Don’t sweat the scale – other numbers a better measure

Trying to get fit? Stop worrying about being up or down a few pounds.

That’s the consensus of doctors we asked to help us wade through the bewildering and sometimes conflicting ways to measure your fitness level.

Instead, these doctors say, 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. But here’s a guide to the most important ones:


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 (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.


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.


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.


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.


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.


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.