BMI Body Mass Index by Ray Sahelian, M.D. BMI in children and heart disease

Body Mass Index, invented by Belgian Adolphe Quetelet between 1830 and 1850, is a measure of body fat calculated from height and weight.

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BMI not reliable?

Nutrition experts and doctors have different viewpoints when it comes to the importance of BMI in relation to heart disease and longevity. Body Mass Index (BMI), the standard measure of obesity, may be flawed.  Writing in Lancet medical journal, researchers from the Mayo Clinic College of Medicine, Rochester, Minnesota, found that patients with a low BMI had a higher risk of death from heart disease than those with normal BMI. At the same time overweight patients had better survival rates and fewer heart problems than those with a normal BMI. This apparently unexpected result, drawn from data from 40 studies covering 250,000 people with heart disease, did not suggest that obesity was not a health threat but rather that the 100-year-old BMI test was too blunt an instrument to be trusted.

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BMI calculator
A BMI of less than 18.5 is considered underweight, while from 18.5 to 24.9 is normal, 25 to 29.9 is overweight and anything over 30 is categorized as obese. Intended as a broad indicator of general health, BMI has become a standard diagnostic tool of heart disease risk.

A better test than BMI?
Maria Grazia Franzosi from the Istituto Mario Negri in Milan, writing in the same issue of the Lancet, noted that a 52-country study comparing four different tests -- BMI, waist-to-hip ratio, waist measure and hip measure -- found that waist-to-hip was the best predictor of heart attack risk.

BMI in children and heart disease
As BMI during childhood climbs, so does the risk of coronary heart disease in adulthood.


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