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Real Data from excellent studies.

November 12, 2015 By Dr. Halls

Showing real data, the 85th and 95th percentiles of Body Mass Index at various ages

This data from the NHANES I study ( 1971-1974) is now out-of-date, because more recent studies, NHANES II and NHANES III have been performed. However, this was the data that was originally suggested to establish "overweight" and "obesity" thresholds, at the 85th and 95th percentiles. (However NHANES II data was claimed to be used when the definitions became official.)

Dr. Halls Dr. Halls
This is one of my favorite studies. I’ll point out why.



 
 

For historical documentation, here are those Body Mass Index percentiles shown as data in a table:

White Men Women
Age Overweight Obesity Overweight Obesity
6 yrs 16.52 17.75 16.14 17.49
7 yrs 17.31 18.98 17.16 18.93
8 yrs 18.10 20.22 18.19 30.36
9 yrs 18.88 21.45 19.21 21.78
10 19.67 22.66 20.23 23.20
11 20.47 23.87 21.24 24.59
12 21.28 25.01 22.25 25.59
13 22.12 26.06 23.13 27.07
14 22.97 27.02 23.87 27.97
15 23.82 27.86 24.28 28.51
16 24.63 28.69 24.68 29.10
17 25.44 29.50 25.07 29.72
18 26.08 29.89 25.34 30.22
19 26.53 29.98 25.58 30.72
20-24 27.02 31.43 25.78 31.20
25-29 28.15 31.89 27.16 33.16
30-34 28.76 32.04 29.38 34.58
35-39 29.17 32.12 29.25 35.35
40-44 29.34 32.21 29.90 35.85
45-49 29.36 32.15 30.38 36.02
50-54 29.29 32.04 30.66 35.95
55-59 29.23 31.95 30.93 35.88
60-64 29.17 31.87 31.20 35.80
65-69 29.10 31.78 31.46 35.70
70-74 29.01 31.69 31.70 35.58

Hector Hector
I’m not a fan of data in tables.


Dr. Halls Dr. Halls
But notice how people get heavier with age.



 
 

These thresholds were deemed suitable, once upon a time. But later, the World Health Organization (WHO) decided that simpler definitions were needed, at BMI of 25 and 30, for overweight and obesity, respectively. But all such standards are arbitrary.

David David
Are you complaining about choosing simple numbers?


Dr. Halls Dr. Halls
Yes I am. Find BMI of 25 on those tables. It’s always in teenagers.


David David
I don’t get it.


Dr. Halls Dr. Halls
If the WHO wanted to be scientific and use 85th and 95th percentiles as thresholds, the would have chosen BMI values of 27 or 28, instead of 25.



 
 

The chart below shows how the NHANES 1 criteria compare to the more recent CDC charts criteria. In children, they are remarkably close. But for adults, apparently the NHANES 1 values were too high to use as standards, so the CDC and WHO lowered their criteria to 25 and 30.

NHANES 1 versus CDC charts

Levi Levi
You mentioned CDC charts. The Child Growth Charts?


Dr. Halls Dr. Halls
Yes, the charts all doctors use to check if children are growing properly.


Levi Levi
And your point is?


Dr. Halls Dr. Halls
The CDC’s modern charts are suspiciously similar to this NHANES 1 data from 1974.


Levi Levi
So modern children are judged based on how 1970s children were growing. Is that bad?


Dr. Halls Dr. Halls
It’s just, shit happens.



 
 

From this same article, I’ve also plotted a graph of the 15th percentile BMI values for Men and Women. I think this is important, because it represents skinny people, who remain skinny throughout their lives. Notice that their BMI increases with age. In my opinion, this indicates that it is unrealistic to expect adults to maintain the same Body Mass Index values that they had at age 18.

Megan Megan
OH. The chart below.


Dr. Halls Dr. Halls
It’s skinny people’s weight. Even they grow heavier with age.



 
 

15th percentile trendline

Dr. Halls Dr. Halls
Bottom line. BMI cutoffs were set too low.



 
 

 

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