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(RTT News)   Experts recommend that doctors screen for obesity. Apparently, looking at the patient and saying "You so fat, little patients orbit you" isn't sufficient   (rttnews.com) divider line 69
    More: Silly, sleep apnea, glucose tolerance, cancer types, mass index, fat, obesity, physicians, patients  
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1613 clicks; posted to Main » on 27 Jun 2012 at 11:20 AM (2 years ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2012-06-27 12:58:37 PM

rosebud_the_sled: They look at your height, then your weight, look at a chart and note that you are outside some range of the combination and say "You are obese."

I have a BMI of about 13-15. ... The doctor tells me that I'm obese.


If your doctor were just matching up numbers on a chart, it seems like s/he'd be telling you were underweight, not obese. A BMI of 13-15 is on the underweight end of the spectrum. "Normal" starts at 18.5.
 
2012-06-27 01:04:53 PM
Is there some kind of hidden fat store you can screen with your eyes? "Hey I wouldn't have noticed this hypertension and fat, he's only hypertensive and fatty in his heart. His lungs can't even fit around all that stuff! Needed to do a doppler for that shiat."
 
2012-06-27 01:05:33 PM
can -> can't
 
2012-06-27 01:09:04 PM

RedGuru: miss diminutive: RedGuru: [i45.tinypic.com image 400x602]

6'1.4"
310 lbs when this photo was taken

BMI 40.5

Honest question: was that as far down as your arms could go? I would imagine that would get uncomfortable after a while.

/please don't break me

Not me, that was Mariusz Pudzianowski, my BMI is 32.7

[i46.tinypic.com image 627x836]


Oh ok. I'm slightly less than half your BMI then.

ChimbleySweep: I have a BMI of about 13-15. ... The doctor tells me that I'm obese.


Have you checked your doctor's credentials closely?
 
2012-06-27 01:13:45 PM

miss diminutive: ChimbleySweep: I have a BMI of about 13-15. ... The doctor tells me that I'm obese.

Have you checked your doctor's credentials closely?


cdn.kevinmd.com

What ChimbleySweep's doctor might look like.
 
2012-06-27 01:14:32 PM
My point is BMI can't be used as an indicator of health for anyone that works out moderately. If insurance companies use BMI as an indicator of health risk, people like me are farked.
 
2012-06-27 01:16:31 PM

RedGuru: [i45.tinypic.com image 400x602]

6'1.4"
310 lbs when this photo was taken

BMI 40.5


Oversized armpit muscles.
Seen it before.
 
2012-06-27 01:26:11 PM

RedGuru: miss diminutive: RedGuru: [i45.tinypic.com image 400x602]

6'1.4"
310 lbs when this photo was taken

BMI 40.5

Honest question: was that as far down as your arms could go? I would imagine that would get uncomfortable after a while.

/please don't break me

Not me, that was Mariusz Pudzianowski, my BMI is 32.7

[i46.tinypic.com image 627x836]


Oh, look, a muscly man with a pic of another muscly man, shirtless. Surprise, surprise.

/NTTAWWT
 
2012-06-27 01:29:23 PM

Jument: For those of you who don't like BMI, I present an alternative fat test:

For men: Take off pants. Stand up straight. Look down. Can you see your penis?
For women: No dear, that doesn't make you look fat. I swear, honestly!

Lotta fat threads on Fark this week!


Yes. But to be fair, I have a very long penis.
 
2012-06-27 01:30:40 PM
Oh, look, a muscly man with a pic of another muscly man, shirtless. Surprise, surprise.

/NTTAWWT

Are you cruising Fark looking for muscly shirtless man pics?

NTTAWWT
 
2012-06-27 01:36:25 PM
But I already screen for obesity. I don't let fat patients into my practice.
 
2012-06-27 02:02:20 PM

Maturin: But I already screen for obesity. I don't let fat patients into my practice.


but aren't u the one who has sex with children
 
2012-06-27 02:21:04 PM

RedGuru: [i45.tinypic.com image 400x602]

6'1.4"
310 lbs when this photo was taken

BMI 40.5


1) For every BMI example like that, there are a thousand where BMI works well.
2) If you are built like that and need to compute your BMI to determine if you are fat, you are a dumb as a bag of hammers.
 
2012-06-27 02:34:11 PM

RedGuru: My point is BMI can't be used as an indicator of health for anyone that works out moderately. If insurance companies use BMI as an indicator of health risk, people like me are farked.


I would not say "moderately". Most people who work out "moderately" will not get "false positived" by BMI. If you have enough muscle mass to mess with BMI, you're pretty far past moderate. But it's certainly possible.

However, I completely agree with your second sentence. BMI should be used as an education tool only. It should not be used for health insurance purposes or anything like that, under any circumstances, unless there is some very clear and accessible process for exceptions.
 
2012-06-27 05:28:13 PM
For-profit education. Another stumbling block to advancing our species.
 
2012-06-27 05:29:18 PM

Agent Smiths Laugh: For-profit education. Another stumbling block to advancing our species.


Well somehow that ended up in the wrong thread. Oh well.
 
2012-06-27 06:15:37 PM

RedGuru: 6'1.4"
310 lbs when this photo was taken

BMI 40.5


Yep, thats horribly obese for sure. Was the doctor Mr. Magoo?
 
2012-06-27 06:43:56 PM
Protip: Unless you are taking steroids, you will not have a muscle mass capable of pushing you into the obese category without having a significant amount of fat to go along with it.

Several sports med studies demonstrated that ultra-dedicated natural trainees' fat free BMI hits a ceiling of 26.0. Past that, you need steroids.

So even with Mr. Pudzianowski upstream ITT, BMI still demonstrates some utility as it would strongly suggest that he was juicing (even if he denied it in the clinic), and his clinician could use that info to order additional lab tests to ensure his health isn't being compromised by AAS abuse as part of his health maintenance exam.
 
2012-06-27 07:08:26 PM
if people actually took their doctor's advise for living well people in the medical profession would have no trouble getting days off and America might have only 1/2 the pharmaceutical manufacturers that we do have.
 
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