What is Body Mass Index?
Body Mass Index (BMI) is a simple calculation using a person's height and weight. The formula is BMI = kg/m², where kg is a person's weight in kilograms and m² is their height in metres squared.
It is a widely used, inexpensive tool to estimate body fat and screen for weight categories that may lead to health problems. However, it does not diagnose body fatness or the health of an individual directly.
Formula and Example
Metric: Metric Formula: BMI = Weight (kg) / [Height (m)]²
Imperial: Imperial Formula: BMI = [Weight (lbs) / (Height (in))²] x 703
BMI Categories for Adults
For adults 20 years old and older, BMI is interpreted using standard weight status categories (as per WHO). These categories are:
| BMI Range | Weight Status |
|---|---|
| <16 | Severe Thinness |
| 16 - 16.9 | Moderate Thinness |
| 17 - 18.4 | Mild Thinness |
| 18.5 - 24.9 | Normal Weight |
| 25 - 29.9 | Overweight |
| 30 - 34.9 | Obese Class I |
| 35 - 39.9 | Obese Class II |
| ≥40 | Obese Class III (Morbid Obesity) |
BMI Use in Pregnancy
During pregnancy, a woman's BMI is NOT used to assess current weight status. Instead, her pre-pregnancy BMI is used to determine the recommended amount of weight she should gain during pregnancy to ensure a healthy outcome for both mother and baby.
| Pre-pregnancy BMI | Recommended Weight Gain |
|---|---|
| Underweight (<18.5) | 28–40 lbs (13–18 kg) |
| Normal (18.5–24.9) | 25–35 lbs (11–16 kg) |
| Overweight (25–29.9) | 15–25 lbs (7–11 kg) |
| Obese (≥30) | 11–20 lbs (5–9 kg) |
BMI for Children & Teens
For children and teens (aged 2-19), BMI is interpreted differently. It is calculated using the same formula, but the result is then plotted on a BMI-for-age percentile chart.
Medical Warnings & Limitations
While BMI is a useful screening tool, it is not a perfect measure of health. It has several limitations:
- It does not distinguish between fat and muscle mass. A very muscular person may have a high BMI but low body fat.
- It does not account for the distribution of body fat (e.g., abdominal fat vs. peripheral fat), which is a key risk factor.
- It may not be accurate for certain ethnic groups, body builders, or the elderly.