this post was submitted on 24 Oct 2024
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"The body mass index has long been criticized as a flawed indicator of health. A replacement has been gaining support: the body roundness index." Article unfortunately doesn't give the freaking formula for chrissakes; it's "364.2 − 365.5 × √(1 − [waist circumference in centimeters / 2π]2 / [0.5 × height in centimeters]2), according to the formula developed by Thomas et al.10"

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[–] [email protected] 28 points 2 months ago* (last edited 2 months ago) (9 children)

Waist to height is the only proven metric. And the problem with BMI is not that it is overestimating fat, it's that it's underestimating fat because it completely misses skinny-fat people, and the number of those is much higher than the number of jacked overweight not fat athletes.

Add to this the complicating factor that it's really torso fat that is metabolically active and dangerous to your health.

Waist should be less than half your height, you don't even need a measuring tape. Get someone to cut a string as long as you are tall, and see if it can go around your waist twice, with at least some extra length. If so, you are good, probably don't have too much torso fat.

ETA I don't understand why they need that complicated formula, why not just a ratio? The only inputs are waist and height. Never understood the point of squaring height to get BMI either, it's also just a mass to height comparison, why not a simple ratio?

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[–] [email protected] 17 points 2 months ago (12 children)

For all the time I've been told how bad BMI is, and how it classes top athletes as obese, I can't help but notice how few of those people have the body of a top athlete.

[–] [email protected] 3 points 2 months ago

OH, come on, I have body close to some professional shot putters or hammer/discus throwers! /s

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[–] [email protected] 8 points 2 months ago (2 children)
[–] [email protected] 13 points 2 months ago (1 children)

If you're frictionless too, physicists will love you

[–] [email protected] 4 points 2 months ago (1 children)

Especially if he lives in a vacuum.

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[–] [email protected] 37 points 2 months ago (3 children)

Replacing BMI with BMI2 is fine, but it’s doesn’t change the fact that most Americans are overweight or obese, and the tiny, tiny sliver of people who have a high BMI from weightlifting are insignificant relative to the ~70% that are just plain fat

[–] [email protected] 3 points 2 months ago (1 children)

Help me out here. What's BMI2 - searching gives me computer related stuff and running "BMI weight" just gives old BMI stuff.

[–] [email protected] 11 points 2 months ago (1 children)

They're just calling this new thing BMI2 as shorthand

[–] [email protected] 2 points 2 months ago

Oh, ok. Thank-you.

[–] [email protected] 0 points 2 months ago

Yay, I'm a tiny sliver!

[–] [email protected] 10 points 2 months ago

There's also a lot of people who had essential muscles replaced with fat, thus evading the overweight designation while having an imminent risk of diabetes. This reflects that.

[–] [email protected] 21 points 2 months ago (5 children)

It is one of the most widely used health metrics but also one of the most reviled, because it is used to label people overweight, obese or extremely obese.

That's like blaming the ruler for labeling you too short or too tall... Can't we just use the tool for rough assessment, while being aware of its limitations, and be happy about it?

[–] [email protected] 4 points 2 months ago

Or just make a better ruler?

[–] [email protected] 13 points 2 months ago

Look at it this way, BMI is a cross section of weight and height. I was considered "overweight" for ages because I just had tree trunk thighs from hiking and weightlifting. Like, less than 16% body fat but told I'm 'overweight' every time I got weighed.

The ruler was fucking wrong.

Nowadays, I'm much more of a fat fuck so the ruler is right now but only just so... I'm still under 25% when using hydrostatic!

[–] [email protected] 8 points 2 months ago (1 children)

i think you’re taking that quote out of context a bit. a few sentences later, the article says

Even physicians have weighed in on the shortcomings of B.M.I. The American Medical Association warned last year that B.M.I. is an imperfect metric that doesn’t account for racial, ethnic, age, sex and gender diversity. It can’t differentiate between individuals who carry a lot of muscle and those with fat in all the wrong places.

“Based on B.M.I., Arnold Schwarzenegger when he was a bodybuilder would have been categorized as obese and needing to lose weight,” said Dr. Wajahat Mehal, director of the Metabolic Health and Weight Loss Program at Yale University.

so the point they seem to be making is that, while BMI is controversial partly because people like to shoot the messenger, it’s also just not a reliable measurement in a medical context, even as a heuristic. the article also goes into more detail on its other shortcomings as well. the article also indicates how BMI was never intended to be used in a medical context. so, there are plenty of valid reasons for wanting a new metric.

but i do think the sentence you quoted isn’t really doing the author any favors in terms of trying to communicate the central point of the article.

[–] [email protected] 7 points 2 months ago

Seems like a lot of the flaws just have to do with the fact that the real metrics you want to use, which would probably be body fat percentage, are hard to measure accurately at home.

[–] [email protected] 4 points 2 months ago* (last edited 2 months ago)

my main beef is that "too fat" is a wildly varying scale from person to person because everyone stores and processes fat differently. and if you're "too fat" that may not in fact be your most relevant health concern. my experience with health providers that focus on BMI during intake is that if you're "overweight" many other health problems will be seen through that lens even if they're unrelated... in my case, lots of dieting advice, being told to exercise more come to find out decades later I had an undiagnosed nervous/muscular condition. now that it's treated somewhat, my weight stays pretty much in "normal" BMI with the same or lower activity. I'm kinda pissed it took this long to get treatment for an underlying condition because the ruler said "too fat."

[–] [email protected] 3 points 2 months ago

it’s easy to calculate but extremely rough. Efficacy varies immensely. Look, nobody’s forcing you to do anything, I’m just saying that BMI is way too rough to be seriously examined.

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