All posts tagged: katherine m. flegal

What Do We Really Know About “Obesity”?

What Do We Really Know About “Obesity”?

Photo by Kenny Eliason on Unsplash. In 1864, the scientist Benjamin Apthorp Gould was appointed to conduct a survey of the physical characteristics of thousands of Civil War soldiers, sailors, and students. Five years later, what emerged from the published report was a narrative of racial difference. An entire chapter was devoted to lung function: making use of the recently developed spirometer (a measuring device), Gould declared a “very striking” difference between the capacity of Black and white lungs. Gould’s findings were consistent with previous conjectures, where the apparent lower lung function of Black people was part of a justification for enslavement. The report also had a significant legacy, contributing to the establishment of racial difference in lung function as a scientific fact. The assumption that Black people have lower “normal” lung capacity became built into medical practice: a “race correction” in the equation that translates spirometer readings into a measurement of lung function automatically lowered the threshold of “normal” lung function for Black patients. This meant that the same spirometer reading could be categorized …