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 Post subject: Seeking better measure than BMI - CNN story
PostPosted: Thu Apr 05, 2012 4:16 pm 
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I found this article to be very interesting. This article matches what I have observed to be true -- and the NIH site about BMI acknowledges, that BMI is just statistical averages as a method to estimate body fat, but BMI isn't accurate for everyone. Body fat is what really matters and there are better ways (although none are perfect) to measure body fat than to use the BMI calculation.

Just passing the article along as I found it interesting --

http://www.cnn.com/2012/04/03/health/ob ... ?hpt=he_c2

Here is a quote from the story --
BMI, the researchers say, is an overly simplistic measure that often misrepresents physical fitness and overall health, especially among older women. Nearly 4 in 10 adults whose BMI places them in the overweight category would be considered obese if their body fat percentage were taken into account, according to the study.
"Some people call it the 'baloney mass index,'" says lead author Eric Braverman, M.D., president of the Path Foundation, a nonprofit organization in New York City dedicated to brain research.
Bodybuilders can be classified as obese based on their BMI, he says, while "a 55-year-old woman who looks great in a dress could have very little muscle and mostly body fat, and a whole lot of health risks because of that -- but still have a normal BMI."


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 Post subject: Re: Seeking better measure than BMI - CNN story
PostPosted: Thu Apr 05, 2012 5:43 pm 
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Those are the skinny fat people I hear about.

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 Post subject: Re: Seeking better measure than BMI - CNN story
PostPosted: Thu Apr 05, 2012 6:03 pm 
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There have always been numerous problems associated with the misuse of BMI as the sole indicator of health and or fitness....


Top 10 Reasons Why The BMI Is Bogus
http://www.npr.org/templates/story/stor ... =106268439

BMI scale not accurate measure for obesity
http://www.bcm.edu/news/item.cfm?newsID=1383

http://health.howstuffworks.com/wellnes ... s/bmi3.htm

http://www.sciencedaily.com/releases/20 ... 202535.htm

http://www.guardian.co.uk/lifeandstyle/ ... ng.health1

http://www.aarp.org/health/conditions-t ... i_for.html


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 Post subject: Re: Seeking better measure than BMI - CNN story
PostPosted: Thu Apr 05, 2012 6:49 pm 
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Just to clarify and there is a full thread in my forum on this called Optimum BMI.

viewtopic.php?f=22&t=6916

Knut wrote:
There have always been numerous problems associated with the misuse of BMI as the sole indicator of health and or fitness


Even though I am fan of it, no one has ever recommended using BMI as the sole indicator of health.

sharonbikes wrote:
that BMI is just statistical averages as a method to estimate body fat,


That is all it was ever supposed to be, a screening tool.

sharonbikes wrote:
but BMI isn't accurate for everyone. Body fat is what really matters and there are better ways (although none are perfect) to measure body fat than to use the BMI calculation.


Actually, there is no proven or established relationship between body fat and longevity or health. If anything, the relationship between BMI is much stronger than for just body fat.

Aging, Adiposity, and Calorie Restriction. JAMA. 2007;297 (9): 986- 994. doi: 10.1001/jama.297.9.986 Luigi Fontana, MD, PhD; Samuel Klein, MD

"Calorie restriction in adult men and women causes beneficial metabolic, hormonal, and functional changes, but the precise amount of calorie intake or body fat mass associated with optimal health and maximum longevity in humans is not known."

sharonbikes wrote:
BMI, the researchers say, is an overly simplistic measure that often misrepresents physical fitness and overall health, especially among older women.


Most people take this to mean that it ranks people more at risk then they really are

However....

sharonbikes wrote:
Nearly 4 in 10 adults whose BMI places them in the overweight category would be considered obese if their body fat percentage were taken into account


this new data indicates that these people are actually more at risk then BMI indicates.

sharonbikes wrote:
Bodybuilders can be classified as obese based on their BMI, he says,


Correct. But, there are very very few of them who would be classified as such. And, if you check my discussion on BMI, you will find that excess weight, even from excess muscle mass, is a health risk.

sharonbikes wrote:
while "a 55-year-old woman who looks great in a dress could have very little muscle and mostly body fat, and a whole lot of health risks because of that -- but still have a normal BMI."


This is correct. However, this is why no one risk factor determines health. However, BMI and Waist Circumference together is a much better measure, and Waist to Height is turning out to the best measure of all.

From a brand new article.

http://onlinelibrary.wiley.com/doi/10.1 ... x/abstract

Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obesity Reviews. Volume 13, Issue 3, pages 275–286, March 2012

"For the first time, robust statistical evidence from studies involving more than 300 000 adults in several ethnic groups, shows the superiority of WHtR over WC and BMI for detecting cardiometabolic risk factors in both sexes. Waist-to-height ratio should therefore be considered as a screening tool."

Lastly, for all its criticisms, BMI still turns out to be an excellent health indicator.

Cancers Linked to Obesity on the Rise

http://online.wsj.com/article/SB1000142 ... 09552.html

In addition...

- The 2007 Report on Diet & Cancer by the World Cancer Research Fund and the American Institute For Cancer Research said the #1 recommendation for preventing cancer is to be as lean as possible within the normal range (a BMI 18.5 to 22). Second was to physically active. This was a totally independent report of 100 scientist from 30 countries who spent 5 years reviewing 7000 studies.

- Last month, the 2012 National Cancer Institute Report said the #1 recommendation to prevent cancer is to achieve and maintain a healthy weight throughout life. And, to be as lean as possible throughout life without being underweight. Number two was to be physically active.

In Health,
Jeff

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 Post subject: Re: Seeking better measure than BMI - CNN story
PostPosted: Thu Apr 05, 2012 7:40 pm 
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Thanks for your comments, Jeff. I find this all very fascinating.

Sharon


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 Post subject: Re: Seeking better measure than BMI - CNN story
PostPosted: Fri Apr 06, 2012 4:52 am 
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Jeff, from the the waist to height ratio study, what WHtR correlated to a healthy BMI of 18.5 to 22?

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 Post subject: Re: Seeking better measure than BMI - CNN story
PostPosted: Fri Apr 06, 2012 5:28 am 
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Very interesting. I came across the following 'do it all' calculator:

http://home.fuse.net/clymer/bmi/

Based on this I have a BMI of 20 and a WtHR of 0.47. :D

And while I always thank Dr. McDougall, I owe a BIG thanks to Jeff for his Calorie Density lectures.

Kate

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 Post subject: Re: Seeking better measure than BMI - CNN story
PostPosted: Fri Apr 06, 2012 5:50 am 
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A low WtHR can be a dangerous thing too.

I'm having trouble finding pants. My inseam is 36", and my waist has gone from a 36 to a 34, and is going down even more. I don't think anyone makes a 32 waist, 36 inseam pant. I can't afford custom-made pants! :crybaby:


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 Post subject: Re: Seeking better measure than BMI - CNN story
PostPosted: Fri Apr 06, 2012 6:17 am 
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geo wrote:
Jeff, from the the waist to height ratio study, what WHtR correlated to a healthy BMI of 18.5 to 22?


They don;t correlate them like that but in general you will see a generic cut-off of .50 (which is used in studies) with above it as increased risk and below it as healthy.

In addition, you will see these cut-offs and as you can see, you can go to low.

MEN

Ratio less than 35: Abnormally Slim to Underweight
Ratio 35 to 43: Extremely slim
Ratio 43 to 46: Slender and Healthy
Ratio 46 and 53: Healthy, Normal, Attractive Weight
Ratio 53 to 58: Overweight
Ratio 58 to 63: Extremely Overweight/Obese
Ratio over 63: Highly Obese

WOMEN

Ratio less than 35: Abnormally Slim to Underweight
Ratio 35 - 42: Extremely Slim
Ratio 42 to 46: Slender and Healthy
Ratio 46 to 49: Healthy and Attractive
Ratio 49 to 54: Overweight
Ratio 54 to 58: Seriously Overweight
Ratio over 58: Highly Obese

As always, remember, like with all numbers, these are only risk factors and screening tools and not sole measures of health.

In Health
Jeff

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 Post subject: Re: Seeking better measure than BMI - CNN story
PostPosted: Fri Apr 06, 2012 7:38 am 
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Didn't know about the waist to height ratio. I'm at 40 (probably started out at around 60!!!).

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 Post subject: Re: Seeking better measure than BMI - CNN story
PostPosted: Fri Apr 06, 2012 8:14 am 
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Joined: Wed Mar 21, 2012 9:04 am
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This is a very interesting thread. I'm going to stick with BMI for the time being as I never get my body fat percentage tested, and right now it's an easy no-brainer method - just looking at a chart.

I'm aiming for the high end of what is now considered a healthy BMI, and when I accomplish that I'll probably go lower.

Nice thread link Jeff. Thanks.


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