Problems with the Fraser report Chapter 1: Pitfalls in BMI time trend analysis

The first chapter of the Fraser report "Obesity in Canada: Overstated Problems, Misguided Policy Solutions" presents a flawed and misleading analysis of BMI time trends. The objective of this commentary is to provide a tutorial on BMI time trend analysis through the examination of these flaws. Three issues are discussed: 1. Spotting regions of confidence interval overlap is a statistically flawed method of assessing trend; regression methods which measure the behaviour of the data as a whole are preferred. 2. Temporal stability in overweight (25≤BMI