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New clinical definition versus BMI in diagnosing obesity

Science Media Centre ·

The Brief · written from 4 sources

  • A large international study published in Nature found that a new diagnostic definition of obesity outperforms BMI in identifying differences in health and prognosis, including mortality risk.
  • The new framework was proposed in 2025 by the Lancet Diabetes & Endocrinology Commission and goes beyond BMI by incorporating measures such as body fat distribution and organ function.
  • The framework distinguishes between clinical and pre-clinical obesity, and Live Science reports that more people could count as obese under the proposed definition.

Why it matters

Obesity diagnosis drives clinical decisions, so a definition that better predicts health outcomes than BMI could change who is identified as at risk and who receives care.

Who’s affected

  • clinicians and researchers who diagnose or treat obesity
  • people whose obesity status could change under a new definition

In 2025, the Lancet Diabetes & Endocrinology Commission proposed a new diagnostic framework for obesity that went beyond BMI alone to incorporate other metrics such as body fat distribution and organ function, and which distinguished between clinical and pre-clinical obesity…

Timeline

  1. Latest from Live Science in Health

    More people could count as obese under newly proposed definition — here's what you need to know

  2. Medical Xpress - latest medical and health news stories

    New clinical definition outperforms BMI in diagnosing obesity

  3. Science Media Centre

    New clinical definition versus BMI in diagnosing obesity

  4. Science Media Centre

    expert reaction to study looking at a new clinical definition versus just BMI in diagnosing obesity

Full coverage · 4 sources

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    New clinical definition versus BMI in diagnosing obesity – The Morning Science