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The BMI isn’t all its cracked up to be

<p>The obsession people have with weight is nothing new. But as the relationship between science and weight evolves, health professionals are increasingly advocating for a shift away from one of the most often used tools as an individual measure of health.</p> <div class="copy"> <p>The Body Mass Index – or BMI – has been used for the past half century as a standard measurement tool for weight and obesity. It’s calculated by dividing a person’s weight in kilograms by the square of their height in metres.</p> <p>This produces a figure which is indexed on a spectrum of weight ranges. A BMI below 18.5 is considered underweight, above 25 is overweight, and above 30 is obese.</p> <p>The latest episode of <em>Debunks</em>, a new podcast from Cosmos, investigates how useful the BMI actually is for assessing health.</p> <p>Health advocacy bodies, health insurers and government departments all make reference to the BMI as being a globally recognised standard for weight classification.</p> <p>Most – but not all – <a href="https://cosmosmagazine.com/health/bmi-overweight-obese-healthy-deaths/">acknowledge that the tool is imperfect</a>. Its <a href="https://cosmosmagazine.com/health/body-and-mind/body-mass-index-miscalculation/">simple arithmetic</a> is based on a system devised by 19th-century Belgian mathematician Adolphe Quetelet, who was an early pioneer of the social sciences and the use of data to understand human trends.</p> <p>The so-called ‘Quetelet Index’ was first described in 1832 as a means of trying to identify a calculation for the average man, first by conducting cross-sectional studies of infants and then adults.</p> <p>The need to consider weight as an indicator for health, mortality and morbidity, saw scientists trial several measurements before settling on Quetelet’s formula and rebranding it as the BMI in 1972.</p> <p>The problem? The BMI was largely based on studies of Anglo-Saxon populations. This is one of the biggest limitations often recognised by health groups. The Australian Department of Health, for instance, notes that a healthy BMI range is generally lower for people of Asian backgrounds, and higher for those of Polynesian backgrounds.</p> <p>But ethnicity isn’t the only limiting factor. Age and pregnancy status also play a part. Even athletes with more lean muscle (which weighs more than fat) might also find the standard BMI doesn’t capture their health status accurately.</p> <p>Diets and lifestyles have also shifted from the 19th century Belgian standard, and even from those of 50 years ago. Health professionals have long supported a shift away from the BMI being used as a rolled gold indicator of individual health, and medical professionals are beginning to take a wider view of patient health.</p> <p>“There has been a recent change in the position from the [US] National Academies of Nutrition and Dietetics surrounding BMI and there are shifts in the guidelines around BMI for medical diagnosis,” Dr Emma Beckett, a molecular nutritionist at the University of Newcastle, tells <em>Debunks</em>.</p> <p>The same goes for other measurements like waist-to-hip ratios and waist circumference. These metrics are often used by researchers conducting large population studies, but they don’t necessarily explain a person’s ‘health picture’.</p> <p>“Because we measure them in so many of our research studies, people mistakenly believe they are the most important markers of health and it’s just not true. Health is so much more complicated,” Beckett says.</p> <p>“The ‘normal’ [BMI] category is the one with the lowest health risks, but it doesn’t mean being in that category means you have no health risks and it doesn’t mean if you just get yourself into that category and change nothing else, there are no health risks.”</p> <p>On the latest series of Debunks, a podcast from Cosmos and 9Podcasts, find out how weight – and measurements like the BMI – are much more complicated than they might seem.</p> <p><iframe title="Weight: Should you care about your BMI?" src="https://omny.fm/shows/debunks/weight-should-you-care-about-your-bmi/embed" width="100%" height="180" frameborder="0"></iframe></p> <div><em>Image credits: Shutterstock</em></div> <div style="background-color: #f4f4f4; padding-top: 20px; padding-right: 20px; padding-bottom: 20px;"><em><a href="https://cosmosmagazine.com/health/body-and-mind/the-bmi-isnt-all-its-cracked-up-to-be/">This article</a> was originally published on <a href="https://cosmosmagazine.com">Cosmos Magazine</a> and was written by <a href="null">Cosmos</a>. </em></div> </div>

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The new and reliable way to spot a liar

<p><strong><em>Susan Krauss Whitbourne is a professor of Psychology and Brain Sciences at the University of Massachusetts Amherst. She writes the Fulfilment at Any Age blog for Psychology Today.</em></strong></p> <p>Figuring out who will be truthful is as important a determination to make as any you might make in your life. Your quest to identify what's a lie ranges from distilling the newsfeed you receive on a moment-to-moment basis to trying to decide if a salesperson is giving you a truly good deal for a truly good product. Psychology addresses the question of dishonesty from a range of perspectives, such as interpreting <span><a href="https://www.psychologytoday.com/au/basics/body-language">body language</a></span> or counting the number of “uh’s” in a person’s speech. However, it would also make sense that <span><em><a href="https://www.psychologytoday.com/au/basics/personality">personality</a></em></span> would figure into the equation. Putting this idea to the test, University of Cape Town (South Africa) psychologist Yolandi-Eloise Jansevan van Rensburg and colleagues (2018) explored academic dishonesty in a context easily investigated with college undergraduates. Although their focus is on this specific type of cheating, the results of this study also have implications for <span><a href="https://www.psychologytoday.com/au/basics/empathy">understanding</a></span> dishonestly on a larger scale.</p> <p>Van Rensburg and her colleagues note that a large percentage (43%) of college students admit to having cheated at some point and in some way on exams. This estimate comes from a range of studies conducted between 2002 and 2013, with nearly 135,000 participants. In a way, although <span><a href="https://www.psychologytoday.com/au/basics/infidelity">cheating on</a></span> campus is a headache primarily for instructors, the problem also takes on significance when you consider that some of those cheaters are now serving the public, sometimes in situations involving life or death decisions. Who wants a cheater conducting <span><a href="https://www.psychologytoday.com/au/basics/neuroscience">brain</a></span> surgery or doing your taxes?</p> <p>The personality traits that the South African researchers believed would be most related to academic <span><a href="https://www.psychologytoday.com/au/basics/deception">deception</a></span> stem from the so-called “HEXACO” model that includes as one if its components the honesty-humility dimension. As you can most likely guess from the term, scores on this personality attribute are related to what the researchers call “counter-academic behaviour.” In other words, people with low scores on the honesty end of the continuum should be more likely to commit “multiple ethical transgressions within an academic context” that would include cheating and plagiarising among other behaviours such as abusing substances and holding low personal standards. Whether honesty-humility scores would include cheating specifically within this range of counter-academic behaviour became the study’s empirical question.</p> <p>According to van Rensburg et al., it is necessary to break the honesty-humility scores down further in the effort to predict cheating. Honesty refers to being fair and trustworthy, and unwilling to engage in behaviours designed to provide personal gain such as exploiting, stealing, lying, and of course, cheating. People high in humility avoid being greedy and regard themselves as not particularly entitled to special treatment. Putting the two together, people may want to get ahead and hope to get special treatment (i.e. be low in humility), but honesty puts the brakes on their doing so, acting as a “control element” against engaging in counterproductive behaviour.</p> <p>Using an online sample of 308 South African students ranging from 18 to 47 years of age, with an average age of 23, van Rensburg and her collaborators assessed cheating both with direct questions about counter-academic behaviour as well as with a disguised measure of cheating in the form of an online task that participants were to score themselves. The online cheating task was administered prior to the personality test to ensure that participants wouldn’t guess the actual purpose of the study and then be influenced by the honesty questions when they performed the task.</p> <p>The online cheating measure was cleverly designed to tempt participants to cheat by giving them the opportunity to win money if they performed well. Participants were told they should not use any unauthorised help such as using a calculator, nor to change their answers once they started seeing the correct scores. After completing the task, participants then reported on whether or not they had cheated in the process of scoring themselves or using any of that unauthorised help. To assess counter-academic behaviour, the researchers asked participants a series of questions regarding such examples as submitting a class paper or project that was not their own work (misrepresentation) and turning in work that was of poor quality and lower than their true potential or ability (low personal standards).</p> <p>Think now about what you would do in the online task scenario. Would you try to change your answers or give yourself an honest grade based on which ones you got right and which you got wrong? If you believe you would refrain from cheating, why would this be? Would you feel it was unfair to receive unearned money or would you just feel that you were being insincere? Think too about whether you’d really want money you hadn’t earned. Is it worth it to get an extra few dollars in terms of your own self-respect and integrity, or would you stop at nothing to try to game the system?</p> <p>As it turned out, the fairness dimension ranked above all else in predicting who self-reports engaging in counter-academic behaviour. With fairness including an adherence to social norms and unwillingness to take advantage of others, the authors reasoned, people with high scores on this trait should stay away from all forms of behaving badly in academic settings. For the online cheating test, though, it was greed avoidance that provided the strongest predictive value. That material gain, small though it was, provided sufficient incentive for the greedy students to grab what they could.</p> <p>Breaking honesty-humility down into its components, then, and differentiating between general college misbehaviour and cheating on a specific task allowed the South African <span><a href="https://www.psychologytoday.com/au/basics/teamwork">team</a></span> to pinpoint the distinct personality traits that lead people to lie to get what they feel they deserve. If you generalise beyond an academic situation, the findings suggest that the people most likely to cheat their way to the top are, at their core, greedy. Their desire to acquire material goods allows them to suspend their own sense of right and wrong. Those individuals who uphold the values of fairness will, by contrast, avoid the more general range of unsavoury behaviours that include ethical transgressions. </p> <p>If you want to figure out who to trust, the van Rensburg et al. study suggests you do a quick assessment of fairness and greed avoidance. Even if you dangle attractive goodies to the people high in greed avoidance, they’ll be able to resist temptation. You can conduct your own experiments of giving them the opportunity to earn something they don’t deserve and see how they behave. The people who believe in fairness, similarly, can be put to the test by finding out if they would try to get away with bending the rules if they could. Of course, you can also see if they do. If a salesperson fails to charge them for an item, do they point this out, or furtively leave the scene as fast as possible?</p> <p>Finding fulfillment in your own personal search for success means not cheating to get what you want. Learning to figure out who to trust in your relationships means looking not so much at their nonverbal communication but at the more easily observable, and perhaps reliable, conduct.</p> <p><em>Written by Susan Krauss Whitbourne. Republished with permission of <a href="https://www.psychologytoday.com"><strong><span style="text-decoration: underline;">Psychology Today.</span></strong> </a></em></p>

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