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.
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.
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.
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.
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?
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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Convenience foods have become the defining feature of urbanization. From ready-to-eat breakfasts to microwavable dinners and takeaway lunches, packaged food fits into all our lives.
But behind this convenience, what lies underneath are the tiny plastic particles, also referred to as microplastics, which are accentuating health concerns across the globe. Unknowingly, these microplastics are seeping through the plastic cutlery, food packaging, etc., potentially into our bodies. Plastics have been widely used for ages due to their higher affordability, durability, and extensive applications in various industries.
As per a recent literature quoted by Zhang et al. 2025, only about 20% of the plastic waste produced is recycled, whereas the rest is either abandoned in landfills or dispersed into the environment. Microplastics are the new emerging pollutant category in the modern era, raising prominent concerns in both health & environmental contexts. As per scientific literature, microplastics are plastic fragments with a diameter of less than 5mm.
Plastic food packaging dominates the global food system, since it can be designed in any form (container, wrapper, pouch, etc) while keeping food fresh for longer periods.
Microplastics are released from food packaging(s), especially when they are exposed to prolonged heat, abrasive forces, and undue environmental stresses. Heating and/or reheating food in plastic containers or choosing to decant packaged food commodities in plastic containers and maintaining them under unfavorable circumstances can all increase the likelihood of microplastic release.
Bottled water has also proven to release thousands of microplastic particles into the water they contain when exposed to sunlight/ heat. We never give a thought to such bottles being sold by the roadside vendors, wherein these plastic bottles are hung for indefinite days on that kiosk.
Those bottles are in constant light exposure all day without even pondering about the ill effects it may cause to the consumers. Similarly, single-use tea bags have also been shown to release billions of microplastics when steeped in hot water. These findings highlight a troubling paradox that products marketed for convenience and safety may be introducing new risks that consumers never thought about.
The health implications of ingesting microplastics remain an active area of research, but early findings are enough to raise concerns. Studies have demonstrated microplastics in human blood, lungs, and even placental tissue. This suggests that upon ingestion, these particles may not simply pass through the body. Instead, they would accumulate in tissues or interact with biological systems in ways that are not yet fully explored.
One of the major health implications pertaining to microplastic ingestion is inflammation. These particles can trigger irritation in tissues, eventually impacting the immune responses.
Plastics often contain additives in the form of plasticizers, etc., which may disrupt hormone function and impair the normal cellular function.
Infants and children are more often vulnerable as their food is also packed in plastic packaging or containers (like plastic sippers, feeding bottles, baby food pouches, etc.), raising long-term exposure risk during critical stages of growth.
The issues relating to plastic usage also reflect a broader tension in the modern era, where convenience seems to intersect with health! For people or families juggling work and financial burdens, avoiding packaged foods mostly sounds unrealistic.
Still, some small and consistent actions can help us reduce the exposure to microplastics, like opting for glass or paper packaging wherever possible. Avoiding heating food in plastic containers or opting for biodegradable packaging options could prove to be beneficial in the future. Though microplastics are invisible to our naked eyes, what we do next to curb them would help us shape a healthy future.
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Are you aware? Scientific insights are helping people of all ages understand heart health better and take the right steps at the right time. Heart health is no longer a concern only for older adults. So, people across all age groups are at risk of developing Heart Disease because of changing lifestyles, stress, and unhealthy habits.
So, here, science plays a pivotal role. With the help of improved research, advanced diagnostics, and increased awareness, science is helping individuals understand their risk factors early and take preventive steps before serious complications arise.
Heart disease is commonly seen in people of all age groups. So, according to scientific research, heart disease develops gradually over time. Early markers such as high cholesterol, blood pressure, and poor lifestyle habits can begin affecting the body even in the 20s or 30s and lead to a poor quality of life.
Today, advanced screening tools and regular health check-ups make it possible to detect these risks early and initiate timely intervention.
For youngsters, science tends to highlight the importance of prevention through healthy eating, regular exercise, quitting smoking, and alcohol. When it comes to middle-aged adults, monitoring conditions like diabetes, hypertension, and cholesterol can help save the heart.
In older adults, it will be necessary to manage existing conditions like diabetes and high blood pressure and prevent heart attacks or stroke.
Moreover, you will also have to understand that genetics also plays an important role. Scientific advancements help doctors identify individuals with a family history of heart disease and guide them with individualized treatment care plans for outcomes.
Currently, you will be surprised to know that modern science has also shed light on the importance of lifestyle in maintaining heart health. So, opting for wearable devices, health apps, and regular screenings helps track heart rate, physical activity, and prevent any concerning heart problems in people.
Robotic surgeries are now enabling heart patients to recover more quickly and provide benefits such as shorter hospital stays, minimal blood loss, and are extremely safe.
Hence, by understanding risk factors, adhering to healthy habits, and undergoing regular check-ups as advised by the doctor on a yearly basis, individuals can take control of their heart health.
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Inflammatory Bowel Disease (IBD) is no longer a rare disease in India. Over the last decade, gastroenterologists across the country have seen a steady rise in patients suffering from ulcerative colitis and Crohn’s disease, the two main forms of IBD.
Yet despite increasing numbers, awareness about the disease remains surprisingly poor. Many patients continue to suffer silently for years because their symptoms are misunderstood, ignored, or mistaken for other common intestinal illnesses.
IBD is a chronic inflammatory condition of the digestive tract caused by an abnormal immune response. Unlike routine stomach infections, it is not simply a “bad stomach” or food-related issue.
Patients commonly experience persistent diarrhea, blood in stools, abdominal pain, weight loss, fatigue, and loss of appetite. In children and young adults, it may also affect growth, nutrition, and quality of life.
Unfortunately, in India, these symptoms are often initially treated as recurrent food poisoning, piles, irritable bowel syndrome, or intestinal infections. Many patients repeatedly receive antibiotics without proper evaluation.
Some even undergo unnecessary treatments before finally reaching a specialist. This delay in diagnosis can lead to severe complications, including intestinal strictures, fistulas, malnutrition, hospitalization, and the need for surgery.
One major reason for underdiagnosis is the overlap of symptoms with intestinal tuberculosis, which remains common in India. Distinguishing Crohn’s disease from intestinal TB can sometimes be extremely challenging, even for experienced doctors.
As a result, some patients are unnecessarily started on anti-tubercular therapy while their actual disease continues to progress silently.
Another important issue is stigma. Many patients hesitate to discuss bowel-related symptoms openly due to embarrassment. Young individuals, especially, may ignore rectal bleeding or chronic diarrhea for months, assuming it is temporary or stress-related. Social media misinformation and self-medication further worsen the problem.
The good news is that treatment options for IBD have improved tremendously. Modern therapies, including biologic medications, advanced endoscopy, nutritional therapy, and personalized treatment strategies, now allow many patients to live completely normal and productive lives. Early diagnosis is the key.
Persistent bowel symptoms lasting more than a few weeks should never be ignored, especially if associated with bleeding, weight loss, anemia, or nighttime symptoms.
India urgently needs greater public awareness about IBD. Equally important is timely referral to gastroenterologists and access to proper diagnostic facilities such as colonoscopy, imaging, and histopathology. IBD is not merely a stomach problem — it is a lifelong immune-mediated disease that requires understanding, long-term care, and compassionate management.
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