Auch normalgewichtige Menschen können einem Risiko für Diabetes und ähnliche Krankheiten ausgesetzt sein: Wer einen unerwartet hohen metabolischen BMI hat, hat ein bis zu fünfmal höheres Risiko

    https://www.gu.se/en/news/metabolic-bmi-reveals-disease-risk-even-in-people-of-normal-weight

    5 Kommentare

    1. > The results show that unexpectedly high metabolic BMI is linked to a two to five times higher risk of a range of diseases and conditions: fatty liver, diabetes, abdominal obesity, insulin resistance, and even predicts poor/limited weight loss following bariatric surgery

      > The metabolic BMI developed by the researchers is based on advanced metabolomic analyses – comprehensive measurements of hundreds of small molecules in the blood that reflect cell metabolism. The measurement provides a far more accurate picture of an individual’s metabolic health and cardiovascular disease risk than traditional BMI. The study analyzed 1,408 participants.

      > A key finding of the study is a strong link between metBMI and the composition of bacteria in the gut, the gut microbiota. People with higher metBMI had a gut microbiota with reduced diversity and lower potential to break down dietary fiber into butyric acid, which has previously been linked to inflammation and increased disease risk.

      [Multi-omic definition of metabolic obesity through adipose tissue–microbiome interactions | Nature Medicine](https://www.nature.com/articles/s41591-025-04009-7)

    2. triffid_boy on

      People like to say that BMI is a rubbish metric, usually to say that they’re overweight but healthy really. Yet, more and more evidence points that actually it’s the other way, a healthy BMI can still mean you’re a tub of lard. Just skinnier lard. 

      I’m overweight but haven’t been obese for over a decade. By every measured metric except bodyweight (and HRV, to the limits that is useful, actually) I’m healthy. But still need to get that BMI healthy! 

    3. _its_a_thing_ on

      Healthy weight/BMI, quite healthy diet, and good exercise levels … and still, genetics can get you. I’ve had high cholesterol all my life, and now have Type 2 diabetes at retirement age. I wonder about those gut microbiota, mostly. I believe we need SO much more research in this field.

    4. crownedether on

      The main advantage of BMI is that it is fast and easy to measure at home. „MetBMI“ replaces this with a complicated and expensive metabolic panel that is probably only accessible to people living near large academic research hospitals. While it is important to know that you can be a healthy weight and still experience metabolic dysfunction, I think the framing of this as „a better BMI“ is ridiculous. It’s a completely different type of measurement. 

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