Weight loss, in the context of medicine or health or physical fitness, is a reduction of the total body weight, due to a mean loss of fluid, body fat or adipose tissue and/or lean mass, namely bone mineral deposits, muscle, tendon and other connective tissue.
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Body weight
Although many people prefer the less-ambiguous term body mass,
the term body weight is overwhelmingly used in daily English
speech and in biological and medical science contexts to
describe the mass of an organism's body. Body weight is measured
in kilograms throughout the world, although in some countries
people more often measure and describe body weight in pounds
(e.g. United States and sometimes Canada) or stones and pounds
(e.g. United Kingdom) and thus may not be well acquainted with
measurement in kilograms. Most hospitals in the United States
now use kilograms for calculations, but use kilograms and pounds
together for other purposes. (A kg is about 2.2 lbs, and a stone
(14 lb) is about 6.4 kg.)
The term
is usually encountered in connection with:
food and feeding behaviour
normal and abnormal growth and development
the physiological and hormonal control of ingestion and
digestion
foraging for food in animals
hunger and other motivations to eat
problems in regulating body weight, often resulting in obesity
eating disorders such as anorexia nervosa and bulimia nervosa
effects of disease
athletic competitions where the participants are classified
according to their body weight
Classification
The degree to which a person is overweight is generally
described by Body Mass Index. The range for overweight is a BMI
of 25 to 29.9 with BMI's >= 30 classified as obesity. There are
however several other common ways to measure the amount of
adiposity or fat present in an individual's body.
Body Mass
Index
Body Mass Index, or BMI is a measure of a persons weight taking
into account their height. It is given by the formula: BMI
equals body weight divided by the square of the persons height;
with weight in kilograms and height in meters. BMI numbers
however are typically used and written as unitless numbers. BMI
provides a significantly more accurate representation of body
fat content than simply measuring a persons weight. It is highly
correlated with both percentage of body fat and body fat mass.
It does not take into account some factors such as pregnancy,
bodybuilding, or children which effect body composition however
is an accurate reflection of fat percentage in the majority of
the adult population.
Simple
Weighing
The weight of the individual is measured and compared to an
estimated ideal weight. This is the easiest and most common
method, but by far the least accurate, as it only measures one
quantity (weight) and often does not take into account many
factors such as height, body type, and relative amount of muscle
mass.
Skinfold
Calipers or "pinch test"
With this method, the skin at several specific points on the
body is pinched and the thickness of the resulting fold is
measured. This measures the thickness of the layers of fat
located under the skin, from which a general measurement of
total amount of fat in the body is calculated. This method can
be reasonably accurate for many people, but it does assume
particular patterns for fat distribution over the body which may
not apply to all individuals, and does not account for fat
deposits which may not be directly under the skin. Also, as the
measurement and analysis generally involves a high degree of
practice and interpretation, for an accurate result it must be
performed by a professional and cannot generally be done by
patients themselves.
Bioelectrical impedance analysis
This method involves passing a small electrical current through
the body and measuring the body's resistance to the electrical
flow. As fat and muscle conduct electricity differently, this
method can provide a direct measurement of the percentage of
body fat present as compared to muscle mass. In the past, this
technique could only be performed reliably by trained
professionals with specialized equipment, but it is now possible
to buy "home kits" which allow individuals to do this themselves
with a minimum of training. Despite the improved simplicity of
this process over the years, however, there are a number of
factors which can affect the results, including hydration and
body temperature, so a fair amount of care must still be taken
when applying this test to ensure that the results are in fact
accurate and applicable.
Hydrostatic Weighing
Considered one of the more accurate methods of measuring body
fat, this technique involves completely submerging the subject
underwater and using special equipment to measure his or her
weight while submerged. This weight is then compared with "dry
weight" as recorded outside the water to determine overall body
density. As fat is less dense than muscle, careful application
of this technique can provide a reasonably close estimate of fat
content in the body. This technique does, however, require
expensive specialized equipment and trained professionals to
administer it properly.
DEXA
(dual energy X-ray absorptiometry)
Originally developed to measure bone density, DEXA imaging has
also come to be used as a precise way to determine body fat
content by using the density of various body tissues to identify
which portions of the body are fat. This test is generally
considered to be very accurate, but requires a great deal of
expensive medical equipment and trained professionals to
perform.
The most common method for discussing this subject and the one
used primarily by researchers and advisory institutions is body
mass index (BMI). Definitions of what is considered to be
overweight vary by ethnicity. The current definition proposed by
the United States National Institutes of Health (NIH) and the
World Health Organization (WHO) designate whites, hispanics and
blacks with a BMI of 25 kg/m2 or more as overweight. For Asians,
overweight is a BMI between 23 and 29.9 kg/m2 and obesity for
all groups is a BMI >30 kg/m2
BMI, however, does not account extremes of muscle mass, some
rare genetic factors, the very young, and a few other individual
variations. Thus it is possible for an individuals with a BMI of
less than 25 to have excess body fat, while others may have a
BMI that is significantly higher without falling into this
category. Some of the above methods for determining body fat are
more accurate then BMI but come with added complexity.
If an individual is overweight and has excess body fat it could
cause health risks.
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