Body Mass Index: Obesity, BMI, and Health A Critical Review
Open accessAbstract
The body mass index (BMI) is the metric currently in use for defining anthropometric height/weight characteristics in adults and for classifying (categorizing) them into groups. The common interpretation is that it represents an index of an individual's fatness. It also is widely used as a risk factor for the development of or the prevalence of several health issues. In addition, it is widely used in determining public health policies.The BMI has been useful in population-based studies by virtue of its wide acceptance in defining specific categories of body mass as a health issue. However, it is increasingly clear that BMI is a rather poor indicator of percent of body fat. Importantly, the BMI also does not capture information on the mass of fat in different body sites. The latter is related not only to untoward health issues but to social issues as well. Lastly, current evidence indicates there is a wide range of BMIs over which mortality risk is modest, and this is age related. All of these issues are discussed in this brief review.
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BMI was developed originally from a single sample of White, middle-aged European men.
“BMI was developed originally from a single sample of White, middle-aged European men [3].”
From Advantages and Limitations of the Body Mass Index (BMI) to Assess Adult Obesity (2024) · cites this paper as [3]
The “Lambert Adolph Jacque Quetelet” section says Quetelet identified the weight-to-height-squared relationship in normal young adults, and “Mathematical Adjustment of Body Build” says he developed the Quetelet Index in the 1800s. Our copy does not say it came from a single sample of White European men; its description of young adults also conflicts with “middle-aged.” No page numbers were supplied for these passages. (LLM, conf=0.84)
Experimental — accuracy not yet measuredBMI cutoff values for categories have fluctuated over the past century depending on the given year and guideline document.
“Cutoff values for categories have fluctuated over the past century, depending upon the given year and guideline document (Table 1).”
From Advantages and Limitations of the Body Mass Index (BMI) to Assess Adult Obesity (2024) · cites this paper as [3]
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Cites
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Wu, Y., Li, D., & Vermund, S. H. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21060757 · Cited by 332 · see citing works
“In contrast, the WHO classified people with a BMI be-tween 20 and 24.9 kg/m 2 as having normal weight, those with a BMI between 25 and 29.9 kg/m 2 as overweight, and those with a BMI greater than 30 kg/m 2 as obese [3].”
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Obesity and weight gain in persons with HIV
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Smartphone camera based assessment of adiposity: a validation study
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The link between depression, eating behaviors and body mass index
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- Authors
- Nuttall, F. Q.
- Affiliations
- University of Minnesota (US)
- Corresponding author
- Nuttall, Frank Q.
- Venue
- Nutrition Today
- Published
- 2015-05
- Volume
- 50
- Issue
- 3
- Pages
- 117-128
- ISSN
- 0029-666X (ISSN-L)
- PMC
- PMC4890841
- OpenAlex
- W2506392965
- Cited by
- 2,284
- References
- 7
- Citations by year
- 2026: 248 · 2025: 359 · 2024: 341 · 2023: 379 · 2022: 307 · 2021: 246 · 2020: 183 · 2019: 128 · 2018: 63 · 2017: 24 · 2016: 3 · 2015: 1
- FWCI
- 22.35
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Nutrition Today (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- body mass index, obesity classification, anthropometry, body fat percentage, regional fat distribution, mortality risk, age-related mortality, health risk factors, public health policy
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