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a BMI calculation uses your weight and height to estimate your body fat but an increasing number of studies are calling the formula flawed its not necessarily the best way to measure or to identify obesity Mayo Clinic cardiologist Dr Francisco Lopez jimz says the index offers a false sense of security to people whose BMI lands in the normal or just slightly above normal range we have found that the most d ous combination is actually being skinny and having an enlarged waist people who have whats called central obesity in laymans terms thin people with belly fat this particular fat changes the way our system works and causes diabetes increases blood pressure and basically increases the chances to develop heart disease so whats a better measure Dr Lopez jimenes favors a calculation called a waste to hip ratio your waist circumference divided by your hip circumference we believe that is the best screening uh tool to identify obesity for the mail Clinic News Network Im Jeff Olson