Does Your BMI(Body Mass Index) Really Matter?/Best Way To Assess Your Obesity
Channel: Dr. Sunil Sable
Date: 2021-06-07

Being overweight or obese substantially increases your risk of developing cardiovascular disease, including coronary artery disease (CAD), heart attack, and stroke. For this reason, doctors should formally assess a person’s weight status any time they are estimating their overall cardiovascular risk.
However, researchers don’t always agree which method is best for quantifying whether an individual is “too” overweight. The three most commonly used measures are BMI (body mass index), waist circumference, and waist-to-hip ratio. But is one better than the others?
The BMI
BMI equals your body (in kilograms) divided by your height squared (in meters).
BMI above 30 is obesity.
However, BMI is not always accurate in every individual. It overestimates body fat in people with a lot of muscle mass and tends to underestimate it in elderly people (who often lose muscle mass).

Waist Circumference:
Abdominal obesity (accumulation of fatty tissue in the belly) is generally thought to be “worse” than accumulating fat elsewhere (such as the buttocks or thighs). This is because abdominal obesity correlates with an increased risk for not only cardiovascular disease, but also metabolic syndrome, hypertension, and diabetes.
Studies have shown that a waist circumference of 40 inches or more (102 cm) in men, and of 35 inches or more (88 cm) in women, is associated with elevated cardiovascular risk.

Waist-to-Hip Ratio:
The waist-to-hip ratio is another way of assessing abdominal obesity, and studies have confirmed that this measure correlates with cardiovascular risk. To calculate your waist-to-hip ratio, measure both your waist and hip circumferences, then divide the waist measurement by the hip measurement
WHR if more than 0.9 in men and .085 in female is considered as obese.

Which Measurement Is Better at Predicting Risk?
BMI does not take into account the degree of abdominal obesity. studies have shown an elevated waist-to-hip ratio to be a strong predictor of heart disease,

Summary
Doctors are now relying on a combination of measures to advise patients on their weight-related risk. If your BMI is 35 or higher, that’s pretty much all you need to know. And if your BMI is 30-35, unless you are a bodybuilder or other type of muscular athlete, you are almost certainly too fat.
But if you’re in the “overweight” category, knowing your waist circumference or your waist-to-hip ratio can tell you something important, since abdominal obesity is bad for you even if your overall weight is not outlandishly high.
One advantage of the waist-to-hip ratio is that you can assess it yourself, without formally measuring anything, in the privacy of your own home.

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