Primary Care
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It’s normal for our weight to fluctuate, but if you’ve gained a few pounds, you might be concerned about whether youโre at a healthy weight. There are several ways to measure this.
Two of the most common are body mass index (BMI) and body fat percentage.
Body mass index
โWe often use BMI because itโs very straightforward,โ says Dr. Christopher Holloway, a primary care provider. โIt can be easily calculated in a gym or doctorโs office.โ
BMI is a simple calculation: your weight divided by your height squared. This means BMI calculators are plentiful. There are numerous apps and online calculators available to help you.
The American Council on Exercise categorizes BMI as
- Underweight: 18.5 or lower
- Normal: 18.6 to 24.9
- Overweight: 25 to 29.9
- Obese: 30 or higher
However, Dr. Holloway explains, โBMIโs downfall is that itโs based on only two pieces of information, and human beings are complex. It doesnโt consider body structure, racial differences, or even sex differences. So, there are inaccuracies. For example, someone very muscular could be classified as overweight.โ
Body fat percentage
On the other hand, body fat percentage measures body composition. โIt breaks your total body weight into categories,โ Dr. Holloway says. โHow much of your weight is lean body massโbones, tissue, organs, muscle? And how much is fat?โ
There are several ways to determine this, including imaging tests, hydrostatic measurements (water displacement in a tub), and body measurement calipersโmany of which require help from a professional (doctor, personal trainer, etc.) with special equipment or facilities, some of which can be rather expensive.
Dr. Holloway recommends bioelectrical impedance analysis (BIA), an affordable technology that uses electrical currents to measure the amount of water density in various body parts.
โItโs probably the best balance of convenience and expense,โ Dr. Holloway says. โBIA has been incorporated into many โsmart scalesโ that can be purchased fairly inexpensively and used at home. You measure your body composition by standing on special metal plates embedded in the scale. For $25 to $50, smart scales are a good option.โ
โThey might not be as accurate as some other methods,โ he adds. โBut those other methods are less convenient and more expensive. Itโs perfect for a regular, everyday person. If you use the scale consistently, itโs useful as a data point.โ
Knowing your numbers
Once you know your numbers, the appropriate range for you will depend on your sex, age, and other factors.
Dr. Holloway recommends discussing your BMI and body fat percentage with your primary care provider, who can help you get started tracking your numbers and interpreting the results. โThe value is in trending these things over time,โ he says.