BMI has been the standard parameter for assessing metabolic risk for decades. But research is clear: it misclassifies at least 1 in 3 people.
Bright kitchen of an Alpine chalet: a smart bioimpedance scale on a wooden floor, natural morning light; no faces.
It does not distinguish fat mass from muscle mass, does not identify fat distribution, and does not detect visceral fat — the most dangerous.
The scientific problem with BMI
Body composition shown as a clean chart on a tablet beside a smart scale; neutral premium background; no faces.
BMI = kg/m². An athlete at 90 kg of muscle and a sedentary person at 90 kg of abdominal fat have the same BMI — but radically different risk profiles.
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A subject with normal BMI can have low muscle mass and high visceral fat (TOFI — Thin Outside, Fat Inside).
Change in body shape is predicted by variation in two body composition characteristics (adiposity and muscularity), not one alone.
A muscle-mass and visceral-fat chart projected in the wellness room of an Alpine clinic; sober palette; no faces.
Someone dieting and exercising may gain muscle while losing fat — weight stable. BMI says nothing changed. Body composition tells the truth.
Normal weight obesity: the clinically critical case
Bright kitchen of an Alpine chalet: a smart bioimpedance scale on a wooden floor, natural morning light; no faces.
Normal weight obesity: normal BMI, low muscle mass, high visceral fat. Associated with insulin resistance, metabolic syndrome and increased cardiovascular risk — all invisible to BMI.
How the Digital Twin measures body composition
Body composition shown as a clean chart on a tablet beside a smart scale; neutral premium background; no faces.
The Digital Twin integrates data from bioimpedance smart scales or in-clinic InBody analysis to measure muscle mass, total body fat, visceral fat and body water. Updated week by week — a dynamic profile, not a snapshot.
A table with a spare Mediterranean breakfast in natural light, measured portions; crisp detail, no faces.
MultiCare Health System / Obesity Medicine — https://www.multicare.org/vitals/beyond-bmi-understanding-weight-body-composition-and-health-risks/ · www.multicare.org
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