Obesity Screening and Counseling–the majority rules! The Facebook Group members voted on this for our next topic so here we go. I approach all topics by giving you the background for why the screening is recommended and how the screening is done.
Obesity screening and counseling is recommended for everyone from the age of 6 and older. This screening is done by your clinician to determine if there are treatment options and counseling that is needed.
In order to standardize this topic and its metrics around the world, the Who Health Organization adopted the Body Mass Index (BMI) back in the early 1990s as the gold standard to use. This allows all countries to use the same data when comparing how one country does in comparison to others. This also allows a country to determine their own health metrics by region, state and/or county levels.
The BMI is not a perfect tool as it does not differentiate between body lean mass and body fat mass; that is, a person can have a high BMI but still have a very low fat mass and vice versa. For instance, think of your bodybuilder who is very buff and has minimal fat. They may have a BMI that labels them as ‘overweight’ but their physical exam negates that.
The BMI is used in conjunction with the rest of your health metrics to determine whether you are at risk for other disease processes. You and your clinician will need to review this information to determine what counseling or treatment plan is needed in your specific case.