BMI - Is The Body Mass Index Formula Flawed?Main Category: Obesity / Weight Loss / Fitness
Also Included In: Public Health
Article Date: 31 Jan 2013
BMI (Body Mass Index) has been used for over 100 years in population studies, by doctors, personal trainers, and other health care professionals, when deciding whether their patients are overweight. However, BMI has one important flaw - it does not measure your overall fat or lean tissue (muscle) content.
Body Mass Index, derived from a simple math formula, was devised in the 1830s by Lambert Adolphe Jacques Quetelet (1796-1874), a Belgian astronomer, mathematician, statistician and sociologist. BMI is said to estimate how fat you are by dividing your weight in kilograms by your height in meters squared. However, as mentioned earlier, the measurement is flawed, especially if the person carries a lot of muscle.
Nick Trefethen, Professor of Numerical Analysis at Oxford University's Mathematical Institute, wrote in a letter to The Economist that the BMI formula is flawed and is only a rough guide to helping people judge whether they have a healthy weight.
"If all three dimensions of a human being scaled equally as they grew, then a formula of the form weight/height3 would be appropriate. They don't! However, weight/height2 is not realistic either.
As the fight against obesity becomes an ever more urgent issue, health professionals disagree about the best way to measure it.
When Quetelet devised the BMI formula, there were no computers, calculators or electronic devices, so he opted for a very simple system. Trefethen does wonder, though, why institutions today on both sides of the Atlantic continue using the same flawed formula.
Perhaps "nobody wants to rock the boat", Trefethen suggested. Various agencies and institutions have agreed on something, which is comforting.
There are probably other flawed formulae out there. There seems to be an exaggerated respect for measures which depend on mathematics. However, the BMI one probably beats them all, especially as the world population of obese people exceeds one billion.
Trefethen Offers an Alternative Formula to the Current BMI oneTrefethen said "Suppose we changed that exponent from 2.0 to 2.5 and adjusted the constant so that an average-height person did not change in BMI. Suddenly millions of people of height around 5' (five feet tall) would gain a point in their readings, and millions of people of height around 6' (six feet tall) would lose a point."
He proposes a new formula where:
"If man increased equally in all dimensions, his weight at different ages would be as the cube of his height. Now, this is not what we really observe. The increase of weight is slower, except during the first year after birth; then the proportion we have just pointed out is pretty regularly observed.
Goriely commented: "So according to Quetelet the scaling is 3 for babies (babies are spheres), 2 for kids (kids grow more like celery sticks, as we know), then 5/2=2.5 for grownups (beefing up so to speak). It seems Quetelet never cared about obesity (not a big issue in the 1840's)."
Many say that waist-to-height ratio is a better measurement than BMI. They say you should keep your waist circumference to less than half your height.
An Example of Where Body Mass Index (BMI) is FlawedImagine you were asked to advise two men on their bodyweight:
If you used just the BMI formula, you would tell the athlete that he is fatter than the couch potato - which is obviously completely wrong. This is because BMI does not calculate how much fat or lean tissue (muscle) your body carries.
Usain Bolt, the fastest sprinter ever. His BMI would class him as overweight, which he is clearly not.
Clearly, the athlete is not overweight, and the couch potato is. This is because the athlete is much more muscle-bound than the couch potato - muscle weighs more than fat.
According to most criteria accepted around the world:
So, What is My Ideal Healthy Weight?We would all love to be told clearly how much we should weigh and how to calculate this ourselves. Unfortunately, your ideal weight is not a black and white formula.
You cannot simply calculate your healthy weight from a general source - it depends on several factors, including your overall general health, height, muscle-fat-ratio, bone density, body type, sex, and age.
Working out your BMI may give people a rough idea of how much they should weigh, but as we have seen in this article, it really is a flawed formula. BMI is useful when studying large populations, but not for individuals.
BMI + Waist Measurements to Determine Body Weight StatusResearchers from the University of Toronto, and the Hospital for Sick Children in Ontario, reported in Archives of Pediatrics & Adolescent Medicine that BMI together with waist measurements are linked to lipid and blood pressure evaluations among teenagers who are overweight/obese.
"Waist measurements" means 1. Waist-to-height ratio, and 2. Waist circumference.
The researchers said what many health care professionals are saying today - that BMI alone cannot differentiate between fat and fat-free body mass. So, they have added waist measurements to the mix. However, unlike what the mathematicians from Oxford University have put forward, this is not a single mathematical formula.
Written by Christian Nordqvist
Copyright: MediLexicon International Ltd
Original article posted on Medical News Today.
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