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improved BMI?

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2 December 2005
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Dan Connelly
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  1. From http://anonymous.coward.free.fr/rbr/nba-tdf-bmi.png

    I estimate mass is roughly proportional to height^2.2 (there's a lot
    of variability in this estimate, it's true, but it's clearly > 2,
    the BMI assumption).

    This suggests a more height-invariant BMI might be estimated, using:

    BMI' = mass / height^2.2

    However, I suspect people have enough trouble grasping units of "kg/m^2",
    trying to get them to swallow "kg/m^2.2" may perhaps be a bit much. But
    there seems a strong case to be made that the BMI index is "unfair" to tall
    people (assuming lower is better, usually the case among those with enough
    income to read this message).

    Dan

  2. Dan Connelly said:

    From http://anonymous.coward.free.fr/rbr/nba-tdf-bmi.png

    I estimate mass is roughly proportional to height^2.2 (there's a lot
    of variability in this estimate, it's true, but it's clearly > 2,
    the BMI assumption).

    This suggests a more height-invariant BMI might be estimated, using:

    BMI' = mass / height^2.2

    However, I suspect people have enough trouble grasping units of "kg/m^2",
    trying to get them to swallow "kg/m^2.2" may perhaps be a bit much. But
    there seems a strong case to be made that the BMI index is "unfair" to tall
    people (assuming lower is better, usually the case among those with enough
    income to read this message).

    Dan

    I'm evidently heavy boned. I don't float very well.

    I have 36" waist, am 5' 6" and weigh about 188 lbs. This puts me on the
    obese borderline.

    Even on the old health height weight charts with "heavy frame" I was
    always at the very top end of the heavy frame.

    With BMI scaling as Hheight^2 (^ is an easy way to represent the
    exponent), it is much more realistic than the height^3 or cubic scaling
    law. The height^(2.2) is an improvement which has the disadvantage of
    being incomprehensible to the average medical or health worker, and
    incomprehensible to the average "personal trainer" who has no training
    credentials at all.

    So, there is a lot wrong with the existing BMI, and it is not much
    better than the old height-weight charts, except that it claims to give
    a number for your "fatness".

    It isn't a great number, but it is one of those small steps forward, or
    small stumbles forward, that the health community takes from time to time.

    Health is too important to be left to health workers.
    --
    ................................

    Keepsake gift for young girls.
    Unique and personal one-of-a-kind.
    Builds strong minds 12 ways.
    Guaranteed satisfaction
    - courteous money back
    - keep bonus gifts

    http://www.alicebook.com

  3. jbuch said:

    With BMI scaling as Hheight^2 (^ is an easy way to represent the
    exponent), it is much more realistic than the height^3 or cubic scaling
    law. The height^(2.2) is an improvement which has the disadvantage of
    being incomprehensible to the average medical or health worker, and
    incomprehensible to the average "personal trainer" who has no training
    credentials at all.

    It may not be an improvement. On another forum, it was pointed out to me a recent paper
    was published on the subject, examing various populations in different regions, that the
    "true" number is likely below 2, rather than above. However, I suspect shorter people have
    a lower susceptibility to thinness than taller people, as they need less food, but aren't
    necessarily served less (rich) or produce less (poor). Thus I suspect using elite
    athletes is a more reliable guide. Nevertheless, in the end, BMI is just a crude measure
    of anything (for example, the paper points out Asians, at the same body fat percentage,
    tend to have a lower BMI than caucasians, and of course women and men differ), so I don't
    see anyone switching from 2 anytime soon.

    Dan

  4. jbuch said:

    I'm evidently heavy boned.

    Great line. (It was either that, or "Family newsgroup, buddy."😉

    Bill "Friday" S.

  5. "Dan Connelly" <d_j_c_o_n_n_e_l@i_e_e_e.o_r_g> wrote in message
    news:[email hidden]...

    Quoted message said:

    From http://anonymous.coward.free.fr/rbr/nba-tdf-bmi.png

    I estimate mass is roughly proportional to height^2.2 (there's a lot
    of variability in this estimate, it's true, but it's clearly > 2,
    the BMI assumption).

    This suggests a more height-invariant BMI might be estimated, using:

    BMI' = mass / height^2.2

    However, I suspect people have enough trouble grasping units of
    "kg/m^2",
    trying to get them to swallow "kg/m^2.2" may perhaps be a bit much.
    But
    there seems a strong case to be made that the BMI index is "unfair" to
    tall
    people (assuming lower is better, usually the case among those with
    enough
    income to read this message).

    Dan

    I get 21 using your method and 23 using yahoo health. I'm 6'2", 180lbs
    with a 32" waist. Even if I input 170 (my fighting weight) I'm still at
    22 with the conventional method yet this is on the ragged edge for me. I
    would have to weigh 145 to be on the lower end of
    "normal".........absurd.

    Phil H

  6. Dan Connelly said:

    From http://anonymous.coward.free.fr/rbr/nba-tdf-bmi.png

    I estimate mass is roughly proportional to height^2.2 (there's a lot
    of variability in this estimate, it's true, but it's clearly > 2,
    the BMI assumption).

    If you scale up a body proportionally, then the mass would be proportional
    to height^3. Since the limb-strength (and ability to support the mass)
    only grows as the cross-sectional area, it would be proportional to
    height^2 if it were merely scaled. So, reasonably, taller people would
    require proportionally more robust bones, so the proper scaling of
    mass should exceed height^3.

    I have no idea why BMI uses mass proportional to height^2.

    --

    David L. Johnson

    __o | Some people used to claim that, if enough monkeys sat in front
    _`\(,_ | of enough typewriters and typed long enough, eventually one of
    (_)/ (_) | them would reproduce the collected works of Shakespeare. The
    internet has proven this not to be the case.

  7. jbuch said:

    With BMI scaling as Hheight^2 (^ is an easy way to represent the
    exponent), it is much more realistic than the height^3 or cubic scaling
    law.

    why would BMI be more realistic?

    The height^(2.2) is an improvement which has the disadvantage of

    Quoted message said:

    being incomprehensible to the average medical or health worker, and
    incomprehensible to the average "personal trainer" who has no training
    credentials at all.

    Units are irrelevant.

    --

    David L. Johnson

    __o | Let's not escape into mathematics. Let's stay with reality. --
    _`\(,_ | Michael Crichton
    (_)/ (_) |

  8. David L. Johnson said:

    If you scale up a body proportionally, then the mass would be proportional
    to height^3. Since the limb-strength (and ability to support the mass)
    only grows as the cross-sectional area, it would be proportional to
    height^2 if it were merely scaled. So, reasonably, taller people would
    require proportionally more robust bones, so the proper scaling of
    mass should exceed height^3.

    I don't remember the rationale, but a doctor in a local newspaper argued
    that the formula should actually be mass/height^2.6 . Closer to cube
    than square, but neither are really close. I guess this might've been
    based on a statistical study on height, weight and fat %, which should
    give you a reasonable constant value for the formula.

    -as

  9. David L. Johnson said:
    Dan Connelly said:

    From http://anonymous.coward.free.fr/rbr/nba-tdf-bmi.png

    I estimate mass is roughly proportional to height^2.2 (there's a lot
    of variability in this estimate, it's true, but it's clearly > 2,
    the BMI assumption).

    If you scale up a body proportionally, then the mass would be proportional
    to height^3. Since the limb-strength (and ability to support the mass)
    only grows as the cross-sectional area, it would be proportional to
    height^2 if it were merely scaled. So, reasonably, taller people would
    require proportionally more robust bones, so the proper scaling of
    mass should exceed height^3.

    I have no idea why BMI uses mass proportional to height^2.

    I've always wondered about why anyone cares about the BMI thing. A quick
    dip in the pool will tell you a lot more than any formula.

    Breath out fully, if you float, you are in real trouble with regard to
    body fat. If you sink slowly, consider adding 5 miles per day to your
    riding. If you can sit cross legged on the bottom of the pool and
    meditate, then I hear that the Dalai Lama is hiring.

    Breath in to full capacity, do you float a little, or float a lot. If you
    float a lot while full, but sink when empty, you're not in danger, but
    could probably stand one less serving on Christmas and Thanksgiving day.
    If you are neutrally buoyant with full lungs, or perhaps even sink slowly,
    your body fat percentage is very low regardless of what the BMI might say.

  10. rwwff said:
    David L. Johnson said:
    Dan Connelly said:

    From http://anonymous.coward.free.fr/rbr/nba-tdf-bmi.png

    I estimate mass is roughly proportional to height^2.2 (there's a lot
    of variability in this estimate, it's true, but it's clearly > 2,
    the BMI assumption).

    If you scale up a body proportionally, then the mass would be
    proportional to height^3. Since the limb-strength (and ability to
    support the mass) only grows as the cross-sectional area, it would
    be proportional to height^2 if it were merely scaled. So,
    reasonably, taller people would require proportionally more robust
    bones, so the proper scaling of
    mass should exceed height^3.

    I have no idea why BMI uses mass proportional to height^2.

    I've always wondered about why anyone cares about the BMI thing. A
    quick dip in the pool will tell you a lot more than any formula.

    Breath out fully, if you float, you are in real trouble with regard to
    body fat. If you sink slowly, consider adding 5 miles per day to
    your riding. If you can sit cross legged on the bottom of the pool
    and meditate, then I hear that the Dalai Lama is hiring.

    Breath in to full capacity, do you float a little, or float a lot.
    If you float a lot while full, but sink when empty, you're not in
    danger, but could probably stand one less serving on Christmas and
    Thanksgiving day. If you are neutrally buoyant with full lungs, or
    perhaps even sink slowly, your body fat percentage is very low
    regardless of what the BMI might say.

    I'm a sinker for sure. I've always been scared since I was young that I'm
    going to drown one day because I'll be stranded in the water from a boat
    sinking. Therefore, I will only board a boat with a life jacket, a ring
    buoy, flare gun, GPS transponder, and water wings on.
    --
    Phil, Squid-in-Training

  11. On Fri, 02 Dec 2005 10:21:12 GMT, Dan Connelly

    d_j_c_o_n_n_e_l@i_e_e_e.o_r_g said:

    However, I suspect people have enough trouble grasping units of "kg/m^2",
    trying to get them to swallow "kg/m^2.2" may perhaps be a bit much. But
    there seems a strong case to be made that the BMI index is "unfair" to tall
    people (assuming lower is better, usually the case among those with enough
    income to read this message).

    Personally, I don't need a fricking calculator to tell me I'm overweight.
    I'd be much better off at two thirds or a bit oover half my current
    weight, but according to Quetelet/BMI I'd still be overweight then, which
    would clearly not be the case.

    Jasper

  12. David L. Johnson said:
    jbuch said:

    With BMI scaling as Hheight^2 (^ is an easy way to represent the
    exponent), it is much more realistic than the height^3 or cubic scaling
    law.

    why would BMI be more realistic?

    Because height^3 leads to massive aberrancies even within the normal human
    healthy range of between a bit under 5 feet and 6.5 feet, more so than
    than ^2 does. Empirically determined. Basically it's because smaller or
    taller doesn't mean everything on your body scales in depth and width
    equally. Look at genetic dwarves, or the vertically challenged, or
    whatever the current PC term is: they're still very nearly as wide and
    deep as the average human, just shorter (which makes them look wildly out
    of proportion). Similarly, NBA players aren't wider or deeper in
    proportion to their excessive height, which also makes them look wildly
    out of proportion.

    Jasper

  13. Squid-in-Training said:

    I'm a sinker for sure. I've always been scared since I was young that I'm
    going to drown one day because I'll be stranded in the water from a boat
    sinking. Therefore, I will only board a boat with a life jacket, a ring
    buoy, flare gun, GPS transponder, and water wings on.

    Don't you look silly in the on-board casino wearing that?

    Jasper

  14. Jasper Janssen said:
    Squid-in-Training said:

    I'm a sinker for sure. I've always been scared since I was young
    that I'm going to drown one day because I'll be stranded in the
    water from a boat sinking. Therefore, I will only board a boat with
    a life jacket, a ring buoy, flare gun, GPS transponder, and water
    wings on.

    Don't you look silly in the on-board casino wearing that?

    I forgot to mention the flippers, the mask, and snorkel. I keep the knife
    and harpoon gun on the side for those pesky sharks. It only gets in the way
    when I pull the slot machine levers.

    --
    Phil, Squid-in-Training

  15. Jasper Janssen said:


    Because height^3 leads to massive aberrancies even within the normal human
    healthy range of between a bit under 5 feet and 6.5 feet, more so than
    than ^2 does. Empirically determined. Basically it's because smaller or
    taller doesn't mean everything on your body scales in depth and width
    equally. Look at genetic dwarves, or the vertically challenged, or
    whatever the current PC term is: they're still very nearly as wide and
    deep as the average human, just shorter (which makes them look wildly out
    of proportion). Similarly, NBA players aren't wider or deeper in
    proportion to their excessive height, which also makes them look wildly
    out of proportion.

    Er, at 6'10", I'm slightly taller than the NBA average (6'7.25"😉, I
    don't think I look "wildly out of proportion". I'm about 17% taller than
    the average male of European descent, not that big a deal. BMI seems to
    scale pretty accurately for me. There's a lot more variation in
    proportion from fat -- way more than 17%.

  16. Jasper Janssen said:


    Because height^3 leads to massive aberrancies even within the normal human
    healthy range of between a bit under 5 feet and 6.5 feet, more so than
    than ^2 does. Empirically determined. Basically it's because smaller or
    taller doesn't mean everything on your body scales in depth and width
    equally. Look at genetic dwarves, or the vertically challenged, or
    whatever the current PC term is: they're still very nearly as wide and
    deep as the average human, just shorter (which makes them look wildly out
    of proportion). Similarly, NBA players aren't wider or deeper in
    proportion to their excessive height, which also makes them look wildly
    out of proportion.

    Er, at 6'10", I'm slightly taller than the NBA average (6'7.25"😉, I
    don't think I look "wildly out of proportion". I'm about 17% taller than
    the average male of European descent, not that big a deal. BMI seems to
    scale pretty accurately for me. There's a lot more variation in
    proportion from fat -- way more than 17%.

  17. Jasper Janssen said:


    "David L. Johnson"

    Quoted message said:


    why would BMI be more realistic?

    Because height^3 leads to massive aberrancies even within the normal human
    healthy range of between a bit under 5 feet and 6.5 feet, more so than
    than ^2 does. Empirically determined. Basically it's because smaller or
    taller doesn't mean everything on your body scales in depth and width
    equally.

    The problem with BMI *is* geometric, desipte what you assert, but it's
    also statistical.

    It derives generalities from the fat part of the bell curve and applies
    it to to the ends. That's what it's designed to do, and that's
    fundamentally mistaken. There is no single way to be at the 99th
    percentile for whatever characteristic. I used to have a neighbor who
    at 6'10" or 6"11 was noticeably taller than me, but weighed probably of
    60% what I did-- and at that time I was relatively lean. His waist was
    about the same girth as one of my thighs.

    You use the example of achondroplastic dwarves to defend the geometric
    flaw contained in BMI, but they are a perfect example of why BMI
    doesn't work. Someone 4-1/2 feet tall has to be an achondroplastic
    dwarf to have a normal BMI at a normal body composition, while e.g. a
    4-1/2 foot tall Filipina of typical build would have to be very high in
    adiposity to register a normal BMI.

    Peter Cole at 6'10" weighs some 230 lbs., but at that weight I look
    like a terminal drug addict-- and I'm 2 inches shorter than he is.

    The statistically flawed nature of BMI is in common with height/weight
    tables and other such contrivances, but its geometrical flaw insures
    that the further you deviate from the statistical mean, the more
    inaccurate it becomes as an indicator of health or body composition.

    If it were only the province of the quacks who created it, then it
    would not be a problem. The trouble comes when insurers and medical
    professionals treat as if it had any scientific value.

    Chalo Colina

  18. David L. Johnson said:
    jbuch said:

    With BMI scaling as Hheight^2 (^ is an easy way to represent the
    exponent), it is much more realistic than the height^3 or cubic scaling
    law.

    why would BMI be more realistic?

    You can find some information on scaling laws for animals here....
    1) http://smccd.net/accounts/goth/other/Life_On_The_Scales.pdf
    2) http://www.primidi.com/2005/02/21.html
    and it is a tad technical.

    Take a 7 foot person and a 5 foot person.

    Would you expect the 5 foot person of "normal build" to have a waist
    which is 5/7 of that for a 7 foot tall person?

    This linear relationship is what happens if the height^3 (cubed) scaling
    law is assumed..... But, if you understood the topic, you would have
    known that.

    Taking the 34 inch waist for the 7 foot person as "fit physique", would
    you expect the waist of the 6 foot person to be 24.3 inches (5/7 of 34
    is 24.3 inches) for a "fit physique"?

    This is absurd.

    Short people of "normal physique" don't have such absurdly small waist
    sizes.

    If you use the height^2 scaling law, you would expect the waist size
    would scale as (5/7)^0.667 (the two thirds power) or you would suspect
    that maybe 27.2 inches would be a reasonable waist size for a 5 foot
    tall person, rather than 24.3 inches.

    The discussion is leading to the suggestion that maybe the waist size
    for a "normal physique" 5 foot person would be a little larger than 27.2
    inches.....

    And if you go into a clothing store that deals in short people's
    clothes, you would find a range of waist sizes that you could use to
    better calibrate the scaling law that actually fits the body
    configurations that humans have.

    One suggestion is to use the 3/4 power scaling law (in the second
    reference above), which would then give (5/7)^.75 and then a 5 foot
    person of "nominal physique" ( with a 7 foot 34 inch waist as "nominal
    physique for reference) would have a waist size of 28.0 inches.

    "Nominal Physique"

    7 foot tall, 34 inch waist
    5 foot tall, 28 inch waist (3/4 power scaling law)

    5 foot tall, 24.3 inches (linear scaling law, BMI =K * Height^3)

    I go with the experts who have studied scaling laws in animals.

    BMI as implimented simply sucks and fails to meet what has long been
    known about how dimensions of animals scale with size.

    The height^(2.2) is an improvement which has the disadvantage of

    Quoted message said:


    Quoted message said:

    being incomprehensible to the average medical or health worker, and
    incomprehensible to the average "personal trainer" who has no training
    credentials at all.

    Units are irrelevant.

    Anything with matematics is pretty incomprehensible to 95% of the
    population. We may not be illiterate, but we have been called
    innumerate.... meaning we really screw up stuff based on arithmetical
    operations more complex than add, subtract and multiply. Nobody expects
    modern youth to actually be able to do long division anymore.... or
    count change.

    --
    ................................

    Keepsake gift for young girls.
    Unique and personal one-of-a-kind.
    Builds strong minds 12 ways.
    Guaranteed satisfaction
    - courteous money back
    - keep bonus gifts

    http://www.alicebook.com

  19. Phil said:
    rwwff said:
    David L. Johnson said:

    On Fri, 02 Dec 2005 10:21:12 +0000, Dan Connelly wrote:

    > From http://anonymous.coward.free.fr/rbr/nba-tdf-bmi.png
    >
    >I estimate mass is roughly proportional to height^2.2 (there's a lot
    >of variability in this estimate, it's true, but it's clearly > 2,
    >the BMI assumption).

    If you scale up a body proportionally, then the mass would be
    proportional to height^3. Since the limb-strength (and ability to
    support the mass) only grows as the cross-sectional area, it would
    be proportional to height^2 if it were merely scaled. So,
    reasonably, taller people would require proportionally more robust
    bones, so the proper scaling of
    mass should exceed height^3.

    I have no idea why BMI uses mass proportional to height^2.

    I've always wondered about why anyone cares about the BMI thing. A
    quick dip in the pool will tell you a lot more than any formula.

    Breath out fully, if you float, you are in real trouble with regard to
    body fat. If you sink slowly, consider adding 5 miles per day to
    your riding. If you can sit cross legged on the bottom of the pool
    and meditate, then I hear that the Dalai Lama is hiring.

    Breath in to full capacity, do you float a little, or float a lot.
    If you float a lot while full, but sink when empty, you're not in
    danger, but could probably stand one less serving on Christmas and
    Thanksgiving day. If you are neutrally buoyant with full lungs, or
    perhaps even sink slowly, your body fat percentage is very low
    regardless of what the BMI might say.

    I'm a sinker for sure. I've always been scared since I was young that I'm
    going to drown one day because I'll be stranded in the water from a boat
    sinking. Therefore, I will only board a boat with a life jacket, a ring
    buoy, flare gun, GPS transponder, and water wings on.

    I too am a sinker, when I got my weight down from being moderately obese
    (42+ inch waist on a 5' 6" body).

    I always had a problem floating in water.

    Bone, muscle and connective tissue are denser than water, and fat floats.

    When I was fat enough, I floated nicely.

    --
    ................................

    Keepsake gift for young girls.
    Unique and personal one-of-a-kind.
    Builds strong minds 12 ways.
    Guaranteed satisfaction
    - courteous money back
    - keep bonus gifts

    http://www.alicebook.com

  20. jbuch said:

    You can find some information on scaling laws for animals here....
    1) http://smccd.net/accounts/goth/other/Life_On_The_Scales.pdf
    2) http://www.primidi.com/2005/02/21.html
    and it is a tad technical.

    "Technical" is an interesting term, here. From the first site, it
    suggests that all animals have basically the same number of heartbeats in
    a lifetime; that metabolic rate is proportional to mass. But humans live
    longer than elephants. Oops.

    It also says, and I quote:

    "If one animal is, say, twice as big as another animal in each linear
    dimension, then its total volume, or mass, is 23 times as large, but its
    skin surface is only 22 times as large."

    Umm, no. If one animal is proportionally twice as big as another in each
    linear dimension (presuming 3-dimensional animals, here), it would have 8
    times the volume, and 4 times the skin surface.

    Such "experts" are open to question.

    --

    David L. Johnson

    __o | Become MicroSoft-free forever. Ask me how.
    _`\(,_ |
    (_)/ (_) |

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