circumference.
The results showed that roughly 1 in 5 people with a normal BMI had abdominal obesity, a large waistline linked to serious health risks.
Many people who appeared thin still met criteria for obesity, the study found. (iStock)
These so-called “skinny fat” individuals weren’t necessarily healthy just because the scale said they were.
Compared to people of normal BMI and smaller waists, those with belly fat had 29% higher odds of high blood pressure and 81% higher odds of diabetes. They were also significantly more likely to have unhealthy cholesterol and triglyceride levels.
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In short, their metabolism looked more like that of people with obesity, even if their weight didn’t.
The findings seem to expose a blind spot in how obesity is measured. BMI only considers weight and height but says nothing about where fat is stored.
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Fat that sits deep in the abdomen and surrounds vital organs is particularly dangerous, fueling inflammation, insulin resistance and cardiovascular problems, according to experts. Someone can be “thin outside, fat inside,” a concept the researchers call TOFI.
Compared to people of normal BMI and smaller waists, those with belly fat had 29% higher odds of high blood pressure and 81% greater risk of diabetes. (iStock)
Lifestyle also plays a role, the researchers noted. People with normal BMI who had belly fat were more likely to be inactive, eat fewer fruits and vegetables and have desk jobs or unemployment.
That combination of little muscle and lack of movement makes it easier to accumulate visceral fat even without gaining much overall weight.
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The latest research suggests that waist size may be just as important to track as weight.
For most adults, a waist above roughly 32 inches for women or 37 inches for men signals excess abdominal fat and higher health risks.
People with normal BMI who had belly fat were more likely to be inactive, eat fewer fruits and vegetables, and have desk jobs or unemployment. (iStock)
The researchers noted several limitations. Because the study was cross-sectional, it can’t prove cause and effect, only associations.
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Data also came from many countries and time periods, and high-income nations were underrepresented, which may affect how widely the results apply.
The study didn’t include actual body fat scans and instead depended on people’s own reports about their habits, which can make the results less reliable. However, the WHO’s survey methods are generally well-validated.
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Health
Relationship coach blames Oprah for pushing family estrangement ‘for decades’
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Oprah Winfrey is shining a light on family estrangement, which she calls “one of the fastest-growing cultural shifts of our time” — but one expert says the media mogul helped fuel that very culture.
“A Cornell University study now shows that almost one-third of Americans are actively estranged from a family member,” Winfrey said on a recent episode of “The Oprah Podcast,” referring to adult children going “no-contact” with parents, siblings or entire family systems.
Winfrey said the trend is a “silent epidemic” that can be especially relevant during the holidays.
ONE TOXIC BEHAVIOR KILLS RELATIONSHIPS, LEADING HAPPINESS EXPERT WARNS
But family and relationship coach Tania Khazaal, who focuses on fighting “cutoff culture,” took to social media to criticize Winfrey for acting as if the estrangement crisis appeared “out of thin air.”
“Now Oprah is shocked by the aftermath of estrangement, after being one of the biggest voices pushing it for decades,” Canada-based Khazaal said in an Instagram video, which drew more than 27,000 likes and 3,000 comments.
Oprah Winfrey recently discussed what she called a “silent epidemic” of family estrangement on her podcast. (Theo Wargo/Getty Images)
Khazaal claimed that Winfrey’s messaging started in the 1990s and has contributed to a cultural shift where walking away became the first resort, not the last.
According to the relationship coach, millennials, some of whom grew up watching Oprah, are the leading demographic cutting off family members — and even if it wasn’t intentional, “the effect has absolutely been harmful,” Khazaal told Fox News Digital.
FAMILY BREAKUPS OVER POLITICS MAY HURT MORE THAN YOU THINK, EXPERT SAYS
The coach, who has her own history with estrangement, questioned why Winfrey is now treating the issue as a surprising crisis.
“Now she hosts a discussion with estranged parents and estranged kids, speaking on estrangement like it’s some hidden, sudden, heartbreaking epidemic that she had no hand in,” she said in her video.
Nearly one-third of Americans are estranged from a family member, research shows. (iStock)
Khazaal said she believes discussions about estrangement are necessary, but insists that people shouldn’t “rewrite history.”
“Estrangement isn’t entertainment or a trending conversation piece,” she added. “It’s real families, real grief, parents dying without hearing their child’s voice.”
JENNIFER ANISTON, KATE HUDSON, HEATHER GRAHAM’S SHOCKING REASONS THEY BECAME ESTRANGED FROM THEIR PARENTS
Winfrey reportedly responded in the comments, writing, “Happy to have a conversation about it — but not on a reel. Will have my producer contact you if you’re interested.” But the comment was later deleted due to the backlash it received, Khazaal told Fox News Digital.
“I would still be open to that discussion,” Khazaal said. “The first thing I’d want her to understand is simple: Setting aside cases of abuse or danger, the family unit is the most sacred structure we have.”
Experts emphasize that estrangement should be a last resort. (iStock)
“When children lose their sense of belonging at home, they search for it in the outside world,” she added. “That’s contributing to the emotional fragility we’re seeing today.”
Her critique ignited a debate online, with some social media users saying Khazaal is voicing a long-overdue concern.
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“The first time I heard, ‘You can love them from a distance’ was from Oprah … in the ’90s,” one woman said.
“My son estranged himself from us for five years,” one mother commented. “The pain, hurt and damage never goes away.”
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Others, however, argued that Winfrey’s podcast episode was empathetic and that estrangement shouldn’t be oversimplified.
Mental health experts say the conversation around estrangement is more complex than any single celebrity influence, and reflects broader cultural shifts.
Experts say today’s focus on boundaries and emotional well-being has reshaped family expectations. (iStock)
In the episode with Winfrey, Joshua Coleman, a California-based psychologist, said, “The old days of ‘honor thy mother and thy father,’ ‘respect thy elders’ and ‘family is forever’ has given way to much more of an emphasis on personal happiness, personal growth, my identity, my political beliefs, my mental health.”
Coleman noted that therapists sometimes become “detachment brokers” by unintentionally green-lighting estrangement.
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Jillian Amodio, a licensed master’s social worker at the Maryland-based Waypoint Wellness Center, told Fox News Digital that while public figures like Winfrey help normalize these conversations, estrangement might just be a more openly discussed topic now.
“Estrangement used to be handled privately and quietly,” she said.
Winfrey’s take on family estrangement is prompting a broader discussion amid the holiday season. (iStock)
But even strained relationships can be fixed with the right support, experts say.
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Susan Foosness, a North Carolina-based clinical director of patient programs at Rula Health, said families can strengthen their relationships by working with a mental health professional to improve communication, learn healthier conflict-resolution skills, and build trust and empathy through quality time together.
“No family is perfect,” Foosness told Fox News Digital.
Khazaal agreed, saying, “Parents need to learn how to listen without slipping into justification, and children need help speaking about their pain without defaulting to blame or avoidance.”
Fox News Digital reached out to Winfrey for comment.
Health
Major measles outbreak leads to hundreds quarantined in US county, officials say
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South Carolina is facing a major measles outbreak, resulting in the quarantine of hundreds of residents.
The South Carolina Department of Health (DPH) reported in a media briefing on Wednesday that the current number of measles cases has reached 111 as part of the current Spartanburg County outbreak.
DPH first reported a measles outbreak in the Upstate region on Oct. 2.
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The health department confirmed that 254 people are currently in quarantine and 16 are in isolation to prevent further spread.
The health department confirmed that 254 people are currently in quarantine in the upstate region. (Getty Images)
“This significant jump in cases is unfortunate,” a DPH spokesperson commented on the outbreak.
Public exposure was identified at Inman Intermediate School, with 43 of their students in quarantine.
“This significant jump in cases is unfortunate.”
Eight other intermediate and middle schools in the area are also reportedly undergoing quarantine. The DPH said multiple students have had to quarantine twice due to repeat exposure.
“Vaccination continues to be the best way to prevent the disruption that measles is causing to people’s education, to employment and other factors in people’s lives and our communities,” the spokesperson said.
“This significant jump in cases is unfortunate,” a DPH spokesperson commented on the current outbreak. (iStock)
Out of the 111 confirmed cases, 105 were unvaccinated. Receiving a vaccination within 72 hours has been shown to prevent measles infection, the DPH spokesperson noted.
Some cases are related to travel exposure, while others are from an unknown source, suggesting that measles is circulating in the community, the DPH noted.
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Connecticut has also reported its first measles case in four years, according to the Connecticut Department of Public Health.
The department confirmed on Thursday that an unvaccinated child in Fairfield County, under the age of 10, was diagnosed with measles after recently traveling internationally.
“Vaccination continues to be the best way to prevent the disruption that measles is causing,” a DPH spokesperson said. (iStock)
The child began to show symptoms several days later, including a runny nose, cough, congestion, fever and a rash starting at the head and spreading to the rest of the body.
The Connecticut DPH noted that measles is “highly contagious” and can spread quickly through the air via coughing or sneezing. The CDC has estimated that nine out of 10 unvaccinated individuals who encounter an infected person will develop the measles virus.
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According to the International Vaccine Access Center, more than 1,800 cases of measles have been reported in 2025, which is the most since the U.S. declared the virus eliminated in 2000. It is also the most cases recorded in three decades.
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“The single best way to protect your children and yourself from measles is to be vaccinated,” DPH Commissioner Manisha Juthani, M.D., wrote in a statement. “One dose of measles vaccine is about 93% effective, while two doses are about 97% effective.”
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