Dr.R.Kalidasan
Assistant Professor (SG)
Department of Physical Education
Bharathidasan University
Tiruchirappalli-620 024
BODY MASS INDEX (BMI)
18/5/2017 BMI - Kalidasan
Body Mass Index [BMI] (or) Quetelet index
It is calculated from once height and weight.
BMI is measure of body fat based on height
and weight.
It is a useful measure of
 overweight
 obesity
28/5/2017 BMI - Kalidasan
BMI is an estimate of
body fat
a good gauge of once risk for
diseases that can occur with more
body fat
38/5/2017 BMI - Kalidasan
Adolphe Quetelet
Belgian
Astronomer
Mathematician
Statistician
Sociologist
Lambert Adolphe Jacques Quetelet
(22.02.1796 – 17.02.1874)
BMI initially devised by Adolphe Quetelet & he called
it as “Social Physics”(1830-1850).
48/5/2017 BMI - Kalidasan
Ancel Keys
American scientist
Diet and Health
Coined the term “Body mass
index” in his paper
Published in ‘Journal of
Chronic Diseases’- July 1972
Ancel Benjamin Keys
(26.01.1904 – 20.11.2004)
58/5/2017 BMI - Kalidasan
8/5/2017 BMI - Kalidasan 6
Legislation
In France, Israel, Italy and Spain, legislation has
been introduced banning usage of fashion
show models having a BMI below 18.
In Israel, a BMI below 18.5 is banned.
This is done in order to fight anorexia among
models and people interested in fashion.
The BMI is an attempt to quantify the amount
of tissue mass (muscle, fat, and bone) in an
individual, and then categorize that person as
underweight
normal weight
overweight or
obese
based on that value.
78/5/2017 BMI - Kalidasan
88/5/2017 BMI - Kalidasan
The BMI is universally expressed in kg/m2,
resulting from mass in kilograms and height in
metres.
If pounds and inches are used, a conversion
factor of 703 (kg/m2)/(lb/in2) must be applied.
98/5/2017 BMI - Kalidasan
When the term BMI is used informally,
the units are usually omitted.
108/5/2017 BMI - Kalidasan
8/5/2017 BMI - Kalidasan 11
BMI Categories
Underweight = <18.5
Normal weight = 18.5–24.9
Overweight = 25–29.9
Obesity = BMI of 30 or greater
128/5/2017 BMI - Kalidasan
These ranges of BMI values are valid only
as statistical categories.
Category BMI (kg/m2) BMI Prime
from to from to
Very severely underweight 15.0 0.60
Severely underweight 15 16 0.60 0.64
Underweight 16 18.5 0.64 0.74
Normal (healthy weight) 18.5 25 0.74 1.0
Overweight 25 30 1.0 1.2
Obese Class I (Moderately obese) 30 35 1.2 1.4
Obese Class II (Severely obese) 35 40 1.4 1.6
Obese Class III (Very severely obese) 40 1.6
138/5/2017 BMI - Kalidasan
BMI Categories
148/5/2017 BMI - Kalidasan
158/5/2017 BMI - Kalidasan
Limitations
Although BMI can be used for most men and
women, it does have some limits:
•It may overestimate body fat in athletes and
others who have a muscular build.
•It may underestimate body fat in older
persons and others who have lost muscle.
•Above calculation shouldn’t be used for
pregnant women or children.
168/5/2017 BMI - Kalidasan
8/5/2017 BMI - Kalidasan 17
BMI is a useful measurement for most people
over 18 years old.
The BMI adds roughly 10% for a large (or tall)
frame and subtracts roughly 10% for a smaller
frame (short stature).
But it is only an estimate and it doesn’t take
into account
gender
age
ethnicity
body composition
8/5/2017 BMI - Kalidasan 18
Alternative methods
Body composition for athletes is often better
calculated using measures of body fat, as
determined by such techniques as
Skinfold measurements
Underwater weighing
the limitations of manual measurement have
also led to new, alternative methods to
measure obesity, such as the body volume
index.
Corpulence index for Sports person
198/5/2017 BMI - Kalidasan
Category BMI (kg/m2)
From To
Low 18.5
Normal 18.5 25
Obese (Level 1) 25 30
Obese (Level 2) 30 35
Obese (Level 3) 35 40
Obese (Level 4) 40
Japan
Japan Society for the Study of Obesity (2000)
208/5/2017 BMI - Kalidasan
Category BMI (kg/m2)
from to
Underweight 18.5
Normal Range 18.5 23
Overweight—At Risk 23 25
Overweight—Moderately Obese 25 30
Overweight—Severely Obese 30
Hong Kong
The Hospital Authority of Hong Kong recommends - BMI ranges
218/5/2017 BMI - Kalidasan
228/5/2017 BMI - Kalidasan
238/5/2017 BMI - Kalidasan
Underweight (BMI of less than 18.5)
•Malnutrition
•Eating disorder
•Other health problems
248/5/2017 BMI - Kalidasan
The higher the BMI, the greater the
risk of certain diseases, including
Hypertension (high blood pressure)
Coronary heart disease
Gallbladder disease
Breathing problems
Dyslipidemia
Stroke
Osteoarthritis
Certain cancers–breast, colon & so on
Type 2 diabetes
258/5/2017 BMI - Kalidasan
8/5/2017 BMI - Kalidasan 26
Category BMI Prime
Underweight Below 0.74
Normal (healthy weight) 0.74 to 1.00
Overweight 1.00 & above
BMI Prime
A modification of the BMI system, is the ratio of
actual BMI to upper limit optimal BMI (currently
defined at 25 kg/m2).
For instance, a person with BMI 34 kg/m2 has a BMI
Prime of 34/25 = 1.36, and is 36% over their upper
mass limit.
Upper limit optimal BMI values varies region to region.
8/5/2017 BMI - Kalidasan 27
Modified body mass index (mBMI)
The mBMI can be obtained by multiplying
the BMI by serum albumin, in grams per
litre.
8/5/2017 BMI - Kalidasan 28
OVERWEIGHT AND OBESITY - MANAGEMENT
Lifestyle change
Exercise to burn fat
Exercise for overweight or obesity
Yoga
298/5/2017 BMI - Kalidasan
308/5/2017 BMI - Kalidasan
Waist Circumference
Helps - screen for possible health risks that
come with overweight and obesity.
This risk goes up with a waist size that is greater
than 35 inches for women or greater than 40
inches for men.
Higher risk for heart disease and type 2 diabetes
318/5/2017 BMI - Kalidasan
Risk factors for diseases and conditions
associated with obesity
•High blood pressure (hypertension)
•High LDL cholesterol ("bad" cholesterol)
•Low HDL cholesterol ("good" cholesterol)
•High triglycerides
•High blood glucose (sugar)
•Family history of premature heart disease
•Physical inactivity
•Cigarette smoking
328/5/2017 BMI - Kalidasan
338/5/2017 BMI - Kalidasan
?
348/5/2017 BMI - Kalidasan
Fitness
strength
condition
suitability
adaptability
Fitness level varies individual to individual.
Fitness has become a national concern.
Exercises or physical activity are basically cost
effective medicine.
358/5/2017 BMI - Kalidasan
Fitness – Benefits
Efficiency in work and performance
Resistance to Disease
Efficient functional of various systems of the body
Aging process and longevity
Proportionate development of body
Mental Health & Alertness
Preparedness for emergency
Success in Games and Sports
Fitness is one’s richest passion. It cannot be purchased, but
it is to be earned through daily routine of Physical exercise.
368/5/2017 BMI - Kalidasan
Exercise
‘exercise’ - as an orderly or systematic
movement of body part/s with
or without equipments with an
objective of better performance
Generally exercises are focused on improving the
motor qualities; rhythm etc and most of the exercises
are repeated to get perfection.
8/5/2017 BMI - Kalidasan 37
Sport (or sports) - competitive activity
8,000 Sport disciplines*
*World Sports Encyclopedia (2003)
388/5/2017 BMI - Kalidasan
To develop sports culture among our people.
Mass participation in sports and games is to be
encouraged.
Sports Infrastructure is to be developed in all
school, college, universities, district, taluks,
municipalities and panchayats.
8/5/2017 BMI - Kalidasan 39
8/5/2017 BMI - Kalidasan 40
Anthropology
Human Biology
Anthropometry
Kinanthropometry
Kinanthropometry is a specialized science which link human
structure and function measuring body dimensions such as
height, weight, body composition, shape and proportion.
Sports Anthropometry
8/5/2017 BMI - Kalidasan 41
The International Society for the Advancement of
Kinanthropometry (ISAK) was formed in 1986.
ISAK has developed international standards for
anthropometric assessment and an International
anthropometry accreditation scheme.
The accreditation scheme is based on the concept of a four
level hierarchy Level I, II, III & IV which has value for four
years.
So far more over 3000 anthropometrists from over 49
countries have been accredited in anthropometric
measurement techniques under this scheme.
8/5/2017 BMI - Kalidasan 42
8/5/2017 BMI - Kalidasan 43
ANTHROPOMETRIC PROFILING
Presently, the following 39 measurements shall constitute full
anthropometric profiling. The measurements are divided into five
broad categories: Basic, Skinfolds, Girths, Lengths and Breadths.
Basic Skinfolds Girths Lengths Breadths
Mass
Stature
Sitting height
Triceps
Sub scapular
Biceps
Iliac Crest
Supraspinale
Abdominal
Front thigh
Medial calf
Head
Neck
Arm (relax)
Arm (flexed and tensed)
Forearm (maximum)
Wrist (distal styloids)
Chest (mesosternale)
Waist (minimum)
Gluteal (hips)
Thigh (1 cm gluteal)
Thigh (mid-troch-tib.
Lat.)
Calf (maximum)
Ankle (minimum)
Acromiale-radiale
Radiale-stylion
Midstylion-dactylion
Iliospinale height
Trochanterion height
Trochanterion-tibiale laterale
Tibiale laterale height
Tibiale mediale-sphyrion
tibiale
Biacromial
Biiliocristal
Foot length
Transverse chest
A-P chest depth
Humerus
Femur
In future the number of measurement may likely to increase.
448/5/2017 BMI - Kalidasan
8/5/2017 BMI - Kalidasan 45
BMI cut-offs as per new recommendations
BMI of 23 kg/m2 will now be considered
overweight (compared to the earlier level of
25).
BMI of 25 will be considered clinically obese
(compared to the earlier level of 30).
The waist circumference considered unhealthy
for Indian men is now 90cm or 35.4” (it is
102cm/40.1” globally) and 80cm or 31.5” for
Indian women (as opposed to 88cm/34.6”).
8/5/2017 BMI - Kalidasan 46

Body Mass Index

  • 1.
    Dr.R.Kalidasan Assistant Professor (SG) Departmentof Physical Education Bharathidasan University Tiruchirappalli-620 024 BODY MASS INDEX (BMI) 18/5/2017 BMI - Kalidasan
  • 2.
    Body Mass Index[BMI] (or) Quetelet index It is calculated from once height and weight. BMI is measure of body fat based on height and weight. It is a useful measure of  overweight  obesity 28/5/2017 BMI - Kalidasan
  • 3.
    BMI is anestimate of body fat a good gauge of once risk for diseases that can occur with more body fat 38/5/2017 BMI - Kalidasan
  • 4.
    Adolphe Quetelet Belgian Astronomer Mathematician Statistician Sociologist Lambert AdolpheJacques Quetelet (22.02.1796 – 17.02.1874) BMI initially devised by Adolphe Quetelet & he called it as “Social Physics”(1830-1850). 48/5/2017 BMI - Kalidasan
  • 5.
    Ancel Keys American scientist Dietand Health Coined the term “Body mass index” in his paper Published in ‘Journal of Chronic Diseases’- July 1972 Ancel Benjamin Keys (26.01.1904 – 20.11.2004) 58/5/2017 BMI - Kalidasan
  • 6.
    8/5/2017 BMI -Kalidasan 6 Legislation In France, Israel, Italy and Spain, legislation has been introduced banning usage of fashion show models having a BMI below 18. In Israel, a BMI below 18.5 is banned. This is done in order to fight anorexia among models and people interested in fashion.
  • 7.
    The BMI isan attempt to quantify the amount of tissue mass (muscle, fat, and bone) in an individual, and then categorize that person as underweight normal weight overweight or obese based on that value. 78/5/2017 BMI - Kalidasan
  • 8.
    88/5/2017 BMI -Kalidasan
  • 9.
    The BMI isuniversally expressed in kg/m2, resulting from mass in kilograms and height in metres. If pounds and inches are used, a conversion factor of 703 (kg/m2)/(lb/in2) must be applied. 98/5/2017 BMI - Kalidasan
  • 10.
    When the termBMI is used informally, the units are usually omitted. 108/5/2017 BMI - Kalidasan
  • 11.
    8/5/2017 BMI -Kalidasan 11
  • 12.
    BMI Categories Underweight =<18.5 Normal weight = 18.5–24.9 Overweight = 25–29.9 Obesity = BMI of 30 or greater 128/5/2017 BMI - Kalidasan
  • 13.
    These ranges ofBMI values are valid only as statistical categories. Category BMI (kg/m2) BMI Prime from to from to Very severely underweight 15.0 0.60 Severely underweight 15 16 0.60 0.64 Underweight 16 18.5 0.64 0.74 Normal (healthy weight) 18.5 25 0.74 1.0 Overweight 25 30 1.0 1.2 Obese Class I (Moderately obese) 30 35 1.2 1.4 Obese Class II (Severely obese) 35 40 1.4 1.6 Obese Class III (Very severely obese) 40 1.6 138/5/2017 BMI - Kalidasan
  • 14.
  • 15.
  • 16.
    Limitations Although BMI canbe used for most men and women, it does have some limits: •It may overestimate body fat in athletes and others who have a muscular build. •It may underestimate body fat in older persons and others who have lost muscle. •Above calculation shouldn’t be used for pregnant women or children. 168/5/2017 BMI - Kalidasan
  • 17.
    8/5/2017 BMI -Kalidasan 17 BMI is a useful measurement for most people over 18 years old. The BMI adds roughly 10% for a large (or tall) frame and subtracts roughly 10% for a smaller frame (short stature). But it is only an estimate and it doesn’t take into account gender age ethnicity body composition
  • 18.
    8/5/2017 BMI -Kalidasan 18 Alternative methods Body composition for athletes is often better calculated using measures of body fat, as determined by such techniques as Skinfold measurements Underwater weighing the limitations of manual measurement have also led to new, alternative methods to measure obesity, such as the body volume index. Corpulence index for Sports person
  • 19.
  • 20.
    Category BMI (kg/m2) FromTo Low 18.5 Normal 18.5 25 Obese (Level 1) 25 30 Obese (Level 2) 30 35 Obese (Level 3) 35 40 Obese (Level 4) 40 Japan Japan Society for the Study of Obesity (2000) 208/5/2017 BMI - Kalidasan
  • 21.
    Category BMI (kg/m2) fromto Underweight 18.5 Normal Range 18.5 23 Overweight—At Risk 23 25 Overweight—Moderately Obese 25 30 Overweight—Severely Obese 30 Hong Kong The Hospital Authority of Hong Kong recommends - BMI ranges 218/5/2017 BMI - Kalidasan
  • 22.
  • 23.
  • 24.
    Underweight (BMI ofless than 18.5) •Malnutrition •Eating disorder •Other health problems 248/5/2017 BMI - Kalidasan
  • 25.
    The higher theBMI, the greater the risk of certain diseases, including Hypertension (high blood pressure) Coronary heart disease Gallbladder disease Breathing problems Dyslipidemia Stroke Osteoarthritis Certain cancers–breast, colon & so on Type 2 diabetes 258/5/2017 BMI - Kalidasan
  • 26.
    8/5/2017 BMI -Kalidasan 26 Category BMI Prime Underweight Below 0.74 Normal (healthy weight) 0.74 to 1.00 Overweight 1.00 & above BMI Prime A modification of the BMI system, is the ratio of actual BMI to upper limit optimal BMI (currently defined at 25 kg/m2). For instance, a person with BMI 34 kg/m2 has a BMI Prime of 34/25 = 1.36, and is 36% over their upper mass limit. Upper limit optimal BMI values varies region to region.
  • 27.
    8/5/2017 BMI -Kalidasan 27 Modified body mass index (mBMI) The mBMI can be obtained by multiplying the BMI by serum albumin, in grams per litre.
  • 28.
    8/5/2017 BMI -Kalidasan 28 OVERWEIGHT AND OBESITY - MANAGEMENT Lifestyle change Exercise to burn fat Exercise for overweight or obesity Yoga
  • 29.
  • 30.
    308/5/2017 BMI -Kalidasan Waist Circumference Helps - screen for possible health risks that come with overweight and obesity. This risk goes up with a waist size that is greater than 35 inches for women or greater than 40 inches for men. Higher risk for heart disease and type 2 diabetes
  • 31.
  • 32.
    Risk factors fordiseases and conditions associated with obesity •High blood pressure (hypertension) •High LDL cholesterol ("bad" cholesterol) •Low HDL cholesterol ("good" cholesterol) •High triglycerides •High blood glucose (sugar) •Family history of premature heart disease •Physical inactivity •Cigarette smoking 328/5/2017 BMI - Kalidasan
  • 33.
    338/5/2017 BMI -Kalidasan ?
  • 34.
    348/5/2017 BMI -Kalidasan Fitness strength condition suitability adaptability Fitness level varies individual to individual. Fitness has become a national concern. Exercises or physical activity are basically cost effective medicine.
  • 35.
    358/5/2017 BMI -Kalidasan Fitness – Benefits Efficiency in work and performance Resistance to Disease Efficient functional of various systems of the body Aging process and longevity Proportionate development of body Mental Health & Alertness Preparedness for emergency Success in Games and Sports Fitness is one’s richest passion. It cannot be purchased, but it is to be earned through daily routine of Physical exercise.
  • 36.
    368/5/2017 BMI -Kalidasan Exercise ‘exercise’ - as an orderly or systematic movement of body part/s with or without equipments with an objective of better performance Generally exercises are focused on improving the motor qualities; rhythm etc and most of the exercises are repeated to get perfection.
  • 37.
    8/5/2017 BMI -Kalidasan 37 Sport (or sports) - competitive activity 8,000 Sport disciplines* *World Sports Encyclopedia (2003)
  • 38.
    388/5/2017 BMI -Kalidasan To develop sports culture among our people. Mass participation in sports and games is to be encouraged. Sports Infrastructure is to be developed in all school, college, universities, district, taluks, municipalities and panchayats.
  • 39.
    8/5/2017 BMI -Kalidasan 39
  • 40.
    8/5/2017 BMI -Kalidasan 40 Anthropology Human Biology Anthropometry Kinanthropometry Kinanthropometry is a specialized science which link human structure and function measuring body dimensions such as height, weight, body composition, shape and proportion. Sports Anthropometry
  • 41.
    8/5/2017 BMI -Kalidasan 41 The International Society for the Advancement of Kinanthropometry (ISAK) was formed in 1986. ISAK has developed international standards for anthropometric assessment and an International anthropometry accreditation scheme. The accreditation scheme is based on the concept of a four level hierarchy Level I, II, III & IV which has value for four years. So far more over 3000 anthropometrists from over 49 countries have been accredited in anthropometric measurement techniques under this scheme.
  • 42.
    8/5/2017 BMI -Kalidasan 42
  • 43.
    8/5/2017 BMI -Kalidasan 43 ANTHROPOMETRIC PROFILING Presently, the following 39 measurements shall constitute full anthropometric profiling. The measurements are divided into five broad categories: Basic, Skinfolds, Girths, Lengths and Breadths. Basic Skinfolds Girths Lengths Breadths Mass Stature Sitting height Triceps Sub scapular Biceps Iliac Crest Supraspinale Abdominal Front thigh Medial calf Head Neck Arm (relax) Arm (flexed and tensed) Forearm (maximum) Wrist (distal styloids) Chest (mesosternale) Waist (minimum) Gluteal (hips) Thigh (1 cm gluteal) Thigh (mid-troch-tib. Lat.) Calf (maximum) Ankle (minimum) Acromiale-radiale Radiale-stylion Midstylion-dactylion Iliospinale height Trochanterion height Trochanterion-tibiale laterale Tibiale laterale height Tibiale mediale-sphyrion tibiale Biacromial Biiliocristal Foot length Transverse chest A-P chest depth Humerus Femur In future the number of measurement may likely to increase.
  • 44.
  • 45.
    8/5/2017 BMI -Kalidasan 45 BMI cut-offs as per new recommendations BMI of 23 kg/m2 will now be considered overweight (compared to the earlier level of 25). BMI of 25 will be considered clinically obese (compared to the earlier level of 30). The waist circumference considered unhealthy for Indian men is now 90cm or 35.4” (it is 102cm/40.1” globally) and 80cm or 31.5” for Indian women (as opposed to 88cm/34.6”).
  • 46.
    8/5/2017 BMI -Kalidasan 46