Body Mass Index

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Contents

Introduction

  • BMI = mass in kg/ height in m2
  • (weight in kg divided by square of height in meters)
  • Normal: 22-25 kg/m2

* BMI 27-30 kg/m2 = mild obesity 
*     30-35 kg/m2 = moderate obesity 
*       >35 kg/m2 = severe obesity



  • A BMI calculator is available on the internet [3]
  • waist/hip ratio may be a better predictor of cardiovascular risk

Pathology

  • low & high body mass index associated with increased mortality [4]
  • for BMI > 25, every 5-unit increase in BMI translates to:
  • 30% increased risk for all-cause mortality
  • 40% higher risk for death from cardiovascular disease
  • 60-120% increase in mortality due to renal disease, liver disease or diabetes
  • 10% increased risk for cancer-related deaths
  • for BMI < 22, increased mortality is partly due to smoking

* Risk of all-cause mortality by BMI [5] 
* BMI                     Hazzard Ratio 
* 15.0-18.4.............. 1.5 
* 18.5-19.9.............. 1.1 
* 20.0-22.4.............. 1.0 
* 22.5-24.9.............. 1.0 
* 25.0-29.9.............. 1.1 
* 30.0-34.9.............. 1.4 
* 35.0-39.9.............. 1.9 
* 40.0-49.9.............. 2.5


Genetics

Indications

More General Terms

Additional Terms

Internet Database

OMIM: 606641

References

  1. Guide to Ambulatory Care, Brian Yee, Bristol Meyers Squibb, 1997
  2. Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 693-94
  3. BMI calculator [1]
  4. Prospective Studies Collaboration Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies The Lancet 2009, Vol 373:(9669)1083-1096 [2]
  5. Berrington de Gonzalez A et al Body-Mass Index and Mortality among 1.46 Million White Adults N Engl J Med. 2010 Dec 2;363(23):2211-9. <PubMed> PMID: [3] <Internet> [4]

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