Recent comments in /f/newhampshire

deadliftothersup t1_jajwth4 wrote

Reply to comment by No_Suggestion_8234 in Let’s get moving NH by bluesmom913

Sure, I'll start with a basic muticohort mulitcountry study but it is one of the most used health metrics in population health, so I could dog up thousands depending on what you specifically want to know.

Diabetes

Here is a meta-analysis of 143 studies on mortality. Notice that there is a relatively wide range of where folks are not passing early, but in general, the higher the more problematic. Now if we are talking joint health, the point at which BMI is a predictor of pain is likely a lot lower than mortality for most folks.

I'd be happy to talk about the limitations of BMI as well. I've published papers on issues of self-report as well as the the bidirectional nature of some health issues with obesity, but hopefully that's at least a baseline to show that I'm not just making things up.

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MindlessHousing t1_jajulet wrote

Reply to comment by deadliftothersup in Let’s get moving NH by bluesmom913

> BMI was designed for population health

BMI was just observational data collected by a French statistician in Paris in the 18th century. It’s not even remotely scientific

It compares mass to surface area which is absurd since the volume of a shape increases faster than the surface area and mass = density * volume

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deadliftothersup t1_jajt185 wrote

Reply to comment by No_Suggestion_8234 in Let’s get moving NH by bluesmom913

BMI was designed for population health and even blood pressure has plenty of outliers in terms of individual predictive power. Some doctors are lazy, but that's not really the fault of the metric. Anyone doing a competent exam is going to use multiple metrics anyway to assess health.

On that population scale, it's completely fine. The nation is not populated with linebackers and bodybuilders.

Although 6'6' 210lbs doesn't put you at or above 25, the category cut offs are largely arbitrary and it, like blood pressure is better thought of as a dimensional variable anyway.

Edit: because I want this to lean educational. When I've used other quick adiposity measures like waist circumference, waist to hip ratio, they all more or less have limitations on the individual level, but weren't head and shoulders better predictors of long term health compared with BMI.

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Acanthaceae_Square t1_jajs2qj wrote

Reply to comment by perkinslumbago in New Hampshire ordered to phase out practice of keeping psychiatric patients in emergency rooms by greenhousecrtv

Yes. This. Just like w every other social issue, NH has known for decades this was a problem. 10 years ago a state mental health plan was developed that didn’t get carried out. NH will never do anything it should unless it’s forced. I also work in the ED and applaud this decision because DHHS is like a child who needs a parent to ensure they’re doing their homework and who’s been given way too many second chances to be trusted. Hopefully the fed court stays on them to make sure the solution is also appropriate and not another half assed smoke screen

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[deleted] t1_jajrrth wrote

Reply to comment by maxhinator123 in Let’s get moving NH by bluesmom913

I did as well, but just to look at ‘em, not climb up them like you lunatics! No worries, y’all enjoy, I get to watch all you fit people hiking up the picturesque mountains while my fat ass eats another burger.

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