Normal vs. Healthy: Why They Are Not the Same
Normal = statistical average/typical range for a population.
Healthy = optimal physical, mental, and social well-being (WHO definition).
Key Divergences
| Parameter | Normal Range | Healthier Target |
|---|---|---|
| Blood pressure | 120/80–140/90 mmHg | <120/80 mmHg (lower CVD risk) |
| BMI | 18.5–24.9 | 20–23 + high muscle, low visceral fat |
| Fasting glucose | <100 mg/dL | <90 mg/dL (lower diabetes risk) |
| Sleep | 6–7 hrs (population avg) | 7–9 hrs (physiological need) |
Examples
- Normal but unhealthy: Age-related weight gain, "normal" BP that rises with age.
- Healthy but not normal: Athlete's low HR (40s), low BP, high CK.
Takeaway
Population norms reflect current (often unhealthy) averages. Health targets reflect physiological optimum. Individualize with clinician.
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