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Saturday, 15 June 2013 17:42

Better than BMI

Measuring up: waist to height ratio a useful tool.

Measuring the ratio of someone's waist to their height is a better way of  predicting their life expectancy than body mass index (BMI), the method widely  used by doctors when judging overall health and risk of disease, researchers  said.

BMI is calculated as a person's weight in kilograms divided by the square of  their height in metres, but a study found that the simpler measurement of  waistline against height produced a more accurate prediction of lifespan.

 

People with the highest waist-to-height ratio, whose waistlines measured 80  per cent of their height, lived 17 years fewer than average.

Keeping your waist circumference to less than half of your height can help  prevent the onset of conditions like stroke, heart disease and diabetes and add  years to life, researchers said.

For a 6ft man, this would mean having a waistline smaller than 36in, while a  5ft 4in woman should have a waist size no larger than 32in.

Children in particular could be screened as early as five using the  waist-to-height ratio to identify those at greatest risk of obesity and serious  health conditions later in life, it was claimed.

Researchers from Oxford Brookes University examined data on patients whose  BMI and waist to height ratio were measured in the 1980s.

Twenty years later, death rates among the group were much more closely linked  to participants' earlier waist-to-height ratio than their BMI, suggesting it is  a more useful tool for identifying health risks at an early stage.

By comparing the life expectancies of various groups of people at different  waist-to-height ratios, they were able to calculate how many years of life were  lost as people's waistlines increased.

For example, a man aged 30 with a waist-to-height ratio of 0.8, representing  the largest one in 500 men, stood to lose 16.7 years of life due to their  size.

A 50-year-old woman with the same ratio, accounting for about one in 150  women of the same age, would lose 8.2 years of life on average.

Dr Margaret Ashwell, whose previous research has suggested that the  waist-to-height ratio could be a better tool than BMI for predicting a range of  diseases, presented her findings at the European Congress on Obesity in  Liverpool.

Measuring someone's waist is important because it accounts for levels of  central fat which accumulates around the organs and is particularly closely  linked to conditons like stroke and heart disease.

She said: "If you are measuring waist-to-height ratio you are getting a much  earlier prection that something is going wrong, and then you can do something  about it.

"The beauty is that you can do it in centimetres or inches, it doesn't  matter. We have got increasing evidence that this works very well with children  as well, because whilst they grow up their waist is growing but also their  height."

The Telegraph, London

Read more: http://www.smh.com.au/lifestyle/diet-and-fitness/better-than-bmi-20130515-2jmbt.html#ixzz2WGibRjyl

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