Previously I've written two articles about the Body Mass Index (BMI). Below is a very wise statement about the meaning of the BMI by a member of one of the forums I frequent.
"Well, here's the thing: there can be a difference between "heavy" and "unhealthy". Not everyone who is over the BMI range labeled "normal" is necessarily an unhealthy, unfit specimen. This is just a natural result of using population-level averages to define arbitrary cutoff values: of course any given individual may have differences from the overall average! I don't quite think BMI is bad science, in itself: it's just a number, after all. It's how it's used that can lead to trouble. The BMI charts, which are really just fancied-up height/weight tables, are supposed to offer a first-glance idea of whether you are "likely" to have a suite of health problems associated with being overweight. But ideally, if you've got the individual right there in front of you, you could take a "second" glance and see if the person really does have the health problems "correlated" with being in a certain range. One could check out their heart, measure their blood numbers for things like cholesterol, etc. -- you don't have to "guess", when you've got a person right there. (But, alas, medicine as practiced currently does tend towards the easy, look-it-up-on-a-chart approach, and all too many doctors never go beyond that.) And as I say, it's quite possible for someone to be outside the chart range but not unhealthy in these other ways (and vice versa: BMI in the normal range is not an automatic guarantee of health!). So yeah, I'd think that one shouldn't panic about being a bit outside the range that The Chart says you should be in, if you're otherwise fit and healthy. At the same time, if you've got a BMI in the 30s, you probably don't really need The Chart to tell you that you may have a problem with your weight."
"Well, here's the thing: there can be a difference between "heavy" and "unhealthy". Not everyone who is over the BMI range labeled "normal" is necessarily an unhealthy, unfit specimen.
This is just a natural result of using population-level averages to define arbitrary cutoff values: of course any given individual may have differences from the overall average! I don't quite think BMI is bad science, in itself: it's just a number, after all. It's how it's used that can lead to trouble. The BMI charts, which are really just fancied-up height/weight tables, are supposed to offer a first-glance idea of whether you are "likely" to have a suite of health problems associated with being overweight. But ideally, if you've got the individual right there in front of you, you could take a "second" glance and see if the person really does have the health problems "correlated" with being in a certain range. One could check out their heart, measure their blood numbers for things like cholesterol, etc. -- you don't have to "guess", when you've got a person right there.
(But, alas, medicine as practiced currently does tend towards the easy, look-it-up-on-a-chart approach, and all too many doctors never go beyond that.) And as I say, it's quite possible for someone to be outside the chart range but not unhealthy in these other ways (and vice versa: BMI in the normal range is not an automatic guarantee of health!). So yeah, I'd think that one shouldn't panic about being a bit outside the range that The Chart says you should be in, if you're otherwise fit and healthy.
At the same time, if you've got a BMI in the 30s, you probably don't really need The Chart to tell you that you may have a problem with your weight."
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