Problems Using Body Mass Index (BMI) to Assess Mortality

There is increasing unease in the medical community about using the predictive value of the body measurement index (BMI) as a guide to an individual's current and future health. Elevated BMIs are evaluated by life and disability underwriters as part of a comprehensive review, but other than verifying overweight status, the predictive value of BMI on future morbidity and mortality is questionable until the BMI is >35, and several studies have shown better mortality in the "overweight" BMI 25-29.9 category than in the "normal" BMI 18.5-24.9 category. The goal of this treatise is to evaluate other anthropomorphic measurements that might be better predictors of future health.

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Publication Details

Journal
Journal of Insurance Medicine
Published
2026-06-16
DOI
https://doi.org/10.17849/insm-53-2-1-5.1a
Primary Topic
Body Composition Measurement Techniques
Type
article
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article

Problems Using Body Mass Index (BMI) to Assess Mortality

Rodney C. Richie
Journal of Insurance Medicine
Body Composition Measurement Techniques
article

Problems Using Body Mass Index (BMI) to Assess Mortality

Rodney C. Richie
article en

Abstract

There is increasing unease in the medical community about using the predictive value of the body measurement index (BMI) as a guide to an individual's current and future health. Elevated BMIs are evaluated by life and disability underwriters as part of a comprehensive review, but other than verifying overweight status, the predictive value of BMI on future morbidity and mortality is questionable until the BMI is >35, and several studies have shown better mortality in the "overweight" BMI 25-29.9 category than in the "normal" BMI 18.5-24.9 category. The goal of this treatise is to evaluate other anthropomorphic measurements that might be better predictors of future health.

Journal of Insurance MedicineVol. 53(2)
Good health and well-being
Openalex Percentile: Top 7%
Body Composition Measurement Techniques
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Problems Using Body Mass Index (BMI) to Assess Mortality — Rodney C. Richie · Journal of Insurance Medicine (2026) | TGRS Research Map | TGRS