Went and saw a doctor the other day, first time seeing him. The double take he did when he walked in and saw me was almost comical.
He asked me to take off my boots and to put on a hospital gown for the re-weigh.
Chart says 6'1" 275lbs fully dressed, without steel toed boots and in hospital gown 265 lbs. Obese, bordering on morbidly obese, according to the bloody BMI charts. The chart says I should be no more than 185lbs.
The reason he wanted a re-weigh, he admitted when he walked in he thought he would see a guy 6'1 both ways. Instead he walked in to see a man with an almost 50" chest, 40" waist and when I undressed you could see some of my ribs, the top of my hips and not quite a 4 pack abs but definitely not rolls or a beer belly. He thought that the scale was either off or I was carrying so much extra weight in my pockets. If I was the 185lbs they want I literally would be just skin and bones.
The doctor wants me to take a bone mass density test because he suspects I have more density that normal but he wants to get a baseline for me. He also wants a hydrostatic weight test. I told him if they do the water scale test to have divers and oxygen ready, when I relax in water I always sink to the bottom, that's why I volunteered for submarine service in the Navy. Even the kapok they had us use in boot barely kept my head above the water, lol.
3 notes
·
View notes
Waist-to-height ratio detects fat obesity in children and adolescents significantly better than BMI, study finds - Technology Org
New Post has been published on https://thedigitalinsider.com/waist-to-height-ratio-detects-fat-obesity-in-children-and-adolescents-significantly-better-than-bmi-study-finds-technology-org/
Waist-to-height ratio detects fat obesity in children and adolescents significantly better than BMI, study finds - Technology Org
An inexpensive measure of obesity in children and adolescents that could replace body mass index (BMI) has been identified in a new study as waist circumference-to-height ratio. This measure detected excess fat mass and distinguished fat mass from muscle mass in children and adolescents more accurately than BMI. The study, published in Pediatric Research, was conducted in collaboration between the universities of Bristol, Exeter and Eastern Finland.
Waist circumference-to-height ratio may be universally adopted, as non-invasive and inexpensive fat mass overweight and obesity surveillance, monitoring, and prevention initiatives in routine paediatric healthcare practice, also in low-resource settings. Image credit: Andrew Agbaje
The study is the largest and longest follow-up dual-energy X-ray absorptiometry (DEXA)- measured fat mass and muscle mass study in the world using Bristol’s Children of the 90s data (also known as the Avon Longitudinal Study of Parents and Children).
The prevalence of childhood and adolescent obesity has reached an epidemic proportion and is affecting nearly one in four children in the current decade. Unfortunately, obesity in the young population has been associated with cardiovascular, metabolic, neurological, and musculoskeletal diseases and premature death in adulthood. Accurately detecting overweight and obesity in children is critical to initiating timely interventions.
For nearly a generation, weight-to-height ratio charts and BMI for age and sex have been used to diagnose children with obesity. However, these assessment tools are inaccurate in childhood and adolescence since they do not distinguish fat from muscle mass. For instance, two children with similar BMI might have different proportions of fat and muscle mass which makes obesity diagnosis difficult.
Expensive tools such as the DEXA scan accurately measure the fat and muscle content of the body, but this device is not readily available in primary health care centres. Recently, the American Academy of Pediatrics (AAP) published a clinical guideline on childhood obesity and requested urgent research on inexpensive and accurate alternative measures of obesity.
Emerging studies in adults appear to suggest that waist circumference-to-height ratio predicts premature death better than BMI and could be a potential added tool to BMI measure in improving the diagnosis of obesity.
However, there has been no former evaluation of how much waist circumference-to-height ratio measurements agree with DEXA-measured fat mass and muscle mass during growth from childhood to young adulthood. In addition, the threshold of waist circumference-to-height ratio needed to detect excess fat in children is not clear, which is why this study was carried out.
The research included 7,237 children (51 per cent females) aged nine years who were followed-up until age 24 years from Children of the 90s data. Their BMI and waist circumference-to-height ratio were measured at ages 9, 11, 15, 17, and 24 years. When different devices measure a variable with an exact resemblance, it is described as perfect agreement of the devices with a score of 100 per cent. For example, two DEXA scans from different manufacturers would measure fat mass with a near-perfect agreement of 99 to 100 per cent.
Waist circumference-to-height ratio had a very high agreement of 81 – 89 per cent with DEXA-measured total body fat mass and trunk fat mass, but a low agreement with muscle mass (24 – 39 per cent). BMI had a slightly high agreement with total fat mass and trunk fat mass (65 – 72 per cent) and muscle mass (52 – 0.58 per cent). Since BMI had a slightly high agreement with DEXA-measured muscle mass, it is difficult to specify whether BMI measures excess fat or muscle mass.
The optimal waist circumference-to-height ratio cut points that predicted the 95th percentile of total fat mass in males was 0.53 and 0.54 in females.This cut point detected eight out of ten males and seven out of ten females who truly had excess DEXA-measured fat. The cut point also identified 93 out of 100 males and 95 out of 100 females who truly do not have excess fat.
Dr Andrew Agbaje, Physician and Pediatric Clinical Epidemiologist at the University of Eastern Finland, said: “This study provides novel information that would be useful in updating future childhood obesity guidelines and policy statements. The average waist circumference-to-height ratio in childhood, adolescence, and young adulthood is 0.45, it does not vary with age and among individuals like BMI.
“Waist circumference-to-height ratio might be preferable to BMI assessment in children and adolescent clinics as an inexpensive tool for detecting excess fat. Parents should not be discouraged by the BMI or weight of their children but can inexpensively confirm whether the weight is due to increase in excess fat by examining their child’s waist circumference-to-height ratio.”
Julian Hamilton-Shield, Professor in Diabetes and Metabolic Endocrinology in the Bristol Medical School: Translational Health Science (THS), commenting on the study, added: “This present study from Dr Agbaje confirms the continued value of the Children of the 90s longitudinal cohort, whilst strengthening the evidence for waist-height ratio being a key measure of adiposity. Examining the same cohort, we believe this simple measure adds value in identifying those most at risk of obesity-related liver disease across the life course.”
Source: University of Bristol
You can offer your link to a page which is relevant to the topic of this post.
0 notes
i asked for recs in a book server im in, because im doing a reading challenge bingo and wanna fill out every spot before the deadline and one of the spots im missing is plus size author or main character
and some people had some good options but none of them will get in from the library in time,and i was tempted to just buy one of them
and i thought, well a graphic novel would be easier
and one that got recommended is "girl from the sea" by molly knox ostertag
i looked at some stills from it, and its no knock to the author at all but that is not a plus size character?
they are maybe midsize?
i knew a lot of people thought oh big thighs big boobs but tiny waist? totally plus size but i didnt think id see it when every other book the specific person recommended Did have actual plus size rep at least according to the book covers
anyway i found a good reads list of some graphic novels that have plus size main characters and i found one thats on kindle unlimited, its not the Best option but at least if one of my library options doesnt come in i can put something down
it feels awful cause i Am fat, and the idea that i cant find something that i can actually read in time that is even representative of my real body
unfortunately there are some shorter books on kindle that fit the prompt but every single one of them is graphically smutty and, that just isnt something i can handle at all
and, the plus size author option is nice but that really isnt something as easily searchable, hell plus size main character isnt and i only know a couple authors that could fit that description off the top of my head and i really dont wanna read some of the ones by those people ahdkdk guess if anything goes wrong ill fucking pull out twilight ig (that is not a knock at smeyer, i dont even know if she'd be considered plus size but i basically have no other ideas)
1 note
·
View note