{"id":31057,"date":"2022-03-21T15:00:00","date_gmt":"2022-03-21T19:00:00","guid":{"rendered":"https:\/\/mdcthereporter.com\/staging\/8357\/?p=31057"},"modified":"2022-03-22T13:54:35","modified_gmt":"2022-03-22T17:54:35","slug":"bmi-an-outdated-health-measure","status":"publish","type":"post","link":"https:\/\/mdcthereporter.com\/staging\/8357\/bmi-an-outdated-health-measure\/","title":{"rendered":"BMI\u2014An Outdated Health Measure"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Imagine if physicians had access to a simple number that could indicate a patient&#8217;s health. Does it sound overly simplistic and fictitious? That\u2019s because it is. <\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Body Mass Index is measured by dividing a person\u2019s weight in kilograms over their weight in kilograms squared.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Despite its simplicity, BMI is incorrectly seen as the end-all-be-all judge of good health.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most obvious issue is that it does not take into account someone&#8217;s body composition. A highly-trained athlete with prominent musculature can have the same exact BMI as a sedentary layman. After all, the only factors being assessed are weight and height. <\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">This ignores several other factors that determine health.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s not surprising that BMI isn\u2019t an effective tool to measure health. It was never meant to be. Its creator, Adolphe Quetelet, was a mathematician who created the BMI as a <\/span><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/www.huffpost.com\/entry\/bmi-scale-racist-health_l_5f15a8a8c5b6d14c336a43b0\"><span style=\"font-weight: 400;\">population-level<\/span><\/a><\/span><span style=\"font-weight: 400;\"> tool instead of a tool for individual assessment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Even then, Quetelet was studying a very specific population whose findings didn\u2019t necessarily apply to others.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The same issue arises with the classification of weight categories. The criteria behind these labels were created by an <\/span><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/www.washingtonpost.com\/lifestyle\/wellness\/healthy-bmi-obesity-race-\/2021\/05\/04\/655390f0-ad0d-11eb-acd3-24b44a57093a_story.html\"><span style=\"font-weight: 400;\">insurance company<\/span><\/a><\/span><span style=\"font-weight: 400;\"> in the 1940s using mostly white policyholders.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That is not the America of today. It\u2019s a widely known scientific principle that findings found for a specific population can\u2019t be applied indiscriminately to other distinct populations.<\/span><\/p>\n<figure id=\"attachment_31060\" aria-describedby=\"caption-attachment-31060\" style=\"width: 500px\" class=\"wp-caption alignright\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-31060\" src=\"https:\/\/mdcthereporter.com\/staging\/8357\/wp-content\/uploads\/2022\/03\/BMI_web.jpg\" alt=\"Weight\" width=\"500\" height=\"375\" srcset=\"https:\/\/mdcthereporter.com\/staging\/8357\/wp-content\/uploads\/2022\/03\/BMI_web.jpg 1000w, https:\/\/mdcthereporter.com\/staging\/8357\/wp-content\/uploads\/2022\/03\/BMI_web-300x225.jpg 300w, https:\/\/mdcthereporter.com\/staging\/8357\/wp-content\/uploads\/2022\/03\/BMI_web-768x576.jpg 768w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><figcaption id=\"caption-attachment-31060\" class=\"wp-caption-text\">JESSICA SOTO \/ THE REPORTER<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">Even if the BMI had been an accurate measurement for the white population of 1940s America, it wouldn&#8217;t be for today\u2019s ethnically diverse population.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If BMI was perfectly adjusted for different populations, it still would not serve as an individual assessment tool. If it did serve as an individual assessment, it would not be an accurate measurement of body fat percentage.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Besides, our body fat percentage isn\u2019t the magic key determinant of health either.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/commed.vcu.edu\/Chronic_Disease\/Obesity\/2014\/RethinkingBMI.pdf\"><span style=\"font-weight: 400;\"><span style=\"color: #3366ff;\">Studies<\/span><\/span><\/a><span style=\"font-weight: 400;\"> have linked individuals with higher BMIs to lower risks of mortality in heart failure, coronary vascular disease, kidney failure and other chronic diseases. A 2011 <\/span><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/jamanetwork.com\/journals\/jamasurgery\/fullarticle\/1107788#:~:text=Among%20these%2C%203245%20patients%20died,(26.3%20to%20%3C29.7).\"><span style=\"font-weight: 400;\">study<\/span><\/a><\/span><span style=\"font-weight: 400;\"> examining 189,533 cases found better short-term post-surgical survival rates among people with obesity, as defined by the BMI, than normal-weight patients.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some negative health conditions that share a correlation with higher BMIs may be explained by outside factors. <\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Heavier individuals tend to be more pressured into <a href=\"https:\/\/mdcthereporter.com\/staging\/8357\/developing-a-plant-based-diet-in-our-society\/\"><span style=\"color: #3366ff;\">dieting<\/span><\/a>. Which, as noted in a <\/span><a href=\"https:\/\/www.researchgate.net\/publication\/227062214_Don't_Diet_Adverse_Effects_of_the_Weight_Centered_Health_Paradigm\"><span style=\"font-weight: 400;\"><span style=\"color: #3366ff;\">2010 paper<\/span><\/span><\/a><span style=\"font-weight: 400;\">, may increase physiological risk factors for diseases such as hypertension and weight cycling. Similarly, other studies have demonstrated associations between higher morbidity and mortality due to weight cycling.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although there are negative health effects to being overweight, they might not be caused by the weight itself. Hence, weight cannot be used as an independent health risk factor.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The use of BMI as a health determinant is incorrect and harmful. This antiquated system is hurting the health of our nation.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">It could lead to misdiagnosis by physicians who might overlook certain issues and dismiss them due to your high BMI. Additionally, it can lead to financial problems as certain medical procedures may <\/span><a href=\"https:\/\/www.washingtonpost.com\/lifestyle\/wellness\/healthy-bmi-obesity-race-\/2021\/05\/04\/655390f0-ad0d-11eb-acd3-24b44a57093a_story.html\"><span style=\"font-weight: 400;\"><span style=\"color: #3366ff;\">not be covered<\/span><\/span><\/a><span style=\"font-weight: 400;\"> if patients don\u2019t meet a predetermined BMI threshold.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We must not accept and blindly trust medical metrics such as BMI. We must always critically assess them and replace them when required. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Imagine if physicians had access to a simple number that could indicate a patient&#8217;s health. Does it sound overly simplistic and fictitious? That\u2019s because it is. Body Mass Index is measured by dividing a person\u2019s weight in kilograms over their weight in kilograms squared. Despite its simplicity, BMI is incorrectly seen as the end-all-be-all judge [&hellip;]<\/p>\n","protected":false},"author":13482579,"featured_media":31058,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[13],"tags":[138,3255],"class_list":{"0":"post-31057","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-forum","8":"tag-health","9":"tag-bmi"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>BMI\u2014An Outdated Health Measure<\/title>\n<meta name=\"description\" content=\"Body Mass Index (BMI) is a simplistic and outdated medical assessment tool that may negatively impact patients by providing a limited account of someone\u2019s health.\" \/>\n<meta name=\"robots\" content=\"index, follow, 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