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Smart people should be annoyed about this!

August 12, 2019 By Dr. Halls

Talking Moose
Talking Moose
I’m not overweight, I fluctuate between chubby and curvy.


 
 

Overweight definition using Body Mass Index

Defining Overweight is a sensitive topic. This discussion on overweight definition and obesity categories, using Body Mass Index (BMI) questions the ‘official’ definitions of fatness.

Indeed a BMI score can potentially misclassify people as fat, even though their total body fat (or body fat percentage) is not excessive. Therefore, trust your judgement about your own body because Body Mass Index based descriptions can be wrong.

Dr. Halls

Calculate your BMI here with our very own Body Mass Index calculator. This calculator uses the BMI formula, that is your weight in kilograms divided by your height in metres squared. Don’t worry about the math the calculator does it all for you!

Talking Moose
I hit someone with a scientific calculator once, I used the cosh button.


 
 

The standard Overweight Definition

Firstly, we will discuss the current standard definitions of overweight and obesity used by the Center for Disease Control (CDC) and the World Health Organization (WHO).1,2

  • For adults, a Body Mass Index (BMI) of 25 or more is considered overweight and a BMI of 30 or more is considered obese.
  • For children, the charts of Body-Mass-Index for Age are used, whereby a BMI greater than the 85th percentile is considered at risk of becoming overweight. Furthermore, a BMI greater than the 95th percentile is considered obese.

overweight definition

overweight definition

Combined, the Child and Adult criteria form a chart like this below:-

overweight definition

Dr. Halls Dr. Halls
I hate the flat line for adults at BMI of 25.


 
 

… and here is the Obesity criteria:-

overweight definition

Click on the links below to see the boys or girls BMI charts in more detail:-

  • The Average Body Mass Index (BMI) chart for Boys
  • The Average Body Mass Index (BMI) chart for Girls.
Talking Moose
Talking Moose
I hate it when I gain 10 lbs for a role and then remember that I’m not even an actor!


 
 

Is there room for improvement of these standard definitions?

Naturally yes, and here are 5 reasons why:-

  1. Body Mass Index changes with Age: Obviously in children but also for adults too.
  2. Men and Women are different, so why should adult men and women have exactly the same BMI range?
  3. Short adult women have a higher BMI than taller women.
  4. Race/ethnicity and nationality affect body composition and BMI.
  5. Muscular people, athletes and bodybuilders particularly (anybody with a high percentage of muscle mass), have high BMI values, but are not necessarily fat.
Hector Hector
So increasing physical activity would not necessarily mean a lower BMI?

Dr. Halls Dr. Halls
That is right. If you are replacing some of your abdominal fat for muscle it may not lower your bmi.

Tyler Tyler
But it WILL lower your waist circumference measurement.


 
 

Some Background Information and Problems with the Overweight Definition

From the NHANES II survey ( USA 1976-1980 )3, the definitions of ‘Overweight’ and ‘Obesity’ were used until the year 2000. ( You can still use them, if you like.)

Adults BMI: Women Men
underweight < 19.1 < 20.7
in normal range 19.1 – 25.8 20.7 – 26.4
marginally overweight 25.8 – 27.3 26.4 – 27.8
overweight 27.3 – 32.3 27.8 – 31.1
very overweight or obese > 32.3 > 31.1

These NHANES II definitions had several nice features:

  • Men and Women had different overweight thresholds. A BMI of around 27.3 for women and 27.8 for men.
  • The concept of ‘Marginally overweight’ is a nice sounding phrase. Furthermore, marginally overweight begins at 25.8 for women and 26.4 for men.

However, the current World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC) overweight definition for adults is a BMI over 25 kg/m2.

This range for the overweight definition (BMI above 25 for men and women) was chosen to be suitable for international standardization. Furthermore, it is simple enough to remember and to calculate with a pencil and paper.

Dr. Halls Dr. Halls
The old overweight definition of a BMI of 27.3 for women and 27.6 for men, were and still are, better.

Talking Moose
Talking Moose
You are cynical, Doc. Do you think they shifted it down to 25 to inflate obesity statistics?

Dr. Halls Dr. Halls
Hanlon’s razor: Never attribute to malice that which is adequately explained by stupidity.


 
 

MooseFingerLeft Next, click on the link to read about the halls.md v2 classification of BMI for body description that you may prefer to use instead.

Dr. Halls Dr. Halls
Whenever I see Global Epidemic of Obesity, I think of The War on Drugs. Both are propaganda.


 
 

Health Risks of being ‘truly’ overweight or obese

However saying all that, and despite the academic debate for calculating accurate bmi ranges, the National Institute of Health warns that:-

‘… being overweight or obese puts you at risk for many health problems.’

The health problems include heart disease (cardiovascular disease) high blood pressure and type diabetes.

Other Posts about Body Mass Index and Weight and Height Charts

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Talking Moose
Talking Moose
My motto is, never order food in excess of your body weight.


 
 

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References

  • Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults.  National Heart, Lung and Blood Institute. June 17, 1998
  • Preventing and Managing the Global Epidemic of Obesity. Report of the World Health Organization Consultation of Obesity. WHO, Geneva, June 1997
  • NHANES II. 1976-1980 data from USA.

 

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