Formula for determining overweight. Ideal weight: how to calculate body mass index (BMI)

The calculation of the ideal weight is always problematic, since at the moment there are several ways to determine it. All of them, according to the assurances of the developers, are true, but women strive for the ideal, therefore, methods are used that give an average value. To calculate it, you can use online weight calculator which is presented below.

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Physical activity

Basal metabolism minimum / absence of physical. exercise 3 times a week 5 times a week 5 times a week (intensive) Every day Every day intensively or twice a day Daily physical. load + physical Work

Result in

Without changing the weight:

Weight loss:

Rapid weight loss:

According to anthropologists, there are three types of figure in a person, which characterize the appearance and possible weight - asthenic, normosthenic, hypersthenic.

  • Asthenik is tall and light weight - these are standard people who eat a lot, but do not get better. The figure of the asthenic is angular, the bones "bulge", which somewhat loses its attractiveness.
  • Normostenik - average height and standard weight. Their health is the best, since such people are not prone to weight gain, the figure is harmonious and attractive.
  • Hypersthenic - growth is below average, and weight indicators are slightly higher than normal. The presented body has slight roundness, similar is observed in men and women. If a person with a hypersthenic body loses a lot of weight, his appearance will not be attractive.

From the above provisions it follows that it is important for a person to first study his body, and only then resort to. Perhaps losing weight will not be necessary at all, because it is important to pay attention not to the ratio of height and weight, but to the type of figure.

Mistakes will lead to forced debilitating diets, which women love to practice, striving for the ideal, but not being able to keep a low weight with their health characteristics.

How to determine the type of figure

In accordance with the above data, it is necessary to determine your body type, which will be important for both men and women.

To determine the following measurements are required:

  • Go to the mirror and draw your stomach in.
  • Next, you need to feel the lower ribs and evaluate their position relative to each other. This is called calculating the intercostal angle - the highest point of connection of the ribs in the middle of the human body.
  • If the angle is less than 90 degrees, then the figure of the anesthetic. If closer to a right angle, then this is a normosthenic. When the angle is more than 90 degrees, we are talking about hypersthenics - they have an expanded location of the bone, so they look plump even with normal indicators.

It is important for women to achieve the ideal weight, while it is clarified that it is not possible to determine it exactly. For each figure and person, the norm is determined individually, in most cases a person does not think about his condition, but looks precisely at his appearance.

About ideal weight

Calculating normal weight is not an entirely accurate procedure. Regardless of the results obtained, people tend to be thinner, men are slimmer and more prominent.

The ideal weight for a person corresponds to the following factors:

  • the existing weight and amount of fat in the human body is safe and does not provoke health problems;
  • the optimal indicator will not limit the movements of a person;
  • a woman or a man is satisfied with the appearance;
  • there is no comparison with other people.

In this case, it doesn’t matter what indicators a person has, but it is recommended to calculate the ideal weight for your height. In the presented way there is a certain ratio of appearance and health. Normal weight is recommended to be calculated and monitored (adhered to as much as possible) so as not to risk your health. The presented values ​​are given to people to correct their diet and prevent the development of pathologies, mainly developing against the background of excess weight.

Expert opinion

Egorova Natalya Sergeevna
Nutritionist, Nizhny Novgorod

Yes, ideal weight is a relative and purely individual concept. When calculating it, many factors are taken into account: body mass index (BMI), constitutional type, amount of fat in the body, metabolic characteristics, etc. And yes, in hypersthenics, normal body weight is always higher than in asthenics.

Back in the days of the USSR, the formula for ideal weight was quite simple. 100 was subtracted from height, and the resulting number allegedly showed how many kilograms a person should weigh. Naturally, such calculations were inaccurate, brought little benefit and had practically nothing to do with reality. However, even today, many people measure the “normality” of weight by body mass index. I do not approve of this approach.

Moreover, I do not recommend determining the "ideal weight" on your own or with the help of friends and relatives. After all, you yourself will not be able to calculate the exact figure. And don't give yourself weight loss recommendations. So if you are planning to lose weight, contact a dietitian. This article does not list all the factors that a specialist takes into account when planning a weight loss program. In fact, there are many more. And be prepared for the fact that you may need to pass a series of tests.

How to determine the presence of excess fat in the body

There are several ways to determine the presence of excess fat. Its presence in the body provokes the development of cholesterol plaques, atherosclerosis and joint pathologies due to excessive pressure. In most cases, the legs suffer, but more serious problems can be encountered - osteochondrosis and spinal hernia.

Application of scales

The standard and common formula for calculating ideal indicators is to calculate the sum of 110 from your height. Calculating indicators is easy if you have a scale at home. Weigh yourself in the morning on an empty stomach and after going to the toilet.

Wrinkles on the abdomen

It is possible to determine a large amount of fat in the body, leading to obesity and a deterioration in the vital activity of the body, by the crease on the abdomen. For men, the norm is approved - 1-2 cm, for women - 2-4 cm. All indicators above 5 cm indicate the presence of obesity. This method will not make it possible to calculate how many kilograms you need to lose to an ideal figure, but may indicate the presence of health problems.

Body mass index

There is a way to calculate the norm by body mass index. To do this, use the formula: weight / height in meters2.

Here is the following definition:

  • if the body mass index is less than 18.5, then the person has a deficiency;
  • up to 24 - the norm;
  • up to 29 - excess;
  • over 30 indicates obesity.

The resulting value must be compared with the indicators in the table.

Using a calculator

For ease of calculation, an ideal weight calculator for height and age is offered.

Scales with the calculation of the amount of fat

Body mass index indicators give only mathematical values. It is noteworthy that the existing scatter entails significant differences in the amount of fat in the human body and in appearance. You can simplify your work and use only scales endowed with the function of calculating the amount of fat in a person. To do this, a weak electrical impulse is passed through the body, which easily passes through water and muscles. Difficulty passing through fat and leads to the calculation of indicators.

How to determine real indicators

Often, men and women begin to lose weight with large indicators, hoping to achieve significant results.

In order not to overestimate your capabilities, it is recommended to use the following formula to calculate the possible achievement:

  • 45 kg + 1 kg for each cm of growth, which is over 150 cm + 0.5 kg for each year over 25 years, but not more than 7 kg.
  • Next, you need to add 4-7 kg to the value obtained.
  • Add another 4-7 kg if he currently weighs 90 kg.
  • If at the moment the person weighs more than 100 kg, add a few more kilograms.

As an example, you can take a woman weighing 82 kg, 165 cm tall and 31 years old. For her, normal indicators will be calculated as: 45 + 15 + 3 + 7 \u003d 70 kg. The value can be reduced to 67 - the amount will be obtained if you add 4 kg.

It turns out that a woman should weigh from 67 to 70 kg. Otherwise, she will not be able to maintain the achieved weight (for example, when losing weight up to 55 kg), and health problems will also arise.

Important! When losing weight or calculating indicators, it is recommended that you pay attention not to your own ambitions, but to the need to improve your health.

Weight and health are closely related, which should be monitored at all times. You need to weigh yourself constantly - every 2 days or once a week, while controlling your diet. To maintain the achieved ideal forms, it will be enough to spend weekly fasting days. They will help get rid of excess fluid in the body, which contributes to the breakdown of fat cells.

To "blind" the ideal figure, it will take a significant amount of time and effort. However, before embarking on this difficult task, go to the mirror and look at yourself critically, but with love. You can take a centimeter and measure all your circumferences, just don't draw any gloomy conclusions if you don't get 90-60-90.

Most likely, it really will not work out, but there is no tragedy in this. First, there are many things that can be fixed. Secondly, a lot of things may not need to be corrected.

Type of constitution

For example, anthropologists distinguish three main types of constitution (not to mention numerous transitional and intermediate variants). These three types are called: normosthenic, hypersthenic and asthenic.

A person with a hypersthenic constitution, most often of average or below average height, broad-boned, with relatively short arms and legs and a wide chest. Asthenik is tall, long-legged, with a narrow chest, as if directed upwards. Normostenik means “normal”: growth is average and everything else too.

You can quite accurately determine your constitutional type by the so-called intercostal angle, which is formed by the lowest costal arches. Stand in front of a mirror with your stomach in and your chest out, and see what your intercostal angle is (you can even take a large protractor and measure).

If it is approximately 90 degrees, then you are normosthenic. If this angle is sharp, less than 90 - you are asthenic, and if obtuse - hypersthenic. In the latter case, in particular, successful weight loss can lead to a not very successful result: thinness will not adorn the hypersthenic, and some “extra” weight, on the contrary, will round out the somewhat square outlines of the figure.

Ideal weight is not a number on the scale, but an integral important component of your life.

Ideal weight

Your weight is ideal if:

  • It does not cause health problems (or potential risks);
  • It does not restrict you in your daily life, desires and needs;
  • You are satisfied with your body as it is, and at the same time you do not feel embarrassed;
  • You like your body and don't compare yourself to the people around you (or actors, singers, athletes, etc.).

There are various indicators and formulas that can determine the approximate weight range in which you may begin to develop health problems, as well as the weight you need to strive for in order to minimize or completely eliminate these problems.

Methods for determining excess weight

1. Determination of excess weight using scales

The simplest (and most approximate): height (in centimeters) minus 110. The resulting number (in kilograms) is the ideal weight. However, this does not mean that “everything else” is superfluous.

There is the easiest and most accurate way to determine if you are overweight: just measure the crease on your stomach. For women, the allowable norm is 2-4 cm, but for men it is slightly less - 1 - 2 cm. Experts say that from 5 cm or more is obesity. True, unfortunately, in this case we will not see the exact result of how much we need to lose. This is just a kind of hint that it's time to sit down at the simulators and on a diet.

3. BMI - body mass index (Body Mass Index)

The so-called body mass index (BMI) has received general recognition. His calculation: Divide your weight in kilograms by your height in meters squared. Example: BMI \u003d 68kg: (1.72m x 1.72m) \u003d 23. This formula is good because it works for both “kids” and “giants”.

The following BMI values ​​are distinguished:

less than 15- acute weight loss;
from 15 to 18.5- weight deficit;
from 18.5 to 24 - normal weight;
from 25 to 29- overweight;
from 30 - 40- obesity;
over 40- severe obesity.

4. Online ideal weight calculator

5. Scales that determine the percentage of body fat

But BMI does not speak about the distribution of kilograms on the body. Physique matters. With the same height and weight, one person will be slim and strong, the other full and loose. The ratio of muscle and fat is important, how many percent of the total body weight is fat mass, how much is muscle and bone, how much is water. The normal proportion of fat in the body of men is 12-18%, women - 18-25%.

Recently, devices have appeared to determine the percentage of body fat. In the process of bioelectrical analysis, a weak, absolutely safe electric current is passed through the body. The principle of analysis is based on the fact that an electrical impulse passes more easily through muscles and water than through fat. Now there are scales that include this technology, you can use them to regularly and more or less accurately measure at home not only your weight, but also the percentage of fat.

6. The formula for determining the realistically achievable weight

The formula is applicable for cases when a person begins to lose weight with a fairly large weight.

The calculation is carried out in two stages:

1. First determine your weight, as if you were the owner of a normal metabolism:

(45 kg) + (1 kg for each centimeter of height over 150 cm) + (0.5 kg for each year over the age of 25, but not more than 7 kg).

2. Then carry out a correction for a slow exchange:

Add from 4.5 to 7 kg;

Add another 4 to 7 kg (with an initial weight of about 90 kg);

A few more kilograms are added (with the initial weight, greatly exceeding 100 kg).

An example for a fifty-year-old lady with a height of 158 cm, weighing 90 kg today:

45 kg + 1 kg (158 cm - 150 cm) + 7 kg + 7 kg + 7 kg = 74 kg.

If our lady manages to bring herself up to 60 kg, then she is provided with all sorts of health troubles and an inevitable quick return to her original weight, plus a certain number of cheerful kilograms.

How does body weight affect health?

What does the number on the scale really mean? How does it relate to all the reasons why you want to lose weight? Perhaps you want to look more attractive, improve your health, fit into your favorite jeans or put on a beautiful dress that has been hanging in your closet for many years, improve your physical shape, return to your youth, or are you just more comfortable living with fewer kilograms? The number on the scale is not what determines your success or failure. There are so many ways to measure progress and success besides constantly monitoring the scale.

There is only one reason to talk about "normal" or "ideal" weight and that reason is your health.

Which can later lead to serious illness or even death. Although your specific weight may not be the cause of any diseases, it is absolutely known that people whose weight is above or below the “normal” are much more susceptible to various health problems.

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website found 5 ways to calculate the optimal weight used by fitness professionals.

Method 1. Quetelet index

If you know the body mass index, you can judge obesity or underweight. The index is calculated for adult men and women from 20 to 65 years old. The results may be false for pregnant and lactating women, athletes, the elderly and adolescents (under 18).

The resulting number will be your index. The norm for men is 19-25. For women - 19-24.

Method 2. Volumes

The Quetelet index is a good indicator of the amount of fat in the body, but does not indicate how fat is distributed, in other words, it does not give a visual picture. But you can check your body for ideality using another formula.

The distribution of fat throughout the body is determined by the ratio: waist circumference (at the level of the navel) divided by the volume of the buttocks. The norm for men is 0.85; for women - 0.65 - 0.85.

Method 3. Taking into account age

It has been proven that the weight of a man and a woman should gradually increase with age - this is a normal physiological process. Kilograms, which some people consider "superfluous", in fact, they may not be. You can use the formula to determine the optimal weight depending on age.

P - in this case, height, and B - age in years. Body weight \u003d 50 + 0.75 (P - 150) + (B - 20): 4

Method 4. Brock's formula

One of the most popular methods for calculating ideal weight is Brock's formula. It takes into account the ratio of height, weight, body type and age of a person.

Brock's formula for people under 40 years old: height (in cm) minus 110, after 40 years - height (in cm) minus 100.

At the same time, people with an asthenic (thin-boned) body type should subtract 10% from the result, and people with a hypersthenic (broad-boned) body type should add 10% to the result.

How to determine your body type? It is enough to measure the circumference of the thinnest place on the wrist with a centimeter.

Method 5. Nagler formula

There is a Nagler formula that allows you to calculate the ideal ratio of weight and height. For 152.4 cm of height there should be 45 kg of weight. For every inch (that is, 2.54 cm) over 152.4 cm, there should be another 900 g. Plus another 10% of the resulting weight.

Method 6. Formula John McCallum

One of the best formulas was created by expert methodologist John McCallum. Its formula is based on measuring the girth of the wrist.

  1. The circumference of the wrist multiplied by 6.5 is equal to the circumference of the chest.
  2. 85% of the chest circumference is equal to the circumference of the hips.
  3. To get the waist circumference, you need to take 70% of the chest circumference.
  4. 53% of the chest circumference is equal to the thigh circumference.
  5. For the neck circumference, you need to take 37% of the chest circumference.
  6. The circumference of the biceps is about 36% of the circumference of the chest.
  7. The girth for the lower leg is slightly less than 34%.
  8. The circumference of the forearm should be equal to 29% of the circumference of the chest.

But not all physical data will exactly correspond to these ratios, the numbers have an average, average value.

A few more options for the ratio of height and weight:

  1. The physique is considered ideal if the waist circumference is 25 cm less than the circumference of the hips, and the circumference of the hips is approximately equal to the circumference of the chest.
  2. The waist circumference should be equal to: height in centimeters - 100. That is, a woman with a height of 172 cm will be proportionately folded if the waist circumference is 72 cm, the hips and chest circumference is about 97 cm, that is, if she wears clothing size 48.
  3. If the circumference of the hips is less than the circumference of the chest, and the circumference of the waist is less than the circumference of the hips by 20 cm, then such a figure is called an "apple". If the chest circumference is less than the hip circumference, and the waist circumference is 30 cm or more less than the hip circumference, this is a pear-shaped figure.
  4. For women and girls of average height - from 165 to 175 cm - this observation turned out to be fair. Their waist circumference in centimeters is approximately equal to their weight in kilograms. One kilogram of weight loss gives a decrease in the waist by one centimeter.

Instruction

One of the simplest formulas for calculating the ideal the weight and was proposed by the anthropologist from France Paul Brock. The easiest to calculate is the weight is minus the coefficient. At up to 165 cm, the coefficient is 100, up to 175 cm - 105, above 175 cm - 110. According to experts, Brock's formula is correct for people whose age is in the range from forty to fifty years. If you are under forty, then the optimal the weight, calculated according to Broca's formula, must be reduced by ten to twelve, otherwise the result must be increased by five to seven percent.

Body mass index calculations showing body fat are considered more accurate. For calculations, it is enough to know body weight in kilograms and height, recorded in meters. BMI \u003d M (kg): H2 (m), where M is body weight, H is height. The formula itself is also very simple: the ratio of mass to the square is found. Depending on the value obtained, conclusions are drawn about the weight e person. If you get less than 25 - this is the norm, if more than 25, but less than 27 - this is overweight, but not yet obese, but if more than 27 - this is already obese. But these are again average indicators, since the values ​​​​of the body mass index are different for and.

In Russia, doctors use special tables to determine overweight, in which, depending on gender, and on, and on height, the maximum allowable values ​​\u200b\u200bare indicated the weight a. If your the weight below the table, this may mean the absence of excess the weight and, if higher, then additional studies determine the degree.

note

There are various methods to determine the ideal weight for any person, depending on his height. This does not take into account other indicators such as age, gender and physique. Obviously, if excess weight is formed due to muscles, then a person does not look full, in addition, scientists have proven that a little overweight for women has a positive effect on her health.

Useful advice

There are no absolutely reliable ways to determine the ideal weight, since none of them takes into account the individual characteristics of a person. It is better to focus on the state of health and the mirror.

Related article

Excess weight is a problem that can have not only aesthetic, but also medical negative consequences. How to reliably find out if you are overweight?

Having excess weight can create a lot of problems for a person, ranging from difficulties with choosing well-fitting clothes to negative health consequences, such as shortness of breath, increased stress on the joints, and others. However, in the modern world, focused on the standards of the fashion industry, the concept of being overweight has become rather blurry: many people begin to consider being overweight, which in fact is completely normal. How to determine the limits of the norm of weight for a particular person?

Body mass index

To get an answer to this question, doctors have long developed a universal criterion that takes into account not only the absolute value of weight in kilograms, but also: after all, it is clear that weight, for example, 70 kilograms, has a completely different meaning for two people if the height of one is 1 .5 meters, and the other - 1.95 meters. This criterion was called the body mass index, which is also often abbreviated to BMI. At the same time, it is simple enough that anyone who wants to find out if he is overweight can use it. In order to calculate the body mass index, it is necessary to divide a person's weight in kilograms by the square of his height, expressed in centimeters. For example, for the person mentioned above with a weight of 70 kilograms and a height of 1.5 meters, the indicated index will be 31.1.

Determining the limits of normal weight

The developers of the body mass index found that the weight of an average person can be considered normal if his BMI is in the range from 18.5 to 25. If the value of the body mass index of a particular person turned out to be less than the lower limit of the norm, this means that he has a deficiency in body weight . If the index turned out to be higher than 25, that the person is overweight, and the more the index value exceeds the upper limit, the more overweight he has. So, if the BMI does not exceed 30, doctors ascertain the presence of overweight, with BMI values ​​​​from 30 to 35 - obesity of the first degree, from 35 to 40 - of the second degree, over 40 - of the third degree. In the example above, a person weighing 70 kilograms and 1.5 meters tall is overweight, and the BMI indicates that it has already come to obesity of the first degree.

Sources:

  • Body mass index and optimal weight in 2019

It is necessary for every modern person to know how to calculate body weight and draw the right conclusions about the state of the indices, which show whether you have obesity or a predisposition to this disease. We offer you basic methods on how to calculate your body weight using simple formulas and tables.



Human body weight and its excess

Human body weight is the most important indicator of the state of our health, which determines whether nutrition meets the needs of the body. Distinguish between normal, overweight or underweight.

Naturally, obesity necessarily implies the presence of excess body weight, formed due to the accumulation of fat.

However, the concept of excess body weight is not synonymous with obesity and has an independent meaning. So, many people have a slight excess of body weight, not reaching the degree of illness, that is, obesity. In addition, excess body weight is due to developed muscles (in athletes or people engaged in heavy physical labor) or fluid retention in the body in a number of diseases.

In the same way, the lack of body weight does not always reach the degree of the disease - protein-energy deficiency. Many methods have been developed to control body weight. Usually they are aimed at comparing height and body weight and comparing the result with normative indicators calculated on the basis of various formulas or given in special tables. Earlier in domestic medicine, body weight exceeding the norm for a given adult by 5-14% was called excessive, and exceeding the norm by 15% or more indicated obesity as a disease. At the same time, in foreign medical practice, excess body weight was considered obesity, reaching 20% ​​or more compared to the norms adopted in tables or obtained by calculation formulas. As a result, the prevalence of obesity in our country was higher than in other countries.

Brock's formula

Until now, Broca's formula, proposed by the French surgeon and anatomist Paul Broca, is still popular. According to this formula, the following indicators of the norm are obtained.

Normal body weight

For men of average build:

  • with growth up to 165 cm, the norm of body weight in kilograms is equal to growth in centimeters minus 100;
  • with a height of 166-175 cm - minus 105;
  • with a height of 175 cm or more - minus 110.

Obesity or obesity: methods for assessing body weight

In women of appropriate height and build, the proper body weight should be approximately 5% less than that of men.

A simplified version of the calculation is also proposed:

  • for women under the age of 35, normal body weight should be equal to height in centimeters minus 110;
  • over 35 years old - height in centimeters minus 100.

In people with a narrow chest (asthenic physique), the data obtained are reduced by 5%, and in people with a wide chest (hypersthenic physique), they increase by 5%.

I note that the formula “height in centimeters minus 100”, popular due to its simplicity, used for people of any height, distorts Brock's indicator.

How to determine BMI: body mass index calculation

Currently, a very informative indicator is used in international practice - the calculation of body mass index (BMI), also called the Quetelet index. In 1997 and 2000 WHO recommended that body weight be assessed based on BMI, with which Russian doctors also agreed. However, in the report "Prevention, diagnosis and treatment of primary arterial hypertension in the Russian Federation" (2000), experts from the Scientific Society for the Study of Arterial Hypertension, the All-Russian Scientific Society of Cardiology and the Interdepartmental Council on Cardiovascular Diseases made an amendment: as the lower limit of BMI, characterizing normal body weight, it is proposed to consider 20 kg / m 2 instead of the WHO recommended indicator of 18.5 kg / m 2 shown in the table. The reason for this proposal is simple: a number of studies have found that among people with low BMI values ​​(less than 19-20 kg / m 2), there is a higher mortality not only from cancer or chronic obstructive pulmonary disease, but also from cardiovascular diseases.

Before determining the BMI, the available body weight in kilograms is divided by the height in meters squared:

BMI = body weight (in kilograms) / (height in 2 meters).

Body mass index table

The body mass index table allows you to assess your health and anticipate possible risks of developing chronic diseases. It gives a description of the indicators of body mass index (BMI). We warn you that the assessment of body mass index should be carried out by a qualified doctor, taking into account your individual characteristics.

BMI, kg / m 2

Characteristic

Less than 20 (18.5)*

Underweight

20 (18,5) - 24,9

normal body weight

Overweight

Obesity 1st degree (mild)

Obesity 2nd degree (moderate)

40 or more

Obesity 3rd degree (severe)

I will demonstrate the application of the formula on a specific example. Suppose your height is 165 cm and your weight is 67 kilograms.

  1. Convert height from centimeters to meters - 1.65 m.
  2. Square 1.65 m - it will be 2.72.
  3. Now 67 (weight) divided by 2.72. Your result is 25.7 kg / m 2, which corresponds to the upper limit of the norm.

You can not calculate BMI individually, but use a special table developed by D. G. Bessenen in 2001.

Please note that it has a number of shortcomings: there are no BMI values ​​​​below 19 kg / m2, and BMI characterizing different degrees of obesity are given in abbreviated form in the table.

Table - Body mass indices in accordance with height and body weight:

Body mass index

Body weight, kg (rounded)

Waist hip index

In recent years, it has been found that the risk of developing a number of diseases depends not only on the degree and duration of obesity, but also on the nature of the distribution of fat in the body.

Depending on the localization of fatty deposits, there are:

  • abdominal obesity (it is also called visceral, android, "upper", like "apple", according to the male type) - excess fat is located mainly on the abdomen and in the upper body. This type of obesity is more common among men;
  • gluteofemoral obesity (it is also called gluteofemoral, gynoid, "lower", like "pear", according to the female type) - excess fat is located mainly on the hips, buttocks and in the lower part of the body, which is typical for women.

In abdominal obesity, even minimal excess body weight increases the risk of cardiovascular disease and death from them. The likelihood of coronary disease increases, as well as its three main risk factors: arterial hypertension, type 2 diabetes mellitus and lipid metabolism disorders (increased blood cholesterol and other indicators). The combination of these diseases and conditions is called the metabolic syndrome. Its treatment, including with the help of diet therapy, is a task of paramount importance. Moreover, treatment is indicated not only for diagnosed abdominal obesity, but also for a significant excess of body weight (BMI - 27-29.9 kg / m2), if fat is deposited mainly in the upper body.

Waist hip index- this is the ratio of the circumference of the waist (measured above the navel) to the largest circumference of the hips (measured at the level of the buttocks).

On the contrary, gluteofemoral obesity is not associated with a pronounced additional risk and threatens with minimal medical consequences. His treatment is mainly cosmetic. I note that we are talking about obesity without concomitant diseases, especially without type 2 diabetes mellitus and arterial hypertension.

To determine the type of obesity, it is necessary to determine the waist / hip index (WHI).

Only waist circumference can be measured. It is recognized that the risk of developing metabolic syndrome:

  • moderately increases with a waist circumference of 80 cm or more - in women, 90 cm or more - in men;
  • increases sharply with a waist circumference of 88 cm or more - in women, 102 cm or more - in men.

Modern data require new approaches to assessing body weight. In particular, underweight has been found to be a risk factor for increased mortality from certain noncommunicable diseases. The concept of adipose tissue as metabolically inert, being exclusively an energy depot, has also changed. It has now been established that adipose tissue is a diffuse endocrine gland that produces a number of hormones and biologically active substances.

Table - Biologically active substances secreted by adipose tissue:

Substance groups

Substance names

Hormones Testosterone, leptin, estrone, angiotensinogen

Cytokines

Tumor necrosis factor, interleukin-6

Proteins (proteins)

Acetylation-stimulating protein Plasminogen activator-1 inhibitor Complement, adiponectin Transforming growth factor beta

Regulators

Lipoprotein lipase

lipoprotein

Hormone sensitive lipase

metabolism

cholesterol ester transport protein

Free polyunsaturated fatty acids

Prostaglandins

Leptin and obesity

Separately, it is worth dwelling on leptin, discovered in 1995, a hormone produced by fat cells. Its blood level reflects the energy reserves of adipose tissue, affects appetite, energy intake and expenditure, and changes the metabolism of fats and glucose. Leptin and obesity are closely related: this substance slows down the metabolism, but when deficient, it can cause a malfunction in the body.

According to the obtained scientific data, only excess body weight, which has not reached the degree of obesity, plays a positive role in the normal functioning of the body.

The lack of fat reserves and leptin deficiency can impair reproductive function in women with severely reduced body weight, for example, after therapeutic fasting or anorexia nervosa, which is often accompanied by amenorrhea. No need to think that science is trying to rehabilitate obesity.

Thus, women with preserved menstrual function and overweight have a lower likelihood of developing breast cancer, bone resorption (destruction of bone tissue) and postmenopausal osteoporosis. The negative impact of excess body weight (without obesity) on lipid and carbohydrate metabolism, as well as on the level of blood pressure in apparently healthy men and women, has not been established. Foreign studies conducted by insurance companies stated the lowest mortality rate among people whose body weight exceeded the norm by 10%.

Specialists of the Research Center for Preventive Medicine of the Ministry of Health of Russia, who have been observing men and women aged 40-59 for 20 years, have found a relationship between life expectancy and BMI. Thus, 50% of the "thin" and "full" examined died earlier than those who had an average BMI - from 20 to 30 kg/m2. At the same time, “thin” men and women died earlier than “full” ones. Why this happens and whether people with low body weight have other risk factors is still unknown.



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Like many other nuts, the fruits of Juglans regia (walnut) are widely used in cooking and medicine. Of course, because of the high calorie content ...





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