In the last two decades, the average rate of obesity among adults in the United States has risen about 30%.
But the rate of those with the most serious, life-threatening forms of obesity —those with a body mass index, or BMI, of more than 60 — increased by a startling 210%.
Researchers from Lousiana State University analyzed national health survey data of adults from 2001 to 2023.
For those of us who don’t feel like solving our BMIs by hand, the internet is littered with calculators for the metric. If you plug in your height and weight, a widget will let you know if you’re underweight, which is a BMI under 18, within a healthy range, overweight, or obese, which is a BMI of 30 or higher.
Much scientific attention is being paid to those who are obese, but the researchers say there’s not nearly enough for the extremely obese.
According to the study, such high BMIs were presumed to be exceptionally rare, because most prior surveys lumped everyone with a BMI over 30 into one category.
For context, someone with a BMI of 30 may be 30 or 40 pounds overweight. But someone with a BMI of 60 is likely carrying 200 extra pounds.
The latter’s health is more in peril. They often need help walking, turning to motorized carts, and are hospitalized frequently. They are often disabled.
There are 850,000 or more people in the U.S. in this category — a grave concern. They also exceed weight limits for standard medical equipment, which makes imaging, surgeries and anesthesia more challenging.
The researchers said they hope their study sends an urgent message to health care providers and policymakers not to overlook this previously unnoticed group.