“That’s about self-perception and self-acceptance. Rather than focusing on getting to a “normal” or so-called “healthy” standard BMI or weight, she likes to work with her patients on achieving a “happy weight,” where you have reached your health goals and are able to maintain that weight happily. None of this means people should be overly concerned by what the standards are, says Gonsahn-Bollie. “It is very challenging at the individual level for a clinician to really say this is your healthy weight because we’re using all that bias from the population-based BMI and trying to apply it to the individual.” It was not designed to be used for individuals,” says Sylvia Gonsahn-Bollie, MD, a Black obesity medicine doctor in the Washington, DC, metro area and the author of Embrace You: Your Guide to Transforming Weight-Loss Misconceptions Into Lifelong Wellness.
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Black women are also more likely to develop obesity-related conditions such as diabetes, hypertension, and high cholesterol than their white counterparts.īut remember that BMI is a number used as one reference point to help identify risk factors and confirm diagnoses for obesity and other health conditions. (Equal percentages of Black and white men have obesity: 31 percent.) The average Black woman is 187 pounds, with a BMI of 32.2, which is considered obese.
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Using current BMI standards, 44 percent are categorized as obese, compared with 29 percent of non-Hispanic white women. Even with the proposed adjustments, Black women have the highest rate of obesity among all groups in the United States.