| Individuals
who fall into the BMI range of 25 to 34.9, and have a waist size of over 40 inches
for men and 35 inches for women, are considered to be at especially high risk
for health problems. The higher the BMI, the greater the risk of developing additional
health problems. A BMI of 30 and over increases the risk of death from any cause
by 50 to 150 percent, according to some estimates. According to health experts,
people who are overweight but have no other health risk factors (such as high
cholesterol or high blood pressure) should eat healthier and exercise to keep
from gaining additional weight. For people who are overweight and also have health
risks, they recommend trying to actively lose weight. Be sure to consult your
doctor or other health professional before beginning any exercise or weight-loss
program . The
NHLBI obesity guidelines propose that doctors use body mass index (BMI) to assess
patients because the index is simple, correlates to fatness and applies to both
men and women. To determine BMI, weight in kilograms is divided by height in meters,
squared. In
June 1998, the federal government announced guide-lines which create a new definition
of a healthy weight - a BMI of 24 or less. So now a BMI of 25 to 29.9 is consider-ed
overweight. Those with BMI's of 18.5 or less are considered under-weight. A BMI
of 30 or over is considered obese. Use
our BMI Calculator
to calculate your body mass index. Both
Body Mass Index (BMI) and Waist Circumference (WC) can be useful measures of determining
obesity and increased risk for various diseases. According to the National Institutes
of Health, a high WC is associated with an increased risk for type 2 diabetes,
dyslipidemia, hypertension and cardiovascular disease when BMI is between 25 and
34.9. (A BMI greater than 25 is considered overweight and a BMI greater than 30
is considered obese.) WC can be useful for those people categorized as normal
or overweight in terms of BMI. (For example, an athlete with increased muscle
mass may have a BMI greater than 25 - making him or her overweight on the BMI
scale - but a WC measurement would most likely indicate that he or she is, in
fact, not overweight). Changes in WC over time can indicated an
increase or decrease in abdominal fat. Increased abdominal fat is associated with
an increased risk of heart disease. To determine your WC measurement,
locate the upper hip bone and place a measuring tape around the abdomen (ensuring
that the tape measure is horizontal). The tape measure should be snug but should
not cause compressions on the skin. The following chart should be helpful in determining
the possible risks associated with your BMI and WC.
| Classification
of Overweight and Obesity by BMI, Waist Circumference, and Associated Disease
Risks | | - |
Disease
Risk * Relative to Normal Weight and Waist Circumference |
| - |
BMI
(kg/m2) | Obesity
Class | Men
102 cm (40 inches or less) | Men
102 cm (40 inches) | |
Women
88 cm (35 inches or less) | Women
88 cm (35 inches) | |
Underweight |
18.5 | - |
- |
- |
| Normal |
18.5
- 24.9 | - |
- |
- |
| Overweight |
25.0
- 29.9 | - |
Increased |
High |
| Obesity |
30.0
- 34.9 | I |
High |
Very
High | | - |
35.0
- 39.9 | II |
Very
High | Very
High | | Extreme
Obesity | 40.0
+ | III |
Extremely
High | Extremely
High |
*
Disease risk for type 2 diabetes, hypertension, and CVD.
+ Increased waist circumference can also be a marker for
increased risk even in persons of normal weight.
SOURCE: National Heart, Lung and Blood Institute

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