Trying to get fit?
Stop worrying about being up or down a few pounds.
That's the consensus of local doctors we
asked to help us wade through the bewildering and sometimes
conflicting number of ways to measure your fitness level.
Instead, these doctors say, you need to pay
attention to your Body Mass Index and waist circumference.
Why? Because if you exercise the way you
should, your body composition will change, with muscle
replacing fat. Because muscle weighs more than fat, your
weight may stay the same or even increase slightly as you
become healthier.
There's more to being fit than any single
number, of course. But here's a guide to sorting through the
most important ones:
BMI
What is it? Your most important number,
according to all the doctors surveyed. Body Mass Index is your
weight in kilograms divided by height in meters squared.
Intimidating as that may sound, you can find BMI calculators
at several sites online, including www.cdc.gov (search for
"BMI calculator.")
Your target: A BMI of 18.5 to 25 is ideal. A
BMI of 25-30 is overweight. A BMI of over 30 is obese and
brings a substantially increased risk of health issues,
ranging from diabetes to depression.
Doctors warn that professional athletes may
have a BMI that would be considered obese in an average
person. Dr. Riva L. Rahl, preventive medicine physician and
medical director at the Cooper Wellness Program, estimates
that tennis superstar Venus Williams may have a BMI that would
classify her as overweight. Dr. Nick Nicholson, bariatric
surgeon on the Baylor Plano (Texas) medical staff, estimates
that by BMI standards, many Dallas Cowboys players would be
considered morbidly obese.
The doctors agree that you shouldn't judge
your fitness by the standards of a professional athlete. At
the same time, Nicholson adds that exercise is such an
important component of fitness that people with a BMI of 30
who exercise four days a week have a lower risk of a heart
attack than people with a BMI of 24 who don't exercise.
WAIST CIRCUMFERENCE
What is it? The number of inches around your
waist as calculated by a tape measure at the smallest area
above the umbilicus – your belly button – and not by your
pants size.
Your target: For men it should be less than
40 inches and for women under 35 inches no matter what your
height is. Above those levels your risk for cardiovascular
disease, hypertension, strokes and some cancers significantly
increases.
WEIGHT
What is it? Your weight on a scale.
Your target: You can plot your goal
according to your height and gender, but this is the least
useful measurement, according to the doctors. Nicholson says
he would rather see a patient focus on losing sizes rather
than losing pounds.
TRICEPS SKIN-FOLD THICKNESS
What is it? When you hold up your arms to
show your biceps and reach the skin fold, the number of inches
is directly related to your underlying body fat. This is a
difficult measurement to make on one's own. It usually
requires a medical or fitness professional.
BONE SIZE
What is it? The size of your bones as
determined by a doctor. But while some people do have bigger
bones than others, Rahl says the differences are not
significant enough to account for different recommended BMI or
waist size.Fitness numbers for kids
Dr. LeAnn Kridelbaugh, pediatrician and
physician nutrition specialist at Children's Medical Center
Dallas, says you can't apply adult fitness numbers to kids
because kids are still growing.
"With kids these numbers are moving
targets," she says. "A normal BMI or waist
circumference for a 10-year-old would be horrific for a
5-year-old. Although there are some norms for waist
circumference, we don't focus on them. Instead pediatricians
plot a child's height, weight and BMI on a curve."
Kridelbaugh says pediatricians should
establish on each visit what percentile a child falls in
according to his or her age and gender. In general if the BMI
is between the 85th and 95th percentile for weight the child
is considered overweight, with over 95th percentile being
obese and over 99th percentile morbidly obese.
But for most children the key is to see
whether their percentile changes from year to year.
"If you see that one year a child is in
the 50th percentile and the next year he is in the 75th
percentile that's cause for concern even if the BMI is still
in the normal range," Kridelbaugh says. "A child
should be at one percentile his whole life. If he's jumped
that much, it's time to start thinking about what the child is
eating and drinking and how active he is."
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THE DOCTORS' FAVORITE NUMBERS
150: Rahl says if adults would log 150
minutes of aerobic exercise a week, they would significantly
reduce their risk of cardiovascular disease, according to the
Physical Activities Guidelines for Americans released last
year (available at www.health.gov). And if they would mix in
two weekly sets of strength training for 10 minutes at a time
that would be even better, she says.
10,000: Nicholson says adults could improve
their fitness greatly by taking 10,000 steps each day, as
recommended by several national societies. "Wear a
pedometer," he recommends, noting that it can be fit
easily into an ordinary day. "People who pace when they
talk on the phone or are thinking have lower BMIs."