Monday, August 13, 2012

BMI or something else?


Like you already know, the body mass index or BMI is a way to determine if an individual is in a healthy weight range. It can be calculated with a simple equation:

BMI = weight (kg)/height2 (m)

By the US standards set by CDC the number that we get falls into one of these categories:

Very severely underweight: < 15.0
Severely underweight: 15.0 – 15.9
Underweight: 16.0 – 18.4
Healthy weight: 18.5 – 24.9
Overweight: 25.0 – 29.9
Obese: 30.0  – 34.9
Very obese: > 35

And if take a look at Japan:

Healthy weight – 18.5 – 22.9
Overweight – 23.0 – 24.9
Obese - > 25.0

Last but not least, the ranges for Slovenia:

Healthy weight: 18.5 – 24.9
Overweight: 25.0 – 29.9
Obesity, stage 1: 30.0  – 34.9
Obesity, stage 2: 35.0  – 39.9
Obesity, stage 3: > 40.0

The BMI range is country specific, because of the different race, lifestyles and other.


But unfortunately the BMI has a few major flaws. It doesn’t take into account that our bodies are made out of different ratios of 4 components. Water, lean mass, bone mass and fat mass. So an individual, who has a high lean mass (a lot of muscles), can appear to be overweight or even obese by BMI standards while having almost no subcutaneous fat on their body (bodybuilders). If we compare a professional bodybuilder, who is 180 cm tall and weighs 95 kilo to an untrained individual with the exact same numbers and a high percentage of body fat, their BMI is the same, even though the obvious difference in their physical appearances.

Thankfully there are a number of other techniques for measuring your body composition, which will give you a more detailed result, like the 3 fold caliper measure or waste to hip ratio.

Waste to hip ratio is a more accurate method of measuring the health of a person, and determining the risk of developing serious health conditions such as heart disease.

With a measuring tape measure the hip circumference and the waist circumference at the widest parts. After that just calculate the waste to hip ratio with the following equation:

WHR = Waist/Hip

In men abdominal obesity is defined as a WHR of above 0.90 and 0.85 for women. If your numbers are lower than that you have a reduced chance of developing all sorts of diseases such as type 2 diabetes, heart problems, hypertension (increased blood pressure) and other.

You can calculate your waste to hip ratio here: http://www.bbc.co.uk/health/tools/hip_to_waist/hip_to_waist.shtml

Picture taken from: http://tiny.cc/2n8mhw

References:

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