Review Article

For Researchers on Obesity: Historical Review of Extra Body Weight Definitions

Table 3

Development of weight standard tables.

Year ref.AuthorCriteriaPopulationScreeningDevelopmentMilestone/outcome

1842 [19] QueteletTables: weight to height by age group: 20, 30, 40, 50, and 60Belgian men and womenWith clothes and shoes (as is)Developed a table of the average weight by ages for a sample of Belgian men and womenAverage weight” Belgian

1846 [20] HutchinsonTables: weight to height for 30 y.o.
Englishmen from 5′1′′ to 6 feet
5 feet 1 inch to 6 feet, 30 y.o.
2,650 Englishmen
Average weights of 30 y.o. men for each inch of height from 5′1′′ to 6 feetAverage weight” English

1867 [17] FishTables: weight to height for 30 y.o. American men from 5′1′′ to 6 feetAmericanMedical Review of English Tables (from John Hutchinson)The Agent’s Manual of Life AssuranceAverage weight” American

1912 [7]The Association of Life Insurance Medical Directors and the Actuarial Society of AmericaTables: based on rate of mortality: weight by height tables for men and women by ageMortality for insured populationSeasonal consideration to have the same clothes and shoesReport of The Joint Committee onThe Medico-Actuarial MortalityInvestigation “Average weight may not have the lowest mortality”—what is ideal weight?Ideal weight” based on longevity

1937 [8] Dublin and Lotha (1882–1969), Metropolitan Life Insurance Company frame [8], 1937Tables: weight to height by sex and body frame4 million people insured by MetLife 1911–1935Height, with street shoes Weight, only indoor clothesDublin divided the average weights into three types of body frames: small, medium, and large From the prospective of insurance, the bad weight was considered to be 20–25%, with morbid obesity at 70–100% above the “ideal”Ideal weight” (based on lowest mortality for insured population)

1942-3 [9, 10]Metropolitan Life Insurance Company (MLIC)Tables: weight by height by sex and body frame 
Longevity criteria, weight maintained at the same level as 25 y.o. with same height and body frame
Proposed tables for “ideal weight” for men and women >25 y.o. by frame sizeHeight, with street shoes 
Weight, only indoor clothes
National Standards for Weight by sex and body frame MLIC 1942-43
Obesity, 20% above ideal weight
Ideal weight”

1959 
[11, 12]
The Build and Blood Pressure StudyTables: weight by height by sex and body frameUS and Canada-insured (from 26 life insurance companies) people 1935–1954 20% self-reportedStreet shoes and indoor clothesRevised MLIC 1959 tables
Standard Tables based on association with mortality (not morbidity) distribution of weight to height association with minimum mortality (lowest death rate) Obesity, 20% above ideal weight
Desirable weight”

1975 [21]Fogarty Center Conference on ObesityRange of acceptable weight Suggested range BMI: 
20.1–25.0 for men 
18.7–23.8 for women
Based on MLIC 1959Adjusted street shoes and indoor clothesGuidance for body weightRange of acceptable weight

1979 [13, 14]The Build and Blood Pressure Study, second studyTables: weight by height by sex and body frameInsured people 
1950–1972 
10% self-reported
Street shoes and indoor clothesRevised MLIC 1983 tablesHeight to weight tables

1980 [18]US Department of Agriculture and US Department of Health, Education and WelfareAdjusted range of acceptable weight of age and height specificMLIC 59Adjusted street shoes and indoor clothesDietary Guidance for Americans (1st edition)Range of acceptable weight from “desirable” weight tables

1985 [22, 23]National Institute of Health“Overweight”: BMI ≥ 85th percentile, “severe overweight”: 
BMI ≥ 95th percentile of 20-year-old to 29-year-old men and women. “Obesity” and “severe obesity” same for the sum of the triceps and subscapular skinfold thicknesses
NHANES II 
1976–80 
Men and women 
20–29 years old
Criteria matched for range of acceptable weight: not ≥20% of desirable weight for midpoint of medium-build person MLIC, 83.Guidance for body weight
Overweight-obesity BMI: 
≥27.8 for men 
≥27.3 for women 
Suggested range BMI for males and females: 
26.4–28.5 (MLIC 59) 27.2–26.9 (MLIC 83)
Range of acceptable weight

1985 [24]US Department of Agriculture and US Department of Health, Education and WelfareOverweight translated to BMI for men 25-26 and for women 
24-25
MLIC 59Dietary Guidance for Americans (2nd edition)Desirable weight

1990 [25]US Department of Agriculture and US Department of Health, Education and WelfareBMI ≥ 25 for ages 19–34 and ≥27 for ages ≥35 years   All adults (both sexes combined) by 2 age groupsDietary Guidance for Americans (3rd edition) translated in BMI ≥25 for ages 19–34 and 27 for ages ≥35 years Unhealthy weight

1995 [15] 
2000 [26]
World Health Organization (WHO)Mortality curveInternational dataMortality curves for BMI selectionInternational Classification of WeightInternational Classification of Weight based on BMI level

1995 [27]US Department of Agriculture and US Department of Health, Education and WelfareBMI ≥ 25 for all agesAll adults (both sexes combined) for all agesNo shoes, no clothesDietary Guidance for Americans (4th edition)Healthy weight

1998 
[2]
National Institute of Health (NIH) and National Heart, Lung, and Blood Institute (NHLBI)Relation of BMI and risk of morbidity and mortalityRCT and epidemiological studiesClinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in AdultsAssessment and treatment management of overweight and obesity

2010 [16]US Department of Agriculture and US Department of Health, Education and WelfareWHO International Classification of Weight based on BMI level was adopted for US populationUSAMatches with WHO and NIH and NHLBI criteriaDietary Guidance for Americans (7th edition)BMI classification matches with WHO and NIH and NHLBI, 1998

Criteria for table generation.
Next edition is expected in 2015.
“National Nutrition Monitoring and Related Research Act of 1990”—Public Law 101–445, Title III, Section  301, stated that a report entitled “Dietary Guidelines for Americans” shall contain nutritional and dietary information and guidelines for the general public and “shall be promoted by each Federal agency in carrying out any Federal food, nutrition, or health program” [28].