When to trust BMI
Sedentary or average-activity adults with typical muscle mass — BMI usually agrees with body-fat measurements within a couple of categories.
As a fast screen before a doctor's visit.
When body fat wins
Athletes, lifters, or anyone who trains consistently. BMI cannot distinguish 20 lbs of muscle from 20 lbs of fat.
Older adults with sarcopenia — a "normal" BMI can hide low muscle and high fat (skinny-fat).



