The statistical relationship between human height and weight is of especial importance to clinical medicine, epidemiology, and the biology of human development. Yet, after more than a century of anthropometric measurements and analyses, there has been no consensus on this relationship. The purpose of this article is to provide a definitive statistical distribution function from which all desired statistics (probabilities, moments, and correlation functions) can be determined. The statistical analysis reported in this article provides strong evidence that height and weight in a diverse population of healthy adults constitute correlated bivariate lognormal random variables. This conclusion is supported by a battery of independent tests comparing empirical values of 1) probability density patterns, 2) linear and higher order correlation coefficients, 3) statistical and hyperstatistics moments up to 6th order, and 4) distance correlation (dCor) values to corresponding theoretical quantities: 1) predicted by the lognormal distribution and 2) simulated by use of appropriate random number generators. Furthermore, calculation of the conditional expectation of weight, given height, yields a theoretical power law that specifies conditions under which body mass index (BMI) can be a valid proxy of obesity. The consistency of the empirical data from a large, diverse anthropometric survey partitioned by gender with the predictions of a correlated bivariate lognormal distribution was found to be so extensive and close as to suggest that this outcome is not coincidental or approximate, but may be a consequence of some underlying biophysical mechanism.
KeywordsCorrelation of Height and WeightDistribution of Height and WeightBody Mass IndexLognormal DistributionDistance Correlation (dCor)Hyperstatistics
Stigler, S.M. (1986) The History of Statistics: The Measurement of Uncertainty Before 1900. Harvard University Press, Cambridge, 265-361.
Bernstein, P.L. (1998) Against the Gods: The Remarkable Story of Risk. Wiley, New York, 152-171. https://doi.org/10.2307/2685740
Porter, T.M. (2004) Karl Pearson: The Scientific Life in a Statistical Age. Princeton University Press, Princeton, 235-239, 249-266. https://doi.org/10.5944/empiria.8.2004.989
Quetelet, L.A.J. (1835) A Treatisse on Man and the Development of His Faculties. Cambridge University Press, Cambridge. https://www.cambridge.org/core/books/treatise-on-man-and-the-development-of-his-faculties/AB13A647A6C8727C06AE5399D7422887
Sager, G. (1987) Relation between Body Height and Weight in Adult Humans. Gegenbaurs morphologisches Jahrbuch, 133, 563-571.
Rahmandad, H. (2014) Human Growth and Body Weight Dynamics: An Integrative Systems Model. PLOS ONE, 9, e114609. https://doi.org/10.1371/journal.pone.0114609 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0114609
Lettre, G. (2011) Recent Progress in the Study of the Genetics of Height. Human Genetics, 129, 465-472. https://doi.org/10.1007/s00439-011-0969-x
Wikipedia (2022) Body Mass Index. https://en.wikipedia.org/wiki/Body_mass_index
World Health Organization (2021) Obesity and Overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Moody, J.N., et al. (2021) Body Mass Index and Polygenic Risk for Alzheimer’s Disease Predict Conversion to Alzheimer’s Disease. The Journals of Gerontology Series A Biological Sciences and Medical Sciences, 76, 1415-1422. https://doi.org/10.1093/gerona/glab117
Silverman, M.P. and Lipscombe, T.C. (2022) Exact Statistical Distribution of the Body Mass Index (BMI): Analysis and Experimental Confirmation. Open Journal of Statistics, 12, 324-356. https://doi.org/10.4236/ojs.2022.123022
Szekely, G.J., Rizzo, M.L. and Bakirov, N.K. (2007) Measuring and Testing Dependence by Correlation of Distances. The Annals of Statistics, 35, 2769-2794. https://doi.org/10.1214/009053607000000505
Szekely, G.J. and Rizzo, M.L. (2009) Brownian Distance Covariance. The Annals of Applied Statistics, 3, 1236-1265. https://doi.org/10.1214/09-AOAS312
Callahan, A. (2021) Is BMI a Scam? The New York Times. https://www.nytimes.com/2021/05/18/style/is-bmi-a-scam.html
Gordon, C.C., et al. (2014) 2012 Anthropometric Survey of U.S. Army Personnel: Methods and Summary Statistics. Technical Report Natick/TR-15/007, U.S. Army Natick Soldier Research and Engineering Center, Natick. https://www.openlab.psu.edu/ansur2
Silverman, M.P. (2014) A Certain Uncertainty: Nature’s Random Ways. Cambridge University Press, Cambridge, 511-514. https://doi.org/10.1017/CBO9781139507370
Forbes, C., Evans, M., Hastings, N. and Peacock, B. (2011) Statistical Distributions. 4th Edition, Wiley, New York, 131-134. https://doi.org/10.1002/9780470627242
A’Hearn, B., Peracchi, F. and Vecchi, G. (2009) Height and the Normal Distribution: Evidence from Italian Military Data. Demography, 46, 1-25. https://doi.org/10.1353/dem.0.0049
Diverse Populations Collaborative Group (2005) Weight-Height Relationships and Body Mass Index: Some Observations from the Diverse Populations Collaboration. The American Journal of Physical Anthropology, 128, 220-229. https://doi.org/10.1002/ajpa.20107
Johnson, W., et al. (2020) Differences in the Relationship of Weight to Height, and Thus the Meaning of BMI According to Age, Sex, and Birth Year Cohort. Annals of Human Biology, 47, 199-207. https://doi.org/10.1080/03014460.2020.1737731
Sperrin, M., Marshall, A.D., Higgins, V., Renehan, A.G. and Buchan, I.E. (2015) Body Mass Index Relates Weight to Height Differently in Women and Older Adults: Serial Cross-Sectional Surveys in England (1992-2011). Journal of Public Health, 38, 607-613. https://doi.org/10.1093/pubmed/fdv067
Benn, R.T. (1971) Some Mathematical Properties of Weight-for-Height Indices Used as Measures of Adiposity. Journal of Epidemiology & Community Health, 25, 42-50. https://doi.org/10.1136/jech.25.1.42
Rohrer, F. (1921) Der Index der Körperfülle als Maß des Ernährungszustandes [The Index of Corpulence as a Measure of Nutritional Condition]. Münchener Medizinische Wochenschrift, 68, 580-582.
Henneberg, M., Hugg, J. and Townsend, E.J. (1989) Body Weight/Height Relationship: Exponential Solution. American Journal of Human Biology, 1, 483-491. https://doi.org/10.1002/ajhb.1310010412
Cidras, M. (2015) Body Mass Exponential Index: An Age-Independent Anthropometric Nutritional Assessment. Open Access Library Journal, 2, 1-8. https://doi.org/10.4236/oalib.1101943
Trussell, J. and Bloom, D.E. (1979) A Model Distribution of Height or Weight at a Given Age. Human Biology, 51, 523-536.
Edwards, A.W.F. (1992) Likelihood. The Johns Hopkins University Press, Baltimore, 70-143.
Kendall, M.G. and Stuart, A. (1963) The Advanced Theory of Statistics Vol. 1: Distribution Theory. Hafner, New York, 94-119, 228-236.
Hotelling, H. (1953) New Light on the Correlation Coefficient and Its Transforms. Journal of the Royal Statistical Society: Series B, 15, 193-232. https://doi.org/10.1111/j.2517-6161.1953.tb00135.x
Mood, A.M., Graybill, F.A. and Boes, D.C. (1974) Introduction to the Theory of Statistics. 3rd Edition, McGraw-Hill, New York, 195-198, 233-236.
Chou, Y. (1969) Statistical Analysis: With Business and Economic Applications. Holt, Rinehart, and Winston, New York, 308-323.
Haldane, J.B.S. (1942) Moments of the Distributions of Powers and Products of Normal Variates. Biometrika, 32, 226-242. https://doi.org/10.1093/biomet/32.3-4.226
Arfken, G.B. and Weber, H.J. (2005) Mathematical Methods for Physicists. 6th Edition, Elsevier, New York, 83-87.
Wikipedia (2022) Bootstrapping (Statistics). https://en.wikipedia.org/wiki/Bootstrapping_(statistics)
Efron, B. (1979) Bootstrap Methods: Another Look at the Jackknife. The Annals of Statistics, 7, 1-26. https://doi.org/10.1214/aos/1176344552
Harding, B., Tremblay, C. and Cousineau, D. (2014) Standard Errors: A Review and Evaluation of Standard Error Estimators Using Monte Carlo Simulations. The Quantitative Methods for Psychology, 10, 107-123. https://doi.org/10.20982/tqmp.10.2.p107
Moment (Mathematics) (2022) Wikipedia. https://en.wikipedia.org/wiki/Moment_(mathematics)
Silverman, M.P., Strange, W. and Lipscombe, T.C. (2004) The Distribution of Composite Measurements: How to Be Certain of the Uncertainties in What We Measure. American Journal of Physics, 72, 1068-1081. https://doi.org/10.1119/1.1738426
Kendall, M.G. and Stuart, A. (1961) The Advanced Theory of Statistics Vol. 2: Inference and Relationship. Charles Griffin & Co., London, 1-8.
Walker, J. (1996) HotBits: Genuine Random Numbers, Generated by Radioactive Decay. https://www.fourmilab.ch/hotbits
Wikipedia (2022) Diehard Tests. https://en.wikipedia.org/wiki/Diehard_tests
Maplesoft.com (2022) Overview of the RandomTools [MersenneTwister] Subpackage. https://www.maplesoft.com/support/help/maple/view.aspx
Mapleprimes.com (2019) Are Maple’s Pseudo Random Number Generators Good Generators? Post by mmcdara 3900. https://mapleprimes.com/posts/211598-Are-Maples-Pseudo-Random-Number-Generators
Silverman, M.P., Strange, W., Silverman, C.R. and Lipscombe, T.C. (1999) Tests of Alpha-, Beta-, and Electron Capture Decays for Randomness. Physics A, 262, 265-273. https://doi.org/10.1016/S0375-9601(99)00668-4
Silverman, M.P. and Strange, W. (2009) Search for Correlated Fluctuations in the Decay of Na-22. Europhysics Letters, 87, Article No. 32001. https://doi.org/10.1209/0295-5075/87/32001
Silverman, M.P. (2015) Search for Non-Standard Radioactive Decay Based on Distribution of Activities. Europhysics Letters, 110, Article No. 52001. https://doi.org/10.1209/0295-5075/110/52001
Silverman, M.P. (2016) Search for Anomalies in the Decay of Radioactive Mn-54. Europhysics Letters, 114, Article No. 62001. https://doi.org/10.1209/0295-5075/114/62001
Miller, D.G. (1972) Radioactivity and Radiation Detection. Gordon and Breach, New York, 88-99.
Foster, J., Kouris, K., Matthews, I.P. and Spyrou, N.M. (1983) Binomial vs Poisson Statistics in Radiation Studies. Nuclear Instruments and Method, 212, 301-305. https://doi.org/10.1016/0167-5087(83)90706-8