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Q.Discuss the use of BMI as a popular clinical standard for measuring health-related fitness: its computation with a worked example, the WHO classification bands, how a school or clinic uses it to screen a population, and its limitations.

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BMI is a quick weight-for-height screen: compute it, read the WHO band, use it to flag at-risk individuals in a population — but remember it cannot tell muscle from fat.

Why BMI is a popular clinical standard. It needs only height and weight — cheap, quick, non-invasive and requiring no special skill — so it can be applied to whole populations (schools, clinics) as a first-line indicator of weight status.

BMI = weight (kg) / [height (m)]² (kg/m²)

Worked example (weight = 65 kg, height = 1.7 m):

  1. [height]² = (1.7)² = 2.89 m²
  2. BMI = 65 / 2.89 = 22.5 kg/m² → falls in the Normal band.

WHO classification bands (kg/m²): below 18.5 Underweight · 18.5–24.9 Normal · 25.0–29.9 Overweight · 30.0 and above Obese. (The Asian/ICMR cut-offs are lower — overweight ≥23.0, obese ≥25.0.)

How a school or clinic screens a population. Staff record each person's height and weight, compute BMI, and place each into a band. Those falling in the Underweight, Overweight or Obese bands are flagged for individual follow-up — dietary counselling, further body-composition testing or medical referral — while the majority in the Normal band need no action. This lets limited resources be directed to those most likely to need them.

Limitations. …

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