 Equal-product ambiguity in height-mass surface estimates

Equal-product ambiguity in height-mass surface estimates is the loss of anatomical information when the Mosteller formula depends on height and mass only through their product. In the documented centimetre-and-kilogram convention,Thus every positive pair satisfying $hm=K$ receives the same predicted body surface area. The VA manual states the equation and its units.^[ref] At $K=14,400$, both $(h,m)=(180,80)$ and $(160,90)$ give $2{\mathrm{m}}^2$. Equality of predictions supplies no independent evidence that the actual external surfaces agree.

The ambiguity also has a local description. Along an equal-product curve, $m=K/h$, so $dm/m=-dh/h$. MeanwhileA change in both inputs can therefore be invisible to the predictor. This is a small inverse problem: the predicted area does not identify height and mass separately, much less reconstruct body shape.

An original geometric example shows a stronger limitation without treating a toy solid as human anatomy. Consider a homogeneous cuboid of height $H$, mass $M$, density $\rho$ and horizontal sides $a,b$. Fixing height and mass fixes the cross-sectional area $A=ab=M/(\rho H)$, but its total surface area isThe square choice $a=b=\sqrt{A}$ and elongated choice $a=2\sqrt{A}$, $b=\sqrt{A}/2$ have the same height, mass and density. Their lateral surface areas differ by 25%. With stipulated $H=1.8\mathrm{m}$, $M=80\mathrm{kg}$ and $\rho =1000\mathrm{kg}{\mathrm{m}}^{-3}$, their total areas are about $1.607$ and $1.986{\mathrm{m}}^2$. Both receive the same Mosteller prediction of $2.00{\mathrm{m}}^2$.

This non-identifiability of shape from height and mass is a structural limitation of the inputs, not a rounding error. Additional shape measurements or independent surface evidence are needed to assess individual prediction errors. More precise evaluation of the same formula cannot supply the missing geometry.