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What size is considered to be bariatric or plus size?

4 min read

According to the World Health Organization, obesity is one of the leading causes of preventable death worldwide. The question, What size is considered to be bariatric or plus size?, can be confusing because the terms refer to two different contexts: one for fashion and the other for medicine and medical equipment.

Quick Summary

The terms "bariatric" and "plus size" have distinct meanings in the fashion and medical worlds. Bariatric refers to a medical classification based on weight and Body Mass Index (BMI), typically defined as a BMI of 40 or higher, or a BMI of 35 with obesity-related health issues. Plus size, on the other hand, is a clothing industry term that generally begins at a U.S. women's size 14, varying by brand.

Key Points

  • Medical vs. Fashion: Bariatric is a medical term defining a patient's health status based on weight and BMI, while plus size is a clothing industry term.

  • Bariatric BMI Thresholds: In medicine, bariatric status is typically defined as a BMI of 40 or higher, or a BMI of 35 with co-morbidities like diabetes or sleep apnea.

  • Plus Size Clothing Sizes: Plus size fashion generally starts at a US women's size 14, although this can vary by brand and retailer.

  • Equipment Considerations: Medical equipment categorized as bariatric is designed for higher weight capacities, often for patients weighing over 250-300 pounds, to ensure safety.

  • Language Matters: Using the correct terminology is important to avoid confusion and ensure clear, respectful communication in both clinical and social settings.

In This Article

Demystifying the Terminology: Medical vs. Fashion Definitions

Understanding the distinction between "plus size" and "bariatric" is crucial for a number of reasons. The medical definition of bariatric is used by healthcare professionals to determine treatment plans, equipment needs, and surgical eligibility, while plus size is a marketing and sizing term used in the clothing industry. Confusing the two can lead to misconceptions about health conditions and treatment options.

The Clinical Definition of Bariatric

In a clinical context, the term bariatric is used to describe a patient's medical status, focusing on obesity and related health risks. It is a field of medicine that concentrates on the causes, prevention, and treatment of obesity. This classification is less about a specific clothing size and more about weight, Body Mass Index (BMI), and associated health conditions.

The primary metric used is the BMI, which is calculated based on a person's height and weight. The medical community uses specific BMI thresholds to define bariatric status, such as a BMI of 35 or higher, especially with co-morbidities like diabetes or high blood pressure. A BMI of 40 or greater is also used. For medical equipment, bariatric can also be defined by a patient's weight threshold, which can vary.

The Fashion Industry's "Plus Size" Terminology

In contrast to the medical definition, "plus size" is a marketing term used within the retail and fashion industry. It signifies a clothing size that is larger than the standard or "straight" sizes offered by many brands. This classification has no direct correlation to medical health but has become a significant part of the conversation around body positivity and inclusivity.

Plus size sizing typically starts at:

  • For women: A U.S. women's size 14, although this can vary significantly between brands. Some retailers might start their plus size range at a U.S. size 12.
  • For men: Plus sizes are often referred to as "big and tall" and cater to broader frames.

Plus size clothing is designed to accommodate different body shapes, often with different proportions, cuts, and fabric choices than standard sizes. This sizing system helps provide stylish and well-fitting options for a wider range of body types.

Plus Size vs. Bariatric: A Comparison Table

To better illustrate the differences, consider the following comparison.

Feature Bariatric Plus Size
Context Medical field, healthcare Fashion, clothing retail
Classification Medical status based on weight and BMI Clothing size category
Primary Metric Body Mass Index (BMI) and absolute weight Standardized (but varied) clothing sizes (e.g., US 14+)
Purpose To guide treatment, manage health risks, select appropriate equipment To market and size clothing for a segment of the population
Examples Bariatric beds, wheelchairs, surgery Plus size jeans, dresses, swimwear
Thresholds BMI > 40, or BMI > 35 with co-morbidities. Equipment thresholds can start at 250+ pounds. US women's size 14 (often varies by brand).
Associated Focus Diagnosis and treatment of obesity and related health conditions Providing fashion options for a diverse range of body shapes

The Importance of Correct Terminology

Using the correct terminology is vital in both healthcare and social contexts. For medical professionals, using the bariatric classification is a matter of patient safety and proper care. It ensures that appropriate equipment with the correct weight capacity is used, and that treatment plans are tailored to the patient's specific health needs.

In the social sphere, being mindful of the language used is important for promoting body positivity and reducing stigma. While plus size is a neutral and descriptive term in the fashion world, the medical classification of bariatric carries a clinical weight. It's important to be sensitive to the different implications of each term when discussing them.

The Role of Body Mass Index (BMI)

While not a perfect measure, BMI remains a cornerstone of the medical community's classification system. It offers a standardized way to assess a patient's weight relative to their height and has long been used in epidemiological studies. Critics point out that it doesn't account for muscle mass, age, or ethnicity, which is why clinical assessments also consider comorbidities and other health factors when making a bariatric determination.

The Evolution of Plus Size Fashion

The plus size fashion industry has evolved significantly over the last few decades, moving away from being a niche market to a more mainstream segment of retail. Brands are increasingly focusing on inclusivity, designing stylish and well-fitting clothes for a wider variety of body types. The expansion of plus size ranges, often denoted by sizes like 1X to 6X, reflects this growing recognition of body diversity.

Conclusion

In summary, the distinction between what is considered bariatric and plus size is one of context: medical versus fashion. Bariatric status is a clinical determination based on BMI and weight, critical for appropriate healthcare. Plus size is a retail term for clothing sizes above a certain threshold, promoting inclusivity in fashion. Understanding the difference prevents confusion and ensures respectful and accurate communication in both healthcare and everyday conversation. To learn more about clinical classifications, you can refer to {Link: World Health Organization https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight}

Frequently Asked Questions

A patient is typically classified as bariatric when they weigh 300 pounds or more, or have a Body Mass Index (BMI) of 40 or greater. For some medical equipment, weight thresholds can begin at 250 pounds.

Not necessarily. A person can be considered plus size by the fashion industry's standards without meeting the medical criteria for bariatric status. The terms are used in different contexts and have different definitions.

The primary difference lies in context. Bariatric is a medical term based on a person's weight and BMI for clinical purposes, while plus size is a clothing retail term for a specific sizing category.

Using the correct terminology is important for accurate communication in healthcare, ensuring patient safety and proper equipment use. In social contexts, being mindful of language helps reduce stigma and promotes respectful conversation.

A BMI of 35 to 39.9, categorized as Class II obesity, may be considered bariatric if a patient also has obesity-related health conditions, such as diabetes or hypertension. A BMI of 40 or higher is universally considered bariatric.

Different weight thresholds can be used for different purposes. For example, a hospital's equipment threshold might be lower (e.g., 250 pounds) to ensure staff and patient safety with standard medical devices, while the clinical classification for surgery might be based on a higher BMI.

'Plus size' is generally used for women's clothing, while 'big and tall' is the equivalent term used for men's larger sizes in the fashion industry. Both refer to clothing that exceeds standard sizing charts.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.