tag:blogger.com,1999:blog-6203028859791126813.post1495441054113870970..comments2023-08-23T11:42:35.764-06:00Comments on Dr. Sharma's Obesity Notes: Obesity Classification: Time to Move Beyond BMI?Unknownnoreply@blogger.comBlogger4125tag:blogger.com,1999:blog-6203028859791126813.post-85310527602775924622008-04-09T17:46:00.000-06:002008-04-09T17:46:00.000-06:00This is great! The 1991 NIH consensus statement c...This is great! The 1991 NIH consensus statement criteria for bariatric surgery, which have never been revised, since, are based solely on the BMI if the BMI is above 40, but do take into consideration the presence of obesity-related comorbidities for BMIs between 35 and 40. Dr. Sharma's refinement can be the basis for new studies to show the outcome of treatments, natural history and follow-up studies, for each category/class, before we can make treatment recommendations based on the new classification. So, it may be too early to consider that the benefits from a certain line of treatment is marginal or doubtful for a certain class/category, till we see the results of follow-up data on patients who were treated in the past, or run new prospective studies, or both. Dr. Sharma's blog outines a great concept, and does open the door to a more rational approach, but we are a long way from having the proper treatment recommendations per class/category.Hanafy M. Hanafy, MDhttps://www.blogger.com/profile/00583101568641371371noreply@blogger.comtag:blogger.com,1999:blog-6203028859791126813.post-74759944060284112872008-03-31T07:14:00.000-06:002008-03-31T07:14:00.000-06:00I love the idea Arya.Perhaps this is something tha...I love the idea Arya.<BR/><BR/>Perhaps this is something that CON could champion?<BR/><BR/>I imagine even groups like NAAFA might feel this to be worthwhile.<BR/><BR/>Y.Yoni Freedhoff, MDhttps://www.blogger.com/profile/15855979454844538601noreply@blogger.comtag:blogger.com,1999:blog-6203028859791126813.post-30615802846391305232008-03-30T16:34:00.000-06:002008-03-30T16:34:00.000-06:00Dear Dr. Sharma, this was a great blog.Aparently t...Dear Dr. Sharma, this was a great blog.<BR/><BR/>Aparently the BMI, or Quetlet Index, was invented between 1830 and 1850 by the Belgian, Adolphe Quetelet. I am not sure how many people it was calculated from, but I believe I read somewhere it was not a relatively large number. <BR/><BR/>I suppose it has some use as a population measure of health, but I think there is no evidence that it should be used on an indiviudal basis as a risk factor (ecological falicy).<BR/><BR/>I agree - there needs to be another classification system put in place.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6203028859791126813.post-14792867680580994962008-03-30T14:26:00.000-06:002008-03-30T14:26:00.000-06:00I agree with you that identification of risk is a ...I agree with you that identification of risk is a determinant to treatment, however, there is still no comprehensive treatment for obesity that includes progressive exercise, dietary education and behavior modification. I beleive that once an individual reaches a fat weight in access of 30 BMI, the probability of disease and further weight gain is apparent and a prevention treatment protocol should be initiated. Only when we have conclusive data on successful obesity treatment will we be able to develop a widely accepted outcomes classification.Anonymousnoreply@blogger.com