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BMI is not a good metric for really short and really tall people.

The "ideal weight" of a person is proportional to height to an exponent somewhere between 2 and 3. Simple physics would say 3 but because tall people are not just scaled up copies of small people, it is closer to 2 in practice, maybe around 2.3, but we say 2 because it is easier to calculate.

The downside is that BMI overestimates the "ideal weight" for short people and underestimate it for tall people. But BMI is not great at capturing exceptions anyways, so there is little interest in "fixing" this.

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This is a common misconception. BMI while an ok population metric, for individual's the biggest problem with is its poor sensitivity - it fails to classify people as obese who are obese.

Using your 6 3" male as an example, they are significantly more likely to be clinically obese (using waist circumference, body fat % etc) at a weight lower than BMI cut-off of 240 lbs.

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It only fails to classify people with excess body fat who are in the healthy weight range.

It's really good at catching people who are obese who are overweight.

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Americans that are 6'3" (190.5cm) are about 1.5% of the population. It is a tiny fraction of the population.
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It's like 25% of the men in my family. I am but a mere 6'1". What do?
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