CommunityResults & Progress

Obese again

24 replies19 peopleAug 4, 2026☆ Follow
Summary

why did the BMI guidelines change and put me back into the obese category after major weight loss

The original poster lost 125 lbs on medication over 17 months and now sits at BMI 25.2 with hypertension and a low waist-to-height ratio, yet new rules reclassify them as obese. Participants trace the change to a European obesity group recently adopted by the American Diabetes Association and debate whether the shift helps or hurts patients seeking medication coverage. Most agree BMI is a poor individual metric and urge focusing on personal health markers instead.

What this discussion establishesWhere people disagree

whether the guideline shift is mainly a pharma ploy to sell more drugs or a neutral update that might improve insurance access

Nothing here is advice.

24 replies · 19 people
GreyPebble50archiveopening postAug 4

Been using the medication for the past 17 months and dropped 125 lbs. Charts still call me overweight and say I need to lose another 5 lbs to reach normal. Then this week the rules changed. The new version says BMI is only part of it: normal is 18.5 to under 25, overweight is 25 to under 30 with waist-to-height under 0.5, and obese is over 30 or 25 to under 30 with waist-to-height at or above 0.5 plus any medical issue like high blood pressure, diabetes, arthritis, lung, kidney or heart disease, or depression. My BMI is 25.2, waist-to-height is 0.21, and I have hypertension. Went from mildly overweight straight back to obese. Feels lousy.

SteadyAnchor13archiveAug 4

Who changed the rules? The WHO? Some company? Insurance companies?

CopperQuill49archiveAug 4

You could just decide not to feel sad the same way they decided to move the numbers around.

RustKettle57archiveAug 4

BMI is nonsense anyway. Pay attention to your own numbers and stop worrying so much.

GreenMeadow54archiveAug 4

BMI works fine for comparing big groups of people, which is what it was made for. Using it on single patients in healthcare is one of the dumbest ideas around. Throwing in waist-to-height ratios is just trying to dress up a bad idea.

GreyPebble50archiveAug 5

The new rules came from the European group that studies obesity and were just picked up by the American Diabetes Association.

BrightCompass57archiveAug 5

I hit my peak fitness with a bmi of 32 and body fat at just nine percent. That kind of measurement always struck me as pointless.

GreyMarble44archiveAug 5

Losing that much weight is a big achievement. I dropped 30 lbs last year and am now at 195. The charts still say I am overweight, yet I have not been this size or this fit since high school wrestling twenty years ago. We should not let outside authorities decide how we feel about our own bodies. Keep tracking your own wins because you are the one who matters.

CopperBeacon24archiveAug 5
↳ replying to @GreyPebble50 (opening post)

I know the feeling. I used to treat BMI like the final word until I stopped. I thought it mattered because you had to meet the obese cutoff to qualify for the medication. Maybe the B stands for something else. Also, I never agreed to have any photo of me shared.

GreyLedger65archiveAug 5
↳ replying to @GreyPebble50 (opening post)

This is how they turn healthy people into patients who need drugs. Drop the cholesterol numbers and suddenly millions more qualify for statins. Lower the blood pressure targets and millions more get put on meds. If the change makes it easier for more people to get the medication covered, maybe it ends up helping.

RustSparrow51archiveAug 5
↳ replying to @GreyPebble50 (opening post)

The drug companies shifted the targets so doctors can write more prescriptions and make more money. You already ignored the big companies when you started the medication that is still in trials, so why pay attention to them now? You have lost a lot of weight and should feel good about it. Keep going and focus on your own progress. Well done.

GreyFenwick31archiveAug 5

Probably drug companies pushing to get more insurance coverage for the brand-name version by making the cutoff easier, since lots of people have switched to other options.

GreenMarble65archiveAug 5

I do not see myself as obese. I am built like a god, unfortunately that god is Buddha.

LevelTimber64archiveAug 5
↳ replying to @ClearBeacon24

It was a European organization that was later adopted in the US.

RustBramble27archiveAug 5
↳ replying to @GreyLedger65

Exactly. I still use the old 140 over 90 blood pressure cutoff. They keep changing the targets to get more people on medication.

AmberTimber37archiveAug 5

I am 62, male, 5 foot 10, 192 lbs. BMI was built for younger people and calls anything over 174 overweight for my height. For most middle-aged and older men who are reasonably fit, a BMI between 25 and 27 actually lines up with lower death rates than the so-called ideal of 22 to 23, mostly because of risks tied to losing muscle and bone strength. Muscle really does seem to be what keeps you going.

ClearHarbour45archiveAug 5
↳ replying to @BrightCompass57

At BMI 23 I was on the boxing team, training three hours a day, in the best shape of my life, and still weighed 173 at 5 foot 9 on a clean diet.

WarmMeadow92archiveAug 5
↳ replying to @GreenMeadow54

That is exactly right. BMI was never meant to diagnose individuals. It works when you look at whole populations, like comparing average BMI in Japan versus the US. It really hit me how flawed it is when I saw that Arnold Schwarzenegger had a BMI of 31.5 while competing and was labeled obese.

GreenMeadow54archiveAug 6
↳ replying to @WarmMeadow92

This feels unrelated to everything else but I'm puzzled over what took place.

WarmMeadow92archiveAug 6
↳ replying to @GreenMeadow54

I posted a link to a testing server I run, which broke the rules without prior approval. I did not know the rule. I recruited mostly elsewhere and thought I was helping. I will not do it again. I actually spent my own money subsidizing tests for the group and helped get a big donation so others paid less. No money came to me. Lesson learned.

GreenMeadow54archiveAug 6
↳ replying to @WarmMeadow92

I am sure the penalty will not last long.

BlueCompass61archiveAug 7
↳ replying to @GreyPebble50 (opening post)

I am at 14 percent body fat with a BMI of 26. BMI gets too much weight.

Add your experience

If you have tried it, this topic is still open. Sign in to reply — it takes a minute.

Obese again · ZyraTrack Community