Как найти среднее значение массы тела

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Калькулятор индекса массы тела (ИМТ)

На данной странице с помощью калькулятора ИМТ вы можете рассчитать свой показатель. Достаточно ввести вес и рост в поля ниже.

Расчёт индекса массы тела определяет в каком соотношении находятся вес и рост, калькулятор подходит для взрослых мужчин и женщин.

В таблице ниже можно посмотреть разъяснение показателей согласно рекомендациям Всемирной Организации Здравоохранения (ВОЗ):

Индекс массы тела Соответствие между массой человека и его ростом
16 и менее Выраженный дефицит массы тела
16-18,5 Недостаточная (дефицит) масса тела
18,5-25 Норма
25-30 Избыточная масса тела (предожирение)
30-35 Ожирение первой степени
35-40 Ожирение второй степени
40 и более Ожирение третьей степени (морбидное)

В частности, результат ИМТ является одним из факторов для выполнения бариатрической операции. Но стоит помнить, что результат носит рекомендательный характер. Перед принятием решения необходима консультация бариатрического хирурга. Для этого Вы можете оставить заявку или позвонить по телефону, указанному на сайте.

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Body mass index (BMI)
BMI chart.png

Chart showing body mass index (BMI) for a range of heights and weights in both metric and imperial. Colours indicate BMI categories defined by the World Health Organization; underweight, normal weight, overweight, moderately obese, severely obese and very severely obese.

Synonyms Quetelet index
MeSH D015992
MedlinePlus 007196
LOINC 39156-5

Body mass index (BMI) is a value derived from the mass (weight) and height of a person. The BMI is defined as the body mass divided by the square of the body height, and is expressed in units of kg/m2, resulting from mass in kilograms and height in metres.

The BMI may be determined using a table[a] or chart which displays BMI as a function of mass and height using contour lines or colours for different BMI categories, and which may use other units of measurement (converted to metric units for the calculation).[b]

The BMI is a convenient rule of thumb used to broadly categorize a person as underweight, normal weight, overweight, or obese based on tissue mass (muscle, fat, and bone) and height. Major adult BMI classifications are underweight (under 18.5 kg/m2), normal weight (18.5 to 24.9), overweight (25 to 29.9), and obese (30 or more).[1] When used to predict an individual’s health, rather than as a statistical measurement for groups, the BMI has limitations that can make it less useful than some of the alternatives, especially when applied to individuals with abdominal obesity, short stature, or unusually high muscle mass.

BMIs under 20 and over 25 have been associated with higher all-cause mortality, with the risk increasing with distance from the 20–25 range.[2]

History[edit]

Adolphe Quetelet, a Belgian astronomer, mathematician, statistician, and sociologist, devised the basis of the BMI between 1830 and 1850 as he developed what he called «social physics».[3] Quetelet himself never intended for the index, then called the Quetelet Index, to be used as a means of medical assessment. Instead, it was a component of his study of l’homme moyen, or the average man. Quetelet thought of the average man as a social ideal, and developed the body mass index as a means of discovering the socially ideal human person.[4] According to Lars Grue and Arvid Heiberg in the Scandinavian Journal of Disability Research, Quetelet’s idealization of the average man would be elaborated upon by Francis Galton a decade later in the development of Eugenics.[5]

The modern term «body mass index» (BMI) for the ratio of human body weight to squared height was coined in a paper published in the July 1972 edition of the Journal of Chronic Diseases by Ancel Keys and others. In this paper, Keys argued that what he termed the BMI was «if not fully satisfactory, at least as good as any other relative weight index as an indicator of relative obesity».[6][7][8]

The interest in an index that measures body fat came with observed increasing obesity in prosperous Western societies. Keys explicitly judged BMI as appropriate for population studies and inappropriate for individual evaluation. Nevertheless, due to its simplicity, it has come to be widely used for preliminary diagnoses.[9] Additional metrics, such as waist circumference, can be more useful.[10]

The BMI is expressed in kg/m2, resulting from mass in kilograms and height in metres. If pounds and inches are used, a conversion factor of 703 (kg/m2)/(lb/in2) is applied. When the term BMI is used informally, the units are usually omitted.

{displaystyle mathrm {BMI} ={frac {{text{mass}}_{text{kg}}}{{{text{height}}_{text{m}}}^{2}}}={frac {{text{mass}}_{text{lb}}}{{{text{height}}_{text{in}}}^{2}}}times 703}

BMI provides a simple numeric measure of a person’s thickness or thinness, allowing health professionals to discuss weight problems more objectively with their patients. BMI was designed to be used as a simple means of classifying average sedentary (physically inactive) populations, with an average body composition.[11] For such individuals, the BMI value recommendations as of 2014 are as follows: 18.5 to 24.9 kg/m2 may indicate optimal weight, lower than 18.5 may indicate underweight, 25 to 29.9 may indicate overweight, and 30 or more may indicate obese.[9][10] Lean male athletes often have a high muscle-to-fat ratio and therefore a BMI that is misleadingly high relative to their body-fat percentage.[10]

Categories[edit]

A common use of the BMI is to assess how far an individual’s body weight departs from what is normal for a person’s height. The weight excess or deficiency may, in part, be accounted for by body fat (adipose tissue) although other factors such as muscularity also affect BMI significantly (see discussion below and overweight).[12]

The WHO regards an adult BMI of less than 18.5 as underweight and possibly indicative of malnutrition, an eating disorder, or other health problems, while a BMI of 25 or more is considered overweight and 30 or more is considered obese.[1] In addition to the principle, international WHO BMI cut-off points (16, 17, 18.5, 25, 30, 35 and 40), four additional cut-off points for at-risk Asians were identified (23, 27.5, 32.5 and 37.5).[13] These ranges of BMI values are valid only as statistical categories.

Children and youth[edit]

BMI for age percentiles for boys 2 to 20 years of age

BMI for age percentiles for girls 2 to 20 years of age

BMI is used differently for people aged 2 to 20. It is calculated in the same way as for adults but then compared to typical values for other children or youth of the same age. Instead of comparison against fixed thresholds for underweight and overweight, the BMI is compared against the percentiles for children of the same sex and age.[14]

A BMI that is less than the 5th percentile is considered underweight and above the 95th percentile is considered obese. Children with a BMI between the 85th and 95th percentile are considered to be overweight.[15]

Studies in Britain from 2013 have indicated that females between the ages 12 and 16 had a higher BMI than males of the same age by 1.0 kg/m2 on average.[16]

International variations[edit]

These recommended distinctions along the linear scale may vary from time to time and country to country, making global, longitudinal surveys problematic. People from different populations and descent have different associations between BMI, percentage of body fat, and health risks, with a higher risk of type 2 diabetes mellitus and atherosclerotic cardiovascular disease at BMIs lower than the WHO cut-off point for overweight, 25 kg/m2, although the cut-off for observed risk varies among different populations. The cut-off for observed risk varies based on populations and subpopulations in Europe, Asia and Africa.[17][18]

Hong Kong[edit]

The Hospital Authority of Hong Kong recommends the use of the following BMI ranges:[19]

Japan[edit]

A 2000 study from the Japan Society for the Study of Obesity (JASSO) presents the following table of BMI categories:[20][21][22]

Singapore[edit]

In Singapore, the BMI cut-off figures were revised in 2005 by the Health Promotion Board (HPB), motivated by studies showing that many Asian populations, including Singaporeans, have a higher proportion of body fat and increased risk for cardiovascular diseases and diabetes mellitus, compared with general BMI recommendations in other countries. The BMI cut-offs are presented with an emphasis on health risk rather than weight.[23]

United Kingdom[edit]

In the UK, NICE guidance recommends prevention of type 2 diabetes should start at a BMI of 30 in White and 27.5 in Black African, African-Caribbean, South Asian, and Chinese populations.[24]

New research based on a large sample of almost 1.5 million people in England found that some ethnic groups would benefit from prevention at or above a BMI of (rounded):[25][26]

  • 30 in White
  • 28 in Black
    • just below 30 in Black British
    • 29 in Black African
    • 27 in Black Other
    • 26 in Black Caribbean
  • 27 in Arab and Chinese
  • 24 in South Asian
    • 24 in Pakistani, Indian and Nepali
    • 23 in Tamil and Sri Lankan
    • 21 in Bangladeshi

United States[edit]

In 1998, the U.S. National Institutes of Health brought U.S. definitions in line with World Health Organization guidelines, lowering the normal/overweight cut-off from a BMI of 27.8 (men) and 27.3 (women) to a BMI of 25. This had the effect of redefining approximately 25 million Americans, previously healthy, to overweight.[27][28]

This can partially explain the increase in the overweight diagnosis in the past 20 years[when?], and the increase in sales of weight loss products during the same time. WHO also recommends lowering the normal/overweight threshold for southeast Asian body types to around BMI 23, and expects further revisions to emerge from clinical studies of different body types.[29]

A survey in 2007 showed 63% of Americans were then overweight or obese, with 26% in the obese category (a BMI of 30 or more). By 2014, 37.7% of adults in the United States were obese, 35.0% of men and 40.4% of women; class 3 obesity (BMI over 40) values were 7.7% for men and 9.9% for women.[30] The U.S. National Health and Nutrition Examination Survey of 2015-2016 showed that 71.6% of American men and women had BMIs over 25.[31] Obesity—a BMI of 30 or more—was found in 39.8% of the US adults.

Consequences of elevated level in adults[edit]

The BMI ranges are based on the relationship between body weight and disease and death.[11] Overweight and obese individuals are at an increased risk for the following diseases:[33]

  • Coronary artery disease
  • Dyslipidemia
  • Type 2 diabetes
  • Gallbladder disease
  • Hypertension
  • Osteoarthritis
  • Sleep apnea
  • Stroke
  • Infertility
  • At least 10 cancers, including endometrial, breast, and colon cancer[34]
  • Epidural lipomatosis[35]

Among people who have never smoked, overweight/obesity is associated with 51% increase in mortality compared with people who have always been a normal weight.[36]

Applications[edit]

Public health[edit]

The BMI is generally used as a means of correlation between groups related by general mass and can serve as a vague means of estimating adiposity. The duality of the BMI is that, while it is easy to use as a general calculation, it is limited as to how accurate and pertinent the data obtained from it can be. Generally, the index is suitable for recognizing trends within sedentary or overweight individuals because there is a smaller margin of error.[37] The BMI has been used by the WHO as the standard for recording obesity statistics since the early 1980s.

This general correlation is particularly useful for consensus data regarding obesity or various other conditions because it can be used to build a semi-accurate representation from which a solution can be stipulated, or the RDA for a group can be calculated. Similarly, this is becoming more and more pertinent to the growth of children, since the majority of children are sedentary.[38]
Cross-sectional studies indicated that sedentary people can decrease BMI by becoming more physically active. Smaller effects are seen in prospective cohort studies which lend to support active mobility as a means to prevent a further increase in BMI.[39]

Legislation[edit]

In France, Italy, and Spain, legislation has been introduced banning the usage of fashion show models having a BMI below 18.[40] In Israel, a BMI below 18.5 is banned.[41] This is done to fight anorexia among models and people interested in fashion.

Relationship to health[edit]

A study published by Journal of the American Medical Association (JAMA) in 2005 showed that overweight people had a death rate similar to normal weight people as defined by BMI, while underweight and obese people had a higher death rate.[42]

A study published by The Lancet in 2009 involving 900,000 adults showed that overweight and underweight people both had a mortality rate higher than normal weight people as defined by BMI. The optimal BMI was found to be in the range of 22.5–25.[43] The average BMI of athletes is 22.4 for women and 23.6 for men.[44]

High BMI is associated with type 2 diabetes only in people with high serum gamma-glutamyl transpeptidase.[45]

In an analysis of 40 studies involving 250,000 people, patients with coronary artery disease with normal BMIs were at higher risk of death from cardiovascular disease than people whose BMIs put them in the overweight range (BMI 25–29.9).[46]

One study found that BMI had a good general correlation with body fat percentage, and noted that obesity has overtaken smoking as the world’s number one cause of death. But it also notes that in the study 50% of men and 62% of women were obese according to body fat defined obesity, while only 21% of men and 31% of women were obese according to BMI, meaning that BMI was found to underestimate the number of obese subjects.[47]

A 2010 study that followed 11,000 subjects for up to eight years concluded that BMI is not a good measure for the risk of heart attack, stroke or death. A better measure was found to be the waist-to-height ratio.[48] A 2011 study that followed 60,000 participants for up to 13 years found that waist–hip ratio was a better predictor of ischaemic heart disease mortality.[49]

Limitations[edit]

This graph shows the correlation between body mass index (BMI) and body fat percentage (BFP) for 8550 men in NCHS’ NHANES 1994 data. Data in the upper left and lower right quadrants suggest the limitations of BMI.[47]

The medical establishment[50] and statistical community[51] have both highlighted the limitations of BMI. Part of the statistical limitations of the BMI scale is the result of Quetelet’s original sampling methods.[52] As noted in his original work, A Treatise on Man and the Development of His Faculties, the data from which Quetelet derived his formula was taken mostly from Scottish Highland soldiers and French Gendarmerie.[4] The BMI was always designed as a metric for European men. For women, and people of non-European origin, the scale is often biased. As noted by Sabrina Strings in her book Fearing the Black Body: The Racial Origins of Fat Phobia, the BMI is largely inaccurate for black people especially, disproportionately labelling them as overweight even for healthy individuals.[52]

Scaling[edit]

The exponent in the denominator of the formula for BMI is arbitrary. The BMI depends upon weight and the square of height. Since mass increases to the third power of linear dimensions, taller individuals with exactly the same body shape and relative composition have a larger BMI.[53] BMI is proportional to the mass and inversely proportional to the square of the height. So, if all body dimensions double, and mass scales naturally with the cube of the height, then BMI doubles instead of remaining the same. This results in taller people having a reported BMI that is uncharacteristically high, compared to their actual body fat levels. In comparison, the Ponderal index is based on the natural scaling of mass with the third power of the height.[54]

However, many taller people are not just «scaled up» short people but tend to have narrower frames in proportion to their height.[55] Carl Lavie has written that «The B.M.I. tables are excellent for identifying obesity and body fat in large populations, but they are far less reliable for determining fatness in individuals.»[56]

For US adults, exponent estimates range from 1.92 to 1.96 for males and from 1.45 to 1.95 for females.[57][58]

Physical characteristics[edit]

The BMI overestimates roughly 10% for a large (or tall) frame and underestimates roughly 10% for a smaller frame (short stature). In other words, people with small frames would be carrying more fat than optimal, but their BMI indicates that they are normal. Conversely, large framed (or tall) individuals may be quite healthy, with a fairly low body fat percentage, but be classified as overweight by BMI.[59]

For example, a height/weight chart may say the ideal weight (BMI 21.5) for a 1.78-metre-tall (5 ft 10 in) man is 68 kilograms (150 lb). But if that man has a slender build (small frame), he may be overweight at 68 kg or 150 lb and should reduce by 10% to roughly 61 kg or 135 lb (BMI 19.4). In the reverse, the man with a larger frame and more solid build should increase by 10%, to roughly 75 kg or 165 lb (BMI 23.7). If one teeters on the edge of small/medium or medium/large, common sense should be used in calculating one’s ideal weight. However, falling into one’s ideal weight range for height and build is still not as accurate in determining health risk factors as waist-to-height ratio and actual body fat percentage.[60]

Accurate frame size calculators use several measurements (wrist circumference, elbow width, neck circumference, and others) to determine what category an individual falls into for a given height.[61] The BMI also fails to take into account loss of height through ageing. In this situation, BMI will increase without any corresponding increase in weight.

Muscle versus fat[edit]

Assumptions about the distribution between muscle mass and fat mass are inexact. BMI generally overestimates adiposity on those with leaner body mass (e.g., athletes) and underestimates excess adiposity on those with fattier body mass.

A study in June 2008 by Romero-Corral et al. examined 13,601 subjects from the United States’ third National Health and Nutrition Examination Survey (NHANES III) and found that BMI-defined obesity (BMI ≥ 30) was present in 21% of men and 31% of women. Body fat-defined obesity was found in 50% of men and 62% of women. While BMI-defined obesity showed high specificity (95% for men and 99% for women), BMI showed poor sensitivity (36% for men and 49% for women). In other words, the BMI will be mostly correct when determining a person to be obese, but can err quite frequently when determining a person not to be. Despite this undercounting of obesity by BMI, BMI values in the intermediate BMI range of 20–30 were found to be associated with a wide range of body fat percentages. For men with a BMI of 25, about 20% have a body fat percentage below 20% and about 10% have body fat percentage above 30%.[47]

Body composition for athletes is often better calculated using measures of body fat, as determined by such techniques as skinfold measurements or underwater weighing and the limitations of manual measurement have also led to new, alternative methods to measure obesity, such as the body volume indicator.[citation needed]

Variation in definitions of categories[edit]

It is not clear where on the BMI scale the threshold for overweight and obese should be set. Because of this, the standards have varied over the past few decades. Between 1980 and 2000 the U.S. Dietary Guidelines have defined overweight at a variety of levels ranging from a BMI of 24.9 to 27.1. In 1985 the National Institutes of Health (NIH) consensus conference recommended that overweight BMI be set at a BMI of 27.8 for men and 27.3 for women.

In 1998, an NIH report concluded that a BMI over 25 is overweight and a BMI over 30 is obese.[27] In the 1990s the World Health Organization (WHO) decided that a BMI of 25 to 30 should be considered overweight and a BMI over 30 is obese, the standards the NIH set. This became the definitive guide for determining if someone is overweight.

The current WHO and NIH ranges of normal weights are proved to be associated with decreased risks of some diseases such as diabetes type II; however using the same range of BMI for men and women is considered arbitrary and makes the definition of underweight quite unsuitable for men.[62]

One study found that the vast majority of people labelled ‘overweight’ and ‘obese’ according to current definitions do not in fact face any meaningful increased risk for early death. In a quantitative analysis of several studies, involving more than 600,000 men and women, the lowest mortality rates were found for people with BMIs between 23 and 29; most of the 25–30 range considered ‘overweight’ was not associated with higher risk.[63]

Alternatives[edit]

Corpulence index (exponent of 3)[edit]

The corpulence index uses an exponent of 3 rather than 2. The corpulence index yields valid results even for very short and very tall people,[64] which is a problem with BMI. For example, a 152.4 cm (5 ft 0 in) tall person at an ideal body weight of 48 kg (106 lb) gives a normal BMI of 20.74 and CI of 13.6, while a 200 cm (6 ft 7 in) tall person with a weight of 100 kg (220 lb) gives a BMI of 24.84, very close to an overweight BMI of 25, and a CI of 12.4, very close to a normal CI of 12.[65]

New BMI (exponent of 2.5)[edit]

The exponent of 5/2 was proposed by Quetelet himself in the 19th century:[4]

In general, we do not err much when we assume that during development the squares of the weight at different ages are as the fifth powers of the height

However, it was not used much later, until the following formula for computing Body Mass Index that accounts for the distortions of the traditional BMI formula for shorter and taller individuals has been proposed by Nick Trefethen, Professor of numerical analysis at the University of Oxford:[66]

{displaystyle mathrm {BMI} _{text{new}}=1.3times {frac {{text{mass}}_{text{kg}}}{{text{height}}_{text{m}}^{2.5}}}}

The scaling factor of 1.3 was determined to make the proposed new BMI formula align with the traditional BMI formula for adults of average height, while the exponent of 2.5 is a compromise between the exponent of 2 in the traditional formula for BMI and the exponent of 3 that would be expected for the scaling of weight (which at constant density would theoretically scale with volume, i.e., as the cube of the height) with height; however, in Trefethen’s analysis, an exponent of 2.5 was found to fit empirical data more closely with less distortion than either an exponent of 2 or 3.

BMI prime (exponent of 2, normalization factor)[edit]

BMI Prime, a modification of the BMI system, is the ratio of actual BMI to upper limit optimal BMI (currently defined at 25 kg/m2), i.e., the actual BMI expressed as a proportion of upper limit optimal. BMI Prime is a dimensionless number independent of units. Individuals with BMI Prime less than 0.74 are underweight; those with between 0.74 and 1.00 have optimal weight; and those at 1.00 or greater are overweight. BMI Prime is useful clinically because it shows by what ratio (e.g. 1.36) or percentage (e.g. 136%, or 36% above) a person deviates from the maximum optimal BMI.

For instance, a person with BMI 34 kg/m2 has a BMI Prime of 34/25 = 1.36, and is 36% over their upper mass limit. In South East Asian and South Chinese populations (see § international variations), BMI Prime should be calculated using an upper limit BMI of 23 in the denominator instead of 25. BMI Prime allows easy comparison between populations whose upper-limit optimal BMI values differ.[67]

Waist circumference[edit]

Waist circumference is a good indicator of visceral fat, which poses more health risks than fat elsewhere. According to the U.S. National Institutes of Health (NIH), waist circumference in excess of 1,020 mm (40 in) for men and 880 mm (35 in) for (non-pregnant) women is considered to imply a high risk for type 2 diabetes, dyslipidemia, hypertension, and cardiovascular disease CVD. Waist circumference can be a better indicator of obesity-related disease risk than BMI. For example, this is the case in populations of Asian descent and older people.[68] 940 mm (37 in) for men and 800 mm (31 in) for women has been stated to pose «higher risk», with the NIH figures «even higher».[69]

Waist-to-hip circumference ratio has also been used, but has been found to be no better than waist circumference alone, and more complicated to measure.[70]

A related indicator is waist circumference divided by height. The values indicating increased risk are: greater than 0.5 for people under 40 years of age, 0.5 to 0.6 for people aged 40–50, and greater than 0.6 for people over 50 years of age.[71][better source needed]

Surface-based body shape index[edit]

The Surface-based Body Shape Index (SBSI) is far more rigorous and is based upon four key measurements: the body surface area (BSA), vertical trunk circumference (VTC), waist circumference (WC) and height (H). Data on 11,808 subjects from the National Health and Human Nutrition Examination Surveys (NHANES) 1999–2004, showed that SBSI outperformed BMI, waist circumference, and A Body Shape Index (ABSI), an alternative to BMI.[72][73]

{displaystyle mathrm {SBSI} ={frac {({text{H}}^{7/4})({text{WC}}^{5/6})}{text{BSA VTC}}}}

A simplified, dimensionless form of SBSI, known as SBSI*, has also been developed.[73]

{displaystyle mathrm {SBSI^{star }} ={frac {({text{H}}^{2})({text{WC}})}{text{BSA VTC}}}}

Modified body mass index[edit]

Within some medical contexts, such as familial amyloid polyneuropathy, serum albumin is factored in to produce a modified body mass index (mBMI). The mBMI can be obtained by multiplying the BMI by serum albumin, in grams per litre.[74]

See also[edit]

  • Allometry
  • Body water
  • History of anthropometry
  • List of countries by body mass index
  • Obesity paradox
  • Relative Fat Mass
  • Somatotype and constitutional psychology

Explanatory notes[edit]

  1. ^ e.g., the «Body Mass Index Table». National Institutes of Health’s NHLBI. Archived from the original on 2010-03-10.
  2. ^ For example, in the UK where people often know their weight in stone and height in feet and inches – see «Calculate your body mass index». 30 August 2006. Retrieved 2019-12-11.
  3. ^ a b c d e After rounding.

References[edit]

  1. ^ a b The SuRF Report 2 (PDF). The Surveillance of Risk Factors Report Series (SuRF). World Health Organization. 2005. p. 22. Archived (PDF) from the original on 2022-10-09.
  2. ^ Di Angelantonio E, Bhupathiraju S, Wormser D, Gao P, Kaptoge S, Berrington de Gonzalez A, et al. (August 2016). «Body-mass index and all-cause mortality: individual-participant-data meta-analysis of 239 prospective studies in four continents». Lancet. 388 (10046): 776–86. doi:10.1016/S0140-6736(16)30175-1. PMC 4995441. PMID 27423262.
  3. ^ Eknoyan G (January 2008). «Adolphe Quetelet (1796–1874)—the average man and indices of obesity». Nephrology, Dialysis, Transplantation. 23 (1): 47–51. doi:10.1093/ndt/gfm517. PMID 17890752.
  4. ^ a b c Quetelet A., A Treatise on Man and the Development of his Faculties
  5. ^ Heiberg, Arvid (2006-11-04). «Notes on the History of Normality – Reflections on the Work of Quetelet and Galton». Scandinavian Journal of Disability Research. 8 (4): 232–246. doi:10.1080/15017410600608491.
  6. ^ Blackburn H, Jacobs D (June 2014). «Commentary: Origins and evolution of body mass index (BMI): continuing saga» (PDF). International Journal of Epidemiology. 43 (3): 665–669. doi:10.1093/ije/dyu061. PMID 24691955.
  7. ^ Singer-Vine J (July 20, 2009). «Beyond BMI: Why doctors won’t stop using an outdated measure for obesity». Slate. Archived from the original on 7 September 2011. Retrieved 15 December 2013.
  8. ^ Keys A, Fidanza F, Karvonen MJ, Kimura N, Taylor HL (July 1972). «Indices of relative weight and obesity». Journal of Chronic Diseases. 25 (6): 329–343. doi:10.1016/0021-9681(72)90027-6. PMID 4650929.
  9. ^ a b «Assessing Your Weight and Health Risk». National Heart, Lung and Blood Institute. Archived from the original on 19 December 2014. Retrieved 19 December 2014.
  10. ^ a b c «Defining obesity». NHS. Archived from the original on 18 December 2014. Retrieved 19 December 2014.
  11. ^ a b «Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee» (PDF). World Health Organization Technical Report Series. 854 (854): 1–452. 1995. PMID 8594834. Archived (PDF) from the original on 2007-02-10.
  12. ^ «About Adult BMI | Healthy Weight». CDC. 2017-08-29. Retrieved 2018-01-26.
  13. ^ World Health Organization 2005, pp. 21–22.
  14. ^ «Body Mass Index: BMI for Children and Teens». Center for Disease Control. Archived from the original on 2013-10-29. Retrieved 2013-12-16.
  15. ^ Wang Y (2012). «Chapter 2: Use of Percentiles and Z-Scores in Anthropometry». Handbook of Anthropometry. New York: Springer. p. 29. ISBN 978-1-4419-1787-4.
  16. ^ «Health Survey for England: The Health of Children and Young People». Archive2.official-documents.co.uk. Archived from the original on 2012-06-25. Retrieved 16 December 2013.
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Further reading[edit]

  • Ferrera LA, ed. (2006). Focus on Body Mass Index And Health Research. New York: Nova Science. ISBN 978-1-59454-963-2.
  • Samaras TT, ed. (2007). Human Body Size and the Laws of Scaling: Physiological, Performance, Growth, Longevity and Ecological Ramifications. New York: Nova Science. ISBN 978-1-60021-408-0.
  • Sothern MS, Gordon ST, von Almen TK, eds. (19 April 2016). Handbook of Pediatric Obesity: Clinical Management (Illustrated ed.). CRC Press. ISBN 978-1-4200-1911-7.

External links[edit]

  • U.S. National Center for Health Statistics:
    • «BMI Growth Charts for children and young adults». US Centers for Disease Control and Prevention. 31 January 2019.
    • «BMI calculator ages 20 and older». US Centers for Disease Control and Prevention. 21 July 2021.

Узнай свой индекс массы тела

Возможно, вы уже слышали о таком важном показателе, как индекс массы тела. Что же он означает и почему так важно знать свой ИМТ?

Соотношение жировой и мышечной ткани у людей разное и зависит от многих факторов. Для того, чтобы произвести точный расчет индекса массы тела учитывается не только рост, но и возраст человека, половая принадлежность, а также тип телосложения, который определяется по результатам измерения запястья. Различают тонкокостный, нормокостный и ширококостный типы.

По результатам исследования, проведённого «Городским Центром Медицинской Профилактики» от избыточной массы тела, страдают 30,6% опрошенных жителей Екатеринбурга. Особо актуальна данная проблема для мужчин всех возрастных групп, наиболее проблемными в плане избыточной массы тела являются возрастные группы 35-44 и 45-54 лет.

Ожирение наблюдается у 16,1% опрошенных.

Наибольшее количество респондентов с ожирением наблюдается среди мужчин в возрастных группах 35-44, 45-54, 55-64 и женщин 45-54, 55-64 лет.

На индекс массы тела влияет питание и уровень физической активности.

Не все знают, что избыточная масса тела и ожирение являются одним из значимых факторов риска развития неинфекционных заболеваний, в том числе – болезней системы кровообращения. Ожирение способствует ранней инвалидизации и снижению как общей продолжительности жизни, так и качества жизни.

Индекс массы тела (ИМТ).

Индекс массы тела — уникальный инструмент, придуманный еще два столетия назад, с успехом используют люди, беспокоящиеся о своем здоровье. Именно тогда, в XIX веке, медики — теоретики и практики обратили внимание, что так называемая «здоровая» масса человека напрямую связана с его ростом и реальным весом. С помощью специальной таблицы вы можете легко определить, нет ли в вашем теле пары-тройки лишних килограммов и не подвергаетесь ли вы 
опасности ожирения. Для этого достаточно знать только основные параметры своего тела.

Значение вашего индекса массы тела

На вопрос, как рассчитать индекс массы тела, существует простой ответ: необходимо вес (в килограммах) разделить на возведенный в квадрат рост (в метрах), то есть ИМТ = вес (кг): (рост (м))2.

Например, входящие данные таковы: вес = 85 кг, рост = 165 см. Следовательно, ИМТ = 85:(1,65×1,65) = 31,2.

После того, как вы выяснили свой ИМТ, нужно обратиться к таблице, которая поможет определить, нет ли в вашем организме избыточного количества жира.

В соответствии с рекомендациями 
ВОЗ разработана следующая интерпретация показателей ИМТ:

Индекс массы тела

Соответствие между массой человека и его ростом

до 18,5

Дефицит массы тела

18,5—25,0

Нормальный вес

от 25—30

Повышенный ИМТ

более 30

Ожирение

Калькулятор индекса массы тела

Вес Рост

ВАШ ИМТ ДО 18,5: ДЕФИЦИТ МАССЫ ТЕЛА

У вас недостаточная масса тела. Если значение индекса массы тела близко к 18,5 – не отчаивайтесь! Начните питаться рационально и сбалансированно – еще чуть-чуть и ваш вес придет в норму, которая будет полезна для вашего здоровья. Рекомендуем вам обратиться за консультацией к диетологу или терапевту, он назначит вам индивидуальные рекомендации.

Чем опасен дефицит массы тела: зачастую дефицит массы тела возникает не только вследствие нарушения работы некоторых систем организма (в этом случае обратитесь к врачу!), но и вследствие неправильного питания – недостатка необходимых витаминов. Это грозит поражением иммунитета (организм меньше сопротивляется болезням), остеопорозом (повышенной хрупкостью костей), выпадением волос и гормональными сбоями у женщин.

ВАШ ИМТ ОТ 18,5 ДО 25: НОРМАЛЬНЫЙ ВЕС

У вас здоровый вес. Вы молодец, но расслабляться не надо. Нужно стараться, чтобы ваш индекс массы тела находился примерно в среднем значении и не приближался к границам значений нормального веса. Поэтому, питайтесь правильно и поддерживайте ежедневный умеренный уровень физической активности.

ВАШ ИМТ ОТ 25 ДО 30: ИЗБЫТОЧНЫЙ ВЕС

У вас избыточная масса тела, но не расстраивайтесь! Это еще не ожирение – вам просто нужно взять себя в руки, ведь вам нужно совсем немного сбросить, чтобы индекс массы тела показал нормальное значение. Однако, помните: без ваших усилий вы быстро перейдете границу 30-ти, а это уже стадия ожирения. Подумайте: правильно ли вы питаетесь? Может быть, вы недостаточно двигаетесь? Пора взяться за себя ради хорошей фигуры и отличного здоровья.

Чем опасен избыточный вес: предожирение грозит развитием ожирения (если вы, конечно, не предпримите меры). А это уже верная дорога к опасным заболеваниям: артериальной гипертонии, сахарному диабету, ишемической болезни сердца и т.д. Пока еще все в ваших руках!

ВАШ ИМТ БОЛЕЕ 30: ОЖИРЕНИЕ

У вас ожирение, а это значит, что лучше обратиться за квалифицированной помощью к врачу-специалисту, чтобы начать снижение веса. Помните, на данном этапе ваше здоровье уже пошатнулось, не изнуряйте организм голодовками и тяжелыми изматывающими тренировками. Это только ухудшит состояние. Все рекомендации даст вам врач, опираясь на ваши личные показатели и индивидуальное состояние здоровья.

Чем опасно ожирение: возможно, вы уже страдаете некоторыми заболеваниями, возможно, вы еще не подозреваете об этом. В любом случае, ожирение – это сахарный диабет, артериальная гипертония, атеросклероз, большая вероятность инфаркта и инсульта, нарушение работы желудочно-кишечного тракта, скелетно-мышечные нарушения и т.д. Пока болезни не взяли верх, начните бороться с ожирением!

Что такое «индекс массы тела»?

Еще в 1835 году бельгийский социолог и статистик Адольф Кетле предложил в качестве показателя оценки физического развития величину соотношения роста и массы тела человека. Спустя 140 лет оказалось, что по этой величине можно косвенно судить о том, является ли масса недостаточной, нормальной или избыточной. Американский физиолог Ансель Кейс проанализировал параметры 7 400 человек из пяти стран и сравнил разные формулы для определения лишнего веса. Метод расчета «индекса Кетле» как способ определения лишнего веса и ожирения показался ему самым простым и удобным. Сегодня «индекс Кетле» принято называть «индекс массы тела» – ИМТ (англ. body mass index (BMI)).

Индекс массы тела рассчитывается по формуле: масса тела в килограммах – разделить на квадрат роста в метрах.

В соответствии с рекомендациями ВОЗ результаты интерпретируют следующим образом:

  • 16 и менее – выраженный дефицит массы тела.
  • 16…18,5 – недостаточная (дефицит) масса тела.
  • 18,5…25 – нормальная масса тела.
  • 25…30 – избыточная масса тела (предожирение).
  • 30…35 – ожирение 1 степени.
  • 35…40 – ожирение 2 степени.
  • 40 и более – ожирение 3 степени.

Чем выше ИМТ – тем выше риск развития сердечно-сосудистых заболеваний, гипертонии, остеоартрита, диабета, некоторых видов рака. Дефицит массы тела также значительно повышает риск преждевременной смерти. Таким образом ИМТ помогает точнее оценить риски для здоровья, связанные с весом.

При помощи ИМТ можно рассчитать идеальную «массу тела», приняв величину ИМТ за 23-24 и подставив в формулу имеющийся рост.

Однако ИМТ не является самым точным показателем, т.к. не показывает реального соотношения жира и мышц в человеческом теле. Его используют исключительно для ориентировочной оценки, т.к. попытка оценить с его помощью телосложение профессиональных спортсменов может дать неверный результат (высокое значение индекса в этом случае объясняется развитой мускулатурой).

Еще одним недостатком метода служит отсутствие дифференциации по полу и возрасту, средние нормальные значения соотношения веса и роста в различных культурах и странах могут существенно отличаться.

ИМТ не учитывает особенности распределения жира в организме. В ряде случаев это имеет существенное значение, потому что ожирение «по типу яблока» (когда жировая ткань откладывается преимущественно в области живота) прогностически значимо хуже ожирения «по типу груши» (когда жировая ткань откладывается преимущественно на бедрах). В первом случае риск развития диабета 2 типа сердечно-сосудистых заболеваний существенно выше.

У детей в возрасте от 2 до 17 лет расчет ИМТ следует соотносить со специальными таблицами, т.к. физиологическое развитие ребенка протекает более активно и простое соотношение массы и роста не дают адекватных результатов, обязательно учитывается еще возраст и пол ребенка.

Однако при всех недостатках ИМТ, он все еще остается инструментом медицинского скрининга, и его используют как один из методов оценки физического развития у взрослого населения при первичном медицинском обследовании. 

Какие еще есть способы изучить своем питание? Смотрите в нашем видеоролике.

Источник: https://cgon.rospotrebnadzor.ru/

Индекс массы тела (ИМТ, BMI — вody mass index) – это показатель, рассчитанный в 1869 году родоначальником научной статистики Адольфом Кетле. Он определяет соответствие роста и массы тела человека, выявляет недостаток или избыток массы тела, позволяет установить диагноз ожирения определенной степени.

ИМТ имеет значение для выявления возможных рисков развития различных заболеваний. Его часто учитывают при составлении договоров о страховании здоровья. От этого показателя может зависеть цена страхового полиса, так как значительные отклонения от нормы увеличивают возможность развития тяжелой патологии.

Как рассчитывают ИМТ

Рассчитать индекс массы тела можно так: ИМТ = m/h2, где

  • m — масса тела в кг,
  • h — рост в м.

Оценка результатов проводится по таблицам(ниже), где учитывается рост и вес, а также по возрасту.

Калькулятор индекса массы тела позволяет вычислить показатель ИМТ очень быстро в онлайн-режиме для женщин и мужчин. Проверить свой ИМТ стоит каждому: это позволит выявить риск развития не только ожирения, но и таких связанных с ним заболеваний, как атеросклероз, сахарный диабет, артериальная гипертензия и другие. Своевременное выявление и лечение этих заболеваний является гарантией здоровья!

Онлайн калькулятор индекса массы тела

Рост Вес

Ваш ИМТ 19.53

МЕЖДУНАРОДНАЯ КЛАССИФИКАЦИЯ ДЕФИЦИТА МАССЫ ТЕЛА И ОЖИРЕНИЯ

калькулятор индекса массы тела калькулятор индекса массы тела онлайн

Дефицит массы <18,50
Выраженный дефицит массы <16,00
Недостаточная масса тела 16,00 — 18,49
Норма 18,50 — 24,99
Избыточный вес >25,00
Предожирение 25,00 — 29,99
Ожирение >30,00
Ожирение первой степени 30,00 — 34,99
Ожирение второй степени 35,00 — 39,99
Ожирение третьей степени >40,00

ТАБЛИЦА ИНДЕКСА МАССЫ ТЕЛА ПО ВОЗРАСТНЫМ ГРУППАМ

Возрастные группы Приемлемый ИМТ
19 — 24 19 — 24
25 — 34 20 — 25
35 — 44 21 — 26
45 — 54 22 — 27
55 — 64 23 — 28
старше 65 24 — 29

Обнаружили, что Ваш ИМТ выше нормы? Возможно, это повод обратиться к эндокринологу.

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