Diabetes: BMI cut-offs designed to trigger action are too high for some ethnic populations, say researchersBMJ 2021; 373 doi: https://doi.org/10.1136/bmj.n1217 (Published 12 May 2021) Cite this as: BMJ 2021;373:n1217
- Jacqui Wise
- Tenterden, UK
Researchers have called on the National Institute for Health and Care Excellence (NICE) to revise its current guidance on body mass index (BMI) and the risk of developing type 2 diabetes, as they found that a “one size fits all approach” does not work for adults from ethnic minority backgrounds.1
A large, population based cohort study by the team found that Black Caribbean, South Asian, Chinese, and Arab populations living in England had an equivalent risk of type 2 diabetes at substantially lower BMI values than the current cut-offs for obesity.
In 1993 the World Health Organization defined obesity as a BMI of 30 or more. However, subsequent evidence showed that Asian people were susceptible to diabetes at lower BMIs than White people, and in 2013 NICE lowered the …