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An epidemic of hidden fat

Americans are even fatter than previously thought. A new study shows that body mass index (BMI)—the ratio of weight to height that physicians typically use to determine whether a patient is obese—is a poor measure of how much fat a person is carrying. Researchers calculated the BMIs of nearly 1,400 men and women, and then they used a more precise body scan to get an accurate reading of each person’s body fat. When they compared the two numbers, they found that about 50 percent of women and 25 percent of men whose BMIs labeled them merely overweight were actually obese. That could mean that some 60 percent of Americans are obese and “aren’t being diagnosed,” Dr. Eric Braverman, of Weill Cornell Medical College, tells Health.com. Fat weighs less than muscle, so women—who are more apt than men to lose muscle as they age—are more likely to get misleading BMI readings. “A 55-year-old woman who looks great in a dress could have very little muscle and mostly body fat, and a whole lot of health risks because of that,” Braverman says, “but still have a normal BMI.” The hidden fat, he warns, can lead to heart attacks and diabetes.

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