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Beyond the Scale: How to Make the Body Mass Index (BMI) Better

In the journey toward optimal health and longevity, understanding and managing our body measurements is crucial.

Afterall, what gets measured gets managed.

However, getting consistent blood work or complete body composition analysis done are not always easily accessible or time efficient.

For the ‘in-between’ times (or lack of access), there are two key metrics, Body Mass Index (BMI) and the Waist-to-Height Ratio (WHtR), that can give you a quick glimpse into your overall health trajectory.

When combined, they offer a more comprehensive picture that can guide us in maintaining or achieving a healthier lifestyle.

Understanding Body Mass Index and Waist-to-Height Ratio

Body Mass Index (BMI) is a simple calculation used to classify individuals into various weight categories. It is calculated by dividing a person's weight in kilograms by the square of their height in meters (kg/m²).

The categories range from underweight to obese, providing a quick way to gauge whether one's weight might pose health risks.

BMI Chart

*Important Note: BMI does not account for lean muscle mass, fat distribution, age, race, gender, etc.

Waist-to-Height Ratio (WHtR), on the other hand, measures the proportion of one's waist circumference to their height. It is calculated by dividing the waist circumference by the height, both in the same units.

A WHtR of 0.5 or below is generally considered indicative of a healthy distribution of body fat.

Example: If someone is 5’5”, that would be 65” in height. Measure around your waist (across your belly button for ease and consistency) and ideally that number should be 0.5 or less of your total height in inches. In this example, that would come to 32.5” or less.

The Synergy of BMI and WHtR

While BMI offers a broad overview of weight-related health risks, it does not account for lean muscle mass, or the distribution of body fat, which is a critical factor in assessing health risks.

This is where WHtR comes in, providing insights into the risk of conditions associated with abdominal obesity, such as cardiovascular diseases, diabetes, and metabolic syndrome.

Combining BMI with WHtR allows for a more nuanced (although still not perfect) understanding of one's health status, considering both overall body fat and its distribution, which more clearly interprets your overall body composition.

Benefits of Monitoring BMI and WHtR

  1. Early Detection of Health Risks: Together, BMI and WHtR can help identify individuals at risk of obesity-related conditions earlier, even if one of the measurements is within a healthy range. This dual approach ensures that potential health issues are not overlooked.

  2. Targeted Health Interventions: Knowing both your BMI and WHtR can help tailor health interventions more effectively. For example, a normal BMI but a high WHtR could prompt specific dietary and exercise interventions focusing on reducing abdominal fat.

  3. Age-related Health Management: As we age, our body composition changes, often leading to an increase in fat mass and a decrease in muscle mass. Regular monitoring of BMI and WHtR can help seniors adjust their lifestyle to mitigate these changes, reducing the risk of age-related diseases.

Health Issues Beyond the Healthy Range

Exceeding the healthy range for BMI and WHtR can lead to various health issues, particularly as we age. Obesity (a high BMI) and abdominal obesity (a high WHtR) are associated with an increased risk of several conditions:

  • Cardiovascular Diseases: Both high BMI and WHtR are linked to an increased risk of hypertension, coronary heart disease, and stroke.


  • Type 2 Diabetes: Excess body fat, especially around the waist, can lead to insulin resistance, a precursor to diabetes.


  • Type 3 Diabetes: A chronic condition that occurs when neurons in the brain are unable to respond to insulin, affecting learning and memory. Potentially leading to severe cognitive decline such as Alzheimer’s disease.


  • Metabolic Syndrome: This syndrome is a cluster of conditions, including high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels, which occur together, increasing your risk of heart disease, stroke, and diabetes.


  • Joint and Muscular Disorders: Excess weight puts additional stress on weight-bearing joints, leading to conditions like osteoarthritis, and can also affect mobility and balance.


As scary as that all sounds (and it should be scary as hell), there are a few key actions you can take to greatly reduce all of these risks and become more awesome than you already are.

How to optimize your BMI and WHtR

1. Eat Smart: Focus on whole foods like fruits, vegetables, and lean proteins. Practice portion control and minimize processed foods and sugars.


Pro Tip: Prioritize protein. One gram per pound of goal weight is the sweet spot for most people. Find out why this is so important here:

2. Move Your Body: Aim for at least 150 minutes of moderate exercise or 75 minutes of intense activity weekly. Include resistance training to build muscle and burn fat.

Pro Tip: Aim for 3 days of resistance training per week and 8,000+ steps per day. More can be awesome, but if you hit these numbers, you’ll be 90+% of the way there.


3. Live with Intention: Prioritize sleep and stress management. This will help to properly regulate your hormonal levels.

Use mindfulness, intentional breathing, yoga, or your own healthy ‘go-to’ method to reduce stress.

Reduce Stress

Tracking your diet and activity can also guide improvements, by recognizing unwanted patterns and developing a clearer picture of what’s actually happening. You may be surprised.


Pro Tip: Three times per day, pause…. Look around…. and just observe your surroundings. You’ll be amazed how calming this can be.


Final Thoughts

In the pursuit of a healthy and fulfilling life (especially in the beginning of your journey), understanding, and managing your BMI and WHtR can be key.


These metrics, when used together, provide a more comprehensive overview of our health status, guiding us towards lifestyle choices that can prevent a host of conditions associated with excess weight and improper fat distribution.


Pro Tip: Regular check-ups (blood work), Vo2max testing, more thorough body composition analysis tests such as Bioelectrical Impedance, Dexa scan, Hydrostatic weighing, etc. are the ‘Gold Standard’ ways to measure overall health.


However, after coaching for many years, I understand there can be a great chasm at times between “optimal” and “practical”.


The BMI and WHtR when fused together, can be simple-to-apply indicators we can use for an early health gauge that you can literally do right now.


And action always beats perfection.


Committed to Your Success,

Coach Michael

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