An individual’s weight in kilograms divided by the square of the height in meters. Also called the Quetelet index. Abbr. BMI. The index is often used to describe how much fat an individual is carrying, but it can be misleading if the person is a heavily muscled athlete.
The U.S. National Heart, Lung and Blood Institute uses the body mass index to classify obesity:¹
|Underweight||less than 18.5|
|Extreme obesity||III||40 and above|
The BMI is not the only obesity-related factor that indicates increased risk of disease. Another, independent, factor is waistline, since those who deposit fat around the hips (the pear-shaped) are at less risk than those who deposit it around the waist (the apple-shaped). Men with a waist larger than 40 inches, and women with waists over 35 inches, are at greater risk than individuals with the same BMI but waists below those limits.
1. National Heart, Lung and Blood Institute.
Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults.
Washington, DC: NHLBI, 1998.
A study of 68,421 women found that “Compared with women with BMI <25 kg/m², the multivariate-adjusted relative risk (RR) for women with BMI > 40 was 1.25 (95% confidence interval [CI], 1.14-1.37).” The hearing losses were self-reported.
Sharon G. Curhan, Roland Eavey, Molin Wang, Meir J. Stampfer and Gary C. Curhan.
Body Mass Index, Waist Circumference, Physical Activity, and Risk of Hearing Loss in Women.
The American Journal of Medicine, vol. 126, issue 12, pages 1142.e1-1142.e8, December 2013.
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Last revised: 8 February 2014.