Understanding BMI: What It Is, How It's Calculated, and Why It Matters

December 6, 2024
0
min read
Dr. Steven Lu
Chief Medical Officer | MBBS (hons) | DCH FRACGP
Understanding BMI: What It Is, How It's Calculated, and Why It Matters

Summary

Body Mass Index (BMI) is a well-known health metric that assesses body weight in relation to height. For years, BMI has been a go-to measure for assessing weight and health, yet it has its limitations and controversies. In this blog, we’ll unpack what BMI is, how it’s calculated, its role in overall health and longevity, and what you can do if your BMI isn’t where you’d like it to be.

What Is BMI?

BMI, or Body Mass Index, is a simple calculation used to determine if a person’s weight is appropriate for their height. Developed in the 1830s by a Belgian mathematician, Adolphe Quetelet, BMI is widely used as an initial screening tool to classify individuals into categories such as underweight, normal weight, healthy weight, overweight, or obese.

How Is BMI Calculated?

The formula for BMI is straightforward:

BMI = weight (kg) ÷ height² (m²)

For example, a person weighing 70 kilograms with a height of 1.75 meters would have a BMI of 22.86.

BMI Categories

How To Calculate BMI | Fat Reduction | RT Aesthetics | UK
  • Underweight: Less than 18.5
  • Healthy weight: 18.5–24.9
  • Overweight: 25–29.9
  • Obese: 30 and above

Why is BMI Important?

BMI provides a quick snapshot of whether a person’s weight may be impacting their health. Research suggests that BMI correlates with the increased risk of developing chronic conditions such as heart disease, diabetes, and certain cancers. Additionally, elevated BMI levels are linked to an increased likelihood of high blood pressure, highlighting the importance of considering BMI in the context of one's entire body for a better assessment of health risks.

BMI and Longevity

Studies show that individuals with a BMI in the healthy range tend to live longer and experience better overall health. However, BMI alone doesn’t paint the full picture.

Limitations of BMI

While BMI can be useful, it’s far from perfect because it does not consider body composition. Here are some common criticisms:

1. It Doesn’t Differentiate Between Fat and Muscle Mass in Body Composition

A muscular athlete might have a high BMI despite having low body fat. Conversely, someone with low muscle mass might fall into the "healthy" category while carrying excess fat.

2. It Ignores Fat Distribution

BMI doesn’t account for where fat is stored, yet fat around the abdomen (visceral fat) is more harmful than fat stored elsewhere. Waist circumference is an important complementary measurement to BMI for assessing health risks. Waist measurement provides additional insights into the amount of fat carried around the midsection, which is critical for assessing overall health.

3. It Overlooks Other Health Factors

BMI doesn't consider age, sex, bone density, or metabolic health, all of which play critical roles in health outcomes.

Beyond BMI: Better Indicators of Health

It’s important to consider other indicators such as waist-to-hip ratio, body fat percentage, and overall fitness levels. For a more comprehensive understanding of your health, always seek professional health advice.

1. Waist-to-Hip Ratio

This measure assesses fat distribution and is a better predictor of cardiovascular health than BMI.

2. Body Fat Percentage

Using tools like DEXA scans, you can accurately measure the percentage of fat in your body.

3. Biomarker Testing

At Everlab, we measure over 100 biomarkers that provide insights into your metabolic, cardiovascular, and overall health risks, going far beyond BMI.

How to Improve Your BMI

If your BMI isn’t where you’d like it to be, there are steps you can take to improve it.

1. Understand Your Baseline

Start by calculating your BMI and assessing whether it aligns with other health metrics like waist-to-hip ratio or body fat percentage.

2. Create a Sustainable Plan

Crash diets and extreme workouts won’t cut it. Instead, focus on:

  • Nutrition: Aim for a balanced diet rich in whole foods, lean protein, and healthy fats.
  • Exercise: Combine strength training with aerobic exercises for the best results.
  • Sleep: Prioritise 7–9 hours of sleep per night to regulate metabolism.

3. Seek Personalised Support and Professional Health Advice

At Everlab, we offer tailored diet, exercise, and supplementation plans based on your unique health profile to help you achieve sustainable results.

When to See a Doctor

If your BMI falls in the underweight or obese category, it’s worth consulting a healthcare professional. They can assess underlying causes and recommend evidence-based interventions. According to the Centers for Disease Control and Prevention (CDC), monitoring BMI is crucial for disease control, as high BMI levels can lead to serious health issues.

The Role of Preventative Health

BMI is one piece of the puzzle in preventative health. A comprehensive approach includes:

By addressing risks early, you can improve your quality of life and longevity.

Conclusion

BMI is a useful starting point for understanding your health, but it’s not the whole story. By combining BMI with other metrics and embracing a proactive approach, you can take control of your health and reduce the risk of chronic diseases.

At Everlab, we believe in going beyond the numbers. With cutting-edge diagnostics, personalised plans, and continuous support, we help you achieve your health goals and live better today.

Dr. Steven Lu
Chief Medical Officer | MBBS (hons) | DCH FRACGP

Steven is a specialist general practitioner, preventative health consultant, medical educator, healthcare entrepreneur and co-founder of Everlab. With 15+ years of clinical experience, and driven by his passion for preventive care outcomes, Steven is dedicated to personalised and innovative approaches to enhance well-being, extend human lifespan, and improve healthspan.