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why BMI is bullshi*t (and what you should be measuring)

4/8/2015

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Any analysis of Body Mass Index (BMI) as that relates to “all cause mortality” (death by whatever) is silver medal science at best. BMI is a poorly contrived measurement of body composition (upon which everyday medical assessments are based) which would put Brad Pitt, The Rock, the entire NFL and the All Blacks Rugby team firmly in the “obese” category.
If BMI were a lipid it would be LDL Cholesterol - we measure it because we can. LDL is still the “go to” marker to determine heart disease risk by most GPs, but more often than not it is a very lousy marker indeed (particularly when you dig into particle numbers, sizes and Apo A/B ratios etc). We covered all that in Cereal Killers 1.

Lean muscle mass is kinda like cholesterol particle information. It is where the truth beyond BMI is most likely to be found. That BMI abjectly fails to account for the % of lean muscle mass contributing to the measured weight of any individual - hence the Rock is morbidly obese (who’s brave enough to tell him?!) is a major flaw. Lean mass and fat tissue have very different metabolic properties so why would researchers disregard that fact?  

This 2013 study clearly demonstrates clearly the link between skeletal muscle mass and all cause mortality in older folks. 

That then links in neatly with another elephant in the retirement village - mobility. This study shows that the ability to sit down and literally pick oneself up again off the ground with ease correlates with long term mortality risk (adjusted for BMI and additional factors) after the age of 50.  It's a great test by the way - try it.

Bottom line? 


The human is capable of remaining lean and strong for the duration of lifespan. Combining High Intensity Exercise with Low Grade Mobility (walking, swimming, yoga, pilates) can absolutely retain cardiovascular fitness, functionality and power as we age. Throw in a whole foods diet high in naturally occurring fats and you are set up for an assault on the Longevity Leaderboard.

Lean, Strong and Metabolically Healthy will always win the day. 

Watch the "Run on Fat" movie trailer here
1 Comment
Michelle link
9/9/2021 01:13:56 am

Interesting thoughts, I really enjoyed your blog

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    Author

     -Donal O'Neill is the Producer of Cereal Killers (2013); Run on Fat - Cereal Killers 2 (2015); Co - Producer of The Big Fat Fix (2016); Co-author of The UK bestseller The Pioppi Diet (2017).

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