Inadequacy of BMI as an Indicator for Bariatric Surgery

BMI doesn’t distinguish between body fat and muscle mass, which weighs more than fat. Many NFL players have been labeled “obese” because of their high BMI, when they actually have a low percentage of body fat.

Inadequacy of BMI as an Indicator for Bariatric Surgery 
JAMA. 2012;307(1):88-89
Edward H. Livingston, MD
http://jama.jamanetwork.com/article.aspx?articleid=1103978

In response to overnutrition, some patients preferentially accumulate peripheral rather than central fat, preventing development of the metabolic syndrome.
When the ability to accumulate subcutaneous fat is limited, overeating results in central obesity and ectopic fat deposition that causes insulin resistance, diabetes, and ultimately life-limiting cardiovascular disease.
Thus, fat distribution, not overall fatness, is a critical determinate of the health risks of obesity.

Bariatric Surgery

For Many, Affordable Care Act Won’t Cover Bariatric Surgery
May 27, 2013
http://www.npr.org/blogs/health/2013/05/27/186310916/for-many-affordable-care-act-wont-cover-bariatric-surgery

What makes bad food so good? NPR and Oxford American, team up to explore issues of appetite and health in Holmes County, the most obese county in Mississippi. It’s the first of an ongoing spotlight on the South called Southword.

Transoral outlet reduction
January 19, 2015
http://www.npr.org/blogs/health/2015/01/19/377731653/when-bariatric-surgerys-benefits-wane-this-procedure-can-help