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Defining an epidemic: the body mass index in British and US obesity research 1960-2000.

机译:定义流行病:1960-2000年英国和美国肥胖研究中的体重指数。

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Between the 1970s and the mid-1990s the body mass index (BMI) became the standard means of assessing obesity both in populations and in individuals, replacing previously diverse and contested definitions of excess body weight. This article draws on theoretical approaches from the sociology of standards and science and technology studies to describe the development of this important new standard and the ways in which its adoption facilitated the development of obesity science, that is, knowledge about the causes, health effects and treatments of excess body weight. Using an analysis of policy and healthcare literatures, I argue that the adoption of the BMI, along with associated standard cut-off points defining overweight and obesity, was crucial in the framing of obesity as an epidemic. This is because, I suggest, these measures enabled, firstly, the creation of large data sets tracking population-level changes in average body weight, and, secondly, the construction of visual representations of these changes. The production of these two new techniques of representation made it possible for researchers in this field, and others such as policymakers, to argue credibly that obesity should be described as an epidemic.
机译:在1970年代至1990年代中期,体重指数(BMI)成为评估人群和个人肥胖症的标准方法,取代了以前对体重过重的各种争议。本文借鉴了标准社会学和科学技术研究的理论方法,描述了这一重要新标准的发展以及采用新标准促进肥胖科学发展的方式,即有关病因,健康影响和疾病的知识。多余体重的治疗。通过对政策和医疗保健文献的分析,我认为BMI的采用以及相关的定义超重和肥胖症的标准临界点,对于将肥胖症视为流行病至关重要。我建议,因为这是因为这些措施首先可以创建大数据集,以跟踪平均体重在人口水平上的变化,其次,可以构建这些变化的视觉表示。这两种新的代表技术的产生,使该领域的研究人员以及决策者等其他人可以有力地争辩说肥胖症应被描述为一种流行病。

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