Now I am what you'd call 'obeast' ... as my old Navy pal Artie Swenson used to put it. I'm well beyond that BMR measurement for which I have had nothing but contempt since it's creation with it's "one size fits all" philosophy and utter ignorance of way too much anatomy and physiology to suit me.
At this time I would admit that I was an obese child. Indeed, I was obese well before the time it became a national tragedy. I suffered those rejections associated with being the "fat new kid with acne" in the various schools I attended over the course of my life. I recall even being rejected by fat women because I was a fat child.
I remember thinking how hypocritical I thought a few of them were too with their rolls of fat drooping off the stools and school chairs upon which they had ladled all that pretentious self righteousness. I wonder if any of them are still alive. One thing about it -- my fat is that visceral stuff which gives you the "apple" shape and is so morbid in the literature. Rolls and drooping were never my problems.
Since the AMA decided to declare 'disease status' for obesity I am left with this notion that I am indeed diseased. My particular variant is known as "metabolic syndrome" which is a combination of crap I inherited from various ancestors and the consequences are typically hyperlipidemia and high triglycerides (crisco blood), hypertension (high blood pressure), and adult onset diabetes mellitus (type 2).
It is rather disconcerting that the mess should be classified as diabetes proper given the research into the causative combination ... but one get's tired of arguing all the bloody time and as such I've just decided to let it be whatever those who study it (such as myself) think it is.
Over the years, conceptualization of obesity model involving a modicum of fitness has been batted around by healthcare professionals (if indeed we have any of those anymore) whereby you are "fat, but fit" if you will. I even believe that I know a few of these individuals -- and freely admit that I am not one of them.
The gist of all of this revolves around metabolic health juxtaposed with that roomy configuration all too prevalent in the deep South with our fried chicken, starches and gravy, and (heaven forbid) banana pudding replete with vanilla wafers and meringue topping. DA-rool-el
BMI is certainly a dismal indicator for health even in the presence of so many misguided proponents who might scream otherwise. Addressing our lack of some benchmark which isn't BMIcentric might help -- AND there is always some pharmaceutical or medical lobby with which to contend in these matters because of that hallowed industrial complex in existence solely designed to shove as many expensive drugs and newfangled diagnostics down your throat as humanly possible.
Given all that I've been exposed to in my travels it's a wonder I'm still kicking anyway. The bottom line in all of this is that physical activity remains the primary cure of all that ails me and I realize this ... and the BMI remains worthless and the FDA and AMA are in bed far too deeply with the pharmaceutical and other industries -- yet no body wants to do anything about it; oversight included.
You see, medicine in the United States of America is more concerned with profits than quality care with our 'doc in the box' configurations and 'give me your social security number' idiots working their desks. I guess I'll have to be content to just die for lack of quality care when everybody's more concerned with making a buck. Obamacare simply complicated the issues by making everyone in the country the working man's problem. Like we actually needed another set of entitlement programs to go with the innumerable ones already in place.