Cardiovascular Disease, Diabetes and Obesity in Women

Obesity, CVD and Women

Obesity is the most significant risk factor for development of diabetes. 58 In the U.S., 30% of women ages 18-44 are considered obese. 59 The Obesity Medicine As- sociation defines obesity as a chronic, relapsing, multifactorial, neurobehavioral dis - ei na saed vi ne rws eh imc he taanb oi nl iccr, ebai soemienc hb aondiyc af al ta np dr opms oy ct ehso saodci pi aol sheetailstshu ceodnyssefquunecnt icoens,. r e s u l t i n g 60 The in- flammatory nature of excessive adipose tissue—or body fat—is a critical risk factor for development of insulin resistance, type 2 diabetes and many other chronic diseases. 61 Obesity is associated with nearly 60 comorbidities. 62 Body Mass Index (BMI), waist cir - cduiamgnfeorseentcheeadnidsebaosdey. fat percentage are some of the most common methods used to BMI, Race and Medicine The American Medical Association (AMA) adopted a new policy 63 in June 2023 to clarify the use of BMI in medicine. The policy says that BMI is “significantly correlated with the amount of fat mass in the general population but loses predictability when applied on the individual level.” The AMA’s subcommittee acknowledges BMI’s “historical harm [and] use for racist exclusion” and its shortcomings due to BMI being based primarily on data collected from previous generations of non-Hispanic white populations. The new policy notes that “The current BMI classification system is misleading regarding the effects of body mass on mortality rates.” The AMA now suggests using BMI along with other measures and encourages physicians to understand the benefits and limitations of using BMI to determine the appropriate care for patients.

58 https://pubmed.ncbi.nlm.nih.gov/34749892/ 59 https://www.americashealthrankings.org/explore/measures/Obesity_women 60 https://obesitymedicine.org/definition-of-obesity/ 61 https://www.frontiersin.org/articles/10.3389/fphys.2019.01607/full 62 https://www.rethinkobesity.com/disease-progression/comorbidities-of-obesity.html

63 https://www.ihi.org/communities/blogs/the-risks-of-fatphobia-to-health-and-equity?utm_campaign=tw&utm_medium=email&_hsmi=264828051&_hsenc=p2ANqtz--Bl_ LAiGeABbYp80NDSioUCmb6zHIGfvZrbS3OJv5SB-NIjplaC8I0IMrr3g_suFntLcCCh5z7sJAxcYyX1ZKRbVOswTSGJaPgMGNcMXGJjAPrm7w&utm_content=264656423&utm_ source=hs_email

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