3 ms·
You made 3 points: First one: > There's a lot of misinformation about BMI[...]It's actually quite accurate for men though. I replied with a detailed study fr
by makeitdouble 4y ago
You made 3 points:
First one:
> There's a lot of misinformation about BMI[...]It's actually quite accurate for men though.
I replied with a detailed study from 2004 on how, no, it’ not quite accurate, even for men. (I didn’t push on it, but how garbage is a population wide indicator that would be accurate mostly for men?)
Second one:
> RFM as a new index that does a better job correlating to DXA measurements for all populations
> Someone else mentioned waist-to-height-ratio (WHtR) as a better marker for metabolic health, and I tend to agree that it's superior to BMI
Both are indexes based on external size measurements, from a body of subjects that has 70+% european american, 70% of the total with a BMI bellow 30. From CDC’s numbers, 40+% of the US population is above 30 of BMI (https://www.cdc.gov/obesity/data/adult.html https://www.cdc.gov/obesity/data/adult.html) so the conclusions we can draw from these results are pretty limited (the lack of diversity in the panel is further mentioned as a limitation)
WHtR is a different philosophy altogether and is used as a trigger value and not an indicator.
> If you get an annual checkup, you should get everything you need to calculate your metabolic syndrome markers, which is an excellent way to assess metabolic health
In an annual checkup I’m not sure how relevant metabolic assessment is. My point was indicators are useful to decide on further and potentially more costly/invasive analyses. If you’re already getting a full checkup with blood analysis, echo scans and all, a metabolic score won’t be the primary trigger for more action.
> BIA
I’m not saying it should be used in lieu of more accurate scans, but I see them as more reliable than RFM for instance. Variability throughout the day and weakness to water levels will also affect the other external measurement methods.
> Most people who argue the most against BMI or whatever as a marker already know that they're not as healthy as they should be
BMI reliance has real world impacts. Every year people will be sent to extra checkups, health programs etc. because of the BMI cutouts. It’s not some cute number people ignore or not, time and money and potentially extra things like company programs and insurance premiums will be affected depending on the bucket you fall in.