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The BMI system is messed up

Posted by on Dec. 3, 2013 at 7:26 PM
  • 32 Replies

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This is a picture of me at 145. I'm 5'0. According to my BMI that's 28 which is on the higher side of overweight. If I were to gain 8 pounds I would be considered obese. Right now I'm 135 and I look more or less the same than I did at 145. I just think it's time to come up with a new system. Luckily my doctor agrees it's stupid. He said I could spare a few pounds (which I agree) but I am more or less a healthy weight. There have just been a lot if posts around BMI today and it reminded me of a few weeks ago. A coworker and I were talking about BMI and she insisted that the BMI system was awesome. I tried to tell her it's not always correct but she disagreed. I didn't say much more because my break was over.

Article on why the BMI sucks
"Top 10 Reasons Why The BMI Is Bogus

The BMI Formula

BMI = weight in pounds/(height in inches x height in inches) x 703

The 703 is to convert the index from the original metric version of the formula.

CDC Recommendations:

Below 18.5 = Underweight

18.5 to 24.9 = Ideal

25.0 to 29.9 = Overweight

30.0 and above = Obese

Americans keep putting on the pounds — at least according to a report released this week from the Trust for America's Health. The study found that nearly two-thirds of states now have adult obesity rates above 25 percent.

But you may want to take those findings — and your next meal — with a grain of salt, because they're based on a calculation called the body mass index, or BMI.

As the Weekend Edition math guy, I spoke to Scott Simon and told him the body mass index fails on 10 grounds:

1. The person who dreamed up the BMI said explicitly that it could not and should not be used to indicate the level of fatness in an individual.

The BMI was introduced in the early 19th century by a Belgian named Lambert Adolphe Jacques Quetelet. He was a mathematician, not a physician. He produced the formula to give a quick and easy way to measure the degree of obesity of the general population to assist the government in allocating resources. In other words, it is a 200-year-old hack.

2. It is scientifically nonsensical.

There is no physiological reason to square a person's height (Quetelet had to square the height to get a formula that matched the overall data. If you can't fix the data, rig the formula!). Moreover, it ignores waist size, which is a clear indicator of obesity level.

3. It is physiologically wrong.

It makes no allowance for the relative proportions of bone, muscle and fat in the body. But bone is denser than muscle and twice as dense as fat, so a person with strong bones, good muscle tone and low fat will have a high BMI. Thus, athletes and fit, health-conscious movie stars who work out a lot tend to find themselves classified as overweight or even obese.

4. It gets the logic wrong.

The CDC says on its Web site that "the BMI is a reliable indicator of body fatness for people." This is a fundamental error of logic. For example, if I tell you my birthday present is a bicycle, you can conclude that my present has wheels. That's correct logic. But it does not work the other way round. If I tell you my birthday present has wheels, you cannot conclude I got a bicycle. I could have received a car. Because of how Quetelet came up with it, if a person is fat or obese, he or she will have a high BMI. But as with my birthday present, it doesn't work the other way round. A high BMI does not mean an individual is even overweight, let alone obese. It could mean the person is fit and healthy, with very little fat.

5. It's bad statistics.

Because the majority of people today (and in Quetelet's time) lead fairly sedentary lives and are not particularly active, the formula tacitly assumes low muscle mass and high relative fat content. It applies moderately well when applied to such people because it was formulated by focusing on them. But it gives exactly the wrong answer for a large and significant section of the population, namely the lean, fit and healthy. Quetelet is also the person who came up with the idea of "the average man." That's a useful concept, but if you try to apply it to any one person, you come up with the absurdity of a person with 2.4 children. Averages measure entire populations and often don't apply to individuals.

6. It is lying by scientific authority.

Because the BMI is a single number between 1 and 100 (like a percentage) that comes from a mathematical formula, it carries an air of scientific authority. But it is mathematical snake oil.

7. It suggests there are distinct categories of underweight, ideal, overweight and obese, with sharp boundaries that hinge on a decimal place.

That's total nonsense.

8. It makes the more cynical members of society suspect that the medical insurance industry lobbies for the continued use of the BMI to keep their profits high.

Insurance companies sometimes charge higher premiums for people with a high BMI. Among such people are all those fit individuals with good bone and muscle and little fat, who will live long, healthy lives during which they will have to pay those greater premiums.

9. Continued reliance on the BMI means doctors don't feel the need to use one of the more scientifically sound methods that are available to measure obesity levels.

Those alternatives cost a little bit more, but they give far more reliable results.

10. It embarrasses the U.S.

It is embarrassing for one of the most scientifically, technologically and medicinally advanced nations in the world to base advice on how to prevent one of the leading causes of poor health and premature death (obesity) on a 200-year-old numerical hack developed by a mathematician who was not even an expert in what little was known about the human body back then."
by on Dec. 3, 2013 at 7:26 PM
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Replies (1-10):
wonderstruck11
by Gold Member on Dec. 3, 2013 at 7:28 PM

I am considered obese to BMI. I may be slightly overweight, but I am far from looking obese.

Retrokitty
by Ruby Member on Dec. 3, 2013 at 7:30 PM
Peoples bodies hold weight differently so it's really not accurate. I was more healthy at 145 than I was at 110.

Quoting wonderstruck11:

I am considered obese to BMI. I may be slightly overweight, but I am far from looking obese.

Jblb
by Platinum Member on Dec. 3, 2013 at 7:30 PM
My BMI results say I'm over weight, I don't look over weight and my doctor says I'm in a healthy weight range...
GabbyP.
by Gold Member on Dec. 3, 2013 at 7:30 PM
I'm obese according to the bmi 30.8. I'm 5'3'' 174lbs.
Retrokitty
by Ruby Member on Dec. 3, 2013 at 7:32 PM
Yes it's weird z

Quoting Jblb: My BMI results say I'm over weight, I don't look over weight and my doctor says I'm in a healthy weight range...
Anonymous
by Anonymous on Dec. 3, 2013 at 7:33 PM

Too long to read the whole thing but there is no way you are even close to obese!

I am 5' 4" tall and 143. 


wonderstruck11
by Gold Member on Dec. 3, 2013 at 7:33 PM

I shouldn't be concidered obese just because I have huge boobs and brains!

Quoting Retrokitty: Peoples bodies hold weight differently so it's really not accurate. I was more healthy at 145 than I was at 110.

Quoting wonderstruck11:

I am considered obese to BMI. I may be slightly overweight, but I am far from looking obese.


suzanneyea
by Ruby Member on Dec. 3, 2013 at 7:35 PM

18.5 normal. I look normal weight wise.

svolkov
by Emerald Member on Dec. 3, 2013 at 7:35 PM

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I agree.this is me 5 lbs ago(sexy selfie for dh lol I tried) my dr said waist to hip ratio is a much better indicator of health, especially since carrying extra around your middle is bad for your heart. Mine is .67... .80 and below is healthy for women with .70 being "ideal".
svolkov
by Emerald Member on Dec. 3, 2013 at 7:36 PM
Oh and I'm a size 10 at 165 which puts me at overweight lol
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