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It’s not all about height and weight.
New research suggests incorporating waist circumference into how we predict health outcomes, instead of relying on BMI.
Study authors say BMI does not take into account muscle mass or the links between abdominal fat and poorer health, among other downfalls of the measurement.
In an effort to understand how body composition affects health, most medical professionals and researchers still use the body mass index (BMI), but this has always been a problematic and controversial method when actually applied to individuals, rather than large populations. For example, commentary in the British Journal of General Practice, published back in 2010, called use of BMI unethical, overly simplistic, and potentially harmful to a significant proportion of patients.
A new study in JAMA Network Open assessed a possible pivot toward a different measurement tool: the body roundness index, or BRI. In addition to weight and height (which is all that the BMI includes), the BRI considers waist circumference because that can more comprehensively reflect visceral fat distribution, according to the study’s lead author Xiaoqian Zhang, M.D., at Beijing University of Chinese Medicine in China.
In the cohort study involving nearly 33,000 U.S. adults, researchers looked at the association between an increase in BRI from 1999 to 2018 and the significant rise in all-cause mortality (particularly cardiometabolic disease, kidney disease, diabetes, and cancer) during the same period.
More abdominal fat has been linked to higher risk of these conditions because this type of fat is often visceral, which means it wraps around your organs instead of sits just under the skin. That means it can increase inflammation and drive more chronic diseases, Zhang told Runner’s World. For example, one study of Korean adults found those with normal body mass index had more cardiovascular risk factors if they carried excess abdominal obesity.
“Because of the way it includes waist circumference, BRI effectively provides a more accurate indication of health problems related to being overweight or underweight,” Zhang said. “We found both the lowest and the highest BRI values are associated with significantly increased risks of all-cause mortality.”
The Problem with BMI
Considering a switch away from BMI involves understanding why this effort matters. BMI was not meant to be used on an individual level. It relied only on Belgian men (because it was a formula devised in the 1830s by a Belgian mathematician) and did not take women and/or non-Caucasians into account, the British Journal of General Practice authors noted. As other researchers note, it was also not meant to inform medicine or predict health outcomes
By looking only at height and weight, the BMI might measure general obesity but it doesn't distinguish body fat from muscle mass, said the recent study’s co-author Wenquan Niu, Ph.D., at the Center for Evidence-Based Medicine in China. Because of this, for example, many bodybuilders are classified as obese.
“Fat distribution and body composition can vary dramatically among individuals who have the same BMI,” he told Runner’s World. “That’s why we need a more accurate indication of health problems related to overweight or underweight. Using the BRI is more helpful for this, given the limitations of the BMI metric.”
What to Know About Waist-to-Hip Ratio
The BMI and BRI are not the only possibilities when it comes to body composition. One that’s easy to measure at home is hip-to-waist ratio (WHR), which involves measuring both of those and then dividing your waist number by your hip number. According to a study published in JAMA Network Open in 2023, the ideal ratio for most men is below 0.95 and under 0.85 for women.
Even if you’re physically active and are not overweight, the WHR can help identify your risk of future metabolic issues, because abdominal fat plays a significant role in issues like insulin resistance and hypertension, according to Vitor Engrácia Valenti, Ph.D., a researcher at Sao Paulo State University in Brazil who has done work on body composition.
“The BMI calculation is far less helpful than your WHR, which can give you an indication of whether your waist circumference is outside the normal range,” he told Runner’s World.
Other indicators of body composition are lean muscle mass and fat mass, but those require specialized equipment such as a DXA scan for accurate numbers, Valenti added.
In general, the goal shouldn’t be reducing body fat as much as possible—you do need body fat for overall health—but to focus on reduction of abdominal fat in particular.
Although “spot training” for this type of fat is not a possibility, a systematic review and meta-analysis published in Advances in Nutrition looked at 43 studies focusing on training styles and their effects. Researchers found that although aerobic exercise tends to produce slightly greater efficacy in decreasing belly fat, the biggest change comes when it’s combined with resistance training.
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Jakob Ingebrigtsen brought his remarkable 2026 season to a fitting close on home soil, winning the men’s street 1500m at the inaugural Runfest Norway in Sandnes on Friday.
Competing in front of an enthusiastic hometown crowd, the Olympic and world champion took control of the race from the early stages and maintained his authority through the finish, stopping the clock at 3:40.7.
Andreas Fjeld Halvorsen followed in second in 3:43.3, while Sigurd Tveit completed the podium in 3:47.8.
The unusual street race added another dimension to the occasion, with 273 runners taking part on the same road and sharing the course with one of Norway’s most accomplished distance runners. For the recreational participants, it offered a rare opportunity to compete alongside Ingebrigtsen in an event that brought elite athletics and mass participation together.
The victory also provided a fitting final chapter to a season that began with significant uncertainty for Ingebrigtsen. After undergoing major Achilles surgery in February, the Norwegian was forced to miss a substantial portion of the summer campaign as he worked his way back to full fitness.
His return, however, quickly developed into another championship-winning chapter. In Birmingham, Ingebrigtsen captured European 5,000m gold before adding another major title at the inaugural World Athletics Ultimate Championship in Budapest, where he won the 5,000m.
Those performances transformed what could have been a disrupted season into another year defined by championship success and a determined return to the highest level.
Now, with the Sandnes victory added to his 2026 record, Ingebrigtsen closes the year exactly where it began in spirit — overcoming adversity, rebuilding his form and once again competing at the front.
From Achilles surgery in February to major championship victories and finally a 1500m win before his hometown crowd, the Norwegian has given his 2026 season a memorable final scene.
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Olympic 100m hurdles champion Masai Russell has announced her engagement to longtime partner Robert “Robbie” Springfield, adding a major personal milestone to the remarkable journey of one of America’s leading track and field stars.
Russell shared the news with her followers, revealing that Springfield had proposed and that she had accepted. Reflecting on their relationship, the Olympic champion described him as her best friend and expressed her excitement about spending the rest of her life with him.
The couple’s relationship dates back to their college years at the University of Kentucky, where both were student-athletes and competed in track and field. Russell established herself as a standout hurdler, while Springfield competed in the long jump, giving them a shared understanding of the demands, sacrifices and pressures that come with pursuing success in athletics.
Springfield has since transitioned from competition into coaching. A former collegiate long jumper, he is now part of the coaching staff at Morehead State University, where he works with the programme’s sprinters and jumpers.
Their relationship has developed alongside Russell’s rise to the top of the sport. The defining moment of her career came at the Paris 2024 Olympic Games, where she captured gold in the women’s 100m hurdles, securing her place among the sport’s Olympic champions.
Away from competition, Springfield has remained a familiar part of Russell’s journey, sharing in the demanding periods of training and competition that accompanied her pursuit of Olympic success. Their connection has consequently grown from a college athletics relationship into a long-term partnership.
The engagement now marks another significant chapter for Russell, this time away from the track. After reaching the pinnacle of her sporting career in Paris, the 100m hurdles champion is beginning a new phase of her personal life alongside a partner who has been part of her journey since their university days.
From competing on the same collegiate stage to building a future together, Russell and Springfield’s story has evolved alongside two careers shaped by track and field. The Olympic champion will now balance this new personal chapter with her continuing ambitions in athletics
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The women’s race at the 2026 TCS Amsterdam Marathon is shaping up to be one of the most competitive editions in recent years, with a deep international field set to take on the fast Dutch course on Sunday, October 18.
At the centre of the contest will be four Ethiopian athletes who have already broken the 2:20 barrier, creating the prospect of a fascinating battle for victory and a possible assault on the course record of 2:16:52.
Defending champion Aynalem Desta will return to Amsterdam looking to retain her title after producing the biggest performance of her career at last year’s 50th edition. Desta won in a personal best of 2:17:37, establishing herself among the leading marathoners in the field and setting the benchmark for this year’s contenders.
Standing in her way will be fellow Ethiopian Meseret Belete Tola, a former Amsterdam champion who knows exactly what it takes to succeed on the course. Belete Tola captured the 2023 edition in 2:18:21, and her return adds another layer of experience and proven quality to an already formidable lineup.
The field also includes Mestawut Fikir Truneh, who arrives with an impressive marathon pedigree. Truneh finished runner-up at the 2024 Berlin Marathon in 2:18:48, demonstrating her ability to compete at the highest level on one of the world's major marathon stages.
Completing the quartet of sub-2:20 Ethiopians is Buze Diriba, whose personal best of 2:19:34 places her firmly among the leading contenders. With four athletes possessing credentials below 2:20, the race is likely to develop into a tightly contested battle from the opening kilometres.
The depth extends well beyond the leading quartet. Desi Jisa Mokonin, representing Bahrain, Yeshi Kalayu Chekole of Ethiopia and Nazret Weldu Gebrehiwet of Eritrea have all established themselves as serious marathon competitors with performances approaching the 2:20 mark.
Another major name to watch is Abeba Aregawi, the former 1500m world champion representing Sweden. Aregawi has successfully transferred her talents to the marathon and made headlines earlier this year by setting a Swedish national record of 2:23:12 on her debut. Her presence adds another intriguing dimension to an already high-quality field.
Amsterdam’s marathon course has consistently provided an opportunity for elite athletes to produce fast times, and this year’s women’s lineup has the depth to turn the race into a genuine test of both championship racing and outright speed.
With four athletes already inside 2:20, two former Amsterdam champions returning to the start line and several other accomplished marathoners ready to challenge them, the battle is expected to remain open deep into the race.
The ultimate target will be the Amsterdam women’s course record of 2:16:52. Whether the leading contenders can threaten that mark remains to be seen, but the quality assembled for October 18 ensures that the record will be firmly in the spotlight when the race reaches its spectacular finish inside the Olympic Stadium.
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Do you want to enjoy Amsterdam in October and all that the city has to offer you? Want to feel a real athlete and start and finish in the historic Olympic stadium? Or run across the widely discussed passage under the beautiful National Museum? Then come to Amsterdam for the annual TCS Amsterdam Marathon in October! The TCS Amsterdam Marathon...
more...The 2026 Valencia Half Marathon is shaping up to be a thrilling contest of speed, endurance and tactical brilliance, with some of the world’s finest road runners set to converge in Spain on October 25.
Kenya’s Daniel Ebenyo and Alex Matata will be among the leading contenders, facing a formidable Ethiopian challenge spearheaded by Jemal Yimer and Tadese Worku. The field also features Rodrigue Kwizera, who boasts the fastest personal best among the leading entrants at 58:16.
Ebenyo arrives with a personal best of 59:04, placing him firmly among the athletes capable of sustaining a demanding pace over the 21.1-kilometre distance. Matata, who owns a 59:11 best, adds further Kenyan strength, while Andrea Kiptoo brings another sub-60-minute credential to the race.
Yimer has already established himself as one of the fastest athletes in the field with a 58:33 personal best, while Worku has clocked 58:35. Kenya’s Owen Korir, with a best of 58:58, further underlines the remarkable depth of the men's lineup.
Valencia Half Marathon 2026 Entries
1. Rodrigue Kwizera (Spain) — 58:16
2. Jemal Yimer (Ethiopia) — 58:33
3. Tadese Worku (Ethiopia) — 58:35
4. Owen Korir (Kenya) — 58:58
5. Daniel Ebenyo (Kenya) — 59:04
6. Alex Matata (Kenya) — 59:11
7. Andrea Kiptoo (Kenya) — 59:11
8. Thierry Ndikumwenayo (Spain) — 59:42
9. Said Mechaal (Spain) — 1:00:24
10. Adel Mechaal (Spain) — 1:02:30
Kwizera, who finished second in Valencia last year, leads the field on paper and will be seeking another standout performance on the famously fast Valencia course. With several athletes carrying sub-60-minute credentials, the race has the ingredients for an aggressive battle from the opening kilometres.
Beyond the headline names, the men’s field is deep and highly competitive, bringing together a strong collection of experienced international athletes with proven ability over the half-marathon distance. With so much quality packed into the lineup, the race promises an intriguing battle in which tactics, endurance, positioning and finishing speed could all play a crucial role in determining the eventual champion.
Yet personal bests will count for little once the gun goes off. The title could ultimately be decided by patience, positioning and the ability to respond when the pace begins to rise in the closing stages. Every surge, every tactical move and every second saved could prove decisive on the road to the finish.
With Kenya, Ethiopia and Spain represented by athletes of exceptional quality, Valencia promises a high-octane men's showdown in which the leaders are likely to be separated by only a handful of seconds. The final kilometres could provide the defining moments of a race packed with speed, ambition and anticipation.
On October 25, the question will be simple: who has the strength to command the streets of Valencia and claim the coveted half-marathon crown?
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The Trinidad Alfonso Valencia Half Marathon has become one of the top running events in the world. Valencia is one of the fastest half marathon in the world. The race, organized by SD Correcaminos Athletics Club, celebrated its silver anniversary in style with record participation, record crowd numbers, Silver label IAAF accreditation and an atmosphere that you will not find...
more...April 19, 1982. The Boston Marathon unfolded under unusually warm, sunny conditions, and by the closing stages, the race had become a private battle between two very different American runners: Alberto Salazar, already one of the biggest names in distance running, and Dick Beardsley, the Minnesota runner who had emerged as a serious marathon contender.
For roughly nine miles, from the Newton Hills toward the finish, Beardsley did much of the leading, with Salazar tucked close behind. Neither man could shake the other. They ran deep into Boston locked together, trading surges and refusing to surrender an inch as the crowds along the course grew louder.
Salazar finally made his decisive move with less than a mile remaining. He opened a small gap, but Beardsley refused to disappear. The Minnesota runner chased him through the final streets, closing again as they approached the finish.
Then came the final sprint.
Salazar held his form and reached the finish first in 2:08:52, with Beardsley only two seconds behind in 2:08:54. It was an extraordinary result: both men broke 2:09 in the same Boston Marathon, and both shattered the previous course record.
The race became known as the “Duel in the Sun,” and it remains one of the most celebrated head-to-head battles in Boston Marathon history. Beardsley had not won, but his performance established him as one of America's elite marathoners.
For Salazar, however, victory came at an enormous physical cost. Immediately after crossing the finish line, he collapsed and required emergency treatment, including several litres of intravenous saline. The combination of heat, dehydration and an all-out effort had pushed his body to the limit.
Salazar's marathon career would never again produce quite the same kind of performance. His celebrated 1981 New York City Marathon victory had produced what was initially considered a world record, although the course was later found to be short. His Boston triumph therefore became one of the defining victories of his career.
Beardsley's story would take an even more difficult turn. Injuries disrupted his career, and after returning to the highest level, he suffered a devastating farm accident in 1989. Further accidents, surgeries and severe physical pain followed, eventually leading to a long battle with painkiller addiction.
He eventually overcame that struggle and transformed the darkest chapters of his life into a story of recovery, resilience and redemption.
That is what makes the 1982 Boston Marathon more than a two-second victory.
For one extraordinary afternoon, Salazar and Beardsley produced a marathon duel in which neither man was willing to give way. One crossed the finish line first. The other finished only two seconds behind him.
Two seconds separated them at Boston. Decades later, their legendary duel remains one of the greatest chapters in marathon history.
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