Rethinking BMI: Scientists Propose Body Fat Percentage as a Replacement

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The findings challenge decades of reliance on body mass index, which does not account for muscle mass, bone density, or fat distribution.

Scientists have pinpointed the critical thresholds at which body fat becomes hazardousโ€”30 percent for men and 42 percent for womenโ€”providing a more precise and reliable measure than body mass index (BMI) for evaluating obesity-related health risks.

A recent study published in The Journal of Clinical Endocrinology & Metabolism analyzed data from nearly 17,000 adults aged 18 to 85 of various ethnicities. Researchers measured body fat percentage against their BMI scores and signs of metabolic syndrome, including high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels.

Health risks for men start at 30 percent body fat, while women show no signs of metabolic syndrome at this level.

Men who are considered โ€œoverweightโ€ by BMI standards generally have a body fat percentage of 25 percent. Overweight men make up about 5 percent of men with metabolic syndrome.

None of the men with less than 18 percent body fat had metabolic syndrome.

Women who are overweight by BMI standards have around 36 percent body fat, and those who are obese by BMI standards have 42 percent body fat.

BMI Has Significant Limitations

These findings challenge decades of reliance on BMI, which cannot account for muscle mass, bone density, body composition, and fat distribution.

BMI simply looks at the overall weight relative to height, which means people with very different bodies can end up with similar BMI scores, said Dr. Crystal Wyllie, a UK-registered doctor and part of the clinical team at Asda Online Doctor by ZAVA, in an interview with The Epoch Times. A bodybuilder may have a high BMI but low body fat, while an older adult could have high body fat and still fall within a normal BMI range, she added.

The research highlights significant discrepancies between BMI and body fat measurements. While BMI categorizes people as overweight at over 25 and obese at over 30, these thresholds donโ€™t fully capture health risks. Some people with normal BMI may still carry excess body fat, making them โ€œmetabolically obese but normal weight.โ€

Byย George Citroner

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