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Health check up?

My wife had a health check up at work with a nurse. Her blood pressure was checked and was normal. The nurse checked her chest and all was well. Then checked her weight and was told she is classed as obese and advised to lose weight. My wife was naturally upset as we would not class her as overweight let alone obese. She is curvy but fit. She is 5f 5in and weighs 230lbs. She has no intention of losing weight as is very happy with her size and healthy shape. In fact, she was so upset that she has decided to aim to gain some weight. She wants to be between 270 and 320lb. Why was this nurse so rude. We simply cannot understand. As I say my wife is very healthy.

Female | 30 years old
Conditions: None

4 Answers

It’s very simple. Her height and weight make her diagnosed as obese. Fact. At that height and weight, she is not “fit”. Being overweight or obese puts her at risk for heart disease, diabetes, and other illnesses including joint wear and tear to the point of needing replacement.
I am truly concerned that you both think this is normal and the idea of her gaining more weight really worries me! I suspect you will not like my answer and rationalize discounting it. I could be wrong. But at the least please have her and yourself consult her PCP. If you all do not have a PCP get one! And get their opinion also. Take Care!
Hi.
Medicine does have some "one size fit all" and the weight for height is one of them. Her weight for her given height should be between 111 to 142 lbs.
weight above this is overweight...then obese...then very obese..Please see a body Mass Index chart...long and short term health outcomes depends on this.

It's not being rude. It's a clear clinical diagnosis. Her BMI is 38. BMI greater than 30 is classified as obese. A healthy BMI is 18-25. The nurse was doing her job to suggest improving health. At her current weight, your wife is at significant risk of developing diabetes, heart disease, sleep apnea, and several kinds of cancer. I hope that your wife reconsiders her
reactive choice to gain more weight and put herself at greater risk of getting chronic illnesses.
I am sorry someone was so callus to not explain how we arrive at obesity diagnosis. She will be only hurting herself and you if she retaliates by gaining weight. Find a good physician who will explain goals and help your wife meet them. Complete physical and lab with a helpful goal for possible adjusting weight can be reached with her doctor working together with your wife to meet optimal goals and weight.
I hope this is helpful.

Doc G