BMI has been the benchmark in evaluating health and fitness for many years. The formula is quite simple: weight in kilograms divided by the square of height in meters. This would easily tell if one is underweight, within the healthy weight range, overweight, or obese. But with new research findings, scientists are now questioning its accuracy and usefulness as a total measure of body composition.
The report, published in The Lancet Diabetes & Endocrinology, has sparked a global conversation on rethinking BMI. Supported by more than 50 international medical experts, the report suggests classifying obesity into "clinical" and "pre-clinical" types for better diagnosis and treatment. The shift underscores a growing consensus: BMI alone may not tell the full story of your health.
While BMI is simple to calculate and universally accessible, it is far from perfect. It does not consider muscle mass, bone density, or fat distribution, leading to misleading conclusions in some cases. For example, athletes with a high muscle mass may be considered overweight, whereas individuals with normal BMI might carry unhealthy amounts of visceral fat.
A landmark study in JAMA Network Open studied more than 155,000 postmenopausal women and found that women with a normal BMI but a waist size over 35 inches were more likely to die from heart disease or cancer compared with their counterparts whose waists are smaller. That makes a great case for how BMI can be insufficient and fat distribution must be factored into account.
Not all body fat is equal. Subcutaneous fat, which lies just beneath the skin, is relatively harmless. The real health danger lies in visceral fat—fat that surrounds internal organs. Unlike subcutaneous fat, visceral fat is metabolically active, releasing stress hormones like cortisol and inflammatory substances that raise blood pressure, blood sugar, and cholesterol levels. These effects significantly increase the risk of conditions such as heart disease, type 2 diabetes, and certain cancers.
Since BMI is not the most reliable measure, scientists and doctors have sought other means to measure body composition more accurately.
A simple tape measure can provide valuable insight into your health. Measure your waist at the level of your belly button, ensuring the tape is parallel to the ground. For women, a waist measurement under 35 inches is considered healthy, while for men, the goal is under 40 inches.
This is the ratio of your waist circumference to that of your hips. To calculate it, divide your waist measurement by your hip measurement. According to the National Center for Biotechnology Information, a ratio under 0.8 for women and 0.9 for men is considered healthy.
A newer method that seems to be receiving more attention involves the Body Roundness Index or BRI: height, weight, and girth are placed together to represent a more advanced view of what body composition says. Research presented in JAMA Network Open offers evidence that this BRI predicts mortality risk greater than BMI in some cases- a promising weapon for public health.
Also Read: Using BMI To Classify People As Obese Is Flawed Say Experts
The good news is that visceral fat responds well to lifestyle changes. Here are three evidence-based strategies:
Adopting an eating window of 12 hours—such as from 7 a.m. to 7 p.m.—can significantly reduce visceral fat, according to a study published in Nutrition Research Reviews. This approach not only helps control caloric intake but also reduces late-night snacking, a known risk factor for abdominal obesity.
Excessive alcohol consumption is associated with increased belly fat. A 2017 study published in Public Health Nutrition revealed that alcohol increases the levels of insulin and encourages the storage of fat in the abdominal area. Limiting alcohol to occasional indulgence helps avoid weight gain in this region.
HIIT involves repeated episodes of high-intensity exercise separated by periods of rest. A review in *Sports Medicine* concluded that HIIT is very effective in reducing visceral and total body fat. It can be noted that adding just 20 minutes of HIIT two times a week can make all the difference.
The reliance on BMI as a sole indicator of health is increasingly being challenged. While it remains a convenient screening tool, its limitations necessitate a broader approach that considers factors like fat distribution, waist circumference, and new metrics such as BRI.
In the simplest of words, health is multi-dimensional, and shifting perspectives from considering weight solely to broader measures of body composition will get people a much clearer understanding of where their health risks are so that they can take the action required for a better quality of life. Through adjustment to diet, exercise, or perhaps through innovative metrics like BRI, health is well within reach of the individual.
This dynamic conversation raises the point about personalized health screenings, which helps everyone get more relevant tools fitting their unique lives and circumstances. As body composition research is enhanced, so do the futures look brighter and brighter for the times of measurement when it comes to health.
Definition and diagnostic criteria of clinical obesity. The Lancet Diabetes & Endocrinology.
Association of Normal-Weight Central Obesity With All-Cause and Cause-Specific Mortality Among Postmenopausal Women. JAMA Netw Open. 2019
Waist-Hip Ratio. NIH.
Physiological responses to food intake throughout the day. Nutr Res Rev. 2014
Association between abdominal obesity and alcohol drinking pattern in normal-weight, middle-aged adults. Public Health Nutr. 2017
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We often assume that having a “normal weight” automatically means being healthy. While body weight is an important parameter, it represents only a small part of overall health. True health is far more complex than what a number on the weighing scale can convey.
Body Mass Index (BMI) is widely used to classify individuals based on their weight relative to height. However, it does not differentiate between fat and muscle. As a result, someone may fall within the normal BMI range yet still have high body fat and low muscle mass, a condition known as “normal weight obesity.” Such individuals may appear healthy but remain at risk for metabolic disorders.
Body composition analysis offers deeper insight by evaluating fat, muscle mass, and their distribution in the body. A combination of low muscle mass and excess body fat, especially around internal organs, can increase disease risk, even when overall weight appears normal.
The role of fat distribution:
All body fat is not the same. Where fat is stored matters significantly. The waist-to-height ratio is now considered a more reliable indicator than BMI, as it reflects fat distribution. A ratio above 0.5 is associated with a higher risk of conditions such as type 2 diabetes, cardiovascular diseases, and even increased mortality.
Looking beyond numbers:
Health cannot be defined by numbers alone. Factors like physical activity, nutrition, stress levels, and sleep quality play an equally critical role. Even individuals with a normal weight can experience poor metabolic health due to inadequate sleep or chronic stress.
The bigger perspective:
Good health is not just about appearance or weight, it is the result of multiple factors working together. It reflects a balance between internal processes and external lifestyle choices.
In essence, being of normal weight does not necessarily mean being healthy. To truly stay well, it is important to look beyond weight and consider the broader picture of health.
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Los Angeles Lakers star Luka Doncic is set to fly to Europe to seek specialized treatment on his Grade 2 left hamstring strain, according to a media report.
Doncic suffered the injury during Thursday's 134-96 loss to the Oklahoma City Thunder.
Though Grade 2 hamstring strains typically involve a monthlong recovery process, Doncic is motivated to return to theLakers' lineup during the playoffs -- which is a shared goal for Austin Reaves, who is out because of a Grade 2 left oblique muscle injury, the basketball player’s agent Bill Duffy told ESPN.
Hamstring muscles power a player’s acceleration. Sudden bursts of speed without adequate flexibility or strength can cause a strain. It can be a pull, a partial tear, or a complete tear.
Symptoms include:
Prevention includes stretching, foam rolling, and strengthening exercises like deadlifts, leg curls, and bridges.
Hamstring strains are graded according to their severity. A grade 1 strain is mild and usually heals readily; a grade 3 strain is a complete tear of the muscle that may take months to heal.
Also read: For How Long Should You Be Able To Hold A Plank In Your 20s?
Basketball players are more likely to get hurt during matches than during training, with risks coming from tackling, sprinting, twisting, jumping, or even repeating the same movements until fatigue sets in. Collisions, poor conditioning, or re-injuring a previously weakened area can also contribute.
Sprained Ankle
Quick changes of direction and uneven surfaces make ankle sprains one of the most common basketball injuries. This happens when the ankle rolls inward or outward, overstretching the ligaments.
Protect, Optimal loading, Ice, Compression, Elevation, and avoid HARM factors: Heat, Alcohol, Running, Massage, in the first three days.
Groin Strain
Twisting, kicking, or rapid directional changes can strain the inner thigh muscles, also known as adductors.
Prevention is through regular stretching and strengthening exercises such as side lunges and adductor side bridges.
ACL Injury
The anterior cruciate ligament is critical for knee stability. Injuries often occur when the lower leg stays planted while the upper leg twists, during tackles, or awkward landings.
Mild sprains may heal with physiotherapy, but severe tears often require surgery. Persistent swelling or pain should be checked by a professional.
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As weight-loss injections like Mounjaro and Wegovy are becoming increasingly accessible, a growing number of individuals are using them for both health benefits and body toning.
While there are various health-related side effects linked to these, one emerging effect is a surge in divorce rates.
According to experts, after slimming down, partners are on the lookout for new love. The weight loss jabs are doubling the risk of divorce, the Telegraph reported.
Divorce rates from fat jabs are set to soar in the future, Professor Per-Arne Svensson, from the University of Gothenburg, was quoted as saying.
“What we see, for instance, in divorces is that it occurs after a couple of years after you started your treatment,” he added.
A 2018 study led by Swedish researchers from the Karolinska Institutet and University of Gothenburg showed that men and women who lost a substantial amount of weight after weight-loss surgery, also known as bariatric surgery, are more likely to divorce or have their relationships end than those who don’t undergo surgery.
Prof Svensson, who led the 2018 research, found that patients with a gastric band were almost 50pc more likely to get divorced within six years.
In the study of 12,531 married patients, 14.4pc divorced during this period compared with 8.2pc among the wider population. The research suggests the chance of divorce is significantly higher among patients who have experienced rapid weight loss.
Another study led by researchers from the University of Pittsburgh Medical Center, US, showed that adults who are not married and get weight-loss surgery are more than twice as likely to get married within five years. Likewise, adults who are married and get bariatric surgery are more than twice as likely to get divorced.
Although the studies are focused on people who had been fitted with gastric bands, known as bariatric surgery, the rise of weight-loss drugs will trigger an even larger divorce trend in the future, the report said.
Also read: Lehengas, Diets & Now Mounjaro: The New Must-Have For Indian Brides?
Svensson said, “very similar mechanisms could occur with Ozempic [and other GLP-1 receptor agonists] as with surgery, concerning changes in relationships. Within the newest weight loss drugs, Mounjaro, for instance, we would have weight losses that are not as big as with bariatric surgery, but they are significant enough. So I still believe that these mechanisms could occur.”
The report stated that a reason for the rising divorce rates among people who use weight loss jabs is that these are boosting the confidence of individuals to come out of unhealthy relationships.
“It could also be that you have a person who is stuck in a bad relationship, but doesn’t have the self-confidence to break it off because they feel ‘who would like to date them, if not their current spouse’, " said Prof Svensson.
Read more: India To Strictly Inspect GLP-1 Drugs To Curb Misuse: Govt Flags Risks Amid Weight-loss Hype
“It’s not that losing a large amount of weight is ending healthy marriages. It’s probably more than for the person losing weight and feeling better about themselves; it may be empowering them to leave an unhealthy relationship,” added David Sarwer, the director of the Center for Obesity Research in Philadelphia, US.
Sarwer said if the high cost of slimming drugs falls even further, it will lead to a greater shedding of bad relationships.
There will probably be “a subset of people who, as they’re feeling better about themselves,” find it becomes “a motivational catalyst to move on from what would otherwise be an unhealthy relationship”, he said.
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