Core Viewpoint - A new study published in the Annals of Internal Medicine emphasizes the need for a revised Body Mass Index (BMI) standard for Asian populations due to unique obesity characteristics that increase health risks even at lower BMI levels [4][5]. Group 1: Research Findings - The research led by Dr. Simar S. Bajaj indicates that Asians are prone to central obesity, which poses higher health risks such as type 2 diabetes and cardiovascular diseases, even with a lower BMI [5]. - The study advocates for the establishment of specific BMI thresholds for Asian populations, highlighting the necessity for further research to determine exact values [5]. - Current global obesity diagnostic standards may undergo significant changes based on these findings, as the study suggests that existing standards do not adequately reflect the health risks faced by Asians [5]. Group 2: Current Standards and Discrepancies - The World Health Organization (WHO) has not set a unified standard for obesity in Asia, allowing countries to adjust their standards based on local health risks, leading to significant discrepancies among countries like India and China [7]. - In the United States, there is ongoing debate regarding the classification of Asian populations under a single BMI standard, with some organizations proposing adjustments to the BMI thresholds for Asian individuals [8][9]. - The American Diabetes Association (ADA) and the American Society for Metabolic and Bariatric Surgery (ASMBS) have suggested lowering the BMI screening thresholds for Asians to 23 kg/m² and 27.5 kg/m² respectively [9]. Group 3: Implications for Future Research - Recent studies indicate that different Asian ethnic groups exhibit varying diabetes risk levels at the same BMI, challenging the notion of a homogeneous Asian population regarding obesity risk [11]. - A large-scale study involving 147,000 participants confirmed that the BMI threshold for diabetes risk differs significantly among ethnic groups, necessitating a more nuanced approach to obesity standards [11]. - The research highlights the importance of incorporating additional metrics such as waist circumference and waist-to-hip ratio, especially for populations with a BMI of 23 or higher, to enhance the precision of obesity assessments [11].

以下文章来源于内分泌早知道 ，作者关注内分泌的 内分泌早知道 . 深度分享内分泌用药经验、病例剖析、指南专业解读并紧跟国内外内分泌领域前沿进展，「每医健」旗下内容平台。 2024年7月23日，国际顶级医学期刊《内科学年鉴》发布重磅研究，针对亚洲人群的肥胖标准提出全新见解。这项题为《亚洲人群体重 指数标准：种族差异不容忽视》的论文引发学界广泛关注。 研究团队由Sima r S. Ba j a j博士领衔，他们发现亚洲人具有独特的肥胖特征：即使BMI指数相对较低，也更易出现腹部脂肪堆积（即中 心性肥胖）。这种特殊的脂肪分布模式，使得亚洲人在较低BMI水平时就面临更高的健康风险，包括2型糖尿病、心血管疾病等多种代 谢性疾病。 基于这一发现，研究团队强烈建议：应该为亚洲人群制定专属的BMI肥胖阈值。虽然具体数值标准仍有待进一步研究确定，但调整的必 要性和方向性已经非常明确。这一主张或将推动全球肥胖诊断标准的重大变革。 ▍亚洲人BMI标准该调了？WHO与各国标准差异引热议 WHO亚洲肥胖标准： 中国标准更严格： WHO专家指出，即便是亚洲地区，不同国家、种族间的健康风险也存在显著差异。因此，WHO并未统一设定标准，而是 ...