What To Use Instead of BMI?

Body Mass Index (BMI) is a measure of body fat based on height and weight that applies to adult men and women. The formula to calculate BMI is weight in kilograms divided by height in meters squared. BMI is widely used to assess the health risks associated with weight but has received significant criticism as it may not accurately reflect a person’s health status. This article explores some of the alternative measurements that can be used instead of BMI.

Waist-to-Hip Ratio (WHR)

The waist-to-hip ratio is a simple and effective tool that can be used to assess the risk of cardiovascular disease and metabolic syndrome. The measurement is calculated by dividing the circumference of the waist by that of the hips. A WHR of greater than 1.0 for men and 0.85 for women is considered to be high, indicating an increased risk of heart disease and other health issues.

Body Fat Percentage (BFP)

Body fat percentage is a more accurate indicator of health status than BMI as it takes into account the amount of body fat, rather than just weight. The measurement can be taken using various methods, including skinfold calipers, bioelectrical impedance analysis (BIA), and dual-energy x-ray absorptiometry (DEXA). The ideal body fat percentage varies based on gender, age, and fitness level. Women generally have a higher body fat percentage than men, with healthy ranges varying from 21% to 33% for women and 8% to 24% for men.

Lean Body Mass (LBM)

Lean body mass is a measure of the weight of the body that is not fat. This includes bones, muscles, and organs. LBM can be used to determine a person’s basal metabolic rate (BMR), which is the number of calories the body burns at rest. The more LBM a person has, the higher their BMR, and the more calories they burn even when not exercising. LBM can be measured using various methods, including bioelectrical impedance analysis, DEXA, and underwater weighing.

Waist Circumference

Waist circumference is a simple and easy measurement that can be used to assess the risk of obesity-related diseases. The measurement is taken at the narrowest point of the waist, usually just above the navel. A waist circumference of more than 40 inches in men and 35 inches in women indicates an increased risk of heart disease, diabetes, and other health problems.

Skinfold Thickness

Skinfold thickness is a measurement taken using calipers to measure the thickness of a fold of skin and the underlying layer of fat. This measurement can be used to estimate body fat percentage. The measurement is taken at various points on the body, including the triceps, biceps, shoulder blade, and thigh. Skinfold thickness is commonly used in fitness assessments and body composition analysis.

Bioelectrical Impedance Analysis (BIA)

Bioelectrical impedance analysis measures the resistance of the body’s tissues to the flow of an electrical current. This measurement can be used to estimate body fat percentage, lean body mass, and water content. BIA is a quick and non-invasive method that can be done in a doctor’s office or at home using a BIA scale or handheld device. The accuracy of BIA can be affected by hydration levels and other factors, so it is important to follow the instructions carefully when taking the measurement.

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Dual-Energy X-ray Absorptiometry (DEXA)

Dual-energy x-ray absorptiometry is a highly accurate method for measuring body composition. The measurement uses two x-ray beams of different energies to distinguish between fat, muscle, and bone. DEXA can be used to determine body fat percentage, bone density, and lean body mass. The measurement takes only a few minutes and is usually performed at a medical facility. However, DEXA is expensive and not widely available, making it less accessible to most people.

Body Mass Index (BMI) vs. Alternative Measurements

While BMI is a widely used measurement for assessing weight-related health risks, it has some limitations. BMI does not differentiate between muscle mass and fat mass, making it an inaccurate measure of body composition. Additionally, BMI does not take into account factors such as age, gender, and ethnicity, which can affect health outcomes.

Alternative measurements, such as body fat percentage and waist-to-hip ratio, provide a more accurate assessment of health risks associated with weight. These measurements take into account factors such as body composition and fat distribution, which are important in determining the risk of obesity-related diseases.


In conclusion, several alternative measurements can be used instead of BMI to assess weight-related health risks. These measurements, such as body fat percentage, waist-to-hip ratio, and lean body mass, provide a more accurate assessment of a person’s health status. While BMI remains a widely used measurement, it is important to consider alternative measurements for a more comprehensive understanding of a person’s health risks. Consulting with a healthcare provider can help determine which measurement is most appropriate for an individual’s health needs.

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