Body Mass Index Calculators
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BMI Formula
BMI = weight (kg) / height² (m²)
US units: BMI = 703 × weight (lb) / height² (in²)
Example: 75 kg, 1.75 m: BMI = 75 / 1.75² = 75 / 3.0625 = 24.5 kg/m².
WHO BMI Categories (Adults)
- < 18.5: Underweight (increased risk of malnutrition, osteoporosis)
- 18.5–24.9: Normal weight (lowest disease risk)
- 25.0–29.9: Overweight (increased risk begins)
- 30.0–34.9: Obese Class I
- 35.0–39.9: Obese Class II
- ≥ 40.0: Obese Class III (severe/morbid obesity)
Asian BMI Cut-Offs
WHO recommends lower thresholds for Asian populations because cardiometabolic risk increases at lower BMI: Overweight ≥ 23.0; Obese ≥ 27.5. Chinese and South Asian populations have higher body fat % at a given BMI compared to Caucasian populations.
Limitations of BMI
- Doesn't distinguish fat from muscle: muscular athletes may be classified as overweight or obese
- Doesn't measure fat distribution: visceral (abdominal) fat is more harmful than subcutaneous fat; waist circumference or waist-hip ratio adds important information
- Not valid for children (use BMI-for-age percentiles) or pregnant women
- Different ethnic groups have different fat distribution at same BMI
Glossary
Frequently Asked Questions
BMI (Body Mass Index) = weight (kg) / height (m)². It is a weight-for-height index. Example: weight 80 kg, height 1.80 m: BMI = 80 / (1.80)² = 80 / 3.24 = 24.7 kg/m². In US units: BMI = 703 × weight (lb) / height (in)². Example: 176 lb, 71 inches: BMI = 703 × 176 / 71² = 123,728 / 5041 = 24.5. WHO adult categories: < 18.5 = underweight; 18.5–24.9 = normal; 25–29.9 = overweight; ≥ 30 = obese. BMI is easy to calculate from routinely collected measurements (weight and height) — its simplicity makes it ideal for population screening.
Overweight (BMI 25–29.9) and obesity (BMI ≥ 30) are associated with increased risk of: Cardiovascular disease: hypertension; dyslipidemia; coronary artery disease; heart failure. Metabolic: type 2 diabetes (BMI ≥ 30 approximately doubles risk vs. BMI 23–25); metabolic syndrome. Respiratory: obstructive sleep apnea; obesity hypoventilation syndrome. Orthopedic: osteoarthritis of knees and hips. Cancer: colorectal, breast (postmenopausal), endometrial, kidney, esophageal, pancreatic. Mortality: J-shaped relationship; highest mortality at both ends; lowest at BMI 20–25; significantly elevated above BMI 30. Risk is particularly high for abdominal obesity (waist circumference > 40 inches/102 cm men; > 35 inches/88 cm women).
BMI doesn't directly measure body fat — it is a weight-height index. Key limitations: Athletes: highly muscular individuals (weight lifters, rugby players) may have BMI > 30 with very low body fat percentage — BMI incorrectly classifies them as obese. Older adults: age-related muscle loss (sarcopenia) means elderly people may have normal BMI with high body fat and low muscle mass — BMI misses 'normal-weight obesity.' Ethnic variation: at the same BMI, South Asians and Asians have higher body fat percentage and greater visceral fat than Caucasians — using WHO cut-offs (25 overweight) underestimates risk. Fat distribution: BMI doesn't distinguish abdominal (visceral) fat from gluteal-femoral fat; visceral fat is metabolically active and more harmful. Waist circumference or DEXA scan provide better information about fat distribution.
Adult BMI cut-offs (18.5, 25, 30) are not valid for children because BMI changes substantially with age and differs by sex during growth. Instead, BMI-for-age percentiles are used: underweight = BMI < 5th percentile; healthy weight = 5th–85th percentile; overweight = 85th–95th percentile; obese = ≥ 95th percentile for age and sex. The CDC 2000 growth charts and WHO child growth standards provide age- and sex-specific BMI reference values. Why percentiles: a BMI of 20 is overweight for a 5-year-old but normal for a 15-year-old. Track children over time; a child consistently in the 90th percentile warrants monitoring and intervention before adulthood onset of obesity-related complications.