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United Kingdom

Study shows how body mass ‘redistributes’ as we age – rendering BMI ‘useless’

News RoomBy News RoomMarch 18, 2025
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The 2,844 participants in this longitudinal study revealed profound insights into how body fat decreases and muscle mass increases as people age. This was particularly evident in men, who experienced a noticeable increase in their total body fat percentage compared to lean muscle mass. In contrast, women maintained a stable ratio of fat to muscle mass through the study. The research, conducted by University of Rome scientists, highlighted a phenomenon known as “redistribution,” where fat lingers closer to the hips and項., while muscle mass favors extremities. This study, published a day after the UK/NHS deemed it “days” for more weight loss interventions, underscores the need for better tools to assess body fat distribution.

The findings challenge the notion that simply increasing body weight leads to significant improvements in muscle mass. While men showed a clear increase in their body fat over time, women maintained this “neutral” ratio, suggesting that muscle mass may not always improve as individuals age. The researchers warn that the lower central adiposity in men, which is a measure of body fat, could be misleading if used alone without considering the overall BMI. This highlights the importance of accuracy when assessing body composition and suggests that BMI alone may not be sufficient for understanding long-term health trends.

Nevertheless, the study raises red flags about BMI-derived weight loss interventions, as body fat distribution is key to assessing progress. The findings reassure many confidence that modern medications and interventions can help prevent obesity-related health issues, but they also raise concerns about the lack of clarity in how these interventions work.

The research applies to various age groups, with the findings most pronounced in older adults. They also highlighted that men’s weight disturbances were more visible in larger bodies, suggesting different strategies for men and women. The study’s limitations are evident, as it was published only a day after the NHS introduced mandatory BMI recording among BMI ≥25 individuals, underscoring the importance of accurate and comprehensive assessments.

The findings must be taken seriously, as they could legally undermine weight loss interventions that worsen health outcomes. Science calls for a more rigorous approach to tracking body composition, which is underserved in many countries. Experts recommend integrating alternative metrics, such as waist-to-height ratios and hand grip tests, to better understand how fat and muscle mass redistribute as we age.

The study also highlights the lack of evidence-based solutions for weight loss in obesity-related conditions, particularly in older adults. While BMI dip prevention is crucial, it does not address the underlying issues of body composition imbalance. For older adults, targeting their own weight while focusing on diet, exercise, and lifestyle changes remains essential. The findings serve as a reminder that even “small” changes in weight distribution can make a significant difference in the health of older populations.

In conclusion, the study offers valuable insights into how fat and muscle mass change with age but calls for a more mindful and accurate approach to assessing these changes. For younger adults, BMI red flags become relevant sooner, while for older individuals, better strategies are needed to address the physical and health impacts of weight gain. The research underscores the need for public awareness, improved measurement tools, and tailored interventions to enhance the effectiveness of weight loss efforts, ensuring they are accompanied by proactive, well-balanced care.

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