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Is BMI not accurate to predict obesity in many people?

Is BMI not accurate to predict obesity in many people?

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Body mass index (BMI) is a common metric used in healthcare facilities to determine patient health.

It has been frequently criticized for its simplicity of what being healthy actually entails while being used for decades as the standard measurement for health based on body size.

In fact, many people argue that BMI should not be utilized in medical or fitness settings since it is antiquated and inaccurate.

What is BMI?

“BMI” is an acronym for “body mass index.” A Belgian mathematician by the name of Lambert Adolphe Jacques Quetelet created the BMI in 1832.

He created the BMI scale to help governments allocate health and financial resources by swiftly estimating the level of overweight and obesity in a specific community.

Interestingly, Quetelet claimed that BMI was better at capturing the general health of a group than using it to investigate a single individual. Even so, it’s frequently used to gauge people’s health.

The BMI scale is based on a mathematical formula that compares a person’s height in meters squared to their weight in kilograms to determine whether they are a “healthy” weight:

Height (m2) / weight (kg) equals BMI.

Alternately, you can determine BMI by multiplying 703 by the product of your weight in pounds and your height in square inches:

Weight (lbs) x Height (in2) x 703 equals BMI.

A BMI calculator online, like the one offered by the National Institutes of Health, is another option. If you fall within the “normal” weight range, your BMI is calculated and then compared to the BMI scale.

If you don’t fit the definition of “normal” weight, a healthcare practitioner might recommend health and lifestyle adjustments to you.

To more accurately reflect the size and stature of their inhabitants, some nations have adopted the BMI scale. For instance, Asian men and women have been found to have a higher risk of heart disease than non-Asians at lower BMIs.

Even though this can give a healthcare practitioner a quick overview of a person’s health based on weight, it ignores other aspects of a person’s health, including age, sex, race, genetics, fat mass, muscle mass, and bone density.

Is it a reliable sign of health?

The majority of research demonstrates that a person’s risk of chronic disease and early mortality does increase with a BMI lower than 18.5 (“underweight”) or 30.0 or above (“obese”), despite concerns that BMI doesn’t precisely indicate if they are in good health.

A 2017 retrospective research of 103,218 fatalities, for instance, discovered that those with a BMI of 30.0 or higher (referred to as “obese”) had a 1.5–2.7-fold higher chance of dying following a 30-year follow-up.

Another study with 16,868 persons found that those with an “obese” BMI had a 20% higher chance of dying from any cause and heart disease than those with a “normal” BMI.

Additionally, the researchers discovered that people with “underweight” BMIs and “severely obese” or “extremely obese” BMIs died on average 6.7 years and 3.7 years earlier than people with “normal” BMIs.

According to other research, a BMI over 30.0 considerably raises the chance of developing chronic conditions such as type 2 diabetes, heart disease, breathing problems, renal illness, non-alcoholic fatty liver disease, and mobility problems.

A person’s risk of developing metabolic syndrome, heart disease, and type 2 diabetes has also been shown to drop by 5–10% with a BMI reduction.

Many health practitioners can use BMI as a broad indicator of a person’s risk because the majority of studies indicate that obese persons have an elevated chance of developing chronic diseases. But it shouldn’t be the only diagnostic instrument employed.

The BMI as a measure of obesity

The National Health and Nutrition Examination Survey (NHANES), which was conducted from 2011 to 2018, had data on 9,784 participants with an average age of 39.

BMI and body fat % were determined using dual-energy x-ray absorptiometry (DEXA) in the data. BMIs were divided into categories according to ethnicity.

In the end, 36% of individuals were obese, defined as having a BMI of 30 or more. However, 74% of participants were rated as obese based on their body fat percentage.

When body fat % was taken into account, many persons with BMIs between 18.5 and 24.9, which are considered healthy weights, were labelled as obese, including:

  • 27% of Black non-Hispanics
  • 44% of white non-Hispanics
  • 49 percent of Hispanics
  • In Asia, 49%

The finding that non-Hispanic Black people with overweight had 58% lower risk of obesity than non-Hispanic White people struck me as particularly fascinating. Dr. Erkeda de Rouen, a board-certified specialist in family, diversity, and lifestyle medicine who was not involved in the study, said that this might be caused by the regular genetic weight distribution.

A person’s mental health and complex sociological issues like money, access to affordable and nutritious food, food skills and knowledge, and housing conditions are all ignored when a person’s health is solely determined by their BMI.

Drawbacks of BMI

There are many problems with the use of BMI, despite data linking low (below 18.5) and high (30 or above) BMI with elevated health risks.

Disregards other potential health factors

Without taking into account a person’s age, sex, genetics, lifestyle, medical history, or other considerations, BMI just provides a “yes” or “no” answer as to whether they are of “normal” weight.

Relying just on BMI could lead to an overestimation or underestimation of a person’s genuine state of health by excluding other crucial health indicators including cholesterol, blood sugar, heart rate, blood pressure, and inflammation levels.

In addition, BMI employs the same formula for both sexes even though men and women have different body compositions, with males having more muscle mass and less fat mass than women.

Additionally, a person’s body fat mass naturally rises and their muscle mass naturally reduces as they age. Numerous studies have demonstrated that an older adult’s BMI of 23.0-29.9 can be protective against disease and early death.

The premise that all weight is equal

Muscle is denser and takes up less space even though 1 pound or kilogram of muscle weighs the same as 1 pound or kilogram of fat. As a result, someone who is extremely slim but has a lot of muscle may weigh more than average.

For instance, a person with a BMI of 29.5 who weighs 200 pounds (97 kilograms) and is 5 feet 9 inches (175 cm) tall is considered to be “overweight.”

The appearance of two people who are the same height and weight might vary greatly. One can be a bodybuilder with a lot of muscle, whilst the other might have more fat.

If BMI is the only factor taken into account, it is quite easy to mistakenly label someone as “overweight” or “obese” despite their low-fat mass. Therefore, in addition to a person’s weight, it’s necessary to take their bone, muscle, and fat mass into account.

Overlooks the distribution of fat

Even while a higher BMI is associated with worse health outcomes, the distribution of body fat may be more important.

People with a gynoid or pear-shaped body type, also known as those who have fat accumulated in their hips, buttocks, and thighs, are less likely to develop chronic disease than people with an android or apple-shaped body type.

For instance, researchers discovered that those with an apple-shaped fat distribution had a substantially higher risk of all-cause mortality than those with a pear-shaped distribution in a study of 72 studies that included data from more than 2.5 million people.

The authors really emphasized that BMI does not take into account where fat is stored in the body, which might cause a person to be incorrectly classified as being sick or at risk for disease.

Possible weight bias

The medical professional is expected to apply their best judgment, which means that they will take the BMI result and treat each patient as an individual.

However, some medical practitioners simply utilize BMI to assess a patient’s health before making recommendations, which can result in weight prejudice and subpar medical care.

Higher BMI patients more frequently claim that their doctors only address their BMI during appointments for unrelated issues. Serious medical conditions frequently go undiagnosed or are misdiagnosed as weight-related disorders.

In reality, research has shown that those with higher BMIs are less likely to get frequent health checks because of anxiety about being assessed, mistrust of the medical staff, or a bad experience in the past. This can result in delayed diagnoses, care, and treatment.

It might not apply to all populations

Even though BMI is widely used among all adults, it could not adequately reflect the health of some racial and cultural groups.

For instance, multiple studies have demonstrated that, compared to white individuals, people of Asian descent have a higher risk of chronic disease at lower BMI cut-off points.

In truth, the Asian-Pacific BMI recommendations, which offer different BMI cut-off points, were created by the World Health Organisation.

Numerous research has demonstrated that these alternate cut-off points are more effective at identifying Asian populations’ health risks. However, further research is required to compare these cut-off points with Asian Americans who are multigenerational.

Additionally, despite having higher muscle mass and lower fat mass, Black persons may be mistakenly labeled as overweight. This may imply that Black women, in particular, have a greater BMI cutoff criterion for chronic illness risk than those of other races.

Indeed, a 2011 study indicated that Black women were deemed metabolically healthy at cut-off points 3.0 kg/m2 higher than non-Black individuals, which further calls into doubt the applicability of BMI to all racial and ethnic groups.

Last but not least, depending solely on BMI disregards the cultural significance of body size to various communities. Higher fat mass is regarded as desirable and healthier in some cultures. Healthcare practitioners should take into account what each person’s definition of “health” is.

The conclusion

Body mass index (BMI) is a highly debatable health assessment technique used to determine a person’s risk for poor health and body fat.

According to most studies, as BMI rises above the “normal” level, there is an increased risk of developing a chronic illness. Additionally, a low BMI (below 18.5) has been associated with negative health effects.

However, BMI does not take into account other factors that may affect health, including age, sex, fat mass, muscle mass, race, genetics, and medical history. Furthermore, it has been demonstrated that using it as the only predictor of health increases weight bias and health disparities.

BMI is a good place to start, but it shouldn’t be the primary indicator of your health.

REFERENCES:

For Obesity medications that have been suggested by doctors worldwide are available here https://mygenericpharmacy.com/index.php?therapy=20

Lets explore the breathing problems you shouldn’t ignore.

Lets explore the breathing problems you shouldn’t ignore.

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Breathing issues occur when you feel as though you are not getting enough air, your chest feels extremely tight, you are out of breath, or you are being suffocated.

If you are fat or have just engaged in vigorous exercise, you can have shortness of breath. Extreme temperatures or being at a high altitude might also cause it. If you experience breathing issues for any other cause, it is likely a sign of a medical condition.

If untreated, you run the risk of developing major respiratory problems like pulmonary embolism, pneumothorax, issues with your trachea, bronchi, or other airway system components. As well as any other conditions that could harm your nerves or muscles that regulate your breathing.

When it comes to breathing, the warning symptoms listed below should never be disregarded.

Emergency tips

Contact the medical emergency or ambulance service if:

Schedule a visit with your physician or think about visiting an emergency room if you are also gasping for air and:

  • have swelling ankles or feet
  • when you’re lying down, you feel more out of breath
  • have a cough, fever, and chills
  • possess blue fingertips or lips
  • utter noises when breathing
  • must use a lot of effort just to breathe
  • are deteriorating

What to do while waiting?

Try to be calm while you wait. Make sure you are upright and, if at all feasible, that someone is with you.

Take 4 puffs of your blue or grey relief puffer if you have asthma. Every four minutes, take four more puffs until assistance arrives.

What causes breathing problems?

These are typical reasons for feeling out of breath:

  • asthma and chronic obstructive pulmonary disease are examples of lung conditions (COPD)
  • cardiovascular diseases and heart failure are two examples of heart issues
  • airway infections include croup, bronchitis, pneumonia, COVID-19, the flu, and even the common cold
  • an anxiety or panic attack

Some reasons for feeling out of breath unexpectedly include:

  • allergy symptoms
  • lung failure
  • a clot-induced obstruction of one of the blood arteries in the lung (pulmonary embolism)
  • uncommon lung conditions
  • some illnesses, such COVID-19

Some people experience chronic shortness of breath. This may be brought on by:

  • smoking
  • not being fit
  • getting fat
  • anaemia
  • heart disease or another issue with the heart
  • lung disease

What other symptoms might I have?

You can also experience a cough, fever, sore throat, sneezing, blocked or runny nose, and overall congestion if your breathing issues are brought on by a cold or chest infection.

You may experience nausea, lightheadedness, and chest pain if the issue is with your heart. Take your medication exactly as prescribed if you have been given an angina diagnosis. Take a second dose after waiting five minutes.

If asthma or chronic obstructive pulmonary disease (COPD) is the cause of your symptoms, you may also experience excessive mucus production, a wheezing sound when you breathe, and a worsening of your symptoms with activity or at night.

In addition to a rapid heartbeat, shaking, sweating, nausea, and a sense of impending doom or danger, you might also experience these symptoms if you are experiencing a panic attack.

How are breathing problems treated?

The level of illness, how quickly it started, and any underlying illnesses you might have will determine the type of treatment you require.

If you visit a doctor, you might undergo the following tests:

  • tests on blood
  • scans and x-rays
  • tests for breathing
  • Treatments include of:
  • If you smoke, support to stop
  • medications, such as pills and inhalers
  • Physical therapy and workouts

Can breathing problems be prevented?

Use puffers or any other breathing aids you may have in accordance with your pharmacist’s or doctor’s instructions. Also possible

  • Look after yourself and any underlying issues causing your shortness of breath.
  • Keep your cool and posture upright as you stand or sit so that the air can flow more freely.
  • reduce pollution
  • anything you are allergic to, avoid
  • If you are overweight, lose weight.
  • Plan ahead on what to do if circumstances worsen.

REFERENCES:

  • https://www.healthdirect.gov.au/breathing-problems
  • https://www.webmd.com/lung/copd/ss/cm/telltale-signs-eight-breathing-problems-you-shouldnt-ignore?

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Is there any side effects of using too much Cinnamon?

Is there any side effects of using too much Cinnamon?

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What is Cinnamon?

On toast and in lattes, cinnamon is a spice. But for thousands of years, extracts from the cinnamon tree’s bark, leaves, blossoms, fruits, and roots have also been utilised in traditional medicines all throughout the world. It is added to many foods and used in baking and cooking.

The four main types of cinnamon are as follows. The variety of cinnamon that is most frequently offered in the US is cassia, which is darker in colour. Southeast Asia is where it is raised. True cinnamon, commonly referred to as Ceylon cinnamon, is widely utilised abroad.

One of the two primary varieties of cinnamon i.e. Ceylon or Cassia, or a combination of the two—could be the cinnamon you purchase at the shop. Ceylon is easier to grind, but its health benefits might not be as good.

Health Benefits of Cinnamon

Cinnamaldehyde is one of the most significant active components in cinnamon. It is utilised in scents and flavourings. It might be the cause of some of cinnamon’s potential health advantages.

According to certain studies, cinnamon may benefit diabetics. According to a study of 18 studies, cinnamon may help reduce blood sugar levels. Hemoglobin A1C, a marker of blood sugar levels over time, was unaffected, nevertheless. In diabetics, it may also decrease cholesterol.

Numerous studies lack information about the sort of cinnamon they used or have other issues that cast doubt on the accuracy of their conclusions. According to one analysis, cinnamon may aid in reducing obesity and weight gain. Irritable bowel syndrome and other stomach and intestinal issues are occasionally treated with it. But its effectiveness is unclear.

Cinnamon has been proposed to be beneficial for

  • Heart condition
  • Alzheimer’s condition
  • Cancer
  • HIV
  • Infection
  • dental decay
  • Allergies

However, a large number of research have used animal or cell models. Although cinnamon has anti-inflammatory, antibacterial, and antioxidant properties, there are currently insufficient studies to support their effectiveness in treating human conditions.

Side effects of Cinnamon

Cinnamon consumption in moderation is unlikely to have a significant negative influence on your health. Consuming excessive amounts of it is also not recommended.

There is no established dosage for cinnamon because it is an unproven treatment. Some experts advise taking 2-4 grammes of powder, or 1/2 to 1 teaspoon, per day. The amount of cinnamon used in some studies ranged from 1 to 6 grams. High doses could be harmful.

May Cause Liver Damage

A 130-pound (59-kg) person can consume 5 mg of coumarin daily, or approximately 0.05 mg per pound (0.1 mg per kilogramme) of body weight. Accordingly, consuming even a single teaspoon of cassia cinnamon could cause you to exceed the daily limit.

Unfortunately, a number of research have revealed that consuming too much coumarin may harm and poison the liver.

As an illustration, after only one week of taking cinnamon supplements, a 73-year-old woman experienced a sudden liver infection that resulted in liver damage. But in this instance, the dose was larger because of the supplements used than it would be from food alone.

May Increase the Risk of Cancer

An excessive intake of coumarin, which is present in large quantities in Cassia cinnamon, has been linked to an increased risk of some malignancies in animal experiments.

For instance, research on rodents has revealed that consuming too much coumarin might result in the growth of malignant tumours in the lungs, liver, and kidneys. It’s unclear how coumarin might result in tumors.

However, some scientists think that over time, DNA damage brought on by coumarin increases the risk of cancer.

May Cause Mouth Sores

Mouth sores have been reported in certain consumers after consuming items with cinnamon flavouring.

When taken in excessive quantities, the chemical cinnamaldehyde found in cinnamon may cause an allergic reaction. Small doses of the spice don’t appear to trigger this reaction because saliva keeps chemicals from coming into prolonged contact with the mouth.

Other signs of a cinnamaldehyde allergy besides mouth sores include:

  • tongue or gum enlargement
  • a feeling of burning or itching
  • mouth with white spots
  • Although not always serious, some symptoms can nonetheless be uncomfortable.

It’s crucial to remember that cinnamaldehyde only causes mouth sores in people who are allergic to it. A skin patch test can be used to check for this kind of allergy.

May Cause Low Blood Sugar

It is commonly known that cinnamon can reduce blood sugar levels. According to studies, the spice can replicate the actions of the hormone insulin, which aids in removing sugar from the blood.

Although consuming a small amount of cinnamon may help lower blood sugar, doing so excessively may cause it to drop too low. It is known as hypoglycemia. It may cause fatigue, wooziness, and even fainting.

Those who are taking diabetes treatments are particularly at risk of having low blood sugar. This is due to the possibility that cinnamon could intensify the effects of these drugs and cause your blood sugar to drop too low.

May Cause Breathing Problems

This is so that it won’t be difficult to inhale due to the spice’s fine texture. Its accidental inhalation can result in:

  • coughing
  • gagging
  • trying to catch your breath is difficult

Additionally, the cinnamaldehyde in cinnamon irritates the throat. It might result in additional respiratory issues. Being unintentionally exposed to cinnamon should be avoided by those who have asthma or other breathing-related illnesses because they are more prone to have breathing difficulties.

Interact with Certain Medications

With the majority of drugs, cinnamon is safe to consume in small to moderate doses. If you are taking medication for diabetes, heart disease, or liver disease, taking too much may be a problem. This is due to the possibility that cinnamon may interact with such drugs, either amplifying their effects or causing more severe side effects.

For instance, cassia cinnamon has a lot of coumarin, which is poisonous to the liver and might harm it if ingested in large quantities.

A lot of cinnamon may increase your risk of liver damage if you use drugs that could harm your liver, like paracetamol, acetaminophen, and statins.

REFERENCES:

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