U.S. Food Consumption and Obesity, Part 2 of 4
G. Douglas Andersen, DC, DACBSP, CCN
Body Mass Index
The body mass index (BMI) is a popular way for epidemiologists to classify the weight of large groups of people. BMI is calculated in the following ways: The body weight in kilograms divided by the height in meters squared; or the body weight in pounds divided by the height in inches, squared and multiplied by 705. (See Table 1.) The BMI is fairly accurate for normal people. It is not as accurate for extremely short people or athletic people (heavy exercisers) of normal size.
It is completely inaccurate for those who are heavily muscled. However, in cross-sectional surveys, due to the number of persons in the survey, there are too few heavily muscled athletes to affect the results of large groups. For example, a 6-foot-tall, 225-pound, heavily muscled athlete with 10 percent body fat has a BMI of 30. Obviously, this person is not obese. Contrast this patient with another who is 6 feet tall, 225 pounds and not athletic; in that case, a BMI of 30 is accurate. To see how much Americans have been growing, please see Table 2.
It is no surprise that the percentage of our population defined as obese is growing. What is even more disturbing is the percentage of people who are now overweight, as defined by a BMI of 25 or greater. Please see Table 3.
Although NHANES concentrates on the U.S. population, the World Health Organization (WHO) reports that this problem is seen in other modern nations around the world, and in the Third World, particularly as prosperity increases.2
Table 4 below tells a story that will please people who feel the obesity problem is caused by excessive consumption of fats, simple carbohydrates, total carbohydrates and total calories. Table 5 bolsters the argument for those who feel obesity is caused by insufficient protein intake. In part 3 of this article, we will review in detail selected food groups, and how their consumption has changed over the years.
Please note that this figure is based on data through 1997 only. With the rise in popularity of coffeehouses, it is likely that coffee consumption has increased since then. It also is interesting to note that in many coffee-serving establishments, coffee, which used to be considered a low-calorie beverage (even including 1-2 spoonfuls of sugar), can now cost a person 500 calories or more when creams, flavorings, etc., are added.
KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity
among U.S. adults. JAMA 1999-2000;288:14.
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