What Do You Think of BMI?

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Re: What Do You Think of BMI?

Post by djhall » Fri Mar 28, 2014 8:23 pm

BlackSpinner wrote:The body is not a simple system. It has storage capacity and it has a variety of processes - some of which are efficient and some which maybe are not. You can eat a lot today and not move and do a lot tomorrow while eating very little. It is also self adjusting for environmental factors (which includes emotions). I am sure over a life time calories = calories out, including the decomposition, I doubt many people want to consider the energy given off in their cremation/ decomposition when thinking about their diet.
I'm not entirely certain, but I think you and I are agreeing here on the essential point I was trying (though perhaps not very well) to make. As you point out, the body is such an incredibly complex system with many processes which can malfunction or be inefficient that we can almost certainly find common ground in evidence for very large differences in the relationship between eating habits and weight gain/loss in various individuals without resorting to throwing out the entire concept of how the body is fueled or the fundamental principles of physics.

I have no problem with the proposition that some people can eat like a pig, do practically no exercise, and not gain a pound because their body burns it off or otherwise dispenses of the excess in some form other than fat production, while other people eat a single lifesaver over their starvation threshold and it goes entirely to fat and which their body refuses to use for anything short of imminent death from starvation. In fact, I think that is quite likely. It just seems like these discussions get sidelined once someone raises the claim that "calories in vs calories out" is therefore invalidated.

Of course, I may be wrong, and for all I know there really is some argument I haven't seen explaining how someone might be able to consume 300 calories a day while using 900 to stay alive and not lose weight or starve to death. I've been operating under the assumption that what is really being argued is that someone eating 1200 day and using 1200 a day to stay alive can potentially reduce their intake to 1000 a day and have their metabolism slow to only using 1000 a day in response and thereby seriously limit caloric intake without any corresponding weight loss (and a lower energy level that would make exercise harder). In which case I entirely agree... with the technical caveat that since 1200 - 1200 = 0 and 1000 - 1000 = 0, the calories in/calories out formula still holds and explains the 0 weight loss in both scenarios.

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BlackSpinner
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Re: What Do You Think of BMI?

Post by BlackSpinner » Fri Mar 28, 2014 8:47 pm

And the body adjusts..... I was actually doing more physical things after menopause and eating the same way and I started gaining weight around the middle. Also WHERE you gain weight makes a difference to your health. As a woman one can put a lot of weight on the hips and thighs without affecting your health - it is actually an indicator of fertility to have fat there. Move the same fat to the abdominal area and it becomes an indicator of potential heart issues.

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Sludge
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Re: What Do You Think of BMI?

Post by Sludge » Sat Mar 29, 2014 3:35 am

BlackSpinner wrote:And the body adjusts..... I was actually doing more physical things after menopause and eating the same way and I started gaining weight around the middle.
OK, but the formula

Thermic Effect of Food + Resting Metabolic Rate + Thermic Effect of Physical Activity = Daily Caloric Expenditure

holds true regardless of circumstances. When the RMR drops because of age, then one must eat less (or shove in some levothyroxine)(j/k, don't do that).

That said, one can sometimes be shoving in more food than one needs and TEF will simply take care of (some) of it.

Also, the duration and intensity of exercise adds great variability to caloric expenditure, and can have a sustaining effect. For instance, I did an RMR ~90 minutes after a run (no reason, just checking the calibration of the machine) and my RMR was still running (so to speak) 600 kcal over predicted! (Of course, that wouldn't be an "RMR", that would simply be an "MR").
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Sludge
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Re: What Do You Think of BMI?

Post by Sludge » Sat Mar 29, 2014 3:59 am

Sludge wrote:Also, the duration and intensity of exercise adds great variability to caloric expenditure, and can have a sustaining effect. For instance, I did an RMR ~90 minutes after a run (no reason, just checking the calibration of the machine) and my RMR was still running (so to speak) 600 kcal over predicted! (Of course, that wouldn't be an "RMR", that would simply be an "MR").
However, coming back to my original points:
Sludge wrote:
Joe_0206 wrote:Doing some sort of aerobic exercise is important too.
Yeah, but not as far as weight loss is concerned:

http://well.blogs.nytimes.com/2012/08/0 ... blogs&_r=0
and
People overestimate their TEPA
running only burns 100 kcal/mile (regardless of speed) and the sustained effect doesn't last forever, so with few exceptions, one shouldn't really be claiming a lot of kcals for their TEPA.
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Sludge
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Re: What Do You Think of BMI?

Post by Sludge » Sat Mar 29, 2014 4:00 am

Sludge wrote:...one shouldn't really be claiming a lot of kcals for their TEPA.
Especially if their exercise program consists of doing 12-ounce power-lifts.
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Re: What Do You Think of BMI?

Post by Rustsmith » Sat Mar 29, 2014 7:38 am

Sludge wrote:
running only burns 100 kcal/mile (regardless of speed)
The 100 kcal/mile value is correct, whether moving a body or an inert mass, but there are two clarifications that need to be made. The first is that this assumes the scientific definition (as defined as an SI unit) of calories. However, one "dietary" calorie equals to 1 "scientific" kcal.

The second assumption in the 100 kcal/mile assumption is that the the mass that is being moved (a human body or a mass of bricks), weighs 62.5 kg or about 138 lbs. If the mass being moved is twice that, then the energy required is doubled. So the energy required to walk or run 1 mile is 100 diet calories if the person is 138lbs and is 200 if the person is 276lb. This is the reason why cardio equipment in a gym asks for your weight. The machine uses this to calculate the calories expended value it displays.

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Re: What Do You Think of BMI?

Post by BlackSpinner » Sat Mar 29, 2014 9:27 am

Rustsmith wrote:
Sludge wrote:
running only burns 100 kcal/mile (regardless of speed)
The 100 kcal/mile value is correct, whether moving a body or an inert mass, but there are two clarifications that need to be made. The first is that this assumes the scientific definition (as defined as an SI unit) of calories. However, one "dietary" calorie equals to 1 "scientific" kcal.

The second assumption in the 100 kcal/mile assumption is that the the mass that is being moved (a human body or a mass of bricks), weighs 62.5 kg or about 138 lbs. If the mass being moved is twice that, then the energy required is doubled. So the energy required to walk or run 1 mile is 100 diet calories if the person is 138lbs and is 200 if the person is 276lb. This is the reason why cardio equipment in a gym asks for your weight. The machine uses this to calculate the calories expended value it displays.
Yes and the actual effect of the running or even walking a mile is not just the loss of calories. There is a chemical change happening in the body that can be measured in the blood.

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Sludge
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Re: What Do You Think of BMI?

Post by Sludge » Sat Mar 29, 2014 2:35 pm

Rustsmith wrote:... 200 if the person is 276lb.
I'm talking running, as in a gaggle of people;

not stampeding, as in a herd of buffalo...
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Sludge
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Re: What Do You Think of BMI?

Post by Sludge » Sat Mar 29, 2014 2:41 pm

Hang Fire wrote:
Hang Fire wrote: From my "walks about town", I would say about 70% of women over fifty are obese. Just form a voting bloc and vote no respect and no medical care for the skinnies.

OK Sludge, so it is only about 40%.

But that 40% is taking up 70% of the sidewalk space.
Perhaps you could fire your six-shooter into the air and start a stampede. See previous.
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Re: What Do You Think of BMI?

Post by SeekSleep » Sat Mar 29, 2014 4:01 pm

Having alternated between bodybuilding and endurance exercise on a hard core level for most of the last 40 years I don’t think very highly of BMI calculations, or nutrition “Science” for that matter either. I’ve spent way to much money on assorted books on the subject over the years, and while there are tons of theories, the science behind them is sorely lacking, as is the so called consensus as to what “Healthy” is.

Back to BMI, I was hospitalized for 3 days in 1987 when a combination of a long training day (collapsed 8 miles into a run right after 111 miles on a bicycle) resulted in dehydration, which coupled with an estimated bodyfat level of around 3 percent threw my heart into rhythm fits, and messed my blood chemistry up something fierce. The doctors had me discontinue all exercise till I got my bodyfat up over 8 percent using their caliper based estimates. By the BMI charts I was into the overweight range even at the dehydrated weight I was at when I collapsed. Right now, if you use a BMI calculator it comes out to my being in the normal range even though by any other standard you’d have to say I’m overweight. More importantly in my opinion, my fitness level isn’t where it should be at the moment so even though my BMI numbers are lower than what they generally are when I’m fit, my lack of fitness more than likely puts me at a higher risk of medical issues.

My conclusion, BMI isn’t worth much on its own, although I think an accurate body fat measurement would be of great help in in managing your health. If only they could actually make one of those body fat scales that worked.

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Re: What Do You Think of BMI?

Post by Hang Fire » Sun Mar 30, 2014 6:32 am

I was hospitalized for 3 days in 1987 when a combination of a long training day (collapsed 8 miles into a run right after 111 miles on a bicycle) resulted in dehydration, which coupled with an estimated bodyfat level of around 3 percent threw my heart into rhythm fits, and messed my blood chemistry up something fierce.
Surely you don't expect us to take seriously the opinions of a person who treats their own health like that?

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Re: What Do You Think of BMI?

Post by kai1211 » Sun Mar 30, 2014 9:00 am

Joe_0206 wrote:Hello again fellow x-PAPers,

In my opinion the BMI is wrong. I think the idea is sound; it’s the numbers that drive me nuts. Am I overweight? Yes. I'm a 55 year old male, weight 211 at 5’8”. But according to the BMI, to be healthy I need to lose close to 100 lbs. I can see 20 – 30 lbs., but 100? That’s crazy.
Defined by Wikipedia:
  • The body mass index (BMI), or Quetelet index, is a measure for human body shape based on an individual's mass and height.

    Devised between 1830 and 1850 by the Belgian polymath Adolphe Quetelet during the course of developing "social physics", it is defined as the individual's body mass divided by the square of their height – with the value universally being given in units of kg/m2.
So, should a 160+ year old method of calculating someone’s healthy weight still be relevant today?

All the doctors believe in it. My health insurance believes in it. I guess I’ll have to believe in it too. Exercise, low carbs, no sugar, blah blah blah.

Are any of you trying methods of weight loss that seem to work? What about replacing a meal with Slim Fast or Ensure?

What works for you?

Joe

That is crazy it me that sounds like way too much.

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Re: What Do You Think of BMI?

Post by Guest » Sun Mar 30, 2014 9:20 am

SeekSleep wrote:I was hospitalized for 3 days in 1987 when a combination of a long training day (collapsed 8 miles into a run right after 111 miles on a bicycle) resulted in dehydration,
so you dont think it was the dehydration which caused the collapse

then ..
SeekSleep wrote:threw my heart into rhythm fits, and messed my blood chemistry up something fierce.

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Re: What Do You Think of BMI?

Post by robysue » Sun Mar 30, 2014 9:56 am

Joe_0206 wrote:Hello again fellow x-PAPers,

In my opinion the BMI is wrong. I think the idea is sound; it’s the numbers that drive me nuts. Am I overweight? Yes. I'm a 55 year old male, weight 211 at 5’8”. But according to the BMI, to be healthy I need to lose close to 100 lbs. I can see 20 – 30 lbs., but 100? That’s crazy.
You don't need to lose close to 100 pounds to get your BMI into the "healthy" range.

Using this on-line BMI calculator from the NIH with a height of 5'8" and a weight of 211, the BMI = 32.1, which does put you into the "Obese" range. But a "normal" BMI is between 18.5 and 24.9. At 161 pounds, your BMI is 24.5. At 164 pounds, your BMI is 24.9, the top end of the "normal" range.

So on paper, you need to lose approximately 50 pounds (not close to 100) in order to get the BMI into the normal range.

That said: There are real limitations to using BMI and nothing else to determine the appropriate weight for an individual. The main one being that the BMI doesn't take into account the variability of bone mass, sex, or the fact that a given volume of muscle weighs more than the same volume of fat.

And finally, for what it's worth, the BMI is (usually) more generous (in both directions) than the old Metropolitan Life Insurance Company tables of "ideal weight" that were used for decades, particularly for those of us with "small" or "medium" frames. You can see these charts at
Chart for MEN
Chart for WOMEN

For a 5'1" woman (like me) the old charts indicate:
  • "small frame" (like me): weight should be between 101 and 109.
  • "medium frame" (like most people): weight should be between 106 and 118.
  • "large frame": weight should be between 114 and 130
[/list]The BMI calculation says the weight of a 5'1" person should be between 98 and 132.

For a 5'8" male, like Joe, the old charts indicate:
  • "small frame": weight should be between 129 and 138.
  • "medium frame" (like most people): weight should be between 135 and 149.
  • "large frame": weight should be between 144 and 163
[/list]The BMI calculation says the weight of a 5'8" person should be between 122 and 164.

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Re: What Do You Think of BMI?

Post by SeekSleep » Tue Apr 01, 2014 6:31 pm

Guest wrote:
SeekSleep wrote:I was hospitalized for 3 days in 1987 when a combination of a long training day (collapsed 8 miles into a run right after 111 miles on a bicycle) resulted in dehydration,
so you dont think it was the dehydration which caused the collapse

then ..
SeekSleep wrote:threw my heart into rhythm fits, and messed my blood chemistry up something fierce.
According to the cardiologist at the hospital, dehydration pushed me over the edge on that day, but the low bodyfat is what screwed my blood chemistry up to a large extent and made it hard to stabilize me. I ended up on meds, light training, and close monitoring for almost a year.

As for how I got into the stupid mess. Young military guy in Europe, got heavily into bicycling, doing rides like John Ogroats to lands End (Tip of Scotland to bottom tip of England), a distance of over 900 miles in 7 days. Also spent several hours a week in the gym. Moved to California, changed focus to bodybuilding for a couple years, much lighter on aerobic work. Immediately following a bodybuilding competition I was already late in starting training for a triathlon I wanted to enter so I pushed too hard with the aerobics, while still trying to do a fair bit in the gym. Result was my bodyfat dropped instead of climbing back up from an already low bodybuilding completion weight which isn’t sustainable to begin with. Overtraining, too low of bodyfat, and dehydration resulted in almost terminal results while still at a bodyweight considered overweight by BMI calculations.

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