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Back to School: Expert Tips for a Smooth Transition in the New Academic Year
With the start of school now upon us, Gary Henry, dean of the University of Delaware’s College of Education and Human Development and professor in the School of Education and the Joseph R. Biden, Jr. School of Public Policy & Administration, is here to answer some common questions educators and parents may have. What are your three biggest concerns about K-12 education going into this academic year? I think the overarching concern for many K-12 teachers and administrators is creating a sense of continuity as children and young adults go back to school. The three big concerns that contribute to this issue are teacher turnover, school leader turnover and the number of long-term substitutes who are not fully prepared to teach in classrooms. These trends were already in place before the pandemic, but the pandemic heightened this crisis. For the last 20 years, we’ve seen a crisis in the enrollment in traditional teacher preparation programs. Between 2010 and 2018, we saw about a 35% reduction in the number of undergraduates who enroll in education majors across the U.S., but in Delaware, that reduction was 60%. Teacher shortages are affecting every state around the country right now. What is the best way to address these chronic teacher shortages? Chronic teacher shortages are a systemic problem, which means it’s largely a result of the system in which we educate and support teachers. We know, for example, that many alternative teacher preparation programs — where students come in with a bachelor’s degree outside of the field of education and take only a few courses in preparation for teaching — actually contribute to teacher shortages. So part of the answer is investing in traditional teacher preparation programs and in financial aid. Our team at CEHD’s Center for Excellence and Equity in Teacher Preparation is working directly with Delaware students from motivation to pursue teaching, through recruitment into UD teacher preparation programs, through graduation from those degree programs and into schools within Delaware, whenever possible. For example, our Teachers of Tomorrow program introduces underrepresented high schoolers to the field of education through an immersive, two-week summer institute at UD where they can learn about our programs, meet current students and talk with educators. In partnership with high-needs Delaware school districts and the Delaware Department of Education, our Teacher Residency program allows early childhood education, elementary teacher education and secondary STEM education students to pursue yearlong, paid teaching placements in Delaware schools. Overall, we find that 80% of the students we recruit from Delaware stay in our schools to teach. What recommendations do you have for school leaders who are struggling with turnover challenges? The first thing to do is to have a human resources professional conduct exit interviews with teachers who are leaving and for building leaders to pay attention to their responses so they can really understand the key causes of turnover in their school. In my research, I have analyzed exit interview data and I’ve found that teachers are often very straightforward about why they are leaving. The second step is to act on those reasons. And the third step is to constantly check in with the teachers. Ask, “how are things going? What can we do to help you address your instructional needs?” Developing relationships around instructional issues and the teachers’ work with students is fundamental to diagnosing and addressing issues before they lead to teacher turnover. What advice would you give a brand-new teacher about to start their first year in charge of a classroom? I believe that all educators should view students and their families for their assets and recognize that a student’s culture at home is an asset. A relationship with parents and students that recognizes and values the family’s culture allows you to unite with the family, unite with the student and give the student the confidence to take risks, to work hard and to want to come to school because that’s where they feel welcomed and honored. If parents are interested in supporting their child's education, how can they do so? I think the key ingredient for parents is working with teachers and principals to articulate the outcomes that they’re seeking for their children. It’s much easier to get everyone on the same page if you start from a position of common ground. I would also encourage parents to seek the person in the school system that’s closest to the issue. So if your child is struggling in math, reach out to your child’s math teacher first. If the teacher identifies other resources that may be helpful, then seek out additional support from the school principal. Gary T. Henry has much more to talk about as the school year gets underway. He is available for interviews. Click the "View Profile" button to get in touch with him.
Georgia Southern University to offer new executive master’s in criminal justice degree
Georgia Southern University is offering members of the law enforcement community a chance to boost their careers with a brand new executive master’s in criminal justice (EMCJ), a program specifically tailored for law enforcement professionals seeking career advancement. This program is certified by the Georgia Peace Officer Standards & Training Council (P.O.S.T.) and offers a comprehensive curriculum designed to accommodate the demanding work schedules of law enforcement agencies. Students in the program follow a unique schedule that features two, three-week modules per semester, requiring only one week of on-site attendance at the Armstrong Campus in Savannah, Georgia. Program participants can complete their degree in just two years. “I am excited about this new and innovative executive-style graduate program designed for law enforcement professionals across Georgia,” said Ryan Schroeder, Ph.D., Dean of the College of Behavioral and Social Sciences. “Students in the program will be exposed to current research in criminology and criminal justice and develop research skills to advance their careers. Graduates are prepared to be leaders in law enforcement organizations across the state.” The EMCJ program is especially beneficial for officers in county and city law enforcement, sheriff’s department personnel, Georgia Bureau of Investigation, Georgia FBI, University System of Georgia law enforcement agencies and more. Through the coursework, students will refine their analytical, research and critical thinking skills, foster a superior understanding of criminal justice and have the chance to network with fellow officers, build relationships and enhance connections nationwide. “We’re excited to offer this executive master’s program to all our law enforcement partners throughout the state,” said Laura Mcullough, director of Public Safety and Chief of Police for Georgia Southern. “This program is designed to work specifically with the agencies and for the upcoming leaders in law enforcement within Georgia. As an agency head, the ability to develop our future leaders while being able to provide for the demands of our communities is invaluable. This program will allow officers to develop into better officers and stronger leaders within their agencies and community without demanding large amounts of time away from work or home.” The program does not require a nomination, but candidates must hold a bachelor’s degree from a regionally accredited institution and be a certified, registered or exempt peace officer currently employed with a Georgia law enforcement agency recognized by the Georgia P.O.S.T. Interested in learning more? Contact Georgia Southern's Director of Communications Jennifer Wise at jwise@georgiasouthern.edu to arrange an interview today.
Georgia Southern sets fundraising record for third year in a row
Total cash, pledges and in-kind gifts to Georgia Southern University amounted to $23,831,604 during Fiscal Year 2023, which ended on June 30, 2023. That surpasses the total from the previous year, which was also a record at $22.3 million. For the third straight year, Georgia Southern supporters have propelled the University to a record-breaking year of private fundraising. Total cash, pledges and in-kind gifts to Georgia Southern University amounted to $23,831,604 during Fiscal Year 2023, which ended on June 30, 2023. That surpasses the total from the previous year, which was also a record at $22.3 million. The record total was buoyed by another record-breaking fundraising year for the Georgia Southern Athletic Foundation, Inc., which raised a record $11.06 million in new pledges and outright gifts. “As we soar into a very bright future for this University, record-breaking fundraising is a sign that Georgia Southern is not only strong now, but poised for even greater heights,” said Georgia Southern President Kyle Marrero. “We are endlessly thankful for the supporters, friends, alumni and donors who endorse our path forward and are stepping up to ensure our success.” Donors helped with various projects and programs this past year, including: $1 million from Betty Foy Sanders for the Betty Foy Sanders School of Art with scholarships, travel and programmatic needs $750,000 deferred gift for the Department of Biology to be used for student scholarships 23 newly created endowments Anthony P. Tippins Family Training Facility for athletics “Through unwavering dedication and the overwhelming generosity of our community, we have demonstrated the boundless potential of Eagle Nation in support of our students’ dreams and the University’s future,” said Georgia Southern Foundation Chair Mike Sanders. Last year’s Athletic Foundation Chair Leonard Bevill added, “The impact of this achievement will ripple through generations, leaving an indelible mark on the trajectory of higher education and Georgia Southern. I am humbled and inspired by the collective spirit that has made this three-year milestone possible.” The Erk Russell Fund, the Athletic Foundation’s annual fund, continues to grow and saw donations of $3.2 million this fiscal year. Additionally, the Athletic Foundation received 58 major gift commitments this year, which are gift commitments of $25,000 or greater to support Eagle Athletics. Over the past three fiscal years, the Athletic Foundation has raised more than $27 million in support of Georgia Southern Athletics. This total is the largest three-year fundraising window in department history. “It’s clear that Georgia Southern University’s power to transform lives and communities is making a positive impression with our private supporters,” said Trip Addison, Vice President of Advancement, noting that more than 3,600 alumni were among the supporters this past year. “I am grateful for the welcome reception we are receiving when we ask people to join in our effort to help support our students and the work they and our faculty are doing.” Interested in knowing more about fundraising or to speak with Georgia Southern Foundation Chair Mike Sanders? To arrange an interview simply connect with Georgia Southern's Director of Communications Jennifer Wise at jwise@georgiasouthern.edu to arrange an interview today.
Almost 30% of adults in the U.S. lack basic numeracy skills, meaning they don’t understand simple processes like counting, arithmetic and calculating percentages. Two professors from Georgia Southern University’s College of Education (COE) are part of a collaborative effort, funded by a $3 million National Science Foundation (NSF) grant, aimed at improving that number for upcoming generations. Sam Rhodes, Ph.D., assistant professor of elementary mathematics education, and Antonio Gutierrez de Blume, Ph.D., professor in curriculum, foundations and reading, were awarded almost $400,000 of the overall sum. In collaboration with researchers from the University of Minnesota and the University of Pennsylvania and CueThink, an online application focused on improving math problem-solving and collaboration skills, they will help middle school students better understand numerical and mathematical concepts. “The grant is important to me because I am passionate about helping students improve their abilities to engage in mathematical problem solving,” said Rhodes. “Collaborating with peers to tackle challenging problems is one of the most exciting parts of learning and doing mathematics. I want to work to bring these experiences to all students in ways that are engaging and that effectively support their learning of mathematics.” The four-year grant is part of NSF’s Discovery Research preK-12 program. Georgia Southern’s COE offers students multiple program opportunities, including undergraduate and more than 30 graduate program options that span campus locations in Savannah, Statesboro and Hinesville, and online. Programs offered by the COE prepare future teachers, school psychologists, counselors, school library media specialists, instructional technologists, researchers and leaders through intensive field experiences, cutting-edge technology and research-based instruction. Interested in knowing more? To arrange an interview with Sam Rhodes or Antonio Gutierrez de Blume simply connect with Georgia Southern's Director of Communications Jennifer Wise at jwise@georgiasouthern.edu to arrange an interview today.
Is dark chocolate really the healthier choice? New study reveals concerns
For those who love chocolate, dark chocolate is often seen as the "better" or "healthier" option. But is it really? This past December, Consumer Reports analyzed 28 dark chocolate bars from a variety of brands and found that 23 of them contained concerning levels of lead, cadmium or both. Melissa Melough, an assistant professor of behavioral health and nutrition at the University of Delaware, recently told The New York Times: “If you’re a regular consumer of these dark chocolates, I would be concerned." This concern is especially heightened if one is pregnant, breastfeeding or have a child who enjoys dark chocolate. For more on why dark chocolate may be concerning, reach out to Melough by clicking on her profile.
ChristianaCare Chief Information Security Officer Anahi Santiago Receives Prestigious Routhy Award
ChristianaCare Chief Information Security Officer Anahi Santiago, EMBA, CISM, has been recognized with the Routhy Award, which honors one cybersecurity professional each year who delivers a profound impact within health care and the information security profession. Health-ISAC awards the Routhy. The organization is a global, member-driven non-profit that offers health care stakeholders a trusted community and forum for coordinating, collaborating and sharing vital physical and cyber threat intelligence and best practices with each other. “Anahi is a one-of-a-kind CISO,” said Randy Gaboriault, MS, MBA, chief digital and information officer and senior vice president at ChristianaCare. “Deeply committed to information security, Anahi shares her wide breadth of experience and knowledge with peers throughout the country as a gifted speaker, mentor and content expert. She is expert in the field of cybersecurity. “Through her deep commitment to patient safety and information security she has led the implementation of some of the most progressive cybersecurity safeguards within ChristianaCare. This is a well deserved recognition and we are thrilled to see Anahi receive this prestigious award.” Santiago is recognized as one of the nation’s foremost cybersecurity experts. With over 20 years in Information Technology, Santiago has extensive experience in areas of cybersecurity, privacy, regulatory compliance, program management and infrastructure services. “We are so pleased to have the opportunity to recognize Anahi for her years of leadership and selfless contributions to the community of Health-ISAC, affiliated associations, and the health care sector,” said Denise Anderson, Health-ISAC president and CEO. “She has been instrumental in sharing with her peers, participating in initiatives, and mentoring others in the sector. She is absolutely deserving of the Routhy Award. Congratulations, Anahi, and thank you!” Santiago has overall responsibility for the organization’s information security program and strategic direction. She leads a team of high performing information security professionals in supporting ChristianaCare’s strategic initiatives. Santiago does this by partnering with the business leaders and managing risks, implementing policies and controls, and generating overall awareness. “For years, I’ve watched people that I admire receive this award,” Anahi Santiago said. “I want to credit this amazing Health-ISAC organization for advancing cybersecurity in health care, protecting patients and bringing cybersecurity professionals together to share, innovate and protect.”
Aston University crisis management expert aids disaster relief whilst on holiday
Dr Komal Aryal has been supporting mountain tribal communities in Taiwan after a typhoon hit the country, causing US$15m of damage He has been working with various groups to aid civil disaster relief Typhoon Khanun caused debris flows, floods and landslides that blocked transport links affecting thousands of farmers and hundreds of tourists. Aston University crisis management expert Dr Komal Aryal has been helping a humanitarian effort in Asia following a typhoon. Dr Aryal was touching down in Taiwan as part of his holiday when heavy rain, in the wake of Typhoon Khanun, hit the mountainous areas of the country on Saturday 5 August 2023. The typhoon caused debris flows, floods and landslides that blocked transport links affecting over 22,000 mountain farmers and left hundreds of tourists stranded. It’s estimated around US$15m worth of damage has been done following the disaster. Dr Aryal has been working with the Presbyterian Church in Taiwan (PCT) to manage a local humanitarian support camp based at the Wugong Village Puli Township and aid Taiwan's civil disaster relief. He called on his expertise in crisis and disaster management to begin coordinating the humanitarian response to the typhoon, before meeting with the Taiwanese president, Tsai Ing-wen, through the PCT at the local humanitarian response site. He has also helped in the clean-up at houses that have been affected by the typhoon-induced debris flow. Dr Aryal said: “As I was landing in Taiwan on Saturday night, a typhoon hit the country. “The initial disaster incident report came to Taipei from a remote mountain location and my colleagues from PCT informed me about it, so I offered my help for the initial local humanitarian repose coordination and spontaneous volunteers management. “Since then, I have helped to provided technical assistance to set up a local crisis/disaster/humanitarian coordination office and humanitarian logistic management system for immediate crisis response. “It has provided me a great opportunity to transfer Aston University’s crisis and disaster management knowledge to real crisis and disaster situation to help mountain tribe communities in Taiwan.” Dr Aryal has now returned to Taipei after handing over all the technical coordination to local experts.
Optical research illuminates a possible future for computing technology
Nathaniel Kinsey, Ph.D., Engineering Foundation Professor in the Department of Electrical and Computer Engineering (ECE), is leading a group to bring new relevance to a decades-old computing concept called a perceptron. Emulating biological neuron functions of the messenger cells within the body’s central nervous system, perceptrons are an algorithmic model for classifying binary input. When combined within a neural network, perceptrons become a powerful component for machine learning. However, instead of using traditional digital processing, Kinsey seeks to create this system using light with funding from the Air Force Office of Scientific Research. This “nonlinear optical perceptron” is an ambitious undertaking that blends advanced optics, machine learning and nanotechnology. “If you put a black sheet outside on a sunny day, it heats up, causing properties such as its refractive index to change,” Kinsey said. “That’s because the object is absorbing various wavelengths of light. Now, if you design a material that is orders of magnitude more complex than a sheet of black plastic, we can use this change in refractive index to modify the reflection or transmission of individual colors – controlling the flow of light with light.” Refractive index is an expression of a material’s ability to bend light. Researchers can harness those refractive qualities to create a switch similar to the binary 1-0 base of digital silicon chip computing. Kinsey and collaborators from the U.S. National Institute of Standards and Technology, including his former VCU Ph.D. student Dhruv Fomra, are currently working to design a new kind of optically sensitive material. Their goal is to engineer and produce a device combining a unique nonlinear material, called epsilon-near-zero, and a nanostructured surface to offer improved control over transmission and reflection of light. Kinsey’s prior research has demonstrated that epsilon-near-zero materials combine unique features that allow their refractive index to be modified quite radically – from 0.3 to 1.3 under optical illumination – which is roughly equivalent to the difference between a reflective metal and transparent water. While an effective binary switch, the large change in index requires a lot of energy (~1 milli-Joules per square centimeter). By combining epsilon-near-zero with a specifically designed nanostructure exhibiting surface lattice resonance, Kinsey hopes to achieve a reduction in the required energy to activate the response. The unique response of a nanostructure exhibiting surface lattice resonance allows light to effectively be bent 90 degrees, arriving perpendicular to the surface while being split into two waves that travel along the surface. When a large area of the nanostructure is illuminated, the waves traveling along the surface mix, where they interfere constructively or destructively with each other. This interference can produce strong modification to reflection and transmission that is very sensitive to the geometry of the nanostructure, the wavelength of the incident light and the refractive index of the surrounding materials. The mixing of optical signals along the surface can also selectively switch regions of the epsilon-near-zero material thereby performing processing operations. A key aspect of Kinsey’s work is to build nonlinear components, like diodes and transistors, that use optical signals instead of electrical ones. Transistors and other traditional electronic components are nonlinear by default because electrical charges strongly interact with each other (for example, two electrons will tend to repel each other). Creating optical nonlinear components is challenging because photons do not strongly interact, they just pass through each other. To correct for this, Kinsey employs materials whose properties change in response to incident light, but the interaction is weak and thus requires large energies to utilize. Kinsey’s device aims to reduce that energy requirement while simultaneously shaping light to perform useful operations through the use of the nanostructured surface and lightwave interference. The United States Department of Defense sees optical computing as the next step in military imaging. Kinsey’s work, while challenging, has potential to yield an enormous payoff. “Let’s say you want to find a tank within an image,” Kinsey said, “Using a camera to capture the scene, translate that image into an electrical signal and run it through a traditional, silicon-circuit-based computer processor takes a lot of processing power. Especially when you try to detect, transfer, and process higher pixel resolutions. With the nonlinear optical perceptron, we’re trying to discover if we can perform the same kinds of operations purely in the optical domain without having to translate anything into electrical signals.” Linear optical systems, like metasurfaces and photonic integrated circuits, can already process information using only a fraction of the power of traditional tools. Building nonlinear optical systems would expand the functionality of these existing linear systems, making them ideal for remote sensing platforms on drones and satellites. Initially, the resolution would not be as sharp as traditional cameras, but optical processing built into the device would translate an image into a notification of tanks, troops on the move, for example. Kinsey suggests optical-computing surveillance would make an ideal early warning system to supplement traditional technology. “Elimination or minimization of electronics has been a kind of engineering holy grail for a number of years,” Kinsey said, “For situations where information naturally exists in the form of light, why not have an optical-in and optical-out system without electronics in the middle?” Linear optical computing uses minimal power, but is not capable of complex image processing. Kinsey’s research seeks to answer if the additional power requirement of nonlinear optical computing is worthwhile given its ability to handle more complex processing tasks. Nonlinear optical computing could be applied to a number of non-military applications. In driverless cars, optical computing could make better light detection and ranging equipment (better known as LIDAR). Dark field microscopy already uses related optical processing techniques for ‘edge detection’ that allows researchers to directly view details without the electronic processing of an image. Telecommunications could also benefit from optical processing, using optical neural networks to read address labels and send data packets without having to do an optical to electrical conversion. The concept of optical computing is not new, but interest (and funding) in theory and development waned in the 1980s and 1990s when silicon chip processing proved to be more cost effective. Recent years have seen many advancements in computing, but the more recent slowdown in scaling of silicon-based technologies have opened the door to new data processing technologies. “Optical computing could be the next big thing in computing technology,” Kinsey said. “But there are plenty of other contenders — such as quantum computing — for the next new presence in the computational ecosystem. Whatever comes up, I think that photonics and optics are going to be more and more prevalent in these new ways of computation, even if it doesn’t look like a processor that does optical computing.” Kinsey and other researchers working in the field are in the early stages of scientific exploration into these optical computing devices. Consumer applications are still decades away, but with silicon-based systems reaching the limit of their potential, the future for this light-based technology is bright.
Frequent tanning can signal excessive concern over image and vulnerability to taking health risks, researcher says Getty Images People who often sunbathe or use tanning beds are more likely to try risky weight-loss methods and have cosmetic surgery, as well as get tattoos and piercings. But while people who seldom tan also may try unsafe diets and cosmetic surgery, they rarely opt for tattoos or piercings, according to a Baylor University study. "When compared to infrequent tanners, frequent body-tanners — regardless of whether they are tanned by ultraviolet light from the sun, ultraviolet light from a tanning bed or methods such as tanning sprays that do not involve UV light — showed significantly higher behavioral intentions to engage in risky appearance-related behaviors overall," said Jay Yoo, Ph.D., associate professor of family and consumer sciences in Baylor's Robbins College of Health and Human Sciences. "Safer tanners, on the other hand, are more concerned about modifying their bodies in ways such as tattoos and piercing that may carry a stigma," Yoo said. Most skin cancer prevention campaigns have emphasized avoidance of getting sunburned, reducing UV exposure and applying sunscreen, but they have neglected the individual's experience with social and appearance concerns, he said. But "Excessive tanning can serve as a possible sign of overt concern over body image, with vulnerability to greater health risks," Yoo said. His research article — "A Study of the Relationships between Tanning Methods and the Intention to Engage in Risky Appearance-Related Behaviors" — is published in Family and Consumer Sciences Research Journal. Data for the study was collected from an online survey of 395 female college students in the southern United States. The major contributor to skin cancer is frequent exposure to ultraviolet rays, with skin cancer the most common — and one of the most preventable — types of cancer, according to the American Cancer Society. Ironically, previous research has found that many people choose to tan because they believe a tan makes them look thinner and more fit, Yoo said. Tanning has gone in and out of fashion, Yoo noted. Tans at one time were associated with lower classes who worked outdoors — in contrast with the Southern belles of more than a century ago, who used parasols to protect their skin and to look pale and refined. In the 1920s, fashion designer Coco Chanel started a fad after accidentally getting sunburned while visiting the French Riviera, Yoo said. Tanning remained popular, with high-fashion models often sporting tans, whether from UV exposure or sprays and bronzers. And these days, some people sport tattoos along with their tans, he said. The study found that: Frequent tanners who expose themselves to UV rays through sunbathing or tanning beds have the strongest intentions to engage in a wider range of risky appearance-related behaviors when compared to infrequent tanners or spray tanners. Such behaviors include extreme weight control methods, such as diet pills, self-induced vomiting, laxatives and diuretics; cosmetic surgery and Botox injections; spa treatments, such as hair removal by waxing (which has been associated with rashes and infections) and gel nail polish (done with UV curing and associated with DNA damage to the skin that can result in premature aging and possibly cancer; and tattoos or piercings. Infrequent tanners, as well as "safe" tanners who seek to achieve an ideal tan without ultraviolet methods (sprays, lotions or bronzers) are much less likely to engage in behaviors that may convey certain stereotypes, such as tattoos or piercings with visual symbols or messages. But they are willing to try other risky appearance-related behaviors. Yoo suggested that intervention strategies adapted for healthcare providers to reduce UV exposure and skin cancer could use stigmatization — perhaps through images of tattooed or pierced individuals who also are tanned. "A negative stigma attached to UV exposure can create ambivalence in our society about achieving a tanned appearance," Yoo said. "This could decrease the popularity of tanning in much the same way the negative stereotyping of smoking and education about its health risks have reduced the number of people who smoke." He noted that in the 1940s and 1950s, smoking was idealized, especially in Hollywood movies, but "there has been a cultural shift," he said. "One way to change the appeal of tanning would be to make it un-cool," Yoo said. "If I tan and people look at me funny, I'm not going to tan anymore." While another way to stigmatize tanning would be to stress the health consequences, "for young people it may be more effective to emphasize the appearance," Yoo said. "The tanning that makes me attractive now may be counteracted for the long haul because at 50 or 60, I may have leathery skin. "Given that tanning emerged as a fashion trend, gradual attitudes toward dangerous tanning can be made possible in a similar fashion," he said.
New Policy on BMI Use Will Change How Physicians Approach Diagnoses and Care
The Body Mass Index – or BMI – table was created in the mid-1800s, and for the last several decades has been viewed as the choice tool to diagnose obesity. However, the American Medical Association (AMA) recently issued a policy clarifying the role of BMI after taking a comprehensive look at both its benefits and limitations as a diagnostic tool. In short, the new policy urges physicians to use BMI only in conjunction with other measures of risk and recognizes the historical shortcomings of the oft-used formula. Lisa Diewald, MS, RDN, LDN, is the program manager of the MacDonald Center for Nutrition Education and Research with Villanova’s M. Louise Fitzpatrick College of Nursing. She applauds the AMA for embracing a more holistic approach to weight and health in individuals. “This is a huge step forward and I think it will ultimately lead to better health care and an improved practitioner-patient relationship,” Diewald said. To understand why, one must first understand the history of BMI’s use. The formula that spits out the number we have all come to understand as our BMI considers a person’s height and weight. It was developed in the mid-19th century by a Belgian sociologist to measure the socially ideal person. The modern term and application came about in the 1972 and has been a routine measurement ever since because it is easy, fast, costs nothing and in some cases, said Diewald, does correlate with body fat. But in recent years, large scale studies have exposed some of the limitations of the measure, building to the point where they needed to be weighed against the overt benefits. For starters, BMI does not measure body fat – or adiposity – directly. Adiposity, per Diewald, is more closely associated with health risk than BMI. “For this reason, health risk for some individuals with normal BMI but high body fat has been underestimated, and some with high BMI but normal body fat levels have been overestimated,” she said. Nor does it “differentiate between muscle, bone and body fat, or distribution of fat on the body,” Diewald said. “We know that all these factors can influence health and chronic disease risk.” Other comorbidities or chronic conditions that wouldn’t show up on a BMI chart alongside a number in the “normal” range can also impact health. Conversely, there are health conditions that might be incorrectly assumed just because a BMI is high. “Not every person with a high BMI experiences these chronic conditions, so developing a more holistic approach can lead to better assessment, treatment and outcomes,” Diewald said. Another shortfall she pointed out was its failure to factor in gender, race, body composition, ethnicity or physical activity level. Think back to the origins of the chart, intended to be a social standard created in Europe nearly two hundred years ago. “BMI tables were originally designed in the 1800’s using a population of white men,” Diewald said. “Understandably, at one point in time it was all we had to evaluate weight status, but it may not be accurate to use this standard alone with all groups of people.” These societal, gender and racial/ethnic factors led the AMA to explicitly cite “historical harm, use for racist exclusion and because BMI is based primarily on data collected from previous generations of non-Hispanic white populations” in the new policy on its clinical use. Additionally, the policy addressed the differences in body composition across genders, races and ages that were not being considered. There is also an ignored mental component in its use to diagnose obesity, which can lead to avoidance of doctor visits and, in turn, further physical issues. “Obesity is a multifactorial, complex condition and addressing it with individuals needs to be done with empathy and sensitivity, beginning with how it is measured,” Diewald said. “There are numerous factors influencing weight well beyond simply food intake, physical activity level and BMI, so it is important for practitioners to recognize that and communicate this to patients. “It is extremely difficult for people with higher weight to be told that they have a high BMI and simply need to eat less and move more. When BMI is used as the sole indicator of weight status, this can be psychologically damaging. We know that many who have been told to lose weight simply based on a high BMI may avoid going to the doctors for routine medical visits and skip necessary preventive care.” It will not be easy, she said, to move away from a method used for so long that has been ingrained as a part of a routine medical visit, but Diewald thinks utilization of the tool in conjunction with other assessments is the best way put this new policy to practice. She advocates for measures such as “Using BMI as only one of several indicators of chronic disease risk, asking permission to discuss weight and health risk, [and] using shared decision-making between practitioners and patient to determine course of treatment.” Education is also paramount to proper assessment of weight-related health risks. “Education cannot stop with physicians, however,” she said. “I think this provides an excellent launching pad for enhanced collaboration among health professionals such as dietitians, nurses, nurse practitioners, physician’s assistants and others involved in providing care, nutrition counseling and lifestyle modification support to patients… Doing this can better fine tune recommendations for treatment, leading to improved outcomes.”
