Body Mass Index (BMI) is a common calculation used to estimate body fat.[1] It uses a person’s height and weight to provide a general idea of whether they are underweight, at a healthy weight, overweight, or obese. Health professionals often use BMI as a tool for health screenings.
The idea for BMI began in the 1830s with Adolphe Quetelet, a Belgian mathematician.[2] He noticed that in adults, weight tends to increase in proportion to the square of height. This led to the creation of the Quetelet Index, which was later renamed Body Mass Index (BMI).
To find your BMI, divide your weight in kilograms by your height in meters squared.[3] For example, if you weigh 70 kg and are 1.75 meters tall, your BMI is calculated as 70 / (1.75 x 1.75) = 22.9. This result would fall into the “normal weight” range based on standard BMI categories.
Even though BMI is used a lot, some common misunderstandings about it still exist:
- BMI directly measures body fat
- BMI applies equally to all individuals
- BMI is the only indicator of health
- A “normal” BMI means optimal health
These common misunderstandings show that we need to better understand BMI and how to use it correctly for health assessments.
How to Use a BMI Calculator
Using a BMI calculator is easy. You only need to know your weight and your height. Most online calculators let you enter this information using either metric units (kilograms and meters) or imperial units (pounds and inches).
To use a BMI calculator online, here are the steps you should follow:
- Find a reputable BMI calculator website
- Enter your weight
- Enter your height
- Click the “Calculate” button
- View your BMI result
The calculator will show you your BMI number and often give you a category such as “underweight”, “normal weight”, “overweight”, or “obese.”
If you want to calculate BMI without a calculator, here’s how you can do it:
- Convert height to meters if necessary
- Square the height (multiply it by itself)
- Divide weight in kilograms by the squared height
Understanding the standard categories is key to interpreting BMI results. A BMI below 18.5 indicates underweight.[4] A BMI between 18.5 and 24.9 is considered normal weight.[5] A BMI from 25 to 29.9 is overweight, and 30 or above is considered obese.[6]
Keep in mind that these numbers do not provide the complete picture. BMI is a starting point for evaluating health risks related to weight. Other factors like your age, gender, muscle mass, and general health are important to consider when looking at BMI results.
BMI Categories
BMI categories help classify weight and potential health risks. The World Health Organization (WHO) and many national health agencies use these standard categories:
BMI Range | Category |
---|---|
Below 18.5 | Underweight |
18.5 – 24.9 | Normal Weight |
25.0 – 29.9 | Overweight |
30.0 and above | Obese |
Each category reflects different levels of body fat and the health risks associated with them. The “normal weight” range is linked to the lowest risk of weight-related health problems. Being underweight can lead to issues with nutrition and immunity. Being overweight or obese can increase your risk of developing chronic illnesses.
It’s important to remember that these categories are just general guidelines. They don’t account for the differences in body types. For instance, a very muscular athlete might be in the “overweight” category even if they have very little body fat.[7]
BMI categories can be different for people from different places. For example, some Asian countries use lower BMI numbers to define overweight and obesity. Studies have shown that people of Asian descent can have higher health risks at lower BMI levels when compared to other groups.
Benefits of Knowing Your BMI
Knowing your BMI can be helpful in managing your health. It gives you a quick idea of your body composition and any weight-related health risks.
Your BMI can help you set realistic health and fitness goals. If your BMI is outside the normal range, it could be a reason to make some lifestyle changes. If you are in the normal range, it can motivate you to keep up your healthy habits.
BMI is used for several things in healthcare and research:
- Screening for weight categories
- Assessing population health trends
- Determining eligibility for certain medical treatments
- Evaluating the effectiveness of weight loss interventions
Public health groups often use BMI data to track rates of obesity and plan what to do about it. It helps government leaders decide how to spend money on health programs and to see if they are working over time.
Even with its limits, BMI is still a useful tool for initial health checks. It is simple, non-invasive, and helps start conversations about weight and health with doctors.
Limitations of BMI
Despite being used widely, BMI has some limits as a way to measure health. Knowing these problems is important for understanding and using BMI data correctly.
BMI doesn’t tell the difference between muscle and fat.[8] This can cause people with a lot of muscle to be incorrectly labeled as overweight or obese. Athletes and bodybuilders are often in this group, even when they have very low body fat.
There are several things that affect body composition that BMI does not take into account:
- Age
- Gender
- Bone density
- Muscle mass
- Fat distribution
These factors can significantly impact your health risks, even if your BMI is the same. For instance, fat around your abdomen can be more dangerous than fat evenly distributed throughout your body.
BMI might not be as reliable for some groups of people. Older adults often experience changes in body composition, with their muscle mass decreasing and fat mass increasing.[9] This can cause the amount of body fat in older adults to be underestimated if they have a normal BMI.
BMI can also be less accurate for pregnant women, children, and people with certain health problems.[10] In these cases, doctors often use other ways to check on their health.
Alternative Body Composition Measurements
Because of the limits of BMI, there are other methods for measuring body composition that give more detailed information. These alternatives can provide more information about fat distribution and muscle mass.
Here are some common ways to measure body composition other than BMI:
- Waist circumference
- Waist-to-hip ratio
- Skinfold thickness
- Bioelectrical impedance
- Dual-energy X-ray absorptiometry (DXA)
- Hydrostatic weighing
Each of these methods has its own strengths and weaknesses when it comes to how accurate it is, how much it costs, and how easy it is to use.
Method | Pros | Cons |
---|---|---|
Waist circumference | Simple, correlates with visceral fat | Doesn’t measure overall body fat |
Bioelectrical impedance | Quick, non-invasive | Can be affected by hydration levels |
DXA scan | Highly accurate, measures bone density | Expensive, requires specialized equipment |
These alternative methods are often used with BMI for a more complete assessment. For example, using both BMI and waist circumference can provide a better idea of health risks than BMI alone.
Doctors may recommend these alternatives when a person’s BMI results don’t seem to match their physical appearance or overall health. Athletes, bodybuilders, and people with unusual body types may benefit the most from these more detailed measurements.
BMI for Different Age Groups
Children and Teens
BMI calculations for children and teenagers are different than they are for adults.[11] They take age and gender into account, because body composition changes a lot during growth and development.
For this age group, BMI is often shown as a percentile.[12] This shows how a child’s BMI compares to other children of the same age and gender. The Centers for Disease Control and Prevention (CDC) has BMI-for-age percentile charts.
Here are some things to keep in mind when interpreting BMI in children and teenagers:
- Growth spurts
- Puberty timing
- Individual development patterns
- Family history
Doctors use these BMI percentiles as one part of a larger evaluation of a child’s growth and health.
Adults
BMI is most straightforward to use with adults between 20 and 65 years of age. For this group, the standard BMI categories generally apply.
As adults get older, their body composition tends to change. They often lose muscle and gain fat. This can make BMI harder to interpret, especially for older adults who may have a “normal” BMI but a higher percentage of body fat.
Checking your BMI regularly can help you track weight changes over time. This can help you maintain good health and prevent weight-related problems as you age.
Seniors
For older adults, usually those over 65, BMI needs special attention when being interpreted.[13] Body composition changes related to age can make BMI less accurate as a measure of body fat.
Older adults often experience:
- Decreased muscle mass
- Increased fat mass
- Reduced bone density
- Changes in height due to spinal compression
These factors can cause BMI to underestimate body fat in older adults. Some research suggests that a slightly higher BMI might be beneficial for seniors, as it is associated with lower death rates.[14]
Doctors often use BMI with other health indicators when checking older adults. How well they function, their general health, and their quality of life are all important things to think about alongside BMI.
BMI and Health Risks
BMI is a useful way to see potential health risks that are related to weight. Studies have shown links between the different BMI categories and various health problems.[15]
Higher BMIs, especially in the overweight and obese ranges, are connected to increased risks of:
- Type 2 diabetes
- Cardiovascular disease
- Certain cancers
- Osteoarthritis
- Sleep apnea
- Gallbladder disease
On the other hand, being underweight can also create health problems, including:
- Malnutrition
- Osteoporosis
- Weakened immune system
- Fertility issues
It’s important to note that BMI is just one thing that affects overall health. Other measures like blood pressure, cholesterol levels, and blood sugar also play important roles in seeing possible health risks.
Even small changes in BMI can affect your health.[16] Studies have shown that overweight people can see a significant health improvement by losing 5-10% of their body weight.[17] For many people, this means a decrease of about 1-2 points in their BMI.
While BMI gives helpful information, it doesn’t directly measure health. Some people with a high BMI may be healthy, while others with a normal BMI could have health issues. This means that health assessments need to be broader than just looking at BMI.
Using BMI for Weight Management
BMI can be a useful tool for setting and tracking weight management goals. It gives you a healthy weight range based on your height.
To use BMI for weight management:
- Calculate your current BMI
- Determine your target BMI range
- Set realistic weight loss or gain goals
- Monitor progress regularly
- Adjust your plan as needed
When trying to change your BMI, focus on lifestyle changes that you can keep up. This includes eating a balanced diet and doing regular physical activity. Extreme diets or exercise plans often give short-term results and can be harmful.
For weight loss, a safe and sustainable rate is usually 0.5-1 kg (1-2 pounds) per week.[18] This comes out to a BMI change of about 0.1-0.2 points per week for most people.
Remember that muscle weighs more than fat.[19] If you increase your physical activity, especially strength training, your weight (and BMI) might stay the same or even go up slightly, while your body composition gets healthier.
It’s important to talk with health professionals when using BMI for weight management. They can give you personal advice, considering your overall health, medical history, and specific needs.
BMI in Different Populations
BMI results can be understood differently across ethnic and racial groups. Research has shown that body composition and health risks related to BMI can vary among different groups of people.
For example, some studies have found that people of Asian descent may have higher amounts of body fat at lower BMI levels compared to people of European descent. This has led to some debate about whether BMI cutoffs should be different for these groups.
Here are some proposed BMI adjustments for specific groups of people:
Population | Overweight Threshold | Obese Threshold |
---|---|---|
General | 25.0 | 30.0 |
Asian | 23.0 | 27.5 |
Pacific Islander | 26.0 | 32.0 |
These adjustments try to better reflect the health risks in different ethnic groups. However, they aren’t used everywhere, and there is ongoing debate about whether they are useful.
Cultural factors can also affect body composition and health risks. Eating habits, how active people are, and how they view their bodies vary across different cultures. These factors can affect weight and the health problems associated with it.
Genetics also play a role in body composition. Some groups may have genetic tendencies toward certain body types or ways of storing fat. This can affect how BMI relates to health risks within these groups.
When thinking about BMI in different groups, it’s important to consider these cultural and genetic factors. Doctors often take these things into account when determining individual health risks based on BMI.
Tracking BMI Over Time
Tracking your BMI changes over time can give you good information about your health and weight management efforts. Regular tracking helps you see trends and make changes to your lifestyle when needed.
Here are some benefits of tracking BMI over the long term:
- Early detection of weight changes
- Motivation for maintaining healthy habits
- Insight into the effectiveness of diet and exercise routines
- Better understanding of how life events impact weight
To track your BMI effectively, you need to be consistent. Use the same scale and weigh yourself at the same time of day, preferably in the morning before eating or drinking.
Here are some ways you can track your BMI over the long term:
- Smartphone apps
- Spreadsheets
- Fitness trackers
- Regular check-ups with healthcare providers
- Written logs or journals
When interpreting BMI trends, look at the general patterns instead of daily changes.[20] Weight can change due to factors like hydration, meal times, and menstrual cycles.
Significant changes in BMI over time might mean that there are changes in your health or lifestyle. A slow increase in BMI might mean you need to adjust your diet or do more physical activity. Unexpected weight loss could indicate a health issue.
Remember that healthy changes in BMI usually happen slowly. Rapid changes, especially without any intentional lifestyle adjustments, should be discussed with a doctor.
BMI and Nutrition
Nutrition plays a key role in maintaining a healthy BMI. What we eat directly affects our weight and body composition. Knowing this can help in managing your BMI effectively.
A balanced diet is essential for reaching and maintaining a healthy BMI. This includes:
- Adequate protein for muscle maintenance
- Complex carbohydrates for energy
- Healthy fats for hormone balance
- Plenty of fruits and vegetables for vitamins and fiber
Portion control is another important part of nutrition for managing BMI.[21] Even healthy foods can cause weight gain if you eat too much of them.
Here are some dietary tips for maintaining a healthy BMI:
- Choose whole foods over processed options
- Include a variety of nutrient-dense foods
- Stay hydrated with water instead of sugary drinks
- Practice mindful eating
The role of macronutrients in body composition and BMI is complex. Protein helps to build and maintain muscle, which can positively affect BMI.[22] Carbohydrates give you energy for physical activity. Fats, while high in calories, are needed for producing hormones and absorbing nutrients.
It’s key to balance these macronutrients based on your specific needs and activity level. Some people may benefit from eating more protein, while others might need more carbohydrates for energy.
It’s important to know that there is no single “perfect” diet that works for everyone. Factors such as age, gender, activity level, and health status affect your nutritional needs. Talking with a registered dietitian can give you personalized advice for using nutrition to manage your BMI effectively.
BMI and Physical Activity
Physical activity has a big effect on BMI and body composition. Regular exercise can help you maintain a healthy weight, build muscle, and reduce body fat.
Different kinds of physical activities affect BMI in different ways:
- Aerobic exercises burn calories and help reduce overall body fat
- Strength training builds muscle mass, which can increase BMI while reducing body fat percentage
- Flexibility exercises improve overall fitness but have less direct impact on BMI
To add exercise to your BMI management plan:
- Assess your current fitness level
- Choose activities you enjoy
- Start slowly and gradually increase intensity
- Aim for a mix of aerobic and strength training exercises
- Be consistent and make it a regular habit
How much exercise you need varies from person to person. Generally, health organizations suggest that adults should do at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity per week.[23]
Balancing diet and exercise is critical for controlling BMI. While exercise burns calories, it is often easier to lower your calorie intake through diet than to burn off extra calories through exercise alone. A common saying is “you can’t outrun a bad diet.”[24]
However, the benefits of exercise go beyond just burning calories. Regular physical activity improves your metabolism, builds muscle (which burns more calories when you’re resting), and can help control your appetite.
For those who want to lower their BMI, combining more physical activity with a balanced diet that controls calories often gives the best results. On the other hand, people trying to increase their BMI (such as those who are underweight or athletes) might focus on strength training and eating more calories.
Remember, changes in exercise can affect your BMI measurements. More muscle from strength training might cause a higher BMI, even if your body fat percentage is going down. This highlights the importance of looking at body composition changes along with your BMI.
Common Myths About BMI
Despite how often it is used, several myths about BMI still exist. Knowing these misunderstandings is important for correctly interpreting and using BMI as a health tool.
Here are some common myths about BMI:
- BMI accurately measures body fat for everyone
- A normal BMI always indicates good health
- BMI is the only important measure of health
- Changing BMI is simply about eating less and exercising more
- BMI applies equally to all age groups and ethnicities
Let’s look at the facts that debunk these myths:
BMI does not directly measure body fat.[25] It is a simple calculation that uses your height and weight. While it is usually related to body fat for most people, it can be wrong for athletes, older adults, and some ethnic groups.
A normal BMI does not guarantee good health.[26] Other things like blood pressure, cholesterol levels, and lifestyle habits also have a big effect on your overall health. Also, some people with higher BMIs might be healthy.
BMI is just one of many health indicators. Other ways to measure health like waist circumference, blood tests, and fitness assessments give a more complete picture. BMI should be considered along with these other factors.
Changing your BMI involves several complex factors.[27] While diet and exercise are important, genetics, hormones, sleep, stress, and medications can all affect your BMI. Changes in BMI that last often require you to look at multiple parts of your health and lifestyle.
How we understand BMI varies across different groups. Children and teens use BMI percentiles that are specific to their age and gender.[28] Some ethnic groups may have different BMI cutoffs for health risks. Older adults may need to think about BMI differently because of changes in body composition.
Understanding these facts helps you have the right view of BMI. It is a useful screening tool but not the only thing that determines your health or fitness. Doctors use BMI as part of a broader health assessment, considering individual factors and other health indicators.
FAQ
These questions show common worries about BMI. They highlight how complex it is to use BMI as a health measure and how important it is to consider individual factors when understanding BMI results. BMI is still a useful tool for initial health screenings and for assessing health on a population level. However, it is most useful when combined with other ways of measuring health and when it is understood within the context of a person’s overall health. Doctors can give personal advice on how to use BMI as part of a comprehensive health management plan. They can also recommend other tests or measurements if needed for a more accurate assessment of your health and risks. Remember, BMI is just one piece of the puzzle of health. A well-rounded approach to health, including good nutrition, regular physical activity, enough sleep, stress management, and regular check-ups, is the best way to maintain overall well-being.What is a healthy BMI range?
Can BMI accurately measure body fat?
How often should I check my BMI?
Is BMI different for men and women?
Can medications affect my BMI?
Should athletes use BMI as a health indicator?
How does BMI relate to body fat percentage?
Can BMI predict life expectancy?
BMI is an indirect measure using height and weight. It provides a general assessment, but does not directly measure the amount of body fat. Other methods are needed for direct fat assessment.
Source: “Research Priorities in the Secondary Prevention of Atrial Fibrillation: A National Heart, Lung, and Blood Institute Virtual Workshop Report” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8475065/
Quetelet’s work in the 1830s led to the development of the Quetelet Index, which is the basis of the modern BMI calculation.
Source: “Abstract Book for the 27th Congress of the European Hematology Association” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9429973/
The formula for BMI is weight (kg) / height (m²).
Source: “What is a “high” prevalence of obesity? Two rapid reviews and a proposed set of thresholds for classifying prevalence levels” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9285557/
According to standard BMI categories, a BMI below 18.5 is considered underweight.
Source: “What is a “high” prevalence of obesity? Two rapid reviews and a proposed set of thresholds for classifying prevalence levels” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9285557/
This range is generally considered to be associated with the lowest risk of weight-related health problems.
Source: “What is a “high” prevalence of obesity? Two rapid reviews and a proposed set of thresholds for classifying prevalence levels” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9285557/
A BMI of 25 to 29.9 is classified as overweight, and a BMI of 30 or more is classified as obese.
Source: “What is a “high” prevalence of obesity? Two rapid reviews and a proposed set of thresholds for classifying prevalence levels” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9285557/
BMI does not distinguish between muscle mass and fat. Highly muscular individuals may have a high BMI despite having low body fat.
BMI only uses height and weight, so it doesn’t provide information about body composition.
Source: “Research Priorities in the Secondary Prevention of Atrial Fibrillation: A National Heart, Lung, and Blood Institute Virtual Workshop Report” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8475065/
Sarcopenia and increased adiposity are common age-related changes that impact the interpretation of BMI.
Source: “Lifetime depression and age-related changes in body composition, cardiovascular function, grip strength and lung function: sex-specific analyses in the UK Biobank” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8312429/
BMI is not as reliable for pregnant women, children, and those with certain health conditions due to varying physiological factors.
Source: “Mental health in children and adolescents with overweight or obesity” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9849834/
BMI in children and teens is evaluated using percentile charts that take age and gender into account.
Source: “Mental health in children and adolescents with overweight or obesity” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9849834/
BMI percentiles compare a child or teen’s BMI to others of the same age and sex.
Source: “Mental health in children and adolescents with overweight or obesity” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9849834/
Changes in muscle and fat mass make BMI interpretation more nuanced in older adults.
Source: “The Health, Aging, and Body Composition (Health ABC) Study—Ground-Breaking Science for 25 Years and Counting” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10613019/
Research indicates that a slightly higher BMI in the elderly is associated with lower mortality.
Source: “Synergistic Impact of Body Mass Index and Cognitive Function on All-Cause Mortality in Older Adults: A Nationwide Longitudinal Study” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8276260/
Both underweight and overweight BMI categories are linked with increased health risks.
Source: “Interventions to prevent obesity in children aged 5 to 11 years old” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11102828/
Small changes in BMI can significantly impact weight-related health risks.
Source: “Persuasive System Design Principles and Behavior Change Techniques to Stimulate Motivation and Adherence in Electronic Health Interventions to Support Weight Loss Maintenance: Scoping Review” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6611151/
Even modest weight loss in overweight or obese individuals can lead to health benefits.
Source: “Persuasive System Design Principles and Behavior Change Techniques to Stimulate Motivation and Adherence in Electronic Health Interventions to Support Weight Loss Maintenance: Scoping Review” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6611151/
A slower, sustainable rate of weight loss is generally recommended over rapid weight loss.
Source: “Low‐carbohydrate versus balanced‐carbohydrate diets for reducing weight and cardiovascular risk” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8795871/
Muscle tissue has a higher density than fat, so it weighs more for the same volume.
Short-term variations in weight due to hydration, digestion, etc. can make tracking BMI changes difficult if only focused on the short term.
Controlling the size of portions helps manage caloric intake.
Source: “Low‐carbohydrate versus balanced‐carbohydrate diets for reducing weight and cardiovascular risk” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8795871/
Adequate protein intake supports muscle development, impacting body composition and BMI.
Source: “Interactions between Growth of Muscle and Stature: Mechanisms Involved and Their Nutritional Sensitivity to Dietary Protein: The Protein-Stat Revisited” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996181/
These guidelines are consistent with recommendations by major health organizations.
Source: “2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5–17 years: summary of the evidence” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7691077/
Exercise is important for health, but it is very difficult to burn off excess calories from a poor diet.
BMI uses height and weight to categorize weight status, but it doesn’t measure body fat directly.
Source: “Research Priorities in the Secondary Prevention of Atrial Fibrillation: A National Heart, Lung, and Blood Institute Virtual Workshop Report” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8475065/
Many other health factors are important, even if a person is within a normal BMI range.
BMI is influenced by many factors including diet, exercise, hormones, genetics and other lifestyle habits.
Children’s BMIs are evaluated against growth charts that account for age and sex.
Source: “Mental health in children and adolescents with overweight or obesity” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9849834/
This range is associated with the lowest risk of weight-related health problems.
Source: “What is a “high” prevalence of obesity? Two rapid reviews and a proposed set of thresholds for classifying prevalence levels” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9285557/
BMI only uses height and weight to categorize a person’s weight status, but cannot directly measure fat.
Source: “Research Priorities in the Secondary Prevention of Atrial Fibrillation: A National Heart, Lung, and Blood Institute Virtual Workshop Report” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8475065/
These tests offer more accurate measurements than BMI. DEXA and skinfold measurements can measure fat.
Source: “Infant Body Composition: A Comprehensive Overview of Assessment Techniques, Nutritional Factors, and Health Outcomes” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513728/
The calculation uses height and weight and is not gender specific.
Due to higher muscle mass, athletes can be incorrectly classified as overweight by BMI even with low body fat.
BMI is an estimate of body composition, while body fat percentage provides the amount of fat relative to total body mass.
Muscle and bone density, body composition and various other factors can lead to two individuals having very different body fat percentages despite having an identical BMI.