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by meiraleal 600 days ago
> Why would race matter?

Because social matter

1 comments

It's really not, and it's always weird when people jump to that conclusion.

Different genetics lead to different health outcomes for the same body fat percentages - or the same BMI on a population level. Just as it's not a "social matter" that the prevalence of sickle cell is much higher in African Americans. It doesn't make sense to use health outcomes standardized against a BMI range for one population racial mix against individuals of a race not represented -- in at least two separate ways.

Hong Kong for instance sets the obesity cutoff at a BMI of 25. China and Singapore use 27.5 I believe. The WHO and various other organizations generally endorse lower cut-offs for people of Asian descent. [1]

[1] https://pmc.ncbi.nlm.nih.gov/articles/PMC10108164

Sickle cell isn’t affected by social matters, unlike body fat.
I'm not sure if you're following what I am saying. The same body fat percentage leads to different health outcomes for members of different races in aggregate because of different genetic predispositions. Someone of one race with BMI X is likely to have a different risk profile than someone of a different race with BMI X no matter what X is, high or low. This is not a social matter. We're just talking about heath statistics, not aesthetics.

That's not to say there aren't social aspects to obesity as well (obviously) but that's not what we're talking about right now, and parent dragging that in is just a distraction.

From [1] in the comment you replied:

> Access to medications and surgery should be improved, in part by updating US indications for therapies to reflect race‐specific obesity thresholds and through inclusion of Asian American people of all subtypes with lower BMI values in clinical trials.