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.

BMI Isn't Always the Best Measure of Body Composition — Here's What to Use Instead

Since BMI is not the most reliable measure, scientists and doctors have sought other means to measure body composition more accurately.

1. Waist Circumference

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.

2. Waist-to-Hip Ratio

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.

3. Body Roundness Index (BRI)

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

Ways To Cut Off Unhealthy Fat

The good news is that visceral fat responds well to lifestyle changes. Here are three evidence-based strategies:

Time-Restricted Eating

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.

Limit Alcohol Intake

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.

High-Intensity Interval Training (HIIT)

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

Weight-loss drugs like Zepbound and Mounjaro work by suppressing appetite and making the user feel less hungry, reducing how much they eat. But a new study suggests tirzepatide, the active ingredient in both drugs, it could help the body use more energy by activating brown fat.

The finding primarily comes from mice, not humans, so it is too early to say that tirzepatide can directly increase the number of calories burned in users.

The study, led by researchers at the University of Barcelona and published in Biomedicine, looked at how tirzepatide affects different types of fat tissue.

How Does Tirzepatide Usually Help With Weight Loss?

Tirzepatide works by mimicking two hormones, GIP and GLP-1, which are involved in appetite, food intake and blood sugar regulation.

One of its major effects is reducing appetite, which can help people consume fewer calories. Research has already shown that tirzepatide can substantially reduce energy intake compared to placebo.

But researchers wanted to know whether there was something else happening inside the body that could not simply be explained by eating less, which led them to brown fat.

Also read: Stopping Ozempic, Wegovy, Mounjaro Linked To 22% Higher Heart Attack, Stroke Risk: Study

What Is Brown Fat?

Most of us are familiar with white fat, which stores excess energy. Brown fat is brown adipose tissue. It is known for using energy and producing heat. It contains mitochondria that allow it to burn fuel.

The researchers gave obese mice tirzepatide and compared them to mice that were not given the drug but consumed the same amount of food. This development allowed the scientists to separate the effects of the drug from the effects of simply eating fewer calories. They identified that tirzepatide activated brown adipose tissue.

According to the researchers, this was linked with a greater capacity to use metabolic energy and with the production of signalling molecules called batokines, which may have beneficial effects on metabolism.

Also read: CagriSema Beats Lilly’s Mounjaro & Zepbound In New Trial: All About Novo’s Next-Gen Obesity Drug

Could Mounjaro And Zepbound Also Burn Calories?

It’s a possibility but it has not yet been proven in humans. The study suggests that tirzepatide can activate a biological pathway involved in energy burning. That is different from proving that Mounjaro or Zepbound can burn calories as well.

This distinction is important because headlines about “boosting metabolism” can make the effect sound much larger or more established than the evidence currently allows.

For years, scientists have been exploring whether activating brown fat could help find another way of tackling obesity. Most weight-loss strategies focus heavily on reducing how much energy enters the body. Activating brown fat offers another way of increasing how much energy the body uses.

Previous attempts to stimulate brown fat pharmacologically have run into problems, particularly due to unforeseen cardiovascular effects.

The University of Barcelona researchers say tirzepatide’s known cardiovascular benefits make its brown-fat activation particularly interesting, although this finding itself still needs to be confirmed in huma Tirzepatide ns.

Tirzepatide already has several effects on the body through its GIP and GLP-1 activity. Reduced appetite and food intake remain important mechanisms behind its weight-loss effects. The new study suggests that changes in fat tissue and energy metabolism could add scope layer to the drug’s effects.

But it would be premature to conclude that brown-fat activation is responsible for a the weight loss seen with tirzepatide in people.

Hollywood star Sylvester Stallone recently revealed that building the body to play Rocky Balboa in his Oscar-winning film Rocky came at a health cost.

The 80-year-old actor has revealed that his obsession with achieving an extremely lean, muscular physique while making the Rocky films became so intense that he developed bulimia and used anabolic steroids. Speaking to The New York Times, Stallone said he reached 2.6% body fat while filming Rocky III and described his relationship with his body at the time as an “obsession.”

He also said he used steroids in cycles of roughly six weeks on and six weeks off, while revealing that the approach eventually took a “terrible toll” on his body.

Stallone's admission admission offers a glimpse into the health risks that can come with the obsession of chasing an extremely muscular physique with very low body fat.

Stallone said, “It was my armor. I looked at Rocky: very smooth, very normal-looking guy. And then I said, I think the character would start to become a bit more vain. And then in ‘Rambo,’ you’re playing a warrior, so you’d be a little bit more animalistic. You wouldn’t be so smooth,” he said. “So I started to think: Design your body like a jaguar, a cat. Not big like Arnold, but more feral and aggressive and very limber and athletic.”

He added, “It got to the point where I became bulimic,” he said. “I got down to 2.6 percent body fat when I was doing ‘Rocky III,’ and I couldn’t hold anything down. Or I didn’t want to keep it down because I became so obsessed with staying at that point of fitness, literally an obsessive body-worship kind of thing.”

Also read: After Lindsay Clancy Trial, Massachusetts Pushes Stronger Postpartum Mental Health Screening

What Is Bulimia?

Bulimia nervosa is an eating disorder involving recurrent episodes of binge eating is followed by erratic actions intended to compensate for the food consumed. For example, after binge-eating, one may purge, meaning self-induced vomiting, fasting, excessive exercise or misuse of laxatives. The goal is not simply wanting to lose weight.

Repeated purging can lead to dehydration and dangerous imbalance of essential electrolytes, particularly involving potassium. These changes can interfere with the heart's electrical activity and, in severe cases, lead to life-threatening abnormal heart rhythms.

Bulimia can also lead to acid reflux, gastrointestinal problems, chronic throat irritation, swollen salivary glands and erosion of tooth enamel.

Also read: British-Nigerian Influencer Dies After Penis Enlargement Procedure In Thailand: What Are The Risks?

Extremely Low Body Fat Is Risky

Stallone's said that he had reached a body-fat level of 2.6% which is an extraordinarily low number. However, a body-fat percentage alone cannot diagnose an eating disorder. It is ascertained by how someone got to that number and what happens to the body in the process.

Severe restriction on eating habits and excessive exercise can leave the body deprived of adequate energy, electrolytes, and nutrients.

Eating disorders can affect the heart, bones, muscles, reproductive system and other organs, and they can occur in people belonging to different weight groups.

In Stallone's case, he said he was unable or unwilling to keep food down while remaining intensely focused on maintaining his physique.

Risks Of Anabolic Steroids

Anabolic-androgenic steroids are synthetic substances related to testosterone. They can increase muscle mass and strength, but using them without medical supervision can have adverse effects on different organs.

Misuse of these steroids can lead to high blood pressure, abnormal cholesterol levels, heart problems, liver disease and kidney damage. It can also affect fertility and reproductive hormones. Changes in mood, irritability and aggressive behaviour have also been seen.

The cardiovascular effects are particularly alarming as long-term anabolic steroid misuse can lead to to changes in heart structure and function as well as increased cardiovascular risk.

Stallone has previously spoken about the physical consequences of his decades-long approach to fitness, saying he has undergone nine back operations, two shoulder operations and three neck fusions.

He has also said that playing a heavier, physically less imposing character in Cop Land helped him feel liberated from the pressure to maintain his action-star physique.

Ageing changes the body in ways people expect, like weaker hearing or eyesight. Fewer people realize it also quietly eats away at muscle.

Research published in the Journal of Cachexia, Sarcopenia and Muscle shows that age-related muscle loss begins well before old age and can eventually affect strength, mobility and independence. This process is known as sarcopenia, and research has documented it as one of the important threats to physical function as people age.

Why It Matters More With Age

Charlie Grundas, a certified personal trainer in Chicago, told TIME he asks clients if they ever want to reach a point where they can't get off the toilet. Beyond frailty, strength training also protects bone density, which lowers the risk of fractures from falls. Will Hewitt, a trainer in Massachusetts, told TIME that added muscle can even cushion the body if a fall does happen.

It isn't only trainers making this case. In 1988, researchers at Tufts University's nutrition centre on aging, led by Walter Frontera, found that sedentary men in their sixties significantly increased leg strength and muscle mass after just 12 weeks of training, according to a report by WRAL. Two years later, a study by Dr. Maria Fiatarone at the same center, published in JAMA, found strength gains averaging 174 percent in nursing home residents in their nineties.

Sharon Salomon, who took up weightlifting in her sixties and is now, at 77, the oldest competitive female powerlifter in her state, put it simply in an interview with Next Avenue, "I want to stay healthy and be as strong as I can."

According to the American College of Sports Medicine, even one to three sets of six to fifteen reps, done twice a week, is enough to make a difference. Doctors recommend checking with a physician first, especially for anyone returning to exercise after an injury.

There are five exercises that can help build and maintain the strength needed for everyday movements as you age:

The Goblet Squat

This move mimics the motion of standing up from a chair, something worth protecting for life. It works the thighs, glutes, and core, and holding a weight at chest height, per the National Academy of Sports Medicine, helps keep the torso upright through the movement. Those who find squatting difficult can substitute a step-down instead.

The Sitting-Rising Test

Grundas ends his yoga classes by having students stand up off the floor without using their hands. It's a real fitness marker, too. A 2026 study in the European Journal of Preventive Cardiology found that people who could do this without support had a four times lower risk of death over the study period than those who needed help.

The Seated Overhead Press

This keeps the shoulders strong enough for ordinary tasks, like lifting a suitcase into an overhead bin. Sitting on a bench, a dumbbell is pressed overhead from each shoulder, then lowered with control.

The Kickstand Romanian Deadlift

Grundas recommends this version of the deadlift to preserve the ability to pick things up off the floor safely. Standing on one leg with the other foot lightly touching down behind, the hips hinge back while lowering a weight, then return upright.

The Bear Crawl Hold

Core strength does more than protect the back, Hewitt told TIME. It also supports the pelvic floor, which affects bladder control as people age. Holding a hands-and-knees position with the knees hovering off the ground for ten to sixty seconds builds this strength.

Starting small and staying consistent matters more than intensity. Decades of research, point to the same conclusion. It's never too late to begin.