What is the Body Roundness Index (BRI) and could it replace BMI?
Sep 26, 2024
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Explore the intriguing limitations of BMI as a health metric and discover the Body Roundness Index (BRI) as a promising alternative. Learn how BRI incorporates waist circumference for a better understanding of fat distribution, particularly for populations predisposed to abdominal fat. Dive into the impact of visceral fat on health issues like diabetes. Plus, get a practical guide on how to measure your own BRI at home, ensuring a more accurate representation of your health and risks.
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Quick takeaways
The Body Mass Index (BMI) has significant limitations as it fails to account for diverse populations and body fat distribution.
The Body Roundness Index (BRI) focuses on waist circumference and has shown better effectiveness in predicting health risks and mortality.
Deep dives
Limitations of BMI and Its Historical Context
Body Mass Index (BMI) is often seen as a quick measure of health, but it has significant limitations that have prompted experts to seek alternatives. BMI was developed based on data from 19th-century Europeans, making it less applicable to diverse populations today. For example, studies indicate that Indians are genetically predisposed to accumulate visceral fat, which poses greater health risks, including diabetes. This highlights the need for health metrics that are more reflective of individual body compositions and demographics, leading to the exploration of the Body Roundness Index (BRI).
Understanding the Body Roundness Index (BRI)
The Body Roundness Index (BRI) is posited as a superior alternative to BMI, focusing on waist circumference in relation to height to better determine potential health risks. Developed in 2013, BRI uses geometrical shapes to encapsulate the human body accurately, reflecting its unique contours rather than assuming a cylindrical shape like BMI does. The measure considers an individual's waist as the minor axis and height as the major axis of an ellipse to assess body roundness. This method has been shown through research to better predict visceral fat levels, which are particularly problematic for populations predisposed to abdominal weight gain.
The Health Implications of BRI in Diverse Populations
Research on BRI has demonstrated its effectiveness in predicting mortality risks, revealing a U-shaped relationship where both underweight and overweight individuals have increased mortality. This correlation suggests that maintaining a balanced body shape within a defined healthy range is crucial for longevity. As the BRI has been positively received in diverse regions, including Asian countries like India, it signifies a need for universal health benchmarks that cater to distinct ethnicities and body types. Ultimately, effective health metrics should be tailored to reflect individual variations and the unique distribution of body fat across populations.
What’s a quick measure of how healthy you are? Most people would say Body Mass Index or BMI. But increasingly, experts have come to the conclusion that BMI has several limitations. Why? For one thing it was made using data from 19th century Europeans and does not work well across different populations. For another, it does not tell you the composition of your weight, or crucially, where that weight is located. Indians are genetically predisposed to putting on more weight around the abdomen region, and it is this fat that puts at risk of various diseases including diabetes. And this where another index comes in – the Body Roundness Index or BRI. Devised in 2013, studies over the last decade have now shown that BRI may be a better predictor of what health risks you may face. BRI, unlike BMI, takes your waist circumference into account, essentially letting you know if you are too round, and therefore unhealthy.
How does the BRI calculation work? What has research about it shown so far? And is it a better metric for Indians to use?
Guest: Diana Thomas, the mathematician who devised BRI. Dr Thomas is a a full professor in the Department of Mathematical Sciences at the United States Military Academy, West Point
Host: Zubeda Hamid
Edited by Jude Francis Weston
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