Part 1
The Measurements That Count
Over the past 20 years, Americans have become more familiar with specific measurements related to health, such as cholesterol levels and blood pressure readings. When it comes to weight-related health risks, there are three important numbers that you should know. The first is your actual weight in pounds; the second is your Body Mass Index, or BMI; and the third is your waist measurement.
Your BMI is based on your height and weight. Doctors consider BMI to be a better measure of health risk than your actual weight in pounds. In fact, the medical terms overweight and obesity are based on BMI values. A BMI of between 25 and 30 is defined as overweight, and a BMI of 30 or more is considered obese. The higher your BMI, the greater your risk of developing a weight-related illness, such as type 2 diabetes or heart disease.
What Is Your Waist Circumference?
Body fat that accumulates in the stomach area (described as abdominal obesity) is more of a health risk than body fat that builds up in the buttocks and thigh areas. For this reason, your waistline provides valuable information about your risk for heart disease, high blood pressure, high cholesterol, and type 2 diabetes. Doctors consider a waist circumference too high if it is 40 inches or more in men, or 35 inches or more in women.
Consulting Your Doctor About Controlling Your Weight
Talk to your doctor about healthy eating and physical activities that can help you lose weight, improve your fitness and decrease the chances of developing heart disease, high blood pressure or type 2 diabetes. Be sure to set realistic goals. Small changes can make a surprising difference in your health. Your doctor can offer practical suggestions that do not require a complete overhaul of your current way of life. In some cases, your physician may refer you to a nutrition specialist, such as a registered dietitian, for in-depth counseling about food choices. You may want to start the conversation by asking a few questions of your own. For example:
•    Ask your doctor for any educational brochures on topics such as eating habits, counting calories or physical activity
•    Request to have your BMI measured and ask your doctor what it means with regard to your health status
•    Have your waist circumference measured and discuss the significance of the measurement with your doctor
•    Be prepared to describe your current diet and activity level and what changes might promote better health
•    Think about how much change you’re willing to make before you visit your doctor
•    Ask if specialists are available on your health plan and in your area, such as dietitians or physical trainers
Please see next month’s Your Health Magazine for part 2.