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Should we use BMI as a selection criterion for bariatric surgery?
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Hanson, Petra and Barber, Thomas M. (2019) Should we use BMI as a selection criterion for bariatric surgery? Expert Reviews in Endocrinology and Metabolism, 14 (4). pp. 221-223. doi:10.1080/17446651.2019.1618184 ISSN 1744-6651.
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WRAP-should-BMI-selection-criterion-bariatric-surgery-Barber-2019.pdf - Accepted Version - Requires a PDF viewer. Download (896Kb) | Preview |
Official URL: https://doi.org/10.1080/17446651.2019.1618184
Abstract
Body Mass Index (BMI) is part of us. We grew up with it. We learnt it. We use it every day. We define obesity by it. We devise guidelines according to it. As such, BMI seems to have acquired an untouchable, almost mythical status since its conception by Quetellet in the 19th Century.
BMI has been in use since 1985 as a clinical tool for patients with obesity following a National Institutes of Health Consensus (1). Use of BMI cut-off values as a selector for bariatric surgery was first introduced in 1991 (2). Despite the widely ubiquitous adoption and apparent acceptance of BMI as a clinically utilitarian variable, BMI is inherently flawed. If we want to understand the nature of obesity, and the inherent flaws associated with BMI as a concept, we need to step outside of the matrix. We need to challenge our own dogmatic beliefs and return to first principles.
| Item Type: | Journal Article | ||||||
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| Subjects: | R Medicine > RC Internal medicine | ||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Body mass index, Obesity -- Surgery | ||||||
| Journal or Publication Title: | Expert Reviews in Endocrinology and Metabolism | ||||||
| Publisher: | Taylor & Francis | ||||||
| ISSN: | 1744-6651 | ||||||
| Official Date: | 16 May 2019 | ||||||
| Dates: |
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| Volume: | 14 | ||||||
| Number: | 4 | ||||||
| Page Range: | pp. 221-223 | ||||||
| DOI: | 10.1080/17446651.2019.1618184 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Reuse Statement (publisher, data, author rights): | This is an Accepted Manuscript of an article published by Taylor & Francis in Expert Reviews in Endocrinology and Metabolism on 16 May 2019, available online: http://www.tandfonline.com/10.1080/17446651.2019.1618184 | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
| Date of first compliant deposit: | 22 May 2019 | ||||||
| Date of first compliant Open Access: | 16 May 2020 |
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