> The thresholds for overweight and obesity determined by BMI should be lowered for certain categories of the population
The National Institute for Excellence in Health and Social Services (INESS) of the United Kingdom has published new guidelines to help UK local authorities to reduce the incidence of diabetes and cardiovascular disease among persons belonging to ethnic minorities . persons of African descent, Caribbean and Asia are up to 6 times more likely to suffer from type 2 diabetes, and 50% more likely to die due to heart disease and / or heart attack. These millions of people (living in the UK) also develop these diseases at a younger age than the general population.
INESS The guide stresses that lower BMI, 23 kg / m² should be used as a shutter button to take measures to help people in these three ethnic minorities (as well as other minorities) to avoid the health problems described above but also others. Specifically, these ethnic minorities should ideally aim for less than 23. IMC This threshold of 23 kg / m² is lower than the conventional threshold of 25 kg / m², usually used to indicate an increased risk of chronic diseases. But this figure of 25 kg / m² is still valid to report the risk in European white adults.
With the current threshold of 25 kg / m², millions of people from ethnic minority groups are not overweight. Suddenly, they are not alarmed, as they should be. This is what INESS aims to change. currently have a BMI between 18.5 and 25 means that you have a normal weight (for the general population), but this is INESS interval devoid of meaning for persons belonging to ethnic minorities. The Institute wants to make clear to these people that their BMI should be between 18.5 and 23 instead. Idem, have a BMI over 30 means that the individual is obese (for the general population).
The INESS wants to reduce this number to 27.5 for people from ethnic minorities. Reducing the BMI threshold associated with overweight, INESS estimated 8 million people in more (from minorities) will be covered and have access to care and treatment required, will access to preventive measures and can avoid early development of type 2 diabetes and / or cardiovascular disease.
> But what is BMI?
Remember that BMI is an index used to calculate summarily if an individual is underweight, a healthy weight, overweight or obese is a function of its height and its current body weight. It is calculated by measuring the mass (in kilograms) and dividing by height (in meters) squared to provide a score of BMI.
> Recommendations for improving the health of ethnic minorities and save health care costs
The guide also sets INESS effective ways to help local authorities to prevent and fight against these diseases in the long term in their diverse populations. Professor Mike Kelly, Director of the Centre for Public Health at INESS said "The type 2 diabetes, heart disease and stroke are potentially life-threatening diseases that people of African, Caribbean and Asian (and other minority ethnicities) are much more likely to develop than the general population.
It is essential that local authorities are well informed to take appropriate measures to prevent the disease in people who are at high risk of developing them," says the professor. "Early intervention , lowering the BMI thresholds, would save more than 7,200 euros per person each year, reducing the number of patients who develop type 2 diabetes.
Experts estimate that the total economy permitted by the prevention of diabetes type 2 amounted to 10.6 billion euros per year in the UK (related to diagnosis, interventions on lifestyle savings, treatment, management and complications.) There is an additional saving of 15 7 billion if the death or illness and lost productivity of patients who work are taken into account, "he says. "In addition to improving the health and well-being of individuals affected by our recommendation, take effective measures now also reduces future demand for health services and social services, allowing people to stay as independent as possible, "he said.
> Details of the organization that issued these recommendations
The INESS (whose name in English is "National Institute for Health and Care Excellence", often abbreviated by NICE) is a non-departmental public body. It is an independent administrative authority of the Government of the United Kingdom. This institute publishes recommendations in four areas: use of health technologies by the British social security, clinical practice, health promotion for workers public policy for social services and users.
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