
Better Than BMI
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BMI is a very flawed system, and there are several more useful ways of measuring our bodies. Let’s take a look at them!
What’s wrong with BMI?
Oof, what isn’t wrong with BMI?
In short, it was developed as a demographic-based tool to specifically chart the weight-related health of working-age European white men a little under 200 years ago.
This means that if you are, perchance, not a working-age European white man in 1830 or so, then it’s not so useful. It’d be like first establishing height norms based on NBA basketball players, and then applying it to the general population, and thus coming to the conclusion that someone who is 6’2″ is very short.
In long, we did a deep-dive into it here, and in particular what things go dangerously wrong when it’s applied to women, non-white people, athletic people, pregnant people, people under 16 or over 65 and more:
When BMI Doesn’t Quite Measure Up
What we usually recommend instead
For heart disease risk and diabetes risk both, waist circumference is a much more universally reliable indicator. And since those two things tend to affect a lot of other health risks, it becomes an excellent starting point for being aware of many aspects of health.
Pregnancy will still throw off waist circumference a little (measure below the bump, not around it!), but it will nevertheless be more helpful than BMI even then, as it becomes necessary to just increase the numbers a little, according to gestational month and any confounding factors e.g. twins, triplets, etc. Ask your obstetrician about this, as it’s beyond the scope of our article today!
As to what’s considered a risk:
- Waist circumference of more than 35 inches for women
- Waist circumference of more than 40 inches for men
These numbers are considered applicable across demographics of age, ethnicity, and lifestyle.
Bonus extra measurement based on the above
Important also is waist to hip ratio.
How to calculate it:
- measure your waist circumference
- measure your hip circumference
- divide the first measurement by the second one
Because it’s a ratio, it doesn’t matter what units you use (e.g. inches, cm, etc) so long as you use the same units for both measurements.
The World Health Organization offers the following chart:
| Health risk | Women | Men |
| Low | 0.80 or lower | 0.95 or lower |
| Moderate | 0.81–0.85 | 0.96–1.0 |
| High | 0.86 or higher | 1.1 or higher |
Source: Waist Circumference and Waist-Hip Ratio: Report of a WHO Expert Consultation
This is especially relevant for cardiovascular disease risk:
…and also holds true for all-cause mortality:
Waist-Hip-Ratio as a Predictor of All-Cause Mortality in High-Functioning Older Adults
An ancient contender that’s still more useful than BMI
Remember Archimedes? The (perhaps apocryphal) story of his “Eureka” moment in the bathtub when he realized that water displacement could be used to measure the volume of an irregular shape?
Just like Archimedes (who, the story goes, had been hired to determine the composition of a crown that might or might not have been pure gold), we can use this method to determine body composition, because we have references for how much a given volume of a given substance will weigh, so combing what we know about a body’s weight and volume will tell us about its composition in ways that neither metric could give us alone.
Indeed, it’s one of the commonly-mentioned flaws of BMI that muscle weighs more than fat, and Archimedes’ method not only avoids that problem, but also, actually turns that knowledge (muscle weighs more than fat) to our advantage.
It’s called “hydrostatic weighing” now:
You may be wondering: what about bones? Or internal organs?
The fact is that those are slightly confounding factors that do get in the way of a truly accurate analysis, but the variation in how much one person’s skeleton weighs vs another’s, or one person’s set of organs weigh than another’s, is too small to make an important difference to the health implications.
Lastly…
Hydrostatic weighing isn’t the only way to work out how much of our body is made of fat; if you have for example a smart scale at home (like this one) that tells you your body fat percentage, that is an estimate based on bioelectrical impedance analysis.
It’s less accurate than the hydrostatic method, but easier to do at home!
As to what percentages are “best”, healthy body fat percentages are (assuming normal hormones) generally considered to be in the range of 20–25% for women and 15–20% for men.
You can read more about this here:
Is A Visible Six-Pack Obtainable Regardless Of Genetic Predisposition?
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Eat Move Sleep – by Tom Rath
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The subtitle of this book, “how small choices lead to big changes“, is very much the idea that a lot of what we do here at 10almonds is about.
And the title itself, “Eat Move Sleep”? Well, that’s 3/5 of The Usual Five Things™ that we promote here (the other two being: reduce or eliminate alcohol, and don’t smoke). So, naturally this book got our attention.
One of the key ideas that Rath presents is that every action we take leads to a net gain or loss in health. The question then is: what are the biggest point-swingers? In other words, what are the places in our life where the smallest changes can make the biggest difference?
Rath looks at what parts of diet make the biggest difference to our health, and the findings there alone probably make reading the book worthwhile.
When it comes to movement, he actually flips this! For Rath, it’s less about how much exercise you get, and more about minimizing how long we spend not moving… And especially, minimizing how long we spend sitting. So, lots of little tweaks for that.
In the category of sleep: a key idea is that quality is as important as quantity, and there’s an aspect of bringing together as a synergistic routine. To finish off a productive day with good rest, and power up ready for the next morning.
In short: tying these items together—and focusing on the smallest choices that lead to the biggest changes—makes for quite a manifesto that we could describe as “Atomic Habits, for health specifically”.
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5 health benefits of line dancing – according to science
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Line dancing is enjoying a global resurgence, rising to a level of popularity not seen since Billy Ray Cyrus’ Achy Breaky Heart topped the charts in 1991.
But it’s no longer just for cowgirls and cowboys. While traditionally associated with country music, line dancing has evolved to include variations of waltz, swing, salsa, disco and rock’n’roll.
This kind of synchronised dance involves people in rows repeating choreographed steps. It doesn’t require a partner, so you can turn up solo and learn on the go. And its popularity is rising among people of all ages.
So, why has line dancing gone viral?
The craze is partly driven by social media users embracing line dancing’s easy-to-follow routines. But a post-COVID pandemic demand for gathering in community has also seen line dancing groups spring up in bars, clubs, community halls and outdoor areas.
It’s also nostalgic and accessible, with an emphasis on fun rather than skill.
While studying its health benefits, one of us (Danielle) decided to give line dancing a go. Unable to follow the steps at first, it was a lesson in humility. But a year later, Danielle is still happily pounding the floor each week in her line dancing group – and encouraging others to give this science-backed mood-booster a try.
Danielle was a coauthor on a new review that examined the findings of 16 studies about line dancing. Here are the health benefits it identified.
Energy Films Library/Getty Images 1. It’s a workout
Line dancing is good exercise: it incorporates coordination and balance with a cardiovascular workout.
The steps can also be adapted to match the dancers’ abilities. Energetic young people might bootscoot and boogie while more mature dancers can shuffle and sway – all to the same tune.
Research has shown regular physical activity help prevent many chronic conditions, such as diabetes, cardiovascular disease, obesity and even some cancers.
In older people, line dancing has been shown to improve motor skills, flexibility and gait, reducing fall risk and helping to maintain good overall health.
2. Good for mental health
The new review showed line dancing boosts mental wellbeing, reduces anxiety and depression, and relieves stress.
This is largely due to endorphins, the pain-relieving chemicals the body releases during exercise. They improve mood and can leave dancers feeling elated and full of joy and self-confidence after a session.
But you don’t even have to participate to feel the benefits. There is evidence to suggest watching dancing can stimulate some of the body’s mood-boosting responses and reduce stress.
3. It’s social – but you don’t need a partner
With more than 43% of young people saying they feel persistently lonely, and elder isolation on the rise, finding connection with other people is more important than ever.
Research shows participating in sport – and particularly team activities – is a protective factor against loneliness.
Compared to partnered types of dance such as ballroom, line dancing might seem like a solitary activity. But this actually means people can show up alone and still connect with others, uniting around an activity. People get involved with a community and may even develop friendships.
Line dancing can also break down cultural and social barriers and expand social support networks, helping to develop a sense of belonging and unity.
4. A workout for your brain, too
The combination of stomps, backsteps and kicks can be overwhelming at first. But the sense of achievement when you master these steps is worth it.
Studies have shown that, as line dancers become more proficient, their memory and brain function improves.
There is evidence this can help prevent dementia and improve university students’ concentration.
5. Line dancing builds community
The research review found line dancing has benefits beyond the individual.
For example, in one 2008 study researchers interviewed 30 women aged over 60 about their involvement in line dancing. Many said it led them to become more engaged in the community, including volunteering.
But if you’re thinking of getting involved yourself, a word of warning: there may be no turning back. Line dancing can be profoundly addictive and seriously fun.
This article has been amended to clarify that only one of the two authors was also an author on the academic paper that underpins the article.
Danielle Le Lagadec, Senior Lecturer and Head of Course, Graduate Certificate in Nursing, CQUniversity Australia and Catherine Hungerford, Associate Professor and Head of College, Nursing and Midwifery, CQUniversity Australia
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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Apricots vs Oranges – Which is Healthier?
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Our Verdict
When comparing apricots to oranges, we picked the apricots.
Why?
Both are great, and it was close!
In terms of macros, apricots have more protein while oranges have more carbs and fiber, the ratio of of which means that apricots have the slightly lower glycemic index, though really, nobody is getting metabolic disease from eating whole fruit. All in all, we’ll call this category a tie.
In the category of vitamins, apricots have more of vitamins A, B3, E, and K, while oranges have more of vitamins B1, B9, C, and choline, meaning another tie in this category.
When it comes to minerals, apricots have more copper, iron, magnesium, manganese, phosphorus, potassium, and zinc, while oranges have more calcium and selenium. A win for apricots, then!
In terms of beneficial phytochemicals, apricots have more, and you can read about some of them in the link below.
Adding up the sections makes for an overall win for apricots, but by all means enjoy either or both; diversity is good!
Want to learn more?
You might like:
Top 8 Fruits That Prevent & Kill Cancer
Enjoy!
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Garlic vs Ginger – Which is Healthier?
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Our Verdict
When comparing garlic to ginger, we picked the ginger.
Why?
Both are great, and it is close!
Notwithstanding that (almost?) nobody eats garlic or ginger for the macros, let’s do a moment’s due diligence on that first: garlic has more than 3x the protein and about 2x the fiber (and slightly higher carbs). But, given the small quantities in which people usually consume these foods, these numbers aren’t too meaningful.
In the category of micronutrients, garlic has a lot more vitamins and minerals. We’ll not do a full breakdown for this though, because again, unless you’re eating it by the cupful, this won’t make a huge difference.
Which means that so far, we have two nominal wins for garlic.
Both plants have many medicinal properties. They are both cardioprotective and anticancer, and both full of antioxidants. The benefits of both are comparable in these regards.
Both have antidiabetic action also, but ginger’s effects are stronger when compared head-to head.
So that’s an actual practical win for ginger.
Each plant’s respective effects on the gastrointestinal tract sets them further apart—ginger has antiemetic effects and can be used for treating nausea and vomiting from a variety of causes. Garlic, meanwhile, can cause adverse gastrointestinal effects in some people—but it’s usually neutral for most people in this regard.
Another win for ginger in practical terms.
Want to learn more?
You might like to read:
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Watch Out For Furanocoumarins!
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This class of organic compounds can affect many different medications, in some cases stopping them from working, and in some cases causing you to overdose.
It’s naturally occurring, and found in certain fruit.
Agent of chaos
The fact that furanocoumarins can have very different (often opposite) effects on different drugs, makes it a lot harder to predict in its behavior than, for example, alcohol.
In particular, we’ve talked before about the very high furanocoumarin content of grapefruit (including: grapefruit juice), which has come up sometimes in our This or That section.
For example:
❝Another thing to bear in mind is that grapefruit contains furanocoumarin, which can inhibit cytochrome P-450 3A4 isoenzyme and P-glycoptrotein transporters in the intestine and liver—slowing down their drug metabolism capabilities, thus effectively increasing the bioavailability of many drugs manifold.
This may sound superficially like a good thing (improving bioavailability of things we want), but in practice it means that in the case of many drugs, if you take them with (or near in time to) grapefruit or grapefruit juice, then congratulations, you just took an overdose.
This happens with a lot of meds for blood pressure, cholesterol (including statins), calcium channel-blockers, anti-depressants, benzo-family drugs, beta-blockers, and more. Oh, and Viagra, too. Which latter might sound funny, but remember, Viagra’s mechanism of action is blood pressure modulation, and that is not something you want to mess around with unduly.
So, do check with your pharmacist to know if you’re on any meds that would be affected by grapefruit or grapefruit juice!
PS: the same substance is quite available in pummelos and sour oranges (but not meaningfully in sweet oranges); you can see a chart here showing the relative furanocoumarin contents of many citrus fruits, or lack thereof as the case may be, as it is for lemons and most limes).❞
Other drugs, however, will be decreased in their effects.
For example, for antihistamines like fexofenadine, grapefruit juice inhibits transport proteins that help absorb the drug, reducing its effectiveness
Here’s a cheatsheet
Caveat: this is a non-exhaustive list!
Medicines whose effects can INCREASE Medicines whose effects can DECREASE Cholesterol-lowering statins: simvastatin, lovastatin, atorvastatin (higher risk of muscle pain or damage) Antihistamines: e.g: fexofenadine (less effective) Blood pressure-lowering drugs: felodipine, nifedipine, nicardipine, nisoldipine, amlodipine, verapamil Blood pressure meds: e.g: aliskiren (levels drop sharply, making it less effective) Anti-anxiety and sleep medicines: midazolam, triazolam, alprazolam, diazepam, clonazepam Beta-blockers: celiprolol, talinolol, acebutolol (weaker heart-rate control) Erectile-dysfunction drugs: sildenafil, tadalafil, vardenafil Chemotherapy: e.g: etoposide (reduced absorption, which lowers effectiveness) Heart-rhythm drugs: amiodarone, dronedarone, quinidine, disopyramide, propafenone (increased risk of irregular heartbeat or toxicity) Thyroid medicine: levothyroxine (delayed absorption, usually not a huge problem) Immune-suppressing drugs: cyclosporine, tacrolimus, sirolimus Mental-health medicines: buspirone, quetiapine, sertraline (increased side effects) Pain medicines: oxycodone, methadone (overdose risk) Source: Expanded List Of Medications That Interact With Grapefruit ← as you can see, we had to clip the “increase” list for brevity; we kept it short by a) grouping them the way we did b) prioritizing the medications that are most common and whose interactions have the strongest adverse effect
Important note on timing
Of the many ways these interactions can occur, the two most common are:
- Blocking the enzyme (CYP3A4) in the gut that normally helps break down many drugs—this causes increases in drug levels.
- Blocking the transporter protein (OATP1A2) that helps the body absorb other medicines—this causes decreases in drug levels.
The enzyme-blocking effect can last up to 3 days, so skipping grapefruit for only a few hours won’t help! You need to avoid it entirely.
See: Drug-grapefruit juice interactions: two mechanisms are clear but individual responses vary
For medicines affected by OATP inhibition (like fexofenadine), leaving a 4-hour gap usually* avoids the problem.
See: Fruit juice inhibition of uptake transport: a new type of food–drug interaction
*Not a guarantee, because individuals’ physiology can and sometimes will vary.
Want to learn more?
That’s all we have room to say about furanocoumarins for now, but let’s quickly mention a very common (and very affective!) herbal supplement that has almost as many medication interactions as grapefruit does (albeit, for completely different reasons, many of which mechanisms of action are not yet fully understood):
St. John’s wort can weaken the effects of many medicines, including crucially important medicines such as:
- Antidepressants
- Birth control pills
- Cyclosporine, which prevents the body from rejecting transplanted organs
- Some heart medications, including digoxin and ivabradine
- Some HIV drugs, including indinavir and nevirapine
- Some cancer medications, including irinotecan and imatinib
- Warfarin, an anticoagulant (blood thinner)
- Certain statins, including simvastatin
And for our main article on St. John’s Wort, check out:
Flower Power: St. John’s Wort’s Drug-Level Effectiveness (The Herbal Supplement That Rivals Prozac)
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Creatine’s Brain Benefits Increase With Age
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Creatine is generally thought of as a body-building supplement, and for most young people, that’s all it is. But with extra years come extra advantages, and creatine starts to confer cognitive benefits. Dr. Brad Stanfield shares the science:
What the science says
Although 95% of creatine is stored in muscles, 5% is found in the brain, where it helps produce energy needed for brain processes (and that’s a lot of energy—about 20% of our body’s metabolic base rate is accounted for by our brain).
In this video, Dr. Stanfield shares studies showing creatine improving memory, especially in older adults—and also in vegetarians/vegans, since creatine is found in meat (just like in our own bodies, which are also made of meat) and not in plants. On the meta-analysis level, a systematic review concluded that creatine supplementation indeed improves memory, with stronger effects observed in older adults.
Dr. Stanfield also addresses the safety concerns about creatine, which, on balance, are not actually supported by the science (of course, always consult your own doctor to be sure, as your case could vary).
As for dosage, 5g/day is recommended. For more on all of this plus links to the studies cited, enjoy:
Click Here If The Embedded Video Doesn’t Load Automatically!
Want to learn more?
You might also like to read:
Creatine: Very Different For Young & Old People
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