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Weight Assessment
Health care providers use body mass index (BMI) and waist
circumference measures to assess a person's risk of developing
diabetes, heart disease, or other health problems. This fact sheet
tells you how to measure your BMI and waist circumference, and what
these measures mean for your health.

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Today, 64.5 percent of adults in the U.S. are overweight or
obese. How do you know if you are among them? Two simple
measures, body mass index (BMI) and waist circumference, provide
useful estimates of overweight, obesity, and body fat
distribution.
BMI measures your weight in relation to your height, and is
closely associated with measures of body fat. You can calculate
your BMI using this formula:

For example, for someone who is 5 feet, 7 inches tall and weighs
220 pounds, the calculation would look like this:

A BMI of 18.5 to 24.9 is considered healthy. A person with a BMI
of 25 to 29.9 is considered overweight, and a person with a BMI
of 30 or more is considered obese.
You can also find your weight group on the chart below. The
chart applies to all adults. The higher weights in the healthy
range apply to people with more muscle and bone, such as men.
Even within the healthy range, weight gain could increase your
risk for health problems.

Find your weight on the bottom of the graph. Go straight up
from that point until you come to the line that matches your
height. Then look to jind your weight group. The higher your BMI
is over 25, the greater chance you may have of developing health
problems.
* Without shoesxxxxxx**Without
clothes

Because BMI does not show the difference between fat and muscle,
it does not always accurately predict when weight could lead to
health problems. For example, someone with a lot of muscle (such
as a body builder) may have a BMI in the unhealthy range, but
still be healthy and have little risk of developing diabetes or
having a heart attack.
BMI also may not accurately reflect body fatness in people who
are very short (under 5 feet) and in older people, who tend to
lose muscle mass as they age. But for most people, BMI is a
reliable way to tell if your weight is putting your health at
risk.

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Waist circumference
Excess weight, as measured by BMI, is not the only risk to
your health. So is the location of fat on your body. If you
carry fat mainly around your waist, you are more likely to
develop health problems than if you carry fat mainly in your
hips and thighs. This is true even if your BMI falls within
the normal range. Women with a waist measurement of more than
35 inches or men with a waist measurement of more than 40
inches may have a higher disease risk than people with smaller
waist measurements because of where their fat lies.
To measure your waist circumference, place a tape measure
around your bare abdomen just above your hip bone. Be sure
that the tape is snug, but does not compress your skin, and is
parallel to the floor. Relax, exhale, and measure your waist.

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Extra weight can put you at a higher risk for many health
problems including type 2 diabetes, high blood pressure, and
heart disease.
Extra weight can put you at higher risk for these health
problems:
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type 2 diabetes (high blood sugar)
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high blood pressure
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heart disease and stroke
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some types of cancer
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sleep apnea (when breathing stops for short periods during
sleep)
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osteoarthritis (wearing away of the joints)
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gallbladder disease
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liver disease
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irregular menstrual periods
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If your BMI is between 25 and 30 and you are otherwise
healthy, try to avoid gaining more weight, and look into
healthy ways to lose weight and increase physical activity.
Talk to your health care provider about losing weight if
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your BMI is 30 or above, or
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your BMI is between 25 and 30 and you have:
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two or more of the health problems listed above or
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a family history of heart disease or diabetes, or
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your waist measures over 35 inches (women) or 40 inches
(men)-even if your BMI is less than 25-and you have:
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two or more of the health problems listed above or
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a family history of heart disease or diabetes.
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Weight-control Information Network
1 WIN WAY
BETHESDA, MD 20892-3665
Phone: (202) 828-1025
FAX: (202) 828-1028
E-mail:
win@info.niddk.nih.gov
Internet:
www.niddk.nih.gov/health/nutrit/nutrit.htm
Toll-free number: 1-877-946-4627
The Weight-control Information Network (WIN) is a national
service of the National Institute of Diabetes and Digestive and
Kidney Diseases of the National Institutes of Health, which is
the Federal Government's lead agency responsible for biomedical
research on nutrition and obesity. Authorized by Congress
(Public Law 103-43), WIN provides the general public, health
professionals, the media, and Congress with up-to-date,
science-based health information on weight control, obesity,
physical activity, and related nutritional issues.
WIN answers inquiries, develops and distributes publications,
and works closely with professional and patient organizations
and Government agencies to coordinate resources about weight
control and related issues.
Publications produced by WIN are reviewed by both NIDDK
scientists and outside experts. This fact sheet was also
reviewed by Robert Kushner, M.D., Professor of Medicine,
Northwestern University and Medical Director, Wellness
Institute, Northwestern Memorial Hospital, and Domenica Rubino,
M.D., George Washington University Weight Management Program.
This e-text is not copyrighted.WIN encourages unlimited
duplication and distribution of this fact sheet.

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NIH Publication No. 03-5283
January 2003
e-text posted: February 2003 |
Source:
http://www.niddk.nih.gov/health/nutrit/pubs/weightandwaist/waistmeasure.htm


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