Body Mass Index; a Faulty Indicator

ATeam

Senior Member
Retired Expediter
Truckers have long been suspicious of companies that use the body mass index (BMI) as an indicator of their fitness to drive, and for good reason. It's a shortcut method that big-money insurance companies, health care providers and drug companies use to profit handsomely off a simple number and the questionable assumptions that lie behind it.

UCLA researchers recently published information that challenges these assumptions. While the research may be convincing, it will take more than this one study to shift the obesity mindset the healthcare industry now has. Nevertheless, this is a great step forward that may provide some comfort to the truckers who have been unfairly treated and financially exploited by the current use of BMI.

Excerpt:

"UCLA researchers, led by psychologist Janet Tomiyama, used data from the National Health and Nutrition Examination Survey to analyze the connection between participants’ BMI and key signs of health—such as blood pressure and cholesterol, glucose and triglyceride levels. They found that 47.4% of overweight people are, in fact, healthy, as are 29% of those labeled “obese.” Conversely, more than 30% of those within the “healthy” weight range were found to be metabolically unhealthy."

That said, truckers cannot afford to be lax about exercise.

While the above research breaks the link between fitness and "fatness," other researchers are presenting data that undermines those who "... tend to attribute better health or lower mortality only to the weight lost, .... They fail to explore the idea that it might be the exercise (and the better fitness that results) that makes the difference, rather than the [lost] weight itself."

See: It's still better to be fat and fit than thin and unfit
 
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OntarioVanMan

Retired Expediter
Owner/Operator
I just read an article about the poor shape of health care workers...in the business of being healthy yet...a good % are overweight, poor diet and smoke.

A new study from Truven Health Analytics, formerly the Healthcare business of Thomson Reuters, reports that hospital employees are less healthy than the general workforce and cost more in health care spending.


Least Healthy Employees? Hospital Workers | TIME.com
 

ATeam

Senior Member
Retired Expediter
I just read an article about the poor shape of health care workers...in the business of being healthy yet...a good % are overweight, poor diet and smoke.

A new study from Truven Health Analytics, formerly the Healthcare business of Thomson Reuters, reports that hospital employees are less healthy than the general workforce and cost more in health care spending.

I believe it. We have a number of healthcare workers as gym members. They struggle hard to stay in shape, and those are the ones who make the effort. It seems that many nurses in our Florida area (more so than Minnesota where we came from) are overweight or obese; morbidly obese in some cases.

I believe job stress has much to do with it. It is not uncommon for them to be forced to work double shifts against their will for long periods of time. We saw one young, vibrant, newly-certified nurse begin employment with a large hospital chain here and her health and fitness rapidly declined. Soon after getting her first nursing job in a large hospital, she lost her customary smile and started coming to the gym tired. In a few short weeks, she gained noticeable weight and eventually quit coming altogether.

Other nurses tell us they work out to build strength (to prevent injury) because they no longer get the assistance in lifting patients they had before. Staff levels have been cut to the bone and (patients and nurses report) patients often lie neglected in their beds, when attention should be reasonably expected. The nurses are too exhausted and too little supported to care. Even the telephones at the nurses stations go unanswered when the exhausted, demoralized night-shift nurses are sitting right there.

As with many people in many industries, we see stressed-out nurses turn to comfort food, tobacco and drink to provide momentary stress relief. That feels good in the moment but undermines long-term health.
 
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