In my field we are starting to stray away from BMI and are using waist to hip ratios. Sometimes the 2 are combined to make up for the shortfalls of one or the other when used on their own. I think BMI continues to be used because it makes an easy way to record someone’s stats when a health history is done. Of course, if BMI is higher than normal but the individual is well muscled, additional notes can indicate this.

I think BMI should be used as a guideline, or a starting point and not an absolute indication of health. Use it as part of the larger picture of the individual.