Health
New study suggests ditching BMI for 'roundness'-based system

A recently-published study suggests that a body “roundness” index may be a better measure of health than body mass index (BMI).
The article, called “Body Roundness Index and All-Cause Mortality Among US Adults,” was published in the Journal of the American Medical Association (JAMA) this month. It promotes the use of the body roundness index (BRI), which was created in 2013.
BMI, which has been the standard for measuring obesity since the 1980s, is calculated by dividing a person’s weight by the square of their height in feet. It was first developed by Belgian mathematician Lambert Adolphe Jacques Quetelet in the 19th century.
On the BMI scale, any number lower than 18.5 is considered underweight. A BMI between 25 and 30 is considered overweight, and a BMI score exceeding 30 is considered obese.
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A new study promotes the use of body roundness index (BRI) instead of body mass index (BMI). (iStock)
Although BMI is the standard way to measure obesity, it does come with its downsides. For example, because muscle adds on pounds, a healthy, muscular person who weighs a certain amount could be deemed overweight or obese using BMI.
BRI, on the other hand, is calculated using height and weight circumference, instead of just height and weight. BRI scores are also determined by using a more complicated mathematical equation.
“Besides weight and height, BRI additionally considers waist circumference, and hence it can more comprehensively reflect visceral fat distribution,” the study explains.
According to the study, BRI was found to be a more effective way of measuring mortality in a group of patients.
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BMI is calculated by dividing a person’s weight by the square of their height in feet. (iStock)
“BRI was found to be superior over other anthropometric indicators in estimating the risk for various clinical end points, including cardiometabolic disease, kidney disease, and cancer,” the study claimed.
Researchers also said that their findings suggested that BRI “may be promising as a newer anthropometric measure associated with all-cause mortality.”
“Our findings provide compelling evidence for the application of BRI as a noninvasive and easy to obtain screening tool for estimation of mortality risk and identification of high-risk individuals, a novel concept that could be incorporated into public health practice pending consistent validation in other independent studies,” the article concluded.
The American Medical Association (AMA) has taken aim at BMI in the past. Last year, an AMA report called the use of BMI “imperfect” and “problematic,” and claimed that it has been used for “racist exclusion.”
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BRI utilizes height and weight circumference, instead of just height and weight. (iStock)
“BMI cutoffs are based on the imagined ideal Caucasian and [do] not consider a person’s gender or ethnicity,” a report presented at the 2023 AMA Annual Meeting read.
Fox News contributor Dr. Marc Siegel criticized the allegations, calling the criticisms “politics, not medicine.”
“I didn’t believe the AMA was going to get involved in cancel culture, but now they’re canceling the body mass index, which is the thing I look at to at least start me off in the direction of obesity,” Siegel said.

The recent study claims that BRI was a more effective way of assessing a people’s health. (iStock)
“It’s not racist — it’s called good medicine.”
Fox News Digital’s Melissa Rudy contributed to this report.

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Health
Heat exposure linked to better sleep, experts say — here's why

Heat exposure has been linked to lasting benefits for overall health.
Spending time in heated environments, like a sauna, can reduce the risk of some chronic diseases and can help improve sleep, research has shown.
In an on-camera interview with Fox News Digital, Todd Anderson, co-founder of Dream Performance & Recovery and host of the “Beat the Heat” podcast, shared some lesser-known effects of spending time in a sauna.
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“Sauna went from this thing that felt good, to something that could actually be a longevity tool,” said the Nashville-based health and wellness expert. “The combination of this hard science and the explosion in longevity and popularity has created something.”
Spending time in a sauna can have multiple health benefits, studies have shown. (iStock)
Increased “sauna bathing” has been associated with a reduced risk of sudden cardiac death, fatal coronary heart disease, fatal cardiovascular disease and all-cause mortality, according to research from Finland.
Participants in a global sauna survey in 2019 also reported health benefits regarding mental well-being and sleep, with few adverse effects.
The survey found that participants — particularly from Finland, Australia and the U.S. — were most motivated to use saunas for relaxation.
How heat improves sleep
While saunas can improve longevity and mood, Anderson, whose podcast is hosted inside a sauna, added that heat exposure can also improve sleep.
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When the body heats up before sleep, the blood vessels open, allowing the body to get more circulation to the extremities, he said.
Although the body’s core temperature needs to cool down by about a degree to fall into quality sleep, raising the body temperature might seem “counterintuitive,” the expert added.

When the body heats up before sleep, the blood vessels open, allowing the body to get more circulation to the extremities, an expert said. (iStock)
But since the blood vessels are open and pumping more blood, this allows the core temperature to lower faster, and the body’s instinct is to cool itself off after being exposed to heat.
“You go into a cold, dark room … and all of a sudden you’re able to lower your core temperature much more quickly than you normally would, resulting in falling asleep faster and getting higher quality sleep throughout that first part of the night,” Anderson said.
“Plenty of evidence shows that viruses do not do well in environments with high temperatures.”
The expert added that the same sleep benefits can be captured with a hot bath, shower or hot tub.
“The longevity and all-cause mortality benefits are going to be connected particularly to the sauna,” he said. “But there are some great sleep studies [showing the benefits] of applying any type of heat before bed.”
Viruses don’t like it hot
Exposure to heat can also help boost the immune system, as the body’s natural response to fighting a bug is to spike a fever, according to critical care physician Dr. Roger Seheult.
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Methods like steam saunas raise the body’s natural temperature and can help kill off viruses that don’t fare well in the heat, he said.
“Plenty of evidence shows that viruses do not do well in environments with high temperatures, and that our body signals the innate immune system using fever,” the California-based doctor told Fox News Digital.

Methods like steam saunas raise the body’s natural temperature and can help kill off viruses that don’t fare well in the heat. (iStock)
In addition to the health benefits, Anderson noted that he’s made lasting friendships during sauna sessions.
“It’s a rare bubble in our society right now where phones don’t work. You’re face-to-face. You’re going through some controlled adversity,” he told Fox News Digital. “There [are] just so many things that I think have dissipated from our society that are brought back to life in a sauna.”
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“When you go through stress together, your brain is wired, and it promotes connection with other people.”
Accessibility for all
Enjoying a sauna doesn’t have to require a luxury health club membership, according to Anderson, as saunas have been popularized in many cultures for generations.
“There are ways to make them with scrap wood and there are some different, cheap heating options,” he said.

Todd Anderson (right) sits outside his sauna after a session with “Beat the Heat” guest Ken Rideout. (Todd Anderson)
In Finland, a country where saunas are a part of the everyday routine, there are more than five million people and three million saunas, noted Anderson, who recently visited there.
“Almost everybody has a sauna at their house,” he shared.
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In many countries, saunas are part of the overall culture and can have healing properties, Anderson went on.
“It’s a feeling. It’s very stress-free, in tune with their body connection. Families do it together. It’s this spiritual thing.”

In many countries, saunas are part of the overall culture and can have healing properties, Anderson said. (iStock)
Proper practice and potential risk
The average person will lose a pint of sweat during a short session in a sauna’s dry heat, according to Harvard Health.
“The pulse rate jumps by 30% or more, allowing the heart to nearly double the amount of blood it pumps each minute,” stated the Harvard Medical School publication.
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“Most of the extra blood flow is directed to the skin; in fact, the circulation actually shunts blood away from the internal organs. Blood pressure is unpredictable, rising in some people but falling in others.”
While saunas are generally safe for most people, Harvard Health cautioned that people with uncontrolled high blood pressure or heart disease should check with their doctors before participating.

“A sauna’s dry heat (which can get as high as 185°F) has profound effects on the body,” Harvard Health wrote. (iStock)
Sauna-goers should also avoid alcohol and medications that may “impair sweating and produce overheating before and after your sauna,” according to the same source.
Harvard advised staying in the sauna for no more than 15 to 20 minutes and gradually cooling down after.
Drinking two to four glasses of cool water is also encouraged after a session.
“Don’t take a sauna when you are ill,” Harvard Health warned. “And if you feel unwell during your sauna, head for the door.”
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