Body Mass Index Debate
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Baroness Altmann
Main Page: Baroness Altmann (Non-affiliated - Life peer)Department Debates - View all Baroness Altmann's debates with the Department of Health and Social Care
(3 years, 8 months ago)
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Baroness Altmann (Con)
My Lords, I too congratulate the noble Lord, Lord Addington, on securing this debate. I also support calls from the Obesity Health Alliance to extend calorie counting information to cafes, restaurants and takeaways, both to inform the public and to encourage providers to offer both healthier options and perhaps—one element that is little talked about—reduced portion sizes.
Curtailing the promotion of foods high in fat, sugar and salt is essential. A recent survey cited by Diabetes UK in its helpful briefing reports that 74% of the public support not showing advertisements for junk food before 9 pm, on TV or online. Why only 9 pm? Why should such foods be promoted for adults? Type 2 diabetes is one of the fastest-growing health problems. It accounts for 10% of NHS spending already, and obesity accounts for 80% to 85% of the risk of getting diabetes, with 12.3 million people estimated already to be at risk.
As others have said, Covid carried particular risks for people who were obese. There are significant other health risks as well, including heart conditions, some cancers and respiratory problems. BMI may be a handy starting point, a quick and cheap way for estimating the number of those at risk of health problems. It is crude—the noble Lord, Lord Addington, and my noble friend Lord Moynihan are correct that sports people will have particular muscle mass and bone density advantages which turn into disadvantages when measured on a BMI basis—but this issue needs to be built on. As we know, BMI is just one basic measure. It does not account for individual differences.
Of course, body image issues contribute significantly to mental health and well-being. They can bring on or reinforce a sense of inadequacy. Fat shaming, anorexia and bulimia tend to be indicative of mental health problems. BMI therefore needs to be supplemented by blood pressure, ECG, cholesterol and muscle mass assessments, as well as, crucially, mental health assessments that can spot problems that may otherwise soon lead to health issues.