Why the scale is not a good marker of successful weight loss

There is a lot I wish we could change in medicine. One of the things that bothers me the most is our fixation with the scale and lack of education about what it tells us. Both women and men use their total body weight as a marker of how healthy they are, but just how accurate is it? The truth is it isn’t accurate at all.

The scale tells us our total body weight. It tells us how much fat mass, muscle mass, bone mass and water mass our bodies are composed of.  We just assume the lower the number, the better. This is one of the most dangerous assumptions we make in medicine today.

I have been 186 pounds (84 kg) and 97 pounds (44 kg), and I have been obese at both weights. It’s not hard to justify to people I was obese at 186 pounds (84 kg) since I’m only five feet (152 cm) tall, but what about 97 pounds (44 kg)?  How could I possibly be obese then?  The truth is I may have been small, but I was a little sack of fat rather than the large sack of fat I was at 186 pounds (84 kg).


Fermin RedondoWhy the scale is not a good marker of successful weight loss