Why weight is a stupid metric for health

Weight is a simple metric of the force of gravity on the mass of an object (weight = mass multiplied by gravity).

Weight alone does not take into account your gender, height, body composition (how much muscle and fat you have and where that fat might be stored), fluid intake or retention (or where you are in your menstrual cycle), or the recency of food intake or bowel motions.

As a society, we rely too much on numbers to tell us what matters. Do I believe in data-driven decisions? Yes, in the workplace. Does data make it easier to achieve and hold people accountable to KPIs? Yes. Does information help inform us to better understand what’s happening? Absolutely! But decisions should never be based on one number. Decisions are generally multi-faceted and require input from multiple valid sources.

Weight is one part of the picture. As a stand-alone number, it is relatively meaningless and BMI (body mass index which is a ratio of weight to height) isn’t much better. In fact, eighty per cent of pro baseball players would be considered obese according to BMI ranges. In a review of BMI in master athletes (those typically over 35 years of age), the conclusion was that “the standard BMI equation exaggerates thinness in short individuals and fatness in tall and muscular individuals”. Ethnicity is another aspect that is not catered for in BMI.

The standard BMI equation exaggerates thinness in short individuals and fatness in tall and muscular individuals.
— Joe Walsh, Ian Timothy Heazlewood, and Mike Climstein

Health is a combination of factors, many of which can be measured, including:

  • Resting heart rate

  • Aerobic fitness

  • Heart rate variability

  • Waist circumference

  • Blood pressure

  • Cholesterol levels

  • Blood sugar levels

  • Body composition

  • VO2 max

  • Thyroid hormone levels

  • Flexibility

  • Muscular strength and endurance

There are other measures that add up to overall wellness, including:

  • Number of glasses of water you drink daily

  • Number of alcohol-free days a week (and the number of alcoholic drinks you consume on the days you do drink)

  • The average number of hours of sleep you get each day

  • Time spent moving each day and the split of how you move when you are exercising

  • The number and variety of vegetables you eat daily

  • If and how much you smoke, including vaping

  • Physical safety

  • Financial security

And also wellness indicators that cannot currently be measured

  • Happiness

  • Confidence

  • Sense of connection and belonging

  • Creativity and mental growth

  • Resilience

  • Sense of hope, purpose and meaning

  • Ability to concentrate

  • Participation in meaningful work

When you consider holistic wellbeing the standard for health, you can see why I don’t believe that weight alone is a good measurement.

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