Skip to the story
All stories

Nature study finds only about a quarter of obese adults have clinical obesity

Analysis of data from 850,000 adults in four countries suggests most obesity is pre‑clinical and does not progress to disease

AI-assisted coverage comparison, editor-supervised · How this was made

Published
The rate of severe obesity rose even faster than the overall obesity rate. (AP Photo/JoNel Aleccia)

What this story says

  • A Nature study using data from about 850,000 adults in China, Britain, the US and Spain redefines obesity into pre‑clinical and clinical categories.
  • Only roughly 27 % of people classified as obese meet the clinical definition, representing about 8.5 % of all adults.
  • Around 82 % of those with pre‑clinical obesity did not progress to clinical obesity, with higher progression rates in China and Spain.
  • The authors recommend adding body‑fat measures such as waist circumference to improve diagnosis.

Who covered it

Left 29%(8)Centre 42%(10)Right 29%(8)

Percentages are shares of the 26 outlets carrying a published leaning rating. 12 of the 38 outlets we know ran this story carry no rating and are not counted in them. Coverage measured .

Trust

74/100

Craft

95/100

Hype

15/100

38 sources · methodology

A study published in Nature examined health data from almost 850,000 adults across China, Britain, the United States and Spain. The researchers aimed to move obesity diagnosis beyond body‑mass index alone by adding body‑fat measures and organ‑function indicators. The senior author, Francesco Rubino of King’s College London, said the inaccuracy of BMI has long been recognised but a better system has not yet been adopted.

Applying the new framework, the authors estimated that on average only about 27 % of people currently labelled as obese would be classified as having clinical obesity. This proportion translates to roughly 8.5 % of all adults in the four countries. The remaining majority would fall into a pre‑clinical category, indicating elevated risk but not active disease.

The study found that around 82 % of individuals identified with pre‑clinical obesity did not progress to clinical obesity during the observation period. Progression rates were higher in China and Spain, suggesting regional variation. The authors argue that distinguishing pre‑clinical from clinical obesity could refine treatment decisions and public‑health policy.

“"But we haven’t so far got a better system,"”

— Francesco Rubino, senior author

27%

Clinical obesity among obese adults

Across China, Britain, the US and Spain

Blindspot

No left‑ or right‑rated outlets ran this story, leaving their perspectives absent from the coverage.

Still developing. We have re-checked which outlets are covering this 2 times, most recently on 12 Nov 2026, 04:45, and will add the sides that appear.

How each side covered it

Our own reading of the reporting listed below, written from the outlets’ articles rather than quoted from them. The reasoning is set out on our methodology page.

Left

8 rated outlets

We have not written our reading of the left coverage of this story. The left-rated outlets that ran it are listed below.

Centre

10 rated outlets

  • CTV News highlighted the limited share of obese adults who actually have clinical disease, noting that "only between a quarter and a third of people currently diagnosed with obesity should be considered as in poor health." The report quoted senior author Francesco Rubino saying, "But we haven’t so far got a better system," and stressed the proposal to add waist‑circumference and organ‑function tests to the diagnostic criteria. It also referenced the World Health Organization’s estimate that more than one billion people worldwide are affected by obesity.

Right

8 rated outlets

We have not written our reading of the right coverage of this story. The right-rated outlets that ran it are listed below.

Questions about this coverage

How did the left and right cover Nature study finds only about a quarter of obese adults have clinical…?
Of the 26 outlets on this story carrying a published leaning rating, 29% are rated left, 42% are rated centre, 29% are rated right. Those percentages are shares of the rated outlets, not of every outlet that ran it, which was 38. The sections above set out what each side emphasised, in its own terms.
Is Nature study finds only about a quarter of obese adults have clinical… left or right?
Neither side dominates it. Of the 26 rated outlets on this story, 29% are rated left, 42% are rated centre, 29% are rated right, and no side holds the 70% this site would want before calling a field one-sided. A story is not left or right in any case; the outlets that carried it are what carry ratings.
Is the coverage of Nature study finds only about a quarter of obese adults have clinical… biased?
Nature study finds only about a quarter of obese adults have clinical obesity is one event reported by 38 outlets, and this page does not rate the story as biased or unbiased. What it publishes is the spread: which outlets ran it, where named rating organisations place each of them on the spectrum, and what each side chose to lead with. A leaning rating describes an outlet's record over time, not this article, and the two should not be run together.
Which outlets covered Nature study finds only about a quarter of obese adults have clinical…?
38 that we know of, every one of them listed further up this page with a link to its own report and to what we hold on the publisher. Nothing here is a summary of somebody else's summary: the outlets are named so the original reporting can be read.
What new definition of obesity does the study propose?
The study suggests a two‑tier definition that separates pre‑clinical obesity, identified by high body‑fat measures but no organ damage, from clinical obesity, where excess weight is already causing organ dysfunction. This approach adds waist‑circumference and health‑status checks to the traditional BMI metric.
How many obese adults are estimated to have clinical obesity?
The authors estimate that about 27 % of people classified as obese under BMI criteria meet the clinical definition, which corresponds to roughly 8.5 % of all adults across the four countries examined in the study.
What did the study find about the progression from pre‑clinical to clinical obesity?
Around 82 % of individuals labelled with pre‑clinical obesity did not advance to clinical obesity during the study period. The analysis noted higher progression rates in China and Spain, indicating that most pre‑clinical cases remain stable over time.
Why do the authors believe the current BMI‑only system is insufficient?
Senior author Francesco Rubino said the inaccuracy of BMI measurements is well‑known and that no better system has been widely adopted. The study argues that incorporating body‑fat assessments and organ‑function indicators would provide a more meaningful clinical characterisation of obesity.

Read it at the source

38 outlets, grouped by the leaning a published rating gives them. Every headline links to the original; an underlined outlet name opens our profile of that publisher.

Left

8

Centre

10
Show 2 more

Right

8

Not rated

12
Show 4 more

How did this read?

About the coverage, not about the story. We do not ask whether you agree with what happened — we have no honest use for that answer.

Obesity study finds 27% meet clinical criteria | MediaBias News