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Table 2 Cost of Using BMI as a Proxy for Healtha

From: Weight Science: Evaluating the Evidence for a Paradigm Shift

   Abnormal
cardiometabolic profile
Normal
cardiometabolic profile
TOTAL
Untreated "Normal" weight
(BMI = 18.5 - 24.9)
23.5%
(16.3 million people)b
76.5%
(53.0 million people)
100%
(69.3 million people)
Treated "Overweight"
(BMI = 25.0 - 29.9)
48.7%
(34.1 million people)
51.3%
(35.9 million people)c
100%
(70.0 million people)
  "Obese"
(BMI ≥ 30.0)
68.3%
(42.0 million people)
31.7%
(19.5 million people)c
100%
(61.5 million people)
TOTAL 46%
92.4 million people
54%
108.4 million people
100%
200.8 million people
  1. aBased on study by Wildman et al. [148].
  2. b False negative: 16.3 million of 92.4 million (17.6%) who have abnormal cardiometabolic profile are overlooked
  3. c False positive: 55.4 million of 131.5 million (42%) are identified as ill who are not