BMI - Weighing In On A Measure of Obesity
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BMI is a commonly heard abbreviation these days and stands for Body Mass Index.  It has been used in research studies for many years, but only recently has been used clinically instead of the old height – weight charts.  Both methods are ways to evaluate someone’s relative weight compared to their height.  The advantage to the BMI measurement is that the numerical value obtained for individuals of varying weights and heights can be compared to the same standard values.  Although BMI is used as a way to evaluate total body fat content, it has the same limitations as the height – weight tables in certain body types.  A very muscular person with very high lean body mass, but low body fat may erroneously be identified as overweight.  Conversely a person who may have higher body fat than considered healthy, but has very low lean tissue may be identified as normal or healthy because the weight relative to height appears normal.  However, in most cases, the BMI gives a fairly accurate estimate of body composition for the majority of the population.

BMI is calculated using metric measures as:

Weight (kg) ¸Height squared (m2).  

BMI can be estimated using pounds and inches by the following formula:

[Weight (pound) ¸ Height (inches)2] X 704.5

For example, the BMI of a person weighing 180 pounds with a height of  5’5” (65inches) would be calculated as:

[180 ¸ (65)2] X 704.5 = 30 

A person with a BMI of 30 would be classified with Class I Obesity according to the table below. 

*CLASSIFICATION OF OVERWEIGHT AND OBESITY BY BMI

Obesity Class

BMI (kg/m2)

Underweight

< 18.5

Normal

18.5 – 24.9

Overweight

25.0 –29.9

Obesity

I

30.0 – 34.9

II

35.0 – 39.9

Extreme Obesity

III

>40

* From the 1998 Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults from the National Heart, Lung, and Blood Institute of the National Institutes of Health.


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