Weight A Minute: Let’s Chat BMI and Obesity

Unbiased Science

@unbiasedscipod

Education, Science, Health & Fitness

4.4 • 644 Ratings

🗓️ 22 February 2023

⏱️ 46 minutes

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Summary

This week on the pod, we are joined by Dr. Spencer Nadolsky, a board certified obesity and lipid specialist physician, to tackle the topic of obesity. We kick things off with some population-level data on the prevalence of obesity in the US population, noting some disparities among certain demographic groups. We shift gears to talk about one of the more universal methods of assessing obesity: BMI. We chat about the accuracy of BMI, the limitations, and some clinical considerations that should be made when treating patients. We discuss the societal stigma of obesity as a medical issue, and how that can lead to disparities in treatment and medical care. We then cover some of the real health risks associated with obesity and why, although there is a spectrum of healthy sizes, we cannot overlook the implications of excess adiposity and metabolic changes that occur as a result. We wrap things up by covering current methods to manage obesity, including medications such as GLP-1 inhibitors and bariatric procedures. You won’t want to miss this! Check us out on Substack and Instagram: www.theunbiasedscipod.substack.com https://www.instagram.com/unbiasedscipod PLEASE NOTE: The discussion and information provided in this podcast are for general educational, scientific, and informational purposes only and are not intended as, and should not be treated as, medical or other professional advice for any particular individual or individuals. Every person and medical issue is different, and diagnosis and treatment requires consideration of specific facts often unique to the individual. As such, the information contained in this podcast should not be used as a substitute for consultation with and/or treatment by a doctor or other medical professional. If you are experiencing any medical issue or have any medical concern, you should consult with a doctor or other medical professional. Further, due to the inherent limitations of a podcast such as this as well as ongoing scientific developments, we do not guarantee the completeness or accuracy of the information or analysis provided in this podcast, although, of course we always endeavor to provide comprehensive information and analysis. In no event may Unbiased Science or any of the participants in this podcast be held liable to the listener or anyone else for any decision allegedly made or action allegedly taken or not taken allegedly in reliance on the discussion or information in this podcast or for any damages allegedly resulting from such reliance.

Transcript

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0:00.0	You're listening to an Airwave Media podcast.
0:19.6	Welcome to Unbiased Science, where we bring scientific method to the madness.
0:25.5	We're your hosts, Dr. Jessica Steyer.
0:28.0	And Dr. Andrea Love.
0:29.3	And this week, we are tackling a topic that's been requested more times than we can count.
0:35.5	We're going to talk about weight, obesity, and BMI,
0:39.8	and the controversy that surrounds some of these terms. But first, let's just recap last week's
0:47.2	episode. So if you didn't tune into that, we talked about prevention and screening tests. So we talked about how recommendations are set in the U.S.
0:57.7	And then we gave some specific examples of recommended screenings and vaccines and the like.
1:04.2	So if you miss that episode, definitely go back and check it out. Today, we are joined by a very
1:10.1	special guest and expert on this topic. Dr.
1:13.7	Spencer Nodalski is a board-certified obesity and lipid specialist physician. He is the medical
1:20.6	director for one of the largest online medical obesity treatment programs, Sequence. And we'll
1:26.4	link to that on the show notes, but you
1:27.9	could check it out at join sequence.com. And he also hosts a weekly podcast, The Docs Who
1:34.3	Lift Podcast, with his brother, who's an endocrinologist and obesity doc. He also runs a fun and very
1:42.5	informative Instagram account where he dispels myths about weight loss and fitness using memes.
1:48.9	And you can check him out at Dr. Ndalski.
1:52.4	And again, we'll link to all of this in our show notes.
1:55.0	All right.
1:55.7	So, Andrea, do you want to set the stage with some population demographics?
2:00.4	First of all, thank you, Dr. Nudulski, for joining us.
	...

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