18 Comments

Sweet baby Jesus, sometimes it feels like we will never escape fat stigma.

I’d like to state that people on the very fat ends of the spectrum can be very ill too and how many more cases of Cushings, Hashimoto’s, cancer, PCOS, and lipidema are doctors going to ignore because they’re so obsessed with diet industry propaganda and our pants size?

I tell you what, though… the day a doctor comes at me with a tape measure is gonna be the day that doctor deeply regrets their life choices and rethinks their entire career. If they thought my objection to being weighed was inconvenient, they ain’t seen nothin’ yet.

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My doctor has already come at me with the tape measure. In her defense, she's very nonjudgmental about my weight. She just observes it, like she observes my blood pressure and my cholesterol and so on. She doesn't say anything about it.

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I'm glad she's not judgemental! What a rare thing.

Unless my doctor is going to make me clothing, they'd better stay far away from me with the tape measures, though.

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The thought of that makes me terribly uncomfortable. It's like back in the 1950's when women would measure themselves.

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It sounds like their research question was "what can we use that gives the same result as BMI, but isn't actually the BMI?"

Does throwing in π and square roots make it more science-y?

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I feel like Patrick McGoohan in the intro to The Prisoner. "I am not a number! I am a free man!" Well, free person. Do they think that throwing some square roots into the formula makes it truer?

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"...weight science has gone a long way down the wrong road.." 👏🏼 thank you for this work Ragen!

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It's just one more way of shaming higher weight people.

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BMI already exists. Waist to hip ratios are already used. So they're essentially putting lipstick and a wig on existing measurements to make us think they're different. Also, if you're going for faux scientific use a term other than Roundness.

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I'm looking at the equation and I think it's describing the body as a cylinder and maybe doing a crude volume measurement. I want to play with it some because their constants seem random.

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Have you seen the InBody scale body composition analysis that they do in gyms? I fear that doctors might start using something like this rather than the standard BMI. I had been looking for a gym that was not about weight/body composition/fitness culture, etc. and settled on a YMCA, only to find that even they have one of these machines.

https://inbodyusa.com/

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The mounds of bullshit these assholes will pile up to justify intentional weight loss is just mind-blowing. Heaven forbid they actually use evidence-based measures to determine health 🤢

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Noninvasive? Are they kidding?

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So, at my next appointment, if they add waist measurement to my height and weight, am I allowed to refuse them to do that?

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Yes. If you are in the US (and in most countries) your right to informed consent/refusal is absolute - they would have to state a reason for medical necessity and they don't have one (and even then, you could refuse.)

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I may be missing something but I can't see where weight is figured into the equation quoted from the article. I see a waist size and height ratio but not weight. What am I missing?

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You're not, the way I explained it was poor and confusing, I've changed it to make it more clear, while it will end up approximating weight, BMI pathologizes bodies based on weight and height whereas BRI pathologizes bodies based on waist circumference and height. Thanks for asking and sorry for causing confusion.

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I'm curious as to what the correlation is between the BMI and the BRI? is it really a different measure? and is it different than waist hip ration which has been a metric which has been around for longer. Not that any of them are useful but are they different or as others have mentioned just another way to stigmatize different body shapes/sizes. thanks.

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