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> The fact that it takes into account just height and weight is problematic. No consideration of bone structure or body frame. That's a bug, not a feature, if
by paulojreis 11y ago
> The fact that it takes into account just height and weight is problematic. No consideration of bone structure or body frame.
That's a bug, not a feature, if you allow me to grab the expression from software. It's problematic as any other indicator has "problematic" features.
My point being: when you assess any indicator, you can't look only at it's ability to correctly reflect reality (validity). You'll also have to consider other stuff: is it cheap? can I trust people to use it correctly? can it be used consistently? Taking into account only height and weight will diminish validity, but give you positive answers to these three questions. It's a trade-off (and, IMHO, one that's being bashed excessively, considering the empirical evidence saying it's not that "invalid" at all).
Compare it with e.g. skinfold estimation of body composition: skinfold estimation is more valid, yet science shows us that it requires a highly trained specialist for it to be reliable (i.e. to do it consistently; and even with professionals, there's not much consistency). This is also problematic, but - again - it's a bug, not a feature.
> At my absolutely lightest, when you could see every rib sticking out, my BMI was still comfortably in the range considered overweight.
... and that's you being an outlier, or close. :) I'm one as well; also overweight, by BMI standard. But I have to consider that my care with nutrition and fitness should also be close to outlier in nature, regarding population in general.
Knowing this, you and I (and our physicians) will take it into account. And - if the need arises - use another metric. I do both skinfold estimation of body composition and waist circumference measurement but rely mostly on the latter for tracking progress (I'm not a professional and, of course, it's me measuring myself, so I choose the method where I might mess up less).
- douche 11y agoI'm not so sure that I'm really an outlier, to be honest. I think the data that the BMI calculations are based on is outdated. It's the same numbers you see from New York Life actuarial tables from the 40s and 50s, when big chunks of the population experienced malnutrition. Quite honestly, I have no idea how someone could be 6'2" and only weigh 148 pounds, which is the bottom end of "normal" BMI, according to the NIH[1]. [1] http://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmi_tbl.htm http://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmi_...
- paulojreis 11y agoAlthough the formula is (way!) older, the BMI was imported to public health in the 70s and the categories were devised by the NIH in 1985, slightly revised in 1998. I also feel the example you gave is extremely low, but less so if you consider the subject as a female, don't you think? It has a BMI of 19, which, on men, I feel most physicians would frown upon. Bear in mind national standards; I'm from Portugal, the normal here might be thinner. As a curiosity, in France and Spain fashion shows can't use models with BMI > 18. Your example minus 8 lb wouldn't even be allowed in fashion shows, where people are expected to be ungodly underweight. As such, I think a physician would also interpret this as dangerously low value. Also, it seems to me that this is a great example of how BMI can be very useful! Waist circumference, percent of body fat or other body composition indicators would actually be worse to indicate a underweight person in this case..