Body Mass Index
The body mass index is an advance from the older and less meaningful
height and weight charts. And is the current tool used by health and
insurance agencies to assess body weight and degree of obesity. However,
it does not allow for individual variation of muscle mass and bone
structure.
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Although
body mass index (BMI) has been adopted by
WHO as an international measure of obesity, it lacks a theoretical basis, and
empirical evidence suggests it is not valid for all populations.1 The body mass
index (BMI) does not accurately represent
the amount of [body] fat,"2
The
BMI has been around since the 1840s, but it
has a number of weaknesses. Firstly, it doesn't give a real estimate of
percentage body fat. Secondly, the BMI can
be quite different for a man and a woman with the same percentage of body fat.
And thirdly, your BMI can be high even if
you don't have much fat, especially if you are male and very muscular. It
turned out that hip circumference and height are more correlated with
percentage body fat than anything else, including waist circumference and
weight. The Body
Adiposity Index. is a good predictor of percentage adiposity, so if your
BAI is 30, then your percentage body fat is around 30 per cent. It is
reasonably accurate - not terribly accurate - but usable as a clinical tool. It
appears to be a better tool than BMI, yet
research is still necessary before it can be used confidently. Unlike BMI,
the BAI for men and women is the same if they have the same percentage body
fat. It has been validated the BAI in African American populations. Its utility
has not been confirmed in Caucasian subjects, although it has been tested it on
a small group and it seems to fit. The real challenge is to be able to predict
the risk of obesity-related
diseases such as cancer, diabetes, cardiovascular disease and hypertension, and
then to intervene. It remains to be shown that BAI is a more useful predictor
of these outcomes than other measures of body adiposity.3
To
calculate both BMI and BAI for comparison,
please visit http://www.intmath.com/functions-and-graphs/bmi-bai-comparison.php
1. Bagust A, Walley T. An alternative to body mass index for standardizing
body weight for stature. QJM
2000;93((9)):589-96.
2.Richard N. Bergman, Keck Professor of Medicine at the University
of California's Keck
School of Medicine. http://www.medicinenet.com/script/main/art.asp?articlekey=139331
3. Richard Bergman.http://www.newscientist.com/article/mg20928030.200-obesity-expert-a-better-fat-measure-than-bmi.html
Comments
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