Using BMI To Classify People As Obese Is Flawed Say Experts

Updated Jan 16, 2025 | 11:57 AM IST

SummaryBMI is used to classify individuals as underweight, healthy weight, overweight, or obese based on their height and weight. It is calculated by dividing weight in kilograms by health in meters squared. However, there are reasons while it falls short.
BMI Not the right way to measure obesity

A new report published in The Lancet Diabetes & Endocrinology challenges the conventional definition of obesity, and urges a shift from the reliance on Body Mass Index (BMI) to a more nuanced approach. This is supported by over 50 global medical experts. The report also recommends splitting the term "obesity" into two categories: "Clinical obesity" and "Pre-clinical obesity". This aims to improve diagnosis and treatment for over a billion people worldwide living with obesity.

Clinically Obese

This applies to individuals whose obesity has progressed to a disease state, manifesting in organ damage, heart disease, type 2 diabetes, or other health complications. These individuals could also experience symptoms like breathlessness, joint pain, or impaired daily functioning. Treatment also involves medical interventions, including weight-loss medications or surgery.

Pre-Clinic Obese

Whereas the term "pre-clinic obese" refers to those who are overweight but not yet exhibiting health issues. While they may be at risk of developing obesity-related conditions, their organ function and overall health remain intact. What they need is preventive care, which includes dietary guidance, counselling, and regular monitoring to avoid and reduce future health risks.

What does the study say?

The study, led by Professor Francesco Rubino from King's College London emphasizes that obesity is not one-size-fits-all condition. This means it should rather be treated as a spectrum as some individuals maintain normal organ function despite being classified as obese. There are others who may face severe health complications too. However, the current method of calculating obesity based on BMI often leads to misdiagnosis or inadequate care.

The report also states that BMI, while is useful for analyzing population trends, is a flawed unit of measuring individual health. Therefore, there is a need to redefine obesity, and healthcare professionals can provide more precise care by distinguishing those who need immediate medical intervention and those who require preventive strategies.

Limitations of BMI, Why It Falls Short?

BMI is used to classify individuals as underweight, healthy weight, overweight, or obese based on their height and weight. It is calculated by dividing weight in kilograms by health in meters squared. However, there are reasons while it falls short.

•Muscle vs Fat: Athletes or muscular individuals often have high BMIs despite the low body fat

•Fat Distribution: BMI does not measure fat around the waist or organs, which could be more dangerous to one's health.

•Individual Health Variation: It also overlooks the specific health conditions such as heart diseases or diabetes, or any other, while evaluating a person's category in terms of weight.

ALSO READ: Is It Time To Say Goodbye To BMI?

Scope Of Study

By redefining obesity, the study could transform the approach to diagnosis and treatment. It can focus on individual health risks rather than BMI alone. Healthcare providers can also offer tailored care. This also will ensure hat weight-loss medications like Wegovy or Mounjaro are prescribed only to those who genuinely require it.

As per Professor Louise Baur from the University of Sydney, a Children's obesity expert said that this redefinition allows both adults and children to receive more appropriate care while reducing over-diagnosis and unnecessary treatments.

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We Are Exposed To 93% Of Plastic Chemicals Through Food Packaging, Toys & Clothes: What Are The Health Risks

Updated Sep 30, 2026 | 03:00 PM IST

SummaryA recent investigation revealed an alarming amount of hazardous plastic chemicals in everyday items like clothes, toys and food wrapping containers and sheets.
We Are Exposed To 93% Of Plastic Chemicals Through Food Packaging, Toys & Clothes: What Are The Health Risks

Credit: AI

Plastics are everywhere today. It is woven into our clothes, tucked into children's toys, used in food containers, and found in almost every household products. A new analysis has raised concerns about the chemicals used to make these products and the health hazards due to constant exposure.

According to an investigation reported by CNN, nearly 93% of known plastic chemicals used in everyday products were classified as posing a high risk to human health. The analysis looked at plastics used in food-contact materials, toys, clothing and textiles, household products, and hygiene and medical products.

The findings highlight how widespread exposure to hazardous chemicals can affect our health and how much remains unknown about their long-term effects.

Exposure To Plastic Chemicals

A researcher at Environmental Justice Foundation, Naima Fenderl’s Poison Plastics: How Chemicals in Everyday Plastics are Harming Your Health released recently and revealed astounding facts about plastic chemicals.

She said, “We looked at what these plastic chemicals can do to the body along with exposure levels to calculate overall health risk.” The analysis found that:

  • Nearly 92% of chemicals in food-related plastics were considered high risk.
  • Almost 89% of children's toys contained high-risk plastics.
  • Around 93% of textiles and clothing involved dangerous chemicals.
  • More than 92% of common household products contained high-risk chemicals.
  • Nearly 93% of hygiene and medical plastics contained potentially dangerous chemicals.

The chemicals are not necessarily the plastic itself. Many are additives that are used to make plastics flexible, durable, heat-resistant, or less likely to catch fire.

Also read: Botox And Fillers: UK Watchdog Says Clinics Should Check Mental Health Before Injecting

Health Problems Caused By Plastic Chemicals

Some plastic chemicals have been linked to cancer, genetic changes and problems affecting the hormonal, reproductive and organ systems. Among the chemicals of concern are bisphenols, phthalates, and PFAS, which can be used in different plastic products.

Some of these chemicals can interfere with the body's endocrine system, which controls hormones involved in metabolism, reproduction, growth, and development.

The concern is important for children and during pregnancy because hormonal systems and organ development may be more vulnerable to certain chemical exposures.

The report also highlighted the challenge of lack of sufficient data to certainly assess health risks posed by these plastic chemicals. Almost 80% of the 3,552 chemicals in plastics people often use everyday lacked sufficient data to understand health risks.

“We simply do not have a clue what harm those chemicals might be causing us and our kids,” Dr. Philip Landrigan, director of the Global Observatory on Planetary Health and the Program for Global Public Health and the Common Good at Boston College told CNN.

He added, “We don’t even know the names or composition of a lot of the chemicals that are in consumer products — the chemical industry presumably has that information, but it’s not publicly available.”

Also read: World Environment Day 2025: Everyday Habits That Are Harming The Earth And Your Health

Microplastics Are Part Of The Problem Too

Chemical exposure is only one part of the plastic problem. Tiny plastic particles, known as microplastics, and even smaller nanoplastics, can also enter our bodies through food and water.

University of Columbia released an analysis of plastic bottled water based on a laser-based highly sensitive imaging technique. It found an average of around 240,000 plastic particles per litre, with most nanoplastics.

These particles can come from the bottle, the cap, manufacturing, and handling. Opening and closing the bottle repeatedly can also create friction between the cap and bottle neck, releasing tiny plastic fragments.

Larger particles are generally expected to pass through the digestive system. But nanoplastics are small enough to cross biological barriers.

Research has found that plastic particles can reach the circulatory system and other tissues, but scientists still do not know exactly which particles cross these barriers most easily, how much accumulates in the body or what level of exposure causes harm.

What Is The Solution?

Quitting using plastic entirely is not practical for most people. Instead, reducing avoidable exposure could be a sensible approach.

Avoid heating food in plastic containers, particularly when the container is not designed for high temperatures. Using glass or stainless steel for hot food and drinks can also reduce reliance on plastic food-contact materials.

Filtration or boiling of drinking water may help reduce some microplastics. But doctors believe that heat may only alter some plastic particles, not destroy them completely.

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The Hidden Health Cost Of Excessive Screen Time: Dry Eyes, Ringing Ears, Poor Sleep

Updated Sep 30, 2026 | 02:06 PM IST

SummaryExcessive screen time can contribute to dry eyes, disrupted sleep and tinnitus or ringing sensations, with prolonged device use affecting multiple aspects of health.
The Hidden Health Cost Of Excessive Screen Time: Dry Eyes, Ringing Ears, Poor Sleep

Credit: AI

It's hard to find anyone these days whose day doesn't involve a phone, a laptop, or a tablet at some point, often for several hours. We work off them, study off them, unwind by scrolling or watching something on them. All that convenience comes at a cost, though, and it isn't limited to the eyes. Sleep, hearing, posture, general well-being- screens end up touching all of it.

Long Screen Hours Can Strain Your Eyes

Eye strain is usually the first thing people notice. Stare at a screen close-up for long stretches, and the eyes start to dry out, burn, blur, and headaches creep in along with trouble focusing. Part of the problem is that we simply blink less when we're absorbed in something on a screen, which makes the dryness worse.

A few small adjustments help, keeping the screen at a reasonable distance, not having the brightness too high, and something I often recommend to patients: the 20-20-20 rule. Every 20 minutes, look at something roughly 20 feet away for 20 seconds. It sounds minor, but it eases the strain.

Also read: Salt Stomping Before Bed: Does This Viral TikTok Sleep Hack Actually Work?

Long Hours With Earphones Can Affect Hearing

Screens affect more than eyesight. Long hours spent wearing earphones, particularly at high volumes, can gradually affect hearing. The risk depends on both the volume and the duration of exposure.

Keeping the volume at a comfortable level and taking regular breaks from earphones is a simple enough habit to build. Persistent ringing in the ears, muffled hearing or difficulty following conversations should not be dismissed as fatigue and should be evaluated by a doctor.

Screen Use Can Disrupt Sleep

Sleep is one of the most overlooked casualties of excessive screen use. Phones and laptops used late at night keep the brain stimulated when the body should be winding down for rest. Bright light from screens, along with constant notifications, social media and work-related activity, makes it harder to unwind and fall asleep. Poor sleep, in turn, contributes to daytime fatigue, reduced concentration and irritability.

None of this means giving up technology altogether. It comes down to building healthier digital habits, avoiding screens close to bedtime, keeping phones away from the bed, taking regular movement breaks during work, and spending some time outdoors. For people working at computers for extended periods, maintaining good posture and changing position regularly matters just as much.

Also read: Weekend Workouts: Why Sudden Intense Exercise May Put Stress on Your Heart

There Is No Single ‘Safe’ Number Of Screen Hours

Clinical care today increasingly looks beyond treating disease to identifying everyday lifestyle factors that contribute to long-term health problems, and screen exposure is a good example of this. There isn't a single number of hours that is automatically harmful for every adult; the impact depends on what the screen is being used for, the intensity and duration of exposure, and whether it is interfering with sleep, physical activity or daily functioning.

Being screen-smart, rather than screen-free, is really the aim. Regular breaks, sensible volume levels, better sleep routines and more movement can go a long way in protecting the eyes, hearing and overall health, while still letting technology remain a useful part of modern life.

If symptoms such as persistent eye discomfort, hearing changes, recurrent headaches or ongoing sleep difficulties continue despite cutting down on screen time, it's worth seeking professional medical advice rather than relying on lifestyle adjustments alone.

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Salt Stomping Before Bed: Does This Viral TikTok Sleep Hack Actually Work?

Updated Sep 30, 2026 | 12:19 PM IST

SummaryTikTok’s latest sleep trend involves stomping barefoot on Epsom salt before bed, with creators claiming it can reduce stress, lower cortisol and improve sleep. But sleep experts say there is no scientific evidence that salt stomping provides these benefits, while the practice could irritate or damage the skin on your feet.
Salt Stomping: The Viral Sleep Trend Under Scrutiny

Salt stomping has gone viral as a bedtime ritual, with creators claiming it can improve sleep and reduce stress. Sleep experts, however, say there is no scientific evidence that standing on salt provides these benefits. (Image Credits: Instagram - @tamsskyn)

TikTok has a new sleep obsession every few months. Mouth taping, "cognitive shuffling," and now this: pouring salt onto a tray and stomping on it barefoot before bed. It's called "salt stomping," and doctors have doubts.

What Is Salt Stomping?

The trend was popularised by TikTok creator Tammy Weatherhead, who films herself pouring Epsom salt onto a baking sheet and shuffling her feet on it, according to the New York Post. "If you are not standing on salt before bed, you are missing out," she says in her videos. Other creators pour the salt onto baking sheets, towels or straight onto the shower floor, according to the New York Post.

The practice is framed as a type of "grounding," or direct contact with the earth, which some people normally do by walking barefoot on grass or sand, the New York Post notes. Weatherhead claims the salt version also exfoliates feet, reduces inflammation, and shifts the body into "rest mode" by lowering cortisol and raising serotonin.

Also Read: Heart Valve Clips Explained: How a Tiny Clip Can Help Repair a Leaking Valve

Does It Actually Work?

Doctors say no. Saema Tahir, a board-certified sleep physician, told the New York Post, "There's no evidence that standing on salt calms anything." IOL, a South African outlet, reported the same conclusion. There is currently no scientific evidence that standing directly on salt improves sleep.

There is some research on grounding in general, separate from salt. A small 2004 study published in the Journal of Alternative and Complementary Medicine found that people who slept in contact with a grounding mat had lower night-time cortisol levels. But the study didn't test salt, involved a small group of people, and hasn't been repeated at a larger scale since.

What might actually help is the ritual itself, not the salt. Jacqueline Geer, a sleep medicine specialist at Yale School of Medicine, told Vogue, as reported by Yahoo, that the benefit "lies in the fact that this trend requires a certain level of focus and disconnect" from a busy day. A psychologist identified as Dr. Bostock told the Huffington Post UK there's likely a placebo effect too: "If you believe something helps you sleep, the odds are you will fall asleep faster and stay asleep longer."

The Real Risk: Your Skin

Standing barefoot on salt can cause harm. Chris Winter, a neurologist and sleep specialist, told Vogue, as reported by Yahoo, that salt stomping can cause skin irritation, worsen cracks on the feet, and create small cuts that let bacteria into the body.

What To Do Instead

Sleep experts point to simpler, low-risk habits: calming, repetitive routines before bed that signal to the nervous system it's time to rest, per IOL. Geer's advice, per Yahoo, is to build in a period of focus and disconnection from screens and stress, rather than a specific trick. If anxiety is what's keeping you up at night, that's worth raising with a doctor directly, rather than testing viral hacks with no real evidence behind them.

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