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Losing weight is not the only metric for optimal health.

• claytongulick 4y ago
  It's probably the biggest one. I was CTO for a healthcare network. Weight loss was the primary focus for population health - because the data massively supports this. SDOH [1], falls prevention and other stuff, while important, take a far backseat as far as overall health impact. [1] https://health.gov/healthypeople/priority-areas/social-determinants-health https://health.gov/healthypeople/priority-areas/social-deter...
  • slothtrop 4y ago
    CVD is a leading cause of death and remains a risk even without excess weight; one needn't discount everything other than weight as "falls prevention and other stuff".
    • claytongulick 4y ago
      > one needn't discount everything other than weight as "falls prevention and other stuff". I didn't. And yes, CVD is a huge issue. Obesity directly contributes to it, independent of other factors [1]. Which is why most population health stuff is targeted at weight loss. From a population health standpoint, it has the biggest impact with well understood interventions. FWIW, I helped deliver CMS certified DPP programs that were funded by private payers. Their data was clear on all this. [1] https://www.ahajournals.org/doi/10.1161/CIR.0000000000000973 https://www.ahajournals.org/doi/10.1161/CIR.0000000000000973