Using BMI To Classify People As Obese Is Flawed Say Experts

Updated Jan 16, 2025 | 11:57 AM IST

SummaryBMI is used to classify individuals as underweight, healthy weight, overweight, or obese based on their height and weight. It is calculated by dividing weight in kilograms by health in meters squared. However, there are reasons while it falls short.
BMI Not the right way to measure obesity

A new report published in The Lancet Diabetes & Endocrinology challenges the conventional definition of obesity, and urges a shift from the reliance on Body Mass Index (BMI) to a more nuanced approach. This is supported by over 50 global medical experts. The report also recommends splitting the term "obesity" into two categories: "Clinical obesity" and "Pre-clinical obesity". This aims to improve diagnosis and treatment for over a billion people worldwide living with obesity.

Clinically Obese

This applies to individuals whose obesity has progressed to a disease state, manifesting in organ damage, heart disease, type 2 diabetes, or other health complications. These individuals could also experience symptoms like breathlessness, joint pain, or impaired daily functioning. Treatment also involves medical interventions, including weight-loss medications or surgery.

Pre-Clinic Obese

Whereas the term "pre-clinic obese" refers to those who are overweight but not yet exhibiting health issues. While they may be at risk of developing obesity-related conditions, their organ function and overall health remain intact. What they need is preventive care, which includes dietary guidance, counselling, and regular monitoring to avoid and reduce future health risks.

What does the study say?

The study, led by Professor Francesco Rubino from King's College London emphasizes that obesity is not one-size-fits-all condition. This means it should rather be treated as a spectrum as some individuals maintain normal organ function despite being classified as obese. There are others who may face severe health complications too. However, the current method of calculating obesity based on BMI often leads to misdiagnosis or inadequate care.

The report also states that BMI, while is useful for analyzing population trends, is a flawed unit of measuring individual health. Therefore, there is a need to redefine obesity, and healthcare professionals can provide more precise care by distinguishing those who need immediate medical intervention and those who require preventive strategies.

Limitations of BMI, Why It Falls Short?

BMI is used to classify individuals as underweight, healthy weight, overweight, or obese based on their height and weight. It is calculated by dividing weight in kilograms by health in meters squared. However, there are reasons while it falls short.

•Muscle vs Fat: Athletes or muscular individuals often have high BMIs despite the low body fat

•Fat Distribution: BMI does not measure fat around the waist or organs, which could be more dangerous to one's health.

•Individual Health Variation: It also overlooks the specific health conditions such as heart diseases or diabetes, or any other, while evaluating a person's category in terms of weight.

ALSO READ: Is It Time To Say Goodbye To BMI?

Scope Of Study

By redefining obesity, the study could transform the approach to diagnosis and treatment. It can focus on individual health risks rather than BMI alone. Healthcare providers can also offer tailored care. This also will ensure hat weight-loss medications like Wegovy or Mounjaro are prescribed only to those who genuinely require it.

As per Professor Louise Baur from the University of Sydney, a Children's obesity expert said that this redefinition allows both adults and children to receive more appropriate care while reducing over-diagnosis and unnecessary treatments.

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High Blood Pressure And Cognitive Decline Strongly Linked - New American Heart Association Guidelines States

Updated Aug 16, 2025 | 05:06 PM IST

SummaryHigh blood pressure is one of the most common issues worldwide. To ensure that everyone takes care of their health, American Heart Association has updated its high blood pressure guidelines. Here is a comprehensive guide of the same.

The American Heart Association (AHA) has updated its official recommendations for dealing with high blood pressure, replacing the old rules from 2017. These new guidelines are the result of a deep look into the latest research, providing doctors and patients with better information on how to understand, prevent, and treat high blood pressure. They are designed to be a clearer, more effective guide for everyone.

High blood pressure is one of the biggest silent killers globally. Although many people suffer from it, most do not make the necessary changes to ensure that their health doesn’t deteriorate. A global estimate of about 1.28 billion adults aged 30-79 years has hypertension, according to the World Health Organizations (WHO). It is also estimated that 46% of these people are unaware that they have the condition.

To ensure that people keep their health in check, government and health institutions issue health guidelines that help people take care of their health.

What Are The Latest Changes To High Blood Pressure Guidelines?

The new guidelines highlight several key points:

Brain Health

There is now stronger evidence linking high blood pressure to an increased risk of cognitive decline and dementia. Managing your blood pressure now may help protect your brain in the future.

Leading Risk Factor

High blood pressure remains the top risk factor for serious health problems like stroke, coronary artery disease, heart failure, and AFib.

Pregnancy-Related Hypertension

The new guidelines feature specific blood pressure categories for pregnant individuals to help detect serious risks, such as preeclampsia. Regular blood pressure checks are now considered crucial. It's important for expectant mothers to monitor their blood pressure closely before, during, and after pregnancy to ensure their health and the safety of their baby.

  • Normal blood pressure is when your top number is less than 140 and your bottom number is less than 90.
  • Hypertension in pregnancy is when your top number is 140 or higher, or your bottom number is 90 or higher.
  • Severe hypertension is when your top number is 160 or higher, or your bottom number is 110 or higher.

Tips for Managing Your Blood Pressure

You can take steps to manage or prevent high blood pressure through a combination of lifestyle changes and, if needed, medication. For the most accurate reading, sit with your back supported, feet flat on the floor, and arm extended at heart level.

Dietary Changes

  • Aim for less than 2,300 mg of sodium per day (about one teaspoon of salt). The ideal goal is less than 1,500 mg.
  • Follow a heart-healthy diet like the DASH eating plan, which focuses on fruits, vegetables, whole grains, nuts, and low-fat dairy.
  • Drinking less or no alcohol can help lower your blood pressure.
  • Losing even a small amount of weight (at least 5% of your body weight) can help lower blood pressure. For example, if you weigh 180 pounds, losing just 9 pounds can make a difference.
  • Activities like meditation, controlled breathing, or yoga can help.
  • Ask your healthcare professional about other conditions that can cause high blood pressure, such as sleep apnea, diabetes, and thyroid problems.

What Does General Blood Pressure Look Like?

It's important for everyone to understand their blood pressure numbers. The new guidelines classify blood pressure into these categories:

Normal: Your top number is less than 120 and your bottom number is less than 80.

Elevated: Your top number is between 120 and 129, and your bottom number is less than 80.

Stage 1 Hypertension: Your top number is between 130 and 139, or your bottom number is between 80 and 89.

Stage 2 Hypertension: Your top number is 140 or higher, or your bottom number is 90 or higher.

A hypertensive crisis is a medical emergency that occurs when your blood pressure is higher than 180/120. If your blood pressure reaches this level and you have symptoms like chest pain, shortness of breath, or numbness, you should call emergency services. If you need a health and diet guide, you can follow the ‘Life’s Essential 8’, the guideline that helps keep our health a priority by the American Heart Association.

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Too Many Pills, Too Little Produce: Draft 'Make America Healthy Again' Report Blames Junk Food, Pills And Inactivity

Updated Aug 16, 2025 | 11:00 AM IST

SummaryThe latest draft of the “Make America Healthy Again” report reveals poor diets, overmedication, and inactivity as driving forces behind America’s worsening health crisis and rising chronic disease burden.
Too Many Pills, Too Little Produce: Draft 'Make America Healthy Again' Report Blames Junk Food, Pills, and Inactivity

Credits: Health and me

The US Department of Health and Human Services (HHS), under Secretary Robert F. Kennedy Jr., has been touting its “Make America Healthy Again” (MAHA) initiative as a turning point in public health. Framed as one of Kennedy’s signature achievements, the report promised bold action to address America’s chronic health crises: obesity, diabetes, heart disease, and the overprescription of pharmaceuticals.

A draft version obtained by reporters tells a different story. Instead of sweeping reforms to food, farming, or pharmaceutical regulation, the MAHA report leans heavily on additional research studies, awareness campaigns, and incremental policy suggestions. For a coalition that expected Kennedy to challenge entrenched interests—from pesticide manufacturers to Big Food—the document feels less like a revolution and more like a compromise.

What Are The Four Problem Areas?

The draft report identifies four main drivers of chronic disease in the United States:

  • Poor diets dominated by ultraprocessed foods, sugars, and additives.
  • Chemical exposure from pesticides and environmental pollutants.
  • Lack of physical activity, worsened by sedentary jobs and urban lifestyles.
  • Overuse of prescription medications, particularly among children and older adults.

These themes mirror Kennedy’s longstanding critiques of America’s health system. Yet, the policies outlined in the draft stop short of mandating aggressive reform. Instead, they recommend more studies, more definitions, and more “public awareness” campaigns.

Where the Bold Promises Fall Short In MAHA Report?

Kennedy built his reputation criticizing chemicals like glyphosate, high-fructose corn syrup, and ultraprocessed snacks that dominate the American diet. Farmers and food manufacturers braced for the MAHA report to recommend bans or new regulations. Instead, the draft calls for a public “confidence-building” campaign to reassure Americans about pesticides.

This pivot has disappointed many in Kennedy’s own coalition. Public health experts like Marion Nestle, professor emerita of nutrition at NYU, argue the draft contradicts the urgency of America’s chronic disease crisis. “The first report promised bold policies to protect children’s health. No such luck here,” she told reporters.

Industry Relief, Activist Frustration

For the agricultural sector, the draft report is a relief. It proposes partnerships with major farm companies and research into “precision technology” to help reduce pesticide use—steps that industry leaders see as constructive rather than combative.

But health advocates feel sidelined. Kari Hamerschlag, deputy director of food and agriculture at Friends of the Earth, warned that without funding, the report’s recommendations won’t translate into healthier outcomes. “This is not going to transform our food and farming system. They need to put resources behind their recommendations,” she said.

Processed Foods and the Unfinished Fight

Perhaps the biggest surprise in the draft is its limited attention to ultraprocessed foods. The MAHA movement originally spotlighted processed snacks and additives as central culprits in the nation’s obesity epidemic. But the draft only mentions that government agencies will “define” ultraprocessed foods and continue education campaigns.

Former FDA Commissioner Dr. David Kessler has argued that ingredients like refined sugars and flours should be declared unsafe. Yet the draft sidesteps any such regulatory proposals, leaving critics frustrated. Dr. Jim Krieger of Healthy Food America noted: “What about removing them from schools? Restricting marketing? Labeling packages? None of that is here.”

Research Without Teeth

The draft MAHA document devotes significant space to research priorities. It calls for the National Institutes of Health (already facing severe budget cuts under the Trump administration) to study vaccine injury, autism, infertility, prescription drug use, and nutrition. It also proposes AI-driven tools to accelerate research on pediatric cancers.

While these initiatives sound ambitious, they are contingent on funding that may never materialize. Without resources, they risk becoming yet another set of unfulfilled promises.

The Political Undercurrent

The White House has been cautious about the report’s release. A spokesperson called the draft “speculative literature” until officially endorsed. But insiders suggest the policies align closely with what was already previewed to the administration.

That alignment may explain the softened language around pesticides and ultraprocessed foods. For an administration prioritizing farmer support and deregulation, MAHA’s original vision of challenging chemical companies and processed food giants was politically untenable.

Is The New MAHA Report Building Bridges or Losing Focus?

Calley Means, one of Kennedy’s advisers, urged supporters to “build bridges” with farmers and agribusiness rather than treat them as enemies. It’s a pragmatic strategy, but critics argue it dilutes the urgency of tackling the systemic causes of poor health.

David Murphy, a former Kennedy finance director and now founder of United We Eat, framed the debate succinctly: “No one’s trying to take away farmers’ rights to grow food. We’re asking companies whose products cause harm to be held liable.” That principle, however, is largely absent from the draft.

What This Means for The People of America?

For everyday Americans grappling with obesity, diabetes, or high medical bills, the draft report offers little immediate relief. It encourages healthier diets, more exercise, and reduced reliance on medications—but without meaningful changes to food policy, medical regulation, or funding streams, these remain aspirational goals.

In essence, the report acknowledges the crises but avoids decisive confrontation with the industries fueling them. The result is a strategy that risks being too cautious to make a measurable impact.

The MAHA Commission’s final report is expected soon, but public health advocates are already voicing skepticism. Hundreds have signed letters urging the administration to address chemical exposures and ultraprocessed foods more directly. Whether those appeals shape the final draft remains to be seen.

What’s clear is that America’s chronic health problems—rising obesity, diabetes, cancer, and mental health conditions—demand more than “awareness campaigns.” Without stronger action, the “Make America Healthy Again” slogan risks becoming another empty political catchphrase.

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A 4-Step Science-Backed Routine That Works for Every Skin Type

Updated Aug 16, 2025 | 04:00 AM IST

SummaryA science-backed four-step skincare routine proves that healthy, glowing skin doesn’t need harsh products or endless steps. With cleansing, targeted treatment, hydration, and sun protection, it’s a gentle yet effective approach designed to protect the skin barrier and suit all skin types.
Credits: Canva

There was a time when skincare felt like a competitive sport. People layered acids, scrubbed their faces raw, and measured success in stings, peels, and redness. But times are changing. A new, science-backed wave is sweeping in, one that values results without leaving your skin feeling like it has been through a survival reality show.

From Shelf Overload to Skincare Simplicity

For years, we’ve been told more is better. More products, more steps, more actives, until our bathroom shelves looked like mini-pharmacies. But skin, much like us, thrives in balance. Aggressive routines may deliver quick wins, but they often come with side effects like irritation, dryness, or breakouts that weren’t invited to the party.

The modern approach is a gentler, more measured one: using well-formulated products that are kind to the skin barrier but still pack enough punch to make a visible difference. And the best part? You only need a few steps, not a 12-item shopping list.

The Four Steps That Actually Work

Malini Adapureddy, Founder of Deconstruct Skincare, swears by a routine that’s simple enough to remember before coffee and effective enough to see results in weeks. Designed for Indian skin and climate, this four-step method covers the essentials: cleansing, treating, moisturising, and protecting.

Step 1: The Clean Slate

Every story starts somewhere, and for your skin, that’s cleansing. But the goal isn’t to strip your face like it’s a frying pan that’s just seen a masala spill. A gentle oil-control face wash with salicylic acid and niacinamide is the ticket. Salicylic acid slips into pores to keep them clear, while niacinamide calms and balances.

Step 2: The Targeted Glow Shot

Once the canvas is prepped, it’s time for the serum stage. Enter a 10% vitamin C serum with 0.5% ferulic acid. Vitamin C is your radiance best friend, helping to fade pigmentation and even out skin tone, while ferulic acid boosts its stability and antioxidant power. Together, they help defend against environmental stressors and bring your complexion back from the land of dull.

Unlike some actives that feel like they’re burning through your soul, this combination is gentle enough for daily use.

Step 3: The Barrier Hug

Moisturiser is often seen as the “optional” step, especially if you have oily skin. But hydration isn’t just about adding water; it’s about locking it in. A lightweight, oil-free moisturiser with natural moisturising factors (NMF) and panthenol keeps your skin barrier happy. It helps reduce sensitivity, supports repair, and works in harmony with your actives. And in India’s hot, humid, sometimes dusty climate, that’s a much-needed shield.

Step 4: The Non-Negotiable

Sunscreen. Always sunscreen. Whether you’re outside chasing errands or inside chasing deadlines, UV damage is sneaky. It causes pigmentation, speeds up ageing, and undoes all the hard work your serum and moisturiser put in. A broad-spectrum, gel-based sunscreen keeps things light, non-greasy, and comfortable, even under makeup.

Why Gentle Works Better Than You Think

There’s a myth that 'strong' means 'effective'. In reality, harsh products can damage your skin barrier, leaving it inflamed and reactive. Gentle formulations, when done right, work gradually but deeply. They’re like the friend who doesn’t shout advice but still changes your life.

Consistency is the secret here. When your skin isn’t constantly fighting irritation, it can focus on repairing itself, building resilience, and looking better over time.

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