What to know about body roundness index, an alternative to BMI
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(NEW YORK) — While body mass index (BMI) has long been a go-to measure of a person’s health, used by doctors and health insurers alike, a new approach is taking hold.
Body roundness index, or BRI, is gaining prominence as a way of predicting one’s health risk by taking into account more than just a person’s height and weight, which are the sole factors used to determine BMI, according to the National Institutes of Health.
Here are five questions answered about BRI and why it’s being used with increasing frequency.
1. What is body roundness index?
Body roundness index takes into account a person’s height and waist circumference to determine whether they are in a healthy or unhealthy sphere, according to Maya Feller, a registered dietitian and nutritionist.
A study published in June in JAMA Network Open described BRI as an evidence-backed tool for more accurately determining a person’s mortality risk.
2. How do I calculate my own BRI?
BRI is calculated using a mathematical formula: 364.2 − 365.5 × √(1 − [waist circumference in centimeters / 2π]2 / [0.5 × height in centimeters]2, according to the study.
There are online calculators where you can enter your height and waist and hip measurements to determine your BRI.
Once your measurements are entered, you will see a number and whether that puts you in or out of the “healthy zone.”
3. What are the criticisms of BRI?
According to Feller, one criticism of BRI is that it favors a certain body type.
“The challenge with the BRI is that it really favors more slender bodies, and it says that, okay, rounder bodies are not as ‘healthy,'” Feller said.
4. What is wrong with using BMI?
BMI is still a go-to determinant of health used by medical providers.
Some critics, though, argue that BMI does not take into account a person’s body composition because it only measures weight and height, according to Feller.
With BMI, a person is categorized as either underweight, normal weight, overweight or obese.
Last year, the American Medical Association said in a policy announcement that BMI does not account for racial, sex, age ethnic and gender diversity.
“It doesn’t take body composition into consideration,” Feller said. “So someone who’s very muscular might wrongly be put in the overweight or obese category, and that’s just not okay.”
5. What are other ways to check my health status?
Feller noted that while BRI and BMI can be useful, she recommends relying on tests that measure a person’s internal health rather than their weight or measurements.
“I always like to check the insides,” Feller said. “You can look as wonderful as you want on the outside, but what’s happening with your lipids? What’s happening with your blood pressure, your blood sugars? Those are the things that I want to see.”
(NEW YORK) — North Carolina became the latest state to have a public health emergency declared by U.S. health officials in response to Hurricane Helene.
In a press release on Sunday evening, the Department of Health and Human Services said its Administration for Strategic Preparedness and Response (ASPR) was moving equipment and personnel to North Carolina to help address the “potential health impacts” of Hurricane Helene.
It comes after PHEs were previously declared for Florida and Georgia. On Thursday, major disaster declarations were approved by President Joe Biden, which unlocked federal funds for disaster assistance and authorized the Federal Emergency Management Agency to coordinate all disaster relief efforts.
“We will do all we can to help North Carolina officials respond to the health impacts of Hurricane Helene,” HHS Secretary Xavier Becerra said in a statement. “We are working closely with state and local health authorities, as well as with our partners across the federal government, and stand ready to provide additional public health and medical support.”
Communities in western North Carolina, including the city of Asheville, were hit with “catastrophic” and “historic” flooding and landslides from Helene. Gov. Roy Cooper said between 10 and 29 inches of rain fell across the state’s western mountains.
Water systems have been impacted and some roads have washed away, hampering the ability for officials to set up food and water distribution sites.
The PHE declaration gives the Centers for Medicare & Medicaid Services greater flexibility in meeting the needs of Medicare and Medicaid beneficiaries and allows the ASPR to deploy teams to support local health requests, according to the HHS.
ASPR has deployed about 200 personnel including Health Care Situational Assessment Teams to evaluate the impact on health care facilities such as hospitals, nursing homes and dialysis centers, and Disaster Medical Assistance Teams to help state and local health workers provide care.
While the immediate impacts of natural disasters — such as hurricanes — include injuries and deaths, there are longer-term health issues that PHEs can help address.
Natural disasters can disrupt vital health services, including dialysis and breathing machines, and affect survivors’ emotional health and well-being, according to FEMA.
Flooding from hurricanes can damage sewage systems. If untreated sewage enters the drinking water supply, it could lead to widespread gastrointestinal illness. Additionally, flooding can cause mold to form, which can lead to respiratory illnesses if not removed.
HHS said it is identifying the number of Medicare beneficiaries in affected zip codes that rely on electricity-dependent medical equipment and devices, including dialysis and oxygen tanks “to help anticipate, plan for, and respond to the needs of at-risk citizens in potentially impacted areas.”
This is especially important for older Americans, who are at the highest risk of health issues. Research has shown that natural disasters can worsen mortality caused by heart disease and strokes among senior citizens.
For those experiencing emotional distress related to the hurricane, the HHS Substance Abuse and Mental Health Services Administration has free crisis counseling through the Disaster Distress Helpline, which is toll-free and available 24/7 to all residents in the U.S. and its territories.
Counselors are available in more than 100 languages via third-party interpretation services when callers indicate their preferred language to the responding counselor, according to the HHS.
A PHE declaration lasts for the duration of the emergency or 90 days but can be extended by Secretary Becerra if needed.
Earlier this year, HHS issued PHEs in Texas in response to Hurricane Beryl; in Florida, Georgia and South Carolina in response to Hurricane Debby; and in Louisiana in response to Hurricane Francine.
(NEW YORK) — A recall on apple juice due to potentially harmful levels of arsenic has expanded to include more brands sold at several additional retailers across the country.
The initial voluntary recall by Refresco Beverages was first announced in a class 2 enforcement report from the U.S. Food and Drug Administration last month and included 9,535 cases of Great Value 100% Apple Juice sold at Walmart. On Monday, the recall was updated to a total of 133,500 cases of juice, which were sold at several stores in addition to Walmart, under varying brand names.
According to the FDA’s report, the recalled product “contains inorganic arsenic above action level set in guidance to industry.”
“The safety of consumers is always our top priority,” the Tampa, Florida-based Refresco Beverages said in a new statement on its website. “On August 23, 2024, out of an abundance of caution, we voluntarily initiated a recall of some select lots of 100% apple juice products produced using supplier provided concentrate when we became aware that previously manufactured product contained inorganic arsenic slightly above the FDA’s 10 ppb (parts per billion) action level as set by the FDA in June 2023 in the FDA Final Guidance to Industry on Action Level for Inorganic Arsenic in Apple Juice.”
“At this time there are no reported incidents caused by these products,” the statement continued. “We are working diligently to address the situation and encourage consumers to check the FDAs recall list … and use the information on their site to determine if they are in possession of products that fall within this proactive, voluntary recall.”
Apple juice recall expands to more brands, retailers
The newly expanded recall now includes juice that was sold at Aldi, BJ’s Wholesale Club, Market Basket, Walgreens and Weis Markets, under brands such as Nice! 100% Apple Juice and Clover Valley 100% Apple Juice, among others.
Click here for the full list of affected products from the FDA.
Originally, the Great Value brand apple juice sold at Walmart in 25 states, Puerto Rico and the District of Columbia was the only brand recalled by Refresco Beverages.
Product details of recalled apple juice by store
The first wave of contaminated Great Value beverages in question were sold in six-packs of 8-ounce plastic bottles with the UPC code 0-78742-29655-5. The product had a “best if used by” date code of DEC2824 CT89-6.
All of the products were produced by Tampa, Florida-based Refresco Beverages US Inc.
Below, see details for the items included in the newly expanded recall.
Walmart
Recalled products sold at Walmart include Great Value 8-ounce Apple Juice in six-pack plastic bottles with “best if used by” dates of Dec. 26 and Dec. 27, 2024, and Great Value 96-ounce Apple Juice with “best by” dates of Dec. 26, Dec. 27 and Dec. 28, 2024.
The six-pack juice bottles were sold in stores in Alabama, Florida, Georgia, Indiana, Kentucky, Ohio, Maine, New York, Pennsylvania, South Carolina and Virginia. The 96-ounce containers were sold in Walmart stores in Indiana, Ohio, Maine, New York, Pennsylvania, Puerto Rico and Virginia.
Aldi
Aldi is recalling Nature’s Nectar 64-ounce plastic bottles of 100% Apple Juice with “best by” dates of March 26 and 27, 2025. This product bears the UPC code 4099100036381 and was sold at Aldi stores in 16 states including Alabama, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maryland, Michigan, New York, North Carolina, Ohio, Pennsylvania, South Carolina, West Virginia and Wisconsin, according to a press release from Aldi U.S.
Walgreens
Walgreens is recalling Nice! 100% Apple Juice 64-ounce bottles with a March 25, 2025, “best by” date. The products were sold in Florida, Georgia, Ohio, Pennsylvania and Wisconsin.
Key Food
Key Food is recalling Urban Meadow 100% Apple Juice sold in 64-ounce bottles with a March 26, 2025, “best by” date. The products were sold in Pennsylvania stores.
BJ’s Wholesale Club
BJ’s Wholesale Club is recalling Wellsley Farms 100% Apple Juice 96-ounce bottles with a “best by” date of March 26, 2025. These products were sold in Florida, Massachusetts and New Jersey.
Dollar General
Dollar General is recalling Clover Valley 100% Apple Juice with a “best by” date of March 27, 2025. The product was sold at the discount retailer locations in Florida, Georgia, Indiana, Kentucky, New York, Ohio and South Carolina.
Weis
Weis 100% Apple Juice 64-ounce bottles with a “sell by”‘ date of March 25, 2025, are also impacted by the expanded recall. The products were sold at stores in Pennsylvania and Maryland.
Market Basket
The supermarket chain is recalling Market Basket 100% Apple Juice from concentrate in 64-ounce plastic bottles with the “best by” date March 25, 2025. The impacted product was sold in Maine.
Lidl
Lidl is recalling Solevita 100% Apple Juice 64-ounce plastic bottles with the “best by” date March 27, 2025. This product was sold in Virginia.
Company responds to apple juice recalled over arsenic levels
In an earlier statement to ABC News when the recall was first initiated, a representative for Refresco said, “We are aware that certain lots of the 100% apple juice we previously manufactured contains inorganic arsenic slightly above the FDA’s 10 ppb (parts per billion) action level in the FDA Final Guidance to Industry on Action Level for Inorganic Arsenic in Apple Juice, which aims at reducing the dietary exposure of contaminants to as low as possible. As a result, impacted products are being voluntarily recalled.”
The statement continued, “At this time there are no reported complaints or incidents of illness caused by the product. Per the FDA, it is not possible to completely prevent arsenic from entering the food supply, yet exposure to high levels of inorganic arsenic can have adverse health effects.”
The representative added that “the safety of consumers and the satisfaction of our customers are our top priorities” and that the company is “working diligently to address the situation.”
Editor’s note: An earlier version of this story was published on Aug. 26, 2024.
(NEW YORK) — President-elect Donald Trump announced Tuesday that heart surgeon-turned-TV-host Dr. Mehmet Oz would lead the Centers for Medicare & Medicaid Services (CMS).
“America is facing a Healthcare Crisis, and there may be no Physician more qualified and capable than Dr. Oz to Make America Healthy Again,” Trump said in a statement. “He is an eminent Physician, Heart Surgeon, Inventor and World-Class Communicator, who has been at the forefront of healthy living for decades.”
The position of CMS administrator requires Senate confirmation.
Here’s what to know about Oz, his medical career and some medical claims he’s made that have come under fire.
Is Oz a real doctor?
Oz graduated with a Doctor of Medicine degree from the University of Pennsylvania School of Medicine and completed a Master of Business Administration from UPenn’s Wharton School of Business at the same time.
He completed his surgical training in cardiothoracic surgery at New York Presbyterian Hospital (Columbia Campus).
He was previously the director of the Cardiovascular Institute at New York Presbyterian Hospital and vice-chairman and professor of surgery at Columbia University College of Physicians and Surgeons. His title was then changed to Professor Emeritus of Surgery in 2018.
Medicine “was my calling,” Oz said in a Wharton Magazine profile from 2010. “I knew it from a very early age. I played a lot of sports growing up, and like a lot of other athletes, I really enjoyed the challenge of using my hands. I just loved the idea of being in a field where you could [do that].”
Oz began his TV career as a health expert on “The Oprah Winfrey Show” before launching “The Dr. Oz Show,” which ran from 2009 to 2022. The show ended when Oz launched an unsuccessful bid for the U.S. Senate in Pennsylvania.
What would Oz run as CMS administrator?
CMS administers the Medicare program, the federal health insurance program for those mostly aged 65 and older.
The agency also works with state programs to administer Medicaid, which is health insurance for disabled and low-income Americans, and the Children’s Health Insurance Program, which provides low-cost coverage to children with families that don’t qualify for Medicaid.
Oz has supported Medicare Advantage, which is run by commercial insurers and has been promoted by Trump. Project 2025 — a plan of conservative policy proposals proposed by the Heritage Foundation and not endorsed by Trump — has proposed Medicare Advantage be the default option for Medicare coverage.
Experts have said this could privatize the program and prevent people from receiving care from doctors and hospitals that don’t accept Medicare Advantage.
In Tuesday’s announcement, Trump said Oz would work closely with Robert F. Kennedy, Jr. the president-elect’s pick to lead the Department of Health and Human Services, which oversees CMS.
What are Dr. Oz’s past controversies?
During the early days of the COVID-19 pandemic, Oz promoted hydroxychloroquine, an anti-malarial drug, as a COVID-19 treatment. Trump later touted the drug as a “game changer,” although medical researchers warned more study was needed.
In June 2020, the U.S. Food and Drug Administration revoked emergency authorization for hydroxychloroquine and chloroquine to treat COVID-19, saying evidence shows the recommended dose is unlikely to be effective against the virus.
Oz also made past statements indicating that he endorsed spacing out childhood vaccines and expressed ambivalence towards a discredited theory that vaccines cause autism, according to a 2022 study. In later episodes of his TV show, Oz would go on to endorse the measles, mumps, rubella shot.
Oz also came under fire due to his claims about certain “miracle” products to help consumers lose weight.
During a 2014 hearing before the Senate Commerce, Science, and Transportation Committee on consumer protection, then-Sen. Claire McCaskill of Missouri grilled Oz, claiming he had a role in “perpetuating” scams.
“When you feature a product on your show, it creates what has become known as the ‘Oz effect,’ dramatically boosting sales and driving scam artists to pop up overnight using false and deceptive ads to sell questionable products,” she said. “While I understand that your message is also focused on basics like healthy eating and exercise, I’m concerned that you are melding medical advice news and entertainment in a way that harms consumers.”
During the hearing, Oz defended his statements, saying he believed in the benefits of the products he promoted on his show.
“I actually do personally believe in the items I talk about in the show. I passionately study them. I recognize that often times they don’t have the scientific muster to present as fact. But, nevertheless, I give my audience the advice I give my family all the time. I give my family these products, specifically the ones you mentioned. I’m comfortable with that part,” he said.
