BMI stands for body mass index, but you’ll almost always find it referred to simply as BMI. It’s an estimate of how much body fat a person has, and it’s calculated by dividing a person’s weight in kilograms by his or her height in square meters.  Yes, health coaches in Carmichael, CA say there are a few imperfections, and I’ll point them out, so that you get the best value from the process.

Don’t be intimidated by the number crunching — there are loads of online calculators that will generate your BMI when you put in your stats. The resulting number can help you determine whether you’re at a healthy weight. Here’s what your number means:

·   Less than 18.5 = underweight

·   18.5 to 24.9 = normal weight

·   25 to 29.9 = overweight

·   30 or higher = obese (grossly fat or overweight)

BMI has long been a popular tool for measuring body fat because it’s easy to use and doesn’t require any fancy equipment to calculate. There’s a downside to that simplicity, though: It sometimes delivers an oversimplified picture of your health (more on that later).

According to this measure, more than one-third of American adults are considered obese, notes the Centers for Disease Control and Prevention.

## How Does BMI Differ Among Men, Women, and Other Groups of People?

The BMI formula is universal — it’s the same for both adults and children (though the numbers are interpreted differently for young people because gender and age are factored in). Among adults, BMI is interpreted the same way for both men and women, says Michelle Jaelin, RD, a Hamilton, Ontario–based registered dietitian.

But as the Centers for Disease Control and Prevention (CDC) notes, there are a few differences among certain demographics when it comes to body fat.

·   Women usually have more body fat than men. According to the AARP, women should aim for 20 to 21 percent body fat, while men should have between 13 and 17 percent.

·   Black people usually have less body fat than white people, and Asians typically have more than white people.

·   Older people generally have more body fat than younger people.

·   Athletes usually have less than nonathletes.

BMI tends to be problematic among older people, Carmichael, CA health coaches say. According to one study, BMI isn’t as useful in older adults because it doesn’t account for the fact that many people get shorter as they age, which can lead to underestimated fat levels. BMI also can underestimate fatness among seniors because as people age, fat mass usually replaces fat-free mass (muscle).  So, while an older adult may clock a normal BMI, he or she could have a high body fat percentage (unless they’ve stayed very active for fitness). The researchers call this “normal-weight obesity (i.e. senior citizen obesity),” which puts people at an increased risk for metabolic syndrome and a variety of cardiovascular issues.

These discrepancies have led some researchers to suggest that BMI targets should be different for older adults.  Essentially, a ‘normal’ BMI in seniors is only ‘safe’ if the person maintains an active ‘fitness’ lifestyle.

Why Having a Healthy BMI Matters for Your Overall Health

BMI isn’t just another number to keep track of. It can be useful in telling you whether your weight is in a healthy spot, and if your BMI has fallen outside the normal range, it clues you in that you may be at risk for various health conditions.

A BMI of 30 or higher, for instance, means you qualify as obese, which can lead to:·

·   Body pain

·   Early death

Many worrisome issues come with being big. “As your BMI goes up, you start developing fat mass problems,” says Eduardo L. Grunvald, MD, a board-certified internal medicine doctor with UC San Diego Health System and the director of the UC San Diego Weight Management Program in California. “You start getting the joint problems, the sleep apnea, the acid reflux, those
kinds of issues that are directly related to just mass.”

Being underweight (with a BMI of less than 18.5) presents its own set of challenges.  That may be because underweight people (insufficient muscle mass) are at an increased risk of injury and, once injury occurs, they usually have a harder time recovering.

## What Are the Flaws of Measuring BMI in Adults?

BMI is not a perfect metric and should only be used as a preliminary tool to determine if you’re at a healthy weight, Jaelin says. “The problem with BMI is it doesn’t say anything about body fat composition, body fat distribution, or metabolic consequences,” Dr. Grunvald says. “It’s just purely weight compared to height.”

Athletes, for example, may be incredibly muscular, but their BMI might qualify them as obese since muscle is denser than fat.

So, don’t panic if your BMI signals you’re overweight or obese, but rather take it as a hint that it’s time to see a physician for a more thorough assessment. “BMI was designed to look at a large number of people, but you have to dive deeper and not look just at BMI” to know for sure whether you need to be concerned, Grunvald says.

The CDC suggests measuring your waist circumference as another way to estimate your risk of developing weight-related health conditions, such as type 2 diabetes, high blood pressure, and coronary artery disease.  To measure yours, place a measuring tape right above your hip bones. Keep it snug, but not too tight.  A circumference larger than 35 inches for women and 40 inches for men indicates you’re at an unhealthy level.

## How to Reach a Healthy Weight if You’re Overweight or Obese

Jumping from a high BMI to a lower, healthier number can seem daunting. But losing just 5 to 10 percent of your body weight has been shown to counter the negative side effects and improve your blood pressure, blood cholesterol, and blood sugar — even if you still fall into the obese category post weight loss, according to the CDC.

It’s tough to say exactly how to reach a healthy weight, because there isn’t a one-size-fits-all answer, Jaelin says.  The best way to get personalized recommendations, she says, is by consulting a dietitian or a doctor.

### More on How to Lose Weight

You can also start to lower your BMI (or raise it, if you’re underweight) by adopting these six healthy habits:

1. Eat Regularly

Get in the habit of eating every two to three hours. At each meal, include a palm-size amount of protein, whether it’s chicken, fish, beef, or tofu. Eat that with a fist-size portion of a carbohydrate, such as fruit, quinoa, brown rice, or whole wheat bread for a well-balanced meal, Jaelin suggests. Following this approach can promote a healthy weight.

2. Stick With Water

3. Get Creative With Nutrition

Sneak in extra calories without overhauling your diet. For example, spread peanut butter on toast, sprinkle cheese on top of chili, or use milk in your oatmeal instead of water.

Strong

To lose weight, Jaelin suggests starting your day with a healthy (Not High-fat, High-sugar) protein – and fiber – packed breakfast. One cup of steel cut oats with ¾ cup of Greek yogurt and ½ cup berries checks all the boxes.

“The high protein from Greek yogurt stabilizes blood sugar levels to avoid sugar [and other food] cravings later on in the day, and the fiber from steel cut oats will keep you full longer,” Jaelin says.

Starting the day on a healthy note can also set the tone for the day, she says.

Losing 1 to 2 pounds per week has been shown to be the most sustainable rate. One way to get there is by cutting your daily calories by between 500 and 1,000. (10)

6. Move It

Exercise is extremely important in helping you reach your ideal weight, whether you’re looking to gain or lose.  Consult a personal trainer to outline a plan that’s tailored to your goals.

Reaching a healthy weight (and healthy BMI) not only slashes your risk for many diseases, but it has been shown to boost your confidence, energy level, and your overall mood. That’s an all-around win!

The Importance of Maintaining a Healthy BMI as an Adult

If you’re an adult, maintaining a normal BMI is crucial for your future health, because a high BMI has been linked to an increased risk for diseases such as heart disease and type 2 diabetes.

In young adults, obesity may even be to blame for an increase in rates of colorectal, endometrial, gallbladder, kidney, multiple myeloma, and  pancreatic cancer.

To calculate your BMI, take your weight in kilograms divided by the square of your height in meters.

If you live in the United States and don’t use the metric system, you can also take your height in inches squared, divide that by your weight in pounds, and multiply by 703.

For example, for a woman who is 140 pounds (lb) and 63 inches (in) tall, we can calculate her BMI this way:

1. Height in inches squared: 63 x 63 = 3,969

2. Weight divided by height squared: 140/3,969 = .03527

3. .03527 x 703 = 24.79 BMI

If math isn’t your forte, you can opt to use the CDC’s BMI calculator to figure out your BMI.