“Obesity Staging System”
Dr. Sharma, a Canadian physician who specializes in and blogs about obesity, weight and health (and who I keep meaning to put on my blog roll), felt that BMI and waist circumference were not very helpful parameters when dealing with the realities of individual patients. So he and another doctor put on their thinking caps and came up with what they’re calling the Edmonton Obesity Staging System.
If the type is too small to read, basically this is a five stage system that outlines five levels or grades of obesity and which treatments might be pursued at each level. However, the levels are not determined by weight, but by whether or not certain weight-related conditions are present and the severity of those conditions. Seriously, though, click on that link above to read the actual post.
So I think this system is pretty great and I hope it’s adopted by clinicians everywhere. I love that it focuses on actual health problems and not just on weight. I love that it suggests looking for ‘non-weight related contributors to risk factors’ instead of assuming any problem is caused by weight.
Personally, I would feel much better about seeing a doctor who used this type of system. Even though I currently have some symptoms which would be considered obesity-related, having a doctor who didn’t consider having a certain BMI as being a disease in and of itself would be great.
I know this system will have plenty of critics. Much of society hates the idea of just “letting” people be fat no matter how healthy they may be. For others, any hint of implicating fatness as a cause/contributor to some conditions will make this system unacceptable.
I’m curious as to how my readers feel about it.