Researchers in Italy compared the tool to scans which provide an analysis of fat, muscle and bone in the body
The Body Mass Index (BMI) system may be misdiagnosing people as overweight or obese, according to a study.
Researchers in Italy compared the tool – which measures body fat based on height and weight – to scans providing an analysis of fat, muscle, and bone.
The study, published in the journal Nutrients, involved 1,351 adults referred to the University of Verona’s Department of Neurosciences, Biomedicine and Movement Sciences.
No shit. It was never meant as a precise tool of obesity classification. Weight isn’t uniform across people since muscle and fat have different densities. A short muscular person is healthier than a short fat person.
Yeah, it never gets explained in these headlines that the BMI isn’t a sole indicator of health. It is (or is supposed to be) used alongside professional evaluation to determine an individuals physical condition. Something else to consider: both a 300lb bodybuilder and a 300lb average american fall into the same category for risks of things like heart attacks and knee/back injury. Physics trumps muscle mass so the BMI is a useful risk indicator regardless of subjective ‘healthiness’.
to determine an individuals
It was never meant to be used for any individual anywhere under any conditions…
It was meant to be used on a population, height/weight were already collected metrics and you could run everyone (or just a sample) thru the formula and get a pretty accurate picture of the health of the population.
If you’re looking at the population the formula was designed for. Which is Dutch men in the mid 1800s…
so the BMI is a useful risk indicator
It’s better than nothing, but it’s not even the best formula that only uses height/weight.
https://en.wikipedia.org/wiki/Corpulence_index
And that was actually designed to be accurate on an individual level
heart attacks and knee/back injury
That has nothing to do with fitness and especially not obesity.
There a reason a Great Dane doesn’t live as long as a 10lb lap dog…
It’s not even injury either, just the biomechanics it for joint and the physics of having to pump blood higher.
Yeah, a sociologist made it up almost 200 years ago…
So it works “ok” for white guys under like 5’10, but there’s still outliers on either end.
There’s a ponderal/corpulence index that uses better math to work better for taller white people, but there’s still a lot of human variation.
When I was in the military I still failed BMI everytime, even when I had full blown abs. Every time we’d do it there was a slice of people who had to use a different method because we were statistically insignificant.
Which when a sociologist does anything, they just don’t care. They never need to be that exact, which is a good thing because if not they’d never get anything done.
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No shit; it’s not a diagnosis, just a massively-oversimplified screening check: “if your BMI is outside the normal/healthy range you maybe want to check if things are okay. Oh, you’re a bodybuilder/very tall/very short? Well you’re probably fine but it doesn’t hurt to make sure”
Whenever I see someone say that ThE bMi Is InAcCuRaTe I wonder if they have actually seen healthy strong people being classified as unhealthy because of their BMI. I’ve somehow got the impression that outside of people with eating disorders you should kind of know whether you are obese or not.
When I’m a fat fuck (which I coincidentally am) I know that. The BMI gives me a rough goalpost of where I should be. And if after dieting and working out regularly I suddenly am “overweight” but actually incredibly strong and feel good, I’m not going to look at the BMI any longer. I’m gonna look in the mirror and say hell yeah!
I wonder if they have actually seen healthy strong people being classified as unhealthy because of their BMI
Technically my BMI has me clasified as obese. I also spend most if my days doing fairly physical work and the last time I went swiming in the ocean I learned that apparently I’m dense enough to sink in salt water. On every other measurement of health (BP, cholesterol, A1C, etc) I always test perfectly. I have no longstanding health issues outside of an ADHD diagnosis. So I would say that I’m an otherwise healthy person whos BMI clasifies them as unhealthy.
Now could I do with losing a bit of fat? Definitely, and I have done it before but even at my absolute skiniest I was still classified as overweight per my BMI despite having basically no visible body fat. Plus the measures I had to take to get down to that weight were also fucking up my other health metrics.
So if you look at the top IPF powerlifters (excluding the uncapped weight class), who are more or less the most heavily muscled group of people in the world who are regularly drug tested, they tend to be a few notches into the “overweight” category.
As I understand the early rungs of “overweight” are not particularly associated with disease. It’s just where risk factors begin ramping up a bit on a population level, but it’s understood that active muscled people who land there have better health outcomes than lighter weight sedentary people
I have, repeatedly.
We know BMI is inaccurate because it was first created ~200 years ago and is a population metric.
Your camel case just exposes your own ignorance - a 10 second search would’ve eliminated your ignorance and hubris.
Your camel case
That’s not CamelCase; it’s StUdLyCaPs.
Body builders are classified as obese
Only if misusing BMI by applying it to an individual.
Do you think someone would do that? Misuse the BMI by applying it to an individual. Do you think someone would just lie on the internet? /s
This doesn’t account for cardiovascular markers. Having a low body fat and high weight eg 170cm 120kg bodybuilder isn’t healthy; blood pressure and bloodwork would show that.
Defining healthy weight is a complex problem that we have no clear answer for. BMI is a reasonably broad tool to start with. It is a starting point, not a rule. In today’s culture of an obesity epidemic and obesity acceptance, it’s easy to get sidetracked and use this data as an excuse.
My BMI is 26 and I should be happy with that because I work out about 9h a week, maintain around 15-20% body fat and my VO2 is in the “excellent” range for the age group younger than me. But my blood pressure is knocking on pre-hypertension, so I’m going to drop a few kilos and see if it helps.
Big problem with BPnis it’s a symptom, and understanding the root cause is difficult, at best.
We’ve seen Olympic runners with high BP - clearly genetic.
I’ve been elevated since age 17. Clearly genetic, but docs have been saying the same “you need to change your diet” nonsense for multiple decades. Dude, it’s clearly genetic.
Yeah. It’s a myriad of causes - like the BMI conversation, biology is messy - and I think my BP is genetic but I’m a little fluffy anyways so why not drop 5kg and look good this summer.
My BP is “safe”, depending who you ask, but it’s concerning because my diet and lifestyle (short of becoming vegan) one would “expect” it to be at least 10% lower.
Feel like I’ve seen this same thing proven 100 different ways and there’s still such a strong desire for the BMI = health thing to be useful individually.
Yup, really wish my health provider didn’t take it as a standard and classified me as overweight. could have measured my shoulders, but obly ever thought about bmi weight
I feel like the BMI classification is skewed also, but this is comparing methods. Who’s to say the scan method isn’t skewed?








