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BMI is the standard measure for determining obesity. Yet, the waist-to-height ratio reveals the true scope of America's metabolic crisis that BMI measurements miss entirely. When the waist exceeds half the height, the risk of insulin resistance, fatty liver, and heart disease skyrockets, regardless of weight. Expanding obesity criteria to include body fat distribution identifies 75% of adults facing real health dangers.
Obesity diagnosis has become a mess because BMI was never meant to diagnose disease, and it can't tell who's actually sick. Relying on this flawed metric creates millions of misdiagnoses, labeling healthy muscular people as diseased while missing thin people with dangerous organ fat who desperately need treatment. Medicine must finally define what obesity illness actually is beyond just body size.