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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Feeling anxious, unable to perform well, and feeling burnt out at the workplace is a common problem facing employees slogging for over nine hours every day. But now, a study suggests that taking short vacations every two months can help reduce stress accumulation.
In a 2025 research paper titled “Maximizing Recovery: The Superiority of Frequent Vacations”, Selvaraj Giridharan from the Oncology Department at Tawam Hospital in Abu Dhabi suggests that taking short breaks can help improve mental well-being and boost work performance.
The study argued that instead of a long annual vacation, frequent short breaks are often more effective and help people mentally detach from work. This also helps them recover from burnout faster.
Researchers also found that the positive effects of vacations usually fade within a few weeks after returning to work, making regular breaks important for maintaining emotional balance and productivity.
"We emphasize how regular vacations facilitate recovery and enhance well-being, thereby reducing stress and improving performance. We advocate the integration of frequent breaks into workplace culture through practical strategies for both individuals and organizations," wrote study author Selvaraj Giridharan.
Also read: Ebola Outbreak: University of Glasgow Researcher Explains Why Bundibugyo Virus Is Concerning
Amid discussions around 70-hour work weeks advocated by industrialists like Narayana Murthy, the study comes as a breather.
The researchers, including experts from the National Health Service, stressed that sustained work-related stress causes significant psychobiological strain. This depletes physiological and psychological resources, manifesting as elevated cortisol levels, cognitive fatigue, and emotional exhaustion.
Without periodic recovery, this strain accumulates, increasing the risk of burnout, reduced productivity, and adverse health outcomes. India has seen several recent cases where workplace stress has affected people’s mental health, with some collapsing at work while others resorted to suicide.
Read More: Can Wegovy Improve Survival In Breast Cancer Patients? This Study Suggests It Could
The paper cited a meta-analysis of 22 studies that showed that vacations provide substantial psychological, physiological, and cognitive benefits.
It noted post-vacation reductions in exhaustion, improvements in mood, and increases in life satisfaction among employees.
The findings were found consistent with several studies which identified physiological improvements, including reduced cortisol levels, enhanced heart rate variability, and better sleep quality. These outcomes reflect mitigation of the physiological burden of chronic stress and position vacations as vital health interventions.
The researcher stated that vacations are essential for mitigating the psychobiological impacts of contemporary work and providing psychological, physiological, and cognitive advantages.
Although the duration of vacations is significant, frequent and shorter vacations are more effective in maintaining well-being through regular recovery, they said.
"This evidence-based perspective, rooted in effort-recovery theory, advocates strategic vacation planning by organisations and policymakers to prioritise workforce health. Societies should promote vacation policies that emphasise frequency in order to enhance employee well-being and performance,” the paper said.
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In India, poor reproductive health awareness remains one of the most overlooked gaps in women’s healthcare. Many women continue to ignore gynecological symptoms, assuming them to be routine, temporary, or too embarrassing to discuss.
Persistent vaginal infections, irregular bleeding, untreated hormonal disorders, chronic pelvic pain, or recurring inflammation are often dismissed until they become severe. In some cases, these untreated or undiagnosed conditions can silently contribute to long-term health risks, including certain cancers.
Today, many women have heard of conditions like PCOS, endometriosis, or fibroids. But awareness is often incomplete. Women may know the name of a condition, yet not know its warning signs, complications, or when medical attention is necessary.
For example, prolonged hormonal imbalance, obesity, irregular periods, and chronic inflammation may increase the risk of certain gynecological cancers over time. Similarly, lack of awareness about HPV, cervical screening, and vaccination continues to delay prevention and early diagnosis of cervical cancer.
Fertility awareness is another important gap. Many women are not familiar with their menstrual cycle, ovulation pattern, or normal reproductive changes. When women do not know what is normal for their own body, it becomes harder to recognize when something is wrong.
Social media has added another layer to this problem. While it has improved access to health information, it has also created confusion. Quick tips, unverified remedies, and incomplete advice can delay proper diagnosis and treatment.
Reproductive literacy is not just about knowing symptoms. It means understanding one’s body, menstrual cycle, sexual health, fertility, contraception, screening options, vaccination, and access to safe healthcare.
Unfortunately, stigma around sexual and reproductive health still prevents many women from seeking timely care. Symptoms such as abnormal discharge, bleeding after intercourse, pelvic pain, or irregular bleeding are often hidden out of fear, shame, or hesitation.
This delay is especially dangerous in cancers such as cervical, uterine, ovarian, and vaginal cancers, where early evaluation can make a major difference.
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Actress Lisa Ray was diagnosed with Multiple Myeloma, an incurable but treatable blood cancer, in 2009. She successfully went into remission but experienced a cancer relapse shortly after her wedding in 2012.
During her journey to recovery, she became a prominent advocate for cancer awareness and research. However, it was during this period, at the age of 37, that she also suffered chemo-induced menopause — a topic she brushed aside, not wanting to bring it up out of shame and fear, reflecting the taboo society still associates with the natural end of a woman’s reproductive phase.
In an interaction with HealthandMe, the Oscar-nominated film Water (2005) actress opened up about her experience with chemo-induced menopause.
“I went into chemo-induced menopause at 37. I was given no support. I was completely lost. And even for a subsequent decade after that, I couldn’t find any answers. I didn’t know how to take care of myself. I didn’t know I had options,” she said.
The actress shared that she normalized many of her symptoms and avoided speaking openly about menopause despite being candid about cancer.
“I was so vocal about cancer. I’m actually somebody who prefers to be quite truthful about what I’m going through. I don’t really like to hide things. I’m not secretive by nature. And yet, I carried this burning secret inside me for so many years,” she said.
“When I was being lauded as someone who was breaking through the silence of cancer, I was carrying the silent secret inside me. I couldn’t understand why for many years. And I realized today, I was carrying shame.”
She noted that menopause continues to remain a deeply misunderstood and under-discussed subject, despite affecting all women.
Lisa said conversations around menopause were absent even within families.
“My mother never talked to me about menopause. Of course, we discussed my period when I got it, but menopause was simply like a black box,” she said.
The actress recalled that discussions around perimenopause and menopause only began when many of her close friends started experiencing symptoms themselves.
Calling the silence around menopause “astonishing” and “extremely unjust,” Lisa said women’s hormonal health continues to be severely underfunded and misunderstood globally.
“Menopause impacts all women. Yet it’s treated like a dark secret,” she told HealthandMe.
Lisa added that once she began researching the issue, she became increasingly frustrated by the lack of awareness and medical attention surrounding menopause and hormonal health.
Menopause Not Getting Enough Attention
The actress said that after moving to Dubai, she began openly discussing menopause on social media, despite initially worrying about public reaction.
“Sometimes in social settings, women would almost shut down or turn away and say, ‘Don’t talk about that.’ But when I put it on social media, maybe it permitted a lot of other women to also find a place to have a conversation or a community,” she said.
To bring about change where women can speak freely about the topic and seek treatment early, Lisa has co-founded NuHer, a science-backed health clinic and platform dedicated to midlife care for women. It is designed to support perimenopause and menopause through personalized medical treatments, clinical psychology, and nutritional guidance.
When asked why she chose to focus on menopause and women’s hormonal health, the Four More Shots Please! actress stated, “Menopause is simply not getting the attention that it needs. Women are struggling to get the care that they need and understand their options.”
Lisa explained that while awareness around cancer has steadily improved in India since her multiple myeloma diagnosis in 2009, menopause remains “the next taboo or frontier.”
According to Lisa, NuHer aims to create a safe, science-backed space where women can access support without judgment or dismissal.
“We need a place where women can be heard, where they’re not dismissed, where they’re not gaslit, where they receive all the right science and the options they can choose for this journey,” she told HealthandMe.
She also criticized the tendency to dismiss menopausal symptoms as a “normal” part of aging without offering support or treatment options.
“Women are not broken. Menopause is not a disease like cancer that has to be cured. But women need support. We don’t need to normalize suffering,” Lisa said.
Speaking about aging and post-menopause life, Lisa argued that society often dismisses older women despite what she described as a biologically important phase of life.
“We’ve had terrible PR as aging women. We are dismissed and considered irrelevant when actually we’re stepping into our power age if we know how to take care of ourselves,” the acclaimed actress told HealthandMe.
However, the problem arises when menopause is left unaddressed, and the hormonal changes cause long-term health impacts, including bone health, heart disease risk, and possibly dementia.
“The problem is with the drop in hormones. If you don’t have strategies and lifestyle changes to support yourself post-menopause, you become a frail woman. Your bones suffer. You’re more prone to heart disease and possibly even dementia,” she said, urging more women to seek medical help during menopause and not suffer in silence.
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