A New Way to Understand Obesity in Indians

A New Way to Understand Obesity in Indians

Introduction

Obesity is becoming a big health problem in India. It used to be more common in big cities, but now it's spreading to smaller towns and villages too. Along with weight gain, more people are getting diseases like diabetes, heart problems, and fatty liver. To fight this health crisis, doctors in India have come together to rethink how we define obesity—especially for Indian bodies, which are different from people in the West.

Why Old Definitions Weren’t Enough

For many years, obesity was measured using a simple formula called BMI (Body Mass Index). This measures your weight in relation to your height. But this method doesn’t always show the real health risks, especially for Asian Indians. For example, an Indian person might look slim by BMI standards but still have dangerous fat around the belly, which increases the risk of diseases.

What’s New in the Revised Definition

The new definition adds more layers. Obesity is now split into two stages:

  • Stage 1 Obesity: This means you have extra body fat (with BMI over 23) but no health problems yet. There are no signs of organ trouble or difficulty doing everyday tasks.
  • Stage 2 Obesity: This is more serious. Along with high BMI, people may also have a big waistline or waist-to-height ratio. They may feel breathless, have joint pain, or have other health problems like diabetes, high blood pressure, or fatty liver.

Why This Change Matters

This new way of looking at obesity helps doctors find out who needs help early and who may already be at risk. It’s no longer just about numbers on a scale. Now, doctors will also ask about symptoms, check waist size, and look for signs of related diseases.

Easy Measurements That Matter

Along with BMI, doctors now also focus on:

  • Waist Circumference: More than 90 cm in men and 80 cm in women is risky.
  • Waist-to-Height Ratio (W-HtR): A value over 0.5 shows higher risk.
  • Daily Activity Problems: Trouble walking, climbing stairs, or doing chores can be a sign of advanced obesity.

What Should You Do?

If you’re overweight, it’s good to start with simple lifestyle changes—like walking more, eating healthy, and sleeping better. If you're in Stage 2, your doctor might suggest medicine or even surgery in some cases. But the most important thing is early action.

Conclusion

This new definition of obesity for Asian Indians is a big step forward. It recognizes that our bodies are unique and need personalized care. If you think you might be at risk, talk to your doctor. Getting healthier doesn’t always mean losing lots of weight—it means improving your overall well-being, one step at a time.

Reference: https://www.sciencedirect.com/science/article/pii/S187140212400050X

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