Join Amanda Jones of Elevated Health as she explores the history and shortcomings of Body Mass Index (BMI). She explains how BMI began as a 19th-century population statistic, how it was popularized in the 1970s, and why it is a poor measure of individual health.Amanda outlines the many limitations of BMI — it excludes women, children, and non-European bodies, doesn’t distinguish fat from muscle or bone density, and ignores sex and ethnicity. She gives concrete examples of how BMI can misclassify athletes, shorter or taller people, and many women.The episode also digs into clinician bias and fat phobia, with real stories showing how weight is often used as a catch-all explanation instead of investigating other causes. Amanda urges clinicians to separate the number from the person and listen before making assumptions.As practical alternatives, Amanda reviews better measures for health monitoring: waist circumference, waist-to-hip ratio, body fat percentage, waist-to-height ratio, and useful lab markers like fasting glucose, fasting insulin, triglycerides, and HDL. She also emphasizes subjective measures — energy, sleep, strength, and how clothes fit — as important indicators of wellness.For a lighter note, Amanda shares her “better meal of the week”: homemade enchiladas made with carb-balanced tortillas, a mix of beef and shredded chicken, enchilada sauces, cheese, and refried black beans, plus macro estimates and simple swaps to lower calories and fat.Key takeaway: health is about habits, nourishment, recovery, and joy — not a single chart number. The episode encourages more nuanced, compassionate care and practical tools for measuring health beyond BMI.
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