{"id":1975,"date":"2024-06-12T18:12:49","date_gmt":"2024-06-12T18:12:49","guid":{"rendered":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/?p=1975"},"modified":"2024-06-13T00:39:32","modified_gmt":"2024-06-13T00:39:32","slug":"waist-circumference-vs-bmi-helping-clients-measure-up","status":"publish","type":"post","link":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/waist-circumference-vs-bmi-helping-clients-measure-up\/","title":{"rendered":"WAIST CIRCUMFERENCE VS BMI: HELPING CLIENTS MEASURE UP"},"content":{"rendered":"<p>Educating our clients on how to improve health outcomes certainly falls under the purview of health and fitness coaching. With that, explaining the relevance of body composition, the flaws of the body mass index (BMI), and how stored adipose tissue correlates with health risks, specifically with regard to waist circumference, is an important aspect of coaching overweight clients. Let\u2019s discuss the science and realities of specific measures of gauging overweight as it relates to morbidity and mortality.<\/p>\n<h4><strong>A Weighty Matter<\/strong><\/h4>\n<p><img decoding=\"async\" class=\"size-full wp-image-65871 alignleft\" src=\"https:\/\/nfpt.com\/wp-content\/uploads\/Tape-scale-and-calipers.jpg\" alt=\"Tape Scale And Calipers\" width=\"187\" height=\"141\" \/><\/p>\n<p>Trainers provide the best value when they\u00a0<a href=\"https:\/\/personaltrainertoday.com\/assess-dont-guess-using-assessments\">assess<\/a>,\u00a0<a href=\"https:\/\/personaltrainertoday.com\/periodization-for-personal-training-clients\">design<\/a>\u00a0thoughtful fitness programs,\u00a0<a href=\"https:\/\/personaltrainertoday.com\/do-this-not-this-do-that-the-optimal-method-to-demoing-exercises\">demonstrate<\/a>, educate, and\u00a0<a class=\"broken_link\" href=\"https:\/\/personaltrainertoday.com\/keeping-fitness-clients-motivated\">motivate<\/a>\u00a0their\u00a0\u201capparently healthy\u201d clients.<\/p>\n<p>Improved health span, physical performance, or bodily aesthetics are all targets for client motivation. Types of stored body fat, where that fat is located, and how much is present in our adipose tissues are also often training stimuli for many of our\u00a0<a class=\"broken_link\" href=\"https:\/\/personaltrainertoday.com\/client-types-and-why-they-hire-a-trainer\">varied clients<\/a>.<\/p>\n<p>There are several ways to categorize and view adipose tissue or fat: essential or non-essential, subcutaneous or visceral,\u00a0<a href=\"https:\/\/personaltrainertoday.com\/brown-fat-cells-thermogenesis\">brown or white<\/a>, \u201chealthy\u201d or \u201cunhealthy\u201d can be knowledge and relational challenges for client and trainer alike<sup>1<\/sup>.<\/p>\n<p>Without essential body fat, we die. Yet,\u00a0<em>excess<\/em>\u00a0unhealthy fat, especially when accumulated in specific body regions increases risks of serious diseases or life-affecting conditions.<\/p>\n<p>Storage of excess, unhealthy \u201cwhite\u201d fat is called\u00a0<strong><em>obesity<\/em><\/strong>. Obesity, or \u201chaving eaten until fat\u201d was a societal sign of well-being in older, leaner times. We know now that fat storage is\u00a0<em>more<\/em>\u00a0complex than just overeating with regard to one\u2019s individual constitution.<\/p>\n<p>Genetics, pre-existing medical conditions, physical inactivity, and challenges for estimating \u201cadiposity\u201d\u00a0<em>shape<\/em>\u00a0these individual client-complexities for stored body fat.<sup>2<\/sup><\/p>\n<h3><strong>Etiology of Obesity<\/strong><\/h3>\n<p>The root cause of a disease or condition is called\u00a0<strong>etiology<\/strong>.<\/p>\n<p>Excess energy intake, sedentary lifestyle, stressors like smoking, and genetics can, individually or collectively, determine an individual\u2019s etiology of obesity. Many doctors and health professionals use a population-based \u201csurrogate\u201d number to singly assess a patient\u2019s body mass, usually correlated with obesity, and to implicate future health risks.<\/p>\n<p>That proxy estimate or \u201cmass\u201d index was developed by Dr. Alfonso Quetelet in the 1830s. His Quetelet Index, for \u201cthe average man\u201d was rephrased as\u00a0<a href=\"https:\/\/en.wikipedia.org\/wiki\/Body_mass_index\" target=\"_blank\" rel=\"noopener\"><strong><em>Body Mass Index<\/em><\/strong><\/a>\u00a0(BMI) by scientist Ancel Keys in 1972.<\/p>\n<p>One modern medical researcher called this BMI screening formula of Dr. Quetelet and Ancel Keys \u201c<a href=\"https:\/\/www.medicalnewstoday.com\/articles\/255712\" target=\"_blank\" rel=\"noopener\">bizarre<\/a>\u201d pointing out that those who are too short, too tall, or even too muscular would not be adequately assessed.<\/p>\n<p><strong>BMI = Weight (kg) \/ Height<\/strong><strong>\u2227<\/strong><strong><sup>2 \u00a0(m)<\/sup><\/strong><\/p>\n<p>We now realize that older folks, women, non-Europeans, and muscular athletes were\u00a0<strong><em>not<\/em><\/strong>\u00a0researched.<\/p>\n<h4><strong>Facts:<\/strong><\/h4>\n<ul>\n<li>Today\u2019s \u201caverage\u201d clients have gotten taller, heavier, and live far longer than Dr. Quetelet\u2019s clients in the 1830s \u2013\u00a0<em>despite<\/em>\u00a0higher BMIs.<\/li>\n<li>Jerry Rice, an NFL Hall of Famer, was called \u201cobese\u201d after his Body Mass Index (BMI) was screened. This tall, very muscular, and very lean black athlete had\u00a0<em>measured<\/em>\u00a0body fat in single digits. Granted, he is a statistical BMI outlier.<\/li>\n<li>A notable percentage of muscular clients (and trainers) have BMIs that can misinform for true overweight or obese body composition and their potential health risk.<\/li>\n<\/ul>\n<h3><strong>Is there a better measure?<\/strong><\/h3>\n<p><strong>Health professionals recognize that a human\u2019s tendency to store dangerous white and visceral fat around her or his middle (waist) may better screen for mortality risk than is an \u201caverage\u201d surrogate calculation (BMI)<\/strong>. Yes, there are some health span exceptions, as both waist circumference and BMI are good screeners for potential Adult-Oneset (Type 2) Diabetes.<\/p>\n<p>The human mid-section and its circumference is a\u00a0<em>new average measure<\/em>\u00a0for stored body fat and obesity. Waist circumference (measured at the iliac crest) is cited by the American Heart Association as a\u00a0<a href=\"https:\/\/www.heart.org\/en\/healthy-living\/healthy-eating\/losing-weight\/bmi-in-adults\" target=\"_blank\" rel=\"noopener\">preferred method<\/a>\u00a0for body fat screening for muscular athletes.<\/p>\n<h3><strong>Big Waist, Big Deal<\/strong><\/h3>\n<p><strong><em>A thick waist equals a big health risk<\/em><\/strong>.<\/p>\n<ul>\n<li><strong>Females<\/strong>\u00a0with waists of 35 inches or more have a statistically high risk for heart problems.\u00a0<em>Normal<\/em>-weight women with a waist of\u00a0<strong>35 inches or higher had three times the risk of death from heart disease\u00a0<\/strong>(citation https:\/\/www.hsph.harvard.edu\/obesity-prevention-source\/obesity-definition\/abdominal-obesity\/)<\/li>\n<li><strong>Males<\/strong>\u00a0with waist measurements of\u00a0<strong>40 inches<\/strong>\u00a0or more are truly \u201chigh risk\u201d for cardiovascular disease (US\u2019 number one cause of mortality), and possibly some diet-influenced cancers.<\/li>\n<\/ul>\n<p>There are two extended variant measures of a human\u2019s waist circumference:<\/p>\n<ul>\n<li><strong>W<\/strong>aist over\/to\u00a0<strong>H<\/strong>ip\u00a0<strong>R<\/strong>atio (WHR)<\/li>\n<li>Waist To Height Ratio (<a href=\"https:\/\/www.healthyweightforum.org\/eng\/calculators\/waist-height-ratio\/\" target=\"_blank\" rel=\"noopener\">WTHR<\/a>).<\/li>\n<\/ul>\n<p>Modern research on these two variants suggests\u00a0<em>potential<\/em>\u00a0screening value for future health risks, and obviously, body aesthetics.<\/p>\n<h4><strong>Eyeball it or Measure it?<\/strong><\/h4>\n<p>A subjective, simple way for a client to assess obesity and potential health risk is to \u201ceye\u201d a full-length mirror (with mid-riff exposed).<\/p>\n<ul>\n<li>If the client\u00a0<em>can<\/em>\u00a0see abdominal muscle definition, then she or he likely has \u201chealthy\u201d body fat percentage, and hence, lower risk of disease.<\/li>\n<li>If the client\u00a0<em>cannot<\/em>\u00a0see \u201d dad bod love handles\u201d or \u201cmuffin top hips\u201d, then the chances of being overweight or obese are unlikely.<\/li>\n<li>Using a tape measure is obviously more objective using the above-mentioned parameters for men and women; a waist circumference check can provide good news or serve as a valid warning sign for decreased health span.<\/li>\n<\/ul>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-65870 alignleft\" src=\"https:\/\/nfpt.com\/wp-content\/uploads\/Tale-of-the-Tape.jpeg\" alt=\"Tale Of The Tape\" width=\"275\" height=\"183\" \/><\/p>\n<p>If a client\u2019s current waist measurement is \u201clarge\u201d and\/or is bigger than hip circumference \u2013 there is a PAR-Q danger zone for cardiovascular disease and lifespan risk.<sup>3<\/sup><\/p>\n<p><strong>With few exceptions, waist circumference is a better indicator of CVR health risk and bodily aesthetics than the centuries-old BMI screen.<\/strong>\u00a0High weight or body mass doesn\u2019t\u00a0<em>always<\/em>\u00a0equate to high health risk or to what a client aesthetically sees in the mirror.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h4>References<\/h4>\n<ol>\n<li>https:\/\/www.thesecretlifeoffat.com\/<\/li>\n<li>Journal of the International Society of Sports Nutrition. 2(2): 4-31, 2005.<\/li>\n<li>Bredin, Shannon S D et al. \u201cPAR-Q+ and ePARmed-X+: new risk stratification and physical activity clearance strategy for physicians and patients alike.\u201d Canadian family physician Medecin de famille canadien vol. 59,3 (2013): 273-7.<\/li>\n<\/ol>\n<div class=\"et_pb_row abfd_et_pb_row\">\n<div class=\"et_pb_column\">\n<div class=\"abfd-container\">\n<p>&nbsp;<\/p>\n<div class=\"abfd-photograph\"><img decoding=\"async\" src=\"https:\/\/secure.gravatar.com\/avatar\/4c89f533081a30ae830857851e9e5d74?s=96&amp;d=mm&amp;r=g\" alt=\"Dave Frost\" \/><\/div>\n<p>&nbsp;<\/p>\n<div class=\"abfd-details\">\n<div class=\"abfd-name\"><a href=\"https:\/\/personaltrainertoday.com\/author\/davefrost\"><br \/>\nDave Frost<\/a><\/div>\n<div class=\"abfd-biography\">\n<p>Dave Frost has served the fitness community as a NFPT-certified CPT since 2013, and a Master Fitness Trainer since 2019.<br \/>\nAs a Medicare-aged baby boomer, he specializes in training those clients who intend to stay \u201cwell past forty\u201d.<br \/>\nHe is a former world champion in Masters Rowing and National Indoor Rowing champion for his age group. He is also a group fitness instructor for The Row House. His website is https:\/\/wellpastforty.com. Dave recently published his work: KABOOMER: Thriving and Striving into your Nineties to promote stamininety for those intending to add years to their lives and life to their years.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Educating our clients on how to improve health outcomes certainly falls under the purview of health and fitness coaching. With that, explaining the relevance of body composition, the flaws of the body mass index (BMI), and how stored adipose tissue correlates with health risks, specifically with regard to waist circumference, is an important aspect of [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1976,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[24],"tags":[],"class_list":["post-1975","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-latest-blogs"],"_links":{"self":[{"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/posts\/1975","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/comments?post=1975"}],"version-history":[{"count":2,"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/posts\/1975\/revisions"}],"predecessor-version":[{"id":2101,"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/posts\/1975\/revisions\/2101"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/media\/1976"}],"wp:attachment":[{"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/media?parent=1975"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/categories?post=1975"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/tags?post=1975"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}