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BMI, a valuable tool?
According to the WHO, BMI (Body Mass Index) is a tool that evaluates the general level of obesity. Different weight categories can be associated with a risk of developing certain diseases. BMI has the advantage of being easy to use: only two pieces of information are required, namely weight and height. This tool is so simple that it must be used with caution, because it has certain limitations.
BMI is quick as a screening tool, but in order to properly interpret build, health professionals must equally take into account the individual’s age, sex and muscular mass. For example, a muscular person can be considered as overweight, and an older person could seem to be a healthy weight despite the loss of muscular mass caused by aging. It should be noted that persons under 18 years of age and pregnant women cannot be evaluated with this tool. According to the WHO, a BMI of between 25 and 30 indicates a person could be overweight, and a BMI above 30 indicates a person could be obese.
| Health Risk Classification According to Body Mass Index (BMI) [I] | ||
| Classification | BMI Category (kg/m2) | Risk of developing health problems |
| Underweight | < 18,5 | Increased |
| Normal Weight | 18,5 – 24,9 | Least |
| Overwight | 25,0 – 29,9 | Increased |
| Obesity class I | 30,0 – 34,9 | High |
| Obesity, class II | 35,0 – 39,9 | Very high |
| Obesity, class III | >= 40,0 | Extremely high |
To calculate your BMI, you can use the following formula:
BMI = weight(kg)/height(m)2
BMI represents therefore only one of the stages of the evaluation. Abdominal girth is an indicator of adiposity additional to that of BMI. Indeed, waist size determines whether there is an excess of visceral fat, which is directly linked to an increased health risk. And a final indicator, the waist-hip ratio makes it possible to assess the individual in question’s body shape. The “apple” body shape is to be avoided, because it is marked by an excess of fat around the abdomen. The “pear” body shape on the other hand, is characterized by a surplus around the hips and buttocks.
Experts are unanimous on this point: weight is only one factor of disease risk. It is necessary to also take into considerations other factors such as age, sex, unhealthy diet, smoking, sedentary lifestyle, education level and heredity.
[1] Source : Health Canada
Autori
La pietra angolare del mio approccio consiste nel modificare i comportamenti alimentari in modo graduale e adattare questi ultimi alla situazione dei miei pazienti. L'obiettivo è mangiare bene per il piacere e per la salute, è tutto inizia facendo ritorno alla semplicità nelle nostre abitudini. Dieci anni fa mi sono laureata presso l'Università di Montréal e da quel momento ho iniziato a offrire dei servizi di counseling in nutrizione.
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