What are anthropometric indices?

  Anthropometric indices for adults:

Following are anthropometric indices for adults:

  • BMI
  • Waist to hip ratio
  • Waist to height ratio
  • Body adiposity index
  • Fat free mass index 


BMI Body mass index: 

style="background-color: #f1c232 <;">In 10th centaury BMI was first developed by Adolphe Quetelet.
BMI also called Quetelet's index is " a measure of body fat based on height and weight that applies to adult men and women" often calculated by dividing body weight of individual in kg with the height in square meter. It is important indicator of one's nutritional status.


CALCULATION;

Metric: Weight in kg/ Height in meter square
English: Weight in pounds/ Height in inches square multiply by 703.

 IDEAL BODY WEIGHT;

For males: 50kg+2.3 kg for each inch over 5 feet.
For females: 45.5kg+2.3kg for each inch over feet.

WHO cutt-off points for BMI:

BMI                            Classification
Less than 16.0              Severe chronic energy deficiency
16-16.9                         Moderate chronic energy deficiency
17-18.49                        Mild chronic energy deficiency
18.5-24.9                       Normal weight
25-29.9                          Pre-obesity
30-34.9                           Obesity grade-1
35-39.9                           Obesity grade-2
Above 40                        Obesity grade-3

Waist to hip ratio WHR:

WHR is calculated as waist circumference divided by hip circumference. It is simple measure of central obesity and useful in estimation of individual body fat distribution and adiposity. WHR serves as a valuable indicator of metabolic complications. According to WHO WHR > 0.9 in male and > 0.85 in female act as significant benchmark for metabolic syndrome.


The WHO cutt-points for WHO
Male               Female                 Classification
<0.90               <0.85                     Normal
>0.90               >0.85                      At risk


Waist to Height ratio WHtR:

WHtR is defined as the waist circumference divided by height and is measure of distribution of adipose tissue. It is an indicator of metabolic syndrome and obesity. It is considered as superior measure when compared to BMI.



Interpretation of waist to height ratio by gender
Females                       Males                       Interpretation
<0.35                            < 0.35                        Underweight
0.35-0.42                      0.35-0.43                    Slim
0.42-0.49                      0.43-0.53                    Healthy
0.49-0.54                      0.53-0.58                     Overweight
0.54-0.58                       0.58-0.63                    Obese
>0.58                               >0.63                        Very obese

Body adiposity index BAI:

An alternative index called body adiposity index was recently based on hip circumference and height to determine the adiposity of individual.
Body adiposity index= hip circumference cm / height m^1,5 - 18


Cutt-off values of BAI for males and females
AGE 20-40
Status                        BAI male                         BAI females
Underweight              <8%                                   21%
Healthy                      8-19%                                21-23%
Overweight                19-25%                              33-39%
Obese                          >25%                                >39%
AGE 41-60
Status                       BAI male                           BAI female
Underweight               11%                                    <23%
Healthy                        11-22%                              23-35%
Overweight                 22-27%                               35-40%
Obese                           >27%                                   >40%

Fat free mass index FFMI:

FFMI is an alternative measure of BMI and accounts for muscles mass. FFMI calculates amount of muscles in relation to one's height.
The FFMI score for an average male is about 19 and cannot go beyond 25 without use of steroids. 

FFMI  is a good indicator for subjects trying to lose weight by engaging in strength training making in a handy tool for body builder. Following are the equations through which we can estimate total body fat and FFMI:

Total body fat= weight in kg multiply by (body fat%/ 100)
FFMI= ( lean weight in kg/ 2.2 )/ {(feet multiply by 12+ inches) multiply by 0.0254}^2
Lean weight= weight in kg multiply by {1-( body fat%)/100}


FFMI ranges to body fat
MEN
FFMI                       Body fat%                       Description
17-18                          10-18                                 Skinny guy
18-20                           20-27                                 Average guy
19-21                           25-40                                 Fat guy
20-21                           10-18                                 Athlete
22-23                           6-12                                  Advance gym freak
24-25                           8-20                                   strength athlete

WOMEN
FFMI                         Body fat%                          Description
14-15                           20-25                                 Skinny women
14-17                           22-35                                 Average women
15-18                           30-45                                 Fat women
16-17                           18-25                                 Athlete
18-20                           15-22                                 Advance gym freak 
19-22                           15-30                                 Strength athlete



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