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FAQ > Obesity > I am big-framed. How can doctors expect me to weigh the same as someone else who is light-boned?

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I am big-framed.  How can doctors expect me to weigh the same as someone else who is light-bone

That isn't how obesity is determined or defined.  In the 1940's, the Metropolitan Life Insurance Company published "ideal" height and weight tables separately for men and women.  These tables listed supposedly desirable weights for people who with small, medium, and large skeletal frames.  These tables were based on statistical averages of large numbers of people weighed at the time of their life insurance physical examinations, and for decades, were the reference tables for nutritional counseling in doctor's offices.  The more modern assessment of obesity involves the calculation of Body Mass Index (BMI).  The BMI is derived from a complex formula based on height and weight.  Now that computers are commonplace, a person can type his or her height and weight into a body mass index calculator, and the index number result appears immediately in the answer box.  The BMI is a number that has been correlated with the risk of morbidity and mortality attributable to weight.  The BMI number may range from 15 to 60 or more.  A BMI less than 18.5 is considered malnutrition or underweight.  A BMI between 18.6 and 25 is considered healthy.  The range 25.1 - 29.9 is considered overweight.  The range 30-39.9 is considered obese.  A BMI > 40 is considered morbidly obese because at this level, there is a dramatic increase in the probability of sudden death from cardiovascular or pulmonary events.

If you wish to calculate your own BMI anonymously in the privacy of your home or office for your own enlightenment and monitoring, go to the internet and Google "Body Mask Index Calculator".  There are several choices; some calculators work only online, and others can be downloaded.  Just plug in the height and weight information requested, and you will get your BMI answer in the blink of an eye.

If you don't have internet access to do a BMI calculation, you can use some simple formulas to gain a rough concept of ideal weight.  Remember that ideal is ideal and is not commonplace.  For a man, a rough guide to ideal weight is approximately 106 pounds plus 6 additional pounds for every inch of height over 5 feet.  For a woman, a rough guide to ideal weight is 105 pounds plus 5 additional  pounds for every inch of height over 5 feet.  Let me emphasize once again that these are ideals for young athletic adults or soldiers at the height of physical fitness and are rarely achieved by ordinary folks.  Don't get discouraged if your weight is nowhere near these numbers and don't  think I am crazy or unreasonable for even publishing these numbers.  After all, they are ideals.